62 clinical data coder jobs found

Overview Be inspired. Be valued. Belong. At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Description RESPONSIBILITIES: TheHospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff. Plays...

Overview Be inspired. Be valued. Belong. At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoingmentorshipand leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Description JOB DESCRIPTION: Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Reviews non-CC/MCC records to determine if record was miscoded or if...

ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. Job Description ProSidian Seeks a Medical Coder and Abstractor (Full-Time) in...

Lead Medical Coder and Auditor [PR0001D] Full‑time ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast‑paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. ProSidian Seeks a Lead...

Emory Healthcare is seeking a Hospital Outpatient Coder Level II to assign ICD-9/ICD-10 and CPT codes for Ambulatory Surgery, GI, Infusion and Observation encounters, collaborating with physicians and care teams to support accurate billing and data quality. The role emphasizes adherence to Official Coding Guidelines and AHA Coding Clinic, and requires strong communication with clinical staff to optimize reimbursement and regulatory compliance across ambulatory services. #J-18808-Ljbffr

Be inspired. Be valued. Belong.  At Emory Healthcare   At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide:    Comprehensive health benefits that start day 1   Student Loan Repayment Assistance & Reimbursement Programs   Family-focused benefits   Wellness incentives  Ongoing mentorship, development, leadership programs  And more  RESPONSIBILITIES:  The Hospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation improvement specialist,...

Hospital Outpatient Coder Level IIThe Hospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff. Plays a key role in billing, research, internal and external reporting, and regulatory compliance. Follows-up on CCI edits, claim rejections, and other issues impacting facilitation of billing and reimbursement process. Ensures accuracy of APCs and appropriate extraction of core data into HIM abstracting system to data warehouse repository.High School diploma or equivalent.Two years acute care outpatient coding with outpatient diagnostic and ED coding.CIRCC preferred or CPC, CPC-H, CCA, RHIA, RHIT, CCS, CCS-P certified.PHYSICAL REQUIREMENTS (MediumMax...

Job Information Job Number: 32909 Location: Phoebe North Campus, 2000 Palmyra Rd, Albany, Georgia 31701 Department: PPG CBO; Shift: –; Job Type: Full time; Posted Date: 2025-10-30 Job Description Summary Classify medical data from patient records to assign ICD-10-CM and CPT codes for primary and multi-specialty physician billing. Reviews clinical billing for coding and billing accuracy. Review claim denials for coding-related issues and assist CBO collectors with resolution. Demonstrate knowledge of reimbursement guidelines and changes in payer policy. Provide guidance to clinical staff and providers where necessary. Serves as a resource for clinics on coding issues and questions as needed. May supervise an individual billing team of non-certified billers and collectors. Performs research on coding changes and payer policies on an ongoing basis. Qualifications High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health...

Coding SpecialistOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accountsAssigns CPT and ICD-10 codesMonitors assigned work queues to ensure all records are...

Coding SpecialistOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accountsAssigns CPT and ICD-10 codesMonitors assigned work queues to ensure all records are...

Job TitleHospital Inpatient Coder IIIJob DescriptionThe Hospital Inpatient Coder III uses clinical coding knowledge based on the Official Coding Conventions guidelines and AHA Coding Clinic, to assign ICD-9 and/or ICD-10 codes to the highest level of accuracy for each inpatient encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff. Plays a key role in billing, research, internal and external reporting, and regulatory compliance.Ensures accuracy of DRGs and appropriate extraction of core data into HIM abstracting system to data warehouse repository. Facilitates accurate data for patient acuity, severity of illness, and quality outcomes.Minimum QualificationsHigh School diploma or equivalent. 5 years inpatient and outpatient coding experience in an acute care environment.Must complete coding proficiency evaluation. Extensive knowledge and understanding of MS-DRGs, disease process, clinical pharmacology, anatomy and...

Coding Education & Quality Auditors (CEQA)Revenue Cycle8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health of our communities.About the Role:Coding Education & Quality Auditors (CEQA) conduct coding/billing/documentation audits of all NGPG/NGHS Providers to determine organizational integrity of coding/billing for professional services, including detection and correction of documentation, coding and billing errors. Audits consist of evaluation of the adequacy and accuracy of documentation to support services billed including ICD-9/ICD10/CPT/HCSPCS and other third-party payer codes. CEQAs ensure the medical necessity of services, compliance with other documentation, coding and billing standards. CEQAs apply standardized audit scoring methodology to evaluate consistency of documentation and coding, and standardized audit findings methodology to report audit results. CEQAs communicate audit results to physicians, physician...

