23 certified risk coder jobs found

Experience preferred. Certified Coder with 5+ years experience coding professional and facility fees for surgical cases and office visits. Specialties include Obstetrics/Women's Health, Orthopedics, Podiatry, Cardiology, Urology & General Surgery. JOB SUMMARY The Coder is responsible for reviewing discharge abstracts and patient charts in order to assign the appropriate ICD-CM/CPT codes to diagnoses and procedures. Reviews charts for potential liability risk and documents specific information as necessary. Performs studies as requested by physicians or administration. Maintains State reporting documentation for certain procedures in compliance with regulations. The Coder encounters the mission of providing quality healthcare to the patients of WhidbeyHealth to ensure medical records are charged and coded accurately and efficiently. This position may be responsible for applying the appropriate codes for ICD-10, CPT / HCPCS, evaluation and management, and/ or modifiers...

Coder Job Summary The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital services...

Job Description Job Description Overview Up to $500 in Bonuses! $250 Sign On Bonus and $250 Retention bonus after successful Probationary completion. ***Applies to external candidates only.   Certified Coders have the option to work virtually. Must reside in the state of WA, OR, ID, WI, FL, MT, GA, TX, AZ, AL, TN.   The Certified Medical Coder will be responsible for reviewing all medical record information to extract data and apply appropriate diagnoses and procedure codes for billing, internal and external reporting, research, and regulatory compliance. Accurately codes conditions and procedures as documented in the Official Guidelines for Coding and Reporting for Hospital Departments. Acts as a coding resource for team members as well as medical staff, ensuring coding practices fall with the established compliance guidelines for ICD-10CM/PCS, CPT & HCPCS according to American Medical Association (AMA) and CMS. Assigning codes utilizing an electronic...

Job Summary The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital...

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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Why ThedaCare? Living A Life Inspired!Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage...

## Supervisor, Medical/Surgical/PediatricsApplylocations: Port Angelestime type: Full timeposted on: Posted Yesterdayjob requisition id: JR-11713**ABOUT OLYMPIC MEDICAL CENTER:**Imagine working on Washington State’s beautiful North Olympic Peninsula where recreational opportunities abound. Whether you enjoy hiking, camping, fishing, kayaking or cycling, the Olympic Peninsula is home to numerous adventures for outdoor enthusiasts. It's a great place to live, work, play and raise a family. Bordered by the scenic Olympic National Park, the Strait of Juan de Fuca and the Pacific Coast - with Seattle and Victoria, BC just a ferry ride away - you won’t find a better location. You’ll receive a competitive salary, excellent benefits plus an amazing PNW lifestyle – a perfect combination! **FTE:**100%**WORK SHIFT**Days**PAY RANGE:**$100,817.60 - $164,486.40**UNION:****SHIFT DIFFERENTIALS/PREMIUMS:****JOB DESCRIPTION:**The Supervisor of Medical/Surgical/Pediatrics is responsible for...

Salary Range $26.62 - $41.66 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary This position has the option to work virtually. Must reside in the state of WA, OR, ID, WI, FL, MT, TX, AZ, VA, TN. The Certified Facility Coder will be responsible for reviewing all medical record information to extract data and apply appropriate diagnoses and procedure codes for billing,...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. This position will support risk adjustment code validation for CMS and HHS Risk Adjustment models Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified...

Coding Specialist/Biller 2 Working at Planned Parenthood of the Great Northwest & the Hawaiian Islands, Indiana, & Kentucky is more than a job. It provides the opportunity to contribute to our powerful mission and perform meaningful work. In healthcare services, this means a commitment to providing the absolute best in patient care and education. Our exceptional health center staff drives our mission forward by upholding our acclaimed customer service & confidentiality standards, and working to create a safe, judgement-free space for anyone seeking Planned Parenthood services. As an organization, we are focused on equity, diversity and inclusion. Specifically, we recognize that profound racism impacts the education, health and wellbeing of people in our communities and we are actively working to address all forms of oppression. We believe our employees should reflect the diversity of the populations we serve, including racial and ethnic diversity. People of color...

Inpatient Facility Medical CoderTo independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding...

All Jobs Inpatient Medical Coder Inpatient Medical Coder COMPANY OVERVIEW Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG currently bidding on a contract with the Federal Government for several coding positions. You would be a W-2 employee for HPMG and NOT a government employee. SUMMARY: Responsible for assignment of accurate ICD codes for diagnoses and procedures. Medical Severity - Diagnostic Related Group (MS-DRG) is automatically assigned by the grouper software) for inpatient stays. Inpatient coders may also be responsible for the assignment of accurate ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (a.k.a., rounds or IBWA encounters). Trains and educates MTF staff on coding issues and plays a significant role in coding compliance...

Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. These professionals will review medical records and clinical documentation to accurately assign ICD-10-CM diagnosis codes that support risk adjustment and HCC reporting. Ideal candidates will have strong experience with medical record review, coding compliance, and CMS guidelines, ensuring all diagnoses are fully supported by clinical evidence. #J-18808-Ljbffr

Job SummaryThe 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.Position eligible for Telecommuting with consideration for a fully remote arrangement within Washington State, depending on experience (DOE).Job Specific CompetenciesTeam Leadership & OversightSupervises 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 & ComplianceOversees internal/external audits and reviews coding accuracy, documentation, and billing compliance.b. Ensures...

Overview About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region....

Job Title: Coding Auditor and Educator (Remote - WA Residents Only) Req: 2026-0713 Location: VMC Main Campus Department: Health Information Mgmt Shift: Days Type: Full Time FTE: 1 Hours: 8:00 - 4:30 City State: Renton, WA Category: Professional ( NCNM) Salary Range: Min $32.39 - Max $46.96/hourly DOE 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: Coding Auditor and Educator JOB OVERVIEW: The Coding Auditor and Educator plays a key role in the orientation, auditing, and education of all healthcare providers involved in professional fee coding and documentation at Valley Medical Center. This position conducts both new and routine physician coding and documentation audits, delivers targeted education, and...

Join the ICHS Team! Discover how you can make an impact on people, communities and creating greater health equity. International Community Health Services (ICHS) is a nationally-recognized federally qualified health center, and for over 50 years ICHS has provided culturally and linguistically appropriate health and wellness services, including increasing health equity for uninsured and medically underserved individuals of all languages and walks of life. We firmly believe that access to quality health care strengthens our families and communities, and promotes a more just society. We take pride in our diverse and inclusive workforce and at ICHS we value respect and support each other so each individual can achieve his or her full potential. We invite you to join us and be inspired by colleagues that share your mission and purpose. We invite you to watch this video to learn more about working at ICHS. We offer: Competitive salary for the Seattle/Puget Sound region...

Join the ICHS Team!Discover how you can make an impact on people, communities and creating greater health equity.International Community Health Services (ICHS) is a nationally-recognized federally qualified health center, and for over 50 years ICHS has provided culturally and linguistically appropriate health and wellness services, including increasing health equity for uninsured and medically underserved individuals of all languages and walks of life. We firmly believe that access to quality health care strengthens our families and communities, and promotes a more just society. We take pride in our diverse and inclusive workforce and at ICHS we value respect and support each other so each individual can achieve his or her full potential. We invite you to join us and be inspired by colleagues that share your mission and purpose.We invite you to watch this video to learn more about working at ICHS.We offer:Competitive salary for the Seattle/Puget Sound region"Share the success"...

Required Skills & Experience • Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) • Strong ICD-10-CM coding experience and medical record review background • Knowledge of Risk Adjustment and HCC coding methodologies • Experience reviewing physician documentation and assigning accurate diagnosis codes • Strong understanding of medical terminology, anatomy, physiology, and disease processes • Ability to interpret complex clinical documentation with high accuracy and productivity • Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience • Medicare Advantage Risk Adjustment experience • Experience working with CMS-HCC models • CRC (Certified Risk Adjustment Coder) certification • Experience with EMRs and coding software platforms • Background in a health plan, physician practice, hospital, or revenue cycle environment • Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders...

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.   With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world’s deadliest diseases and make life beyond cancer a reality.   At Fred Hutch we value collaboration, compassion, determination, excellence,...

Medical Coder & BillerIntegrative Medicine with Purpose, Compassion, and Impact.Location: Salish Cancer Center | Fife, WA | On-SiteStatus: Full-Time | 1.0 FTE | 40 Hrs/WkHiring Range: $28.00 - $34.66 per hourAt Salish Cancer Center, every detail matters, especially when it comes to ensuring patients receive the care they need without unnecessary financial barriers. We're looking for a skilled Medical Coder & Biller with oncology experience to join our team and play a key role in supporting accurate, compliant, and efficient revenue cycle operations.What You'll Do:In this role, you'll take ownership of coding and billing processes that directly impact patient care and organizational success. You will:Accurately assign ICD-10-CM, CPT, and HCPCS codes for oncology services, including hematology conditions, chemotherapy, infusions, and immunotherapyReview provider documentation to ensure completeness, accuracy, and compliancePrepare and submit clean claims, reducing denials and...

Coding SpecialistWage Range: $27.45 - $43.92 per hourRemote in state of Washington only - Kirkland, WA CampusPosted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.Job Summary: Abstracts, analyzes, and assigns ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M), minor procedures, and diagnostic tests by using either computerized or manual systems. Researches and resolves coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding and billing practices. Effectively communicates with clinicians and billing/coding teams regarding code changes and denials. Maintains...

Job Type Full-time Description Integrative Medicine with Purpose, Compassion, and Impact. Location: Salish Cancer Center | Fife, WA | On-Site Status: Full-Time | 1.0 FTE | 40 Hrs/Wk Hiring Range: $28.00 - $34.66 per hour Position Close Date: October 2, 2026 At Salish Cancer Center , every detail matters, especially when it comes to ensuring patients receive the care they need without unnecessary financial barriers. We're looking for a skilled Medical Coder & Biller with oncology experience to join our team and play a key role in supporting accurate, compliant, and efficient revenue cycle operations. What You'll Do: In this role, you'll take ownership of coding and billing processes that directly impact patient care and organizational success. You will: Accurately assign ICD-10-CM, CPT, and HCPCS codes for oncology services, including hematology conditions, chemotherapy, infusions, and immunotherapy Review provider documentation to...