50 clinical coder jobs found

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. Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Hcc Coder 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...

Medical Coder Axis Health is seeking a Medical Coder who will handle the responsibility of reviewing clinical documentation and diagnostic results to extract data, review and re-assign as appropriate, provider-assigned primary care, dental, outpatient behavioral health, substance use and psychiatric CPT, HCPCS, and ICD10 codes. This position resolves error reports associated with the billing process, identifies and reports error patterns, and when necessary assists in the design and implementation of work flow changes to reduce billing errors. This position audits charts for proper documentation and coding. This position will also take on additional duties as assigned. Axis Health is the leading provider of behavioral health and integrated (primary, dental, and behavioral health) care on the Western Slope of Colorado. As a therapist in their clinic, you'll have access to a wide range of resources for your patients. We have recovery groups, Medication Assisted Treatment (MAT),...

Patient Accounts Coder Summary Title:Patient Accounts Coder ID:0212-5444 Department Location:3205/3207 N. Academy, Colorado Springs, CO 80917 Category:Administrative / Clerical / Skill Trades Description Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 20 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 74,300 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health...

Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education...

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. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of...

Outpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role...

Job Description Medical Records Coder job at HOPEWEST. Grand Junction, CO. Medical Records Coder Schedule: Monday-Friday, 8:00am-5:00pm This is an on-site position located in Grand Junction, CO. At HopeWest, we hold strong core values that are followed internally with staff as well as in the daily care of our patients & their loved ones. Employees of HopeWest are ambassadors that help continue our strong reputation in the communities we serve. If you want to feel honor and pride in the work that you do, while supporting a meaningful mission, come join our HopeWest Team! The PACE Medical Records Coder is responsible for: Assigning, revising, and auditing accurate and appropriate ICD 10, CPT and HCPCS codes for all PACE participant encounters and services. Resource for PACE’s clinical and administrative staff for accurate and comprehensive coding. PACE or Program of All-inclusive Care for the Elderly is a federal and state funded program that provides comprehensive,...

Responsibilities Under the general direction of the Director of the Health Information Management department, the Coder II (RHIA) (RHIT) (CCS) is an advanced coding position responsible for providing a second level review of codes assigned to medical diagnoses and clinical procedures. The Coder II will be assigning diagnostic and procedure codes based on abstracted information from the medical record utilizing ICD10-CM, ICD10 PCS, and CPT. Qualifications MINIMUM EDUCATION: High School Degree or equivalent required; relevant experience in lieu of High School Diploma/GED education will be considered. Associate's Degree preferred. MINIMUM WORK EXPERIENCE: 2 years of experience in a hospital setting coding both inpatient and outpatient. REQUIRED LICENSES/CERTIFICATIONS: Certification in RHIA, RHIT, or CCS. REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES: Ability to code utilizing ICD10-CM, ICD10 PCS, and CPT; experience with an encoder; knowledge of payer requirements related to...

An established industry player seeks a skilled Coder II to enhance their Health Information Management team. In this advanced coding role, you will leverage your expertise in ICD10-CM, ICD10 PCS, and CPT coding to perform second level reviews of medical diagnoses and clinical procedures. Your contributions will ensure accuracy and compliance in coding practices, making a significant impact on patient care and operational efficiency. If you thrive in a dynamic environment and possess the ability to work under pressure, this position offers a fantastic opportunity to advance your career while supporting essential healthcare services. #J-18808-Ljbffr

Overview HIM Manager/Coder It’s an on-site position. We’re looking for professionals with a passion for coding, attention to detail, and excellent communication skills. Northern Colorado Rehabilitation Hospital is a state‑of‑the‑art inpatient facility providing specialized care for patients recovering from stroke, brain and spinal cord injuries, orthopedic conditions, and other complex medical issues. Our expert team is passionate about restoring independence and improving quality of life through compassionate, high‑quality care. The HIM Manager/Coder is part of the hospital’s leadership team, working closely with the CEO and Clinical Directors. Successful candidates will enjoy working both independently and collaboratively with a team of clinical professionals. Responsibilities Provide expertise in the areas of coding and classification systems to healthcare providers throughout our hospital, and help drive improvements of reimbursement and the revenue cycle. Responsible...

Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance) Base pay range: $55,000 - $75,000 per year. Actual pay based on skills and experience. Position Overview The Home Health Quality Assurance Specialist ensures the accuracy, compliance, and quality of patient care documentation, with a primary focus on OASIS data. Role involves reviewing patient records, conducting quality assurance checks, and exporting OASIS items to Medicare for compliance and reimbursement purposes. Key Responsibilities Review and validate OASIS assessments for accuracy and completeness before submission. Export OASIS data to Medicare, ensuring compliance with CMS regulations. Address discrepancies or errors in OASIS data and collaborate with clinicians to correct inaccuracies. Conduct regular audits of clinical documentation to ensure adherence to state, federal, and agency regulations. Monitor compliance with Medicare guidelines, particularly around OASIS and other key...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

Adara Home Healthcare provides a pay range of $55,000.00/yr - $75,000.00/yr for the Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance) role. Your actual pay will be based on your skills and experience. Job Title: Home Health Clinical Quality Assurance Specialist (OASIS & Medicare Compliance) Position Overview: The Home Health Quality Assurance Specialist ensures the accuracy, compliance, and quality of patient care documentation. Primary focus is on OASIS data, reviewing patient records, conducting QA checks, exporting OASIS items to Medicare, collaborating with clinical staff to meet regulatory standards, and optimizing patient outcomes. Key Responsibilities: OASIS Data Review & Export: Review and validate OASIS assessments for accuracy and completeness before submission. Export OASIS data to Medicare ensuring compliance with CMS regulations. Address discrepancies or errors and collaborate with clinicians to correct inaccuracies....

Datavant is a leading data collaboration platform in healthcare, committed to ensuring that the world's health data remains secure, accessible, and actionable. We provide crucial data solutions for a wide range of organizations within the healthcare ecosystem, including providers, health plans, researchers, and life sciences companies. Whether it's fulfilling a patient's request for medical records or advancing the AI revolution in healthcare, Datavanters are at the forefront of revolutionizing data utilization to improve health outcomes. By joining Datavant, you will be part of a motivated and highly collaborative team, eager to drive transformative change in healthcare. We are seeking experienced outpatient coders to join our team, ideally those who have at least 3 years of PRN SDS and Observation coding experience. The perfect candidate will demonstrate meticulous attention to detail and possess a profound understanding of medical terminology. This position is fully remote...

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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Overview HIM Manager/CODER We're looking for professionals with a passion for coding, attention to detail, and with excellent communication skills. Northern Colorado Rehabilitation Hospital is a state-of-the-art inpatient facility providing specialized care for patients recovering from stroke, brain and spinal cord injuries, orthopedic conditions, and other complex medical issues. Our expert team is passionate about restoring independence and improving quality of life through compassionate, high-quality care. The HIM Manager/Coder is part of the hospital's leadership team, working closely with CEO and Clinical Director's. Successful candidates will enjoy working both independently and collaborating with a team of clinical professionals. Key responsibilities include: Provide expertise in the areas of coding and classification systems to healthcare providers throughout our hospital, and help drive improvements of reimbursement, and the revenue cycle....

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you...

Medical Biller This position is required to perform all duties of the Medical Biller. This position will be responsible for establishing, maintaining, and enforcing acceptable professional and ethical standards for billing of the Southern Colorado Clinics medical staff according to its policies, procedures, philosophy, and objectives. Responsible for all facets of medical claims billing and accounts receivable management including claims submission, denials and appeals, patient payments, payment plans and outside collections. Duties and responsibilities include: Submit corrected claims and follow up on appeals and denials. Resubmit insurance claims that have received no response or are not on file and ensure claims are paid and processed according to Clinic contract. Assist with error resolution. Maintain required billing records, reports, and/or files. Post all credit and debit adjustments to patient accounts with strict adherence to the company guidelines....

Job Description Medical Biller Overview This temp to hire role requires strong technical accuracy, experience with insurance processes, and the ability to work efficiently in a high-volume environment. Responsibilities Retrieve, manage, and post charge batches from multiple EHR platforms Group and organize charge batches for processing Sequence ICD-10 and CPT codes based on client requirements Apply appropriate modifiers and add-on codes Audit coding for accuracy and resolve any discrepancies Perform A/R functions, including follow-up on aging reports Communicate with insurance representatives by phone regarding claims and EOBs Maintain productivity expectations (70-100 accounts daily) across multiple medical specialties, including radiology, pathology, dermatology, family practice, wound care, and urology Qualifications 1+ years of medical billing experience with ICD-10, CPT, and EHR systems Experience with Microsoft Office and major EHR...

Professional Coder II We are recruiting for a motivated Professional Coder II - Must Reside in Colorado to join our team! Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. The Coder II is a key member of the Coding/Compliance team and has shared accountability for the success of the department. The Coder II, under general supervision, reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. Performs various coding assignments under the direction of Coding Management. Provides feedback regarding documentation and coding issues. Utilizes software applications and coding references, including electronic, to perform coding related tasks. Assists with training. Essential Functions: Meets or exceeds the minimum coding productivity standard for the...

Coder II Professional Fee This is a senior level professional fee coding position with at least three (3) or more years' experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines. This individual will also work with members of the Revenue Management team to address coding issues and concerns. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: - Alabama- Arizona- Arkansas- Colorado - Florida- Georgia- Idaho- Indiana - Iowa- Kansas - Kentucky- Louisiana - Missouri- Mississippi-...