23 clinical data analyst jobs found

Medical Coding Auditor UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a remote, full-time, day shift opening located in Albuquerque, New Mexico. This position requires extensive knowledge and experience with E/M coding. $2,000 Sign-on Bonus Minimum $56,173 - Midpoint $70,217* Salary is determined based on years of total relevant experience. Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical diagnoses and clinical procedures ensuring that accurate medical billing conforms with legal and regulatory requirements. Trains, instructs and provides technical support...

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...

Sr Analyst, Corp Compliance page is loaded## Sr Analyst, Corp Complianceremote type: Remotelocations: 09567 - Denver HQ Non-CA or CO Remotetime type: Full timeposted on: Posted Yesterdayjob requisition id: R0434559**Posting Date**11/24/20252000 16th St, Denver, Colorado, 80202-5117, United States of America**General Purpose of the Job**DaVita IKC is seeking a highly motivated and experienced Medicare Risk Adjustment Auditor and Educator to join our compliance team. This role is crucial for ensuring the accuracy, integrity, and compliance of our risk adjustment coding and clinical documentation related to professional services provided by both internal and external nephrology partners. The ideal candidate will serve as a subject matter expert, performing detailed medical chart audits and providing targeted education to providers and coding teams to support our commitment to high-quality patient care and adherence to all formal regulatory and coding guidelines.**Essential...

Hcc (Hierarchical Condition Category) 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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Inpatient Coder II Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 138 hospital-based locations, in addition to its home-based services and virtual care offerings. This is an advanced level coding position that codes and abstracts Inpatient records for data retrieval, analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a designated coding and abstracting system utilizing the 3M encoder, as appropriate. Meets quality and productivity coding standards and demonstrates the ability to navigate an EMR. Ability to code across all facilities. Along with CO, KS and NM, this position is open to remote/out of state candidates residing...

Where You'll Work We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.  CommonSpirit Mountain Region's Corporate Service Center is headquartered in Centennial, CO where our corporate leaders and centralized teams support our hospitals, clinics and people - including marketing, human resources, employee benefits, finance, billing, talent acquisition/development, payor relations, IT, project management, community benefit and more. Many of our centralized teams offer a remote work option which supports a healthy work-life balance while still providing a culture of collaboration and community where incredible people are doing incredible things every day.  Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something...

Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is an advanced level coding position that codes and abstracts Inpatient records for data retrieval, analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a designated coding and abstracting system utilizing the 3M encoder, as appropriate. Meets quality and productivity coding standards and demonstrates the ability to navigate an EMR. Ability to code across all facilities. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: Alabama-...

Application Deadline: Accepted on an ongoing basis. Sunrise Community Health Summary Founded in 1973, Sunrise Community Health is dedicated to delivering high quality, affordable healthcare to Weld, Larimer, and surrounding counties in northern Colorado. With exceptional providers and convenient locations, we support each patient's journey to wellness and are committed to our community's health and well-being. Certified Medical Coding Specialist The Certified Medical Coding Specialist is responsible for correctly coding healthcare claims to obtain reimbursement from insurance companies and government health care programs. This position is an in-person position in the Monfort Family Clinic in Evans, Colorado. Position Summary: With a Quality , Customer First , and Compassionate approach, The Medical Coding Specialist will: Analyze patient charts carefully to know the diagnosis and represent every item with specific codes. Assign codes for...

BILLING SPECIALIST II Salary $21.00 to $22.00 Full time and in-office Benefits: 403(b) 403 (b) matching Dental insurance Health insurance Paid time off Vision insurance Flex Spending account Health Saving account Life Insurance Critical Illness, Short-term and long-term disability and accident insurances Job Summary : Responsible for visit review, billing, payment posting and payroll functions. Performance Expectations for All Employees: Protects confidential information and understands responsibilities regarding the Health Insurance Portability and Accountability Act (HIPAA) and protected health information (PHI). Complies with safety instructions, observes safe work practices, and provides input on safety issues and promotes a safe work environment. Meets the agency's expectations for exemplary customer service. Pursues learning opportunities to enhance personal and professional capabilities. Adheres to all agency policies and...

Medical Coding and Compliance Specialist Requisition Number: 69710 Location: Boulder Colorado Employment Type: University Staff Schedule: Full Time Posting Close Date: 16-Feb-2026 Date Posted: Job Summary CU Boulder encourages applications for a Medical Coding & Compliance Specialist! The Specialist is a key member of the healthcare revenue cycle team, responsible for ensuring accurate, compliant, and optimized coding and billing practices across clinical departments. This role serves as a subject matter expert in medical coding, providing critical support in auditing, training, compliance, and process improvement initiatives. Working with clinical, administrative, and billing teams, the role helps improve reimbursement, reduce denials, and maintain adherence to federal and payer-specific coding regulations. This position plays a strategic role in enhancing coding quality, provider education, and revenue cycle performance, while also being a...

