67 clinical data coder jobs found

Inpatient Coding SpecialistFind your purpose as an Inpatient Coding Specialist at CentraCare. This position is responsible for analyzing and auditing documentation to ensure it meets requirements for assignment of codes from the appropriate classification system. Professional will work closely with provider and clinical documentation integrity staff to consistently and accurately translate medical record documentation and educate as necessary. Assists with performing quality audits, denial management, data collection, monitoring, and reporting documentation patterns and trends. This role will help guarantee that CentraCare is reimbursed for the services provided. Safeguards patient privacy and confidentiality.Schedule: Full-time 80 hours every 2 weeks Mon-Fri Days Fully RemotePay and Benefits: Starting pay is 25.70 per hour exact wage determined by years of related experience. Pay range: 25.70-38.57 per hour Full time benefits: medical, dental, PTO, retirement, employee discounts...

Title: Risk Adjustment Coding Auditor Location: Remote Job Type: Contract (6 months) Compensation: $35.00 – $38.00 per hour Industry: Health Insurance About the Role Our firm is partnering with a leading nonprofit health insurance organization that serves members across commercial, Medicare, and Medicaid health plans. We are seeking an experienced Risk Adjustment Coding Auditor to help ensure the accuracy, integrity, and compliance of clinical coding and documentation used in risk adjustment programs. In this role, you will support accurate reimbursement and regulatory compliance by conducting detailed coding audits, identifying documentation gaps, and providing expert guidance on risk adjustment coding practices. This position is ideal for a coding professional with strong HCC auditing experience who is passionate about data accuracy, compliance, and continuous improvement. Job Description As a Risk Adjustment Coding Auditor, you will evaluate coded clinical data to ensure...

Allegheny Health Network is seeking a Medical Records Coder to review and abstract clinical data, assign ICD-10-CM/CPT codes, and support revenue cycle by ensuring accurate coding for diagnoses and procedures. The role requires hospital/physician coding experience and knowledge of medical terminology, with RHIT/RHIA or CPC credentials preferred. Join a dedicated health system team focused on accurate data, coding accuracy, and compliance with HIPAA and privacy policies. #J-18808-Ljbffr

Required Skills & Experience • Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) • Strong ICD-10-CM coding experience and medical record review background • Knowledge of Risk Adjustment and HCC coding methodologies • Experience reviewing physician documentation and assigning accurate diagnosis codes • Strong understanding of medical terminology, anatomy, physiology, and disease processes • Ability to interpret complex clinical documentation with high accuracy and productivity • Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience • Medicare Advantage Risk Adjustment experience • Experience working with CMS-HCC models • CRC (Certified Risk Adjustment Coder) certification • Experience with EMRs and coding software platforms • Background in a health plan, physician practice, hospital, or revenue cycle environment • Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders...

Requisition number: 2381947 Job category: Medical & Clinical Operations Optum 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Outpatient Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Codes for all types of same day surgeries, major Trauma ER encounters, observations, and complex surgery cases including orthopedic and spinal fusions. You will ensure that all coding assignments are accurate...

Join OptumOptum 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 palliative careAssigns CPT and ICD-10 codes to all servicesMonitors assigned work queues to ensure all records are charged/coded in a timely...

Align yourself with an organization that has a reputation for excellence. Cedars Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an amazing benefits package that includes paid time off, health care and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals. What you will be doing in this role: Working under the general direction of a coding supervisor, the Hospital Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. The Facility Inpatient Coder identifies the principal diagnosis,...

Medical Coding Auditor Optum 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. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able...

Certified Medical Coder JOB TYPE: Full Time LOCATION: HHS/Finance REPORTS TO: Reimbursement Specialist-Lead SALARY RANGE: $15.15 - $20.50 Any individual who receives an offer of employment or will receive a payroll check are required to submit to a drug and alcohol test as a condition of obtaining employment. Mille Lacs Band Member/American Indian preference applies SUMMARY: The Certified Medical Coder performs highly technical and specialized functions for health and Humans Services. The coder will review, analyze and codes diagnostic and procedural information that determines Medicare, Medicaid and Private Insurance Payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function ensures compliance with established guidelines, third party reimbursement policies, and state and federal regulation and accreditation guidelines. QUALIFICATIONS: CPC, CCS, CCS-P certification is required. Associates degree...

