137 clinical coder jobs found

Savista, LLC is hiring a Coder II to review clinical documentation and assign ICD-10 and CPT/HCPCS codes for hospital and physician billing. You will validate APC calculations and ensure compliant coding practices while protecting patient confidentiality. The role requires active AHIMA or AAPC credentials and at least two years of hands-on coding experience, with strong knowledge of ICD-10, CPT/HCPCS, medical terminology, and MS Office. Join a team committed to CARE values and client success. #J-18808-Ljbffr

Senior Managing DirectorAnkura is a team of excellence founded on innovation and growth.Ankura's Health Care team is a recognized leader in health care and life sciences disputes, compliance, and investigations. The team combines clinical, technical, operational, financial, economic, and analytic expertise to help clients and counsel resolve complex matters involving payers, providers, pharmacies, and law firms.The Senior Managing Director will be an executive-level, self-sustaining rainmaker who originates, sells, leads, and testifies in complex healthcare commercial disputes. The role requires a credible marketplace presence with health plans, law firms, and healthcare-focused private equity or strategic stakeholders.Responsibilities:Proven, tangible business development record with the ability to produce at least $3M in revenue and a target opportunity to generate $3M to $5M+ annuallyManage and deliver results for a portfolio of projects, which typically includes eight or more...

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...

Blueprint Manufacturing Co. is committed to operational excellence, accuracy, and efficient businessprocesses. We value professionalism, accountability, and attention to detail across our operations andseek individuals who can contribute to accurate recordkeeping and effective administrative support. Position Overview Blueprint Manufacturing Co. is seeking a detail-oriented and organized Medical Biller & Coder tosupport medical billing, coding, claims processing, and reimbursement activities. The successfulcandidate will review medical documentation, assign appropriate diagnostic and procedural codes,process insurance claims, and help resolve billing discrepancies. Key Responsibilities Review medical records and clinical documentation for billing accuracy. Prepare, review, and submit medical claims to insurance companies and other payers. Verify insurance eligibility and coverage information when required. Record payments, adjustments, and billing transactions...

Savista helps healthcare organizations improve revenue cycle performance by delivering code review and abstracting services. The Pro Fee Coder II role focuses on reviewing clinical documentation to assign and sequence ICD-10 and CPT/HCPCS codes for hospital and physician billing, with emphasis on accuracy and compliance. Responsibilities include coding, data abstraction, and collaboration with client staff to ensure high-quality, HIPAA-compliant coding practices. #J-18808-Ljbffr

Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks. Shift: Days. Pay Rate Type: Hourly. Location: Remote. Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $24.88 Mid = $31.10 Max = $37.32 Summary: The Hospital Billing Coder II is responsible for the accurate and timely coding of inpatient and outpatient medical records, including complex procedures and high-acuity cases. This role requires proficiency in ICD-10-CM, CPT, and HCPCS coding and a strong understanding of payer guidelines. The Coder II also supports quality improvement efforts and mentors lower-level coders. Responsibilities: Accurately code a variety of patient records including inpatient, outpatient, ED, and surgical procedures. Review documentation for accuracy,...

Align yourself with an organization that has a reputation for excellence. Cedars Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an amazing benefits package that includes paid time off, health care and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals. What you will be doing in this role: Working under the general direction of a coding supervisor, the Hospital Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. The Facility Inpatient Coder identifies the principal diagnosis,...

Onvida Health is seeking a Hospital Billing Coder II for remote work to accurately code inpatient and outpatient records across complex cases. Expertise in ICD-10-CM/PCS, CPT, and HCPCS coding is required to support payer guidelines and CMS compliance. The role mentors junior coders, collaborates with clinical staff, and contributes to process improvements while maintaining high accuracy and timely coding delivery. #J-18808-Ljbffr

Professional Billing Coder IIThe Professional Billing Coder II is an intermediate-level coding professional responsible for independently reviewing medical documentation and assigning accurate diagnostic and procedural codes for outpatient and professional services. This role requires advanced knowledge of coding guidelines and payer-specific requirements to support correct billing, compliance, and optimal reimbursement. The PB Coder II works with minimal supervision and may assist with training or mentoring entry-level coders.Responsibilities:Review and interpret complex clinical documentation to assign appropriate ICD-10-CM, CPT codes for physician and outpatient services.Ensure coding accuracy and compliance with official guidelines, payer rules, and regulatory requirements.Analyze coding and documentation discrepancies and collaborate with providers or departments for clarification when needed.Resolve coding-related denials, edits, and rejections to support clean claim...

