20 cms hcc coder jobs found

Job Summary and Responsibilities The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk‑adjusting conditions and supporting provider documentation improvement. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding. Advanced...

Certified Medical Coder Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system Selects and accurately records all appropriate records and data on assigned chart abstraction projects Ability to meet productivity and accuracy requirements Performs other duties as assigned Qualifications High School Diploma or GED required A certification in one of the following is required: Certified...

Certified Medical Coder Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system Selects and accurately records all appropriate records and data on assigned chart abstraction projects Ability to meet productivity and accuracy requirements Performs other duties as assigned Qualifications High School Diploma or GED required A certification in one of the following is required:...

Medical Coder - Cardiology, Cardiothoracic & Vascular (Remote) We are seeking a detail-oriented and highly skilled Professional Fee Coder to join our growing team. In this role, you will be responsible for the high-level review of medical documentation for Cardiology and Cardiothoracic services, ensuring the most accurate and compliant assignment of CPT®, HCPCS, and ICD-10 codes. This is a Contract-to-Hire opportunity that offers a fully remote environment with a highly flexible schedule, allowing you to balance your professional and personal life effectively. Key Responsibilities Specialized Coding: Review inpatient and outpatient charges for Cardiology, Cardiothoracic, and Vascular Surgery providers. Documentation Interpretation: Read and interpret complex medical records to assign accurate codes for surgical procedures, office encounters, and diagnostic/pathological services. Quality Assurance: Manage specialty-specific work queues to perform...

Job Summary and Responsibilities The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding....

Medical Coder The Medical Coding Specialist is responsible for abstracting and coding diagnosis information and/or medical conditions documented in physician office medical records using CMS, ICD-10 and/or Department defined criteria and guidelines. The Specialist will receive and review medical records electronically and document ICD-10 codes or medical record compliance issues using computer software. The Medical Coding Specialist is responsible for meeting average daily production goals while maintaining a minimum 91% accuracy rate on a consistent basis. Must be AAPC or AHIMA certified. Skills: Required to be certified by AACP or AHIMA. Required successful completion of at least one AHIMA or AAPC certification program with achievement correlating professional credential (RHIT, CCS, CPC, etc.) active and in good standing. Required ICD-10 proficiency validation. Required 1- 3 years hands on production abstracting or auditing medical records for diagnosis/ medical...

Professional Fee Medical Coder - Multi-Specialty (Remote) We are looking for a versatile and collaborative Medical Coder to join our team in a multi-specialty professional fee capacity. This role is perfect for a coder who enjoys variety and is skilled in both Evaluation and Management (E/M) and procedural coding across various clinical departments. As a key member of our revenue cycle team, you will ensure coding accuracy and compliance while serving as a bridge between clinical documentation and financial health. Key Responsibilities Comprehensive Coding: Assign accurate CPT®, HCPCS, and ICD-10 codes, modifiers, and units for surgical procedures, office encounters, and diagnostic/pathological services. Multi-Specialty Oversight: Manage work queues for diverse specialties, including Trauma, Orthopedics, GI/Bariatrics, Transplant, Cardiology, ENT, Radiation Oncology, and General Surgery. Charge & Claim Review: Perform astute pre-claim reviews to...

Hours of Work :8-430Days Of Week :M-FWork Shift :Job Description :Location:Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus.Job Relationships:Reports to Coding ManagerCertification Requirements:Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC PreferredSkills, Credentials, Professional QualificationsHigh school diploma or equivalent; Associate degree is an assetA minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical codingStrong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policiesIndependently disciplined in time management and productivityExperience in electronic medical record software, preferably EpicMicrosoft Office proficientAbility to communicate written and oral coding information to healthcare professionalsJob Summary:Responsible for the review of...

Job Summary and Responsibilities The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk‑adjusting conditions and supporting provider documentation improvement. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding. Advanced...

About Our CompanyWe’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com,...

Job DescriptionJob DescriptionWe are currently seeking a full time Remote Certified Coder-AHIMA / AAPCDuties / Responsibilities include but are not limited to :Uses ICD-10 standards, codes and abstracts medical recordsReviews individual medical records to verify / substantiate diagnosis and proceduresAssigns CPT and ICD-10 codes to all billable encountersQueries physicians to determine the principal diagnosis and appropriate sequencing of other diagnosis and proceduresEnsures that all records are coded in an accurate and timely manner based on customer established timelines.Preferred Experience :Coding Certification required - AHIMA / AAPC (CPC, CPC-H, CCS, CCS-P)AthenaOne, ECW, EPIC, and Intergy experience preferredOB, FQHC, or CHC coding experienceOBGYN experience preferredCoding Evaluation and Management services.Demonstrated understanding of the medical billing and coding lifecycle.Excellent interpersonal, time management, and organizational skills.Proficiency in Microsoft...

