194 coder senior jobs found

Beyond Blue Job Posting Title: PB Coder Senior Requisition Number: R-000005570 Department Name: Coding Work Location: Remote-KY Grade Level: 5 Type of Position: Regular Position Time Status: Full time Equivalency Link https://hr.uky.edu/employment/working-uk/equivalencies Shift: Day (United States of America) Job Description: Job Summary Responsible for coding complex professional billing encounters and serving as a subject matter expert for coding compliance and accuracy. Provides support to providers and coding staff through education, feedback, and resolution of difficult cases. Ensures adherence to federal regulations, payer rules, and organizational coding policies. Participates in audits, quality initiatives, and process improvements. Essential Functions Assigns CPT, ICD-10 and HCPS codes to PB services with high-level of complexity. Maintains consistent achievement of departmental productivity and quality standards. Serves as resource for resolving escalated coding issues...

Remote Summary Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines. Coder will work collaboratively with various CHRISTUS Health departments, including but not limited to the HIM and Clinical Documentation Specialists, to ensure accurate and complete physician documentation to...

Sentara Health in Charlottesville, VA is seeking a Senior Coding Specialist- Acute Care to support daily operations and ensure quality in coding processes. You will assist leadership, provide technical guidance to team members, and help meet regulatory requirements. Requirements include 2 years of coding experience and CCS/CIC/CCA/RHIT/CPC/COC certifications; 1 year HIM experience preferred. Remote options from VA/NC supported. #J-18808-Ljbffr

Location: Valhalla, New York, United States Salary: $39.66 - $49.86 Company: Westchester Medical Center Health Network Posted: Location: Valhalla, New York, United StatesSalary: $39.66 - $49.86Company: Westchester Medical Center Health NetworkPosted: Location: Valhalla, New York, United StatesSalary: $39.66 - $49.86Company: WMCHealthPosted: Senior Inpatient CoderCompany: NorthEast Provider Solutions Inc.City/State: Valhalla, NYCategory: Clerical/Administrative SupportDepartment: Health Info Mgmt-WMC HealthUnion: NoPosition: Full TimeHours: 80Shift: DayReq #: 48059Posted Date: Jun 12, 2026Hiring Range: $39.66 - $49.86Apply NowExternal Applicant link ( Internal Applicant linkJob Details:Job Summary:The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM/PCS codes) and entering coded information into an automated grouper...

Beyond Blue Corporation seeks a Senior PB Coder to code complex professional billing encounters and serve as an expert on coding compliance and accuracy. You will support providers and coding staff through education, feedback, and resolution of difficult cases, ensuring adherence to regulations and internal policies. Key duties include auditing, staying current with payer rules, and contributing to process improvements. #J-18808-Ljbffr

Houston Methodist is seeking a Senior Outpatient Coder to ensure accurate ICD-10-CM/ICD-10-PCS and CPT coding for day surgery and observation encounters based on documentation in the electronic medical record. In this non-exempt role, you will collaborate with the coding team, physicians, and ancillary staff, perform physician queries when needed, and uphold AHIMA guidelines and hospital policies to maintain coding quality. #J-18808-Ljbffr

Come lead with us at Corporate At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator...

22 New Scotland Avenue Albany, NY 12208 Full time 69819 Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $64,972.00 - $97,458.00 The Senior Hospital Coder is responsible for performing detailed inpatient coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly...

Location: Valhalla, New York, United StatesSalary: $30.46-$38.30Company: WMCHealthPosted: 2026-10-06Senior Outpatient CoderCompany: NorthEast Provider Solutions Inc.City/State: Valhalla, NYCategory: Clerical/Administrative SupportDepartment: Health Info Mgmt-WMC HealthUnion: NoPosition: Full TimeHours: mon - friday/8-4:30Shift: DayReq #: 49680Posted Date: Sep 02, 2026Hiring Range: $30.46-$38.30Apply NowExternal Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/33932) Internal Applicant linkJob Details:Job Summary:The Senior Outpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD 10CM), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS), and entering coded information into an...

LCMC Health seeks a Coding Senior to assign ICD-10-CM/PCS and CPT codes, determine MS-DRG/APC groups, and ensure compliant documentation for inpatient and ambulatory records across multiple specialties. The role supports coding functions of a Coding Specialist I and collaborates with clinicians and leadership. Ideal candidates have AHIMA/AAPC training and 3+ years of coding experience, with strong analytical and communication skills. #J-18808-Ljbffr

Coding Senior Your job is more than a job Additional Job Description The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (i.e. family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). The Coding Senior may be assigned any of the coding functions of a Coding Specialist I. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all...

To support the Coding Department, the full-time Connecticut Licensed Senior Coder will serve as a subject matter expert in professional coding, conduct quality assurance reviews, mentor team members, and manage pre-accounts receivable processes, all while working remotely. Key responsibilities Manages day-to-day activities related to Professional Coding accounts receivable to ensure accuracy and timeliness Conducts regular quality assurance reviews to identify coding errors and trends, providing feedback for improvement Mentors team members and assists in prioritizing coding workloads to enhance departmental goals Required qualifications Bachelor's degree preferred in a health-related field with relevant coursework in anatomy and physiology Five or more years of progressive experience in Professional Coding Proficiency in multiple professional specialties as defined by the department CPC or CCS-P credential required; additional coding certifications preferred Advanced knowledge of...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities...

AlbanyMed seeks a Remote Senior Professional Coder to lead the coding team in professional fee coding, charging, and denials follow-up. The role audits CPT and ICD-10, ensures compliance with CMS/state guidelines, and provides training to providers and staff. It operates remotely with on-site education when needed. Ideal candidates will have 2+ years in professional fee coding, CPC/CCA/CCS/COC/RHIT/RHIA credentials, and strong communication skills. LEAN experience is a plus. #J-18808-Ljbffr

Virtual Vocations Inc. seeks a full-time, Connecticut-licensed Senior Coder to serve as a subject-matter expert in professional coding. The role involves QA reviews, mentoring, and managing pre-accounts receivable processes, while working remotely. The candidate will oversee day-to-day AR activities, identify coding trends, and guide the team to meet departmental goals. Excellent Excel skills and relevant certifications are required. #J-18808-Ljbffr

Department/Unit Health Information Management Work Shift Day (United States of America) Salary Range $64,972.00 - $97,458.00 Job Overview The Remote Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. Essential Duties and Responsibilities Review, analyze, and validate CPT and ICD-10 diagnosis codes...

Northwell Health in Lake Success, NY is seeking a Senior Coder to perform coding and abstracting duties for all assigned patient records with accuracy and efficiency. The role requires 3–5 years of technical coding experience and relevant certifications (CCS, CPC, CCSP, CIC, COC, RHIA or RHIT). This full-time position offers a competitive salary range of $66,220–$108,180 per year, flexible hours between 7 a.m. and 7 p.m., and remote work schedule options. #J-18808-Ljbffr

Lead Senior Coder QA Salary Range $65,000.00 - $75,000.00 Salary Position Type Full Time Education Level High School Overview At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact- whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. This role performs complex coding and dispute/appeal reviews, ensures compliance with RADV guidelines, provides quality assurance and feedback to coders, and serves as a subject matter expert and escalation point for coding questions. The Lead Sr. Coder also leads and supports a team of up to 15 coders, assists with training and development, and...

Remote Senior Professional CoderThe Remote Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed.Essential Duties and ResponsibilitiesReview, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines....

Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $64,972.00 - $97,458.00 The Remote Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. Essential Duties and Responsibilities Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges...

Senior Hospital CoderThe Senior Hospital Coder is responsible for performing detailed inpatient coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. This is a remote inpatient position.Essential Duties and ResponsibilitiesOptimize hospital reimbursement by auditing and monitoring...

Location: Florida, New York, United StatesCompany: ADP, Inc.Posted: 2026-10-07The Senior Risk Adjustment Coder is responsible for accurate and compliant risk adjustment coding through retrospective documentation auditing, provider-facing education, and two-sided chart reviews. This role partners closely with physicians, practice staff, and operational teams to improve documentation specificity, support new PCP onboarding, reinforce ongoing education, and enhance RAF accuracy, compliance, and revenue integrity across targeted populations.Essential Duties and Responsibilities:Conduct retrospective documentation audits to validate diagnosis capture, coding accuracy, and compliance with CMS, ICD-10-CM, and organizational guidelinesPerform two-sided chart reviews to identify documentation gaps, unsupported diagnoses, and opportunities for recapture and coding specificityEvaluate medical records for complete and compliant support of submitted diagnoses, including assessment of M.E.A.T....

Location: New York, United StatesCompany: AAPCPosted: 2026-10-06RELI Group in the United States is seeking a Senior Coder to perform intake and coding validation on medical records and enter the data into CMS tools in accordance with RADV guidelines.The role requires experienced coders with ICD-9-CM/ICD-10-CM knowledge, the ability to review records, write technical notes, and support the Project Director.You will maintain PHI confidentiality, participate in QA discussions, and strive for 95% IRR while meeting productivity and attendance standards.#J-18808-Ljbffr

Senior Inpatient Coder The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM/PCS codes) and entering coded information into an automated grouper system. Technical guidance and acting in a lead role is expected. Does related work as required. Responsibilities Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. Interprets and applies American Hospital Association Official Coding guidelines to articulate and support principle and secondary diagnoses and selected procedures. Identifies and analyzes patterns in possible coding errors or other trends and reports to the coding leadership team. Participates in mandated medical record review processes. Using current ICD10 CM/PCS coding systems, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by...