25 coder jobs found

Humana is seeking a Senior Market Consultation / Partnership Professional (Nurse Medical Coder) to support Clinical Support Team initiatives. This role includes reviewing medical records for accurate ICD-10-CM coding and ensuring compliance with documentation standards. The ideal candidate will have an active RN license, be a certified coder, and possess strong analytical skills to enhance risk adjustment practices. This position also offers competitive remote work opportunities. #J-18808-Ljbffr

Job Description Job Description Warm Valley Health Care is looking to add to the Billing/Coding department. Job Summary: The Medical Biller/Coder is responsible for translating healthcare services rendered into standardized codes for insurance billing, ensuring accurate reimbursement. This role ensures the efficient processing of patient data, medical records, and insurance claims in compliance with healthcare regulations. Key Responsibilities: Accurately assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses and procedures based on medical documentation. Review patient records for completeness, accuracy, and compliance with regulations. Prepare and submit clean claims to insurance companies electronically or via paper submission. Follow up on unpaid claims within standard billing cycle timeframe. Resolve billing issues with insurance companies, patients, and healthcare providers. Correct rejected or denied claims and resubmit for payment. Post payments and...

Humana is looking for a Risk Adjustment Coder to handle quality assurance coding of medical records and applying ICD-10 diagnosis codes. This role requires proficiency in coding, attention to detail, and the ability to follow regulations. Candidates must hold a relevant certification and be able to work independently while adhering to deadlines. The position is primarily remote but may require occasional travel for training or meetings. Benefits include competitive pay and wellness support. #J-18808-Ljbffr

MHSC is an equal employment opportunity employer and does not discriminate on the basis of gender, age, race, color, creed, religion, national origin, marital status, sexual orientation, gender identity, mental or physical disability or uniformed services status. MHSC is dedicated to fostering an inclusive environment that recognizes the contributions and supports the advancement of all because an inclusive environment can enhance the quality of healthcare, improve hospital/community relations, and positively affect the health status of society. No candidate will be rejected based on any of the above or any disability that, with reasonable accommodation, does not prevent performance of the essential job duties. MHSC is committed to the “Planetree” methodology of “Person-Centered Care”. Person-Centered Care is more than hospitality. It is more than amenities and inviting surroundings. Person-Centered Care is an evidence-based framework for improved patient and family engagement,...

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, andlife 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 andhighly 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 future of...

Humana Inc is seeking a Medical Coding Coordinator to join the Code Edit Disputes team. This remote role requires at least 3 years of experience in medical coding, with a certified coding designation. Responsibilities include extracting clinical information from medical records and assigning medical codes accurately. The ideal candidate will demonstrate strong problem-solving abilities and intermediate experience with Microsoft Office applications. Join our team and contribute to enhancing consumer experiences while enjoying competitive benefits. #J-18808-Ljbffr

Wisconsin Psychiatric Association Inc. is looking for a CRMG Coder II in Cheyenne, Wyoming. This role involves the review and assignment of medical codes necessary for effective reimbursement and accurate statistical tracking. Candidates should possess one of several accepted coding certifications and have at least three years of coding experience. The position offers comprehensive health benefits, retirement options, and professional growth through ongoing training and support, making it an excellent opportunity for passionate coding professionals. #J-18808-Ljbffr

Stryker Corporation is seeking a CRMG Coder II in Cheyenne, Wyoming. The individual will review medical record documentation to abstract necessary data and assign appropriate coding for reimbursement. The role requires strong coding knowledge, organizational skills, and effective communication. This position mandates relevant certifications from AHIMA or AAPC and three years of coding experience. Join a team dedicated to providing excellent healthcare and apply today! #J-18808-Ljbffr

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

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...

Memorial-Hospital-of-Sweetwater-County seeks a dedicated individual to apply diagnostic and procedural codes for patient visits crucial for data analysis and claims processing. Candidates must possess a high school diploma or equivalent, with preferred certification in coding. Knowledge of coding guidelines and reimbursement requirements is essential. This position offers a competitive salary along with an attractive benefits package including health, dental, vision, retirement, and generous paid time off. #J-18808-Ljbffr

A Day in the Life of a Coder III The Coder III uses independent judgment to review medical records documentation to abstract demographic data and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. Utilizes software applications and electronic coding references to perform coding related tasks. Why Work at Cheyenne Regional? Employer Sponsored Medical, Dental, and Vision Plans 403(b) and 457(b) retirement options with 4% employer match Life Insurance Short Term and Long-Term Disability Insurance Employer Sponsored Wellness Program Employee Assistance Program ANCC Magnet Hospital 21 PTO days per year (increases with tenure) Tuition Reimbursement Program Dedicated Loan Forgiveness Advisory Service Here is What You Will Be Doing: Selects appropriate assignments for coding/abstracting from work queues. Uses 3M Encoder, various software applications, electronic and printed coding references to accurately code diagnosis and...

Crains Cleveland is looking for a Coder III who will be responsible for reviewing medical records documentation to ensure accurate coding for statistical classification and reimbursement. The candidate must have certifications such as CCA or CCS and at least five years of medical coding experience. Benefits include various employer-sponsored medical plans, retirement options, and tuition reimbursement. Attention to detail and strong communication skills are essential for this role. #J-18808-Ljbffr

Stryker Corporation is looking for a Coder III to analyze medical records and accurately code various diagnoses and procedures. The role requires strong coding knowledge and several professional certifications, including CCA and CCS, along with five years of coding experience. Located in Cheyenne, this position involves working closely with healthcare providers and utilizing specialized coding software. The company offers numerous benefits including medical plans and a strong retirement program. #J-18808-Ljbffr

Wisconsin Psychiatric Association Inc is looking for a Coder III to review medical records documentation, abstract demographic data and assign diagnoses and procedures. The role requires thorough knowledge of coding practices and a minimum of five years of medical coding experience in a hospital or multi-specialty setting. Qualified candidates should hold multiple certifications from AHIMA and AAPC. Benefits include employer-sponsored health plans, retirement options, and more. #J-18808-Ljbffr

Crains Cleveland is seeking a CRMG Coder II in Cheyenne, Wyoming. Under supervision, you will abstract data from medical records, assign diagnoses and coding for reimbursement. Join a supportive team with an emphasis on integrity and excellence, providing vital healthcare services. Enjoy employer-sponsored medical plans, retirement options, and generous PTO. If you meet the certification and experience requirements, apply today to make a meaningful impact on healthcare. #J-18808-Ljbffr

A Day in the Life of a CRMG Coder II Under general supervision, reviews medical record documentation to abstract demographic data and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. Performs various coding assignments under the direction of Coding Management. Utilizes software applications and electronic coding references to perform coding related tasks. Why Work at Cheyenne Regional? Employer Sponsored Medical, Dental, and Vision Plans 403(b) and 457(b) retirement options with 4% employer match Life Insurance Short Term and Long-Term Disability Insurance Employer Sponsored Wellness Program Employee Assistance Program ANCC Magnet Hospital 21 PTO days per year (increases with tenure) Tuition Reimbursement Program Dedicated Loan Forgiveness Advisory Service Here is What You Will Be Doing: Interprets clinical information documented within medical records. Assigns ICD-10-CM, and CPT codes, or DRG’s and APC’s to...

Datavant is seeking experienced outpatient coders to join their remote team. Candidates should possess AHIMA or AAPC certifications and have at least 2 years of coding experience. The role involves reviewing medical records and ensuring accurate coding to support health data solutions. This position offers flexibility, comprehensive training, and various benefits, including medical coverage and paid time off. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Supervisor, Medical Review - Clinical As a Clinical Supervisor, you will serve as a key leader within the Medical Review Department at BCBSWY, playing a pivotal role in enhancing the healthcare experience for members and strengthening relationships within the provider community. This position empowers the clinical team and collaborates closely with non-clinical staff to uphold organizational standards for quality and timeliness. In this role, you will have operational oversight and be responsible for training and monitoring assigned staff in the performance of their duties. This will include all aspects of supervisory activities such as scheduling, payroll, counseling, coaching, reviewing and other related functions. Being a part of the bigger BCBSWY Team, you will collaborate with other departments within the organization on both clinical and non-clinical issues to drive process improvement initiatives and enhance workflow. To be successful in this role, you will need to have...

Become a part of our caring community The Inpatient Medical Coding Auditor 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

This is a remote based position. Applicants can be located nationwide Back 1d Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced...