45 coder senior jobs found

Mayo Clinic is seeking a Senior Professional Fee Coder to join our team in a hybrid position. You will review medical records, assign appropriate professional fee codes and collaborate with physicians and hospital staff to ensure accurate, timely coding for diverse subspecialties. The role includes mentoring and training Professional Fee Coders, supporting coding quality, and providing education to the department while balancing production coding of complex accounts. #J-18808-Ljbffr

Senior Professional Fee CoderMayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.Benefits HighlightsMedical: Multiple plan options.Dental: Delta Dental or reimbursement account for flexible coverage.Vision: Affordable plan with national network.Pre-Tax Savings: HSA and FSAs for eligible expenses.Retirement: Competitive retirement package to secure your future.ResponsibilitiesHYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs.The Senior Professional Fee Coder...

Senior Medical CoderOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.The Senior Medical Coder performs concurrent review of FFS coding rules within Epic, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials.Schedule: Monday to Friday, 8 AM- 5 PMLocation: Remote - NationwideYou will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary...

Requisition number: 2344520 Job category: Medical & Clinical Operations $5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Facility Certified Medical Coder you will provide coding services directly to providers....

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Senior Medical Coder (2379427) Senior Medical Coder - 2379427 Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge...

Risk Adjustment Coding Analyst Senior HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks. Accountabilities: Performs retrospective chart review for diagnosis coding accuracy. Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education. Reviews vendor coding and provide recurring feedback and education to vendor team. Participates in internal and CMS-mandated risk adjustment data validation review. Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities. Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics. Increases...

Optum is seeking a Senior Medical Coder to perform concurrent review of FFS coding within Epic, ensuring CPT and E/M codes are accurately coded for reimbursement. Schedule is Monday–Friday, 8 AM–5 PM, with remote nationwide location. Responsibilities include applying coding rules, interpreting clinical documentation, querying providers when needed, and mentoring others to improve coding quality. Telecommuting is allowed per policy. #J-18808-Ljbffr

UnitedHealth Group is seeking a Senior Inpatient Medical Coder to accurately assign ICD-10-CM/PCS codes for inpatient hospital services, impacting DRG outcomes. This role requires adherence to AHIMA/AAPC guidelines and strong collaboration with providers. The position supports telecommuting from anywhere in the U.S., with competitive pay $24-$43 per hour and a comprehensive benefits package. A certified professional coder with 3+ years inpatient experience is preferred. #J-18808-Ljbffr

Senior Inpatient Medical Coder Optum is seeking a Senior Inpatient Medical Coder to provide coding services directly to providers. This virtual, remote position requires strong organization, self‑starter skills, and proficiency in technical applications. A previous successful remote work experience is preferred. Training: 4 weeks of virtual training from 8:00 AM – 5:00 PM Monday‑Friday. Telecommute flexibility: Telecommute from anywhere within the U.S. Primary Responsibilities Identify appropriate assignment of ICD‑10‑CM and ICD‑10‑PCS codes for inpatient services in a hospital setting, considering DRG impact with reference to CC/MCC and adhering to official and client coding guidelines. Abstract additional data elements during the chart review process when coding, as needed. Adhere to the ethical standards of coding as established by AAPC and/or AHIMA. Maintain required levels of coding quality and productivity as established by Optum360. Provide documentation feedback to...

HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. The Senior Professional Fee Coder is responsible for working collaboratively to support department operations as well as periodically interacts with various team members such as physicians and other hospital administration. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. This position will mentor, instruct and/or train other Professional Fee Coders in compliant coding standards. The Senior Professional Fee Coder reviews and interprets medical record documentation to include, but not limited to, medical diagnostic information for various medical and surgical subspecialties and assigns the appropriate professional fee codes. Over half of the Senior Professional Fee Coder assigned time will be focused on production coding of complex accounts assigning the...

