290 coder 2 jobs found

We are hiring a Risk Adjustment Medical Record Coder at BCBST! In this role, you will support accurate and compliant coding practices by performing first-pass reviews of member medical records to identify and capture active conditions that map to risk values. You'll play an important role in ensuring documentation accuracy while contributing to overall quality and compliance within the Risk Adjustment & Quality Division. You will contribute to team success by working collaboratively in a remote environment, engaging in team chats, and supporting peers as needed. Your proactive mindset and commitment to continuous learning will help you stay current in an evolving healthcare landscape while strengthening overall team capability. To be successful in this position, you'll bring strong attention to detail, coding expertise, and the ability to work independently. Ideal candidates will have experience in HCC (Hierarchical Condition Category) coding, particularly within Medicare...

Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations. Job Description Do you have at least 7 years of experience doing complex profee surgical coding? Do you thrive on the challenge of diving into and researching proper codes...

Job Description Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Home Care Senior Coder Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis,...

Job Description Job Description Ready to take the next step in your career? We're a dynamic, fast-growing medical billing company and we're looking for a passionate Team Lead to join our Plastic Surgery division. This is more than just a billing role — it's a chance to make an impact, lead a team, and grow alongside a company that's investing in its people. If you love what you do and want to be somewhere that values your expertise, you'll feel right at home with us. What You'll Do • Lead day-to-day billing operations for our plastic surgery client accounts • Manage A/R follow-up and oversee accurate, timely charge posting • Be the go-to person for clients — answering questions, solving problems, and building strong, lasting relationships • Apply your knowledge of ICD-10 coding and Medicare/Medicaid guidelines to ensure clean claims and clear documentation • Mentor and support team members, identify workflow improvements, and help shape best practices as we grow What You...

North American Partners in Anesthesia in Melville, NY seeks a medical coder to review clinical documentation and code anesthesia services, retrieve data from hospital EMR, and resolve coding questions to support offshore vendors. The role requires at least 2 years of professional medical coding, CPC or CCS-P certification, and proficient computer skills; you will handle daily billing tasks and ensure compliance with payor guidelines. #J-18808-Ljbffr

Clinical Documentation Improvement (CDI) Specialist – CDI CoderUnited Health Services (UHS) is seeking a Clinical Documentation Improvement (CDI) Specialist – CDI Coder to support accurate, complete, and compliant clinical documentation across the inpatient setting. The Clinical Documentation Improvement (CDI) Specialist – CDI Coder collaborates with physicians, coders, and interdisciplinary care teams to ensure medical records accurately reflect patient acuity, severity of illness, risk of mortality, and services provided. Through concurrent and retrospective chart reviews, this role helps optimize coding accuracy, reimbursement integrity, quality reporting, and regulatory compliance. The Clinical Documentation Improvement (CDI) Specialist – CDI Coder serves as a key resource for documentation excellence by identifying opportunities for clarification, educating providers on documentation best practices, and facilitating compliant clinical queries. This position plays a critical...

Outpatient Coder – Emergency Department, Infusion & Same Day SurgeryThe Outpatient Coder is responsible for accurate and timely coding of hospital outpatient services, with a primary focus on Emergency Department (ED) facility coding. The coder reviews clinical documentation and assigns appropriate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, modifiers, and facility E/M levels in accordance with official coding guidelines, payer requirements, hospital policies, and regulatory standards.Emergency Department coding experience is required. Experience with Infusion/Injection and/or Same Day Surgery (SDS)/Ambulatory Surgery coding is preferred but not required.The ideal candidate demonstrates strong knowledge of outpatient hospital coding, medical necessity, NCCI edits, modifier assignment, and documentation requirements and is able to maintain established productivity and quality standards in a high-volume environment.Required QualificationsMinimum 2 years of recent...

Job Summary Under the direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality and revenue cycle operations. The coder reviews and analyzes medical records to accurately select all forms of HCPCS service codes (HCPCS, CPT, CPTII, CPTIII) and ICD-10-CM codes for professional services of hospital-based surgical specialty providers. This includes services in the office or other outpatient settings and inpatient settings. Core Job Responsibilities Assign the applicable HCPCS (HCPCS, CPT, CPTII, CPTIII) service codes based on review and analysis of medical records, following CMS, CPT, insurance company, hospital based and office based guidelines. Assign applicable modifiers, review medical necessity, CCI and other internal and external coding edits. Assign applicable ICD-10-CM diagnosis codes based on knowledge of ICD-10-CM, insurance company, hospital based and...

