31 coder analyst virtual jobs found

A company is looking for a Remote HCC Coder - Risk Adjustment. Key Responsibilities Review, analyze, and code diagnostic information from patient medical records Apply ICD 10 CM and risk adjustment coding guidelines accurately and consistently Ensure compliance with reimbursement policies, regulatory requirements, and accreditation standards Required Qualifications Minimum 1 year of professional coding experience Risk Adjustment / HCC coding experience with health plans, Medicare, or Medicaid Active AHIMA certification (RHIT, CCS) or AAPC certification (CPC, COC, CIC, CRC) Extensive knowledge of ICD 10 CM Strong understanding of medical terminology, abbreviations, and disease processes

A company is looking for a Medical Coder (Pennsylvania resident). Key Responsibilities Review and analyze medical records to identify diagnoses and procedures for coding Translate diagnostic and procedural phrases into coded form using Encoder software Assist in training new coding staff and ensure compliance with coding guidelines Required Qualifications, Training, and Education High School Diploma or Equivalent (GED) required; Graduate from Specialty Training Program preferred Minimum of 1 year of related work experience required Relevant certification from AHIMA or AAPC preferred for higher-level positions Experience with medical records management and coding guidelines is essential Understanding of federal regulations and coding initiatives is necessary

A company is looking for a Medical Coder II/III. Key Responsibilities Serve as a Subject Matter Expert on medical coding and billing across assigned service lines Analyze and document customers' coding practices and workflows to facilitate optimal use of the product Assist with Coding Quality Assessment projects, including training and quality assurance for offshore coding staff Qualifications & Experience Current AHIMA or AAPC coding credential held for 3+ years (level II) or 5+ years (level III) 3-5 years (level II) or 5+ years (level III) of coding and auditing experience with progressive growth in responsibilities Strong understanding of CPT, ICD-10-CM, HCPCS, modifiers, and 2023 E/M guidelines Experience in one of the following specialties: Professional hospital coding, specifically in Surgery, Endoscopy, Hospitalist, Cardiology, or Emergency coding Demonstrated ability to interpret clinical documentation and identify gaps

A company is looking for an HCC Coder to perform coding and documentation analysis in a remote setting. Key Responsibilities Analyze medical records to determine appropriate ICD-CM codes based on official guidelines Participate in coding quality assurance and maintain a coding accuracy rate of at least 95% Engage in continuous improvement efforts and training related to coding practices Required Qualifications High School diploma or equivalent Medical coding training and terminology from an accredited program Certification as a CCS, CCS-P, CPC, or CRC within one year of hire Three years of HCC and/or outpatient coding experience Thorough knowledge of ICD-CM, CPT coding, and third-party payer requirements

A company is looking for a Medical Policy & Coding Support Coordinator. Key Responsibilities Support Medical Policy Team operations, including managing production timelines and filing external appeals Perform coding analyses and generate reports to recommend updates to medical policies Participate in cross-functional meetings to align with enterprise strategic priorities Required Qualifications High school diploma or GED Certified Professional Coder (CPC) required, to be obtained within 12 months of hire 4+ years of experience in provider payment, claims, or medical coding Detail-oriented with a commitment to accuracy and quality Proficient with MS Office and capable of managing multiple tasks effectively

A company is looking for a Remote HCC Coder - Risk Adjustment. Key Responsibilities Review, analyze, and code diagnostic information from patient medical records Apply ICD 10 CM and risk adjustment coding guidelines accurately and consistently Ensure compliance with reimbursement policies, regulatory requirements, and accreditation standards Required Qualifications Minimum 1 year of professional coding experience Risk Adjustment / HCC coding experience with health plans, Medicare, or Medicaid Active AHIMA certification (RHIT, CCS) or AAPC certification (CPC, COC, CIC, CRC) Extensive knowledge of ICD 10 CM Strong understanding of medical terminology, abbreviations, and disease processes

A company is looking for a Medical Policy & Coding Support Coordinator. Key Responsibilities Support Medical Policy Team operations, including managing production timelines and filing external appeals Perform coding analyses and generate reports to recommend updates to medical policies Participate in cross-functional meetings to align with enterprise strategic priorities Required Qualifications High school diploma or GED Certified Professional Coder (CPC) required, to be obtained within 12 months of hire 4+ years of experience in provider payment, claims, or medical coding Detail-oriented with a commitment to accuracy and quality Proficient with MS Office and capable of managing multiple tasks effectively

