52 clinical coder jobs found

The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed and LTACH services. This position queries providers regarding documentation, resolves intermediate coding edits, completes analysis and evaluation of documentation. Assignment is based on documentation in the medical record and utilization of coding guidelines, knowledge of clinical disease processes, and treatments. Provides education to coders. Responsibilities Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding...

At Quincy Medical Group, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do. With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve. About the Role As a Certified Coder at Quincy Medical Group, you will play a critical role in supporting accurate and compliant coding practices across the organization. Working closely with providers, clinical staff, and revenue cycle teams, you will review medical documentation, assign appropriate diagnosis and procedure codes, and help ensure timely and accurate reimbursement. This position...

Responsibilities The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed and LTACH services. This position queries providers regarding documentation, resolves intermediate coding edits, completes analysis and evaluation of documentation. Assignment is based on documentation in the medical record and utilization of coding guidelines, knowledge of clinical disease processes, and treatments. Provides education to coders. Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time .Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding...

Revenue Cycle Compliance Coder At Revere Health, we believe there is a better path to healing and healthcare maintenance, and we're working on this missionone patient at a time. We're a national leader in a movement called value-base care which aims to improve treatment outcomes and keep costs down. Our internal culture is one that promotes respect and consistently recognizes the impact that individual employees have on the mission of the organization. Position Summary: The Revenue Cycle Compliance Coder performs detailed reviews of clinical documentation and coding to ensure services are billed accurately and in compliance with payer and regulatory requirements. This role focuses on identifying trends and systemic risk, not just individual errors, and supports payer audit defense and provider education efforts. Essential Job Functions: Conducts pre-bill and post-bill compliance audits across specialties and payers. Reviews E&M leveling, procedure coding, modifiers, and...

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...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for providing care to patients. Corporate Overview: The University of Utah...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows...

Job TitleThis position is responsible for the abstracting, coding, and interpreting of outpatient clinic and provider services for professional or facility billing.ResponsibilitiesEssential Functions:Reconciles clinic or provider visits and reports on missing, incomplete, or inconsistent documentation by contacting the appropriate personnel.Reviews, abstracts, and codes multiple/sub specialty services and assigns appropriate coding classification.Interacts with and provides feedback to providers, hospital staff, and clinic managers on billing related issues.Researches and resolves high volume accounts and complex, suspended claims.Interprets and applies basic regulatory guidelines to coding and reimbursement decisions.Assures adherence to department quality and productivity standards.Assists with other department coding needs as requested.Serves as a mentor and assists in the training of Level I Coders.Knowledge / Skills / Abilities:Demonstrated potential ability to perform the...

Job Description Job Description Position Description: Our busy, growing retina practice is seeking an experienced Medical Billing Specialist to join our revenue cycle team. The ideal candidate will have extensive knowledge of ophthalmology or retina billing and a proven ability to maximize reimbursement through effective claims management, denial resolution, appeals, and buy-and-bill prior authorization processes.This position plays a critical role in ensuring timely reimbursement while maintaining compliance with payer guidelines and industry regulations.Essential Responsibilities:•\tManage insurance claim submissions, payment posting, and accounts receivable follow-up.•\tInvestigate, resolve, and appeal denied or underpaid medical claims with commercial insurers, Medicare, and Medicaid.•\tPrepare and submit comprehensive first-level and second-level appeals, including supporting medical documentation and payer-specific requirements.•\tMonitor payer trends and identify root...

Are you detail-oriented, organized, and passionate about making a difference behind the scenes in patient care? We’re looking for a Biller/Collector to join our dedicated team. In this vital role, you’ll help ensure that our patients receive outstanding service while managing billing, collections, and accounts receivable with accuracy and care. At our Center, teamwork isn’t just a buzzword — it’s how we operate every day. We support one another, cross-train to grow our skills, and work together to create a positive, efficient environment for both staff and patients.What We Offer:Paid holidaysPaid time offComprehensive benefits package including medical, dental, vision, life, disability, accident, hospital and critical illness insurance.Opportunities to learn, grow, and make a lasting impactWhat You’ll Do:Answers calls from patients or insurance companies with account questions. Locate and notify customers of delinquent accounts by mail, telephone, or personal visits to solicit...

