93 coder ii jobs found

Mosaic Life Care is seeking an Inpatient Coder II to assign ICD-10-CM/PCS codes for acute care inpatient services, including LTACH. The role requires coding education and RHIA/RHIT/CCS credentials and involves querying providers to improve documentation accuracy. Responsibilities include MS-DRG/APR-DRG assignment, collaboration with clinical documentation integrity and other departments, and mentoring junior coders while maintaining coding quality and productivity goals. #J-18808-Ljbffr

Job Summary and Responsibilities The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding....

Community Health Choice, Inc. seeks a Risk Adjustment Coder II in Houston, Texas. The role involves advanced medical record reviews and coding of chronic conditions to ensure correct risk scoring, complying with CMS guidelines and internal policies. The ideal candidate has a Bachelor's degree or equivalent experience, and AHIMA/AAPC certification, along with 3-5 years of experience in risk adjustment coding. Join a team dedicated to improving healthcare quality for over 400,000 members. #J-18808-Ljbffr

Company Overview Community Health Choice, Inc. (Community) is a non‑profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 members with the following programs: Medicaid State of Texas Access Reform (STAR) program for low‑income children and pregnant women Children's Health Insurance Program (CHIP) for the children of low‑income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre‑existing conditions. Community Health Choice (HMO D‑SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits,...

2,5 K Sign On/CODER II FT DAYS Full-time Job Description Sign on bonus available for coder with at least one year current/recent acute care (inpatient) experience. The ideal candidate will collect, analyze, assign and sequence all codes for: diseases, operations, newborns, and complications for each patient discharge, outpatient surgery or outpatient observation according to the latest coding systems. Qualifications: Must have completed college level medical terminology, anatomy, and physiology and survey of disease.-Minimum of one year experience in coding and abstracting required. Inpatient coding experience required. Houston, TX Exp 1-2 yrs Deg Bach Relo Bonus Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

OakBend Medical Center in Richmond, TX seeks an experienced Health Information Management coder II (RHIA/RHIT/CCS) to perform advanced coding and quality review. The role focuses on accurate diagnoses and procedure coding for inpatient and outpatient records. Ideal candidates hold RHIA, RHIT, or CCS credentials and have at least 2 years of hospital coding experience. This is an on-site position within a community hospital committed to excellent patient care. #J-18808-Ljbffr

The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed and LTACH services. This position queries providers regarding documentation, resolves intermediate coding edits, completes analysis and evaluation of documentation. Assignment is based on documentation in the medical record and utilization of coding guidelines, knowledge of clinical disease processes, and treatments. Provides education to coders. Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS...

Professional Fee Coder II Division: Ambulatory Operations Work Arrangement: Hybrid Location: Houston, TX Salary Range: $57,320 to $67,435 FLSA Status: Nonexempt Work Schedule: Monday Friday, 8 a.m. 5 p.m. Summary The Patient Business Services (PBS) Coding department is looking for an experienced mid-level coder to review and abstract CPT, ICD-10 and HCPCS coding for physician services. Our coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges. The PBS Coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine as well as outpatient facility charges at McNair Cancer Center. We focus on providing accurate and compliant...

Value Based Coder II Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate...

2,5 K Sign On/CODER II FT DAYS Full-time Job Description Sign on bonus available for coder with at least one year current/recent acute care (inpatient) experience. The ideal candidate will collect, analyze, assign and sequence all codes for: diseases, operations, newborns, and complications for each patient discharge, outpatient surgery or outpatient observation according to the latest coding systems. Qualifications: Must have completed college level medical terminology, anatomy, and physiology and survey of disease.-Minimum of one year experience in coding and abstracting required. Inpatient coding experience required. Houston, TX Exp 1-2 yrs Deg Bach Relo Bonus Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

Mosaic Life Care in Austin, TX is seeking an Inpatient Coder II to assign ICD-10-CM/PCS codes for acute care services including LTACH. You will query clinicians for documentation and ensure alignment with coding guidelines. The role includes MS-DRG/APR-DRG assignment, coder education, and collaboration with CDI and revenue teams. Strong knowledge of medical terminology and anatomy is required. Requires HIM coding education and 3 years inpatient experience; CCS/RHIA/RHIT certifications are #J-18808-Ljbffr

Mosaic Life Care seeks an Inpatient Coder II to assign ICD-10-CM and ICD-10-PCS codes for acute inpatient, rehab, swing bed and LTACH services. You will query providers, analyze documentation, and educate coders while adhering to guidelines. Responsibilities include DRG assignment, auditing coding edits, mentoring, and collaborating with clinical and revenue teams to ensure accurate documentation and coding for compliance and reimbursement. #J-18808-Ljbffr

2,5 K Sign On/CODER II FT DAYSFull-timeJob DescriptionSign on bonus available for coder with at least one year current/recent acute care (inpatient) experience.The ideal candidate will collect, analyze, assign and sequence all codes for: diseases, operations, newborns, and complications for each patient discharge, outpatient surgery or outpatient observation according to the latest coding systems.Qualifications:Must have completed college level medical terminology, anatomy, and physiology and survey of disease.-Minimum of one year experience in coding and abstracting required. Inpatient coding experience required.Houston, TXExp 1-2 yrsDeg BachReloBonusAdditional InformationAll your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

CommonSpirit Health invites a Value Based Coder II to join the Quality Management/Risk team in Houston, focusing on HCC coding and documentation improvement. The role involves reviewing records, educating providers, and monitoring CMS guidelines to enhance risk adjustment accuracy. Ideal candidates will have extensive CPT/ICD-10 knowledge, healthcare record systems experience, and a proven ability to deliver practical, hands-on education to clinical staff and providers in a high-volume hospital #J-18808-Ljbffr

Mosaic Life Care in Missouri seeks an Inpatient Coder II to assign ICD-10-CM/PCS codes for acute inpatient services, including LTACH and swing bed. You will query clinicians for documentation and ensure accuracy for MS-DRG/APR-DRG, while mentoring coders and supporting compliance. The role emphasizes quality and education in a collaborative care setting. You will work with CDI partners and revenue teams to improve documentation and analytics, with a focus on patient care and regulatory #J-18808-Ljbffr

Mosaic Life Care is seeking an Inpatient Coder II to assign ICD-10-CM/PCS codes for acute inpatient, rehabilitation, swing bed and LTACH services. You will query providers to improve documentation and assign MS-DRG/APR-DRG in alignment with guidelines, while mentoring other coders. Ideal candidates have 3+ years in HIM inpatient coding, CCS/RHIA/RHIT eligibility, and at least an Associate’s degree in HIM. This role offers remote options for many states and opportunities to contribute to #J-18808-Ljbffr

Responsibilities Under the general direction of the Director of the Health Information Management department the Coder II (RHIA) (RHIT) (CCS) is an advanced coding position that is responsible for providing a second level review of codes assigned to medical diagnoses and clinical procedures. The coder II will be assigning diagnostic and procedure codes based on abstracted information from the medical record utilizing ICD10-CM, ICD10 PCS and CPT. Qualifications MINIMUM EDUCATION: High School Degree or equivalent required; relevant experience in lieu of High School Diploma/GED education will be considered. Associates Degree preferred. MINIMUM WORK EXPERIENCE: 2 years of experience in a hospital setting coding both inpatient and outpatient. REQUIRED LICENSES/CERTIFICATIONS: Certification in RHIA, RHIT, or CCS. REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES: Ability to code utilizing ICD10-CM, ICD10 ICD10 PCS and CPT, experience with an encoder. Knowledge of...

Location: Belton, Texas, United States Company: Baylor Scott & White Health Posted: Location: Belton, Texas, United StatesCompany: Baylor Scott & White HealthPosted: Baylor Scott & White Health is seeking a skilled Coder II to join the Cath lab coding team. The role requires experience with ICD-10-CM/PCS, CPT, HCPCS, and accurate data abstraction.The ideal candidate will have CIRCC certification or strong credentials in professional and hospital coding, with a focus on high-quality documentation, accuracy, and collaboration with physicians and revenue cycle teams.#J-18808-Ljbffr

Risk Adjustment Coder IIThe Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a patient's risk score, by mapping diagnoses to Hierarchical Condition Categories (HCCs) while adhering to CMS guidelines and internal coding policies for the following programs: including, but not limited to, Commercial Risk Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). The Risk Adjustment Coder II will serve as a subject matter expert for risk adjustment and will assist in the development of team trainings, quality assurance audits, and collaborating with multiple departments across the organization.Job Specifications and Core Competencies:Provide advanced complex medical records reviews to identify and code all relevant diagnoses, including chronic conditions, utilizing ICD-10 coding guidelines for Commercial and Medicare risk...

Value Based Coder IIInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate...

About Us Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women Childrens Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions. Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits,...

Professional Fee Coder II Division: Ambulatory Operations Work Arrangement: Hybrid Location: Houston, TX Salary Range: $57,320 to $67,435 FLSA Status: Nonexempt Work Schedule: Monday - Friday, 8 a.m. - 5 p.m. Summary The Patient Business Services (PBS) Coding department is looking for an experienced mid-level coder to review and abstract CPT, ICD-10 and HCPCS coding for physician services. Our coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges. The PBS Coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine as well as outpatient facility charges at McNair Cancer Center. We focus on providing...

Location: Houston, Texas, United StatesCompany: Catholic Health InitiativesPosted: The Value Based Coder II is a professional within the Quality Management/Risk team at Catholic Health Initiatives in Houston, reviewing patient records to identify and pursue HCC coding opportunities with a focus on risk adjustment. The role emphasizes developing provider education and contributing to process improvements while ensuring compliance with HIPAA and coding guidelines.Key duties include independent record review, educating providers on documentation best practices, and collaborating#J-18808-Ljbffr

Professional Fee Coder IIDivision: Ambulatory OperationsWork Arrangement: HybridLocation: Houston, TXSalary Range: $57,320 to $67,435FLSA Status: NonexemptWork Schedule: Monday – Friday, 8 a.m. – 5 p.m.SummaryThe Patient Business Services (PBS) Coding department is looking for an experienced mid-level coder to review and abstract CPT, ICD-10 and HCPCS coding for physician services. Our coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges. The PBS Coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine as well as outpatient facility charges at McNair Cancer Center. We focus on providing accurate and compliant coding assistance by...