38 clinical documentation coder jobs found

At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

Position Summary Applies CPT-4 and HCPCS codes to medical records for the cardiovascular lab and interventional radiology departments based on physicians’ documentation. Adheres to strict federal coding rules and guidelines, achieving 95% coding accuracy while meeting billing deadlines. Essential Responsibilities Code surgical procedures performed by cardiologists and interventional radiologists. Verify supplies used during procedures. Use encoders and other reference materials effectively. Maintain appropriate non‑leading queries to physicians. Abstract services from physician documentation and procedure logs. Reconcile monthly surgical logs. Manage multiple job tasks daily (WQs, emails, surgical logs, census, etc.). Prepare Excel analysis, including V‑Lookups and pivot tables. Gather and compile data systematically, document assumptions, and validate accuracy to resolve inconsistencies. Evaluate and implement charge requests with appropriate CPT/HCPCS codes, revenue codes, and...

600 Advocate Health, Inc. is seeking an experienced coder for inpatient operations in Milwaukee, Wisconsin. The role involves reviewing complex documentation and ensuring compliance with coding standards. Candidates need at least 7 years of acute care coding experience, a coding certification from AAPC or AHIMA, and a strong understanding of the relevant coding guidelines. Key responsibilities include coding diagnosis and procedure codes, participating in audits, and collaborating with clinical teams to improve coding accuracy. #J-18808-Ljbffr

Department 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details/Additional Information This role will comply with all departmental scheduling policies and expectations. Will support Inpatient Community Core - WI/IL division Schedule Monday - Friday 1st shift 40 hours a week. Certification required Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote opportunity Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range $28.55 - $42.85 Major Responsibilities This role will have all responsibilities of coder I, II and III in addition to: reviews complex...

JOB SUMMARY: The primary purpose of the position is to review both procedural and diagnostic (ICD-10) coding to ensure appropriate billing and insurance regulations are met. This position will be staffed during clinic hours and is largely remote. Occasionally in-person meetings with providers will be required. Must live within reasonable traveling distance from Hudson, WI.CORE DUTIES AND RESPONSIBILITIES:Have in-depth understanding of coding and compliance rules and regulations.Responsible for reviewing provider documentation, coding and posting charges for healthcare services; including Primary Care, Lab/Pathology, Podiatry and more.Provide coding education and engage with assigned providers.Research and communicate governmental and payer-specific rules and regulations to ensure coding compliance.Identify and communicate best practices based on provider documentation, insurance payer medical policies and CMS guidelines.Review, code and post charges for hospital outpatient and...

HUDSON PHYSICIANS SC is seeking a Coding Specialist to ensure compliance with billing regulations through accurate coding and documentation. The position is largely remote, requiring occasional in-person meetings with providers. Applicants need certification as a Professional Coder or Certified Coding Specialist and must have at least 2 years of clinical coding experience. Successful candidates will have strong communication skills, the ability to work independently, and proficiency in coding for various healthcare services. #J-18808-Ljbffr

Job Opportunity at SSM Health St. Mary's Hospital - Madison It's more than a career, it's a calling. Worker Type: Regular Job Highlights: Monday to Friday, 8:00 to 4:30 (flexible), full-time (.9/36 hours). This is a new role supporting imaging and procedure lab charges and charge reconciliation. The individual will help define and build the role. The position supports St. Mary's and the WI region as needed. Job Summary Supports assigned department(s) as a subject matter expert for achieving operational efficiency, compliance, and exceptional patient care. Serves as a liaison between and resource for clinical and Revenue/Financial departments with strong understanding of both components. Job Responsibilities and Requirements PRIMARY RESPONSIBILITIES Serves as a resource and subject matter expert to the department for workflows, documentation, coding, charging, and software applications. Manages all work queues using subject matter expertise to investigate/correct...

Become a part of our caring community The 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 Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school diploma or GED, required....

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 future...

## Risk Adjustment CoderApplylocations: Remote Kentucky: Work at Home - Utah: Work at Home - Washington: Work at Home - Virginia: Work at Home - Texastime type: Full timeposted on: Posted Todayjob requisition id: R-421015# **Become a part of our caring community**The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record.* Reviews medical records to report conditions that map to HCCs by reviewing medical record documentation and applying the appropriate ICD-10 diagnosis codes.* Follows state and federal regulations as well...

Medical Coder page is loaded## Medical Coderlocations: TX-Remotetime type: Full timeposted on: Posted 30+ Days Agojob requisition id: R5468Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.The **Medical Coder** reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice.*Essential Functions Include:** Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM).* Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations.* Maintains a 95% threshold for coding accuracy.* Receives and reviews patient charts and documents for accuracy....

