224 certified coder jobs found

Certified Professional Coder (CPC)We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.Activities...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

North Memorial Health is seeking a CodER II to accurately apply ICD-10CM and CPT coding with modifiers for inpatient and outpatient services in hospital or professional settings. The role emphasizes data integrity and regulatory compliance in a revenue cycle environment. The incumbent will ensure coding accuracy for reimbursement and maintain quality, with a focus on meeting department productivity standards and ongoing professional development. #J-18808-Ljbffr

North Memorial Health is seeking a skilled Coder II to accurately apply ICD-10-CM and CPT coding with appropriate modifiers for inpatient and outpatient services in either the professional or hospital setting, ensuring complete and compliant data for billing. The role requires three years of coding experience, certification through AAPC or AHIMA, and ongoing professional education. This position offers remote work options, a collaborative Revenue Cycle team, and a commitment to high-quality, #J-18808-Ljbffr

Job SummaryWe are seeking an experienced Certified RN Medical Coder to support a full-time COC / SPD project focused on building out coding for benefit plans.This role combines clinical knowledge with technical coding expertise to ensure accuracy, consistency, and compliance across plan documentation.You'll work closely with a team of certified coders and business analysts in a collaborative, fast-paced environment where precision and partnership drive success.Why this Opportunity?Top ranked company in Fortune's 2024 World's Most Admired Companies for over a decade consecutively.This healthcare client is ranked number one in key attributes of reputation :Innovation People management Social responsibility Quality of Management Financial soundness Long-term investment value Quality of products Services and global competitiveness.Job Responsibilities :Determine and assign appropriate codes to benefit plan language as part of the COC / SPD project.Review coding selections made by peers...

Voyage Healthcare MN is seeking a Certified Medical Coding Specialist for a remote role with occasional in-person work at our Corporate Office in Brooklyn Park, MN. You will select service and diagnosis codes to ensure accurate billing and reporting. Ideal candidates have AHIMA or AAPC certification, an accredited coding program or equivalent experience, and a minimum of three years' coding experience in primary care or gynecology, with strong ICD-10/CPT knowledge and EMR proficiency. #J-18808-Ljbffr

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: Conduct a...

UnitedHealth Group's Optum unit seeks a senior professional coder for remote, full-time work. You will assign CPT/ICD-10/HCPCS codes for diverse E/M services, ensure coding accuracy, and support providers with documentation queries. Expect ongoing education and collaboration with QM and Coding Operations teams. Requirements include AHIMA/AAPC certification and 3+ years in ProFee/E/M coding, with strong Excel and EMR system skills. Occasional overtime may be required to meet deadlines. #J-18808-Ljbffr

$5,000 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. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Facility Certified Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Job SummaryWe are seeking an experienced Certified RN Medical Coder to support a full-time COC / SPD project focused on building out coding for benefit plans.This role combines clinical knowledge with technical coding expertise to ensure accuracy, consistency, and compliance across plan documentation.You'll work closely with a team of certified coders and business analysts in a collaborative, fast-paced environment where precision and partnership drive success.Why this Opportunity?Top ranked company in Fortune's 2024 World's Most Admired Companies for over a decade consecutively.This healthcare client is ranked number one in key attributes of reputation :Innovation People management Social responsibility Quality of Management Financial soundness Long-term investment value Quality of products Services and global competitiveness.Job Responsibilities :Determine and assign appropriate codes to benefit plan language as part of the COC / SPD project.Review coding selections made by peers...

Risk Adjustment Coding Analyst Senior HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks. Accountabilities: Performs retrospective chart review for diagnosis coding accuracy. Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education. Reviews vendor coding and provide recurring feedback and education to vendor team. Participates in internal and CMS-mandated risk adjustment data validation review. Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities. Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics. Increases...

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 Medical Coding Auditor 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. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to exercise...

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 Medical Coding Auditor 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. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to exercise...

Job Description HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks. ACCOUNTABILITIES: Performs retrospective chart review for diagnosis coding accuracy. Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education. Reviews vendor coding and provide recurring feedback and education to vendor team. Participates in internal and CMS-mandated risk adjustment data validation review. Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities. Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics. Increases...

