52 clinical coder coding jobs found

DRG Coding Auditor Principal _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. 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. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

Job Description Job Description Certified Medical Coder (Remote Production Role) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted...

About the Job About the Job: Our OBGYN practice is seeking to enhance our billing staff with the addition of a new full-time member to our dynamic team. The right candidate should possess a desire to provide high-quality customer service with efficiency and compassion. A growth mindset is vital in this position as we all have an opportunity to learn more every day. Job Summary: The Medical Coder is responsible for accurately assigning diagnosis, procedure, and modifier codes for obstetrics and gynecology services to ensure compliant billing and optimal reimbursement. This role requires in-depth knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines. Specific to OBGYN is a plus. The Medical Coder works closely with providers, billing staff, and clinical teams to resolve documentation issues, reduce claim denials, and maintain compliance with federal, state, and payer regulations. Essential Job Responsibilities : Review clinical documentation to accurately...

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...

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...

*TekSystems is currently hiring for a Home and Health Hospice Medical Coder in the Chesapeake, VA area! * * *MUST HAVE: Home health and/or hospice coding experience* * *Familiarity with OASIS assessments* * *Certifications:* * *Required: One active coding certification from AHIMA, AAPC, or AHCC, including:* * *CPC, CCS, RHIA, RHIT, HCSD, HCSH, COC, or CRC* *Description* Position Summary: The Coding Specialist is responsible for accurately assigning ICD10CM diagnosis codes for home health and hospice encounters. This role ensures coding accuracy, regulatory compliance, and complete documentation to support OASIS submission, billing, and claims processing. The specialist works closely with clinical, physician, and revenue cycle teams to support quality patient care and compliant reimbursement. Key Responsibilities Coding & Documentation Assign and sequence accurate ICD10CM diagnosis codes for home care and hospice encounters. Review medical records and OASIS...

Remote Coding Specialist Newport News, Virginia FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON YOUR APPLICATION OR RESUME This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, PA, SC, SD, TN, VA. Some county exclusions may apply. Overview Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. What You Will Do Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. Audits for documentation opportunities...

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:...

DRG Coding Auditor Principal _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. 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. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

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...

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action...

Responsibilities ***Our Business Department is currently welcoming a full time Certified Medical Coder Specialist!*** **This position is fully in-person and not remote** Key Responsibilities: Assemble and analyzes all discharged records and maintains an organized system for notification of deficiencies. Responsible for sending reports to referral sources and healthcare providers as identified. Assigns appropriate medical codes to charts to assure accurate billing. Assists with data collection and presentation for facility PI activities. Responsible for release of medical record information from active and discharge files in accordance with all applicable legal, accrediting and regulatory agency requirements. Files all loose reports into discharged records. Maintains "copy" file and outside information file. Maintains permanent file and incomplete chart file. Coordinates the transcription of dictated or written materials for medical record reports. The...

A healthcare services company is seeking a full-time Inpatient Coder to review medical records and ensure accurate coding for diagnoses and procedures. The ideal candidate will have at least 3 years of inpatient coding experience, expertise in ICD-10 coding, and the ability to work effectively in a remote setting. Responsibilities include coding patient accounts, reviewing clinical data, and adhering to HIPAA regulations for patient confidentiality. This position offers a chance to contribute to reducing billing errors and improving coding accuracy. #J-18808-Ljbffr

Description The Medical Coder III position plays a critical role in ensuring accurate medical coding and documentation. This involves handling complex case scenarios, applying a combination of facility coding and professional coding, and aligning with industry standards like ICD-10-CM, CPT, and HCPCS codes. The coders will code inpatient facility and inpatient professional rounds and facilitate proper documentation and communication with medical staff to enhance compliance and coding accuracy. Accurately assigns Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, ICD-10 Procedure Coding System (ICD-10-PCS), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of inpatient facility discharges (stays); inpatient...

Description The Outpatient Medical Coder is responsible for performing remote coding on all outpatient visits and surgical procedures by the Veteran Affairs Health Care System (VAHCS). The medical coder will access the Veteran Affairs VistA/CPRS system to read and code medical records identified by the Veteran Affairs and enter codes into the approved encoder or other package. The Medical Coder is required to comply with all HIPAA provisions for a Business Associate, and all provisions in this Performance Work Statement. This is a Part Time opportunity, and we are looking for coders who can commit to a minimum of 20 hours per week, scheduled at your discretion from Monday through Sunday weekly. Requirements Responsible for being qualified and competent to perform coding activities. There shall be no reimbursement charge for mileage, travel times, meals, parking, etc. Comply with all VA privacy and security requirements Must maintain above a minimum of 95% on all...

Description The Inpatient Medical Coder will provide support to the Department of Veterans Affairs by analyzing and abstracting patient health records, then assigning appropriate alpha-numeric codes for diagnoses and procedures. This role requires expertise in the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). This is a Part Time opportunity, and coders must commit to a minimum of 20 hours per week, scheduled at your discretion from Monday through Sunday weekly. Position Responsibilities/Duties: Working knowledge of CPT, ICD-10, and DRG assignment and must be able to code PTF charts in ICD-10 Ability to code the minimum per-hour productivity, including the related procedures, with 95% accuracy Active credentials as a certified coder and completion of all requirements to maintain active credentials Ability to follow site-specific coding guidelines...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Medical Coder Supervisor to join our growing team. Job Summary: Acentra Health is seeking an experienced Medical Coding Supervisor to lead and oversee medical coding operations in support of...

Overview JOB DESCRIPTION: Clinical Financial Resource, Inc. has an immediate need for a full-time Inpatient Coder! Founded over 30 years ago, CFR provides certified coding specialists, registered nurses, and Board-Certified physicians with the experience and expertise necessary to establish optimal documentation, coding and billing for hospitals and large physician groups. As an Inpatient Coder, you will be responsible for reviewing medical records to determine the accuracy of coding for diagnostic, procedural information, and the discharge status of the patient. Responsibilities As an Inpatient Coder, your job duties are, but are not limited to, the following: Accurately code patient accounts, paying close attention to the selection of the principal diagnosis, the sequencing of additional diagnoses and procedural codes, and adherence to all other coding guidelines. Collect, review and abstract required clinical and statistical data from patient records and enter coded and...

Outpatient Specialty Medical Coder The Outpatient Specialty Medical Coder is responsible for coding outpatient records, Facility, and/or Professional, for the purpose of reimbursement in compliance with federal, state, and regulatory agencies' guidelines using the most current taxonomic and classification systems. Performs coding, charge entry, and charge review including but not limited to, reviewing clinical documentation, appending modifiers and/or correcting edits. The Outpatient Specialty Medical Coder I will be responsible for coding the following services: Non Centra Medical Group (CMG) Vascular, Endoscopy, Orthopedic Surgery, Gynocologic Surgery, Surgical Observation, General Surgery, Plastic Surgery, Neurosurgery, Urology, Bariatric Surgery, and Pain Management. Responsibilities Reviews clinical documentation and assigns appropriate outpatient facility and/or professional codes, reviews/posts charges for the purpose of reimbursement, research, and compliance in...

City / State Norfolk, VA Work Shift First (Days) Overview :Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator / Certified Professional Coder (CPC) Remote! Status :Full-time, permanent position (40 hours) Work hours :8am to 5pm EST, M-F Location :This position is remote for candidates that live in the following states :VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year.Job Responsibilities :Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products.Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits.Contribute to the review of reimbursement systems relating to health insurance claims...

Coder RMG page is loaded## Coder RMGremote type: Remotelocations: Newport Square Professional Center - Newport News, Virginiatime type: Full timeposted on: Posted Todayjob requisition id: 2026-032853Newport News, Virginia**FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON YOUR APPLICATION OR RESUME*****This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, PA\*, SC, SD, TN, VA. \*Some county exclusions may apply.*****Overview** Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. **What you will do*** Organizes and prioritizes assigned work to...

FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON YOUR APPLICATION OR RESUME This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. Overview Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. Newport News, Virginia What You Will Do Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify...

Job Title Senior Inpatient Coder - CH Health Information Mgmt (Remote) - FT/Days at Centra Health The Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns ICD-10-CM diagnosis and ICD-10-PCS procedure codes that derive an APR-DRG or MS-DRG for optimal reimbursement. The specialist may collaborate with the Clinical Documentation Integrity (CDI) Specialist to ensure coding accuracy in line with Centra’s policies. The specialist abstracts pertinent information according to established guidelines and formulates provider queries when clarification is needed. Responsibilities Assigns diagnosis and procedure codes. Verify the accuracy of DRGs. Accurately abstracts required information. Initiate provider coding queries in compliance with coding guidelines and policies where appropriate. Meet productivity standard of 2 charts per hour or higher. Meet coding accuracy of 95% or higher. Verify and assign discharge status codes. Ensure presence of a completed...

Reviews claims in assigned work queues in Cerner Revenue Cycle including CMG Review and Ambulatory Edit failure work items.Analyzes coding edits, reviews timeline notes, reviews clinical documentation, including provider orders, progress notes, surgical and test results thoroughly to interpret and ensure documentation supports the posted charges.Determines appropriate action needed to resolve coding edits / issues and ensure clean claim submission.Performs coding functions, including Current Procedure Terminology (CPT), International Classification of Diseases, tenth revision, Clinical Modification (ICD-10-CM), documentation review, and claim denial review.Applies appropriate modifiers.Ensures charges / coding are in alignment with the American Medical Association (AMA),Medicare, and Commercial coding guidelines on all claims reviewed.Credits / updates charges and coding as needed.Ensures queues are worked timely and efficiently.Maintains Productivity and accuracy...