Job Title Hospital Outpatient Coder Level II Job Description Responsibilities: The Hospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff. Plays a key role in billing, research, internal and external reporting, and regulatory compliance. Follows-up on CCI edits, claim rejections, and other issues impacting facilitation of billing and reimbursement process. Ensures accuracy of APCs and appropriate extraction of core data into HIM abstracting system to data warehouse repository. Minimum Qualifications: High School diploma or equivalent. Two years acute care outpatient coding with outpatient diagnostic and ED coding. CIRCC preferred or CPC,...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Position Summary This position is responsible for final coding of inpatient accounts including acute care, mother/baby, inpatient rehab and skilled nursing. Inpatient coders follow coding conventions and guidelines to abstract, analyze and accurately assign ICD-10-CM diagnosis codes and ICD-10-PCS procedure CPT and HCPCS codes. Inpatient coders are required to utilize the computer assisted coding features of the encoder to accurately group DRGs and to validate diagnoses that group to an APR-DRG. Assigns present on admission indicator codes in compliance with national quality measures. Abstracts and validates other data elements as required. Education Associates of Health Information Administration - Preferred Experience 2-3 Years Medical coding - Required 1-2 Years Inpatient coding - Preferred License & Certification National Certification - Required American Health Information Management Association: RHIA, RHIT, CCS Core Job Functions Accurately reviews medical...

Company Description St. Joseph’s/Candler in Savannah, Georgia, is a not-for-profit, faith-based health system and the region’s largest healthcare provider, serving 33 counties across southeast Georgia and the South Carolina Low Country. The system combines advanced medical technology with a strong emphasis on research and evidence-based care and is nationally recognized with a Magnet designation for nursing excellence. Its comprehensive network includes centers of excellence in oncology, cardiovascular care, neurosciences, women’s and children’s services, orthopedics, and other specialties. The Nancy N. and J.C. Lewis Cancer & Research Pavilion is one of only 16 original health systems selected for the National Cancer Institute’s Community Cancer Centers Program, expanding access to leading clinical trials and treatments. Rooted in two of the nation’s oldest continuously operating hospitals, St. Joseph’s Hospital (1875) and Candler Hospital (1804), the system offers a...

Benefits At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Be inspired. Be valued. Belong. At Emory Healthcare Description RESPONSIBILITIES: The Hospital Outpatient Coder Level II uses clinical coding knowledge, based on the Official Coding Guidelines and AHA Coding Clinic, to assign ICD-9/ICD-10 and CPT codes to the highest level of accuracy for each Ambulatory Surgery, Gastrointestinal, Infusion and Observation encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance...

Join Grady: Coder III Opportunity Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job Summary The Coder III is responsible for reviewing for physician services and interpreting physician documentation, CPT and diagnosis coding, coding claim edit, and coding denial management utilizing ICD-10-CM and CPT-4/HCPCS coding systems. Codes highly complex surgical, special procedures, observation records, inpatient records, medical, diagnostic, procedural, and/or recurring records within established productivity and coding accuracy guidelines. Highly complex surgeries may require research and reference checking to ensure accuracy of problematic coding. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records,...

Medical Coding Specialist – OrthopedicsLocation: Atlanta, GA 30327 | Full-Time | In-PersonJoin Our Team at Ortho Sport & Spine PhysiciansOrtho Sport & Spine Physicians is seeking an experienced, highly detail-oriented Medical Coding Specialist to join our growing team.This position is responsible for reviewing clinical documentation, accurately assigning diagnosis and procedure codes, ensuring coding compliance, and supporting accurate and timely claims submission and reimbursement.The ideal candidate will have strong outpatient E/M and orthopedic coding experience, a thorough understanding of current CPT, ICD-10-CM, and HCPCS guidelines, and the ability to independently review documentation and determine the appropriate level of service.What You'll DoMedical CodingReview provider documentation, medical records, operative reports, and clinical notes to accurately assign ICD-10-CM, CPT, and HCPCS codes.Assign diagnosis codes based on documented clinical conditions, medical...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Medical Coding Specialist – Orthopedics Location: Atlanta, GA 30327 | Full-Time | In-Person Job Type: Full-Time Schedule: 40 hours per week Location: Atlanta, GA 30327 Work Location: In Person What You’ll Do Medical Coding Review provider documentation, medical records, operative reports, and clinical notes to accurately assign ICD-10-CM, CPT, and HCPCS codes. Assign diagnosis codes based on documented clinical conditions, medical necessity, and applicable coding guidelines. Accurately code office visits, procedures, injections, diagnostic services, orthopedic services, and applicable surgical services. Review documentation for completeness, specificity, and coding accuracy prior to claim submission. Identify missing, conflicting, or insufficient documentation and communicate with providers or clinical staff for clarification. Ensure codes accurately reflect the services provided and are supported by the medical record. Apply appropriate modifiers, including -25, -24, -57, -59,...

YO AI Labs is seeking experienced Medical Coders to annotate medical records and assign ICD-10/CPT codes for AI dataset development. You will review clinical documentation, apply E/M guidelines, and ensure coding accuracy to support high-quality healthcare data for next-generation AI systems. No prior AI experience is required; your coding expertise and attention to detail are essential. Remote contractor role offering flexibility and opportunities to contribute to innovative healthcare #J-18808-Ljbffr

Job Description Job Description Job Title: Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets. No prior AI experience is required—your coding expertise and attention to detail are what matter most. Key Responsibilities Review and annotate medical records to accurately assign ICD-10 and CPT codes based on clinical documentation. Apply Evaluation & Management (E&M) guidelines to assess coding levels and validate healthcare datasets. Ensure compliance with current medical coding standards and guidelines. Analyze clinical documentation and identify coding-related ambiguities or inconsistencies. Provide...

Overview Benefits At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be . We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Overview Be inspired. Be valued. Belong. At Emory Healthcare Benefits At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be . We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs...