18 coder physician practices jobs found

Trauma Surgical Profee Coder Do you want to join an organization that invests in you as a Trauma Surgical Profee Coder? At Parallon, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years. Candidates with Trauma/Surgical Profee experience are strongly preferred. Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft...

Scheduled Hours 40 Position Summary Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Primary Duties & Responsibilities Responsible for appealing claims denied by third‑party payers. Creates appropriate letters and compiles documentation to substantiate the validity of claims. Investigates and problem‑solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with physicians and other clinical staff as needed to provide documentation feedback and to develop appeals. Researches payer policies and processes. Review clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient’s conditions and treatment. Works with coders and IBC staff on medical terminology and policy interpretation as required. Codes...

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...

Alignment Health is a remote company focused on senior care. The Medical Risk Adjustment (MRA) Coding Auditor role supports departmental quality assessment audits of internal coding analysts and vendors to ensure accurate and complete data submission to CMS. General Duties / Responsibilities Supports regular quality assurance audits of the internal Coding Analyst Team to validate and confirm coding & abstracting quality (95% HCC accuracy), ensuring coding quality and performance improvement standards are maintained. Tracks and reports progress of QA audits performed on coding vendors to verify coding accuracy and quality of data submitted to AHP for CMS submission. Works with Risk Adjustment Management on any MRA data validation or coding audit to ensure completeness and coding accuracy of all CMS submissions; this may include data reconciliation, data flow integrity, UAT testing, review of high‑cost/low‑risk score members, retrospective chart reviews, or other related data...

Company Overview Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast‑growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Job Summary Alignment Health is seeking a remote Risk Adjustment Compliance Auditor to support auditing and compliance activities related to risk adjustment data submitted to CMS. In this role, you will conduct provider and coder‑level audits, review medical record documentation and coding accuracy, identify compliance risks and...

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

COMPANY OVERVIEW Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG currently bidding on a contract with the Federal Government for several coding positions. You would be a W-2 employee for HPMG and NOT a government employee. SUMMARY Responsible for assignment of accurate ICD codes for diagnoses and procedures. Medical Severity - Diagnostic Related Group (MS-DRG) is automatically assigned by the grouper software for inpatient stays. Inpatient coders may also be responsible for the assignment of accurate ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (a.k.a., rounds or IBWA encounters). Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. MANDATORY KNOWLEDGE AND SKILLS Position requires...

Job Type: Full-time Description The Certified Coder will play a key role in converting diagnoses and treatment procedures into ICD-10, CPT and HCPCS codes. The Coder will review and accurately code office and hospital procedures for reimbursement. Essential Functions Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements...

Description Columbia Orthopaedic Group Fast-paced. Detail-driven. Team-focused. Every claim, code, and detail matters in delivering accurate, compliant, and timely patient care behind the scenes. If you take pride in precision and enjoy working in a collaborative healthcare environment, this role is for you. Why This Role Is Different This is not just a coding role-it is a key part of the revenue cycle that directly impacts the success of orthopaedic care delivery. Your work ensures providers are accurately represented, claims are clean, and reimbursement flows efficiently. You'll partner closely with physicians, billing, and administrative teams in a highly collaborative environment where accuracy, communication, and compliance are essential. About the Role The Medical Coder is responsible for accurately coding orthopaedic services to support timely and compliant claim submission. This role ensures documentation integrity, supports revenue cycle...

Coding Specialist Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Primary Duties & Responsibilities: Responsible for appealing claims denied by third-party payers. Creates appropriate letters and compiles documentation to substantiate the validity of claims. Investigates and problem solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with physicians and other clinical staff as needed to provide documentation feedback and to develop appeals. Researches payer policies and processes. Review clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment. Works with coders and IBC staff with medical terminology and policy interpretation as required. Codes evaluation and...

Professional Coder II (Remote) The Coder II position is responsible for accurate coding of professional services from medical record documentation. Reviews, codes and assigns correct ICD-10-CM diagnosis codes, procedure codes, and E/M level codes for professional services across multiple specialties according to AMA/CMS coding guidelines. This is a fully remote position following the initial probation period. The coder may be asked to come on site for special assignments or training as needed after this period. Minimum Requirements High school diploma or equivalent. Current AAPC or AHIMA Coding Certification (e.g., CPC, COC, CCS, Specialty Coding Credential). 2-years medical records coding of CPT/HCPCS & ICD-10 for multiple specialties. Knowledge of insurance company, third-party and government reimbursement programs; i.e. Medicare, Medicaid, MC+, etc. Knowledge of medical insurance billing and collection. Knowledge with CPT, ICD 9/10 CD, and HCPCS coding and medical...

Your job is more than a job. Join LCMC Health, and you’ll find that our everyday makes it easy to live your extraordinary. Essential Function Apply the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determine the MS‑DRG and APR‑DRG assignments for inpatient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.). Apply ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). Navigate patient health records and other computer systems accurately to determine diagnosis, procedures, MS‑DRGs, APCs, and required modifiers. Validate charges by comparing charges with health‑record documentation as necessary. Communicate effectively with clinical staff,...

Position Summary Reviews medical record documentation to determine appropriate billing codes and necessary documentation. Working Conditions Job Location/Working Conditions: Normal office environment. Key Responsibilities Review the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient’s conditions and treatment. Code evaluation and management to appropriate CPT code and code diagnoses to appropriate ICD-10 codes. Meet with physicians to review documentation, resolve coding, and secure signatures for all unsigned dates of service; tag files for follow up. Act as lead person and assist coders with medical terminology and policy interpretation as required. Assist with efforts to increase physician awareness of documentation requirements. Prepare case reports and initiate follow-up for billing process. Performs other duties as assigned. Education and Certifications Education...

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. Billings Clinic has been in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006. And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. About Us Billings Clinic is a community‑owned, not‑for‑profit, Physician‑led health system based in Billings with more than 4,700 employees, including over 550 physicians and non‑physician providers. Our integrated organization consists of a...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! Job Overview This position reviews and accurately codes and abstracts hospital services, inpatient procedures, overnight/multi‑night stay services or complex professional medical services. The coder applies appropriate coding guidelines to assign ICD and CPT codes, conforming to Medicare, Medicaid, and third‑party payer requirements to ensure accurate reimbursement. In the inpatient setting, the coder collaborates with the Clinical Documentation Improvement team to ensure accurate DRG...

Professional Billing Lead Coder (Remote) page is loaded## Professional Billing Lead Coder (Remote)locations: Work From Home-City Tax Exempttime type: Full timeposted on: Posted Todayjob requisition id: R0017223**If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.****Please log into to search for positions and apply.**Professional Billing Lead Coder (Remote)101 Truman Medical Center# **Job Location**Work From Home-City Tax ExemptLees Summit, Missouri# **Department**Corporate Professional Billing# **Position Type**Full time# **Work Schedule**7:30AM - 4:00PM# **Hours Per Week**40# **Job Description**The coding leads serve as liaisons and leaders between coding staff, the operation, and the Director. The coding leads are recognized as the subject matter experts for coding and for meeting operational objectives. The Lead Coder position is responsible for accurate coding of professional...

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...

Note: This recruitment schedule was amended on December 5, 2025 to extend the final filing date. This recruitment has been changed to "Continuous". San Mateo Medical Center is currently seeking a professional, goal-oriented Clinical Services Manager I- Nursing Supervisor who will plan, organize, direct and supervise the operations of a nursing unit and float pool. As a Clinical Services Manager I-Nursing Supervisor , you will have the opportunity to manage patient care while ensuring appropriate quality of care and compliance with regulations. In addition, your responsibilities will include 24/7 oversight of the Nursing Team, Medical Services Assistants Float Pool and the Staffing Coordinator. This role requires participation in training, coaching and counseling of staff, active participation in hospital‑wide continuous improvement activities, 24/7 oversight of assigned units and other projects as assigned. Currently there is one full time regular Clinical Services Manager...