A company is looking for an Inpatient Coder. Key Responsibilities Analyze and review client medical records for accurate code assignment Prepare daily coding logs and ensure compliance with coding guidelines Maintain productivity and quality standards while adhering to ethical coding practices Required Qualifications Active RHIA, RHIT, or CCS certification in good standing with AHIMA Minimum of 2 years of inpatient coding experience in a hospital setting Proficient in Microsoft Office Suite and Electronic Health Record Systems (EHRs) Ability to work independently and collaboratively in a team environment Commitment to maintaining professional educational standards in coding

A company is looking for a Medical Policy & Coding Support Coordinator. Key Responsibilities Support Medical Policy Team operations, including managing production timelines and filing external appeals Perform coding analyses and generate reports to recommend updates to medical policies Participate in cross-functional meetings to align with enterprise strategic priorities Required Qualifications High school diploma or GED Certified Professional Coder (CPC) required, to be obtained within 12 months of hire 4+ years of experience in provider payment, claims, or medical coding Detail-oriented with a commitment to accuracy and quality Proficient with MS Office and capable of managing multiple tasks effectively

A company is looking for a Coder (Full-time). Key Responsibilities Perform coding for medical records and ensure accuracy Review and analyze clinical documentation for coding compliance Maintain up-to-date knowledge of coding guidelines and regulations Required Qualifications Certification in medical coding (e.g., CPC, CCS) Experience in healthcare or medical coding Knowledge of ICD-10, CPT, and HCPCS coding systems High school diploma or equivalent; associate degree preferred Familiarity with electronic health record (EHR) systems

A company is looking for an Outpatient Coder II. Key Responsibilities Assigns appropriate ICD-10-CM and CPT-4 codes to outpatient visit types, reviewing medical records thoroughly Interprets health record documentation to report appropriate diagnoses and procedures, sending physician queries when necessary Utilizes technical expertise to analyze system changes, resolves NCCI Edits, and ensures optimal coding accuracy Required Qualifications Credentialed by the AHIMA with a CE requirement of 20-30 CE's every two years 3-4 years of coding experience in an acute healthcare setting RHIT, RHIA, or CCS credentialed Ability to work with minimal supervision Bachelor's degree in a related field is preferred

A company is looking for a Medical Coder (Pennsylvania resident). Key Responsibilities Review and analyze medical records to identify diagnoses and procedures for coding Translate diagnostic and procedural phrases into coded form using Encoder software Assist in training new coding staff and ensure compliance with coding guidelines Required Qualifications, Training, and Education High School Diploma or Equivalent (GED) required; Graduate from Specialty Training Program preferred Minimum of 1 year of related work experience required Relevant certification from AHIMA or AAPC preferred for higher-level positions Experience with medical records management and coding guidelines is essential Understanding of federal regulations and coding initiatives is necessary

A company is looking for a PB Coding Manager to oversee coding workflows and ensure quality and efficiency within the coding team. Key Responsibilities Evaluate and optimize coding workflows for timely turnaround and quality Collaborate with stakeholders to develop action plans for performance improvement Manage the interview and onboarding process for coding staff Required Qualifications Experience leading a team of coding professionals CPC-A, CPA, or CCS-P certification Experience in healthcare revenue cycle Strong understanding of healthcare professional billing requirements Experience with data analysis to drive decisions

A company is looking for an HCC Coder to perform coding and documentation analysis in a remote setting. Key Responsibilities Analyze medical records to determine appropriate ICD-CM codes based on official guidelines Participate in coding quality assurance and maintain a coding accuracy rate of at least 95% Engage in continuous improvement efforts and training related to coding practices Required Qualifications High School diploma or equivalent Medical coding training and terminology from an accredited program Certification as a CCS, CCS-P, CPC, or CRC within one year of hire Three years of HCC and/or outpatient coding experience Thorough knowledge of ICD-CM, CPT coding, and third-party payer requirements

A company is looking for an Inpatient DRG Auditor / Coder (RN and Non RN). Key Responsibilities Perform inpatient DRG auditing and coding reviews Analyze disease processes and clinical indicators affecting DRG assignment Review audit outcomes and implement corrective actions Required Qualifications Experience with inpatient DRGs Previous auditing experience in an inpatient setting Strong knowledge of clinical documentation and DRG impact Ability to reference and apply coding guidelines accurately Professional communication skills