Department: 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Will support : A mix of inpatient community and academic coding. Includes service lines such as cardiology, neurology, and oncology. Schedule : Full-time, Monday-Friday 40hrs with a standard schedule of Monday through Friday, 8 hours per day, totaling 40 hours each week. Certification required : Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote opportunity: Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY...

Coding SpecialistGeneral summary of duties: Responsible for coding, billing, denials, accounts receivable and payer policy updatesSupervision received: Reports to Revenue Cycle ManagerEducation: CPC certification requiredPay: $53,000 - $65,000 /annual salary (DOE)Location: Flagstaff office (Remote considered)Responsibilities include:Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines.Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding.Interact with and provide support to the practice to answer questions and resolve claim denials.Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare, Commercial, and all other...

Coding Specialist General summary of duties: Responsible for coding, billing, denials, accounts receivable and payer policy updates Supervision received: Reports to Revenue Cycle Manager Education: CPC certification required Pay: $53,000 - $65,000 /annual salary (DOE) Location: Flagstaff office (Remote considered) Responsibilities include: Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines. Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding. Interact with and provide support to the practice to answer questions and resolve claim denials. Employ strong understanding of the encounter/billing process, and working knowledge of a...

Job Type Full-time Description General summary of duties: Responsible for coding, billing, denials, accounts receivable and payer policy updates Supervision received: Reports to Revenue Cycle Manager Education: CPC certification required Pay: $53,000 - $65,000 /annual salary (DOE) Location: Flagstaff office (Remote considered) Responsibilities include: Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines. Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding. Interact with and provide support to the practice to answer questions and resolve claim denials. Employ strong understanding of the encounter/billing process, and...

Responsibilities • Review provider medical coding of services rendered for medical claim submission • Review and respond to medical coding inquiries submitted by providers and staff • Work directly with providers to resolve specific medical coding issues • Analyze data for errors and report data problems • Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input • Work with clinical and non-clinical groups to identify undesirable coding trends • Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee • Abide by HIPAA and Coding Compliance standards • Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment • Accomplish other tasks as assigned Qualifications • 2+ years coding • 2+ years medical billing...

Location: Tucson Employment Type: Full-Time Schedule: Monday – Friday Position Overview The Medical Biller / Coder & Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment. This role works closely with providers, leadership, and clinical teams to ensure accurate billing, compliance with payer requirements, and efficient reimbursement processes. Key Responsibilities Medical Coding Review provider documentation and assign accurate ICD-10, CPT, and HCPCS codes. Ensure coding complies with payer regulations and industry guidelines. Identify documentation gaps and communicate with providers when clarification is required. Support coding compliance and documentation improvement. Claims & Billing Prepare and submit electronic claims through the practice management system. Monitor claim status and follow up on unpaid or denied claims. Investigate claim...

Responsibilities Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted by providers and staff Work directly with providers to resolve specific medical coding issues Analyze data for errors and report data problems Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input Work with clinical and non-clinical groups to identify undesirable coding trends Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalation of issues that may impact this immediately to the Compliance Committee Abide by HIPAA and Coding Compliance standards Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment Accomplish other tasks as assigned Qualifications 2+ years coding 2+ years medical billing experience (preferred but not required) Experience...

