37 coder credentialed 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. What We're Looking For We're looking for experienced and credentialed inpatient 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...

Outpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, MO - Sign-on bonus eligible) Full-time Job Shift: Day Job (1st) Compensation: USD 30 - USD 40.5 - hourly Company Description 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 an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Required: 3-4 years of coding experience in an acute healthcare setting RHIT, RHIA or CCS credentialed The Outpatient Coder II reflects the mission, vision, and...

Company Description 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 an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Required:3-4 years of coding experience in an acute healthcare settingRHIT, RHIA or CCS credentialed The Outpatient Coder II 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 all other regulatory and accreditation...

Description Required: 3-4 years of coding experience in an acute healthcare setting RHIT, RHIA or CCS credentialed The Outpatient Coder II 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 all other regulatory and accreditation standards. Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinics, interprets ICD-10-CM coding conventions and instructional notes to select appropriate diagnoses with a minimum of 95% accuracy. Meets established minimum coding productivity per departmental protocol and guidelines. The Outpatient Coder IIis the coding and reimbursement expert with ICD-10-CM diagnosis coding, HCPCS and CPT codes and modifiers. The focus is on complex outpatient encounters that include Observation stays, Same Day Surgery, Surgery Center, and Outpatient in a bed. Should have more in-depth knowledge of...

McDonough District Hospital · HEALTH INFORMATION MANAGEMENT (HIM) Macomb , IL Full-Time Hourly , Days , Monday - Friday day shift Posted 10/27/2026 Expected pay for this position is $21.71-$31.48. Actual pay will be determined by experience, skills and internal equity. 457B and employer match for FT Employees Company paid STD and LTD Job Summary Reviews, analyzes, codes, and abstracts physician services and clinic-based professional fee encounters to ensure accurate assignment of diagnoses, procedures, and services in accordance with current coding guidelines, documentation requirements, and applicable payer policies. Assigns ICD-10-CM diagnosis codes, CPT procedure codes, and HCPCS Level II codes, as applicable, to support accurate billing, reimbursement, regulatory compliance, and quality reporting. Reviews medical record documentation for completeness, consistency, and coding accuracy; identifies documentation deficiencies, coding discrepancies, and...

McDonough District Hospital in Macomb, IL seeks an experienced Health Information Management coder to join the outpatient coding team. The role focuses on accurate ICD-10-CM, CPT, and HCPCS coding for diverse clinic and hospital outpatient services. You will review documentation, resolve coding questions, and ensure compliance with regulatory guidelines to support reimbursement and data integrity. A CCP/AHIMA credential is preferred. #J-18808-Ljbffr

Hospital Outpatient Coding SpecialistExpected pay for this position is $21.71-$31.48. Actual pay will be determined by experience, skills and internal equity. MDH Benefits package includes: Medical, Dental, Vision 457B and employer match for FT Employees Company paid STD and LTDJob Summary: Codes and abstracts hospital outpatient medical records, including but not limited to, emergency department encounters, outpatient surgical services, observation services, rehabilitation services, infusion, and other hospital outpatient visits, for reimbursement, data reporting, research, and compliance with applicable coding guidelines and regulatory requirements. Assigns appropriate ICD-10-CM diagnosis codes, CPT procedure codes, and HCPCS codes based on provider documentation and applicable coding guidelines. Reviews medical records for completeness, accuracy, and appropriate code assignment; identifies documentation deficiencies and coding discrepancies; and coordinates follow-up or...

Carle Health is seeking an HIM Certified Coder in Champaign, IL to accurately code hospital inpatient, hospital outpatient, and professional encounters using ICD-10/ICD-PCS, CPT, and HCPCS with coding software. The coder will ensure compliance with CMS and local guidelines and resolve coding-related billing edits, acting as a coding expert across departments. Qualified candidates must hold CPC, COC, CIC, CCS-P, CCS, RHIT or RHIA credentials from AAPC/AHIMA and maintain certification. #J-18808-Ljbffr

Carle Health is seeking an HIM Certified Coder to accurately code hospital inpatient, hospital outpatient and/or professional encounters using ICD-10-CM/PCS, CPT, and HCPCS. The coder applies regulatory guidelines and CMS materials to ensure compliant billing for Carle claims. Candidates should hold RHIT/RHIA or CPC/COC/CIC/CCS-P/CCS credentials and will review records in Carle EMS to support accurate and timely coding and auditing activities. #J-18808-Ljbffr

Carle Health seeks an HIM Certified Coder to accurately code hospital inpatient, outpatient and professional encounters using ICD-10/ICD-PCS, CPT, and HCPCS. The coder applies regulatory guidelines and modifiers to ensure compliant billing and resolves coding-related Edits in Carle systems. Qualified candidates hold RHIT or RHIA, plus CPC/COC/CIC/CCS-P/CCS credentials, with strong knowledge of CPT/HCPCS and coding datasets. Equal opportunity employer; E-Verify participant. #J-18808-Ljbffr

Job DescriptionJob DescriptionThe PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies.Essential Duties and Responsibilities:Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement...