At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

Job Category: Health Information Requisition Number: CODER001699 Full-Time On-site Locations Showing 1 location Sturgeon Bay, WI 54235, USA Pay or shift range: $19.91 USD to $28.95 USD The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons. Description The Coder is responsible for applying the appropriate diagnostic and procedural codes to assigned patient care encounters in the clinic setting or related areas for data retrieval, analysis, and reimbursement purposes. Reviews clinical documentation from assigned encounters to extract data and apply appropriate diagnostic and procedural codes in compliance with regulatory requirements, industry-validated coding principles (ICD-10-CM Official Guidelines for Coding and Reporting and Current Procedure Terminology (CPT) Rules and Regulations) and DCMC policies and procedures. Reviews patient...

Location: Remote - TX Department: HIM-Coding Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary The HIM Coder Analyst I applies knowledge of International Classification of Diseases and Procedures (ICD), Current Procedural Terminology (CPT) code sets, and associated Medicare/Medicaid rules and guidelines. The role reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures, assigning ICD-10-CMPCS and CPT‑4 codes accurately and timely at the highest level of specificity based on physician documentation for emergency departments and outpatient clinics. The analyst may assist with simple ambulatory surgery cases. Responsibilities Abstract specified information from the patient medical record and enter it into the electronic health record system for billing and reporting. Maintain an accuracy rate of ≥ 95% for all coding. Communicate with physicians and other providers to clarify documentation requirements....

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviewsmedical records toreport conditions that map toHCCs by reviewing medical record documentation and applying theappropriate ICD-10diagnosis codes. Followsstate and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works onprojects that may include making phone calls to providers. Works within broad guidelines with little...

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we...

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...

We’ve increased the wage range for this role as part of our ongoing commitment to competitive compensation and meaningful recognition of our employees’s skills and impact. Position eligible for $2,000 sign on bonus Discover. Achieve. Succeed. #BeHere This job is REMOTE. FTE: 1.000000 Standard Hours: 40.00 Shift: Shift 1 Shift Details: Flexible business hours. Holidays: Not required. Weekends: As needed. Job Summary The Inpatient Coder is responsible for reviewing and accurately coding inpatient medical records within a complex academic medical center environment, where cases often include high‑acuity, multidisciplinary, trauma, surgical, and research‑driven encounters. This role requires advanced proficiency in ICD‑10‑CM, ICD‑10‑PCS, and MS‑DRG/APR‑DRG assignment, along with a thorough understanding of official coding guidelines, documentation standards, and regulatory requirements to ensure accurate reimbursement and data integrity. The Inpatient Coder works independently...

Job Details Job Location: GLHP Remote - MADISON, WI 53713 Position Type: Full Time Salary Range: $65,000.00 - $75,000.00 Job Shift: Day Oasis Specialist/ICD-10 Coder Remote Position General Purpose Responsible for the organization, development and monitoring and management of the Quality Assessment and Performance Improvement (QAPI) program for Interim Healthcare. Responsible for coordinating the QAPI program for home care and hospice operations. Essential Functions Will complete all proper ICD-10 coding and review all OASIS assessments Locks down all SOC, Recerts, follow-up, discharges, and ROC OASIS and POCs Manage the submission of OASIS and HIS/HOPE assessments for all agencies, ensuring timely submission within 30 days Foster a professional environment that supports employee development and achievement of organizational goals through training and educational resources Utilize QAPI Plus (Centralized/Electronic QAPI Program) for data trending for the development of patient...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school diploma or GED, required....

Job Title :Endovascular / Cardiology Coder (Remote)Company :GetixHealthEmployment Type :Full-Time (FTE)Pay Range :$28.00 - $29.00 per hour ( based on experience ) Quarterly Bonus EligibleWork Environment :Reliable high-speed internet is required and Candidates must successfully complete an internet speed test prior to hirePosition Summary :The Endovascular / Cardiology Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, HCPCS, and modifier codes for complex endovascular and cardiology procedures.This role requires strong specialty expertise, attention to detail, and adherence to regulatory and client-specific guidelines.Essential Duties & ResponsibilitiesReview electronic health record (EHR) documentation and abstract accurate ICD-10-CM, CPT, HCPCS, and modifier codesDetermine appropriate code selection and sequencing in compliance with AMA, CMS, and client-specific guidelinesSubmit provider queries when documentation clarification...