26 jobs found in Troy, AL

Job Description Job Description Troy Regional Medical Center has an opening for a Coder. Our family environment offers support in a collaborative team atmosphere. Come and check out what TRMC can do for your career! As a Coder at TRMC, your primary responsibility will be to accurately code diagnoses and procedures across all specialties, particularly in the Emergency services. This role is crucial in generating indices and statistics, ensuring proper billing and reimbursement, and, most importantly, supporting our mission to deliver the highest quality of patient care economically and efficiently. Education:  A high school diploma or equivalent is required. Must have completed an accredited coding education program.  Experience:    At least two years of coding experience in an acute hospital environment is required. Must be proficient in ICD-10 and DRG optimization if required for assigned specialty. Must have a working knowledge of medical terminology, anatomy, and physiology....

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education, based on business needs Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and...

Outpatient Coding Compliance Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...

A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement from the comfort of your home. This crucial role involves extracting clinical information from medical records, assigning codes, and ensuring payment accuracy. You will need to have at least 4 years of experience with relevant qualifications and skills in medical coding. Join us to make an impact in the health sector and work with a Fortune 100 employer that rewards performance. #J-18808-Ljbffr

Baptist Health - Central Alabama is seeking an Advanced Coding Specialist to apply diagnostic and procedural codes to inpatient or outpatient accounts. This role is crucial for data retrieval, analysis, and claims processing. Candidates must possess the appropriate certifications and have a minimum of 3 years of coding experience in an acute care setting. The position requires working primarily in an office environment with significant computer use, along with effective communication skills. #J-18808-Ljbffr

Highmark Health is seeking candidates for a coding position in Montgomery, Alabama. This role requires proficiency in hospital coding, effective data entry skills, and a strong understanding of medical terminology. Qualified candidates must have a minimum of one year of coding experience and certifications like Certified Coding Specialist (CCS) or Certified In-patient Professional Coder (CIC). The position offers a pay range from $23.73 to $37.14 with a sign-on bonus. #J-18808-Ljbffr

Humana Inc is seeking a Medical Coding Coordinator responsible for extracting clinical information and assigning codes to patient records. This remote position requires independent initiative with an emphasis on problem-solving skills and attention to detail, alongside a coding certification. The ideal candidate will have 3+ years as a Certified Medical Coder and experience with Medicare and Medicaid coding guidelines. Humana offers competitive benefits and the possibility of occasional travel for training. #J-18808-Ljbffr

Datavant is seeking an experienced outpatient coder to join our healthcare data platform. This fully remote position allows you to work flexibly while reviewing medical records and assigning accurate codes to improve healthcare data accessibility. The ideal candidate has at least 3 years of outpatient coding experience, particularly in Emergency Department procedures, and holds relevant certifications. Join us in creating transformative changes in healthcare! #J-18808-Ljbffr

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws, regulations, and billing standards...

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Sr Med Bill Examiner - CJ10DN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. Successful candidates will be responsible for performing Medical Bill review and investigation of medical invoices to determine reimbursement based on applicable workers compensation statues and/or regulations including: -Analyzing of bill for proper assignment of detailed medical coding information -Interpreting workers compensation rules for repricing -Entering/correcting data of medical...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Datavant is seeking experienced and credentialed outpatient coders to join their remote team. In this role, you'll review medical records, assign accurate codes, and maintain high coding accuracy. Candidates should have AHIMA or AAPC credentials and at least 2 years of coding experience. The position offers a flexible schedule, comprehensive benefits including medical, dental, and vision, plus a stipend for education. Join Datavant's mission to transform healthcare through data collaboration. #J-18808-Ljbffr

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviewsmedical records toreport conditions that map toHCCs by reviewing medical record documentation and applying theappropriate ICD-10diagnosis codes. Followsstate and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works onprojects that may include making phone calls to providers. Works within broad guidelines with little...

Store Compliance Auditor – Flexible Gig Work Pay Rate: $19/hour + mileage. Schedule: Flexible, Per Diem. Assignment Length: Gig Work / Per Run. Our client is seeking a dependable individual to complete store compliance audits at various locations in the Presque Isle & Houlton area. This position pays $19/hour and is a per diem gig assignment, making it a great opportunity to earn extra income with minimal time commitment. This is a unique, independent role where you’ll pose as an everyday customer while helping ensure compliance with tobacco sales regulations through accurate observation and reporting. Benefits Competitive pay rate of $19/hour – minimum 4 hours per run Mileage reimbursement at $0.65/mile (pre-determined for each position) Flexibility in when you complete your run Your main tasks will include Posing as an ordinary customer Observing if employees check IDs for tobacco purchases Documenting and compiling information for client reports Ensuring thorough and...

Baylor Scott & White Health is hiring a Physician Compliance Auditor II. This remote position requires auditing and evaluating compliance activities to ensure adherence to standards. The ideal candidate will have advanced knowledge of CPT, ICD-10, and HCPCS, along with at least four years of auditing experience. In addition to strong analytical skills, candidates must possess an active coding certification (CPC or CCS-P). The salary ranges from $26.66 to $40.00 per hour based on experience. #J-18808-Ljbffr

Medical Records Supervisor Location US-AL-Montgomery ID 2026-30706 Category Administration Position Type Full-Time Overview NaphCare is hiring a Medical Records Supervisor to join our team of medical professionals in the Kilby Correctional Facility in Mt. Meigs, AL . As a Correctional Medical Records Supervisor you will work alongside correctional officers and other medical professionals who provide care to the individuals in residence. This is a unique position where you can make a difference to this diverse population of patients. Responsibilities The Medical Records Supervisor is responsible for maintaining, organizing, and processing inmates' medical records within the facility. Duties and responsibilities may include and are not limited to: Entering patient information into electronic systems, filing documents, and maintaining the physical and digital filing system Ensuring the completeness, accuracy, and quality of medical...

NaphCare, Inc. is seeking a Medical Records Supervisor to join our team at the Kilby Correctional Facility in Mt. Meigs, AL. This vital role involves organizing and maintaining medical records for inmates while collaborating with medical staff in a unique correctional healthcare environment. The ideal candidate will have a high school diploma, RHIT/RHIA certification, and management experience. Benefits include health insurance, 401K, tuition assistance, and generous paid time off. #J-18808-Ljbffr

A data platform company is seeking an experienced inpatient coder to join their remote team. The ideal candidate will have a minimum of 3 years of inpatient coding experience, attention to detail, and knowledge of medical terminology. Responsibilities include coding procedures and diagnosing, maintaining accuracy, and overseeing other coders. The position offers flexible scheduling, with competitive compensation and benefits, including health coverage and equipment support. #J-18808-Ljbffr

Datavant is seeking an Inpatient Auditing Specialist to perform audits and ensure coding quality in healthcare. This fully remote role requires a minimum of 3 years auditing experience and strong knowledge of facility coding processes. The position offers a competitive salary and a $2,500 sign-on bonus. As part of a collaborative team, you'll help improve health data usage while enjoying comprehensive benefits and professional development opportunities. #J-18808-Ljbffr

Manpower Maine is looking for a Store Compliance Auditor for flexible gig work in the Presque Isle & Houlton area. This flexible position offers a pay rate of $19/hour plus mileage reimbursement. The role involves posing as an everyday customer to observe and report on compliance with tobacco sales regulations. The ideal candidate is detail-oriented, has a valid driver’s license, and reliable transportation. This is a unique opportunity for independent work with minimal time commitment. #J-18808-Ljbffr