421 coder jobs found

A company is looking for a Physician Coder (I, II, & Sr). Key Responsibilities Reviews medical records and codes physician services using ICD-10, CPT, and HCPCS classification systems Verifies billable physician services by reviewing documentation for adherence to federal guidelines Collaborates with the specialty team to monitor financial goals and assists with patient account follow-ups Required Qualifications, Training, and Education High school diploma or equivalent Computer/typing literacy and knowledge of Anatomy, Physiology, and Medical terminology National certification such as CPC, CCS, CCS-P, CCA, or CMC Minimum of one year coding experience for Coder I, three years for Coder II, and five years for Sr. Coder Proficiency in multi-specialty E/M coding is required, with additional requirements for surgical coding based on the level

A company is looking for a temporary HCC Coder (CPC Certified). Key Responsibilities Perform HCC / Risk Adjustment coding reviews accurately and efficiently Apply ICD 10 CM and risk adjustment coding guidelines appropriately Review and code medical records using designated EMR platforms Required Qualifications Active CPC certification (AAPC) - Apprenticeship (CPC A) credentials are not accepted 1-2 years of HCC / Risk Adjustment coding experience Experience working with EMR systems Strong knowledge of ICD 10 CM coding guidelines Ability to work independently in a remote environment

A company is looking for a Medical Policy & Coding Support Coordinator. Key Responsibilities Support Medical Policy Team's operations, including managing timelines and filing external appeals Perform coding analyses and generate reports to recommend updates to medical policies Participate in cross-functional meetings to align with strategic priorities Required Qualifications High school diploma or GED Certified Professional Coder (CPC) required, to be obtained within 12 months of hire 4+ years of experience in provider payment, claims, or medical coding Detail-oriented with strong organizational and project management skills Proficient with MS Office and technology-savvy

A company is looking for a Medical Records Technician (Coder-Inpatient). Key Responsibilities Assign codes to patient care encounters and select from various coding systems Identify principal diagnoses and procedures for inpatient discharges and ensure accurate coding for reimbursement Conduct reviews of abstracted codes and correct as needed to meet coding requirements Required Qualifications, Training, and Education U.S. Citizenship is required One year of relevant experience or an associate's degree in health information technology or a related field Completion of an AHIMA approved coding program or equivalent training Certification through AHIMA or AAPC is preferred Proficiency in spoken and written English is mandatory

A company is looking for an ED- Facility & Pro Fee Coder (Full-time). Key Responsibilities Review and code medical records for emergency department services Ensure compliance with coding guidelines and regulations Collaborate with healthcare professionals to resolve coding discrepancies Required Qualifications Certification as a Medical Coder (e.g., CPC, CCS, or equivalent) Experience in coding for emergency department services Knowledge of ICD-10, CPT, and HCPCS coding systems Understanding of medical terminology and anatomy High school diploma or equivalent; associate degree preferred

A company is looking for a Coder, Outpatient. Key Responsibilities Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding Submit necessary provider queries to resolve documentation discrepancies and perform quality assessments of records Abstract and assign the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in outpatient and surgical settings Required Qualifications AHIMA/AAPC Credentials Required Five or more years of auditing experience Physician surgery coding experience preferred Must have facility outpatient surgery and observation experience Experience working in a remote environment

A company is looking for an Outpatient Coder in the HIM Revenue Cycle, working remotely in authorized states. Key Responsibilities Reviews and analyzes medical records to assign accurate diagnostic and procedural codes Ensures compliance with coding guidelines, regulatory requirements, and organizational policies Collaborates with healthcare providers to clarify documentation and improve coding accuracy Qualifications High school diploma or equivalent required Minimum of six (6) months of acute care outpatient coding experience required Active coding certification required (RHIA, RHIT, CCS, CCA, CPC, or CPC-H) Knowledge of ICD, CPT, and HCPCS coding standards Understanding of medical terminology, anatomy, and physiology

Key Responsibilities: • Review and analyze patient medical records, including provider documentation, diagnostic reports, and treatment plans • Assign accurate ICD-10-CM diagnosis codes in compliance with CMS-HCC risk adjustment guidelines • Ensure all coded diagnoses are supported by appropriate clinical documentation • Identify gaps, inconsistencies, or missing documentation and initiate provider queries when necessary • Maintain compliance with CMS, Medicare Advantage, and internal coding policies • Meet established productivity, accuracy, and quality assurance benchmarks • Utilize electronic medical record (EMR) systems and risk adjustment coding tools effectively • Participate in internal and external audits, training, and continuous education initiatives • Collaborate with providers and internal teams to improve documentation quality and coding accuracy Job Qualifications: 1–2+ years of experience in risk adjustment or HCC coding Experience with Medicare Advantage, CMS...

A company is looking for an Inpatient Coder (REMOTE). Key Responsibilities Coding and abstracting clinical information from medical records and assigning appropriate ICD-10-CM/PCS and CPT codes Ensuring the accuracy of coding and maintaining a minimum accuracy rate of 93% while collaborating with the HIM department Determining appropriate sequencing of diseases and surgeries for DRG coding and participating in educational programs Qualifications RHIT/RHIA with 5 years of acute care coding experience or RHIT/RHIA with ICD-10 curriculum plus 3 years of experience 7 years of acute care coding experience may substitute for the above requirements CCS certification can substitute for 1 year of acute care coding experience High School diploma or equivalent is required

A company is looking for an IT Surgical Coder II for an initial 6-month contract. Key Responsibilities Codes major surgeries, focusing on complex cases Compiles and maintains medical records to document patient conditions and treatments Checks medical records for completeness and abstracts clinical data using standard classification systems Required Qualifications 3-5 years of experience as a surgical coder, with multispecialty and oncology experience preferred 5+ years of experience in multispecialty coding CPC certification is required

A company is looking for a Senior Cardiology Coder (Remote). Key Responsibilities Code procedures and enter charges in compliance with regulations and policies Coordinate with Practice Coordinator and Revenue Integrity to ensure proper documentation for coding Participate in audits to evaluate coding accuracy and develop improvement methodologies Required Qualifications Coding credential (RHIA, RHIT, CPC, CCS, RN) is required Minimum of 3 years of specialty and/or surgical coding experience Familiarity with data processing applications in a Windows environment Knowledge of medical terminology and billing procedures Understanding of medical insurance processes

A company is looking for a Risk Adjustment Coding Specialist. Key Responsibilities Perform medical record reviews and validate/assign ICD-10-CM diagnoses for Risk Adjustment Support coding/auditing work for retrospective risk adjustment and HHS-RADV initiatives Document coding discrepancies and collaborate with internal teams and providers to resolve coding issues Required Qualifications CRC certification (Certified Risk Adjustment Coder) required 3+ years of experience in Risk Adjustment coding (HCC) 3+ years of HHS-RADV coding and auditing experience Strong knowledge of CMS/HHS coding and documentation guidelines Basic proficiency in Excel for data entry and lookups

A company is looking for an Inpatient DRG Auditor / Coder (RN and Non RN). Key Responsibilities Perform inpatient DRG auditing and coding reviews Analyze disease processes and clinical indicators affecting DRG assignment Review audit outcomes and implement corrective actions Required Qualifications Experience with inpatient DRGs Previous auditing experience in an inpatient setting Strong knowledge of clinical documentation and DRG impact Ability to reference and apply coding guidelines accurately Professional communication skills

A company is looking for an Outpatient Coder II. Key Responsibilities Assigns appropriate ICD-10-CM and CPT-4 codes to outpatient visit types, reviewing medical records thoroughly Interprets health record documentation to report appropriate diagnoses and procedures, sending physician queries when necessary Utilizes technical expertise to analyze system changes, resolves NCCI Edits, and ensures optimal coding accuracy Required Qualifications Credentialed by the AHIMA with a CE requirement of 20-30 CE's every two years 3-4 years of coding experience in an acute healthcare setting RHIT, RHIA, or CCS credentialed Ability to work with minimal supervision Bachelor's degree in a related field is preferred

A company is looking for an Outpatient Coder. Key Responsibilities Codes and abstracts medical records for outpatient records following established conventions and guidelines Assists with coding and leveling ERs and charging infusion cases as needed Reviews medical records to assign ICD-10CM/PCS or CPT codes to diagnoses/procedures for outpatient records Required Qualifications Formal working knowledge equivalent to an Associate's degree (2 years of college) One (1) to three (3) years of experience in coding Certifications required: CCS, CPC-H, CO, RHIT, or RHIA

A company is looking for Outpatient Coders for remote full-time and part-time positions. Key Responsibilities Perform multi-specialty outpatient clinic coding, including ED, minor procedures, and lab encounters using ICD-10, CPT, and HCPCS codes Adhere to site-specific coding guidelines and VHA coding standards Utilize coding tools such as E/M calculators and 3M Encoder for accurate coding Required Qualifications, Training, and Education At least two years of VA or relevant coding experience Active credentials as a certified coder from recognized organizations Knowledge of VHA coding guidelines and E/M leveling Familiarity with anatomy, medical terminology, and reimbursement methodologies High School Diploma or equivalent

A company is looking for a HIM Inpatient Coder III - PRN. Key Responsibilities Assign and sequence diagnosis and procedure codes for various inpatient and outpatient service types Review documentation to ensure accurate coding and resolve billing edits Participate in meetings and assist with coding-related inquiries from other departments Required Qualifications Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent certification High School Diploma or GED; must pass an advanced coder competency exam with a minimum score of 95% Five years of hospital-based coding experience, including complex CPT surgical coding and advanced ICD-10-CM-PCS coding Proficiency of 95% or greater on coding audit reviews Ability to work independently as a remote employee while engaging with the coding team

A company is looking for a Coding Specialist III. Key Responsibilities Assigns ICD-10-CM and PCS codes for inpatient visits and codes for physician visits at high quality levels Validates MS-DRG or APC assignments and abstracts clinical data Mitigates coding-related claims scrubber edits and participates in client meetings and training sessions Required Qualifications An active AHIMA or AAPC credential One year of relevant coding experience within the last six months Passing score of 80% on specific pre-employment tests Experience with Meditech and Epic is a plus

A company is looking for a Denials and Appeals Coder. Key Responsibilities Review carrier denials and submit corrections based on medical records and coding policies Maintain accuracy and production standards for timely processing of invoices Collaborate with departments to resolve coding rejections and claim processing issues Required Qualifications High school diploma or equivalent; college coursework in a healthcare-related field preferred Extensive knowledge of medical terminology and physician billing Proficiency in ICD-10 coding and CPT procedural coding Minimum two years of medical coding experience CPC, RHIT, or CCS-P certification preferred

Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address:...

A company is looking for an Outpatient Acute Care Coder. Key Responsibilities Assign and validate appropriate diagnostic and procedural codes for outpatient medical documentation Review and sequence diagnoses and procedure codes according to coding guidelines and regulations Utilize coding software and tools to ensure compliance with medical necessity and coding standards Required Qualifications One to three years of experience in medical record coding in an acute care setting High school diploma or equivalent is required; an associate or bachelor's degree in a related field is preferred AHIMA or AAPC certification (e.g., RHIA, RHIT, CCS, CPC) is required Functional knowledge of EMR, Encoder, and CDI tools Experience with 3M360 software is required

A company is looking for an HCC Coder to perform coding and documentation analysis in a remote setting. Key Responsibilities Analyze medical records to determine appropriate ICD-CM codes based on official guidelines Participate in coding quality assurance and maintain a coding accuracy rate of at least 95% Engage in continuous improvement efforts and training related to coding practices Required Qualifications High School diploma or equivalent Medical coding training and terminology from an accredited program Certification as a CCS, CCS-P, CPC, or CRC within one year of hire Three years of HCC and/or outpatient coding experience Thorough knowledge of ICD-CM, CPT coding, and third-party payer requirements

A company is looking for a National Director, Risk Adjustment. Key Responsibilities Collaborate with Market and Provider Leadership to identify and implement initiatives for improving coding performance Manage projects related to complete and accurate coding, including vendor assessment and clinician coordination Serve as the internal subject matter expert on risk adjustment models and maintain coding compliance Required Qualifications Bachelor's degree required Minimum of 3 years experience in a leadership position in risk adjustment Certified Professional Coder (CPC) required; CPC and Certified Risk Adjustment Coder (CRC) preferred Knowledge of Federal laws and regulations related to risk adjustment documentation and coding compliance Extensive knowledge of coding guidelines established by CMS and AMA

A company is looking for a Coder II-1. Key Responsibilities Perform coding of medical records and ensure accuracy and compliance with regulations Review and analyze clinical documentation to assign appropriate codes Collaborate with healthcare providers to clarify documentation as needed Required Qualifications High school diploma or equivalent required Certification in medical coding (e.g., CPC, CCS, or equivalent) Experience in coding and knowledge of medical terminology Understanding of healthcare regulations and compliance standards Proficiency in coding software and electronic health record systems