EPITEC is seeking a Pre-Payment Clinical Auditor (RN/Coder) for a 6-month remote engagement in the United States. The role requires RN licensure, active coding credentials, and 5+ years in clinical auditing and coding. You will review complex claims prior to payment, validate documentation against CPT/HCPCS/ICD-10, assess medical necessity, and coordinate with Medical Directors and SIU as needed. #J-18808-Ljbffr

Wolcott, Wood and Taylor Inc. is seeking a PB Coder to review, analyze, and accurately code ambulatory and hospital encounters. You will determine CPT/ICD-10 codes and modifiers for physician services across departments, ensuring compliance with coding standards and payer policies. The role emphasizes real-time feedback via EPIC, denial resolution, credential maintenance, and collaboration with the Coding Management Team. chicago-based office with a focus on accuracy and efficiency. #J-18808-Ljbffr

Job Title: Pre-Payment Clinical Auditor (RN/Coder) Contract Duration: 6 months, possible extension Work Arrangement: Remote Summary Investigates complex healthcare claims flagged by third-party referrals, tips, or external allegations prior to payment. This role combines advanced clinical coding expertise (ICD-10, CPT, HCPCS) with investigative scrutiny. The auditor reviews medical records to verify that documented services match the billed codes, adhere to medical necessity guidelines, and comply with state, federal, and contractual coding regulations. Key Responsibilities Allegation Triaging & Investigation: Analyze incoming third-party referrals, compliance tips, and external fraud allegations to identify specific billing patterns, suspect providers, or unbundled services. Identify potential fraud, waste, abuse, billing irregularities, and patterns of non-compliance through medical record review and claims analysis. Pre-Payment Clinical Review: Perform comprehensive...

Description The Inpatient Coder II 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 all other regulatory and accreditation standards. The Inpatient Coder II is the coding and reimbursement expert for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex inpatient acute care discharges. Possesses a strong foundation in coding conventions, instructions, Official Guidelines for Coding and Reporting and Coding Clinics. Has a deep understanding of disease process, anatomy/physiology, pharmacology and medical terminology. RESPONSIBILITIES: Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity...

Signature Performance, Inc. is seeking an Outpatient Coding Auditor to ensure accuracy in ICD-10-CM/PCS, CPT-4, and HCPCS coding while leading quality reviews across departments. You will deliver clear audit findings, educate coders and managers, and identify documentation gaps that impact accuracy and reimbursement. This remote, nationwide role requires 5+ years of coding experience and credentials preferred. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Outpatient Coding Auditor #2972 United States Remote/Nationwide Position Description About You You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System...

Description: Investigates complex healthcare claims flagged by third-party referrals, tips, or external allegations prior to payment. This role combines advanced clinical coding expertise (ICD-10, CPT, HCPCS) with investigative scrutiny. The auditor reviews medical records to verify that documented services match the billed codes, adhere to medical necessity guidelines, and comply with state, federal, and contractual coding regulations. Key responsibilities: Allegation Triaging & Investigation: Analyze incoming third-party referrals, compliance tips, and external fraud allegations to identify specific billing patterns, suspect providers, or unbundled services. Identify potential fraud, waste, abuse, billing irregularities, and patterns of non-compliance through medical record review and claims analysis. Pre-Payment Clinical Review: Perform comprehensive clinical and technical reviews of high-dollar or highly complex medical records before a claim is finalized for payment....

The Coding Network (TCN) is seeking an Ophthalmology E&M coder to contract for multiple clients nationwide. You will access operation reports via a remote connection to the clients' EMR and return coded cases. Hours range from 15 to 40 per week, with no surgical Ophthalmology coding needed at this time. Applicants must have at least 3 years of Ophthalmology E&M coding experience, an active CPC/RHIA/RHIT credential, reside in the United States, and pass TCN's Ophthalmology E&M Coding Exam. #J-18808-Ljbffr

Advocate Health is seeking an inpatient coder to handle complex documentation and assign accurate ICD-10-CM/PCS, CPT, and HCPCS codes. The role spans a mix of inpatient cases across service lines with CDI collaboration to ensure proper DRG alignment and compliance. The ideal candidate holds an AHIMA or AAPC credential, an associate degree in health information management, and at least seven years of inpatient coding experience in an acute care setting. #J-18808-Ljbffr

PB Coder The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement policies...

Pena4 Inc. seeks an Inpatient Medical Coder (CCS certified) to handle inpatient and outpatient accounts remotely. The role requires IP PCS coding experience and the CCS credential, with test assessments for candidacy. Immediate start and full-time hours are offered. The coder will work with Cerner, PowerChart, 3M, and EPIC systems, ensure accurate coding, and strive for optimal DRG assignments while maintaining high productivity and quality. #J-18808-Ljbffr

Pena4 Inc is seeking an Inpatient Medical Coder (CCS certified) for a 100% remote, full-time role. The ideal candidate has at least 5 years of IP PCS coding experience and a CCS credential, with optional OP exposure. The position requires weekdays schedule and a regular day shift, starting immediately, with coding assessments as part of consideration. Proficiency with ICD-10-CM/PCS, HCPCS, CPT, and related coding references is essential to ensure accurate coding across inpatient and outpatient #J-18808-Ljbffr

PB CoderThe PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies.Essential Duties and Responsibilities:Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management GuidelinesAnalyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement policies such as surgical...