15 coder 4 jobs found

Job Overview Are you an experienced inpatient coder looking to work fully remotely, with a team that values accuracy, continuous learning, and work-life balance? Fairview is hiring-you'll work Monday through Friday, handling 80 hours per pay period.What You'll Do Review and code inpatient clinical records using ICD-10-CM and ICD-10-PCS in alignment with coding guidelines, MS-DRG / APR-DRG reimbursement rules, and Fairview protocols.Validate computer-assisted coding (CAC) output and ensure thorough, accurate coding.Analyze clinical documentation and drill down on severity of illness (SOI), risk of mortality (ROM), HAC, and POA indicators.Collaborate with CDI (Clinical Documentation Integrity) staff to drive provider education and documentation quality.Assist in provider queries to improve documentation specificity.Partner with revenue cycle teams to support prompt claim submissions and optimize financial performance.Required Qualifications (must be met to be considered) :Certificate...

Job Overview Are you an expert Coding Specialist looking to join an outstanding organization? We at M Health Fairview are looking for a Coder 2 to join our Hospital Based ED coding team! This is a fully remote position approved for a 1.0 FTE (80 hours per pay period) on the day shift. The Coder 2 analyzes clinical documentation; assigns appropriate diagnosis, procedure, and levels of service codes; abstracts the codes and other clinical data. Performs a variety of technical functions in the outpatient coding area, codes outpatient visits, sent-in labs, consolidated funding accounts, utilizing ICD-10‑CM, CPT‑4, and HCPCs coding classification systems. Utilizes electronic coding software to code to the highest level of specificity, ensuring optimal and appropriate reimbursement for services provided. Responsibility includes resolving medical necessity edits and extracting and entering data into the medical record. This information is then used to determine reimbursement levels,...

Job Overview Fairview is looking for a sharp, detail-driven Coder 2 to join our fully remote team and turn complex outpatient documentation into accurate, high-quality coding that truly makes a difference. In this role, you'll apply your expertise in ICD-10-CM, CPT-4, and HCPCS to code visits, labs, and consolidated funding accounts with precision, resolve medical necessity edits and documentation discrepancies, and collaborate with providers to strengthen documentation and charge capture. Your work will directly support compliance, quality reporting, and appropriate reimbursementensuring the story of patient care is told clearly and correctly. This is a full-time (1.0 FTE, 80 hours per pay period) day shift position and working one Saturday per month, offering meaningful impact, strong work-life balance, and the flexibility of working from home. Responsibilities Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards....

Senior Inpatient Facility Certified Medical Coder $5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high-quality health services. As a Senior Inpatient Facility Certified Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Job Title: Coding Auditor Location: Remote Duration: ASAP (Target start of 4/13) through August 31, 2026, possibility for extension thereafter This position is responsible for providing Quality Assurance and coding audit services for risk adjustment purposes, supporting ACA Commercial, Medicare and Medicaid programs. Your Responsibilities Experienced coder who has participated in Regulatory Audits (RADV and HRADV) Reviews patient records in accordance with current compliance policies to analyze provider documentation to ensure that it meets standards and supports the diagnosis and procedure codes selected, including supporting medical necessity severity of illness and risk of mortality Conduct audits on abstracted files to ensure accuracy and completeness of coding by identifying accurate coding opportunities and rechecking all diagnoses and procedures using ICD-CM (ICD-9 and ICD-10) and CPT-4 codes to ensure adherence to all...

Job Description Title : Coding Auditor Location : Remote Job Type : Contract (4 Months) Compensation : $30.00-35.00/hr Industry: Health Insurance --- About the Role We are partnering with a leading, mission-driven health insurance organization serving Commercial, Medicare, and Medicaid populations across the region. Our client is committed to advancing high-quality care, regulatory compliance, and accurate risk adjustment methodologies. As a Coding Auditor, you will support enterprise-wide risk adjustment initiatives through high-quality coding audits, compliance-focused documentation reviews, and participation in regulatory audit activities. This role is ideal for an experienced medical coder with a strong understanding of HCCs, risk models, and audit processes. Job Description In this position, you will provide quality assurance and coding audit services to support risk adjustment across ACA Commercial, Medicare, and Medicaid programs. You will evaluate...

Requisition number: 2308943 Job category: Medical & Clinical Operations $5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key...

Risk Adjustment PB Coder Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. The Risk Adjustment PB Coder reviews, analyzes, validates and assigns codes from Mayo Clinic's patient medical record for physician services in the outpatient or inpatient setting to include, but not limited to medical diagnosis, diagnostic, procedural services and E/M visits level coding information for various practices. A Risk Adjustment Coder is responsible for reviewing physician and other provider's medical record notes and visit documentation to select or validate appropriate...

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical:Multiple plan options. Dental:Delta Dental or reimbursement account for flexible coverage. Vision:Affordable plan with national network. Pre-Tax Savings:HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities The Risk Adjustment PB Coder reviews, analyzes, validates and assigns codes from Mayo Clinic’s patient medical record for physician services in the outpatient or inpatient setting to include,...

Job Overview The Coder 2 analyzes clinical documentation; assign appropriate diagnosis, procedure, and levels of service codes; abstract the codes and other clinical data. Performs a variety of technical functions within the Outpatient coding area, codes outpatient visits, sent-in-labs, consolidated funding accounts, utilizing ICD-10-CM, CPT-4, and HCPCs Coding Classification systems. Utilizes an electronic coding software to code to the highest level of specificity, ensuring optimal and appropriate reimbursement for the services provided. Responsibility includes resolving medical necessity edits and extracting and entering data into the medical record. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Coder 2's also resolves clinical documentation and charge capture discrepancies...

A healthcare organization is seeking a detail-driven Coder 2 to join their remote team. This full-time position involves accurately coding outpatient documentation to support compliance and reimbursement processes. Candidates should possess a coding certificate and 1 year of coding experience, with familiarity in ICD-10-CM, CPT-4, and HCPCS. A robust benefits package includes medical, dental, and tuition reimbursement. Expect flexibility and meaningful impact in the role. #J-18808-Ljbffr

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans– to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical:Multiple plan options. Dental:Delta Dental or reimbursement account for flexible coverage. Vision:Affordable plan with national network. Pre-Tax Savings:HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities The Surgical Coder reviews, analyzes, and codes professional/physician medical record documentation to include, but not limited to, medical diagnostic and procedural information for various...

Join to apply for the Surgical Coder II-Remote role at Mayo Clinic Why Mayo Clinic Mayo Clinic is top‑ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical: Multiple plan options. Dental: Delta Dental or reimbursement account for flexible coverage. Vision: Affordable plan with national network. Pre‑Tax Savings: HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities The Surgical Coder reviews, analyzes, and codes professional/physician medical record documentation to include, but...

Become a part of our caring community and help us put health first 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...

Become a part of our caring community and help us put health first 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. 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...