171 coder jobs found

Your Future Role At A Glance Location: Remote Department: Revenue Cycle Management Schedule: Full-time | Day Shift How You'll Make An Impact In This Role Abstract & Code Records: Abstract relevant medical information and assign accurate ICD, CPT, and HCPCS codes to establish DRG or APC assignments, including handling complex cases. Query & Collaborate: Query physicians to clarify ambiguous, incomplete, or unclear record documentation, and provide appropriate education to physicians and associates. Audit & Comply: Conduct internal coding and physician documentation audits while maintaining strict adherence to AHIMA's Standards of Ethical Coding and official guidelines. Perform & Stay Current: Maintain required productivity and quality standards while continually keeping up-to-date with evolving coding, compliance, and reimbursement rules. What Minimum Requirements You'll Need Licensure / Certification / Registration: Certified Coding Specialist (CCS)...

Ascension is seeking a Remote Medical Coder with expertise in coding and compliance. This role requires CCS/CPC credentials or other AHIMA/AAPC certifications, and a Cardiology specialization. You will abstract medical data, assign CPT/HCPCS/ICD-10-CM codes, and ensure accurate DRG/APC assignments while adhering to AHIMA guidelines. The position emphasizes collaboration with physicians, adherence to reimbursement rules, and maintaining high productivity. #J-18808-Ljbffr

University of Vermont Health is seeking a Coder Level II for remote work in our Emergency Care Center coding team. You will assign ICD-10 CM diagnostic and CPT procedure codes to outpatient Fast Track accounts and may work in other outpatient areas such as Ancillary Services, Clinics, OB-GYN or Medical Necessity. The role requires familiarity with ICD-10CM and CPT guidelines, and AHIMA credentials. A strong accuracy rate and the ability to meet productivity standards are essential, with remote #J-18808-Ljbffr

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required. Hours : This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm. We offer 2-3 weeks of paid training. The hours during training will be 7am...

DIRECTOR OF CLINICAL REIMBURSEMENTJob Title: Director Reimbursement, MDSLocation: Waukesha County, Wi (Onsite)Type: Full-Time, Permanent/Direct HireBenefits: Health, Dental and Vision insurances, 401(k), STD, LTD, etc.We are seeking an experienced Director, Clinical Reimbursement MDS to lead and support clinical reimbursement processes across multiple skilled nursing facilities. This role is responsible for ensuring accurate MDS completion, optimizing reimbursement, and maintaining compliance with federal and state regulations while supporting strong clinical outcomes.Key ResponsibilitiesOversee and support the accurate and timely completion of MDS assessmentsProvide guidance, training, and mentorship to MDS Coordinators and clinical staffMonitor and analyze reimbursement metrics (including CMI) to identify trends and opportunitiesConduct audits of MDS and reimbursement practices to ensure accuracy and compliancePartner with clinical and operational leaders to improve quality...

Job Description Job Description Prairie Ridge Health is looking for a team member to join Business Services in the role of Claims Resolution Specialist. This position is 1.0 FTE (40 hours per week) and will work Monday - Friday, days. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed up in a timely manner... POSITION SUMMARY   The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed up in a timely manner. This position also requires corresponding with other teams on various types of errors to resolve claims needing additional review. They independently review accounts and apply billing follow up knowledge required for all insurance payors to ensure proper and maximum reimbursement.  Uses multiple systems to resolve outstanding claims according to...

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA) SKILLS AND ABILITIES Demonstrates the...

Work Schedule: Monday – Friday, 8 a.m. – 5 p.m. Summary The Patient Business Services (PBS) Coding department is looking for an experienced mid-level coder to review and abstract CPT, ICD-10 and HCPCS coding for physician services. Our coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges. The PBS Coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine as well as outpatient facility charges at McNair Cancer Center. We focus on providing accurate and compliant coding assistance by coders who are certified and up-to-date on coding rules and regulations. The ideal candidate will have good organizational, communication and...

Baylor College of Medicine in Houston, TX is seeking an experienced mid-level coder to review and abstract CPT, ICD-10 and HCPCS codes for physician services using Epic and Optum Claims Manager. The role emphasizes accurate documentation, adherence to coding guidelines, and collaboration with the billing team. The ideal candidate has CCS-P or CPC and 3 years of relevant experience; telecommuting is available. #J-18808-Ljbffr

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 encourage you...

