36 coder analyst jobs found

The Coding Auditor – ambulatory/professional coding/profee will be responsible for auditing coders and coding auditors to ensure coding accuracy standards are met. The role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. The Coding Auditor will report to the Huron Managed Services Domestic Coding team. Key Responsibilities Demonstrates Huron’s Vision and Values in all behaviors. Functions as Coding Auditor Ensure coding accuracy of ≥95% through audit of coders and auditors. Perform quality checks and calibration audits on visits coded per client SOP. Suggest improvements, schedule calibration sessions with offshore counterparts and leaders. Assist in preparing audit reports and provide direct feedback to coders and auditors. Firm understanding of clinical documentation guidelines. Monitor compliance of coding guidelines and correct identified errors before claims rebill. Conduct analysis and...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long‑term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. As an Inpatient Coding Auditor, you will audit inpatient coders and offshore inpatient coding auditors to...

Remote Chicago - 550 Van Buren North Carolina Nevada Virginia Texas Florida Maryland Tennessee New York-New York City Wyoming Idaho Massachusetts Michigan-Other West Virginia-Other Nebraska Maine West Virginia-Charleston Washington-Seattle Wisconsin Pennsylvania-Pittsburgh Colorado-Denver California-San Francisco Vermont Delaware-Wilmington Iowa Ohio-Other District of Columbia Georgia Missouri-St. Louis New Hampshire Indiana-Other Mississippi Pennsylvania-Philadelphia Minnesota Arkansas Utah Missouri-Kansas City Kentucky-Other Michigan-Detroit New Jersey Montana California-Los Angeles Alabama-Other New Mexico North Dakota South Carolina Rhode Island Full time JR-0015943 Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives,...

About the Role Huron helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling them to own the future instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes, and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing...

Job Description Job Description Occupational health medical facility is seeking a full-time medical billing specialist. Prefer qualified candidate to have prior experience with submission of electronic billing, insurance appeals and denials, CPT/ICD10 codes, and payment posting. Knowledge with worker's comp insurance billing and collections rules also a plus. Candidate must be detailed-oriented, dependable, goal-oriented, willingness to assist others as necessary and with ability to work independently. Good customer service skills are a must. Medical Biller Duties and Responsibilities Ensure patient information is accurate and complete Request any missing patient information Review referrals and authorizations Confirm patient benefits and insurance Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO Transfer insurance claims and billing data to billing software Create both paper and electronic copies of documentation Develop and maintain...

Providers Care Billing LLC is a growing medical billing and revenue cycle management company dedicated to helping healthcare providers improve reimbursement, streamline operations, and stay compliant. We are currently looking for a detail-oriented Medical Coder to join our dynamic team. Job Summary As a Medical Coder, you will be responsible for accurately assigning CPT, ICD-10, and HCPCS codes to medical services and diagnoses based on patient records. Your accuracy and understanding of coding guidelines will ensure timely and correct reimbursement for our healthcare clients. Key Responsibilities Review and analyze medical documentation to assign accurate diagnosis and procedure codes. Ensure coding complies with federal regulations and insurance guidelines (CMS, HIPAA). Work with providers to clarify documentation and resolve discrepancies. Assist in claims audits, rejections, and denials as needed. Maintain updated knowledge of medical coding standards and guidelines....

Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Medical Coder III The Medical Coder III is a senior-level position responsible for ensuring precise coding of diagnoses and procedures in compliance with established coding guidelines and regulations. This role is integral to maintaining financial accuracy and regulatory compliance within our institution. Position Highlights: Position: Medical Coder III Location: Hybrid - Skokie, IL and remote Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, 8:00am-4:30pm What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records, demonstrating advanced proficiency in complex coding scenarios. Lead and conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments, providing guidance and feedback to junior coders....

Hourly Pay Range: $24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Medical Coder II The Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements. Position Highlights: Position: Medical Coder II Location: Hybrid - Warrenville, IL and remote Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, 8:00am-4:30pm What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and conventions. Conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments. Examine clinical documentation...

Job Summary The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits, conducting audits for physician education, and ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, providing guidance to faculty and staff on the...

Coding Auditor - Professional Department: Physician coding Hours: Full-Time (40 hours per week) Location: Remote or onsite. Must reside in one of the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Pay: Starts at \$23.87/hour, based on experience. Estimated compensation range \$23.87 - \$37.00. Responsibilities Assist coders with coding questions. Conduct collection and reporting of provider and coder audit results and education. Work with coders and providers to ensure appropriate documentation for clinic services. Report results to Coding Supervisor – Professional. Demonstrate ability to code all types of encounters. Maintain 95% accuracy in diagnoses and procedures coding. Ensure data quality and optimum reimbursement under federal and state payment systems. Identify and refer trend patterns of coding and...

The Women's Group of Northwestern is an independent practice located on the Magnificent Mile with a satellite office in Northbrook. Our staff of 18 providers (MD's, Physician's Assistants and Nurse Practitioners) deliver the highest level of patient care and patient satisfaction. If you are an experienced Certified Medical Coder & Surgical Scheduler, we would love to meet you! (MUST HOLD A CERTIFIED CODER LICENSE) Our team of staff members work together to give our best to our patients and to each other. Our leaders are committed to ensuring that you are successful in everything you do and want you to understand how much we value you. We offer a highly competitive salary, excellent benefits including 3 weeks of PTO per year, a 401K with profit sharing, and an environment that respects you as a professional. If you have experience providing stellar customer service in a medical setting, excellent prior performance and attendance, and experience with Epic/Epic Op-Time or Athena,...

Job Summary Our client is seeking a dedicated Surgical Coder with expertise in podiatric surgical procedures. The primary responsibility of this role is to accurately translate and code operative notes using CPT and ICD-10, ensuring compliance with industry standards and maximizing reimbursement. Key Responsibilities Operative Report Coding: Handle coding for podiatric surgical procedures like bunionectomies and reconstructive surgeries. Modifier Application: Ensure accurate use of anatomical, lateral, and surgical unbundling modifiers. Compliance & NCCI Edits: Use National Correct Coding Initiative edits for guideline analysis and compliance. Routine & Office-Based Care: Code evaluations, minor procedures, DME, and office evaluations. Provider Queries & Feedback: Collaborate with surgeons for documentation clarity and compliance feedback. Denials & Edits Resolution: Review claim edits and handle coding-related denials. Stay Updated: Maintain credentials and...

Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients’ unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities: Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data, contribution,...

DaMar Staffing is seeking a qualified Medical Coder to review claims in Cerner Revenue Cycle, analyze coding edits, and ensure accurate charge entry and clean claim submission. The role requires CPC/CCS/RHIT certification and at least one year in revenue cycle, with strong communication and problem-solving abilities. Candidates will interpret provider orders, progress notes, and test results to support posted charges and ensure compliance with AMA, Medicare, and commercial coding guidelines. #J-18808-Ljbffr

Medical Coder II page is loaded## Medical Coder IIlocations: SRO Corporate Center Warrenville 4201 Winfield Roadtime type: Full timeposted on: Posted Todayjob requisition id: R38555**Hourly Pay Range:**$24.86 - $37.29 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.**Medical Coder II**The Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements.**Position Highlights:*** Position: Medical Coder II* Location: Warrenville, IL* Full Time/Part Time: Full-time (40 hours per week)* Hours: Monday-Friday, during normal business hours**What you will do:*** Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and...

Medical CoderHistory of the Company: Superior Ambulance Service started in 1959 with one ambulance and today is the largest independent, locally owned, and operated emergency medical services provider in the Midwest. Superior employs more than 4,000 licensed EMTs, Paramedics and Nurses, operating a fleet of more than 800 ambulances throughout Illinois, Indiana, Ohio, Michigan, and Wisconsin. Superior also provides Critical Care, helicopter, and fixed wing emergency medical transportation.We are currently looking for a Medical Coder for our Billing Department. Below lists the duties, responsibilities and the qualifications needed for this position. We will train the right individual.This position is fully in-office Monday through Friday in Elmhurst, IL or Taylor, MI.ResponsibilitiesThe primary duties and responsibilities of the Medical Biller and Coder consist of, but are not limited to the following:Reviews patient care report thoroughly, utilizing all available documentation in...

