44 associate coder jobs found

City/State: White Plains, New York Department: WPH Health Info Mgmt HIM_5 Work Shift: Day Work Days: MON-FRI Scheduled Hours: 7 AM-3 PM Hours Per Pay Period: 75 Pay Rate/Range: $27.61-$41.43 (subject to change based on shift differential, experience, education or other relevant factors) Job Summary The Outpatient Coder/Abstractor Level II is responsible for coding and abstracting medical records in accordance with established guidelines for outpatient hospital services. This includes same‐day surgery, observation, emergency department services, clinic services, infusion center services, and diagnostic testing. Essential Functions Understand and adhere to the WPH Performance Standards, Policies and Behaviors. Accurately assign codes to meet established coding guidelines, including ICD-10 CM, CPT-4, HCPCS, and Modifiers. Analyze medical records to identify all appropriate coding and sequencing of diagnoses and procedures. Review local coverage determinations (LCD) and National...

City/State: White Plains, New York Department: WPH Health Info Mgmt HIM_5 Work Shift: Day Work Days: MON-FRI Scheduled Hours: 7 AM-3 PM Hours Per Pay Period: 75 Pay Rate/Range: $27.61-$41.43 (subject to change based on shift differential, experience, education or other relevant factors) Job Summary The Outpatient Coder/Abstractor Level II is responsible for coding and abstracting medical records in accordance with established guidelines for outpatient hospital services. This includes same‑day surgery, observation, emergency department services, clinic services, infusion center services, and diagnostic testing. Essential Functions Understand and adhere to the WPH Performance Standards, Policies and Behaviors. Accurately assign codes to meet established coding guidelines, including ICD-10 CM, CPT-4, HCPCS, and Modifiers. Analyze medical records to identify all appropriate coding and sequencing of diagnoses and procedures. Review local coverage determinations (LCD) and National...

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 Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

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 oversight. Demonstratesa...

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 oversight. Demonstratesa...

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...

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...

Coder In-patient Level III Job Description Position Summary The role of the Coder Inpatient Level III is to interact extensively with the physician and other members of the healthcare team to facilitate improvement in the overall quality, completeness, and accuracy of medical record documentation. This will support the appropriate clinical picture and level of severity of the patient while providing accurate and complete information that is utilized in the medical record and core measure abstraction and coding process to obtain appropriate reimbursement. This position will also be responsible for coordinating and providing education to all physicians and other clinicians related to compliant documentation responsibilities and coding and abstraction issues. This position will identify opportunities for documentation improvement to ensure accuracy and completeness of documentation used for measuring and reporting physician and hospital outcomes (e.g. patient safety indicators (PSI)...

City/State: White Plains, New York Department: WPH Health Info Mgmt HIM_5 Work Shift: Day Work Days: MON-FRI Scheduled Hours: 7 AM-3 PM Hours Per Pay Period: 75 Pay Rate/Range: $27.61-$41.43 (subject to change based on shift differential, experience, education or other relevant factors) Job Summary The Outpatient Coder/Abstractor Level II is responsible for coding and abstracting medical records in accordance with established guidelines for outpatient hospital services. This includes same‑day surgery, observation, emergency department services, clinic services, infusion center services, and diagnostic testing. Essential Functions Understand and adhere to the WPH Performance Standards, Policies and Behaviors. Accurately assign codes to meet established coding guidelines, including ICD-10 CM, CPT-4, HCPCS, and Modifiers. Analyze medical records to identify all appropriate coding and sequencing of diagnoses and procedures. Review local coverage determinations (LCD) and National...

AtlantiCare Regional Medical Center All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Description The role of the Coder Inpatient Level III is to interact extensively with the physician and other members of the health care team to facilitate the improvement in the overall quality, completeness and accuracy of medical record documentation. This will support the appropriate clinical picture and level of severity of the patient while providing accurate and complete information that is utilized in the medical record and core measure abstraction and coding process to obtain appropriate reimbursement. This position will also be responsible for coordinating and providing education to all physicians and other clinicians related to compliant documentation responsibilities and coding and abstraction issues. This position will identify...