Sentara Health in Charlottesville, VA seeks a Senior Coding Specialist- Acute Care who will support daily operations, ensure quality and service, and help meet regulatory requirements. You will serve as a technical resource for the coding team and contribute to process improvements. The role requires 2 years of coding experience and CCS, CIC, CCA, RHIT, CPC, or COC certifications; remote work from VA or NC may be considered for eligible candidates. #J-18808-Ljbffr

Requisition number: 2304825 Job category: Medical & Clinical Operations $5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key...

Optum is seeking a Certified Sr. (IP) Acute Edits Medical Coder to work remotely within the U.S. and code inpatient and outpatient services with ICD-10-CM/PCS and DRG focus. You will review charts, ensure policy compliance, and provide feedback to providers under senior guidance. Ideal candidates hold AHIMA/AAPC credentials and have 3+ years inpatient coding experience in a hospital/trauma setting, with strong MS Excel and EMR skills. Normal hours are 8:00am–5:00pm, with occasional overtime. #J-18808-Ljbffr

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Senior Inpatient Medical Coder (2392903) Senior Inpatient Medical Coder - 2392903 Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient...

This position is responsible for reviewing clinical documentation and assigning ICD-10-CM diagnosis, CPT/HCPCS procedure codes, and modifiers to ensure proper reimbursement for complex outpatient accounts. Requires extensive knowledge and understanding of ICD-10-CM and CPT/HCPCS coding guidelines, medical terminology, and disease processes. Works closely with clinicians and operations to ensure complete and accurate documentation, coding, and charges for the services provided. Adheres to the quality and productivity standards set by the department. Building Location Business Service Center Department 1006240 HOSPITAL CODING - EH SS Job Description This position is responsible for reviewing clinical documentation and assigning ICD-10-CM diagnosis, CPT/HCPCS procedure codes, and modifiers to ensure proper reimbursement for complex outpatient accounts. Requires extensive knowledge and understanding of ICD-10-CM and CPT/HCPCS coding guidelines, medical terminology, and...

UnitedHealth Group is seeking a Senior Ambulatory Medical Coder Edits to accurately determine CPT and ICD-10 Edits for Professional Services. Remote 40-hour weeks, with shifts across eight hours, and flexibility to telecommute from anywhere in the U.S. You will provide documentation feedback to physicians and ensure coding aligns with official guidelines, LCD/NCD policies, and payer requirements under the Coding Operations Manager or QM personnel. #J-18808-Ljbffr

UnitedHealth Group seeks a Senior Medical Coder to perform concurrent review and ensure accurate CPT and E/M coding for maximum reimbursement and minimal denials. This role supports coding functions within charge review, claim edits, and denials, helping maintain revenue cycle integrity. Schedule: Monday to Friday, 8am–5pm. Location: Remote Nationwide—telecommute from anywhere in the U.S. You will mentor peers and contribute to coding accuracy and compliant documentation. #J-18808-Ljbffr

Requisition number: 2374557 Job category: Medical & Clinical Operations Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts....

Risk Adjustment Coding Analyst SeniorHealthPartners is hiring a Risk Adjustment Coding Analyst Senior.This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks.Accountabilities:Performs retrospective chart review for diagnosis coding accuracy.Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education.Reviews vendor coding and provide recurring feedback and education to vendor team.Participates in internal and CMS-mandated risk adjustment data validation review.Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities.Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics.Increases collaborative efforts...

Certified Sr. (IP) Acute Edits Medical CoderOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Certified Sr. (IP) Acute Edits Medical Coder you will determine and record the correct medical codes for all treatments and health services....

Health Care Coding Specialist Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction...

Medical Coding Position Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Schedule: Monday - Friday except for weekends for a shift differential You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the...

Health Care Coding SpecialistOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime.You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Identify appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility...

Mosaic Life Care is seeking an Inpatient Coder II to assign ICD-10-CM/PCS codes for acute care inpatient services, including LTACH. You will query physicians, resolve coding edits, and provide education to coders in collaboration with clinical documentation specialists. The role requires 3 years of HIM inpatient acute care coding experience and CCS/RHIA/RHIT certifications, with education in Health Information Management. #J-18808-Ljbffr