22 coder lead professional jobs found

Summary Under the direction of the DRG Supervisor or designee, the Medical Claims Coding Specialist conducts retrospective medical claims review for coding and pricing determinations, focusing on both outpatient and inpatient services. As a subject matter expert, this role provides coding‑related information to various departments and functions as the designated recipient for factual network provider claim review requests. Responsibilities Serve as the subject matter expert on ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding of medical claims. Lead coding projects as directed by Clinical Operations management. Provide training and mentoring for new and existing Clinical Coders. Perform DRG Validation of medical claims coding using current coding guidelines and support software. Conduct focused outpatient and/or inpatient claims reviews and summarize findings. Identify and report potential fraudulent or quality issues. Act as a resource for TriWest staff on coding queries....

• Reviews and abstracts clinical documentation from complex inpatient orthopedic and spine surgery records to assign accurate ICD-10-CM, ICD-10-PCS, DRG, POA, and discharge disposition codes. • Independently codes high-acuity inpatient orthopedic spine surgery cases including cervical, thoracic, and lumbar procedures, revisions, fusions, instrumentation, and neurological-related musculoskeletal procedures. • Provides real-time feedback and training for coding staff to improve coding quality and productivity. • Applies and validates accurate MS-DRG assignments while ensuring compliance with CMS, UHDDS, Official Coding Guidelines, and payer-specific requirements. • Identifies coding trends, documentation gaps, and reimbursement risks and communicates findings to leadership. • Maintains productivity and quality standards while managing high-volume and high-complexity inpatient workloads. • Serves as a coding resource and mentor to less experienced coders and assists with...

Cook Systems in Phoenix, AZ is seeking a Medical Claims Coding Specialist to perform retrospective review of inpatient and outpatient claims, ensuring accurate coding and pricing determinations under the supervision of the DRG team. You will lead coding projects, train staff, and provide coding support across departments, with emphasis on ICD-10-CM/PCS, CPT, HCPCS guidance and DoD/TRICARE processes; strong communication and MS Office skills are essential. #J-18808-Ljbffr

Inpatient Surgical Coder "Complex Spine Coding Highly Desired" Job Category: Clinic Support Supervisor: Shayna Johnson Requisition Number: INPAT012321 Posted: June 17, 2026 Full-Time Corporate Office Phoenix, AZ 85023, USA +1 more locations Job Details Essential Functions Reviews and abstracts clinical documentation from complex inpatient orthopedic and spine surgery records to assign accurate ICD-10-CM, ICD-10-PCS, DRG, POA, and discharge disposition codes. Independently codes high-acuity inpatient orthopedic spine surgery cases including cervical, thoracic, and lumbar procedures, revisions, fusions, instrumentation, and neurological-related musculoskeletal procedures. Provides real-time feedback and training for coding staff to improve coding quality and productivity. Applies and validates accurate MS-DRG assignments while ensuring compliance with CMS, UHDDS, Official Coding Guidelines, and payer-specific requirements. Identifies coding trends, documentation...

Inpatient Surgical Coder "Complex spine coding highly desired" Job Category: Clinic Support Requisition Number: INPAT012321 Full‑Time Locations Showing 1 location Responsibilities Reviews and abstracts clinical documentation from complex inpatient orthopedic and spine surgery records to assign accurate ICD‑10‑CM, ICD‑10‑PCS, DRG, POA, and discharge disposition codes. Independently codes high‑acuity inpatient orthopedic spine surgery cases including cervical, thoracic, and lumbar procedures, revisions, fusions, instrumentation, and neurological‑related musculoskeletal procedures. Provides real‑time feedback and training for coding staff to improve coding quality and productivity. Applies and validates accurate MS‑DRG assignments while ensuring compliance with CMS, UHDDS, Official Coding Guidelines, and payer‑specific requirements. Identifies coding trends, documentation gaps, and reimbursement risks and communicates findings to leadership. Maintains productivity and...

This Jobot Job is hosted by: Ryan Weingardt Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $85,000 - $115,000 per year A bit about us: A century-old, privately held contract manufacturer specializing in medical device components and assemblies. Headquartered in Butler, Wisconsin, it operates additional facilities in Hudson, New Hampshire, and Largo, Florida. The company is renowned for its expertise in silicone molding, thermoplastics, and multi-material molding, serving some of the world's largest medical device companies. Their capabilities encompass design assistance, development, manufacturing, and finished device assembly, all conducted within ISO-certified cleanroom environments Why join us? The company offers a competitive compensation package, including health, dental, and vision insurance, life and disability benefits, a 401(k) plan, and quarterly profit-sharing bonuses. They emphasize employee development...

PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. Position Summary: The Lead Medical Coder serves as a certified professional coder and assists the Medical Coding Office Manager with oversight of daily coding operations. Performs the full range of coding, assigns ICD, CPT, HCPCS, and medical inpatient codes; abstracts data from the record; performs chart analysis, research coding issues; peer reviews; and serves as a medical documentation and coding technical expert to TONHC providers. Scope of Work: This position is located within Tohono O'odham Nation Health Care (TONHC). The work involves performing specialized medical record tasks and resolving problems using established processes, coding conventions, and guidelines. Performance of duties reflects directly on patient care by recording services performed on the patient. The...

Join to apply for the Professional Billing Coder II role at Onvida Health 2 days ago Be among the first 25 applicants Join to apply for the Professional Billing Coder II role at Onvida Health Get AI-powered advice on this job and more exclusive features. Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Hourly Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $22.62 Mid = $28.28 Max = $33.93 Summary The Professional Billing Coder II is an intermediate-level coding professional responsible for independently reviewing medical documentation and assigning accurate diagnostic and...

Medical Coder, Tucson, AZ We are currently looking for a Medical Coder. This position is 100% Onsite and NOT Remote. Medical Coder Responsibilities: Make sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Comply with medical coding guidelines and policies. Receive and review patients' charts and documents for verification and accuracy. Follow up and clarifying any information that is not clear to other staff members. Collect information made by the Physician from different sources to prepare monthly reports. Implement strategic procedures and choosing strategies and evaluation methods that provide correct results. Examine any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence. Medical Coder Qualifications: A strong understanding of physiology, medical terms and anatomy. Knowledge of federal, state,...

Medical Coder, Tucson, AZ We are currently looking for a Medical Coder. This position is 100% Onsite and NOT Remote. Medical Coder Responsibilities: - Make sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. - Comply with medical coding guidelines and policies. - Receive and review patients' charts and documents for verification and accuracy. - Follow up and clarifying any information that is not clear to other staff members. - Collect information made by the Physician from different sources to prepare monthly reports. - Implement strategic procedures and choosing strategies and evaluation methods that provide correct results. - Examine any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence. Medical Coder Qualifications: - A strong understanding of physiology, medical terms and anatomy. - Knowledge of federal,...

Tohono O'odham Nation Health Care is seeking a Lead Medical Coder to manage daily coding operations. This position requires expertise in coding guidelines and strong analytical skills. The ideal candidate will assist medical staff in ensuring accurate code assignments and documentation practices. The role involves verifying compliance with federal regulations and preparing data for billing processes. Candidates must have a high school diploma and substantial medical coding experience with the necessary certifications. #J-18808-Ljbffr

Compensation: $50,000 – $60,000 (based on experience) Employment Type: Full-time About Emparion Emparion is a growing financial services company building polished, enterprise-grade internal and client-facing applications for professionals with complex needs. We’re a small team with a big focus on security, scalability, and modern AI-driven workflows. We move fast, experiment often, and care deeply about building things the right way. About the Role We’re looking for a Vibecoder / Systems Builder to help us design, build, and iterate on internal and enterprise applications using AI-first tools like Lovable and modern large language tools. This is a hands-on role for someone who is: Comfortable working with AI, not just talking about it Creative, curious, and free-thinking Excited to help shape how an entire company uses technology What You’ll Do Build and iterate on internal and client-facing tools using AI-assisted development platforms (e.g., Lovable) Craft, test, and...

Medical Billing/Coding Specialist NEUROLOGICAL ASSOCIATES OF TUCSON PC - TUCSON, AZ 85718 Overview Position Type Full Time Description General Summary: A nonexempt position responsible for reviewing codes submitted by physicians/providers to assure accurate assignment of HCPCS, ICD 10 and CPT codes for inpatient/outpatient professional charges submitted via encounters, superbills and/or reports. Review encounters, superbills, reports and medical records to assign appropriate billing and diagnosis codes for provider services. Essential Job Responsibilities Keys charge information into entry program and produces billing. Reviews physicians' notes and charts for accuracy. Obtains any necessary clarification of information on the notes and charts. Ensures that all medical records have been signed by the appropriate parties. Assigns appropriate medical codes to all diagnoses or services. Identifies and optimizes revenue opportunities. Enters and organizes...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviews medical records to report conditions that map to HCCs by reviewing medical record documentation and applying the appropriate ICD-10 diagnosis codes. Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works on projects that may include making phone calls to providers. Works within broad guidelines with...

