8 coder provider practice jobs found

Shift : Monday - Friday, 8am - 5pm Department : Coding & Data Management - Inpatient Coding Team. Remote Compensation : • Base Pay Range: o Non-Certified: $19.15 - $30.23 per hour, based on experience o Certified: $22.00 - $34.74 per hour, based on experience ABOUT THE JOB MU Health Care is looking for a detail-oriented Medical Coding Specialist to join our team. As a crucial member of our healthcare family, the ideal candidate will possess a passion for precision and a commitment to maintaining the highest standards in medical coding. We value individuals who demonstrate a deep understanding of technical coding principles, coupled with a strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT codes. Our ideal candidate advances their coding expertise through continuous education, ensuring accurate and compliant coding practices. We seek someone who thrives in a fast-paced environment, excels in problem-solving, and actively contributes to audits, troubleshooting,...

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...

Medical Coding Specialist Position reviews medical report documentation to determine/verify appropriate CPT and ICD-10 diagnosis code assignment. Must exercise independent judgement and decision making to determine accurate coding & billing. Primary Duties & Responsibilities: Reviews Pathology reports in Epic Beaker for charges received via various interfaces. Identifies all pertinent facts necessary to assign the most comprehensive diagnosis and procedure codes that accurately describe patient conditions. Assigns CPT and ICD-10 codes. Communicates with physicians as needed to assure documentation and coding supports services performed. Assists other coders and IBC staff with medical terminology and policy interpretation as required. Codes reports for IBC staff to be sent to the various payers for reimbursement. Other Functions: Assists with efforts to increase physician awareness of documentation requirements. Other duties as assigned. Working...

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS...

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...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred....

Scheduled Hours 40 Position Summary Reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Performs other duties as assigned. Working Conditions: Job Location/Working...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2675 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge...