37 associate coder jobs found

Coding Specialist Rewarding career. Competitive salary. Outstanding benefits. Duties and Responsibilities Coding Analyzes patient records to assign appropriate diagnostic and procedure codes. Understands and utilizes both ICD-9 and ICD-10 CM and CPT hospital coding principles. Follows compliance policies in order to code to the highest ethical/ legal degree. Searches through notes on symptoms, history and physical reports, operative notes, pathology reports, and doctor orders to identify final diagnoses. Utilizes available reference material to assure accurate hospital code assignment. Codes records according to established hospital protocol. Notifies supervisor that rebilling is required when a coding change (after finalization of an abstract) causes the DRG or APC to change. Documents selected codes on face sheets. Researches Error Log items and discover source of the issue. Qualifications Required Certification in coding such as Certified Coding Specialist...

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 and Responsibilities As a Coding Auditor, you will be a central figure ensuring accurate and timely reimbursement by proactively resolving medical coding claim defects before billing. You will play a vital role in optimizing our revenue cycle and maintaining financial integrity. Every day, you will meticulously research and review coding-related claim denials, providing expert guidance on corrections to prevent future issues and recover lost revenue. You will also proactively address pre-billing resolution of coding defects, safeguarding against reimbursement impacts. To be successful in this role, you will combine a robust understanding of medical coding and reimbursement methodologies, exceptional analytical skills, and meticulous attention to detail. You will demonstrate a proactive problem-solving approach, driven by a commitment to maximizing financial accuracy and efficiency. Job Requirements Required High school diploma or equivalent...

Overview The Coding Specialist is a functional member of Central Business Services at SMG. The Specialist is an entry-level coding professional who is responsible for the timely, accurate, and comprehensive review of provider claims to optimize reimbursement and ensure compliance with all regulatory statutes. This position also works with the department to identify trends and educational opportunities for providers to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. Responsibilities Review provider claims for timely, accurate, and comprehensive coding to optimize reimbursement and ensure compliance with regulatory statutes. Collaborate with the department to identify trends and educational opportunities for providers to ensure proper coding, documentation, and billing accuracy within their areas of responsibility/specialty. Qualifications National Certified Inpatient Coder on hire or National Certified Professional...

Job Summary and Responsibilities As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. Abstracts, assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures as supported by documentation. Assures the final diagnoses and operative procedures as stated by the physician are valid and coded to the highest level of specificity. Abstracts all...

Please note: position is 100% remote for Washington State Only Under general supervision, the Outpatient Hospital Coder is responsible for the collection of relevant, pertinent, accurate and timely ICD-10 diagnosis, HCPCS codes, and CPT procedural codes abstracted from hospital case types that most commonly include but are not limited to: hospital outpatient clinics, emergency department, surgical cases, observation, infusion, imaging, and professional billing to the extent of the department's responsibility. Supports revenue integrity through review of posted charges for accuracy. Requires effective use of hospital encoding systems and resources as well as recognizing what data can be abstracted, presented, and interpreted for effective use throughout the hospital data cycle. Responsible for resolving coding validation and claim edits based on regulatory and compliant processes. Responsible for reviewing coding edits and assigning modifiers based on billing regulations. Performs...

A children's healthcare organization is seeking an Outpatient Hospital Coder for a fully remote position in Washington. The Coder will be responsible for accurate coding from various hospital case types and maintaining revenue integrity. Candidates should have an associate degree in Health Information Management and relevant certifications. The position offers a competitive hourly pay rate of $29.16 - $43.73, along with a comprehensive benefits package including medical, dental, and tuition reimbursement. #J-18808-Ljbffr

The Richland Hospital & Clinics is seeking a Medical Coder/Analyst to join our Health Information Management team. This is an excellent opportunity for a detail-oriented professional to play a key role in accurate coding and documentation that supports patient care and billing processes. The Coder/Analyst is responsible for reviewing the diagnostic and procedural documentation in the complete patient medical records. The Coder/Analyst codes the records utilizing the ICD-9-CM/ICD-10CM and CPT-4 coding systems, sequences diagnoses and procedures, and assigns DRG’s to facilitate the billing process. The Coder/Analyst also assists in assuring the accurate coding done in other departments such as Anesthesia to assure adherence to the facility Compliance Plan and coding guidelines. Assists in the maintenance of the quality of documentation and in performance improvement efforts in the facility. Acts as a resource person for questions regarding coding and billing procedures. Key...