Risk Adjustment Coding Analyst Senior HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks. Accountabilities: Performs retrospective chart review for diagnosis coding accuracy. Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education. Reviews vendor coding and provide recurring feedback and education to vendor team. Participates in internal and CMS-mandated risk adjustment data validation review. Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities. Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics....

*Top Skills' Details* *Level I - Must be a certified coder; CPC-A, CPC, CCS-P, RHIT, RHIA, or appropriate AAPC specialty certifications are acceptable at time of hire or must be obtained within 6 months of hire. *Strong coding expertise with solid knowledge of medical terminology, regulations, and policies, paired with high attention to detail to ensure accurate coding and billing * Effective communicator and team player with active listening, conflict management, and the ability to stay composed and collaborative in fast paced environments * Highly organized, proactive, and adaptable self starter with strong problem solving skills and the ability to manage workload, meet deadlines, and handle evolving responsibilities *Description* Reviews a patient's medical records after a visit or procedure to translate information into appropriate evaluation and management, diagnostic, and procedural codes that insurers use to process claims for the work performed by the provider....

Coder 4 Fairview is looking to hire a Coder 4 to join our Inpatient Coding team. This is a full-time position (80 hours per pay period) and is benefit eligible. This role offers the flexibility to perform work in a virtual environment while remaining closely connected with the coding team and other partners across the organization. The ideal candidate will have strong experience in hospital-based inpatient coding, with demonstrated expertise in ICD-10-CM and ICD-10-PCS coding, including accurate MS-DRG assignment. This role utilizes encoder and computer-assisted coding (CAC) software to ensure accurate, thorough, and compliant coding of complex inpatient cases. The Coder 4 will also research complex coding scenarios, apply coding guidelines and clinical documentation, and query physicians when clarification is needed to support accurate code assignment. This is an HB Inpatient coding position for an experienced, trained inpatient coder. An Inpatient Coder analyzes clinical...

Join the Indian Health Service in Ponemah, Minnesota, where you can make a meaningful impact while working as a Medical Records Technician. You'll ensure that medical records are complete and compliant with coding standards, facilitating high-quality patient care. Ideal candidates will have extensive experience in verifying documentation accuracy and providing support to clinical staff regarding coding requirements. Join us to support Native communities with your expertise. #J-18808-Ljbffr

Join the Indian Health Service in Cass Lake, Minnesota, as a Medical Records Technician. In this role, you'll support healthcare operations and ensure that patients receive high-quality care through accurate coding and documentation standards. Responsibilities include reviewing medical records, assisting providers with coding compliance, and contributing to performance improvement audits. Certification as a Professional Coder is preferred. This position offers an opportunity to significantly impact Native communities. #J-18808-Ljbffr

Summary Join the Indian Health Service and make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply. Duties 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...

Job Title Help Job Description 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.

Meduit | Driving Revenue Cycle Performance is seeking a Medical Coding Specialist II in Sartell, Minnesota (remote). The position entails coding healthcare claims and managing denials for optimal reimbursement, requiring a high school diploma and 5 years of experience in coding. Candidates must also have relevant certifications from AAPC or AHIMA. The job offers $26–$30 per hour, comprehensive benefits, and paid training. We are an equal opportunity employer. #J-18808-Ljbffr

About Us Meduitis is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com. About the Role The Medical Coding Specialist II is responsible for correctly coding healthcare claims and analyzing denials to obtain proper reimbursement. The Medical Coder accurately and efficiently codes hospital outpatient and professional services using official code sets and classifications systems to obtain the most accurate data based on documentation. Title: Medical Coder II Location: Remote Schedule: 8am – 5pm in Eastern, Central, Mountain, or Pacific time zones Department: Insurance Reports To: Coding Supervisor Compensation: $26–$30 per hour, depending on qualifications Key Responsibilities...

Meduit, a national leader in healthcare revenue cycle management, seeks a Medical Coder II to accurately code hospital outpatient and professional services and analyze denials to maximize reimbursement. This remote role offers a daytime schedule; compensation $26-$30 per hour, depending on qualifications. Candidates must have 5 years of on-the-job coding and denials experience and Epic platform expertise. #J-18808-Ljbffr