120 coder jobs found

Job Summary: Position is remote within the local area. Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payors, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisor in responding to coding questions from other levels of coders and in responding to providers. Conducts special projects and focused reviews of encounters as requested. Essential Responsibilities: Required to research and assign. HCPCS Level II codes for ambulatory surgical services and/or professional services performed. Ability to research, analyze and/or review detailed and high complexity code edits and transactions within the Kaiser Permanente...

LifeBridge Health in Baltimore is seeking a dedicated inpatient coder to ensure accurate coding for hospital records. You will review documentation, assign ICD-10-CM/PCS codes, and determine DRGs, including CMS-DRGs and APR-DRGs, to support proper reimbursements. Ideal candidates have an associate degree or equivalent, 1–3 years inpatient coding experience, and CCS/CCA/RHIT/RHIA certifications. This role offers competitive pay and comprehensive benefits. #J-18808-Ljbffr

A healthcare staffing agency is seeking a Certified Medical Coder to work remotely. This role involves reviewing medical records and coding diagnoses and procedures using ICD-9-CM and CPT-4 conventions. The ideal candidate should have extensive experience in inpatient and DRG auditing, knowledge of medical coding systems, and effective communication skills. Benefits include medical, vision, and dental insurance, a 401K plan, and an employee referral bonus, among others. #J-18808-Ljbffr

LifeBridge Health is seeking a medical coder to review, code, and abstract inpatient medical records in alignment with ICD-10-CM/PCS guidelines. You will assign diagnoses and procedures, then group codes into DRGs to support accurate hospital reimbursement. Qualified candidates hold an associate degree or higher in health information management or related field, with knowledge of coding principles and the ability to review records precisely. #J-18808-Ljbffr

Job Requirements Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc.utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as...

Outpatient Medical Coder (100% Remote) Sign-On Bonus: Eligible for a $10,000 sign-on bonus. Remote Work Eligibility: Applicants must reside in one of the following locations: District of Columbia, Maryland, Pennsylvania, Virginia, or West Virginia We are seeking an experienced Outpatient Medical Coder to join our team in a fully remote capacity. The successful candidate will be responsible for accurately reviewing, coding, and abstracting outpatient medical records in accordance with established coding guidelines and regulatory standards. This position supports accurate reimbursement, quality reporting, and compliance through timely and precise medical coding. Key Responsibilities: Review outpatient medical records to identify documented diagnoses and procedures. Assign accurate ICD-10-CM/PCS and CPT codes in accordance with established coding guidelines. Code and abstract a diverse range of outpatient encounters, including emergency department (ER), infusion, and other...

nTech Workforce has an immediate 22913 Certified Medical Coder Terms of Employment W2 Contract, 5 Months Location: Remote Overview The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; retrieves information from medical records, ensuring adherence with established methods and procedures. Responsibilities Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Serves as backup to other administrative functions as assigned. Meets job standards for achieving contract deliverables. Assists with other job-...

Outpatient Medical Coder (100% Remote) Sign-On Bonus: Eligible for a $10,000 sign-on bonus. Remote Work Eligibility: Applicants must reside in one of the following locations: District of Columbia, Maryland, Pennsylvania, Virginia, or West Virginia We are seeking an experienced Outpatient Medical Coder to join our team in a fully remote capacity. The successful candidate will be responsible for accurately reviewing, coding, and abstracting outpatient medical records in accordance with established coding guidelines and regulatory standards. This position supports accurate reimbursement, quality reporting, and compliance through timely and precise medical coding. Key Responsibilities: Review outpatient medical records to identify documented diagnoses and procedures. Assign accurate ICD-10-CM/PCS and CPT codes in accordance with established coding guidelines. Code and abstract a diverse range of outpatient encounters, including emergency department (ER), infusion, and...

Fully Remote Lake Park Building Full time R180277 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

LifeBridge Health is seeking a medical coder to manage coding and abstracting for day surgery and outpatient records. You will assist with coding ERs and infusion cases as needed, ensuring accurate and timely documentation in a fast-paced environment. With a focus on accuracy and compliance, you will support the coding team to maintain up-to-date records across multiple care locations within the LifeBridge Health system. #J-18808-Ljbffr

Medical CoderHot JobFully Remote • Windsor Mill, MD 21224OverviewSalary Range $45,000.00 - $55,000.00 Salary Position Type Full Time Education Level NoneDescriptionAbout Us:At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs.We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently...

Lehighbar is seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist to review, analyze, and write compelling appeals for coding and DRG-related denials in Towson, MD. The role requires mastery of inpatient coding guidelines, MS-DRG methodology, and payer policies. The ideal candidate has 2–5 years of inpatient coding experience, with strong ICD-10-CM/PCS knowledge and proven ability to craft persuasive appeals. #J-18808-Ljbffr

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...

*]:pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(scroll-root-safe-area-inset-bottom,0px)+var(thread-response-height))] scroll-mt-[calc(var(header-height)+min(200px,max(70px,20svh)))]" dir="auto"> 100% REMOTE OPPORTUNITY Eligible Remote States: District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Key Responsibilities: Following established coding conventions and guidelines, review, code, and abstract medical records for inpatient services. Review medical records to identify physician-documented diagnoses and procedures. Assign accurate ICD-10-CM and ICD-10-PCS codes to documented diagnoses and procedures. Group assigned codes to determine appropriate Diagnosis-Related Groups (DRGs), including CMS-DRGs and/or APR-DRGs. Ensure coding and documentation are accurate and compliant with established standards and guidelines. Requirements: Formal working knowledge equivalent to an associate degree (two years of college) in a...

100% REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE - UP TO $10,000 Eligible Remote States: District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Key Responsibilities: Review, code, and abstract inpatient medical records in accordance with established coding guidelines and conventions. Assign accurate ICD-10-CM and ICD-10-PCS diagnosis and procedure codes. Determine and assign Diagnosis-Related Groups (DRGs), including CMS-DRGs and APR-DRGs. Review physician documentation to accurately identify and capture diagnoses and procedures for coding. Maintain coding accuracy and ensure compliance with organizational and regulatory standards. Qualifications: Associate degree or equivalent education in a specialized field required. One (1) to three (3) years of inpatient coding experience. One of the following certifications is required: Certified Coding Specialist (CCS) Certified Coding Associate (CCA) with five (5) or more years of coding experience...

VECRA Inc in Maryland is seeking Certified Medical Coders (Full-Time & Part-Time) to provide expert coding services for the Department of Veterans Affairs (VA). This remote role requires proficiency in ICD-10 CM, CPT, and HCPCS to accurately code various medical records. Candidates must have at least 2 years of VA coding experience, possess a relevant medical coding certification, and maintain a coding accuracy rate of at least 95%. Successful applicants will utilize VA systems to enhance coding efficiency while complying with HIPAA regulations. The ideal candidates will work independently, showcasing strong attention to detail and communication skills. #J-18808-Ljbffr

Job SummarySupports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior.Codes and abstracts inpatient medical records of all types and, following a rigorous review of the clinical documentation, abstracts and assigns appropriate ICD-10-CM/PCS code sets and assigns the correct APR-DRG into the hospital information system. May also code other work types as assigned by the Coding Manager.Essential Functions:Determines the correct principal diagnosis, identifies and assigns co-morbidities and complications, secondary diagnoses, present on admission indicators for ICD-10-CM and MHACs (Maryland Hospital Acquired conditions), principal procedure codes and secondary procedure codes.Assigns the appropriate APR-DRG.Works in collaboration with CDI to ensure that the MHACS...

CalvertHealth is hiring a Health Information Management professional to code and abstract inpatient records according to established conventions. The position requires an associates or bachelor’s degree in HIM or Coding and formal working knowledge equivalent to two or four years in coding. Candidates should hold AHIMA or AAPC certifications, have 2+ years of inpatient/outpatient hospital coding experience, and be familiar with Maryland APR-DRGs, PPCs/MHACs, and Meditech or 3M systems. #J-18808-Ljbffr

Job Summary: Position is remote within the local area. Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payors, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisor in responding to coding questions from other levels of coders and in responding to providers. Conducts special projects and focused reviews of encounters as requested. Essential Responsibilities: Required to research and assign. HCPCS Level II codes for ambulatory surgical services and/or professional services performed. Ability to research, analyze and/or review detailed and high complexity code edits and transactions within the Kaiser Permanente...

Technical CoderEnsures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payors, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisor in responding to coding questions from other levels of coders and in responding to providers. Conducts special projects and focused reviews of encounters as requested.Essential Responsibilities:Required to research and assign HCPCS Level II codes for ambulatory surgical services and/or professional services performed. Ability to research, analyze and/or review detailed and high complexity code edits and transactions within the Kaiser Permanente system.Provides additional support to the coding staff by...

Summary of Responsibilities Analyze, prioritize and organize daily workloads for the team for the many different types of reports. Accountable for ensuring that the contract deliverables are met and/or exceeded on the daily basis. Edit reports to maintain the specified Federal privacy and anonymity guidelines. Analyze daily workloads to identify the product, manufacturer, device problems or malfunctions that contributed to the adverse event of the device. Perform editorial responsibilities to assist and guide the data entry staff in the entry of reports into the FDA database. Monitor performance outcomes and conduct periodic evaluations for direct reports. Coach, counsel and discipline direct reports as needed to achieve favorable performance outcomes. Perform strategic thinking to mitigate problems that could adversely impact the project. Supporting Responsibilities Participate in team and management meetings to discuss coding and personnel issues. Participate in...

CareFirst is looking for a Risk Adjustment Coding Specialist to support the CMS-HCC Medicare Advantage Risk Adjustment and HHS-Risk Adjustment Data Validation audit. This position requires an Associate's Degree in a related field and CCS certification upon hire. The role involves verifying diagnosis codes and maintaining coding guidelines. Candidates should have at least 3 years of relevant coding experience and be adaptable to various technology platforms. Position offers a hybrid work model, allowing some remote work. Salary ranges from $51,984 to $95,304 with a comprehensive benefits package. #J-18808-Ljbffr

Eligible Remote States: District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Key Responsibilities: Following established coding conventions and guidelines, review, code, and abstract medical records for inpatient services. Review medical records to identify physician-documented diagnoses and procedures. Assign accurate ICD-10-CM and ICD-10-PCS codes to documented diagnoses and procedures. Group assigned codes to determine appropriate Diagnosis-Related Groups (DRGs), including CMS-DRGs and/or APR-DRGs. Ensure coding and documentation are accurate and compliant with established standards and guidelines. Requirements: Formal working knowledge equivalent to an associate degree (two years of college) in a specialized field. Knowledge of medical coding principles, conventions, and guidelines. Ability to accurately review medical records and assign appropriate diagnosis and procedure codes. Pay Range: $22.22 to $39.12 per hour Base pay is determined by a...

Eligible Remote States District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Key Responsibilities Review, code, and abstract inpatient medical records in accordance with established coding guidelines and conventions. Assign accurate ICD-10-CM and ICD-10-PCS diagnosis and procedure codes. Determine and assign Diagnosis-Related Groups (DRGs), including CMS-DRGs and APR-DRGs. Review physician documentation to accurately identify and capture diagnoses and procedures for coding. Maintain coding accuracy and ensure compliance with organizational and regulatory standards. Qualifications Associate degree or equivalent education in a specialized field required. One (1) to three (3) years of inpatient coding experience. One of the following certifications is required: Certified Coding Specialist (CCS) Certified Coding Associate (CCA) with five (5) or more years of coding experience Registered Health Information Technician (RHIT) Registered Health Information Administrator...