42 coder lead jobs found

A healthcare data platform company is seeking experienced inpatient coders to assign diagnostic codes and ensure accurate coding practices in a fully remote role. The candidate should possess a minimum of 3 years of experience in inpatient coding, ideally in a trauma center. Strong attention to detail and knowledge in medical terminology are necessary. The position offers benefits like a 401k savings plan and equipment provision for remote work. #J-18808-Ljbffr

A healthcare organization in Orlando is seeking an experienced Inpatient Coder responsible for analyzing clinical documentation and applying ICD-10 coding conventions. The ideal candidate will have at least five years of inpatient coding experience and relevant certifications. This full-time role offers opportunities for career development in a dynamic environment focused on uplifting the community. #J-18808-Ljbffr

A leading healthcare provider in Orlando is seeking a Senior Inpatient Coder. In this role, you will review and analyze clinical documentation to apply appropriate ICD-10 coding, ensuring accuracy for reimbursement. The ideal candidate will have at least 5 years of experience and relevant certifications such as RHIA or CCS. Join us to make a difference in patient care while enjoying comprehensive benefits from day one. #J-18808-Ljbffr

Job Description About the Role: Join our innovative healthcare information management team as a Lead Inpatient Medical Coder. This pivotal position is essential in connecting clinical data with technology, driving the development of advanced AI solutions for medical coding and billing. You will leverage your expertise to significantly influence our product development initiatives. Requirements and Qualifications: At least 3 years of extensive experience in inpatient medical coding within a hospital setting. Expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and their modifiers from patient records. Comprehensive knowledge of the evidence requirements for precise coding. Hands-on experience with grouper software for MS-DRG and APR-DRG assignment. Excellent communication skills for effective collaboration with the billing department on coding-related matters. Up-to-date with the latest ICD-10-CM,...

Job Description Job Description General Responsibilities: Reporting to the Director of Revenue Cycle, the Medical Coder translates clinical documentation into standardized codes for billing, reporting, and quality initiatives. This role supports coding audits, revenue cycle workflows, and regulatory compliance. Key responsibilities include verifying clinical information with medical staff, resolving documentation gaps, and collaborating with billing staff to ensure accurate claims submission. The medical coder ensures appropriate codes are assigned to all procedures and diagnoses. Essential Functions: Assigns and sequences of ICD-10-CM, CPT & HCPCS codes accurately in compliance with government and insurance regulations. Ensures codes reflect patient diagnoses and procedures as documented by clinicians, meeting payer, OSHA, and HIPAA requirements. Reviews and abstracts clinical documentation from outpatient encounters to assign accurate ICD-10-CM, CPT/HCPCS codes,...

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It’s no wonder 98% of patients report being fully satisfied with Upward Health! Job Title & Role Description: The Certified Medical Coder is responsible for analyzing provider documentation to accurately select ICD-10 and CPT/HCPCS codes, ensuring compliance with coding...

Join to apply for the Supervisor - Advanced Practice Provider, Orlando Health Medical Group Urology role at Orlando Health . Department: OHMG Urology Status: Full Time Title: Supervisor - Advanced Practice Provider (APP, NP, PA, ARNP, PAC) Position Summary The Supervisor, Advanced Practice Professionals diagnoses and treats acute, episodic, or chronic illnesses, and may focus on health promotion and disease prevention. The incumbent will also supervise a range of human resources functions related to assigned Advanced Practice Professionals (APPs). Responsibilities Serves as an advanced resource for the specialty area or as the lead worker in a clinic setting. Performs complex diagnostic and therapeutic procedures and prescribes necessary treatment and services for quality patient care. Operates with the highest degree of independence in patient care services with minimal physician supervision and generally in a highly specialized area. Uses advanced skills and in-depth...

divh2Scheduled Hours/h2p40/ph3Position Summary/h3pPosition reviews medical record documentation to determine appropriate billing codes and necessary documentation./ph3Job Description/h3pstrongPrimary Duties Responsibilities:/strong/pulliReviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment./liliCodes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code./liliMeets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up./liliActs as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required./liliAssists with efforts to increase physician awareness of documentation requirements./liliPrepares case reports and initiates follow-up for billing process./li/ulpstrongWorking...

About the Job Position Highlights: Compliance Auditors conduct Compliance Department audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including detection and correction of documentation, coding, and billing errors. The Compliance Auditor evaluates the adequacy and effectiveness of controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional or hospital documentation, coding and billing, and federal and state regulations and guidelines. The Compliance Auditor communicates audit results to physicians, physician leadership, senior management, management, and staff and provides physician and coder education. The Compliance Auditor will act as a liaison with assigned faculty members, developing relationships and functioning as a resource to all providers and their staffs and will serve as an...

WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics - Centrum Health and Premier Medical - as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. The Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient's medical records after a visit and translating...