A healthcare facility in Richland is seeking a detail-oriented Medical Coder/Analyst to join their Health Information Management team. This role involves reviewing and coding medical records using ICD-10-CM and CPT-4 coding systems while ensuring coding accuracy in collaboration with billing and clinical teams. The position requires a technical diploma or associate degree; credentialing is preferred. The successful candidate will also assist in quality improvement efforts and stay updated with regulatory guidelines. #J-18808-Ljbffr

Please note: position is 100% remote for Washington State Only Under general supervision, the Outpatient Hospital Coder is responsible for the collection of relevant, pertinent, accurate and timely ICD-10 diagnosis, HCPCS codes, and CPT procedural codes abstracted from hospital case types that most commonly include but are not limited to: hospital outpatient clinics, emergency department, surgical cases, observation, infusion, imaging, and professional billing to the extent of the department's responsibility. Supports revenue integrity through review of posted charges for accuracy. Requires effective use of hospital encoding systems and resources as well as recognizing what data can be abstracted, presented, and interpreted for effective use throughout the hospital data cycle. Responsible for resolving coding validation and claim edits based on regulatory and compliant processes. Responsible for reviewing coding edits and assigning modifiers based on billing regulations. Performs...

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...

Job title: Field Medical Associate Director, Rheumatology - West Location: Remote/Field Los Angeles, CA San Francisco, CA Seattle, WA Denver, CO Phoenix, AZ About the Job Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you'll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs. As Field Medical Associate Director , you will hold a senior-level position within Sanofi's Field Based Medical organization with expert understanding in both science and business, along with existing relationships with priority key opinion leaders and key decision makers within top regional healthcare systems located within your assigned territory. The FMAD develops strategic engagement plans that transform medical practice and shape the healthcare ecosystem using a data-driven, AI-enabled approach to deliver personalized scientific...

Description About Astria The Astria Health system, headquartered in the heart of the state of Washington's wine country in the beautiful Yakima Valley, is the largest non-profit healthcare system based in Eastern Washington. Astria Health is the parent non-profit organization of Astria Sunnyside Hospital and Astria Toppenish Hospital and delivers care throughout the Valley through its Astria Health Hospitals and its Astria Ambulatory Care model focused on delivering the highest level of ambulatory and outpatient care in convenient locations in both the Lower and Upper Yakima Valley. Astria Ambulatory Care is designed to meet the changing lifestyles and diverse needs of those living and working throughout the region. Across our healthcare network, you will find a dynamic range of meaningful careers and opportunities for growth and safe workplaces. Whether we use our expertise in accounting, human resources, finance, planning, marketing, or our clinical services in any of...

Job Description:This salary range may be inclusive of several career levels at Valley MedicalCenter and will be narrowed during the interview process based on several factors, including (but not limited to) the candidate's experience, qualifications, location, and internal equity.JOB DESCRIPTION The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions.Position descriptions are reviewed and revised to meet the changing needs of the organization.TITLE:Coder / Abstractor II Hospital Coding JOB Overview:Responsible for coding and abstracting based on documentation and following strict coding guidelines within established productivity standards for all accounts assigned.Responsible for following up on all accounts unable to code due to missing/incomplete documentation or charges.Responsible for attending meetings and inservices to enhance...

A healthcare provider in Maryland seeks a qualified Medical Coder to review and assign diagnostic and procedure codes to patient records, ensuring compliance with regulations. Candidates must have at least 3 years of coding experience or relevant certification. Strong knowledge of CPT and ICD-10 coding, along with medical terminology, is essential. The role supports high-quality patient care while maintaining coding accuracy, with a preferred Associate's degree in a related field. #J-18808-Ljbffr

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries physician for...