Posting Date 01/19/2026 2000 16th St, Denver, Colorado, 80202-5117, United States of America General Purpose of the Job DaVita IKC is seeking a highly motivated and experienced Medicare Risk Adjustment Auditor and Educator to join our compliance team. This role is crucial for ensuring the accuracy, integrity, and compliance of our risk adjustment coding and clinical documentation related to professional services provided by both internal and external nephrology partners. The ideal candidate will serve as a subject matter expert, performing detailed medical chart audits and providing targeted education to providers and coding teams to support our commitment to high-quality patient care and adherence to all formal regulatory and coding guidelines. Essential Duties and Responsibilities Auditing, Analysis, and Compliance Ensure that IKC is compliant with industry regulations and published coding guidelines. Conduct retrospective, concurrent, and prospective audits...

Job Description About the Role: We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact...

About Otsuka We defy limitation, so that others can too. In going above and beyond-under any circumstances-for patients, families, providers, and for each other. It's this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka's opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for an Omnichannel Data Scientist , Medical Omnichannel with strong expertise in artificial intelligence, encompassing...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Job Description About the Role: Join our innovative healthcare information management team as a Lead Inpatient Medical Coder. This pivotal position is essential in connecting clinical data with technology, driving the development of advanced AI solutions for medical coding and billing. You will leverage your expertise to significantly influence our product development initiatives. Requirements and Qualifications: At least 3 years of extensive experience in inpatient medical coding within a hospital setting. Expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and their modifiers from patient records. Comprehensive knowledge of the evidence requirements for precise coding. Hands-on experience with grouper software for MS-DRG and APR-DRG assignment. Excellent communication skills for effective collaboration with the billing department on coding-related matters. Up-to-date with the latest ICD-10-CM,...

OnPoint Medical Group is searching for an outstanding Certified Professional Coder to join our team! Come join a great group of medical professionals as our network continues to grow! OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Our "Circle of Care" has one primary goal - to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands. About the Role: The Certified Professional Coder (CPC) plays a critical role in the healthcare industry by accurately translating medical diagnoses, procedures, and services into standardized codes used for billing...

Job Description Job Description About Company: About Brookside Health Group At Brookside Health Group, we’re more than just a healthcare provider—we’re a community dedicated to helping people heal, live pain-free, and thrive . Our mission is to transform lives by integrating physical therapy, mental health, primary care, and community healing , ensuring patients and employees alike experience a culture of support, innovation, and excellence. We serve patients in outpatient clinics and corporate settings , delivering world-class clinical outcomes while fostering a collaborative, growth-driven work environment. Why Work With Us? We believe that culture drives success , and we take it seriously. Our values define who we are and how we work: ✅ Do The Right Thing, Always ✅ Be Positive ✅ Take Ownership ✅ Be a Fanatic About Response Time ✅ Embrace Change & Growth ✅ Show Meaningful Appreciation ✅ Deliver Results & Assume Positive Intent ✅ Communicate...

Inpatient Coder II – CommonSpirit Health Job Summary and Responsibilities As an advanced level coding position, you will code and abstract inpatient records for data retrieval, analysis, reimbursement, and research. You will code and enter diagnostic and procedure codes into a designated coding and abstracting system utilizing the 3M encoder, as appropriate. You will meet quality and productivity coding standards and navigate an EMR. You will code across all facilities. Remote Eligibility Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Missouri, Mississippi, Nebraska, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wyoming Job Requirements High School Diploma/GED Required Associate's Degree Preferred Current AHIMA credentials (RHIA, RHIT, CCS, CCS-P) or AAPC credentials (COC, CIC, CPC-H, CPC) required or must be certified within one year of...

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...

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....

Profee Coder Educator Physician Coding page is loaded## Profee Coder Educator Physician Codingremote type: Remotelocations: Remote Arizona: Hybrid Greeley COtime type: Full timeposted on: Posted Yesterdayjob requisition id: R4423882**Department Name:**Coding Ambulatory**Work Shift:**Day**Job Category:**Revenue Cycle**Estimated Pay Range:**$30.56 - $50.93 / hour, based on location, education, & experience.In accordance with State Pay Transparency Rules.Our Coding Educators play a critical role at Banner Health. Join our team of forward-looking **Physician Coding Educators** who support our Physician Practices and Profee Coding Teams. In this role, you will provide valuable coaching to our Physician Coding team, as well as our Providers. **Experience in advanced E/M Coding, and wide range of Production Coding experience within different specialties is a must,** as well as current certification in Coding through AHIMA or AAPC (as seen in the qualifications below). This...

Emergency Medical Services – Billing Supervisor Purpose Under the Director, the Billing Supervisor will perform duties associated with providing emergency medical care to the sick and injured in accordance with all applicable laws, regulations and City of Wray EMS policies, perform a wide range of billing duties, including but not limited to preparation of ambulance billing, interacting with insurance companies and serving as the point of contact for EMS customers utilizing ambulance services. Position Title Emergency Medical Services – Billing Supervisor Position Identification Reports to: Director Supervision: Coordinate and supervise subordinate staff. Status: Full Time FLSA Code: Non‑exempt Hourly/Salary Range: $18.00‑$28.21 Living Restrictions: Within 15 miles of the City limits of Wray, Colorado Essential Duties Responding to emergency and non‑emergency calls calmly, efficiently and promptly; Administering basic and advanced life support to patients at the scene,...