Title: Associate Director, Marketing - Medical Dermatology, Princeton, NJ - Hybrid Location: Princeton, NJ Company: Sun Pharmaceutical Industries, Inc (USA) Job Summary Sun Pharma is seeking a strategic and dynamic Associate Director, Marketing (DTC & HCP) - Medical Dermatology to serve as a key leader within the U.S. Medical Dermatology Marketing organization. This position reports to the Senior Director, Marketing – Medical Dermatology and the work location is Princeton, NJ (3 days in the office per week). This role is responsible for shaping and executing integrated Direct-to-Consumer (DTC)/patient and Healthcare Professional (HCP) marketing strategies for a priority alopecia areata brand. The Associate Director will lead omnichannel engagement strategy, ensuring alignment across patient and provider touchpoints to deliver a cohesive, insight-driven customer experience. As a core member of the brand team, this individual will partner cross-functionally across...

Associate Director / Director, Medical Science Liaison Womens Health US-- Job ID: 2026-1902 # of Openings: 1 Category: Medical Science Liaison BESTMSLs Overview This field-based Medical Science Liaison role supports the Womens Health therapeutic area across the United States (exact territory to be determined), with a focus on engaging key opinion leaders (KOLs) and healthcare providers in high-quality scientific exchange. The Associate Director/Director will serve as a critical link between external stakeholders and the Medical Affairs organization, driving insight generation and contributing to the development and execution of medical strategy. This role requires deep expertise in Women's Health, including exposure to contraception, and a strong ability to translate complex clinical data into meaningful, actionable discussions. The individual will proactively identify unmet educational needs, deliver non-promotional scientific support, and play a key role in shaping medical...

Associate Director / Director, Medical Science Liaison Womens Health US-- Job ID: 2026-1902 # of Openings: 1 Category: Medical Science Liaison BESTMSLs Overview This field-based Medical Science Liaison role supports the Womens Health therapeutic area across the United States (exact territory to be determined), with a focus on engaging key opinion leaders (KOLs) and healthcare providers in high-quality scientific exchange. The Associate Director/Director will serve as a critical link between external stakeholders and the Medical Affairs organization, driving insight generation and contributing to the development and execution of medical strategy. This role requires deep expertise in Women's Health, including exposure to contraception, and a strong ability to translate complex clinical data into meaningful, actionable discussions. The individual will proactively identify unmet educational needs, deliver non-promotional scientific support, and play a key role in shaping medical...

Overview Provide expert inpatient coding services to ensure compliance with healthcare standards and optimize reimbursement processes effectively. Perform detailed audits to verify coding accuracy and contribute to quality improvement initiatives within the organization. Collaborate with healthcare teams to refine coding policies and procedures for operational efficiency and compliance. Analyze health data to identify trends and enhance coding practices for improved outcomes. Adapt to industry changes and maintain compliance with evolving coding standards and regulations. Support educational programs promoting coding accuracy and compliance within the organization. Contribute to impactful initiatives aimed at improving healthcare quality and operational efficiency. Key Responsibilities & Duties Accurately code diagnoses and procedures in inpatient medical records using ICD-10-CM and ICD-10-PCS systems. Conduct audits to identify discrepancies and ensure compliance...

Capital Health is a regional leader in progressive, quality patient care, providing services through two hospitals, an outpatient center, satellite ED, and an extensive primary and specialty care network. The Medical Group employs over 600 physicians and other providers who deliver primary, specialty, and hospital‑based care to patients throughout the region. Pay Range: $25.49 - $33.16 per hour (full‑time equivalent 1.0 FTE). Scheduled Weekly Hours: 40 hours. Position Overview This is a full‑time, remote physician coding position open to candidates residing in New Jersey, Pennsylvania, or Alabama. The role requires accurate assignment of CPT, HCPCS, and ICD‑10‑CM codes for professional claims from Capital Health Medical Group for both hospital and outpatient procedures. Essential Functions Review procedure documentation to assign accurate CPT‑4 procedure codes and appropriate modifiers for OR and procedure room cases. Validate provider‑selected ICD‑10‑CM diagnosis codes....