Location Ann & Robert H. Lurie Children's Hospital of Chicago Job Summary Conducts retrospective audit of ambulatory and inpatient physician documentation to ensure billing accuracy and compliance. Accounts for concurrent inpatient billing accuracy and compliance for selected Divisions. Provides physician education on coding and documentation guidelines. Essential Job Functions Reviews and audits physicians’ documentation in the medical record and the level of CPT code selection to verify accuracy through a concurrent coding program. Determines visit, procedure and diagnosis code(s) based on documentation. Initiates corrections and resolves discrepancies. Confers with the physicians to communicate and educate when deficiencies in documentation and code selection are identified. Meets with Division Heads and Clinical Practice Directors or designees to present statistical data on audit findings, provides useful recommendations and documentation tools. Keeps informed on...

Coding Auditor – Ambulatory/Professional Coding/ProfeeHuron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients...

Insight Health Systems in Chicago is seeking a Coding Specialist to analyze and assign diagnosis and procedure codes for the Emergency Department and Outpatient Observation records. Candidates should have at least two years of coding experience and relevant certifications, along with strong attention to detail and communication skills. This role supports a community-centric mission and offers benefits including paid sick and vacation time, as well as health and dental coverage. #J-18808-Ljbffr

Overview Ann & Robert H. Lurie Children’s Hospital of Chicago is the largest pediatric provider in the region with a 140‑year legacy of excellence and is ranked in all 10 specialties by U.S. News & World Report. We provide superior pediatric care and a patient‑centred environment that incorporates the newest medical technology, research and family‑friendly design. Job Description Summary: Conduct retrospective audit of ambulatory and inpatient physician documentation to ensure billing accuracy and compliance. Account for concurrent inpatient billing accuracy and compliance for selected divisions and provide physician education on coding and documentation guidelines. Responsibilities Review and audit physicians’ documentation in the medical record and the level of CPT code selection to verify accuracy through a concurrent coding program. Determine visit, procedure and diagnosis code(s) based on documentation. Initiate corrections and resolve discrepancies. Confer with...

Pediatric Coding AuditorAnn & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.Location: Ann & Robert H. Lurie Children's Hospital of ChicagoJob Description:Conducts retrospective audit of ambulatory and inpatient physician documentation to ensure billing accuracy and compliance. Accounts for concurrent inpatient billing accuracy and compliance for selected Divisions. Provides physician education on coding and documentation guidelines.Essential Job Functions:Reviews and audits physicians' documentation in the medical record and the level of CPT code selection to...

Job Summary The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits, conducting audits for physician education, and ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, providing guidance to faculty and staff on the...

Medical Billing SpecialistDestinationone Consulting specializes in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more. We are proactively building a data bank for opportunities in these fields. By applying, you ensure our recruiters can quickly match you with suitable roles when they arise. Location: Various locations across IllinoisThe Medical Billing Specialist is responsible for managing the billing process for a healthcare practice, ensuring accurate and timely submission of claims and payments. This role is critical in maintaining the financial health of the organization and ensuring compliance with insurance regulations.Key Responsibilities:Prepare and submit accurate claims to insurance companies and government programs.Verify patient insurance coverage and benefits before services are rendered.Review and post payments, adjusting accounts as necessary.Follow up on unpaid...

Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote) At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As part of our team, you’ll have the opportunity to contribute to better health care across the Northwestern Medicine system. We offer competitive benefits including tuition reimbursement and loan forgiveness, 401(k) matching, and lifecycle benefits. The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and regulatory standards. This role is the expert in clinical documentation and coding, working with the Clinical Documentation Team to ensure quality metrics meet high standards for NM Health System. The Coding Quality Auditor and...