80 analyst coder jobs found

Default Work Shift: Day (United States of America) Hours: 40 Salary range: $23.97 - $36.42 Schedule: Full Time Shift Hours: 8 Employee Department: Patient Financial Services Job Objective Responsible for performing revenue cycle integrity audits within the Charge Descriptive Master and other revenue cycle charge capture and reconciliation processes. Job Description Education: Required: High school diploma, GED or higher level degree if hired after March 1, 2025. Preferred: Medical coding coursework or bachelor’s degree in related field. Licensure/Certification: Required: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) within one (1) year if hired into position after January 1, 2021. Experience: Required: Two (2) years of medical billing, charge capture, coding or patient account auditing experience. Preferred: Revenue cycle experience, hospital/clinical experience. Reports To: Manager or Director. Supervises: N/A. Ages of Patients: N/A. Blood Borne...

Professional Fee Coder - Analyst II Under the direction of the Revenue Manager and Associate Director, the Analyst II will support revenue operations related to coding, auditing, and training for designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. The Analyst II will perform an in‑depth review of physician documentation, present findings and recommendations to the department, assign codes based on chart review, resolve coding issues resulting from denials, and identify areas for improvement. Qualifications Required Qualifications One (1) or more years of coding experience. Bachelor's degree in a related area and/or equivalent experience/training. Experience working with CPT, ICD‑10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations as well as payor billing requirements. Working knowledge of the practices,...

Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and identify areas of improvement and current work experience is essential. Note: The rate of pay starts at $45 per hour, and...

Position Overview Under the general direction of the Revenue Manager/Associate Director, this senior coder role oversees a large range of coding combinations (approximately 1,500–5,000), applies specialized coding knowledge to manage ICD‑10 and CPT procedural codes, and guides a centralized coding team as a subject matter expert to improve accuracy and efficiency of professional fee coding. Responsibilities Lead as a subject matter expert, presenting information to the team. Audit and oversee team members’ accuracy and production. Ensure compliance with all federal, state, and local carrier guidelines. Provide education and training to coding staff and physicians. Perform high‑production coding to meet UCSF goals for accuracy and charge lag. Conduct in‑depth reviews of physician documentation and prepare documentation audits. Create coding analysis reports and online presentations with findings and recommendations. Determine methods and procedures for new assignments and...

Job Description ***New Hires are eligible for a Sign-On Bonus*** Under the general direction of the Revenue Manager/Associate Director, this position is expected to function as a senior coder with a high degree of accuracy, proficiency, and production in the areas and specialties covered by the Faculty Practice Revenue Management Operations coding team. Applies specialized coding knowledge to manage a large range of coding combinations (approximately 1,500 – 5,000 combinations). Breadth of understanding of application of moderate to complex coding, coding modifiers, and correct coding initiative guidelines to autonomously manage extensive ICD-10 and CPT procedural codes and current work experience. May include both professional fee and technical coding application. Also guides a centralized coding team as a subject matter expert to improve the accuracy and efficiency of professional fee coding by the team. Note: We are offering a new hire sign‑on bonus of $2,000. All new...

The University of California - San Francisco is seeking a Senior Coder to oversee a diverse range of coding combinations, manage a centralized coding team, and enhance accuracy in professional fee coding. This role demands strong analytical skills and qualifications in coding. New hires are eligible for a $2,000 sign-on bonus. The starting salary is $119,809, depending on experience. Candidates must be authorized to work in the United States without future visa sponsorship. #J-18808-Ljbffr

Responsibilities Provide coding, auditing, and training support for revenue operations under the direction of Revenue Manager and Associate Director. Educate physicians and clinical staff on documentation to ensure compliance with coding guidelines. Conduct in‑depth reviews of physician documentation and present findings with recommendations for physician education. Assign codes based on chart review and resolve coding issues related to denials. Identify areas for improvement in coding processes. Required Qualifications One year of coding experience or five more years of equivalent experience. Bachelor’s degree in a related field or equivalent training. Certified Professional Coder (CCA, CCS, or equivalent) with active AAPC or AHIMA certification and required continuing education credits. Experience with CPT, ICD‑10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations, and payer billing requirements. Working knowledge of the healthcare...

Description Under direction of the Coding Supervisor and Coding Manager, performs coding audits of patient care billing documentation to ensure adherence with CPT and ICD coding guidelines and federal, state, and commercial payor billing and payment policy for all services provided by Providence Medical Foundation. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them. Required qualifications: Upon hire: National Certification from American Academy of Professional Coders. Or Upon hire: National Certified Coding Associate - American Health Information Management Association. Or Upon hire: National Certified Coding Specialist - American Health Information Management...

Certified professional coder • murrieta ca Last updated: 1 day ago $82,000.00 yearly Full-time Board Certified Behavioral Analyst (BCBA) - Unlimited PTO - Growth Opportunities Full-time Join the Southwest Healthcare Team! Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to se... $22.00 hourly Full-time Greystar Greystar is a leading, fully integrated global real estate platform offering expertise in property management, investment management, development, and construction services in institutional-quality... Full-time DeliverThat DeliverThat is built for the ones who show up—the early risers, the hustlers, and the doers. We’re seeking confident and dependable independent contract delivery professionals across the U. Join a dr... $26.00 hourly Full-time +1 Adaptive Certified Fitness Trainer Adaptive Certified Fitness Trainer.Role in the Organizational Structure: The...

Job Overview Under direction of the Coding Supervisor and Coding Manager, performs coding audits of patient care billing documentation to ensure adherence with CPT and ICD coding guidelines and federal, state, and commercial payor billing and payment policy for all services provided by Providence Medical Foundation. Required qualifications National Certification from American Academy of Professional Coders (Upon hire) National Certified Coding Associate - American Health Information Management Association (Upon hire) National Certified Coding Specialist - American Health Information Management Association (Upon hire) National Certified Coding Specialist - Physician - American Health Information Management Association (Upon hire) National Certified Documentation Improvement Practitioner - American Health Information Management Association (Upon hire) National Certified Health Data Analyst - American Health Information Management Association (Upon hire) National Registered...

Under direction of the Coding Supervisor and Coding Manager, performs coding audits of patient care billing documentation to ensure adherence with CPT and ICD coding guidelines and federal, state, and commercial payor billing and payment policy for all services provided by Providence Medical Foundation. Required qualifications Upon hire: National Certification from American Academy of Professional Coders Upon hire: National Certified Coding Associate - American Health Information Management Association Upon hire: National Certified Coding Specialist - American Health Information Management Association Upon hire: National Certified Coding Specialist - Physician - American Health Information Management Association Upon hire: National Certified Documentation Improvement Practitioner - American Health Information Management Association Upon hire: National Certified Health Data Analyst - American Health Information Management Association Upon hire: National Registered Health...

Under direction of the Coding Supervisor and Coding Manager, performs coding audits of patient care billing documentation to ensure adherence with CPT and ICD coding guidelines and federal, state, and commercial payor billing and payment policy for all services provided by Providence Medical Foundation. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them. Required qualifications Upon hire: National Certification from American Academy of Professional Coders. Upon hire: National Certified Coding Associate - American Health Information Management Association. Upon hire: National Certified Coding Specialist - American Health Information Management Association. Upon hire: National...

Medical Billing Coder - Per Diem 20%Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating. Working under direct supervision the incumbent acquires knowledge of revenue cycle coding practices and concepts. Developing proficiency to manage 500 - 1000 code combinations to include Evaluation and Management Services as well as simple to moderately complex testing and procedural code services. The Medical Billing Coder will work to acquire and master all entry-level coding functions including assigning appropriate CPT and Dx codes, associated modifiers, appropriate NCCI edits, resolving coding edits and RFIs as well as basic entry-level revenue cycle duties. Other duties may include assisting other Departments as needed/assigned. As...

DRG Coder The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and procedure codes Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation Conduct coding validation and auditing to ensure compliance with payer and regulatory...

Description Hospice Medical Billing Specialist Pay: $26–$32 per hour Schedule: Full Time, 40 hours/week Location: In-person (Walnut Creek / Bay Area) Overview Alameda Care Hospice is a compassionate, community-focused hospice provider serving patients and families throughout the Bay Area. We are committed to high-quality, patient-centered care while maintaining operational excellence and regulatory compliance. We are seeking an experienced Hospice Medical Billing Specialist to manage our revenue cycle operations. This role is critical for ensuring accurate billing, timely reimbursement, and regulatory compliance across Medicare, Medi-Cal, VA, and private payors. The ideal candidate is detail-oriented, proactive, and experienced in hospice-specific billing processes . This is an excellent opportunity to join a collaborative, mission-driven team and directly contribute to the financial health and sustainability of our organization. Key Responsibilities Claims & Billing...

Billing Specialist - Leading TX Center for over 40 years Salary: $25 - $29 per hour We are a long-standing nonprofit treatment provider with over five decades of service in the recovery community. For over 40 years, we’ve helped more than 50,000 individuals overcome health challenges through compassionate, evidence-based care. With 300+ residential beds and a dedicated team of 150+ staff, interns, and volunteers, we offer comprehensive services that promote long-term sobriety and personal growth. Benefits Medical Dental Vision 401K Growth Options The billing specialist ensures accurate and timely billing for services provided. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations. The ideal candidate is detail-oriented, tech‑savvy, and experienced in medical billing systems and procedures. Key Responsibilities Reconcile billing records for...

Job Description Job Description The Revenue Cycle Management CPC Auditor is responsible for conducting comprehensive audits across all phases of the revenue cycle to ensure accuracy, compliance, and optimal reimbursement. This role is critical in identifying revenue leakage, reducing denials and strengthening internal controls and staff productivity requirements. The Auditor will evaluate charge capture, coding accuracy, documentation integrity, billing workflows, payment posting, denial follow-up, Appeals, and AR follow-up for RCM, clinical, and provider teams to drive continuous process improvement. *This is a remote role. We are only hiring in the following states: AZ, CA, NM, NV, OR, TX and WA. What you will do: Audit execution & oversight by performing routine and ad hoc audits across the full revenue cycle process, including:  Charge entry and charge capture accuracy  CPT, HCPCS, and ICD-10 coding compliance  Modifier usage  Workers’...