Certified Professional Coder Salary: $21.26-$29.23 Depending on experience Schedule: Monday-Friday Job Purpose The Certified Professional Coder coordinates and performs the implementation of concurrent coding and querying processes, as well as performing administrative and fiscal duties, tasks, and assignments in support of the Business Office Department and its varied operations. A Certified Professional Coder is responsible for the translation of healthcare providers' diagnostic and procedural phrases into coded form, as well as the review and interpretation of health record documentation to ensure accurate coding services are rendered and submitted. A Certified Professional Coder ensures that all technical aspects of the assignment of diagnostic and procedural coding are carried out in accordance with established standards and comply with CMS, NCQA, third-party payers, and other regulatory agencies. The incumbent will support and assist in the training and education of...

Inpatient Hospital Certified Medical Coder III - remoteAre you a detail-oriented Certified Medical Coder who takes pride in accuracy and contributing to quality patient care? We're looking for someone just like you to join our growing healthcare family at Valleywise Health.As a key member of our team, you'll play a vital role in ensuring that patient services are accurately coded and reimbursed, helping our clinical teams continue to deliver excellent care.You'll be surrounded by a supportive team, gain access to ongoing professional development, and have a direct impact on our hospital's mission to serve the community with compassion and integrity.If you're a certified medical coder who values accuracy, efficiency, and being part of a healthcare team that truly makes a difference - we want to hear from you!Why You'll Love Working With Us :Meaningful Impact :We value you! Accurate medical coding is more than just numbers - it's about ensuring the integrity of patient care,...

Responsibilities • Review provider medical coding of services rendered for medical claim submission • Review and respond to medical coding inquiries submitted by providers and staff • Work directly with providers to resolve specific medical coding issues • Analyze data for errors and report data problems • Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input • Work with clinical and non-clinical groups to identify undesirable coding trends • Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee • Abide by HIPAA and Coding Compliance standards • Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment • Accomplish other tasks as assigned Qualifications • 2+ years coding • 2+ years medical billing...

Responsibilities Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted by providers and staff Work directly with providers to resolve specific medical coding issues Analyze data for errors and report data problems Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input Work with clinical and non-clinical groups to identify undesirable coding trends Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalation of issues that may impact this immediately to the Compliance Committee Abide by HIPAA and Coding Compliance standards Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment Accomplish other tasks as assigned Qualifications 2+ years coding 2+ years medical billing experience (preferred but not required)...

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 you to...

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. We’re looking for experienced and credentialed outpatient 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 you to help shape the...

# Medical Billing/Coding SpecialistNEUROLOGICAL ASSOCIATES OF TUCSON PC - TUCSON, AZ 85718## OverviewPosition TypeFull Time## Description**General Summary:** A nonexempt position responsible for reviewing codes submitted by physicians/providers to assure accurate assignment of HCPCS, ICD 10 and CPT codes for inpatient/outpatient professional charges submitted via encounters, superbills and/or reports. Review encounters, superbills, reports and medical records to assign appropriate billing and diagnosis codes for provider services.**Essential Job Responsibilities**1. Keys charge information into entry program and produces billing.2. Reviews physicians’ notes and charts for accuracy.3. Obtains any necessary clarification of information on the notes and charts.4. Ensures that all medical records have been signed by the appropriate parties.5. Assigns appropriate medical codes to all diagnoses or services.6. Identifies and optimizes revenue opportunities.7. Enters and organizes codes...

Medical Biller Mountain View Surgery Center of Scottsdale is hiring a Full Time Medical Biller At Mountain View Surgery Center of Scottsdale, we believe health and care are inseparable. We focus on offering a high quality, service-oriented environment for your surgical procedure. Mountain View Surgery Center of Scottsdale is a multispecialty center doing pain, ortho, neuro spine and total joints. Job Summary: Experience billing in a surgical environment a plus After patient transactions have been properly coded, create billing batches. Review information from the patient's file on system chart. Verify insurance coverage. Bill per procedure and appropriate contract. Verify procedures and check modifiers. Write off per USPI policy and surgery center guidelines. Calculate correct fee and process billing transactions. Print bills. Post billings. Send bills. What We Offer As a valued member of USPI, your health and well-being are important to us. We are proud to provide you and your...