Coder - OutpatientSTATUS: Full-TimeLOCATION: Riedman- RemoteDEPARTMENT: Coding/Clinical DocumentationSCHEDULE: M-F; 8:00 AM to 4:30 PMSummaryReview clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes for billing, internal and external reporting, research, and regulatory compliance. Demonstrate knowledge of reimbursement methodologies and apply these to assigned charts to optimize reimbursement and/or resolve regulatory edits. Resolve error reports associated with the billing process, identify and report error patterns, and, when necessary, assist in the design and implementation of workflow changes to reduce billing errors.ResponsibilitiesAbides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines, and keeps abreast of coding changes and interpretation of codes.Performs detailed review of Inpatient record documentation to...

Medical Coder As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location: 2619 W Henrietta Rd, Rochester, New York, United States of America, 14623 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 107 H Compensation Range: $23.27 - $32.60 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education,...

Senior Hospital Coder The Senior Hospital Coder is responsible for performing detailed inpatient coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. This is a remote inpatient position. Essential Duties and Responsibilities Optimize hospital reimbursement by auditing and...

Inpatient Hospital CoderThe Inpatient Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services. This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position.QualificationsInpatient Coding Experience 2+ years PreferredHigh School Diploma/G.E.D. - requiredPrior experience in hospital/inpatient medical coding - preferredPrior experience with 3M 360 and EPIC system - preferredApplicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency)Excellent written and verbal communication...

Remote Inpatient Coder Carpenter Health Network – Restorative Division – offers you excellent pay, increased earning potential and growth opportunities! The remote regional coder (RC) primary function is to abstract and assign the appropriate ICD-10-CM/PCS codes to patient claims in order to obtain accurate reimbursement from governmental and non-governmental payors. The RC works in concert with the corporate director of documentation and reimbursement, facility HIM, case managers and licensed independent practitioners to align coding services with the company's overall mission, vision and values to be a leading and respected healthcare system. Essential duties include: Ensures the quality and integrity of coding based on concurrent inpatient documentation review, which includes accurate assignment of principal diagnosis, secondary diagnoses, primary procedure and secondary procedures in the patient record and the appropriate code assignment based on established coding...

Job DescriptionJob DescriptionSouth Shore Speech is looking for a competent, responsible and dedicated individual to join our busy/fast paced, award winning team Benefits and Perks: . Family/friendly work environment . Supportive management and staff . Employee appreciation events regularly . Teaching/training will be provided Qualifications:. Certified Professional Coder. Proficiency with Excel . Motivated and possess the ability to multitask . Past medical office experience necessary . Strong organization skills . Able to interact well and professionally with the public both in person and over the phone Responsibilities:1. Pre?Authorizations & VerificationsContact payers (e.g. Medicaid, private insurances, NICU-funded programs) to verify patient eligibility and coverage before treatment begins.Submit pre-authorization requests for services requiring prior approval (e.g. speech therapy visits under Early Intervention or CPSE).Track authorizations, monitor denials, and...

Description: Make an Impact on Coding Accuracy, AI Innovation & Revenue Cycle Performance We’re looking for an experienced and highly motivated Independent Medical Coding Consultant to help strengthen our clinical coding, billing, and revenue cycle operations. This is an exciting opportunity for a coding subject matter expert who enjoys solving complex problems, improving processes, mentoring teams, and helping shape the future of AI-assisted medical coding. In this role, you’ll work at the intersection of medical coding, revenue cycle operations, technology, and artificial intelligence , partnering with internal billing teams and the XpertDox technology team to improve accuracy, efficiency, and claim performance. The ideal consultant is detail-oriented, collaborative, and energized by the opportunity to turn coding insights into measurable operational improvements. About the Role The Independent Medical Coding Consultant will provide subject matter...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance. Responsibilities Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews coding edits. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Research electronic medical record for any additional diagnoses documented to meet medical necessity. Codes various OP service lines for all MHS specialties that include encounters with high complexity of surgical procedures and...

HCC Medical Coder Location: Fully Remote Positions Available: Up to 200 Employment Type: Contract (2 months) Pay Rate: $27/hour Schedule: Full-time preferred Minimum 20 hours/week between 8:00 AM – 8:00 PM CST Must be available 8:00 AM – 5:00 PM CST for the first 2 weeks of training Training: 2 weeks, Monday–Friday Contract End Date: January 31, 2026 Equipment: Provided Paid Time Off: Not included; paid only for hours worked Job Summary We are seeking experienced HCC Medical Coders to join a large-scale remote project. In this role, you will review medical charts, assign accurate ICD-10 codes for risk adjustment, and ensure compliance with coding standards. Successful candidates will demonstrate strong attention to detail, coding accuracy, and productivity while working independently in a fast-paced environment. Key Responsibilities Assign accurate ICD-10 codes for physician and facility services in observation and inpatient settings Maintain knowledge of...

Job Description Job Overview - Certified Medical Biller & Coder Compensation: $26 - $28/hour Location: Brooklyn, NY Schedule: Monday to Friday (In-Office) TAG MedStaffing is hiring a Certified Medical Biller & Coder in Brooklyn, NY for our client, supporting medical coding validation, claims auditing, billing workflows, and revenue cycle process improvement. The Certified Medical Biller & Coder will review claims for accuracy, resolve coding and documentation issues, and help improve technology-supported coding processes. This temporary assignment requires strong medical billing and coding expertise with the ability to identify and reduce claim errors and denials. Responsibilities as the Certified Medical Biller & Coder: Medical Coding: Review medical claims and documentation to verify accurate diagnosis, procedure, and billing codes. Claims Review: Identify coding errors, documentation issues, claim discrepancies, and potential denial...

TAG MedStaffing is seeking a Certified Medical Biller & Coder in Brooklyn, NY to support medical coding validation, claims auditing, billing workflows, and revenue cycle improvements. This in-office role requires 2+ years of billing and coding experience and active certification. The position is a temporary assignment with a Monday–Friday schedule, offering hourly compensation of $26–$28. You'll review claims, fix coding issues, and help reduce denials while ensuring compliance. #J-18808-Ljbffr

Modena Health (“MH”) and Modena Allergy & Asthma ("MAA")are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona—and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine. Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers. At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through...

## Outpatient Coder - E.R. CasesApply: Remote - US: Full time: Posted Yesterday: JR102503The Coding Advocate will handle medical coding and data entry / abstraction for Hospital (Acute) **Out-Patient** visits. Specifically, will code Emergency Room (E.R.) 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...

Modena Health seeks a skilled Medical Biller/Coder to review documentation, assign accurate ICD-10-CM, CPT, and HCPCS codes, and submit clean claims for our Allergy & Asthma practices. This role supports timely reimbursement and compliance in a remote, home-office setting. You will handle denials, rebilling, and appeals while maintaining precise patient and billing records. A minimum of 2 years in medical billing/coding is preferred, with CPC/CCS/CPB certifications encouraged. #J-18808-Ljbffr

Job Title: Clinical Nurse Auditor / RN Nurse Coder (Payment Integrity) Job Type: Full-Time (40 hours/week, Monday - Friday) Schedule: Standard business hours Department: Payment Integrity & Claims Audit Location: Remote About the Role We are seeking experienced, detail-oriented Registered Nurses (RNs) with strong clinical acumen and medical coding knowledge to join our growing Payment Integrity team. In this role, you will analyze flagged claims data, review complex clinical documentation, and identify potential overpayments and billing discrepancies. You will leverage your clinical expertise to validate diagnoses, assess code assignments, and make authoritative determinations on claim validity-protecting healthcare resources while ensuring accurate reimbursement. Key Responsibilities Clinical Review & Determination: Review flagged claims (both inpatient and outpatient) to evaluate the clinical validity of billed services. Make independent clinical determinations,...

Medical Biller/Coder Modena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona—and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine. Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers. At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to...