Clinical Services Manager I - Nursing Supervisor San Mateo Medical Center is currently seeking a professional, goal-oriented Clinical Services Manager I - Nursing Supervisor who will plan, organize, direct and supervise the operations of a nursing unit and float pool. As a Clinical Services Manager I - Nursing Supervisor, you will have the opportunity to manage patient care while ensuring appropriate quality of care and compliance with regulations. In addition, your responsibilities will include 24/7 oversight of the Nursing Team, Medical Services Assistants Float Pool and the Staffing Coordinator. This role requires participation in training, coaching and counseling of staff, active participation in hospital-wide continuous improvement activities, 24/7 oversight of assigned units and other projects as assigned. Currently there is one full time regular Clinical Services Manager I- Nursing Supervisor vacancy. The position will cover our 100-bed acute facility inclusive of...

At Pinnacle Claims Management, an innovative third‑party administrator (TPA), we provide customized health benefits administration services for self‑funded companies, including health management, wellness solutions, and pharmacy benefit management. As part of the Western Growers Family of Companies, we are committed to supporting employees with competitive compensation, flexible work arrangements, and personal development. Compensation: $45,091 – $63,617 with a rich benefits package that includes profit‑sharing. Job Description Summary Position reports to the Supervisor, Benefit Installation & Distribution and performs in‑depth plan coding and testing of new and existing business accounts. This position ensures that all new and existing health (medical/dental) insurance plans underwritten by the Western Growers Assurance Trust (WGAT) and those of Pinnacle, Inc. (PCMI) are in compliance with the respective employers’ summary plan descriptions. Qualifications BS/BA degree in...

Medicaid Rebate Coder We are looking for a Medicaid Rebate Coder to support a large-scale historical data cleanup initiative. This individual will play a key role in reviewing and validating medical coding data related to Medicaid rebate programs, with a primary focus on National Drug Codes (NDC) and HCPCS codes. Working through legacy data, this person will analyze approximately 300 records per week, identify discrepancies, and verify coding accuracy against external reference sources. The ideal candidate will be comfortable performing validation work, researching discrepancies, and maintaining a high level of accuracy while working independently on a large-scale remediation project.

Who We Are At Dendreon, we’re transforming the battle against cancer with personalized immunotherapy. Our flagship product, PROVENGE® (sipuleucel‑T), was the first FDA‑approved immunotherapy for metastatic castrate‑resistant prostate cancer, utilizing a patient’s own immune cells to fight the disease. If you’re driven by the opportunity to make a meaningful impact on cancer patients’ lives, we invite you to join our team. With Immunotherapy Manufacturing Facilities in Seal Beach, CA, and Union City, GA, a strong Research & Development group in Seattle, WA, and a highly skilled Commercial team across the nation, Dendreon is at the forefront of cancer treatment innovation. Core Values Put Patients First: Every day is an opportunity to improve the lives of those living with cancer. Act with Integrity: We commit to transparency, honesty, and always doing what’s right. Build Trust: Trust is earned through candid, open communication and a collaborative approach. Raise the Bar:...

Benefits: Competitive salary 401(k) Health insurance Paid time off About the Role: At Renew Vein and Vascular we are seeking an experienced in-house Medical Biller to join our team. The ideal candidate will have a strong background in medical billing, coding, and insurance claim management, with a proven ability to ensure timely and accurate reimbursement. Responsibilities include claim submission, payment posting, denial resolution, and working closely with providers and staff to maintain efficient revenue cycle operations. Candidates should be detail-oriented, organized, and knowledgeable in current billing regulations and payer requirements. Experience with EHR/PM systems is preferred. Responsibilities: Process and submit insurance claims accurately and efficiently. Review and verify patient information and insurance coverage. Resolve billing discrepancies and respond to inquiries from patients and insurance companies. Maintain up-to-date knowledge of...

Sr. Specialty Physician Coder - Interventional Radiology Position Remote Opportunity for CA Residents Only Position Type: Temporary Schedule: M-F, 20 - 30 hours/wk (Remote; Must reside in California) Assignment Length: Approximately 3-Months, possibly Longer Description: Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder is responsible for reviewing and accurately coding physician services to ensure compliant reimbursement and complete charge capture. This role is highly specialized in Interventional Radiology (IR) and requires a coder who can independently perform complex IR coding from day one. The coder will also support coding operations, identify trends and irregularities, and collaborate with leadership on compliance and process improvement initiatives. Essential Duties & Responsibilities Perform independent, high-level Interventional Radiology (IR) coding for outpatient (Profee) services Review and abstract medical...

Specialty Physician Coder Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing. This role is responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. The Specialty Physician Coder works with the Coding Compliance Manager on discovered coding trends, irregularities, and needed action items. Job Responsibilities: Achievement of productivity standards as established by management. Achievement of quality standards as established by management. Analyze and interpret medical information in the medical record and assign and sequence the correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical...