28 associate coder jobs found

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...

JOB SUMMARY:The Coder reviews patient records and assigns codes (ICD-10-CM, ICD-10-PCS, CPT, HCPCS) for each diagnosis and procedure. The coder applies knowledge of medical terminology, disease processes, and pharmacology to ensure these codes accurately reflects the care provided to each patient.RESPONSIBILITIES (ESSENTIAL FUNCTIONS):Accurately assigns and sequences codes (ICD-10-CM, ICD-10-PCS, CPT, HCPCS) for each patient encounter, following proper coding guidelines and legal requirements to ensure compliance with federal and state regulations.Abstracts required medical record information from patient records.Ensures correct diagnosis related group (DRG’s), all patient refined diagnosis related groups (APR DRG’s), and ambulatory payment classification (APC’s) are calculated.Queries providers when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.Assigns and enters charges such as evaluation and...

Medical Records Technician Coder III Koniag Advisory Business Solutions LLC, a Koniag Government Services company, is seeking a Medical Records Technician Coder III to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid vacation, paid sick leave and more. Join our team where precision, integrity, and expertise matter. Koniag Advisory Business Solutions (KABS) is seeking detail-oriented, highly capable, and motivated Medical Records Coder III professionals to support a large-scale healthcare mission serving hospitals and clinics. This is an opportunity to contribute to a team responsible for coding and billing more than 300,000 patient visits, where accuracy, compliance,...

DRH Health is seeking a coder in Duncan, Oklahoma. The role involves reviewing patient records and assigning codes for diagnoses and procedures while ensuring compliance with all regulations. Ideal candidates have a high school diploma, with a preference for an associate or bachelor’s degree in Health Information Management and significant coding experience. Responsibilities include accurate coding, continual education in coding guidelines, and maintaining confidentiality of patient records. Key certifications include RHIA and RHIT. #J-18808-Ljbffr

Join to apply for the Certified Professional Coder, PAM role at DRH Health 5 days ago Be among the first 25 applicants Join to apply for the Certified Professional Coder, PAM role at DRH Health JOB SUMMARY: This position is responsible for reviewing a patient’s medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. Description JOB SUMMARY: This position is responsible for reviewing a patient’s medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. Responsibilities (essential Functions) Accurately assigns and sequences codes (ICD-10-CM,...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Position Summary The Risk Adjustment Coder determines the appropriate ICD10-CM diagnoses codes based on clinical documentation that follows the Official Guidelines for Coding and Reporting and Risk Adjustment guidelines for risk adjustment and Hierarchical Condition Categories (HCC). Risk adjustment coding relies on ICD-10-CM coding to assign risk scores to patients. The incumbent reviews retrospective medical record documentation and ensures that the codes are appropriately assigned. The outcome will be documentation that accurately and completely captures the clinical picture/severity of illness/complexity of the patient while providing specific and complete information to be utilized in coding, profiling and outcomes reporting of both the facility and the physicians. The Risk Adjustment Coder utilizes standards of compliance, specifically in OP compliant query processes and clinical knowledge to identify opportunities and to achieve results Also required is advanced knowledge of...

Job Description Under the direction of the HIM Manager, the Coder will be responsible for chart review with experience in Inpatient and Outpatient coding within the hospital setting. Strong knowledge of ICD-10-CM, PCS, CPT/HCPCS coding, and CCI edits. Verify completeness of medical records to ensure documentation supports the assigned codes and modifiers. Knowledge of reimbursement systems and regulations pertaining to billing, documentation and compliance standards including federal and state regulations. Maintain coding knowledge of current coding updates, medical terminology, updated changes in healthcare regulations and maintain up to date coding certification. Attention to detail with excellent communication and interpersonal skills when working with healthcare providers, physicians, residents, and other departments within the hospital. Qualifications Associate Degree required Bachelors Degree preferred License/Certifications: CCS-Certified Coding Specialist, RHIT-...

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 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...

JOB SUMMARY: This position is responsible for reviewing a patient's medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. RESPONSIBILITIES (ESSENTIAL FUNCTIONS): Accurately assigns and sequences codes (ICD-10-CM, CPT, HCPCS/modifiers as necessary) for each patient encounter, following proper coding guidelines and legal requirements to ensure compliance with federal and state regulations. Ensures professional/physician billing CPT codes/ICD-10 codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Queries providers or other Clinic team members when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Assigns and enters...

This is a remote based position.Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience.We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type.Tell us about your experience with Profee Outpatient Coding.Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills.We are looking for someone UNCOMMON.What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value...

Your future role at a glance Location: Tulsa, OK (on-site) Facility: Ascension Medical Group - South Harvard Department: Revenue Cycle Management Schedule: Full Time, Days, Monday-Friday 8am-5pm Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter. Benefits that help you thrive Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life...

Job Posting Under the direction of the HIM Manager, the Coder will be responsible for chart review with experience in Inpatient and Outpatient coding within the hospital setting. Strong knowledge of ICD-10-CM, PCS, CPT/HCPCS coding, and CCI edits. Verify completeness of medical records to ensure documentation supports the assigned codes and modifiers. Knowledge of reimbursement systems and regulations pertaining to billing, documentation and compliance standards including federal and state regulations. Maintain coding knowledge of current coding updates, medical terminology, updated changes in healthcare regulations and maintain up to date coding certification. Attention to detail with excellent communication and interpersonal skills when working with healthcare providers, physicians, residents, and other departments within the hospital. Qualifications Associate Degree required Bachelors Degree preferred License/Certifications: CCS-Certified Coding Specialist, RHIT-...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Medical Records Technician Coder III Koniag Advisory Business Solutions LLC, a Koniag Government Services company, is seeking a Medical Records Technician Coder III to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid vacation, paid sick leave and more. Join our team where precision, integrity, and expertise matter. Koniag Advisory Business Solutions (KABS) is seeking detail-oriented, highly capable, and motivated Medical Records Coder III professionals to support a large-scale healthcare mission serving hospitals and clinics. This is an opportunity to contribute to a team responsible for coding and billing more than 300,000 patient visits, where accuracy, compliance,...

This is a remote based position. Applicants can be located nationwide Back 1d Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced...

Description This role, titled Coder I, involves reviewing health care documentation to determine diagnostic codes for billing purposes. Codes are followed according to departmental and AHIMA guidelines and ensured accurate, timely recording. Demonstrates Competency in the Following Areas Reviews charts thoroughly to ascertain all diagnosis and procedures. Ensures receipt of order by physician on all ancillary tests and procedures. Codes are sequenced according to coding guidelines. Productivity standards are met. Utilizes computerized coding system to assign proper codes. Contacts responsible physician, in professional manner, if diagnosis is unclear. Maintains open lines of communication with supervisor on issues concerning uncoded charts on the Delinquent Bill Report. Meets quality standards of 95% or greater. Reviews coding periodicals within seven days of receipt. Assists in answering the telephone and taking accurate messages. Communicates regularly with supervisor on...

Highmark Health is seeking a Medical Coder in Oklahoma City. This role involves reviewing medical information and assigning appropriate ICD codes while ensuring efficient management of medical data. Candidates must have a high school diploma, at least one year of hospital coding experience, and certification (CCS or CIC). The position offers a pay range of $23.73 to $37.14, depending on experience. Additional preferred qualifications include an associate's degree in Health Information Management. #J-18808-Ljbffr

Position Summary Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session. Performs chart audits to ensure correct coding and charge capture have been applied appropriately. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. Position Physician Practice Coder Department BUMG Corporate PBO Schedule 40 hours Essential Responsibilities / Duties Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems. Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing. Sequences diagnoses, procedures and complications by following ICD-10-CM, CPT-4, and the Uniform Hospital...

Job Summary Assigns appropriate codes to a limited amount of patient types. Abstracts critical information and enters data into hospital information system. Monitors accounts "in process" for diagnosis to assure daily DNFB standard is met. Maintains high level of coding expertise. Remote coding placement. Qualifications Ability to abstract health information utilizing current coding guidelines on various patient types. Education Bachelors of Science or Associates in Applied Arts/Science or equivalent years of experience. Actively seek to obtain certification with American Health Information Management Association (AHIMA) as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) and/or Registration with American Association of Professional Coders (AAPC) as a Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC) or other equivalent coding...

Medical Records Technician Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Medical Records Technician Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Medical Records Technician Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.