305 clinical data coder jobs found

Sign-On Incentives :Up to a $5,000 sign-on bonus for candidates who meet eligibility criteria.Talk with your recruiter to learn more.Job Responsibilities :Assign ICD-10-CM and ICD-10-PCS codes to inpatient diagnoses and procedures, ensuring accurate MS-DRG or APR-DRG grouping in accordance with official guidelines and internal policies.Complete the appropriate number of coded records based on departmental productivity standards and accuracy requirements.Abstract key clinical and demographic information from patient records to support billing, quality reporting, and regulatory compliance.Utilize computer-assisted coding (CAC) tools, encoders, and official coding references to support consistent and accurate code selection.Initiate physician queries when documentation is incomplete, ambiguous, or unclear to ensure accurate code assignment and clarify clinical intent.Collaborate with Clinical Documentation Improvement (CDI) professionals to enhance documentation quality and identify...

Job Category Health Information Management Posting Date 08/07/2026, 06:39 PM Locations 1111 Marcus Ave, Lake Success, NY, 11042, US Job Schedule Full time Internal Posting Start Date 05/22/2026 Internal Posting End Date 05/28/2026 Minimum Salary/Range* 44.1690 Maximum Salary/Range* 51.4910 Shift Days Shift Begin Time 7:00 AM Shift End Time 7:00 PM Schedule Full Time Job Description Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. Utilizes resources and reference materials (e.g., on-line sources,...

Job Details Job Location: EXC Amherst NY - Amherst, NY 14226, Position Type: Full Time, Education Level: High School, Salary Range: $20.00 - $28.00 Hourly, Travel Percentage: None, Job Shift: Day, Job Summary The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance with federal regulations and payer policies. This position is responsible for reviewing operative reports for all procedures performed by Excelsior Orthopaedic Physicians for completeness and to abstract and code clinical data, using standard classification systems. Duties and Responsibilities Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures....

Coder II Location: Olean General Hospital Location of Job : US:NY:Olean Work Type : Full-Time Shift 1 Job Description Review clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the Direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Education And Credentials Associate's degree from an accredited institution...

North American Partners in Anesthesia in Melville, NY seeks a medical coder to review clinical documentation and code anesthesia services, retrieve data from hospital EMR, and resolve coding questions to support offshore vendors. The role requires at least 2 years of professional medical coding, CPC or CCS-P certification, and proficient computer skills; you will handle daily billing tasks and ensure compliance with payor guidelines. #J-18808-Ljbffr

Position Overview The Clinical Documentation Improvement (CDI) Specialist - CDI-coder is responsible for performing concurrent and retrospective reviews of inpatient medical records to ensure complete, accurate, and compliant clinical documentation. This role focuses on supporting accurate ICD 10 CM/PCS coding, MS DRG assignment, severity of illness (SOI), risk of mortality (ROM), quality reporting, and reimbursement integrity. This role works closely with providers, coders, and quality teams to clarify documentation and support accurate data capture for clinical, financial, and regulatory reporting. Primary Department, Division, or Unit: Clinical Documentation Improvement, UHS Revenue Cycle Operations Primary Work Shift: Day Regular Scheduled Weekly Hours: 40 Compensation Range: $30.58 - $45.86 per hour, depending on experience Education/Experience Minimum Required: RHIT certification with an Associate degree in HIT. Minimum 2-5 years of...

Clinical Documentation Improvement (CDI) Specialist – CDI CoderUnited Health Services (UHS) is seeking a Clinical Documentation Improvement (CDI) Specialist – CDI Coder to support accurate, complete, and compliant clinical documentation across the inpatient setting. The Clinical Documentation Improvement (CDI) Specialist – CDI Coder collaborates with physicians, coders, and interdisciplinary care teams to ensure medical records accurately reflect patient acuity, severity of illness, risk of mortality, and services provided. Through concurrent and retrospective chart reviews, this role helps optimize coding accuracy, reimbursement integrity, quality reporting, and regulatory compliance. The Clinical Documentation Improvement (CDI) Specialist – CDI Coder serves as a key resource for documentation excellence by identifying opportunities for clarification, educating providers on documentation best practices, and facilitating compliant clinical queries. This position plays a critical...

Health Information Management CoderReview clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the director of Health Information Management, accurately code outpatient conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors.Responsibilities- Utilizing all required electronic applications interprets and abstracts pertinent patient health information from documentation in the medical record. Identifies the principle, secondary diagnosis and procedures including complications and co morbidities. All coders are required to continuously maintain the required standards of...

Medical Group Coder IUnder the direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality and revenue cycle operations. The coder reviews and analyzes medical records to accurately select all forms of HCPCS service codes (HCPCS, CPT, CPTII, CPTIII) and ICD-10-CM codes for professional services of hospital-based primary care, psychiatric and other non-inpatient surgical providers. This includes services in the office or other outpatient settings and inpatient settings.Core Job ResponsibilitiesAssign the applicable HCPCS (HCPCS, CPT, CPTII, CPTIII) service codes based on review and analysis of medical records, following CMS, CPT, insurance company, hospital based and office based guidelines.Assign applicable modifiers, review medical necessity, CCI and other internal and external coding edits.Assign applicable ICD-10-CM diagnosis codes based on knowledge of ICD-10-CM, insurance...

Job Summary Under the direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality and revenue cycle operations. The coder reviews and analyzes medical records to accurately select all forms of HCPCS service codes (HCPCS, CPT, CPTII, CPTIII) and ICD-10-CM codes for professional services of hospital-based primary care, psychiatric and other non-inpatient surgical providers. This includes services in the office or other outpatient settings and inpatient settings. Core Job Responsibilities Assign the applicable HCPCS (HCPCS, CPT, CPTII, CPTIII) service codes based on review and analysis of medical records, following CMS, CPT, insurance company, hospital based and office based guidelines. Assign applicable modifiers, review medical necessity, CCI and other internal and external coding edits. Assign applicable ICD-10-CM diagnosis codes based on knowledge of ICD-10-CM,...

Medical Group Coder II Under the direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality and revenue cycle operations. The coder reviews and analyzes medical records to accurately select all forms of HCPCS service codes (HCPCS, CPT, CPTII, CPTIII) and ICD-10-CM codes for professional services of hospital-based surgical specialty providers. This includes services in the office or other outpatient settings and inpatient settings. Core Job Responsibilities Assign the applicable HCPCS (HCPCS, CPT, CPTII, CPTIII) service codes based on review and analysis of medical records, following CMS, CPT, insurance company, hospital based and office based guidelines. Assign applicable modifiers, review medical necessity, CCI and other internal and external coding edits. Assign applicable ICD-10-CM diagnosis codes based on knowledge of ICD-10-CM, insurance company, hospital based and...

Medical Group Coder IIUnder the direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality and revenue cycle operations. The coder reviews and analyzes medical records to accurately select all forms of HCPCS service codes (HCPCS, CPT, CPTII, CPTIII) and ICD-10-CM codes for professional services of hospital-based surgical specialty providers. This includes services in the office or other outpatient settings and inpatient settings.Core Job ResponsibilitiesAssign the applicable HCPCS (HCPCS, CPT, CPTII, CPTIII) service codes based on review and analysis of medical records, following CMS, CPT, insurance company, hospital based and office based guidelines.Assign applicable modifiers, review medical necessity, CCI and other internal and external coding edits.Assign applicable ICD-10-CM diagnosis codes based on knowledge of ICD-10-CM, insurance company, hospital based and office based...

Job Summary The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance with federal regulations and payer policies. This position is responsible for reviewing operative reports for all procedures performed by Excelsior Orthopaedic Physicians for completeness and to abstract and code clinical data, using standard classification systems. Duties and Responsibilities Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures. Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company policies. Communicate with providers and clinical staff to ensure accurate documentation to...

Certified Medical Auditor Position Summary The Certified Medical Auditor is responsible for conducting comprehensive medical record, coding, billing, and compliance audits to ensure accuracy, completeness, regulatory compliance, and adherence to organizational policies and industry standards. This position reviews clinical documentation and coded data to identify discrepancies, overpayments, underpayments, compliance risks, and opportunities for process improvement. The Certified Medical Auditor works collaboratively with coding, clinical, billing, compliance, and leadership teams to educate staff, improve documentation and coding accuracy, and support ongoing audit and compliance initiatives. Essential Duties and Responsibilities Conduct prospective, concurrent, and retrospective medical record and coding audits. Review medical documentation to validate the accuracy and completeness of ICD-10-CM, CPT, HCPCS, and other applicable coding. Evaluate medical...

Coder - OutpatientSTATUS: Full-TimeLOCATION: Riedman- RemoteDEPARTMENT: Coding/Clinical DocumentationSCHEDULE: M-F; 8:00 AM to 4:30 PMSummaryReview clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes for billing, internal and external reporting, research, and regulatory compliance. Demonstrate knowledge of reimbursement methodologies and apply these to assigned charts to optimize reimbursement and/or resolve regulatory edits. Resolve error reports associated with the billing process, identify and report error patterns, and, when necessary, assist in the design and implementation of workflow changes to reduce billing errors.ResponsibilitiesAbides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines, and keeps abreast of coding changes and interpretation of codes.Performs detailed review of Inpatient record documentation to...

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...

Senior Hospital CoderThe Senior Hospital Coder is responsible for performing detailed inpatient coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. This is a remote inpatient position.Essential Duties and ResponsibilitiesOptimize hospital reimbursement by auditing and monitoring...

Senior Hospital Coder The Senior Hospital Coder is responsible for performing detailed inpatient coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. This is a remote inpatient position. Essential Duties and Responsibilities Optimize hospital reimbursement by auditing and...

Build a career where meaningful data protects patients, visible leadership supports your growth, modern technology strengthens-not replaces-your judgment, and life beyond work thrives in this standout Certified Medical Coder hospital opportunity. This healthcare organization offers an experienced Medical Coder the stability, professional reach, and purpose of a respected hospital environment known for elite clinical quality ratings and continued investment in patient care. As the advanced care hub for the Hudson Valley, the medical center connects coding professionals with diverse specialties, evolving service lines, and the documentation complexity that builds deeper expertise. Its large-scale campus modernization also signals a forward-looking culture focused on efficient workflows, contemporary care settings, and sustainable hospital careers. Within Medical Records and Health Information Management, the Certified Medical Coder will join a department central to clinical...

Position Summary At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Duties of a Coder may include the following, but are not limited to: Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance. Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services. Follows all HIPAA regulations and upholds a higher standard around privacy requirements. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting. Demonstrates proficiency...

Job Description The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Outpatient Coder / TH Medical Records Specialist. The successful candidate will: Report to the Coding Manager and Director of HIM Department. Abstract clinical information from the medical record and assign appropriate ICD-10 CM and ICD-10 PCS/or CPT codes according to established procedures. Maintain optimal standards of coding and assume uniformity of coding for compliance and reimbursement. Ensure the selection of accurate and descriptive codes from the appropriate classification system. Ensure the confidentiality of data contained in the patients medical records. Analyze the information contained in the medical records. Analyze the information contained in the medical records to ensure that the most appropriate codes are used. Queries the physicians for the appropriate documentation. Work collaboratively with all departments...

Experienced Outpatient Medical Record Coder Position Summary At Stony Brook Medicine, the Experienced Outpatient Medical Record Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM/PCS, CPT and HCPCS codes. Duties of a Experienced Outpatient Medical Record Coder may include the following but are not limited to: Assign ICD-10- CM/PCS, CPT and HCPCS codes with modifiers for services provided in the facility environment Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services Follow all HIPAA regulations and uphold a high standard around privacy requirements Demonstrates the technical competence to use the facility encoder as it interfaces with...

About the role micro1 is engaging Inpatient Coders to contribute to a valued project focused on enhancing inpatient clinical coding accuracy and data quality. In this role, you’ll apply your facility coding expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. Scope of Work Review clinical documentation for accuracy, completeness, and coding integrity. Evaluate AI-generated clinical notes and summaries against real-world documentation and coding standards. Validate alignment between clinical documentation and assigned codes. Write prompts that test how an AI handles real healthcare administrative work, including billing and coding, insurance and prior authorization, scheduling, and regulatory compliance. Correct the code/data when the model falls short, grounded in day-to-day operational experience. What you’ll bring Active coding certification such as CIC, CCS or CPC. Inpatient...

Remote - USA The Payment Integrity team is a group of innovative thinkers sitting at the intersection of Clover's provider Network, Claims, and Tech teams. The Payment Integrity team ensures that Clover pays claims in an accurate manner, with a particular focus on reducing inappropriate medical spend. As an Inpatient Clinical Coder at Clover Health, you will play a key role ensuring that Clover is able to continue to build and scale a compliant, efficient and profitable program. You will work to ensure quality assurance standards and regulatory policy are reflected in claims processing practices. You will help drive value for every member by ensuring that Clover’s medical claims are paid accurately and recovering overpayments when they are identified. The Associate - Inpatient Coder coordinates the identification of provider DRG denials and upcoding. As an Inpatient Clinical Coder, you will: Partner with Clinical, Claims, and Payment Integrity peers to review claims for DRG related...