28 coder ii certified jobs found

The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Maintain HIPAA compliance Additional duties as assigned KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or exceed...

CERIS is seeking a Certified Coder to work remotely, responsible for reverse coding of medical bills for accuracy and making claim-related recommendations. Key qualifications include AAPC certification, experience in orthopedic coding, and proficiency in Microsoft Office. This role requires strong communication skills and the ability to work independently as well as in a team. A comprehensive benefits package accompanies a pay range of $48,143 - $71,852. The company promotes diversity as an equal opportunity employer. #J-18808-Ljbffr

Job Description The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. Job is remote. Essential Functions & Responsibilities Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to referring office Reads and comprehends all medical reports Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessaryMaintains HIPAA compliance Additional duties as assigned Knowledge & Skills Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or exceed performance...

Job Description Job Description Specialty Senior Medical Coder – General Surgery Location: Irving, TX COMPENSATION & SCHEDULE • $35.75/hr (Non-CGSC Certified) | $42.00/hr (CGSC Certified – General Surgery) • Monday–Friday | 8:00 AM–5:00 PM • W2 | Temp to Perm • Start Date: 03/16/2026 ROLE IMPACT: The Specialty Coder Senior – General Surgery ensures accurate, compliant coding for high-dollar inpatient and outpatient professional services. This role drives revenue integrity by reducing denials, supporting clean claims, and maintaining a minimum 95% coding accuracy rate. Success is defined by precise code assignment, strong documentation review, and consistent productivity in a remote environment. Key Responsibilities • Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes in accordance with Official Coding Guidelines and AMA CPT standards • Code inpatient and outpatient Evaluation & Management (E/M) and surgical/operative procedures, generating accurate...

Location: Medical Center - Fort Worth Department: HIM-Coding Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for...

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...

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. Advanced...

Coding Specialist II Fully remote position! Applicant must have the necessary equipment for the contract; 2 monitors, keyboard, mouse, web camera. If not, Agency must supply ahead of start date. The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS), specialty clinics and/or inpatient OB/newborn encounters. This role is also responsible for charge review on clinic and hospital visits to ensure accurate professional charging and billing. This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes. Demonstrates the ability to provide direction to coding staff as it relates to coding integrity, established coding guidelines and Parkland's policies to ensure accuracy of recorded patient medical information and...

HIM Coder Analyst II-REMOTE within State of TX page is loaded## HIM Coder Analyst II-REMOTE within State of TXlocations: Fort Worth, TXtime type: Full timeposted on: Posted Todayjob requisition id: JR-110206**Location:**Medical Center - Fort Worth**Department:**HIM-Coding**Shift:**First Shift (United States of America)**Standard Weekly Hours:**40**Summary:**The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex...

A healthcare provider for children in Texas is seeking an HIM Coder Analyst II to accurately code medical records, ensuring compliance with ICD-10-CM and CPT guidelines. This role requires attention to detail and collaboration with healthcare professionals to improve documentation. The ideal candidate will have at least one year of coding experience and certification in health information. Join a team committed to advancing pediatric care and supporting children’s health needs. #J-18808-Ljbffr

Job Title Coder II About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary...

St Luke's Health is looking for a Value Based Coder II in Houston, Texas. This role involves reviewing patient medical records to enhance coding opportunities with a strong emphasis on Hierarchical Condition Categories (HCC). The ideal candidate will have 2+ years in outpatient coding and a deep understanding of risk adjustment principles. Responsibilities include providing education to network providers and ensuring compliance with coding guidelines. #J-18808-Ljbffr

Job Description REMOTE position WebEx video interview will be conducted prior to an offer MUST be able to work 40 hrs/week without issue Applicant must have the necessary equipment for the contract; 2 monitors, keyboard, mouse, web camera. If not, Agency must supply ahead of start date. Knowledge and Expertise: Must demonstrate a solid understanding of Coding Guidelines and CPT Guidelines for E/M (Evaluation and Management). Must be able to answer questions to gauge their coding knowledge. Clinic Coding Experience: Must have experience in clinic coding, including: Office-type procedures Vaccinations E/M leveling Modifiers: Familiarity with modifiers used in the clinic setting is essential. Risk Adjustment Experience: While Risk Adjustment experience is acceptable, the candidate must also possess clinic coding experience as well. Experience in Specialty Areas: The candidate must have experience in at...

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...

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....

Job Title Submission Requirements AAPC certificate required; MUST be CPC, CPC-H and/or COC - REQUIRED Must have graduated from an approved coding program or health information management program - REQUIRED Proficiency in AT LEAST 3 of the following: Specialty Clinics (Med Spec Inject, Anticoag Management, Nutrition/Oncology Nutrition, Newborn/Lactation, OP Orthotic Prosth, Urology, Apheresis, Cardiac Rehab, General Surgery, Int Pain Healing, Non Inv Cardiology, Outpatient General Surgery, Proctology, Plastic Surgery, Endocrine, Benign Gyn, Infectious Disease, Neurosurgery, Oral & Facial Surgery, Ortho Total Joint, RAD CT, RAD MRI, RAD MRI, Trauma, Amputation Clinic, Burn Clinic, Dermatology, Endocrine Surgery, ENT Clinic, GI and Liver Disease, Gyn Dysplasia, Internal Medicine, Mineral Metabolism, Ortho Foot & Ankle, Pain, Burn Outpatient, Hand Surgery, Cardiology, Comprehensive Wound, Neurology, Pulmonology Clinic, Rheumatology, Eye Clinic, Access Clinic) -...

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. Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

Texas Health Resources is seeking a qualified Coder II (Denials) for a remote position. The ideal candidate has a high school diploma or equivalent, along with 2 years of professional coding experience and relevant certifications such as CPC or CCS-P. Responsibilities include coding medical records, ensuring compliance, charge reconciliation, and participating in special projects. Benefits include 401k, PTO, medical and dental coverage, along with tuition reimbursement and other perks. #J-18808-Ljbffr

Description JOB SUMMARY The Physician Coder I performs evaluation/management coding for clinic, inpatient, and outpatient encounters as well as coding for in-office ancillary services and minor procedures. Assigns and sequences all codes for services rendered. Collaborates with coders, billers, clinical staff, managers, and healthcare professionals to ensure accurate coding assignment and to resolve any coding-related claim denials. JOB DUTIES AND RESPONSIBILITIES: Job Specific: Physician Coder I Duties: Assigns codes to diagnoses, hospital visits, office visits, and in-office ancillary services and minor procedures using correct CPT®, HCPCS Level II, and ICD-10-CM codes. (EF) Ensures that assigned codes are accurate and sequenced correctly in accordance with coding guidelines, as well as insurance and government regulations. (EF) Examines patient medical record to ensure coding accurately reflects the documented medical care provided. (EF) Demonstrates...

DHR Health - US:TX:McAllen - Days Summary: POSITION SUMMARY: The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of Ethical Coding as set...

Job Summary The Certified Medical Coder accurately codes, sequences and abstracts outpatient medical records according to ICD-10-CM and CPT coding guidelines to achieve accurate and timely reimbursement and populate statistical databases. Queries physicians for clarification on documentation. Performs duties within approved practices, exercising independent judgment within pre-determined guidelines. Minimum Job Requirements Work Experience One year of outpatient coding experience required; may consider internship experience. License/Registration/Certification Certified Professional Coder (CPC); Certified Coding Specialist- Physician based (CCS-P); or Certified Billing & Coding Certification (CBCS) required. Education and Training High school diploma or equivalent required. Associate of Applied Sciences in Medical Billing and Coding degree preferred. Skills Knowledge of Health Information Systems practices, procedures, and guidelines....

Job Description: The Certified Coder/Abstractor accurately codes, sequences and abstracts outpatient medical records according to ICD-10-CM and CPT coding guidelines to achieve accurate and timely reimbursement and populate statistical databases. Queries physicians for clarification on documentation. Performs duties within approved practices, exercising independent judgment within pre-determined guidelines. Required Skills: Knowledge of Health Information Systems practices, procedures, and guidelines. Ability to analyze and solve problems. Ability to seek out new methods and processes to improve services. Ability to utilize verbal and written communication skills effectively. Knowledge of the CPT® coding system and familiarity with the ICD-10-CM and HCPCS Level II coding systems Required Experience: Work Experience: One year of outpatient coding experience required; may consider internships experience. License/Registration/Certification:...

Medical Coding Specialist Dallas, TX 8hr shift M-F Looking for someone with outpatient or inpatient hospital coding compliance or coding auditing experience. CPC or CCS certification. Assign, sequence, validate, and edit codes for multi-specialty professional outpatient/inpatient encounters for both adults and pediatrics. Assign appropriate E/M, ICD-10-CM and/or CPT codes based on documentation and/or payer requirements. HEDIS measures CAT II code reporting for HTN, diabetes, obesity, and cervical cancer. Review NCCI and nosology edits for accurate code capture. Review LCD's and/or payor policies to appropriately resolve coding edits. Evaluate medical record for provider signature and validate provider facility credentials. Resolve and/or clarify clinical data as necessary. Review and run data reports to monitor individual productivity. Utilize current coding guidelines, Coding Clinic, CPT Assist for coding accuracy guidance.

Astrana Health Management in Houston, Texas seeks a Risk Adjustment Coding Specialist II to support risk adjustment efforts through high-volume coding reviews. The role requires 3-5 years of coding experience, strong communication skills, and AAPC or AHIMA certification. This is a full-time position with a hybrid structure, requiring monthly travel to Beaumont. Compensation is between $70,000 and $85,000 per year, based on location and experience. #J-18808-Ljbffr