24 coder abstractor certified prc jobs found

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. 1,500 Sign on Bonus 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,...

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—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, Datavant 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. *****1,500 Sign on Bonus***** 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...

Inpatient Coder Nesco Resource has partnered with a well-established healthcare organization in their pursuit to hire Inpatient Coders. Fully remote. Full-time with flexible scheduling options available. Competitive compensationup to $65,000 plus excellent benefits. The Inpatient Coder is responsible for accurately coding and abstracting diagnoses, procedures, and clinical information from inpatient medical records. This individual ensures compliance with established coding guidelines while maintaining high standards of data quality, integrity, productivity, and accuracy. Essential Responsibilities Assign ICD-10-CM/PCS diagnosis and procedure codes in accordance with Official Coding Guidelines, AHA Coding Clinic, CMS, and other regulatory requirements. Apply Uniform Hospital Discharge Data Set (UHDDS) definitions to determine principal diagnoses, secondary diagnoses, and procedures. Utilize MS-DRG and APR-DRG reimbursement methodologies to ensure accurate code assignment....

DRG Coder - Remote Iberia Medical Center (IMC) in New Iberia, LA is looking for team members who will help advance our vision to be the premier hospital of choice for patients, physicians, and employees. We have proudly cared for our community for over 60 years and offer diverse career opportunities throughout our organization. Our employees experience opportunities to learn, grow, and make a meaningful impact while caring for their families, friends, and neighbors. IMC is looking to hire a DRG Coder - Remote. This employee is under the direction of the Revenue Cycle Manager, responsible for assigning ICD-10-CM and ICD-10-PCS codes to inpatient medical records upon discharge and assigning the appropriate MS-DRG for reimbursement purposes. This remote position works closely with Clinical Documentation Improvement (CDI) Specialists and serves as an active participant on the Compliant Documentation Management Program Team. The DRG Coder is responsible for ensuring accurate, compliant,...

Now Hiring: Remote IP Facility CCS Coder Location: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $22.79 Maximum Offer $38.80 Summary: Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Varied Days and Hours (United States of America) Responsibilities: *Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with...

Position Summary In this role, the successful candidate analyzes medical records, extracts clinical, pathological, therapeutic and epidemiologic data for Inpatient and/or Outpatient records in accordance with established ICD-10-CM/PCS and CPT coding principles and guidelines. Health Information Coders analyze, abstract, and code in order for the hospital to submit a bill for services rendered and various departments and clinics associated with patient care; perform other related duties as required. Medical coding is a critical aspect of HIM. Professionals assign standardized codes to diagnoses and procedures, which are used for billing, insurance claims, and statistical analysis. They use coding systems such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology). The selected candidate will work on site in Greenport, NY for all shifts. Job Duties & Essential Functions Abstracts and codes medical information from Inpatient...

Location Miramar, Florida Summary Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding. Submits daily productivity report to HIM manager by defined deadline....

Minimum to Midpoint Pay Rate: $20.50 - $27.85/ hour This is a remote position. Incumbents, who reside in Florida only, may work remotely. There may be occasional situations that require work to be performed on-site at an assigned Lee Health location. Summary Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments. Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary...

We are recruiting for a mission-driven Coder I - MUST Reside in Colorado to join our team! We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something we live every day, for life's journey. Our Values Respect | Belonging | Accountability | Transparency Department HB & PB Coding Services Job Summary The Coder I, is a key member of the Coding Team and has shared accountability for the success of the department. The Coder I, under general supervision, reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. This includes, but is not limited to, various coding assignments under the direction of Coding Management. Provides feedback regarding documentation and coding issues. Utilizes software applications and coding references, including electronic, to perform coding related tasks. The Coder I, maintains an understanding of and ensures...

Job Description Summary Entity University Medical Associates (UMA) Only Employees and Financials Worker Type Employee Worker Sub-Type Regular Cost Center CC002053 UMA CORP RC PPA CRC CC Pay Rate Type Hourly Pay Grade Health-25 Scheduled Weekly Hours 40 Work Shift The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. All work is carried out in accordance with the Health Information Management Department and MUSC approved policies and procedures. Additional Job Description Qualifications Associate’s degree in health information technology or related field or 5 years coding...

Overview The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk-adjustment programs across a variety of chart types. This role applies ICD-10-CM Official Guidelines, AHA Coding Clinic guidance, and Cotiviti/client-specific requirements to ensure high-quality coding outcomes. The Coder I utilizes established dispute-resolution processes when coding disagreements arise and communicates professionally with team leadership regarding findings, errors, and improvement opportunities. We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti: https://www.youtube.com/watch?v=-VgcV09cxCo ResponsibilitiesReviews medical records for accurate, compliant, and complete diagnosis code abstraction from a variety of chart and encounter types.to support Medicare, Commercial and Medicaid prospective,...

$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 part in healing the health system by making sure our high standards for documentation processes are...

Altegra Health is seeking a Remote Certified Coder to review medical records and apply appropriate ICD-9-CM codes per QA standards. This role requires a nursing license or a coding certification, alongside at least one year of coding experience. The successful candidate will abstract information from patient records, ensuring accurate coding while adhering to strict deadlines. Strong attention to detail and aptitude for managing chronic illness data are essential. This is a temporary remote position. #J-18808-Ljbffr

JOB DESCRIPTION Job SummaryProvides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials. • Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately. • Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff. • Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment. • Builds positive relationships between providers and the business by providing coding assistance...

Join Our Coding Team! Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care through connection, service and innovation. Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence. Logan Health is a growing health system located in Northwest Montana. We are looking for a Certified Facility Coder to join our team remotely! This position is on an as needed basis and may include 1 to 2 shifts per week depending on need. This position will assist with vacation coverage and gaps in staffing. Location: Remote (See Approved States) Shift: Day Shift - 8 Hours | PRN status Pay details: Pay for this position ranges from $23.50 per hour to $31.73 per hour depending on prior related experience. What you bring: You'll bring a strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT-4 coding guidelines and practices, along with at least two years of coding experience in an acute care (hospital/facility) setting. You must also hold a...

Now Hiring: Remote PRN ProFee Multi Specialty Coder Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Type of Opportunity: PRN Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Varied Days and Hours (United States of America) Responsibilities: *Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies. *Abstracts data essential to the QI department in...

Risk Adjustment Coder Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care. Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications. Your Daily Mission The Risk Adjustment Coder with AHIMA or AAPC certification performs medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM Official...

Outpatient Pro Fee Coder Work hours are Monday – Friday 8am – 5pm. Remote position. 3+ years of experience in Healthcare Medical Coding. Knowledge of ICD-10 CM and ICD-10 needed. Must have office E/M leveling experience. Pro Fee Outpatient experience is required. AHIMA or AAPC certification required (must provide credential number or ID). Cerner experience is needed. Location: Remote position with expected work hours from 8am to 5pm Mon-Fri. Summary Description: The Outpatient Pro Fee Coder is responsible for timely, accurate and comprehensive abstraction of physician services from the medical/record by utilizing knowledge of industry standard ICD-10 CM and ICD-10 coding. This individual must demonstrate a commitment to the organization's strategic plans, short and long-term goals and mission, vision and values by representing the company in a caring and professional manner, recognizing the coding role in the patient experience. Job Responsibilities: Utilizes technical coding...

At Logan Health, we're more than just a healthcare provider - we're a community. Nestled in the heart of Montana, we are committed to delivering exceptional care to our patients while fostering a supportive and collaborative work environment for our team. As a member of Logan Health, you'll be part of a dynamic team that values compassion, innovation, and excellence. We offer opportunities for growth, comprehensive benefits, and a chance to make a meaningful impact in the lives of those we serve. Come join us and experience the Logan Health difference, where your passion meets purpose in a place, you'll be proud to call home. Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care through connection, service and innovation. Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence. Help ensure the accuracy behind exceptional patient care! Location: Remote (See Approved States) Schedule: Day Shift - 8 Hours | Full Time - 40...

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary: The Facility Surgical Coder 2 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in same day surgery and observation medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and procedural CPT-4/HCPCS codes to the greatest specificity and assigning the most accurate APC when appropriate. Abstracts demographic and coding information accurately and completely...

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: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators.Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements.Reviews...

Job Opportunity At Savista Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Job Summary The Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for Facility Inpatient records to meet the needs of hospital data retrieval for billing and reimbursement. Coder validates MS-DRG calculations to accurately capture the diagnoses and procedures documented in the clinical record. Coder performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory compliance requirements. Coder may interact with client staff and...

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 (Full Address): 905 Elmgrove Rd, Rochester, New York, United States of America, 14624 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation Range: $61,000.00 - $85,400.00 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...

Altegra Health is seeking a Remote Certified Coder to review medical records and apply appropriate ICD-9-CM codes per QA standards. This role requires a nursing license or a coding certification, alongside at least one year of coding experience. The successful candidate will abstract information from patient records, ensuring accurate coding while adhering to strict deadlines. Strong attention to detail and aptitude for managing chronic illness data are essential. This is a temporary remote position. #J-18808-Ljbffr