ADP is seeking a Medical Billing and Coding Specialist in Wisconsin to manage the claim process, including creation, follow-up, and payer correspondence. The role supports process improvements and ensures timely revenue recognition for patient services. Responsibilities include coding, credentialing, and resolving claim issues and denials, with EPIC proficiency helping to streamline submissions and communications with payers. #J-18808-Ljbffr

Cook Children’s Health Care System is seeking a Certified Coding Specialist II to accurately assign ICD-10-CM, CPT-4 codes for ambulatory surgery and various outpatient records. The role emphasizes complex ambulatory surgery coding and collaboration with physicians to ensure documentation requirements are met. Minimum qualifications include CCS or CPC certification with one year of current coding experience, knowledge of medical terminology, and proficiency with EMR and encoders. #J-18808-Ljbffr

Experienced Professional Coding Specialist Revenue Integrity New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. Looking for a coding team to love at OU Health? This is it! We cover multiple specialties, so there's opportunities to learn and grow . 100% remote. Flexible shifts once training is complete. Opportunity to work four 9 hour days, and one 4 hour day. So if you're work-from-home ready, work well independently, and have strong coding skills we just may be the right fit for you! ***The ideal candidate would have teaching hospital or trauma center coding experience. While coding knowledge in multiple specialties is a big plus, the CIRCC certification moves you to the top of the list of candidates. Epic, Encoder Pro and Solventum/3M experience preferred.*** General Description Independently performs complex...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies....

Department and Role Details Department: 13495 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Surgical and Complex Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Will support: Trauma Schedule: Monday - Friday 1st shift 40 hours a week. #REMOTE #LI-REMOTE Remote Opportunity 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 Pay Range: $26.55 - $39.85 Major Responsibilities Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or; Perform entry-level facility coding for simple outpatient encounters...

Major Responsibilities: This role will have all responsibilities of coder I, II and III in addition to: reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Adhere to organizational and internal department policies and procedures to ensure efficient work processes. Responsible for coding high dollar and long length of stay cases for all patient types. Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate. Serves as a subject matter expert to Coding department leaders and peers. Recommends modifications to current policies and procedures as needed to coincide with government...

DIRECTOR OF CLINICAL REIMBURSEMENT Job Title: Director Reimbursement, MDS Location: Waukesha County, Wi (Onsite) Type: Full-Time, Permanent/Direct Hire Benefits: Health, Dental and Vision insurances, 401(k), STD, LTD, etc. We are seeking an experienced Director, Clinical Reimbursement MDS to lead and support clinical reimbursement processes across multiple skilled nursing facilities. This role is responsible for ensuring accurate MDS completion, optimizing reimbursement, and maintaining compliance with federal and state regulations while supporting strong clinical outcomes. Key Responsibilities Oversee and support the accurate and timely completion of MDS assessments Provide guidance, training, and mentorship to MDS Coordinators and clinical staff Monitor and analyze reimbursement metrics (including CMI) to identify trends and opportunities Conduct audits of MDS and reimbursement practices to ensure accuracy and compliance Partner with clinical and...

Cook Children’s Health Care System is seeking a Certified Coding Specialist II to accurately assign ICD-10-CM, CPT-4 codes for ambulatory surgery and various outpatient records. The role emphasizes complex ambulatory surgery coding and collaboration with physicians to ensure documentation requirements are met. Minimum qualifications include CCS or CPC certification with one year of current coding experience, knowledge of medical terminology, and proficiency with EMR and encoders. #J-18808-Ljbffr

About Us:Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.JOB SUMMARY:ESSENTIAL DUTIES AND RESPONSIBILITIES:Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Position: Inpatient Coder Client: Healthcare Provider Location: 100% Remote (PST Hours) Contract Length: 6-months, with potential for extension Start Date: ASAP Summary Medasource is partnering with a leading regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity, multi-specialty environment and is ideal for coders with strong experience handling complex inpatient cases. Key Responsibilities Perform accurate inpatient coding across a wide range of specialties, including: Cardiology, Neurology, Surgical cases, Transplants, Neonatal Intensive Care Unit (NICU), Additional complex inpatient cases Assign appropriate diagnosis and procedure codes in accordance with organizational, regulatory, and industry standards Maintain timely and accurate coding in a fast-paced, high-acuity environment Consistently meet established productivity and quality expectations Qualifications Certified Coding Specialist...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies....

Position: Inpatient Coder Client: Healthcare Provider Location: 100% Remote (PST Hours) Contract Length: 6-months, with potential for extension Start Date: ASAP Summary Medasource is partnering with a leading regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity, multi-specialty environment and is ideal for coders with strong experience handling complex inpatient cases. Key Responsibilities Perform accurate inpatient coding across a wide range of specialties, including: Cardiology, Neurology, Surgical cases, Transplants, Neonatal Intensive Care Unit (NICU), Additional complex inpatient cases Assign appropriate diagnosis and procedure codes in accordance with organizational, regulatory, and industry standards Maintain timely and accurate coding in a fast-paced, high-acuity environment Consistently meet established productivity and quality expectations Qualifications Certified Coding Specialist...

Discover. Achieve. Succeed. #BeHere Experience Description: Pay is expected to be between: (expressed as hourly) $23.20 - $34.34. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.