50 certified coder analyst jobs found

Location: Medical Center - Fort Worth Department: HIM-Coding Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use...

Location: Medical Center - Fort Worth Department: HIM-Coding Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: The HIM Coder Analyst III requires superior knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-9-CM, ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for inpatient, observation and outpatient ambulatory procedures/treatment room records. Validates the coded data to one or more Diagnosis Related Groupers (DRG) validates the Present on Admission (POA) indicators for accuracy. Primarily codes more complex and difficult inpatient medical records. Identifies and abstracts specified information from...

Overview Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a unique managed care benefit for frail seniors (participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. Benefits for Full and Part-time Employees We pay 100% of the MEDICAL monthly premiums for Employee Only coverage. We pay 100% of the DENTAL monthly premiums for Employee Only coverage. We provide an...

Location :Medical Center - Fort WorthDepartment :HIM-CodingShift :First Shift (United States of America)Standard Weekly Hours :40Summary :The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare / Medicaid rules and guidelines.Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records.Primarily codes complex ambulatory surgery and observation visit medical records.Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all...

HIM Coder Analyst II-REMOTE within State of TX page is loaded## HIM Coder Analyst II-REMOTE within State of TXlocations: Fort Worth, TXtime type: Full timeposted on: Posted Todayjob requisition id: JR-110206**Location:**Medical Center - Fort Worth**Department:**HIM-Coding**Shift:**First Shift (United States of America)**Standard Weekly Hours:**40**Summary:**The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex...

A healthcare provider for children in Texas is seeking an HIM Coder Analyst II to accurately code medical records, ensuring compliance with ICD-10-CM and CPT guidelines. This role requires attention to detail and collaboration with healthcare professionals to improve documentation. The ideal candidate will have at least one year of coding experience and certification in health information. Join a team committed to advancing pediatric care and supporting children’s health needs. #J-18808-Ljbffr

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: Ensures that coding compliance initiatives are met with all record types. Reviews and analyzes medical records and abstracted data submitted by the coding staff to determine the accuracy of code assignment and adequacy of clinical documentation according to regulatory requirements. Performs frequent internal reviews and education maintenance long-term to ensure accuracy in the ever-changing environment of coding, documentation, quality initiatives, and impact to reimbursement. Can code, train, and educate on all types of outpatient medical records to provide timely coverage in all coding areas helping to ensure accuracy, stability, and efficiency in our revenue cycle. Code several different specialties, help train new coders, review records for provider audits, assist with...

Outpatient Coder/Abstractor, FT Days Fully Remote El Paso Childrens Hospital - El Paso, TX 79905 Overview Level Experienced Position Type Full Time Job Shift Day Education Level High School Travel Percentage None Category Health Care Description Position Summary The Outpatient Coder/Abstractor accurately codes, sequences and abstracts outpatient medical records according to ICD-9-CM and CPT coding guidelines to achieve accurate and timely reimbursement and populate statistical databases. Queries physicians for clarification on documentation. Perform duties within approved practices, exercising independent judgment within pre-determined guidelines. Qualifications Minimum Position Requirements Work Experience: One (1) year outpatient coding experience required. License/Registration/Certification: None. Education and Training: High School diploma or GED equivalent. Skills: Knowledge of Health Information Systems practices, procedures, and guidelines. Ability to...

Medical Dental Coder Harlingen Annex - Harlingen, TX 78550 Description This position is vital in the health care delivery system in function with the fiscal aspect of the Clinic. Adhere to policies and procedures in conducting all clinical charges, payments, adjustments for proper billing and collections. Bills and submits claims to insurances/programs through AthenaOne EMR, follows up on claims statuses, resolves claim denials, submits appeals, post payments and adjustments, and manages collections. Great customer service and telephone etiquette, computer knowledge, professional appearance, attention to detail, able to multitask and work in a fast paced environment. Ability to work well under stress and maintain calm under pressure and work well with team members and willingness to cross-train. Functions as a member of a collaborative health care team to create and maintain a patient centered medical home. Essential Job Functions Communication: Communicates with outside...

Summary Job Summary The Certified Medical Coder accurately codes, sequences and abstracts outpatient medical records according to ICD-10-CM and CPT coding guidelines to achieve accurate and timely reimbursement and populate statistical databases. Queries physicians for clarification on documentation. Performs duties within approved practices, exercising independent judgment within pre-determined guidelines. Minimum Job Requirements Work Experience One year of outpatient coding experience required; may consider internship experience. License/Registration/Certification Certified Professional Coder (CPC); Certified Coding Specialist- Physician based (CCS-P); or Certified Billing & Coding Certification (CBCS) required. Education and Training High school diploma or equivalent required. Associate of Applied Sciences in Medical Billing and Coding degree preferred. Skills Knowledge of Health Information Systems practices, procedures, and guidelines. Ability to analyze and solve...

Job Description Job Description Certified Professional Coder Medical Billing Department Exceed Healthcare Why join Exceed Healthcare? At Exceed Healthcare, our mission is simple: improving lives through innovation . We are redefining healthcare by delivering cutting-edge medical services, expanding access through seamless virtual care, and always putting patients at the center of everything we do. Our vision is to lead the future of healthcare by exceeding expectations through technology, strategic insight, and a deep commitment to excellence. We value integrity, respect, accountability, and collaboration. We foster a diverse and inclusive culture where courage and resiliency thrive—and where every team member plays a vital role in making an impact. Join us to be part of a forward-thinking team that prioritizes exceptional patient care, supports your growth, and believes in leading from every role. Job Summary: The Certified Professional Coder is...

Compliance Auditor, Billing and Coding Compliance The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, assist with internal compliance policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and regulations, and UT Health San Antonio policies. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Responsibilities Provide oversight on billing compliance auditing, monitoring, and educational activities within the compliance department. Performs audits of electronic and manual documentation, coding, and billing systems. Conducts close-out meetings with senior management of audited departments. Maintain current knowledge of changes in federal and state coding and...

nTech Workforce has an immediate 23376 Coding Compliance Auditor Terms of Employment W2 Contract, 3 Months This is remote opportunity - Must be based in EST or CST hours (cannot recruit from HawaIi, Alaska, or California). Work Schedule: 08:00 AM-05:00 PM Overview Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. Responsibilities Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Job Description Minimum Qualifications Education : High school diploma or GED,...

About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. **CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED** What You'll Do * Review and validate claim data to determine appropriate payment outcomes. * Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. * Work primarily with emergency services claims, including ambulance and air ambulance cases. * Operate within a proprietary claims management system. * Collaborate with internal teams to clear a...

Medical Coding Specialist The Certified Medical Coder or Charge Entry Specialist is responsible for reviewing a patient's medical records after a visit and translating into codes that insurers use to process claims. This includes confirming treatment with providers and medical staff, identifying missing information and submitting claims to insurers for reimbursement. Schedule & Location This role is fully onsite at our Austin HQ (5929 Balcones Drive, Austin, TX 78731). Monday-Thursday 8a-5p Friday 8a-12p (40 hour work week) What Your Day Will Look Like Review and analyze medical records to ensure accurate coding and billing guidelines are followed. Assign appropriate ICD-10, and other relevant codes to medical procedures based on correct coding edits. Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software. Provide manual charge entry as needed. Upload claims to practice management system and/or...

Medical Coder Revenue Cycle Management is looking for a Medical Coder to join our team. Remote opportunity after in-person training. The Medical Coder is responsible for reviewing medical documentation and accurately assigning CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS codes depending on the encounter type. The position ensures accurate billing, compliance, and optimized reimbursement across outpatient and/or facility (inpatient) settings. Essential Functions: Assign accurate diagnosis and procedure codes based on medical record documentation using CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS. Review provider documentation to ensure coding is supported and complete for billing submission. Apply proper modifiers, sequencing, and coding conventions appropriate to the setting (inpatient or outpatient). Ensure compliance with coding regulations, organizational policies, and HIPAA standards. Meet coding productivity and quality benchmarks. Collaborate with clinical, billing, and...