Job ResponsibilitiesReview Home Health patient records for accurate ICD-10-CM coding and billingAudit OASIS assessments for accuracy, completeness, and regulatory complianceIdentify documentation discrepancies and recommend necessary correctionsReview individualized plans of care for consistency with clinical assessmentsEnsure compliance with Medicare, HIPAA, and Home Health regulationsCollaborate remotely with clinical staff and leadershipStay current with coding guidelines and OASIS requirementsSupport quality assurance and performance improvement initiatives

Certified Home Health Medical Coder / OASIS Auditor – Remote, Per Diem Dependable Home Health | 100% Remote   Employment Type: Per Diem (PRN)   NOW HIRING – 2 REMOTE POSITIONS AVAILABLE Experienced Home Health Coders – Work Remotely With Our Team! Dependable Home Health is seeking two experienced, certified Medical Coders / OASIS Auditors to join our team on a Per Diem basis. This is an excellent opportunity for detail-oriented professionals with strong Home Health coding and OASIS experience who enjoy working independently while supporting clinical accuracy, compliance, and quality patient care. Medical Coding Certification is REQUIRED. OASIS Certification is STRONGLY PREFERRED. What You'll Do Review Home Health patient records for accurate ICD-10-CM coding and billing Audit OASIS assessments for accuracy, completeness, and regulatory compliance Identify documentation discrepancies and recommend necessary corrections Review...

CLOSING DATE: Thursday, October 22, 2026, at 4:00 PM (DST) Salary Range: $26.13/hr. - $32.14/hr. **APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE** **RESUMES AND REFERENCES ARE REQUIRED** **ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES** Retrieves information from the RPMS in identifying the patients; and reviews medical records to insure FDIHB providers assign the correct diagnosis and procedural codes. Assigns and categorizes codes using the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), International Classification of Diseases, Tenth Revision, Procedural Coding System (ICD-10-PCS), Current Procedure Terminology (CPT), Health Common Procedure Coding System (HCPCS) Code, coding guidelines and other policies set by FDIHB, Centers for Medicare and Medicaid Services (CMS) or other regulatory organizations as related. Uses the 3M Grouper System to assist in classifying diagnoses and verifying the accuracy of...

Are you an experienced outpatient coder ready for something more? We're looking for an Outpatient CDS/Coder to join our Valleywise Health CDI team. This is a unique hybrid role designed for an experienced outpatient coder who wants to expand their skills into Clinical Documentation Integrity while continuing to perform production coding . You'll build on your coding expertise through clinical documentation review, compliant query generation, provider education, risk adjustment, and documentation improvement while still coding and staying connected to the work you know. Strong outpatient coding experience is the foundation. We'll help you grow the CDI side. Valleywise Health is committed to providing high-quality, comprehensive benefits designed to help our employees and their families stay physically and financially fit. Known for the diversity of not only the community of patients we serve but also our workforce and the benefits we offer, such as: Medical,...

Savista, LLC is seeking a Pro Fee Coder to review clinical documentation and assign ICD-10 and CPT/HCPCS codes for hospital and physician billing, ensuring accurate data abstraction. You will validate APC calculations, analyze records for proper codes, and interact with client staff while maintaining HIPAA confidentiality. Preferred credentials include AHIMA or AAPC certifications, EPIC experience, and at least two years of coding work; applicants must pass pre-employment skills assessment. #J-18808-Ljbffr

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 specializing in Risk...

InclusivCare is seeking a Medical Coder (Remote) to provide coding, audit, and compliance support for all clinical services. This role ensures accurate CPT/HCPCS/ICD-10-CM coding in line with FQHC regulations and payer policies, while supporting risk mitigation and provider education. The ideal candidate holds an AAPC Certification and has at least 3 years of professional medical coding experience, preferably in an FQHC setting. Experience with Athena and strong Excel/Word skills are essential. #J-18808-Ljbffr

Savista, LLC, helps healthcare organizations improve revenue cycle performance while delivering quality patient care. The Pro Fee Coder reviews clinical documentation to assign ICD-10 and CPT/HCPCS codes for hospital, clinic, and physician billing, ensuring accurate data capture for billing and regulatory compliance. Ideal candidates have 2 years of coding experience, active AHIMA/AAPC credentials, and strong knowledge of ICD-10/CPT, with proficiency in MS Office and data entry. #J-18808-Ljbffr