19 coder iii jobs found

Remote position for inpatient facility coding. This is a remote position in which we are able to employ in the following states: Alabama, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin JOB SUMMARY/PURPOSE Applies the appropriate diagnostic and procedural codes and determines the MS-DRG assignment for inpatient records across multiple specialties (i.e. cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.), or applies the appropriate diagnostic and procedure codes for ambulatory surgery records across multiple specialties (i.e. cardiology, cardiothoracic surgery, interventional radiology, trauma, orthopedics, general...

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Medical Coding Auditor is responsible for researching and resolving grievances and appeals within the commercial line of business, applying advanced adjudication expertise, clinical...

Are you ready to make a difference in the healthcare industry? Join PacificSource and play a vital role in helping our members access quality, affordable care! As an equal opportunity employer, PacificSource is committed to diversity and inclusivity in our hiring practices. All qualified candidates will be considered without regard to any protected status. The Medical Coding Auditor Specialist will engage with complex claims by utilizing advanced adjudication skills, and providing clinical interpretation to resolve grievances and appeals. You'll work collaboratively to refine our claims research policies with an emphasis on process improvement. Your expertise will be crucial in identifying potential fraud and managing erroneous payment recoveries. Key Responsibilities: Engage in the provider and member appeals process, addressing intricate claim issues with advanced adjudication expertise. Offer guidance on claims requiring in-depth research, conducting clinical...

Medical Coder II Outpatient (OR/WA residency required) Join to apply for the Medical Coder II Outpatient (OR/WA residency required) role at Kaiser Permanente Northwest Job Summary In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, and ambulatory medical records to identify elements to be abstracted, as well as diagnostic and procedure codes, and beginning to review inpatient records. Essential Responsibilities Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business...

This position can be remote. Please review the approved remote states below. Remote Work Approved States Arizona Florida Georgia Idaho Iowa South Dakota Texas South Carolina Wisconsin North Carolina *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Position Summary The Coder II will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM) and the American Medical Associations Current Procedural Terminology Manual (CPT). The Coder II will also provide technical guidance and training on medical coding to physicians and staff as required. Minimum Qualifications Required High School Diploma or Equivalent One of the following professional coding certifications: Certified Professional Coder (CPC), or Certified Coding Specialist (CCS), or Certified Coding Specialist...

Job Summary: In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, and ambulatory medical records to identify elements to be abstracted, as well as diagnostic and procedure codes, and beginning to review inpatient records. Essential Responsibilities: Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and...

Title - Medical Coder II, Certified Shift - (Remote working after on-site training (2-4 weeks). Must be located in the Portland, OR Metro Area. Flexible hours -- any 8 hours between 6:00 AM and 6:00 PM) Location - Clackamas, OR, US Jo Type - Permanent Required: Minimum One (1) year of professional coding experience. Current Credentials for Professional Coding. Ability to work in an autonomous environment. Job description: This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Job description This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Essential Responsibilities: Perform documentation and coding reviews within work queues across various...

A healthcare services provider is seeking an experienced Inpatient Coder II to join a remote team focused on complex inpatient cases. This role involves coding diverse specialties while maintaining high accuracy, collaborating with specialists, and submitting electronic queries. Applicants should have a minimum of three years of inpatient coding experience, relevant certifications, and the ability to thrive in a fast-paced remote environment. The position offers competitive pay of $35.00 - $42.00/hr and comprehensive benefits. #J-18808-Ljbffr

A leading business solutions company is seeking a Professional Medical Coder II to ensure accurate coding and claim submission while adhering to applicable guidelines. Candidates must have at least 2 years of experience in a healthcare setting and 1 year of professional coding experience. This remote position requires knowledge of Microsoft Word, Excel, and medical terminology. Strong communication and time management skills are essential. Remote work is available after an onsite training period of 2-4 weeks. #J-18808-Ljbffr

CCG Talent Management is not only a business solutions company but a company that believes success starts with the individual. CCG Business Solutions has been consulting and providingtalent placement servicessince 2007. Our team understands the principles of connecting purpose to business. We are currently recruiting for a Professional Medical Coder II Job Description Remote Role - Must be located in the Portland, OR Metro Area. The Professional Medical Coder II will focus on review of documentation and coding. The Professional Medical Coder IIwill ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Responsibilities: Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding. Maintain current knowledge to ensure that coding and documentation meets regulatory guidelines and audit standards. Escalate...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification...

A leading healthcare organization in Portland seeks a medical coding specialist to review and code outpatient services and ensure compliance with established standards. Candidates should have at least two years of coding experience, preferably in a healthcare setting, and hold relevant certifications. This full-time position offers the opportunity to contribute to patient care through accurate coding and documentation. #J-18808-Ljbffr

A prominent healthcare institution in Portland is seeking a Coding Specialist to support their Enterprise Coding Department. Responsibilities include reviewing clinical documentation, assigning proper coding for various services, and ensuring billing accuracy. Applicants should possess at least two years of relevant experience, certification from AAPC or AHIMA, and excellent communication skills. This role offers telecommuting options and a comprehensive benefits package including healthcare coverage, pension plans, and tuition reimbursement. #J-18808-Ljbffr

Inpatient Coder II (Remote) We're seeking an experienced Inpatient Coder II to join our remote team supporting a high-acuity, Level I Trauma academic environment. In this role, you'll accurately assign ICD-10-CM, ICD-10-PCS, and MS-DRG codes across a wide range of complex inpatient cases, collaborate with CDI specialists, and submit electronic queries when clarification is needed. Responsibilities: Code diverse inpatient specialties, including trauma and critical care Maintain 95% accuracy and meet productivity standards Assign POA indicators and support accurate DRG assignment Assist with mortality, rehab, and special case types Support denial rebuttals and participate in projects Requirements: -A minimum of three (3) years of experience as an inpatient coder at an academic facility. Required Education: -Coding Certificate Program Completion or Associate Degree in HIM or equivalent. Preferred Education: -Bachelor's degree in HIM or...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: Join our dynamic team as a Coding Auditor Instructor, where you will play a critical role in ensuring the accuracy and compliance of coding, billing, and medical documentation. You will conduct comprehensive audits on medical records relating to DRGs, APCs, CPTs, and HCPCS Level II codes. Your expertise will help us optimize reimbursement strategies and improve data quality while adhering to regulatory requirements. ESSENTIAL RESPONSIBILITIES: Lead audits and assess the documentation, coding, and billing practices across various AHN entities. Develop and implement training programs tailored to address deficiencies discovered during audits, ensuring compliance with regulatory standards. Work closely with management on external audit findings and participate in strategic discussions to resolve issues. (20%) Create detailed audit reports to highlight coding, documentation, and financial...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Inpatient Coder II (Remote) We're seeking an experienced Inpatient Coder II to join our remote team supporting a high-acuity, Level I Trauma academic environment. In this role, you'll accurately assign ICD-10-CM, ICD-10-PCS, and MS-DRG codes across a wide range of complex inpatient cases, collaborate with CDI specialists, and submit electronic queries when clarification is needed. Responsibilities: Code diverse inpatient specialties, including trauma and critical care Maintain 95% accuracy and meet productivity standards Assign POA indicators and support accurate DRG assignment Assist with mortality, rehab, and special case types Support denial rebuttals and participate in projects Requirements: -A minimum of three (3) years of experience as an inpatient coder at an academic facility. Required Education: -Coding Certificate Program Completion or Associate Degree in HIM or equivalent. Preferred Education: -Bachelor's degree in HIM or...

OB/GYN Professional Fee Coder (Coding Specialist 2) US--Remote Requisition ID: 2025-36725 Position Category: Hospital/Clinic Support Job Type: AFSCME union represented Position Type: Regular Full-Time Posting Department: Enterprise Coding Posting Salary Range: $33.07 - $44.69 per hour, with offer based on experience, education and internal equity Posting FTE: 1.00 Posting Schedule: Monday - Friday Posting Hours: 5:00am - 10:00pm (with some flexibility available) HR Mission: Central Services Drug Testable: No Department Overview Join OHSU's Enterprise Coding Department and help drive excellence in women's health documentation, OB/GYN coding integrity, and high quality patient care. We're looking for a detail driven, credentialed coding professional with significant experience in obstetrics and gynecology professional fee coding who thrives in a collaborative, mission focused environment. If you're passionate about specialty coding accuracy, continuous...

Inpatient Coder II (Remote) We’re seeking an experienced Inpatient Coder II to join our remote team supporting a high‑acuity, Level I Trauma academic environment. In this role, you’ll accurately assign ICD‑10‑CM, ICD‑10‑PCS, and MS‑DRG codes across a wide range of complex inpatient cases, collaborate with CDI specialists, and submit electronic queries when clarification is needed. Application Deadline: March 6, 2026. Responsibilities Code diverse inpatient specialties, including trauma and critical care Maintain 95% accuracy and meet productivity standards Assign POA indicators and support accurate DRG assignment Assist with mortality, rehab, and special case types Support denial rebuttals and participate in projects Requirements A minimum of three (3) years of experience as an inpatient coder at an academic facility. Required Education: Coding Certificate Program Completion or Associate Degree in HIM or equivalent. Preferred Education: Bachelor’s degree in HIM or...