Inpatient Medical Coder DRG Specialist - Remote In this role, we will look to you to analyze and interpret complex records in order to identify and accurately bill for Trauma 1 facility Inpatient services. Specifically, you will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when necessary, obtain clarification when presented with conflicting, ambiguous, or non-specific documentation. Qualifications At least 2 years of inpatient coding experience in a trauma 1 setting. RHIA, RHIT, and/or CCS, CIC certification Strong communication, analytical and research skills with a keen attention to detail Additionally, your background must include demonstrated knowledge of: Coding concepts for facility diagnosis and procedure coding and DRG assignment Legal and policy directives pertinent to coding Be familiar with proper reference materials, standards and guidelines for coding Experience using various EMRs and...

HIM/Medical Records Coding Specialist Opportunity West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades. Our 176-bed acute care facility is fully accredited and included a 16-bed residential treatment center for adult chemical dependency. We offer a broad range of behavioral health programs for children, adolescents and adults. Treatment is offered at multiple levels of care including inpatient, partial hospitalization and intensive outpatient. We are available 24 hours a day, seven days a week to assist you and answer your questions about treatment options and insurance coverage. The hospital is easily accessible off the Southwest Freeway near the Galleria. West Oaks Hospital is seeking a dynamic and talented HIM/Medical Records Coding Specialist to join our team of compassionate, dedicated professionals. The HIM/Medical Records Coding Specialist will be responsible for assigning diagnostic and procedures codes...

About Our CompanyWe’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com,...

Job Description Job Description Hi, we're Oscar. We're hiring a Senior Specialist, Coding Auditor to join our Payment Integrity. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will support issue resolution in the Oscar claim environment. You will be responsible for the end-to-end claims repayment quality, process improvement and supporting root cause analysis . You will report into the VP, Payment Integrity. Work Location: This is a remote position, open to candidates who reside in: Tempe, Arizona; Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; New York City, New York; Philadelphia, Pennsylvania; Salt Lake City, Utah. While your daily work will be completed from your...

Job Description Job Description Role Description This is a full-time on-site role for a Medical Billing Specialist. As a Medical Billing Specialist, you will play a crucial role in ensuring the financial health of our customers. We seek individuals with a strong work ethic, excellent problem-solving skills, and a genuine passion for medical billing. Your responsibilities will include managing insurance communications, reconciling insurance EOBs and payments, maintaining patient confidentiality, managing denials, utilizing ICD-10 codes, verifying insurance information, and working with commercial and government insurance providers. Due to the nature of the healthcare industry, a high degree of professionalism and attention to detail is essential.   Responsibilities Function as a subject matter expert in support of other billing team members. Demonstrate a good understanding of payer benefits requirements, claims status, submissions of claims, insurance follow-up, payment...

Job Description Job Description ob Description We are seeking a seasoned Medical Billing Specialist (certified coder) for a busy practice of two Providers in Podiatry (George Dieter location opening soon!). Must have background or experience in a medical setting (private practice or hospital). The candidate should be a team player, ability to take initiative and multi task. This is a full time position, part time not available. Bilingual is preferred but not required. Please review the essential job function and you MUST meet the Position Requirements (certification must be attained within 90 days of employment). Essential Functions: The following description of job responsibilities and performance expectations is intended to reflect the major responsibilities of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time. Keys charge information into entry program and produces billing. Processing of insurance...

The University of Texas MD Anderson Cancer Center is seeking a Senior Clinical Coding Specialist to join its Revenue Operations and Coding team. The Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. This position works remotely and collaborates closely with coding professionals, leadership, and clinical partners. The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency. UT MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The ideal candidate brings strong expertise in clinical coding practices, including CPT, ICD-10, and regulatory guidelines, along with experience...