Job Details: Job Location: Ambulatory Surgery Center of Utah - Washington TR, UT 84405, Position Type: Full Time, Education Level: High School or Equivalent, Salary Range: $22.00 - $26.00 Hourly, Travel Percentage: None, Job Shift: Day, Job Category: Admin - Clerical What We Offer: Paid holidays Paid time off Comprehensive benefits package including medical, dental, vision, life, disability, accident, hospital and critical illness insurance. Opportunities to learn, grow, and make a lasting impact What You’ll Do: Answers calls from patients or insurance companies with account questions. Locate and notify customers of delinquent accounts by mail, telephone, or personal visits to solicit payment. Record information about financial status of customers and status of collection efforts. Maintains Medicare bad-debt cost report by tracking billings; monitoring collections; compiling information. Prepares and mails patient statements. Follows established...

Job Title University of Utah Health Coding Specialist Job Description As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for providing...

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...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for the abstracting, coding, and interpreting of outpatient clinic and provider services for professional or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position is not responsible for providing care to patients. Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for providing care to patients. Corporate Overview: The University of...

The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed and LTACH services. This position queries providers regarding documentation, resolves intermediate coding edits, completes analysis and evaluation of documentation. Assignment is based on documentation in the medical record and utilization of coding guidelines, knowledge of clinical disease processes, and treatments. Provides education to coders. Responsibilities Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for providing care to patients. Corporate Overview: The University of Utah is a...

About Us South Point Counseling Services (SPCS) is an established and growing outpatient behavioral health practice serving individuals, couples, children, and families throughout Utah. Our multidisciplinary team provides mental health counseling, psychological assessments, psychiatric medication management, and specialized behavioral health services. We are seeking an experienced, highly organized, and dependable Senior Medical Billing Specialist to help lead our billing operations, support our billing team, and ensure accurate and timely reimbursement for services provided. KEY RESPONSIBILITIES Medical Billing and Revenue Cycle Management Submit electronic and paper insurance claims and accurately post/adjust payments from Electronic Remittance Advice (ERA) reports. Monitor electronic claim submissions, rejections, denials, and payment discrepancies. Investigate and resolve complex insurance billing issues. Follow up on outstanding insurance claims and accounts receivable....

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 Pay Range: $33.05 - $49.60 Major...

Medical Coder II Job Summary University Medical Billing (UMB) is a fully remotedepartment that is viewed as the premier billing office for theUniversity of Utah School of Medicine, serving over 1,800 providersand 30 different specialties across Utah and surrounding states. Westrive to be a great place to work while providing the best serviceto our customers. Our leaders and employees value collaboration,innovation, and accountability, and believe a successful candidatewill exemplify these attributes too. We are looking for an experienced Medical Coder IITo join our team. As the Medical Coder II, you will analyze andtranslate medical and clinical diagnoses, procedures, injuries, orillnesses into designated numerical codes. Code records for use andplanning by physicians, hospitals, research organizations, orinsurance companies. Be knowledgeable of medical and clinicalterminology, disease processes, and pharmacology. Completeassignments according to established guidelines and...

Department 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status Full time Benefits Eligible Yes Hours 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 Pay Range $33.05 - $49.60 Major Responsibilities reviews complex...

University Medical Billing (UMB) seeks an experienced Medical Coder II for its remote team serving the University of Utah School of Medicine. You will translate medical diagnoses and procedures into codes to support physicians, hospitals, and insurers, working under moderate supervision. The role requires knowledge of clinical terminology, disease processes, and pharmacology, plus adherence to HIPAA and UMB policies. Flexible M-F schedule with equipment expectations is noted. #J-18808-Ljbffr

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 Pay Range: $33.05 - $49.60 Major...

Advocate Health is seeking an experienced inpatient coder to join the 10407 Enterprise Revenue Cycle team. The role involves reviewing complex inpatient documentation and assigning ICD-10-CM/PCS, CPT, and HCPCS codes with strong attention to coding guidelines and compliance. You will work with CDI and clinical teams to ensure accurate DRG reconciliation and support high-dollar cases, while maintaining ongoing professional development through webinars and coding clinics. #J-18808-Ljbffr