Job Description Job Description Specialty Senior Medical Coder – General Surgery Location: Irving, TX COMPENSATION & SCHEDULE • $35.75/hr (Non-CGSC Certified) | $42.00/hr (CGSC Certified – General Surgery) • Monday–Friday | 8:00 AM–5:00 PM • W2 | Temp to Perm • Start Date: 03/16/2026 ROLE IMPACT: The Specialty Coder Senior – General Surgery ensures accurate, compliant coding for high-dollar inpatient and outpatient professional services. This role drives revenue integrity by reducing denials, supporting clean claims, and maintaining a minimum 95% coding accuracy rate. Success is defined by precise code assignment, strong documentation review, and consistent productivity in a remote environment. Key Responsibilities • Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes in accordance with Official Coding Guidelines and AMA CPT standards • Code inpatient and outpatient Evaluation & Management (E/M) and surgical/operative procedures, generating accurate...

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 Cardio experience is required. This is a hybrid position so you must be located in the Houston area. Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions...

Medical Coder Fully Remote • Houston, TX Overview Position Type: Full Time Education Level: High School Diploma/GED Category: Other Positions Description US Heart and Vascular is in need of a Medical Coder to join our team at Houston Cardiovascular Associates in Houston, TX Position Summary The Professional Fee Medical Coder, Level 3 reviews medical documentation that physicians or other healthcare professionals complete to validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers for clinic and hospital-based professional encounters. The Coder applies coding conventions per official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for complex surgical coding in the inpatient and outpatient settings. May also be assigned E/M encounters, ancillary diagnostic procedures, and other inpatient and outpatient visits. Responsibilities: Reviews encounter in a timely manner and resolves all...

Description Summary: Responsible for maintaining current and high-quality ICD-10-CM/PCS coding for all Inpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting. Inpatient coding is applicable towards all regional Inpatient encounters. Coder will work collaboratively with various CHRISTUS Health HIM and Clinical Documentation Specialists to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional...

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 is responsible for leading multiple reviews / audits of healthcare coding, billing, documentation, operations, and related risk areas to support compliance with regulatory standards, internal policies and procedures, and other guidelines. Typically reports to Director, Corporate Compliance. Job Description Location : Memorial Hermann, Memorial City Status :...

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 Cardio experience is required. This is a hybrid position so you must be located in the Houston area. Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions...

General Summary: This role focuses on the Risk Adjustment process that supports the documentation of acuity diagnoses for the Managed Care (MC) patient population and required activities for submission of records to Medicare Advantage (MA) payers under established capitated contracts. It assists with medical record reviews for HCC diagnoses, correct usage of various coding guidelines (ICD-10-CM, CPT, HCPCS) and federal and MA payor regulations, as well as clinical validation of appropriate supporting documentation. Supervisory Responsibilities: This position has no supervisory responsibilities. General Requirements: All duties performed will be done accurately and in a timely manner. Assumes responsibility for maintaining clinical competencies according to Gonzaba Medical Group policy. Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers. Must always adhere to customer service expectations including in-person and virtual (via...

A leading healthcare provider in Texas is seeking an experienced Value Based Coder II to review medical records for coding opportunities, focusing on Hierarchical Condition Categories (HCC). The role involves developing provider education and ensuring compliance with coding guidelines. Candidates should have a Bachelor's degree in healthcare or equivalent experience, CPC/CCS/CRC certification, and at least 2 years of outpatient coding experience. Competitive hourly pay ranges from $25.30 to $35.74. #J-18808-Ljbffr

Memorial Hermann Health System is seeking a Coding Specialist in Houston to review clinical documentation and apply appropriate ICD-10-CM/CPT4 codes. This hybrid role requires at least one year of outpatient coding experience and a relevant certification such as CCS or CPC. The ideal candidate will possess effective communication skills and be able to code across multiple specialties. Join our team to deliver high-quality care and contribute to healthier communities. #J-18808-Ljbffr