Ccs certified coding specialist jobs

Full Time

SSM Health Remote (KS)

Lead the team that turns coding expertise into organizational impact. As Supervisor of Coding Education, Professional at SSM Health, you’ll guide a team of coding educators, strengthen provider and coder education, and help advance coding accuracy, compliance, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Leads and coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and associates. Assists coding staff, physicians, and other health care practitioners with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding physician/provider documentation. Assists in educational needs of coding staff based on these conversations and questions. Coordinates design, development, maintenance, and delivering of training curricula, coding job aids, reference materials, and workshops for providers and coders....

Full Time

Coding Educator

SSM Health Remote

Bring your coding expertise to SSM Health in a role where education, quality, and compliance come together. As a Coding Educator, you’ll partner with providers and coders, lead training initiatives, and influence documentation and coding practices that support accuracy, consistency, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Drives optimal clinical and financial outcomes through thorough assessment of provider documentation and coding competency, identification of improvement opportunities. Develops and delivers training and education of all coding processes. Stays abreast of regulatory changes and works with leadership to ensure compliance and revenue integrity. Act as subject matter expert for providers and coders while providing guidance and clarification on issues which present in their daily account processing. Establishes and coordinates internal quality review processes and corresponding training for providers and coders....

AH

Full Time

OB/GYN Professional Coder

AGS Health Remote

OB/GYN Medical Coder Location: Remote Schedule: Full-time, day shift Department: Domestic Coding Services Reports to: Vice President of Coding Services Position Overview AGS Health is seeking an experienced OB/GYN Medical Coder to join our Domestic Coding Services team. This remote position is responsible for reviewing clinical documentation and assigning accurate diagnosis and procedure codes for obstetrics and gynecology services. The ideal candidate has a strong understanding of professional coding, OB/GYN terminology, and applicable coding guidelines, along with a commitment to quality, productivity, and client service. Key Responsibilities Review provider documentation and assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes for OB/GYN services. Code a variety of services, which may include office visits, preventive services, maternity care, deliveries, gynecologic procedures, and surgical services....

PW

Contract

Inpatient Hospital Coder – Denial Appeals Specialist

PayerWatch, Inc. Remote

Job Position: Independent Medical Reviewer Reports To: Chief, Clinical Business Operations Department: AppealMasters Employment Status: • 1099 Independent Contractor (Remote) • This remote contractor role requires a minimum commitment of ten appeals per week (approximately 15–20 hours weekly). Contractors are responsible for providing their own equipment and maintaining a secure home office environment. Position Summary We are seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist to review, analyze, and write compelling appeals for coding and DRG-related denials. This position requires a strong understanding of inpatient coding guidelines, MS-DRG assignment, clinical documentation, payer policies, and reimbursement principles. The ideal candidate will have mid-level inpatient coding experience and the ability to translate complex coding and clinical information into clear, concise, and well-supported appeal arguments. The primary...

Full Time

Special Investigations Unit Pre Pay Coding Consultant - 2380700

Optum Remote

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. High Level Overview of the Role: Coding Consultant is responsible for investigating and resolving instances of healthcare fraud and abuse of medical providers. Coding Consultant uses information from a tip, member benefits, and medical records to document relevant findings. This position will achieve applicable targets and metrics as determined.This individual will provide mentoring,...

Full Time

Coding Educator

SSM Health Remote

Bring your coding expertise to SSM Health in a role where education, quality, and compliance come together. As a Coding Educator, you’ll partner with providers and coders, lead training initiatives, and influence documentation and coding practices that support accuracy, consistency, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Drives optimal clinical and financial outcomes through thorough assessment of provider documentation and coding competency, identification of improvement opportunities. Develops and delivers training and education of all coding processes. Stays abreast of regulatory changes and works with leadership to ensure compliance and revenue integrity. Act as subject matter expert for providers and coders while providing guidance and clarification on issues which present in their daily account processing. Establishes and coordinates internal quality review processes and corresponding training for providers and coders....

Contract

Medical Coders (ER, SDS and IP) and Data Quality Auditors

Pena4 Inc. Remote

Multiple ED, SDS and IP Coding Assignments Available & Data Quality Auditors Needed Description: Coders and Auditors with 3-5+ years of facility coding experience are needed to provide coverage to Pena4’s clients. Responsibilities : Pena4 M edical Coders are responsible for accurately assigning ICD-10-CM/PCS diagnosis and CPT procedure codes for inpatient and outpatient hospital services. This role ensures coded data is complete, compliant, and supports appropriate reimbursement, quality reporting, and regulatory requirements. Coders must meet or exceed determined productivity and quality standards for respectively assigned client engagements in order to ensure the highest level of coding. Summary: Position Type: 1099 Independent Consultant 100% Remote Assignments Schedule/Shift varies per assignment. See current assignment details below. Credentials: CPC, CCS, RHIA, RHIT (preferred) 3-5+ years of Facility Coding Will be required to complete ED,...

Full Time

C&S Clinical Coding Analyst

Optum Remote (Remote, OR)

$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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 C&S Coding Clinical Analyst is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. They must be able to exercise judgement/decision making on complex payment decisions that directly impacts the provider and...

Full Time

M&R Clinical Investigator

Optum Remote (Remote, OR)

$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS The M&R Clinical Investigator is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. They must be able to exercise judgement/decision making on complex payment decisions that directly impacts the provider and UHC/Client by following state and government compliance guidelines, coding requirements and policies. They must confidently analyze and interpret data and medical records/documentation on a daily basis to understand historical claims activity, determine validity and demonstrate their ability to provide written communication to the provider. They are responsible to investigate, review and provide clinical and/or coding expertise in a review of pre-payment claims. They need to effectively manage their caseload and monthly metrics in a production driven environment and ensure they are...

Contract

Certified Outpatient Coder - Multi-Specialty

Cortex Consultants LLC Remote (United States)

Position : Medical Coder Location : Remote - USA What you'll do Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation. Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others. Process encounters within required SLA on contract with deficiencies identified escalated as necessary. Review and respond to each audit within set time window, with corrections made immediately after final adjudication. Complete training on all government systems, including all annual and short notice training. Meet or surpass weekly Productivity and Quality targets. Coordinate and collaborate with team members and follow directions provided by the Site Manager/Project Manager. Qualifications High School Diploma or higher degree. Active coding certification...

Full Time

DRG Validator

Kodiak Solutions Remote

At Kodiak Solutions, we’re dedicated to transforming the healthcare industry through cutting-edge, technology-driven solutions. We specialize in healthcare finance, unclaimed property, risk management, and revenue cycle management, helping healthcare organizations streamline complex financial operations. Our mission is to simplify and optimize processes, so healthcare providers can focus on delivering excellent patient care . Position Summary The DRG Validator plays an integral role within Kodiak’s Revenue Integrity Optimization team, helping healthcare organizations improve coding accuracy, compliance, quality, and reimbursement. Working alongside an experienced, U.S.-based team, Validators perform comprehensive inpatient coding and clinical validation reviews across both MS-DRG and APR-DRG methodologies . DRG validation at Kodiak goes beyond traditional inpatient coding review , incorporating broader clinical and quality considerations such as Hospital-Acquired...

Full Time

Medical Billing & Coding Specialist

Concord OB/GYN Associates, PC Remote (Offering On-site, Remote or Hybrid work to the right applicant.)

OVERVIEW : The Billing & Coding Specialist works collaboratively with the billing team to support all functions of the billing department, ensuring the maximization of receivables and maintaining optimal cash flow. This role requires advanced knowledge of OB/GYN coding and billing practices. The Billing & Coding Specialist is responsible for maintaining compliance with office policies, procedures, and all applicable regulatory requirements. The ideal candidate demonstrates a friendly and professional demeanor, strong interpersonal skills, and the ability to remain composed during high-pressure situations. This role requires the ability to work independently, apply critical thinking to resolve complex billing issues, and manage sensitive financial conversations with patients in a respectful and understanding manner. KEY RESPONSIBILITIES: Serve as the subject matter expert for all billing, coding, and documentation questions. Review provider...

Seasonal/Temporary

HCC Coding Specialist (Temporary, FT and PT available)

Virtix Health Remote

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. Risk Adjustment Coding Specialists are an important part of the Team at Virtix Health. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements. Equipment provided along with Encoder software with access to AHA Coding Clinic This is a remote position ESSENTIAL DUTIES AND RESPONSIBILITIES:...

Contract

Ophthalmology Professional Coder

AAPC Recruiting Services Remote

Contract to Hire Ophthalmology Professional Coder Job Description We are seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder with the potential to be hired as a full-time employee. This position is remote. The ideal candidate must have at least 5 years of coding experience for physician practices, with ophthalmology specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will possess the following: · Minimum 5 years of coding experience · Extensive coding in ophthalmology specialties · Excellent written and verbal communication skills · Detail oriented and deadline driven attitude...

14 ccs certified coding specialist jobs found