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries physician for...

A healthcare provider in Maryland seeks a qualified Medical Coder to review and assign diagnostic and procedure codes to patient records, ensuring compliance with regulations. Candidates must have at least 3 years of coding experience or relevant certification. Strong knowledge of CPT and ICD-10 coding, along with medical terminology, is essential. The role supports high-quality patient care while maintaining coding accuracy, with a preferred Associate's degree in a related field. #J-18808-Ljbffr

Job Summary The Coding Supervisor is responsible for overseeing the daily operations of the coding team, ensuring accurate and compliant coding practices across all clinical departments. This role provides leadership, training, and quality assurance for coding staff, supports provider education, and collaborates with Revenue Cycle and Compliance teams to optimize reimbursement and maintain regulatory compliance. Job Specific Competencies Team Leadership & Oversight Supervises coding staff including Coder I and Coder II. b. Monitors productivity and quality metrics, ensuring standards are met or exceeded. c. Conducts regular team meetings and one-on-one check-ins to support performance and development. Quality Assurance & Compliance Oversees internal/external audits and reviews coding accuracy, documentation, and billing compliance. b. Ensures adherence to federal, state, and payer-specific coding guidelines. c. Coordinates with Compliance and Revenue...

A medical academic center is looking for a REMOTE Outpatient Surgery Coder to join their team. Overview of Responsibilities: Review electronic health records and supporting documentation in Epic and/or Cerner to identify all billable ambulatory surgery procedures and services requiring facility fee coding through Epic Hospital Billing (HB) and 3M Computer Assisted Coding (CAC). Assign appropriate CPT, ICD-10-CM, and HCPCS codes for all ambulatory surgery procedures and related diagnoses. Review and resolve coding edits associated with procedures and services performed during ambulatory surgery visits in the operating room. Collaborate with physicians and clinical department representatives to verify services are rendered, properly documented, and meet requirements for outpatient/ambulatory coding. Maintain a three-day coding turnaround time for ambulatory surgery accounts based on date of service. Identify and escalate issues impacting timely coding,...

Description The Coding Specialist is a functional member of Central Business Services at SMG. The Specialist is an entry-level coding professional who is responsible for the timely, accurate, and comprehensive review of provider claims to optimize reimbursement and ensure compliance with all regulatory statutes. This position also works with the department to identify trends and educational opportunities for providers to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. Providence caregivers are not simply valued - they're invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: National Certified Inpatient Coder upon hire or, National...

Job Description Job Description Location: Washington State Employment Type: Part-Time Reports To: COO Position Summary The Medical Billing and Coding Specialist is responsible for accurately coding medical services, submitting insurance claims, and ensuring timely reimbursement in compliance with federal regulations, Washington State laws, and payer-specific guidelines. This role plays a critical part in maintaining revenue cycle integrity while supporting compliance with HIPAA and Washington healthcare regulations. Key ResponsibilitiesMedical Coding • Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes to diagnoses, procedures, and services. • Review clinical documentation to ensure coding accuracy and completeness. • Ensure compliance with CMS guidelines, Washington State Medicaid (Apple Health) requirements, and commercial payer policies. • Identify documentation deficiencies and communicate with providers for clarification. Medical Billing • Prepare and...

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is 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 outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS code...

Overview Description Coder - PACE/ElderPlace Candidate must reside in CA, OR or WA. Schedule: Remote position working Mon-Fri Day shift. Job Description The HCC Coder Analyst is responsible for detailed diagnostic coding associated with Risk Adjustment and HCC coding. This impacts revenue and CMS compliance with the coordination of technically detailed coding applications that impacts operations, programmatic and information systems, as well as contracted providers. The Coder Analyst will have a comprehensive understanding of ICD-9, ICD-10 and other types of coding for PACE programs (both Portland & Seattle), contracted facilities, and providers. Providence PACE is a Program of All-Inclusive Care for the Elderly that strives to keep older adults as healthy as possible living in the community through clinics, home visits and more. Join our team to help empower elders in your community to live active, independent lives. Required Qualifications Associate's Degree in Business or...