Job Description Responsible for supervising the work of staff who review, interpret, code and abstract medical records information according to standard classification systems; performs the most advanced medical records coding and abstraction duties; performs data quality reviews and prepares complex reports as required; and performs other related duties as assigned. Principal Accountabilities include promoting Coding Audit department goals by selecting, motivating, and training capable team members, leading the activities of assigned Coding Audit team members by communicating and providing guidance toward achieving department objectives, assisting in analyzing common operational definition of metrics and assisting in the development of regional reports to monitor individual hospitals in one database and developing processes to integrate clinical department managers in correction and resubmission of medical records, assisting with the development of tools to track performance...

The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network. Education, Knowledge, Skills and Abilities Required High School diploma, general equivalency diploma (GED), and/or GED equivalent programs. Minimum of 5 years of Physician Coding experience in a large multi-specialty group. Experience and thorough knowledge of ICD-10 and CPT coding. Knowledge of data reporting requirements and proficiency in computer skills. Extensive knowledge in data collection and physician coding reviews. Must have advanced coding education and training with a strong foundation in E/M Coding. Knowledge of Coding software and Google Suite: Sheets, Slides, and Docs. Excellent oral and written...

Overview Provide expert inpatient coding services to ensure compliance with healthcare standards and optimize reimbursement processes effectively. Perform detailed audits to verify coding accuracy and contribute to quality improvement initiatives within the organization. Collaborate with healthcare teams to refine coding policies and procedures for operational efficiency and compliance. Analyze health data to identify trends and enhance coding practices for improved outcomes. Adapt to industry changes and maintain compliance with evolving coding standards and regulations. Support educational programs promoting coding accuracy and compliance within the organization. Contribute to impactful initiatives aimed at improving healthcare quality and operational efficiency. Key Responsibilities & Duties Accurately code diagnoses and procedures in inpatient medical records using ICD-10-CM and ICD-10-PCS systems. Conduct audits to identify discrepancies and ensure compliance...

Medical Practice Office Supervisor The Medical Practice Office Supervisor directly manages the staff in each business unit. The Supervisor coordinates recruitment of Client Service Representatives and Medical Assistants, evaluates the staff and is responsible for any necessary disciplinary actions including the proper supporting documentation. The Medical Practice Office Supervisor provides administrative and clerical support to the department director with various functional responsibilities and assists with departmental operations as required. The Medical Office Supervisor assists the department staff with issues, problems and projects as directed and responds to operational inquiries. The Supervisor develops and implements office procedures and processes that support operations. The Medical Office Supervisor directs the work activities of the clerical personnel. This position supports organizational goals by providing quality customer service, participating in performance...

Job Title Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and timely manner. Qualifications Work requires the level of knowledge normally acquired through completion of two to three years of occupational-specific education beyond High School or an Associate's Degree in Health Information Technology or a closely related field and two to three years of previous work related experience. Certified Coding Specialist (CCS) AHIMA's coding certification required or within 1 year of hire. Work requires the analytical ability to resolve problems that require the use of basic scientific knowledge and the ability to exchange information on factual matters. About Us St....

Virtua Health Coding SpecialistAt Virtua Health, we exist for one reason to better serve you.That means being here for you in all the moments that matter, striving each day to connect you to the care you need.Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between we are your partner in health devoted to building a healthier community.If you live or work in South Jersey, exceptional care is all around.Our medical and surgical experts are among the best in the country.We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home.A Magnet-recognized health system ranked by U.S.News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.In addition to five hospitals, seven emergency departments,...

Medical Practice Office Supervisor The Medical Practice Office Supervisor directly manages the staff in each business unit. The Supervisor coordinates recruitment of Client Service Representatives and Medical Assistants, evaluates the staff and is responsible for any necessary disciplinary actions including the proper supporting documentation. The Medical Practice Office Supervisor provides administrative and clerical support to the department director with various functional responsibilities and assists with departmental operations as required. The Medical Office Supervisor assists the department staff with issues, problems and projects as directed and responds to operational inquiries. The Supervisor develops and implements office procedures and processes that support operations. The Medical Office Supervisor directs the work activities of the clerical personnel. This position supports organizational goals by providing quality customer service, participating in performance...