169 coder jobs found

Hourly rate: $18.00/hour. This is an hourly position. Work Schedule: 16 hours/week; 8:00pm-4:30pm (Monday-Friday). Position Summary The Ministry Coder Intern assigns accurate ICD-CM/PCS & CPT/HCPCS codes to all pertinent diagnoses and procedures on inpatient, outpatient, emergency, and ambulatory encounters. This position complies with coding guidelines, abstracts required information for statistical and reimbursement purposes, and works closely with the revenue cycle team to ensure appropriate billing and reimbursement. Responsibilities Retrieve pertinent information from the medical record to assign ICD-CM/PCS and/or CPT/HCPCS codes. Inquire with physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for complete documentation and accurate reimbursement. Monitor and complete assignments through work queues in the electronic health record to maintain compliance with coding guidelines. Review records...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

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...

A health care advisory firm is seeking a Sr. Associate to analyze medical records and ensure compliance with coding standards. The ideal candidate will be certified in Risk Adjustment Coding and have at least five years of experience in HCC/Risk Adjustment methodologies. Strong communication skills and proficiency in Excel are essential. This role offers a hybrid work environment. Salary range is between $85,000 to $200,000 based on qualifications and experience. #J-18808-Ljbffr

Ankura is a team of excellence founded on innovation and growth.**Practice Overview:**Ankura’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the...

Coder II The Coder II is responsible for conversion of diagnosis and treatment procedures into codes utilizing the current Revision of the International Classification of Diseases and Operations, Clinical Modification (ICD-10-CM), Current Procedural Terminology (CPT-4), Evaluation and Management (E&M), and HCPCS coding for Professional (Physician) services received in the CMH Health Services system. Requires skill in the sequencing of diagnosis/procedures to optimize reimbursement and compliance to documentation and medical policy guidelines for all payers. Ensures that records are coded in an accurate and timely manner. Performs audits on chart information, level of care charged and provides education to staff and providers on compliant coding. General duties, tasks and responsibilities include ensuring that records are coded accurately and timely; reviewing patient charges for inconsistencies; contacting physician if diagnosis is not available on chart; referring charts...

**CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED** About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. What You'll Do * Review and validate claim data to determine appropriate payment outcomes. * Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. * Work primarily with emergency services claims, including ambulance and air ambulance cases. * Operate within a proprietary claims management system. * Collaborate with internal teams to clear a...

A healthcare provider in Illinois is seeking an Outpatient Coder II to ensure accurate coding and reimbursement. The role requires expertise in ICD-10-CM and CPT coding for outpatient encounters. Candidates should have 3-4 years of coding experience in a healthcare setting and be credentialed by AHIMA. This position emphasizes attention to detail and the ability to work with minimal supervision, providing a crucial contribution to our healthcare services. #J-18808-Ljbffr

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

A company is looking for a Certified Medical Coder. Key Responsibilities Review and extract data from medical records to apply appropriate diagnoses and procedure codes Act as a coding resource for team members and ensure compliance with coding guidelines Participate in coding audits and provide feedback to clinical staff regarding coding issues Required Qualifications, Training, and Education High school diploma or equivalent required; associate's degree preferred Certification such as RHIT, CCS, RHIA, CPC, CPC-H, CPC-A, or CCA is required Minimum of 1 year of coding experience is required Knowledge of ICD-10, CPT coding, medical terminology, and insurance billing is essential Experience with EPIC EHR is desired

A company is looking for an Inpatient Coder, responsible for accurately coding inpatient accounts and maintaining coding standards. Key Responsibilities Assign appropriate ICD-10-CM/PCS codes to inpatient accounts following established guidelines Abstract and enter coded data for hospital statistical and reporting requirements Query physicians to clarify clinical information and communicate documentation improvement opportunities Required Qualifications Must possess an active CCS Credential (AHIMA) 2+ years of inpatient coding experience in an acute care setting required 3+ years and/or experience in a Trauma Level 1/Academic Teaching facility preferred Proficient in ICD-10-CM and ICD-10-PCS coding

A company is looking for a Hospital Inpatient Coder. Key Responsibilities Accurately assign ICD-10 and DRG codes to hospital inpatient services following coding guidelines and regulations Interpret office, operative, and procedure notes to assign codes and modifiers for compliance and reimbursement Maintain a minimum coding accuracy rate of 95% and meet weekly productivity standards Required Qualifications and Education High school diploma or GED 2 years of coding experience, preferably in a multi-specialty group practice Current AHIMA or AAPC Coding Certification(s) required Ability to meet deadlines consistently and reliably

A company is looking for an Inpatient Coder - Hospital. Key Responsibilities Reviews, analyzes, and codes documentation for hospital inpatient medical records Selects and sequences appropriate ICD-9-CM and ICD-10-CM/PCS codes Ensures compliance with coding standards during the transition to ICD-10 Required Qualifications H.S. Diploma or General Education Degree (GED) Required Coding Certificate program (AHIMA accredited) Preferred 1 year of coding experience Required Experience in coding at a multi-facility organization and remote coding experience Preferred One or more certifications - RHIA, RHIT, CCS, CCA, CCS-P, CPC, CPC-A, CPC-H Required

Medical Coder III The Medical Coder III is a senior-level position responsible for ensuring precise coding of diagnoses and procedures in compliance with established coding guidelines and regulations. This role is integral to maintaining financial accuracy and regulatory compliance within our institution. Position: Medical Coder III Location: Hybrid Warrenville, IL and remote Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, 8:00am-4:30pm What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records, demonstrating advanced proficiency in complex coding scenarios. Lead and conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments, providing guidance and feedback to junior coders. Analyze clinical documentation in medical records and collaborate with physicians and clinical staff to clarify and enhance documentation for accurate coding....

A company is looking for an Outpatient Facility Coder (Same Day Surgeries). Key Responsibilities Accurately assign ICD-10-CM and PCS codes for inpatient visits and DRG assignments Assign modifiers and CPT codes for outpatient coding and procedures Create compliant physician queries and review claims for medical necessity Required Qualifications 2-year degree or equivalent experience; AHIMA or AAPC certification required Must hold one or more credentials: RHIA, RHIT, CCS, CPC, COC Minimum of 1 year experience in medical coding Meets or exceeds quality and productivity standards Ability to work independently and as part of a team

A top healthcare system in Chicago is looking for a Certified Medical Coder to work remotely. This role impacts patient satisfaction by coding diseases and operations while ensuring compliance with regulations. Candidates should have at least 1 year of coding experience, a thorough knowledge of medical terminology and coding systems like ICD-10-CM and CPT4. The position offers full benefits, paid holidays, tuition reimbursement, and retirement savings plans with employer match. #J-18808-Ljbffr

Ambulance Biller & Coder Diversified Health Care Affiliates, Inc. is currently seeking an individual for our ambulance services division to be responsible for the billing and coding of ground and air ambulance claims. This position requires that the successful candidate be able to work Monday, Wednesday, Thursday, Friday 8:30 a.m. to 5:30 p.m. and Tuesday 11:00 a.m. to 8:00 p.m. Core Values Honor Loyalty Character Trust Integrity - Always doing what is right Mission Statement Our mission to inspire our employees through Biblical principles of Christian management to meet their full God given potential with a servant leadership mentality while maintaining a system of accountability and excellence to support our vision. Vision Statement Our vision is to distinguish ourselves as a Christian leader redefining receivables management services for the healthcare industry through the passion, commitment and leadership of our employees by providing innovative and cost effective...

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 Inpatient Clinical Coder to ensure accurate claims processing and compliance within the healthcare system. Key Responsibilities Review claims for DRG related issues to drive accurate payments to providers Identify overpayments to ensure correct claims payments on inpatient services Engage in discussions with MDs to verify clinical rationale behind billed procedures Required Qualifications CCS or CIC certification; required Knowledge of DRG pricing methodology; required 1-2 years of experience in inpatient clinical coding; preferred Experience in Medicare or Medicare Advantage payment integrity or claims operations; preferred Strong computer skills in Excel and PowerPoint

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

The salary range for this position is $29.13 - $39.32 (Hourly Rate). Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well‑being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose‑driven and committed to our mission to deliver world‑class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've...

A company is looking for a PB Coding Manager to oversee coding workflows and ensure quality and efficiency within the coding team. Key Responsibilities Evaluate and optimize coding workflows for timely turnaround and quality Collaborate with stakeholders to develop action plans for performance improvement Manage the interview and onboarding process for coding staff Required Qualifications Experience leading a team of coding professionals CPC-A, CPA, or CCS-P certification Experience in healthcare revenue cycle Strong understanding of healthcare professional billing requirements Experience with data analysis to drive decisions

A company is looking for a Certified Coder CPC, CSS (Remote). Key Responsibilities Conducts ongoing member medical chart reviews and accurately abstracts ICD-10 and CPT codes Documents findings from chart reviews and provides feedback to leadership and providers Facilitates training and education for the provider network on coding updates and risk adjustment Required Qualifications At least 2 years of medical coding experience or equivalent education and experience Certified Professional Coder (CPC) and Certified Coding Specialist (CCS) Knowledge of CMS and AHA clinic coding Ability to maintain confidentiality and comply with HIPAA regulations Proficiency in Microsoft Office suite and applicable software programs

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description The Inpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Inpatient Coder II is the coding and reimbursement expert for ICD-10-CM diagnosis coding and ICD-10-PCS procedure...