Clinical Coder II Job no: 538399 Work type: Staff Full-Time Location: Main Campus (Gainesville, FL) Categories: Health Care Administration/Support Department: 57720000 - INSTITUTE-CHILD HEALTH POLICY Classification Title: Clinical Coder II Classification Minimum Requirements: High school diploma or equivalent and minimum of three years of professional medical coding experience required. Relevant college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Certification as a Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC) or one of the following credentials, is required: Certified Coding Specialist (CCS-P)/Certified Coding Assistant (CCA)/Registered Health Information Administrator (RHIA), or an equivalent certification. Job Description: The Institute for Child Health Policy (ICHP) at the University of Florida supports contracts with Texas and Florida...

Overview Apply now Job no: 538399. Work type: Staff Full-Time. Location: Main Campus (Gainesville, FL). Categories: Health Care Administration/Support. Department: 57720000 - INSTITUTE-CHILD HEALTH POLICY. Classification Title: Clinical Coder II Responsibilities Request, process, review, and validate medical records to ensure compliance with national quality measures and the accuracy of claims data. Apply technical expertise to abstract information and accurately enter it into specialized databases. Maintain and update quality improvement (QI) databases, generate reports, and assist with the interpretation of results. Ensure accurate data entry across QI medical record review (MRR) deliverables and provide technical and clerical support to MRR lead and QI staff. Accurately document data from QI deliverables, noting areas of concern. Prepare meeting materials, record minutes for meetings, reviews, and audits. Support literature reviews and contribute to QI team...

Position Summary Department: OHMG Urology Status: Full Time Title: Supervisor - Advanced Practice Provider, APP, Nurse Practitioner, Physician Assistant, ARNP, NP, PA, PAC Orlando Health Medical Group is a comprehensive physician group serving patients from across the southeastern United States. With more than 200 practices and 1,200 physicians, Orlando Health Medical Group has a strong representation in over 55 specialties, including cardiology, vascular medicine, orthopedics, oncology, digestive health, neurology, neurosurgery, bariatric surgery, general surgery, bone marrow transplant and critical care medicine, as well as more than 30 pediatric subspecialties, women's health, primary care and the largest hospitalist program in Florida. Orlando Health Medical Group is part of the Orlando Health system of care, which includes award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that span Florida's...

At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America's Best Large Employers and America's Best Employers for Women, Computerworld magazine's list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time's Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet® designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer...

Position Highlights: Compliance Auditors conduct Compliance Department audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including detection and correction of documentation, coding, and billing errors. The Compliance Auditor evaluates the adequacy and effectiveness of controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional or hospital documentation, coding and billing, and federal and state regulations and guidelines. The Compliance Auditor communicates audit results to physicians, physician leadership, senior management, management, and staff and provides physician and coder education. The Compliance Auditor will act as a liaison with assigned faculty members, developing relationships and functioning as a resource to all providers and their staffs and will serve as an institutional subject matter...

A leading health organization located in Gainesville, Florida is seeking a dedicated Coding Supervisor responsible for recruiting, supervising, training, and evaluating coders. The position involves managing workflow processes for the timely and compliant coding of hospital medical records. Qualified candidates will have extensive experience in medical record coding, strong leadership and communication skills, and proficiency with Microsoft tools. This role requires flexibility with weekends and nights to support workflow needs. #J-18808-Ljbffr

Supervisor, Medical Collections (H) Join to apply for the Supervisor, Medical Collections (H) role at University of Miami. The University of Miami/UHealth Central Business Office has an exciting opportunity for a full‑time Supervisor, Medical Collections (H) to work in Miami, FL. The Supervisor oversees staff responsible for third‑party medical collections to ensure that outstanding accounts are resolved efficiently and accurately. The incumbent also acts as the department expert on collection rules and regulations and mentors collections staff. Core Job Summary The Supervisor, Medical Collections (H) oversees staff responsible for third‑party medical collections to ensure that outstanding accounts are resolved efficiently and accurately. The incumbent acts as the department expert on collection rules and regulations and mentors collections staff. Core Job Functions Supervises and trains collection staff and prepares performance reports. Ensures timely payment of invoices and...

Overview Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families...

Billing Specialist The medical billing specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations. In addition, the medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims to Insurances nationwide. Accountabilities Responsible for charge and payment entry within Electronic Health Record. Coordinates and...

Job Description Job Description Hybrid-Sunrise, Florida Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Coding Team Member We know it's not just about finding a job. It's about finding a place where you are respected, valued, and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and provides opportunity for career advancement. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 14 states, CHS is committed to helping people get well and live healthier. CHS operates 70 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Job Summary As a member of the 100% US Based HIM Central Services coding team, the Coder IP provides inpatient coding assistance for a set of HIM Central Services-supported CHS...