54 coder lll jobs found

Major Responsibilities: Supervises the day-to-day activities of non-physician staff, ensuring a high level of productivity. Continuously monitors the functioning of the medical group and revises operational procedures as necessary. Oversee all functions of the medical group including reception and scheduling activities, patient service areas, accounting, medical records, transcription, business information systems, and appropriate clinical areas. Establishes effective policies and procedures for each area, updating as necessary. Schedules non-physician staff ensuring that staff is appropriately deployed among offices. Functions as a liaison between non-physician staff and physicians to ensure effective service for patients. Establishes and maintains effective working relationships with group physicians. Oversees the day-to-day processing of accounts payable by preparing payment requests, obtaining proper authorization and ensuring that...

Medical Coding Specialist Join our team as a Medical Coding Specialist! We are looking for a certified coding professional with strong attention to detail and a commitment to accuracy. Candidates should hold a CPC or CCS-P certification and have completed an accredited Medical Coding Specialist Program or possess equivalent education and experience. Medical coding experience and insurance processing knowledge are preferred. The Medical Coding Specialist is responsible for reviewing electronic encounter documentation to verify that practitioner-submitted codes are accurate, adhere to coding protocols, and comply with all applicable guidelines. This role is responsible for accurately assigning medical codes to patient records and supporting providers through education on coding and documentation requirements while contributing to coding-related initiatives and research as needed. The position includes reviewing insurance claims to identify potential coding errors and researching...

Job Opportunity at SSM Health St. Mary's Hospital - Madison It's more than a career, it's a calling. Worker Type: Regular Job Highlights: Monday to Friday, 8:00 to 4:30 (flexible), full-time (.9/36 hours). This is a new role supporting imaging and procedure lab charges and charge reconciliation. The individual will help define and build the role. The position supports St. Mary's and the WI region as needed. Job Summary Supports assigned department(s) as a subject matter expert for achieving operational efficiency, compliance, and exceptional patient care. Serves as a liaison between and resource for clinical and Revenue/Financial departments with strong understanding of both components. Job Responsibilities and Requirements PRIMARY RESPONSIBILITIES Serves as a resource and subject matter expert to the department for workflows, documentation, coding, charging, and software applications. Manages all work queues using subject matter expertise to investigate/correct...

Medical Coding Specialist II - Profee Radiology Middleton, WI, United States (Remote) Job Description Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. This will have flexible shifts scheduled Monday - Friday and will be discussed in the interview. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We’ve included a link below to view the full list of approved remote work states. We are seeking a Medical Coding Specialist II to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local...

Medical Coding Specialist II - HB Fiscal Coder This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states. Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist II - HB Fiscal Coder to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and...

At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based on documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. FLSA STATUS Non-exempt...

Become a part of our caring community. Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will perform quarterly...

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school diploma or GED, required....

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and recommendations...

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER Join our team as a Medical Coding Specialist! We are looking for a certified coding professional with strong attention to detail and a commitment to accuracy. Candidates should hold a CPC or CCS-P certification and have completed an accredited Medical Coding Specialist Program or possess equivalent education and experience. Medical coding experience and insurance processing knowledge are preferred. The Medical Coding Specialist is responsible for reviewing electronic encounter documentation to verify that practitioner-submitted codes are accurate, adhere to coding protocols, and comply with all applicable guidelines. This role is responsible for accurately assigning medical codes to patient records and supporting providers through education on coding and documentation requirements while contributing to coding-related initiatives and research as needed. The position includes reviewing insurance claims to identify...

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 future...

Administration - 1265 John Q. Hammons Drive, 1265 John Q. Hammons Dr., Madison, Wisconsin, United States of America Job Description Posted Wednesday, June 10, 2026 at 5:00 AM Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER Join our team as a Medical Coding Specialist! We are looking for a certified coding professional with strong attention to detail and a commitment to accuracy. Candidates should hold a CPC or CCS-P certification and have completed an accredited Medical Coding Specialist Program or possess equivalent education and experience. Medical coding experience and insurance processing knowledge are preferred. The Medical Coding Specialist is responsible for reviewing electronic encounter documentation to verify that practitioner‑submitted codes are accurate, adhere to coding protocols, and comply with all applicable guidelines. This role is responsible for accurately assigning medical codes to patient records and supporting providers through...

Major Responsibilities: This role will have all responsibilities of coder I, II and III in addition to: reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Adhere to organizational and internal department policies and procedures to ensure efficient work processes. Responsible for coding high dollar and long length of stay cases for all patient types. Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate. Serves as a subject matter expert to Coding department leaders and peers....

Western Wisconsin Health is looking for a full-time Medical Coding Specialist (0.8 FTE) to join the Health Information Management department. The Medical Coding Specialist is responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the HIM Director, accurately code inpatient, observation, outpatient diagnostic, therapeutic, consultative, emergency department services, ambulatory surgery (same day surgery), and clinic encounters, as assigned. Obtain appropriate reimbursement levels for professional services by reviewing and coding clinical diagnoses and procedures for physician visits and other services, conditions and procedures as documented in the ICD-10-CM and Official Guidelines for Coding and Reporting and CPT Coding Guidelines. Resolve errors associated with billing software...

Become a part of our caring community. Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will perform quarterly...

Job Description Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. Qualified candidates should be able to work 8 hours per day Monday- Friday. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states. Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist II to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. Maintain an understanding and apply knowledge of National Correct Coding...

At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

At Houston Methodist, the Senior Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt Qualifications Education Associate’s degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program or an additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of a degree Experience Three years of relevant inpatient coding experience or successful completion of the Houston Methodist Senior Inpatient Coder Transition Program Licenses and Certifications RHIT – Certified Health Information Technician (AHIMA) RHIA – Registered Health Information Administrator (AHIMA) CCS – Certified Coding Specialist...

FLSA STATUS Non-exempt QUALIFICATIONS Education: Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree Experience: One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program Licenses and Certifications (Required): Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA) SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job,...

Department: 36300 Aurora St. Lukes Medical Center - Administration: Radiology Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Full time first shift schedule with flexibility to meet operational needs Pay Range $28.55 - $42.85 Join a high performing imaging department and lead a diverse team of Clinical Office Assistants, Patient Service Representatives, and Clinical Referral Specialists who play a critical role in delivering an exceptional patient experience. This unique leadership opportunity offers the chance to oversee daily operations, support team development, drive service excellence, and partner with clinical leaders to ensure efficient patient access and workflow across a large, dynamic imaging program. This is a salaried first shift position with flexible scheduling and the opportunity to make a meaningful impact on both patients and teammates in one of the region's premier imaging departments. Key...

Job Category: Health Information Requisition Number: CODER001699 Full-Time On-site Locations Showing 1 location Sturgeon Bay, WI 54235, USA Pay or shift range: $19.91 USD to $28.95 USD The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons. Description The Coder is responsible for applying the appropriate diagnostic and procedural codes to assigned patient care encounters in the clinic setting or related areas for data retrieval, analysis, and reimbursement purposes. Reviews clinical documentation from assigned encounters to extract data and apply appropriate diagnostic and procedural codes in compliance with regulatory requirements, industry-validated coding principles (ICD-10-CM Official Guidelines for Coding and Reporting and Current Procedure Terminology (CPT) Rules and Regulations) and DCMC policies and procedures. Reviews patient...