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6 program manager certified coder jobs found

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Full Time program manager certified coder Remote
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SGMC Health
Full Time
 
Professional Coder
SGMC Health Remote (WV, USA)
JOB LOCATION:   Remote (Considering applicants residing in Georgia, Florida, Ohio, North Carolina, South Carolina, West Virginia, Utah, Arizona, and Missouri.) DEPARTMENT:   REVENUE CYCLE MEDICAL GROUP, SGMC Health SCHEDULE:   Full Time, 8 HR Day Shift, 8-5 Abstracts ICD-10 and CPT codes for Diagnosis and Procedures on professional services. Reviews and analyzes medical records verifying and coding the diagnosis, evaluation and management service, minor procedures, or other codes required for the completeness and accuracy of the record. Additionally, will code and/or review principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, any applicable supply, medication, and injectable drugs. Maintains communication with Management, Practice Manager, and Provider to ensure timely notification of identified documentation issues. Interact with other team members of the revenue cycle and provider clinics. Responsible for continuing education of...

Jan 23, 2026
Allergy Partners PLLC
Full Time
 
RCM AR Specialist
Allergy Partners PLLC Remote (Asheville, NC, USA)
POSITION:   RCM AR Specialist RESPONSIBLE TO: RCM Supervisor, AR Collections JOB SUMMARY:   Follows up on Claim Denials and overdue insurance balances using Explanation of Benefits (EOB) documents and reports.  RCM AR Specialist are assigned specific book of business based on Financial Class and Payers. Work to support the field related to claim denials. RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: Daily Duties Follows up on denied claims and no response within a timely manner. Submits appeals related to contract rate variances with a discrepancy in allowed amounts; notifies Supervisor of payers for which this is a consistent problem. Submit Medical Records when requested by the payer for claims processing determination. Monitor and review Payer correspondence from the lockbox and faxes. Monitor, review, and respond to Hub (field) communication inquiries within the 48-hour requirement. Account Follow-Up Using data from the...

Mar 06, 2026
University of Utah Health
Full Time
 
Outpatient/Provider Coder III
University of Utah Health Remote
Overview Top candidates will have experience with Oncology Coding.   As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA   This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for...

Feb 13, 2026
Magnolia Market Access
Full Time
 
Director, Reimbursement and Market Access
Magnolia Market Access Remote
About the Job The Director of Reimbursement and Market Access is responsible for assisting the Senior Vice President of Reimbursement and Market Access by collaborating with life sciences clients to provide analysis and insight related to coding, reimbursement, practice management, and policy. This individual will leverage internal data sources and professional experience to effectively support clients in developing and implementing reimbursement and market access strategies for their drugs, devices and other healthcare technologies. Duties and Responsibilities Develop and implement coding and reimbursement strategies for new and existing drugs, biologics, medical devices, digital technologies and diagnostic tests Lead client project engagements by serving as the direct point of contact for clients and coordinating with project teams Evaluate drugs and technologies to assess the potential applicability of coding options (HCPCS, CPT, ICD-10-PCS, and ICD-10-CM)...

Feb 06, 2026
SH
Full Time
 
Director - Hospital Coding (Remote)
Stanford Health Care Remote
This is a Stanford Health Care job. A Brief Overview The Director - Hospital Coding oversees, directs, and provides leadership of the facility coding function across the enterprise, acting within the Mid-Revenue Cycle Department, Revenue Cycle Division reporting to the VP, Mid-Revenue Cycle. Responsible for the management of hospital coding operations including ICD, DRG, and CPT code assignment, case abstracting, occasional charge capture, pre-bill quality reviews and other billing edit work queues. The Director participates in the formulation of objectives and strategies for integrating clinical information to support the goals of patient care, teaching, research, and optimizing management of resources. The Director provides leadership in driving key outcomes for hospital/facility coding, including key partnerships with Compliance, CDI, Quality, & other clinical improvement groups. Through a combination of data analytics, and process improvement techniques, this leader...

Mar 03, 2026
UM
Full Time
 
INPATIENT CODING EDUCATION ANALYST
UW Medicine Remote
UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODING EDUCATION ANALYSTS. WORK SCHEDULE 100% FTE Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Performs daily activities related to auditing, education and training of one or more content areas ERHI has coding oversight for. Serve as an expert in Inpatient coding, respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or implementation of audit/monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit activities, maintain unit records, monitor regulatory developments, and help develop Coding program policies and procedure. DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical...

Feb 23, 2026
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