A company is looking for a Medical Coder II/III. Key Responsibilities Serve as a Subject Matter Expert on medical coding and billing across assigned service lines Analyze and document customers' coding practices and workflows to facilitate optimal use of the product Assist with Coding Quality Assessment projects, including training and quality assurance for offshore coding staff Qualifications & Experience Current AHIMA or AAPC coding credential held for 3+ years (level II) or 5+ years (level III) 3-5 years (level II) or 5+ years (level III) of coding and auditing experience with progressive growth in responsibilities Strong understanding of CPT, ICD-10-CM, HCPCS, modifiers, and 2023 E/M guidelines Experience in one of the following specialties: Professional hospital coding, specifically in Surgery, Endoscopy, Hospitalist, Cardiology, or Emergency coding Demonstrated ability to interpret clinical documentation and identify gaps

A company is looking for a Hospital Surgery/Observation Coder. Key Responsibilities Code and abstract outpatient records for data retrieval, analysis, reimbursement, and research Utilize the 3M encoder to enter diagnostic and procedure codes into a designated coding system Meet quality and productivity coding standards while demonstrating the ability to navigate an EMR Required Qualifications, Training, and Education High School Diploma/GED required; Associate's Degree preferred A minimum of 3 years coding experience in an acute care setting Competency in outpatient coding guidelines and APC assignment Current AHIMA or AAPC credentials required or must be certified within one year of hire Basic knowledge of Microsoft Office applications and troubleshooting computer problems

A company is looking for a Physician Complex Coder GI Interventional Endoscopy. Key Responsibilities Analyze medical records and accurately code diagnostic and procedural information Abstract clinical diagnoses and procedure codes into electronic medical records Ensure compliance with coding rules and regulations for quality assurance of medical records Required Qualifications High school diploma/GED or equivalent specialized training in medical record keeping Certification as a CPC, CCS, CCS-P, RHIA, or RHIT in active status Three or more years of complex professional coding experience within the specialty Knowledge of ICD and CPT coding principles as recommended by AHIMA coding competencies Ability to work effectively in a remote setting using common office programs and coding software

A company is looking for a Medical Policy & Coding Support Coordinator. Key Responsibilities Support Medical Policy Team operations, including managing production timelines and filing external appeals Perform coding analyses and generate reports to recommend updates to medical policies Participate in cross-functional meetings to align with enterprise strategic priorities Required Qualifications High school diploma or GED Certified Professional Coder (CPC) required, to be obtained within 12 months of hire 4+ years of experience in provider payment, claims, or medical coding Detail-oriented with a commitment to accuracy and quality Proficient with MS Office and capable of managing multiple tasks effectively

A company is looking for a Medical Auditor II in Revenue Cycle Management. Key Responsibilities Conduct regular audits to verify accuracy of medical codes Review documentation to ensure appropriate code assignment and compliance Track and report coding errors while maintaining detailed records of audit findings Required Qualifications 3+ years of coding/auditing experience in professional fee and/or risk adjustment settings CPC certification through AAPC or CCS certification through AHIMA 3+ years of data analysis and formula creation experience in Microsoft Excel Advanced knowledge of HCC Risk Adjustment and coding guidelines Experience using data to drive process improvement

A company is looking for a Coder II-1. Key Responsibilities Perform coding of medical records and ensure accuracy and compliance with regulations Review and analyze clinical documentation to assign appropriate codes Collaborate with healthcare providers to clarify documentation as needed Required Qualifications High school diploma or equivalent required Certification in medical coding (e.g., CPC, CCS, or equivalent) Experience in coding and knowledge of medical terminology Understanding of healthcare regulations and compliance standards Proficiency in coding software and electronic health record systems

A company is looking for a Coding Services Specialist. Key Responsibilities Analyze medical records to assign codes from patient records according to ICD-10-CM and/or CPT, HCPCS classification systems Review patient encounters for accurate code assignment and check for CCI bundling edits and NCD/LCD edits Enter codes into the client's coding program for billing and resolve claim and billing edits or denials Required Qualifications 3-5 years of Diagnostic Radiology Coding experience Certification such as RCC, CPC, or CCS-P or equivalent Moderate knowledge of level 1 & 2 modifiers and CCI edits Ability to maintain a production rate of 90% or higher and audit scores of 95% or better Must be a US resident in specified states

About Us Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Healths robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor...

Job Description Job Description Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc.   Job Responsibilities/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or...