17 coder prn jobs found

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...

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...

Description The Senior Coder is responsible for performing coding audits and review of outpatient provider services to support coding optimization and compliance for the medical group. This is an entry level position supporting multiple specialties across the medical group with coding for evaluation and management and procedural services. In addition to the audit and review work, the Senior Coder will work side by side with outpatient providers providing ongoing feedback, coaching, and support with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement requirements. The Senior Coder works with the clinic staff, Physician's Business Office, to correct errors and resolve billing questions. Providence caregivers are not simply valued - they're invaluable. Join our team at Physician Management Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual...

Job Title To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions. Schedule: Monday - Friday (40hrs/week) Fully Remote after training period. About Us Physician Reimbursement Center (PRC) Located inside the Freeman Business Center Vital part of our revenue cycle Our team consists of over eighty professionals that assure reimbursement for the valued services our clinicians provide What You'll Do Provides acceptable customer service to patients, co-workers, payors and providers. Exhibits accuracy and timeliness in completion of tasks and job duties. Knowledge of ICD-10, HCPCS, and CPT Coding. Requirements Current CPC coding Certification. Experience and skills in coding, billing and compliance. If homebound, must reside in one of the following states: Arkansas, Kansas, Missouri or Oklahoma within a couple hours of Freeman. Fully remote after 120 day training period. Preferred Requirements COSC Certification...

Job Title: Coder/Abstractor III (Remote, WA residents only) Req: 2025-1426 Location: Remote Potential Department: Health Information Mgmt Shift: Days Type: Full Time FTE: 1 City/State: Renton, WA Category: Administrative/Clerical Salary Range: $28.00–$46.80/hr, DOE Job Description VALLEY MEDICAL CENTER The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. JOB OVERVIEW Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned. Resolves coding‑related edits and denials and provides ongoing feedback and education to physicians and clinicians. Responsible for following up on all accounts unable to code due to...

Overview Join to apply for the Coder/Abstractor III (2025-1049) role at Valley Medical Center . Job Title: Coder/Abstractor III Req: 2025-1049 Location: Remote Potential Department: Health Information Management Shift: Days Type: Full Time FTE: 1 Hours: As assigned City State: Renton, WA Job Description This salary range may be inclusive of several career levels at Valley Medical Center and will be narrowed during the interview process based on several factors, including (but not limited to) the candidate's experience, qualifications, location, and internal equity. Responsibilities Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned. Resolves coding related edits and denials and provides ongoing feedback and education to physicians and clinicians. Follow up on all accounts unable to code due to missing/incomplete documentation or charges. Maintain...

* Conduct retrospective, concurrent, and prospective audits of medical records to validate the accuracy of ICD-10-CM codes and ensure documentation supports submitted diagnoses for Medicare Risk Adjustment (HCC coding).* Perform detailed internal and external coding audits on a regular basis as defined by compliance & department requirements, including for our nephrology partners.* Execute targeted audit plans, including performing targeted audits of identified HCC outliers.* Identify trends, patterns, and areas of opportunity for documentation and coding improvement through data analysis and audit findings.* Prepare and present formalized audit reports to leadership, summarizing findings, identifying risk areas, and recommending corrective action plans.* Assist in internal and external audits, including Risk Adjustment Data Validation (RADV) audits, by preparing documentation and responding to inquiries.* Perform necessary research to provide supportive regulatory and coding...

A New Approach to an Age-Old Need - Pathway Geriatrics is a nurse practitioner‑owned medical startup headquartered in Redmond, WA, currently serving Greater Seattle. We provide in‑home primary care services for homebound older adults. Said differently, we bring our medical services to our clients, who often can’t leave their homes to get the specialized care they need. The Basics We are looking for an experienced (5+ years) Medical Billing Specialist to join our team. You can expect to work from home 2 days a week and from our office in Redmond, WA, the rest of the time. Typical business hours are 9:00 AM to 5:00 PM, Monday—Friday. Compensation The position will pay $60,000 – $75,000 annually, depending on your skills and experience. We may also offer additional discretionary bonus opportunities based on personal and company performance. The Job Details Your day-to-day responsibilities will include managing: Medical claims (submission, denials, rejections & appeals)...

Job Title: Coder/Abstractor III (Remote, WA residents only) Req: 2025-1051 Location: Remote Potential Department: Health Information Mgmt Shift: Days Type: Full Time FTE: 1 Hours City State: Renton, WA Category: Administrative/Clerical Salary Range: Min $29.12- Max $48.67/hrly. DOE Job Description This salary range may be inclusive of several career levels at Valley Medical Center and will be narrowed during the interview process based on several factors, including (but not limited to) the candidate's experience, qualifications, location, and internal equity. The position description is a guide to the critical duties and essential functions of the job, not an all‑inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. Job Overview Responsible for hospital inpatient coding and abstracting based on documentation and coding...

Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures,...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...

A New Approach to an Age-Old Need - Pathway Geriatrics is a nurse practitioner?owned medical startup headquartered in Redmond, WA, currently serving Greater Seattle. We provide in?home primary care services for homebound older adults. Said differently, we bring our medical services to our clients, who often cant leave their homes to get the specialized care they need. The Basics We are looking for an experienced (5+ years) Medical Billing Specialist to join our team. You can expect to work from home 2 days a week and from our office in Redmond, WA, the rest of the time. Typical business hours are 9:00?AM to 5:00?PM, MondayFriday. Compensation The position will pay $60,000??$75,000 annually, depending on your skills and experience. We may also offer additional discretionary bonus opportunities based on personal and company performance. The Job Details Your day-to-day responsibilities will include managing: Medical claims (submission, denials, rejections &...

""A New Approach to an Age-Old Need"" - Pathway Geriatrics is a nurse practitioner-owned medical startup headquartered in Redmond, WA, currently serving Greater Seattle. We provide in-home primary care services for homebound older adults. Said differently, we bring our medical services to our clients, who often can't leave their homes to get the specialized care they need. The Basics We are looking for an experienced (5+ years) Medical Billing Specialist to join our team. You can expect to work from home 2 days a week and from our office in Redmond, WA, the rest of the time. Typical business hours are 9:00 AM to 5:00 PM, Monday - Friday. Compensation The position will pay $60,000 - $75,000 annually, depending on your skills and experience. We may also offer additional discretionary bonus opportunities based on personal and company performance. The Job Details Your Day-to-day Responsibilities Will Include Managing Medical claims (submission, denials, rejections...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification...

Become a part of our caring community and help us put health first The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

CLOSING DATE: Open Until filled with Bi-weekly reviews POSITION: Medical Billing Specialist (3 positions) SALARY: $21.82 to $23.85, per hour DOE LOCATION: Nespelem Health Center, 6 month training in Nespelem,WA, with possibility of working in other districts upon completion of training. Basic Functions: This is a Non-Exempt position. Performs clerical standard and procedures of the Medical Billing Office through direct contact with eligible programs using computer-aided data entry screens. Minimum Qualifications: Education and Training: Typically requires an AA Degree Requires 12 months billing and coding experience with Anatomy and Pathophysiology training Requires a Certified Professional Coder (CPC) certificate from the American Academy of Professional Coders or Certified Coding Specialist (CCS) certificate from the American Health Information Management Association or ability to obtain within 90 days of hire and maintain certification...

Job Summary The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital...