Coder quality specialist jobs | Healthcare Careers

Coder Quality Specialist - Remote, United States

Centauri Health Solutions Inc United States

Coding Quality Specialist Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care. Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications. Your Daily Mission The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately...

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Coder Quality Specialist - Remote, United States

Centauri Health Solutions Inc United States

Your Daily Mission The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately assigned based upon clinical documentation, ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic Guidance, CMS program guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Coding Quality Specialist will apply guidance provided for the medical record code abstraction primarily for Medicaid lines of business (Complete Code Capture), but may also include Medicare Advantage Risk Adjustment or Commercial Risk Adjustment. Who You Are Minimum of 5 years certified with a core coding credential from AHIMA or AAPAHIMA – CCS, CCS-P, AAPC – CPC, CRC. Minimum of 3 recent years of production coding experience in Retrospective Risk Adjustment coding (must be within last 6 months) Minimum of 2 years experience conducting coder...

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Coder Quality Specialist - Remote, United States

Centauri Health Solutions Inc New York, NY

Coding Quality Specialist Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care. Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications. Your Daily Mission The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately assigned...

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Coder Quality Specialist - Remote, United States

Centauri Health Solutions Inc Phoenix, AZ

Your Daily Mission The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately assigned based upon clinical documentation, ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic Guidance, CMS program guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Coding Quality Specialist will apply guidance provided for the medical record code abstraction primarily for Medicaid lines of business (Complete Code Capture), but may also include Medicare Advantage Risk Adjustment or Commercial Risk Adjustment. Who You Are Minimum of 5 years certified with a core coding credential from AHIMA or AAPAHIMA - CCS, CCS-P, AAPC - CPC, CRC. Minimum of 3 recent years of production coding experience in Retrospective Risk Adjustment coding (must be within last 6 months) Minimum of 2 years experience conducting coder...

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Coder Quality Specialist - Remote, United States

Centauri Health Solutions Inc United States

Coding Quality Specialist Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care. Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications. Your Daily Mission The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately...

VD

Coding Quality Specialist 3 - PM&R Coder

Virginia Department of Human Resource Management Charlottesville, VA

Coding Quality Specialist 3 - PM&R CoderFocus on Encompass Hospital rehabilitation coding, which differs slightly from the typical PM&R coder. There will be wound care in addition to what you have below. They will be serving as a back up to all the items listed, so I think we could keep them, but a call out that the mainstay of the coding in Rehab Hospital coding. Accurate documentation and coding are essential to delivering high-quality patient care, supporting compliance, and ensuring the financial health of a leading academic medical center. This role offers an opportunity to make a meaningful impact by serving as a trusted coding quality resource for a highly specialized Physical Medicine & Rehabilitation practice. As a Coding Quality Specialist 3 supporting PM&R Musculoskeletal services, you will leverage your expertise in coding, auditing, and clinical documentation review to ensure accurate capture of complex services. This position will focus primarily on...

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Coding Quality Specialist 3 - GI Coder

The Rector & Visitors of the University of Virginia Charlottesville, VA

Accurate coding is critical to the financial health, compliance, and operational success of a high-performing academic health system. This opportunity allows an experienced neurosurgery coding professional to contribute directly to revenue integrity, regulatory compliance, and the support of exceptional patient care through expert coding practices. As a fully remote Coding Specialist 3, you will serve as a subject matter expert in Gastrointestinal professional fee coding, independently reviewing complex clinical documentation and assigning accurate codes for surgical procedures, office-based services, and Evaluation & Management encounters. This role offers the opportunity to apply advanced coding expertise while partnering with providers and revenue cycle professionals to ensure coding accuracy, quality outcomes, and compliance. The Role In this highly specialized position, you will utilize your expertise in neurosurgery coding to accurately translate complex clinical...

LI

Remote Health Information Coder & Data Quality Specialist

Lmh Inc Lawrence, KS

LMH Health is seeking a Coder I to perform accurate coding, data abstraction, claims filing, and audit-proof documentation review from medical records. The role emphasizes staying current with ICD-10-CM/PCS, CPT/HCPCS, and UHDDS guidelines in a hospital setting while ensuring high data quality and compliance. Remote work is available after onboarding, with on-site meetings as needed and you must reside in Kansas or Missouri. #J-18808-Ljbffr

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Remote Health Information Coder & Data Quality Specialist

Lmh Inc United States

LMH Health is seeking a Coder I to perform accurate coding, data abstraction, claims filing, and audit-proof documentation review from medical records. The role emphasizes staying current with ICD-10-CM/PCS, CPT/HCPCS, and UHDDS guidelines in a hospital setting while ensuring high data quality and compliance. Remote work is available after onboarding, with on-site meetings as needed and you must reside in Kansas or Missouri. #J-18808-Ljbffr

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Remote Inpatient Coder AI Data Quality Specialist

Digivance Solutions United States

Digivance Solutions is seeking an experienced Certified Inpatient Medical Coder for a remote contract role. You will review inpatient records to ensure accurate ICD-10-CM/PCS coding and help validate MS-DRG assignments while evaluating AI-generated notes for alignment with real documentation. Qualified candidates hold active CIC/CCS/RHIA/RHIT/COC credentials and have hands-on inpatient coding experience, with a focus on guidelines and Coding Clinic guidance. #J-18808-Ljbffr

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Private Care Procedure Coder & Data Quality Specialist

The Royal Marsden NHS Foundation Trust Wallington, NJ

The Royal Marsden NHS Foundation Trust is seeking a Procedure Coder and Data Quality Co-ordinator for Private Care to ensure accurate coding and timely billing of private patient activity. You will review clinical information, apply ICD-10, OPCS and CCSD standards, query documentation, and collaborate with clinical, operational and finance colleagues to support data quality and efficient charge capture. #J-18808-Ljbffr

NJ

Private Care Procedure Coder & Data Quality Specialist

NHS Jobs Wallington, NJ

NHS Jobs in the United States is seeking a Procedure Coder & Data Quality Co-ordinator for Private Care. You will ensure accurate coding, mapping and validation of Private Care activity in line with CCSD schedules and insurer requirements, working with clinicians and billing teams. As part of the role you will extract clinical information from operation notes, endoscopy and radiology reports, maintain data quality, and support timely invoicing while upholding professional standards and ongoing #J-18808-Ljbffr

Full Time

Supervisor - Coding Education

SSM Health Remote (KS)

Lead the team that turns coding expertise into organizational impact. As Supervisor of Coding Education, Professional at SSM Health, you’ll guide a team of coding educators, strengthen provider and coder education, and help advance coding accuracy, compliance, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Leads and coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and associates. Assists coding staff, physicians, and other health care practitioners with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding physician/provider documentation. Assists in educational needs of coding staff based on these conversations and questions. Coordinates design, development, maintenance, and delivering of training curricula, coding job aids, reference materials, and workshops for providers and coders....

Full Time

Coding Educator

SSM Health Remote

Bring your coding expertise to SSM Health in a role where education, quality, and compliance come together. As a Coding Educator, you’ll partner with providers and coders, lead training initiatives, and influence documentation and coding practices that support accuracy, consistency, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Drives optimal clinical and financial outcomes through thorough assessment of provider documentation and coding competency, identification of improvement opportunities. Develops and delivers training and education of all coding processes. Stays abreast of regulatory changes and works with leadership to ensure compliance and revenue integrity. Act as subject matter expert for providers and coders while providing guidance and clarification on issues which present in their daily account processing. Establishes and coordinates internal quality review processes and corresponding training for providers and coders....

Full Time

Coding Manager

The Cardiovascular Care Group Springfield, NJ

Coding Manager – Vascular Surgery Position Overview We are seeking a highly analytical, solutions-oriented Coding Manager with a strong background in vascular surgery coding, proven people-management skills, and the ability to improve processes that drive coding quality, operational efficiency, and revenue performance. The Coding Manager will lead the professional coding team for a high-volume, multi-specialty vascular surgery practice encompassing hospital-based procedures, ambulatory surgery centers (ASCs), office-based laboratories (OBLs), office visits, imaging, and other vascular services. This position combines technical coding expertise with hands-on operational leadership. The Coding Manager will be responsible for managing and developing the coding team, establishing performance standards, identifying and resolving operational problems, conducting coding audits, improving provider documentation, and implementing initiatives that improve charge...

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Full Time

OB/GYN Professional Coder

AGS Health Remote

OB/GYN Medical Coder Location: Remote Schedule: Full-time, day shift Department: Domestic Coding Services Reports to: Vice President of Coding Services Position Overview AGS Health is seeking an experienced OB/GYN Medical Coder to join our Domestic Coding Services team. This remote position is responsible for reviewing clinical documentation and assigning accurate diagnosis and procedure codes for obstetrics and gynecology services. The ideal candidate has a strong understanding of professional coding, OB/GYN terminology, and applicable coding guidelines, along with a commitment to quality, productivity, and client service. Key Responsibilities Review provider documentation and assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes for OB/GYN services. Code a variety of services, which may include office visits, preventive services, maternity care, deliveries, gynecologic procedures, and surgical services....

PW

Contract

Inpatient Hospital Coder – Denial Appeals Specialist

PayerWatch, Inc. Remote

Job Position: Independent Medical Reviewer Reports To: Chief, Clinical Business Operations Department: AppealMasters Employment Status: • 1099 Independent Contractor (Remote) • This remote contractor role requires a minimum commitment of ten appeals per week (approximately 15–20 hours weekly). Contractors are responsible for providing their own equipment and maintaining a secure home office environment. Position Summary We are seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist to review, analyze, and write compelling appeals for coding and DRG-related denials. This position requires a strong understanding of inpatient coding guidelines, MS-DRG assignment, clinical documentation, payer policies, and reimbursement principles. The ideal candidate will have mid-level inpatient coding experience and the ability to translate complex coding and clinical information into clear, concise, and well-supported appeal arguments. The primary...

RC

Full Time

Senior Surgical Coding Specialist

Revenue Cycle Coding Strategies Remote

Required: Active coding certification (apprentice designation not accepted for this role). SCOPE/GENERAL PURPOSE OF JOB: The Senior Coding Specialist is responsible for abstracting all E/M, CPT, HCPCS, ICD-10-CM, modifier, units from the medical record documentation. Other responsibilities include accurately entering data into coding/billing software and/or Excel reports. Performing accurate coding using applicable guidelines and facility protocols and communicating with staff and/or providers as needed. Provide written feedback of coding results as needed in the form of comments, summary of findings and recommendations. Ensure compliance with federal and state laws, regulations and standards related to health information and coding principles. Communicate with your direct manager as needed (i.e. schedule changes, daily assignments/work volume, coding questions, etc.) ESSENTIAL DUTIES AND RESPONSIBILITIES: · Assign ICD-10 CM...

Full Time Part Time

Practice Manager/Medical billing specialist

Ear Bar Chicago, IL

Medical Billing/Office manager position at Ear Bar Pay: $30.00 - $35.00 per hour Job description: Job Summary We are seeking a dedicated and experienced Medical Billing Specialist/office manager to oversee the daily operations of new innovative ENT specialty practice focused on ears. The ideal candidate will possess strong leadership skills and a comprehensive understanding of medical office management, including experience in clinical settings and utilization management. This role is pivotal in ensuring efficient workflow, maintaining high standards of patient care, and managing administrative functions effectively. The ideal candidate will also be responsible for managing the entire billing process, ensuring accurate and timely submission of claims, and facilitating smooth communication between healthcare providers, insurance companies, and patients. Your expertise will help optimize revenue cycles, improve patient satisfaction, and uphold the highest standards...

Full Time

Coding Educator

SSM Health Remote

Bring your coding expertise to SSM Health in a role where education, quality, and compliance come together. As a Coding Educator, you’ll partner with providers and coders, lead training initiatives, and influence documentation and coding practices that support accuracy, consistency, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Drives optimal clinical and financial outcomes through thorough assessment of provider documentation and coding competency, identification of improvement opportunities. Develops and delivers training and education of all coding processes. Stays abreast of regulatory changes and works with leadership to ensure compliance and revenue integrity. Act as subject matter expert for providers and coders while providing guidance and clarification on issues which present in their daily account processing. Establishes and coordinates internal quality review processes and corresponding training for providers and coders....

Contract

Medical Coders (ER, SDS and IP) and Data Quality Auditors

Pena4 Inc. Remote

Multiple ED, SDS and IP Coding Assignments Available & Data Quality Auditors Needed Description: Coders and Auditors with 3-5+ years of facility coding experience are needed to provide coverage to Pena4’s clients. Responsibilities : Pena4 M edical Coders are responsible for accurately assigning ICD-10-CM/PCS diagnosis and CPT procedure codes for inpatient and outpatient hospital services. This role ensures coded data is complete, compliant, and supports appropriate reimbursement, quality reporting, and regulatory requirements. Coders must meet or exceed determined productivity and quality standards for respectively assigned client engagements in order to ensure the highest level of coding. Summary: Position Type: 1099 Independent Consultant 100% Remote Assignments Schedule/Shift varies per assignment. See current assignment details below. Credentials: CPC, CCS, RHIA, RHIT (preferred) 3-5+ years of Facility Coding Will be required to complete ED,...

Full Time

Coding Manager

CHLA Medical Group Hybrid (Los Angeles, CA)

Primary Purpose of the Position: The Revenue Cycle Coding Manager provides strategic and operational leadership for professional coding and charge capture. The Manager is accountable for coding quality, productivity, inventory, compliance remediation, workforce planning, vendor performance, physician and division engagement, and coding-related revenue integrity. The position establishes clear standards, analyzes trends, and develops corrective action plans to support accurate, timely, and compliant claim submission. Essential Duties of the Position May Include the Following: Leads day-to-day and long-range coding operations, including staffing, workload allocation, coverage planning, production priorities, and escalation management. Owns the coding operating model and clearly defines responsibilities among the Coding Manager, Coding Supervisor, internal coders, and external coding vendors. Establishes, monitors, and reports key performance indicators for...

Full Time

Coding Specialist

Bridge Remote

About Bridge Bridge is the fastest, most compliant way to scale insurance billing nationwide. We enable virtual care companies to go in-network nationally in as little as 30 days, without the operational lift. Our platform handles payer contracting, credentialing, real-time benefit verification, medical coding, claim submission, denial management, and compliance in a single integrated solution. Backed by leading investors including General Catalyst, Andreessen Horowitz, Thrive Capital, Khosla Ventures, Greenoaks, and Mischief, we're scaling rapidly. The Role We are seeking a detail-oriented and experienced RCM Coding Specialist with CPC (Certified Professional Coder) certification to join our Revenue Cycle Management team. This role is responsible for accurate and timely medical coding in accordance with current coding guidelines, payer requirements, and company standards. The ideal candidate has strong analytical skills, in-depth knowledge of CPT, ICD-10, and...

Seasonal/Temporary

HCC Coding Specialist (Temporary, FT and PT available)

Virtix Health Remote

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. Risk Adjustment Coding Specialists are an important part of the Team at Virtix Health. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements. Equipment provided along with Encoder software with access to AHA Coding Clinic This is a remote position ESSENTIAL DUTIES AND RESPONSIBILITIES:...

2978 coder quality specialist jobs found