68 clinical coder coding jobs found

Job Summary: Position is remote within the local area. Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payors, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisor in responding to coding questions from other levels of coders and in responding to providers. Conducts special projects and focused reviews of encounters as requested. Essential Responsibilities: Required to research and assign. HCPCS Level II codes for ambulatory surgical services and/or professional services performed. Ability to research, analyze and/or review detailed and high complexity code edits and transactions within the Kaiser Permanente...

Technical CoderEnsures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payors, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisor in responding to coding questions from other levels of coders and in responding to providers. Conducts special projects and focused reviews of encounters as requested.Essential Responsibilities:Required to research and assign HCPCS Level II codes for ambulatory surgical services and/or professional services performed. Ability to research, analyze and/or review detailed and high complexity code edits and transactions within the Kaiser Permanente system.Provides additional support to the coding staff by...

Anticipated End Date: 2026-08-31 Position Title: DRG Coding Auditor - MS-DRG and APR-DRG Job Description: DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also...

*Description* Risk Adjustment Coding Auditor The Impact you will have The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expertise to support consistent application of coding standards and enables informed decision-making across the enterprise. Your Responsibilities Evaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practices Protects patient records and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory requirements Performs Retrospective and Prospective chart reviews to ensure accurate risk adjustment reporting Verifies and ensures the accuracy,...

Job Summary: Position is remote within the local area. Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payors, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisor in responding to coding questions from other levels of coders and in responding to providers. Conducts special projects and focused reviews of encounters as requested. Essential Responsibilities: Required to research and assign. HCPCS Level II codes for ambulatory surgical services and/or professional services performed. Ability to research, analyze and/or review detailed and high complexity code edits and transactions within the Kaiser Permanente...

Kaiser Permanente is seeking a skilled Medical Coder to ensure accurate coding of diagnostic and procedure codes for ambulatory and professional services. The role requires extensive experience in healthcare coding, compliance knowledge, and strong collaboration with clinical teams. The candidate will research HCPCS Level II codes, support colleagues, and contribute to education materials while maintaining regulatory standards and accurate reimbursement processes. #J-18808-Ljbffr

Summary of Responsibilities Analyze, prioritize and organize daily workloads for the team for the many different types of reports. Accountable for ensuring that the contract deliverables are met and/or exceeded on the daily basis. Edit reports to maintain the specified Federal privacy and anonymity guidelines. Analyze daily workloads to identify the product, manufacturer, device problems or malfunctions that contributed to the adverse event of the device. Perform editorial responsibilities to assist and guide the data entry staff in the entry of reports into the FDA database. Monitor performance outcomes and conduct periodic evaluations for direct reports. Coach, counsel and discipline direct reports as needed to achieve favorable performance outcomes. Perform strategic thinking to mitigate problems that could adversely impact the project. Supporting Responsibilities Participate in team and management meetings to discuss coding and personnel issues. Participate in...

Why work at TidalHealth? Join a triple 'A' rated team where clinical excellence meets a coastal lifestyle. At TidalHealth, you'll be part of an award-winning network spanning Maryland and Delaware, recognized by the Leapfrog Hospital Safety Guide for our unwavering commitment to patient care. Whether your expertise lies in specialized clinical fields like neurosurgery, academic mentorship through our graduate medical programs, or the critical professional and support roles that keep our network thriving, we provide the tools and tuition assistance you need to excel. Coder-Outpatient Position Summary The Hospital Outpatient Coder accurately abstracts pertinent information from the patient record to apply the appropriate diagnostic and procedural codes to individual outpatient accounts for data submission/analysis and claims processing. This position adheres to the Official ICD-10 and CPT Coding Guidelines and the American Health Information Management Association...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Greater Baltimore Medical Center (GBMC) is seeking a qualified Medical Coder to abstract and analyze demographic and clinical information to assign ICD-10-CM and CPT codes for final billing. The role emphasizes accuracy, audits, and data integrity across the institution. Requires at least 3 years of CPT/ICD-10-CM coding experience with relevant certification, experience in radiology coding, and knowledge of wound care coding. Associate's degree preferred. #J-18808-Ljbffr

Outpatient CoderLocation Baltimore, MDFacility SINAI CORPORATEDepartment HLTH INFORMATION MNGSchedule - Shift - Hours PRN - As Needed - 8:00am-4:30pmJob Category PROFESSIONALReq # 87195$21.06-$39.12 Experience basedSummaryWho We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests.SIGN-ON BONUS ELIGIBLE $10,000Eligible remote states: District of Columbia, Maryland, Pennsylvania, Virginia, West...

Outpatient Medical Coder (100% Remote) Sign-On Bonus: Eligible for a $10,000 sign-on bonus. Remote Work Eligibility: Applicants must reside in one of the following locations: District of Columbia, Maryland, Pennsylvania, Virginia, or West Virginia We are seeking an experienced Outpatient Medical Coder to join our team in a fully remote capacity. The successful candidate will be responsible for accurately reviewing, coding, and abstracting outpatient medical records in accordance with established coding guidelines and regulatory standards. This position supports accurate reimbursement, quality reporting, and compliance through timely and precise medical coding. Key Responsibilities: Review outpatient medical records to identify documented diagnoses and procedures. Assign accurate ICD-10-CM/PCS and CPT codes in accordance with established coding guidelines. Code and abstract a diverse range of outpatient encounters, including emergency department (ER), infusion, and...

A healthcare staffing provider is seeking a Division Manager, Talent Acquisition to manage coding operations for hospital settings, focusing on OB/GYN professional services. Applicants should have a HS Diploma and certification as a CPC or CCS-P, along with 2+ years’ coding experience. This remote role offers a W2 contract-to-hire arrangement and emphasizes communication between clinical and billing departments. #J-18808-Ljbffr

100% REMOTE, WITH QUARTERLY ONSITE MEETINGS. CANDIDATES MUST RESIDE IN MD, DC, PA, VA OR WVA. About the Role: Coordinates the daily billing activities of assigned areas. Works independently to maintain consistent workflow of all billing activities. Works collaboratively with the Professional Billing Office, physicians and third party payers. Provides and performs coding functions to optimize revenue enhancement. KEY RESPONSIBILITIES: Coordinates and monitors daily revenue cycle activities to optimize reimbursement opportunities. Verifies benefit coverage to determine patient financial liability. Works proactively and collaboratively to investigate and resolve patient billing issues. Provides documentation requested by third party payers to enhance reimbursement opportunities. May perform patient registration and appointment scheduling into the system and update information as applicable. Optimizes facility and professional charge entry and subsequent...

Job Overview Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately assign the appropriate ICD‑10‑CM and CPT codes. Education Associate’s Degree preferred. Experience At least 3 years of CPT and ICD‑10‑CM coding experience with certification. 3 years of radiology/interventional radiology coding and charging experience preferred. Knowledge of specialty coding including wound care. Other combinations of formal education, training and experience may be considered. Skills Knowledge of medical terminology, anatomy and physiology. Knowledge of Radiology, Interventional Radiology and wound care coding. Knowledge of coding guidelines as set forth by Official Coding Guidelines, Coding Clinic. Ability to keep current with recent trends within the industry. Skill in using computers and software applications. Ability to interpret medical terminology to code records using the International Classification of...

Job Requirements Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. 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. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc.utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as...

Outpatient Coder Location Baltimore, MD Facility SINAI CORPORATE Department HLTH INFORMATION MNG Schedule - Shift - Hours PRN - As Needed - 8:00am-4:30pm Job Category PROFESSIONAL Req # 87195 $21.06-$39.12 Experience based Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests. SIGN-ON BONUS ELIGIBLE $10,000 Eligible remote states: District of Columbia,...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Your future role at a glance Location: Halethorpe, MD Facility: St. Agnes Healthcare Department: Patient Accounting Schedule: Days | Full-time | M-F 8a-4:30p Salary: $34.49 - $46.64 per hour Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter. Benefits that help you thrive Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance Time to recharge: pro-rated paid time off...

Overview Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Our employees are the strength of our service. Intrastaff is unique because it's one of the very few agencies where a person has the benefit of being a temporary employee and also feels like a member of a large organization. Working at Hopkins means joining a culturally diverse team that includes some of the best nurses, physicians and allied health professionals in the world. Directly or indirectly, you'll have exposure to cutting-edge technology and groundbreaking medical research. Schedule: Monday- Friday 8:00am-4:30pm or 8:30am-5:00pm Pay Range: $26-30 per hour Note: This is a single position that may be listed under different titles to reflect common industry search terms, including Medical Coding Specialist, Physician Coding Specialist, Clinical Coding Specialist, Medical...

Position Summary We are seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist to review, analyze, and write compelling appeals for coding and DRG-related denials. This position requires a strong understanding of inpatient coding guidelines, MS-DRG assignment, clinical documentation, payer policies, and reimbursement principles. Key Responsibilities Review inpatient coding and DRG denial cases to identify the reason for denial and determine the appropriate appeal strategy. Analyze medical records, coding, clinical documentation, and payer denial rationale. Write detailed, persuasive appeals addressing coding, sequencing, diagnosis/procedure assignment, and DRG-related denials. Apply ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting and other applicable coding standards. Evaluate MS-DRG assignments and identify discrepancies between the documented clinical circumstances and the payer's determination. Research and reference applicable coding...

Sacbar is seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist in Towson, MD to review and write compelling appeals for DRG-related denials. The role requires strong inpatient coding knowledge, MS-DRG assignment, clinical documentation, payer policies, and reimbursement principles. The candidate will analyze medical records, apply ICD-10-CM/PCS guidelines, and collaborate with CDIS and revenue cycle teams to strengthen appeals. #J-18808-Ljbffr

Stryker Corporation is seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist to review, analyze, and write compelling appeals for DRG-related denials. The role requires a strong grasp of inpatient coding guidelines, MS-DRG assignment, clinical documentation, payer policies, and reimbursement principles. You will collaborate with CDI and revenue cycle teams, ensure accurate documentation, and help educate on denial trends to improve coding accuracy and outcomes. #J-18808-Ljbffr

About J29 J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since companyinceptionin 2017 as an employee-centered healthcare management consulting company. Our team of 260 employees focuses on providing processing,review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinicalexpertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels. J29 was founded to be an employee-centric company that prioritizes the well-being and value of its employees. Our mission is to empower our employees to dogreat thingsfor the benefit of those that need it most. The J29 mission supports not only our health and human service programs, but also the philanthropy efforts of our team. We are proud to continue our support to...