82 coder lll jobs found

Job Description Job Description Hi, we're Oscar. We're hiring a Senior Specialist, Coding Auditor to join our Payment Integrity. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will support issue resolution in the Oscar claim environment. You will be responsible for the end-to-end claims repayment quality, process improvement and supporting root cause analysis . You will report into the VP, Payment Integrity. Work Location: This is a remote position, open to candidates who reside in: Tempe, Arizona; Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; New York City, New York; Philadelphia, Pennsylvania; Salt Lake City, Utah. While your daily work will be completed from your...

Inpatient Coder Work From Home We are looking for a remote inpatient coder -- this position can work for home full time! Requirements: Successful completion of an accredited coding program CCS, RHIT, or RHIA A minimum of 3 years inpatient coding in an acute care setting When sending candidates -- they must list on their resume what kind of inpatient charts they have coded at each facility they have worked at Candidate details: 2+ to 5 years experience Ideal candidate: Minimum of 3 years of inpatient coding experience. Very accurate Willing to work from home -- the position must be day shift though - they have to work normal business hours, they do not get to set their own hours. All your information will be kept confidential according to EEO guidelines.

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 ResponsibilitiesKeys 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 codes into management software.Reviews charge correction requests.Performs related duties as assigned by Coding Manager.Maintains compliance with Federal, State and payer...

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...

Essential Functions for This Position Ensures that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Complies with all medical coding guidelines. Follows up and clarifies any information that is not clear with the rendering provider. Conducts ad‑hoc audits to ensure fidelity to coding guidelines. Serves as an expert for Southwest Network on accurate and efficient coding practices. Analyzes medical records and identifies documentation deficiencies. Nonessential Functions Follows policies and procedures and adheres to the requirements of the Corporate Compliance Program. Ensures confidentiality of verbal and written information in accordance with HIPAA standards and Southwest Network policy, and adheres to the legal, ethical, and professional guidelines adopted by Southwest Network. Other duties as assigned. Working Conditions and Driving Travel between Southwest Network sites as well as in the community is required. Must...

About the job Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to join our team. Weare deeply rooted in the communities we serve, which means that ourpatients are often our family, friends, and neighbors, and it is specialto be able to care for them. As one of the top healthcare systems, weare committed to your ongoing growth and development. After work, youwill find things to do in every season, including beaches, outdoorrecreation, unique restaurants, world-class wineries, arts andentertainment. Why work as a Coder Abstractor ? Our dynamic work environment includes many opportunities for growth and development Our efforts directly impact patient satisfaction and outcomes Our employees work in positive, supportive, and compassionate environments built on our organizational values. SKILLS At least 1 years recent coding experience including coding surgical cases preferred. Experienced in coding hospital inpatient and outpatient E/M services....

Reviews, interprets, and abstracts clinical documentation from inpatient and outpatient hospital records to assign accurate diagnosis and procedure codes (ICD10-CM, ICD-10-PCS, CPT, HCPCS). Codes complex orthopedic surgical cases across multiple subspecialties including spine, joint replacement, hand surgery, podiatry, and neurology-related musculoskeletal procedures. Applies appropriate DRG and/or APC assignment methodologies in compliance with federal and payer-specific regulations. Ensures coding accuracy and compliance with ICD-10-CM/PCS Official Guidelines, UHDDS definitions, CMS regulations, and other applicable standards. Utilizes hospital EMR and coding systems to capture all required clinical and demographic data for accurate billing and reporting. Collaborates with physicians and clinical staff to clarify documentation and ensure complete and accurate coding. Provides education and feedback to providers and staff regarding documentation improvement opportunities...

Full-time Company Description Accounting and Finance/Healthcare Job Description Specialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258 Exp 2-5 Degree Associates Job Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as technical resource, resolves issues, educates and works closely...

Essential Functions For This Position Ensures that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Complies with all medical coding guidelines. Follows up and clarifies any information that is unclear with the rendering provider. Conducts ad-hoc audits to ensure fidelity to coding guidelines. Acts as a relevant expert for Southwest Network on accurate and efficient coding practices. Analyzes medical records and identifies documentation deficiencies. Nonessential Functions Follows policies and procedures and adheres to the requirements of the Corporate Compliance Program. Ensures confidentiality of verbal and written information in accordance with HIPAA standards and Southwest Network policy, and adheres to legal, ethical, and professional guidelines adopted by Southwest Network. Other duties as assigned. Education And/or Experience, Licensure And Certification Associate degree in medical coding or successful...

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...

6AM City, LLC is seeking an HCC Risk Coder Specialist to carry out medical record diagnosis code abstraction based on guidelines and regulations. This position will be hybrid after 90 days of training at the Scottsdale location. The ideal candidate will possess a coding certification through AAPC or AHIMA, have at least one year of coding experience, and excel in a fast-paced environment. Benefits include substantial growth opportunities, a fun work environment, and comprehensive health benefits. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily...

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, andlife 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 andhighly 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 future of...

Benefits: Competitive salary Dental insurance Flexible schedule Health insurance Paid time off Training & development Vision insurance Job Overview We are seeking a highly detail-oriented, certified Vascular Surgery Coder to join ourrevenue cycle team. In this role, you will be responsible for reviewing, analyzing, and coding complex diagnostic and interventional vascular surgery medical records. Because vascular coding involves intricate anatomical pathways, component coding, and frequently changing component hierarchies, the ideal candidate must possess deep knowledge of vascular anatomy, CPT, ICD-10-CM, and HCPCS Level II coding guidelines. Your expertise will ensure accurate reimbursement, compliance, and a minimized denial rate. Key Responsibilities Complex Coding: Accurately abstract and assign ICD-10-CM, CPT, and HCPCS codes for open, endovascular, and diagnostic vascular procedures. Anatomical Component Coding: Correctly navigate and code complex interventional...

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. Reviewsmedical records toreport conditions that map toHCCs by reviewing medical record documentation and applying theappropriate ICD-10diagnosis codes. Followsstate and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works onprojects that may include making phone calls to providers. Works within broad guidelines with little oversight. Demonstratesa...

Cardiology Medical Billing Specialist To be considered, you must be located in the state of Texas or in the process of relocating to Texas. This is non-negotiable. Please do not apply if you are not located in Texas. Seeking a full-time, experienced medical billing specialist to join our Texas team. Knowledge of and experience with cardiology coding and billing is preferred. This is a remote position with the possibility of occasional travel. Our company provides revenue management support for medical practices located all over the United States. Medical billing is one of the fastest growing industries with unlimited career opportunities. Our goal is to find someone that is willing to put in the time and investment in a career with us. General Purpose To contribute to the accuracy and timeliness of the revenue cycle process for each clinic on your designated team. To successfully function as part of a team and to be able to communicate professionally with clients and...

Certified Professional Coder - Manning - Coding Manning House I, 450 W. Paseo Redondo, Tucson, Arizona, United States of America Job Description Posted Thursday, June 11, 2026 at 9:00 AM 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...

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Coder II Job Category: Clinic Support Supervisor: Lamiece Flannigan Requisition Number: CODER011863 Posted: March 24, 2026 Full-Time Location: Phoenix, AZ 85023, USA Job Details Essential Functions Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers...

Surgery Him Coder We are seeking a highly detail-oriented and experienced Surgery HIM Coder to join our Health Information Management team. This position is responsible for reviewing, analyzing, and accurately assigning ICD-10-CM, CPT, and HCPCS codes for surgical procedures based on clinical documentation in the patient medical record. The Surgery Coder ensures coding compliance with federal regulations and internal policies to optimize reimbursement and ensure data integrity. This is a remote position with a 4 day on-site work rotation, every 6-7 weeks. Essential Job Duties Review operative reports, physician documentation, and other clinical records to assign accurate and complete ICD-10-CM, CPT, and HCPCS codes. Abstract relevant information from medical records into the health information system. Ensure compliance with all coding guidelines (AAPC, AHIMA, CMS, and payer-specific). Query physicians when documentation is unclear, conflicting, or incomplete. Meet...

Certified Coder - Cardiology Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers' commitment to high-quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow. IMS Care Center is currently searching for a professional, compassionate and knowledgeable individual to fill the position of Certified Coder for our Cardiology Clinic in Avondale. The Certified Coder will be accountable for processing medical claim information through data-entry in the Practice Management System and researching and correcting data entry errors using various electronic healthcare systems. This position uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information by...

Billing and Coder Specialist - Full-Time in Office-Gilbert, AZ Location: Gilbert, AZ, US – Full‑time position. Essential Duties and Responsibilities Identify and post applicable charges to the appropriate patient’s account. Balance individual batches. Capture and enter all inpatient and outpatient procedures, supplies, drugs, radiation, radiology, diagnosis and conditions in the practice management system. Identify the corresponding documents and post charges. Initiate and process charge and diagnosis corrections. Perform insurance verification. Obtain hospital face sheets from local hospitals for accurate billing of inpatient charges. Work hospice information lists; update the billing system and communicate with necessary staff. Maintain appropriate documents, reports and files in compliance with all applicable laws and policies. Identify charge and coding discrepancies and confer with internal or external parties to resolve. Knowledge and Skills Knowledge of medical...

Senior Medical Biller Reporting to the RCM Manager, Community Medical Services (CMS) is hiring a Senior Medical Biller. This role will be responsible for analyzing, reporting and trending the impact of multi-state and multi-payer AR work processes. The ideal candidate will have experience with Medicaid, Medicare, Veteran Affairs and commercial lines of business. The candidate will also be responsible for managing high volume insurance plans or national contract payers. This role will identify claim denials and payment trends and work directly with payers to resolve using projects and appeals processes. As part of our mission to help individuals recover from substance use disorders, you'll thrive in a supportive, engaging, and fulfilling work environment where your contributions are valued. Along the way, we'll invest in your well-being through a benefits package that includes: Subsidized medical, dental, and vision insurance Health savings account Short and long-term disability...

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...