Senior Medical Coder Optum 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity....

Risk Adjustment Coding Analyst Senior HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks. Accountabilities: Performs retrospective chart review for diagnosis coding accuracy. Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education. Reviews vendor coding and provide recurring feedback and education to vendor team. Participates in internal and CMS-mandated risk adjustment data validation review. Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities. Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics. Increases...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Senior Medical Coder (2379427) Senior Medical Coder - 2379427 Optum 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Medical Coder - Ancillary (2380723) Medical Coder - Ancillary - 2380723 Optum 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: Codes ancillary facility encounters such as clinic, recurring accounts, lab, therapy, and radiology...

Align yourself with an organization that has a reputation for excellence. Cedars Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an amazing benefits package that includes paid time off, health care and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals. What you will be doing in this role: Working under the general direction of a coding supervisor, the Hospital Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. The Facility Inpatient Coder identifies the principal diagnosis,...

Medical Coding AuditorOptum 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.The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to...

Coding Subject Matter ExpertOptum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.Responsible for providing oversight to Optum360 coding services, directly overseeing facility-based and/or HIM (Health Information Management) Center operations leadership of Optum 360 Coding Departments within the assigned Region. The SME will lead key initiatives within the organization related to Quality metrics, workflow improvement, and audits, etc. to meet or exceed metrics, drive efficient coding services, and deliver performance excellence through standardization of processes...

Requisition number: 2304825 Job category: Medical & Clinical Operations $5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum 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. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key...

Inpatient Hospital Based Coder Fairview is looking for an Inpatient Hospital Based Coder to join our team! This is a position approved for a 1.0 FTE (80 hours per pay period) on the day shift. This position provides inpatient coding utilizing ICD-10-CM and ICD-10 PCS Coding Classification systems. Utilizes an encoder and computer assisted coding (CAC) software to achieve accuracy and thorough coding. Researches complex coding scenarios and queries physicians on documentation for clarification. This is an HB Inpatient coding position for an experienced, trained inpatient coder. An Inpatient Coder analyzes clinical documentation; assigns appropriate diagnosis, procedure, and abstracts the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Assist in the...

Requisition number: 2382263 Job category: Medical & Clinical Operations Optum 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'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Acute Interventional Radiology services while adhering to the official coding guidelines and...

Coder 2 Hospitalist Coding Fairview is looking to hire a Coder 2 Hospitalist Coding to join our Health Information Management team. This is a 1.0 FTE (80 hours per two-week pay period), full-time, benefit-eligible position offering flexibility in the work environment. The ideal candidate has a strong understanding of professional coding guidelines, medical terminology, and healthcare documentation. Previous hospitalist coding and Evaluation and Management (E/M) coding experience is highly desired. Candidates should be detail-oriented, organized, and comfortable working independently while maintaining established productivity, accuracy, and quality standards. Previous experience with Epic or other electronic health record systems is preferred. The Coder 2 analyzes clinical documentation; assign appropriate diagnosis, procedure, and levels of service codes; abstract the codes and other clinical data. Performs a variety of technical functions within the Outpatient coding area,...

Coder 3 Fairview is looking to add a Coder 3 to our team. This is a full-time, benefit-eligible position designed for an experienced coding professional with advanced expertise in complex coding. The Coder 3 is responsible for handling highly complex coding assignments and requires expert-level knowledge of coding guidelines, regulations, and reimbursement practices. The ideal candidate will demonstrate strong critical-thinking and research skills, exceptional attention to detail, and the ability to independently resolve complex coding scenarios. A CIRCC (Certified Interventional Radiology Cardiovascular Coder) credential is preferred. This is a clinical or hospital-based coding position for an experienced coder working with specialty professional or hospital outpatient accounts. OP Coder 3 will have specialized knowledge in Interventional Radiology and Heart Catheterization. OP Coder 3 will competently assign ICD-10-CM, CPT-4, HCPCS codes to more complex outpatient accounts...

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...

Requisition number: 2390334 Job category: Medical & Clinical Operations Optum 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. The Coder II is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding, validating the information in the databases for outcome management and specialty registries, across the entire integrated healthcare system. The purpose of this position is to apply...

Requisition number: 2381938 Job category: Medical & Clinical Operations Optum 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. Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Certified Sr. (IP) Acute Edits Medical Coder you will determine and record the correct medical...