35 coder senior jobs found

Certified Medical Coder, Medicare Operations, Amazon One Medical Senior Health Job ID: 10534970 | Amazon.com Services LLC As a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. This role reports into the Manager I, Finance. As part of Amazon Health Services, you will find yourself working with exceptionally talented and dedicated people committed to driving financial improvement, scalability, and process excellence. To support our growth, this candidate must possess a strong passion for accountability, setting high standards, raising the bar, and driving results through constant focus on improving existing and future state operations, systems, and processes in collaboration with management. Key job responsibilities Managing multiple coding related projects and ensuring deliverables are up to One Medical standards while being turned...

Senior Managing DirectorAnkura is a team of excellence founded on innovation and growth.Ankura's Health Care team is a recognized leader in health care and life sciences disputes, compliance, and investigations. The team combines clinical, technical, operational, financial, economic, and analytic expertise to help clients and counsel resolve complex matters involving payers, providers, pharmacies, and law firms.The Senior Managing Director will be an executive-level, self-sustaining rainmaker who originates, sells, leads, and testifies in complex healthcare commercial disputes. The role requires a credible marketplace presence with health plans, law firms, and healthcare-focused private equity or strategic stakeholders.Responsibilities:Proven, tangible business development record with the ability to produce at least $3M in revenue and a target opportunity to generate $3M to $5M+ annuallyManage and deliver results for a portfolio of projects, which typically includes eight or more...

Capital Area Health Network (CAHN) in Richmond, VA seeks a Senior Certified Coder with 5+ years of professional coding experience, including 3+ years in an FQHC setting. You will code outpatient visits across primary care, behavioral health, dental, and preventive services, ensuring compliance with ICD-10-CM, CPT, and payer guidelines. Applicants should hold AAPC CPC/CPC-H/CPC-P or RHIT certification and be proficient with EHR and billing systems. Knowledge of PPS and RHC models is required. #J-18808-Ljbffr

UVA Health is seeking a Senior Hospital Inpatient Coder to professionally code complex inpatient encounters from trauma to transplant in a fully remote role. You will apply ICD-10-CM/PCS and DRG coding, collaborate with providers and CDI teams, and maintain high standards of accuracy and timely deliverables from a home-based setting. The ideal candidate will have 5+ years of inpatient coding experience in a major academic medical center or Level I trauma environment, with CPC certification and #J-18808-Ljbffr

Amazon One Medical Senior Health Revenue CycleAs a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. This role reports into the Manager I, Finance. As part of Amazon Health Services, you will find yourself working with exceptionally talented and dedicated people committed to driving financial improvement, scalability, and process excellence. To support our growth, this candidate must possess a strong passion for accountability, setting high standards, raising the bar, and driving results through constant focus on improving existing and future state operations, systems, and processes in collaboration with management.Key job responsibilities:Managing multiple coding related projects and ensuring deliverables are up to One Medical standards while being turned around in an acceptable time frameRemaining current on CPT, ICD-10-CM coding...

Washington D.C. Vienna, VA Tampa, FL Seattle, WA Phoenix, AZ Oakland, CA Nashville, TN Miami, FL Irvine, CA Houston, TX Fairfield, CT Denver, CO Dallas, TX Charlottesville, VA Orlando, FL Boston, MA Baltimore, MD USA Hamilton Full time R104665 Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura’s Health Care team is a recognized leader in health care and life sciences disputes, compliance, and investigations. The team combines clinical, technical, operational, financial, economic, and analytic expertise to help clients and counsel resolve complex matters involving payers, providers, pharmacies, and law firms. Role Overview: The Senior Managing Director will be an executive-level, self-sustaining rainmaker who originates, sells, leads, and testifies in complex healthcare commercial disputes. The role requires a credible marketplace presence with health plans, law firms, and healthcare-focused...

Location: Arlington, Virginia, United StatesCompany: AmazonPosted: Amazon One Medical Senior Health is seeking a Medical Coder I to support the Medicare Operations team by reviewing claims for coding accuracy, assigning ICD-10-CM and CPT codes, and ensuring timely handling of email requests in a production environment. You will collaborate with Finance and Revenue Cycle, leveraging KPI insights and standard tools to drive accuracy, compliance, and process improvements across office visits, procedures, and diagnoses.#J-18808-Ljbffr

Hospital Inpatient Coding Specialist The Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement. The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra's coding policies. The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information. Responsibilities Assigns diagnosis and procedure codes. Verifies accuracy of DRG Accurately abstracts required...

Advocate Health is seeking an experienced inpatient coder to support production operations in the Enterprise Revenue Cycle. The role involves reviewing complex inpatient documentation and assigning ICD-10-CM/PCS, CPT, and HCPCS codes with adherence to official guidelines and regulatory requirements. You will work with CDI and quality teams to reconcile DRGs and ensure accurate reimbursement, while maintaining high productivity and quality standards. #J-18808-Ljbffr

Hospital Inpatient Coding SpecialistThe Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement. The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra's coding policies. The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information.ResponsibilitiesAssigns diagnosis and procedure codes.Verifies accuracy of DRGAccurately abstracts required...

Reviews claims in assigned work queues in Cerner Revenue Cycle including CMG Review and Ambulatory Edit failure work items.Analyzes coding edits, reviews timeline notes, reviews clinical documentation, including provider orders, progress notes, surgical and test results thoroughly to interpret and ensure documentation supports the posted charges.Determines appropriate action needed to resolve coding edits / issues and ensure clean claim submission.Performs coding functions, including Current Procedure Terminology (CPT), International Classification of Diseases, tenth revision, Clinical Modification (ICD-10-CM), documentation review, and claim denial review.Applies appropriate modifiers.Ensures charges / coding are in alignment with the American Medical Association (AMA),Medicare, and Commercial coding guidelines on all claims reviewed.Credits / updates charges and coding as needed.Ensures queues are worked timely and efficiently.Maintains Productivity and accuracy...

## Description**Capital Area Health Network (CAHN)***Richmond, VA - On-Site Position*Make a real impact with Capital Area Health Network (CAHN), a dynamic and growing Federally Qualified Health Center (FQHC) located in the heart of Richmond, VA. We're expanding our team and seeking talented, mission-driven professionals who want to elevate community health. At CAHN, we innovate, we serve with purpose, and *we are just better.* Step into a role where your work creates lasting change.-**Our Core Values****Compassion** - We treat every person with dignity and fairness, ensuring no one feels alienated or discriminated against.**Accountability** - We safeguard confidentiality and remain transparent with all stakeholders.**Reverence** - We are called to serve and uplift those in need while fostering mutual respect.**Excellence** - We commit to continuous learning to deliver culturally responsive, high-quality care.**Stewardship** - We manage resources responsibly for the benefit of our...

Compliance AuditorThe Compliance Auditor plans, schedules, and performs comprehensive internal professional fee audits to include routine audits, focused audits, for cause audits and, not for cause audits for Chesapeake Regional Healthcare (CRH) and all of its affiliated entities. Performs detection of documentation, coding, and billing errors as well as collaboration with appropriate stakeholders to ensure corrective action and/or appropriate response to identified issues. Communicates audit results to providers, coders, management, and other appropriate staff. Develops and delivers provider and coder education. Evaluates the effectiveness of internal controls designed to ensure that processes and practices lead to regulatory compliance with guidelines related to professional fee documentation, coding, and billing. Stays abreast of documentation, coding, and billing regulations and standards and serves as a subject matter expert on the interpretation and application of...

Company DescriptionAmerica Networks is a leading sensor and networking solutions partner for companies in any Industrial, Manufacturing, and Waste management space. We design and manufacture sensors for storage tanks, water metering, energy metering, gas monitoring, and asset management. Our founders are hardcore telecommunications engineers with combined 200 + years of experience in designing, optimizing and performance engineering; for several mid – large wireless carriers internationally - that saw a need to provide low power, cost efficient sensors to collect data, create alerts, and predict needed actions. We have combined these sensors with low power, wide area (LPWA) networking technologies to provide clients various options to decrease re-occurring costs associated with operating an IoT network of sensors and connected devices. We specialize in design, deployment, optimization, and support of these Networks. Whether an off-the-shelf or custom solution is needed, we’ll...

Chesapeake Regional Medical Group is seeking a Senior Coding Specialist to perform coding tasks across physician practices, including obtaining pathology and operative reports, assigning ICD and CPT codes, and ensuring accurate transmissions within the system. The role requires experience in hospital/medical office settings, CPC certification (or within one year), and strong computer skills. You will participate in audits, education, and go-live support across multiple locations. #J-18808-Ljbffr

Coding Specialist (Part-Time)At Commence, we're the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient processes to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.The Coder Reviewer position is responsible for supporting and conducting reviews and determinations for independent dispute resolutions at both the Federal and State levels. Subject matter expert in clinical...

Company DescriptionAmerica Networks is a leading sensor and networking solutions partner for companies in any Industrial, Manufacturing, and Waste management space. We design and manufacture sensors for storage tanks, water metering, energy metering, gas monitoring, and asset management. Our founders are hardcore telecommunications engineers with combined 200 + years of experience in designing, optimizing and performance engineering; for several mid – large wireless carriers internationally - that saw a need to provide low power, cost efficient sensors to collect data, create alerts, and predict needed actions. We have combined these sensors with low power, wide area (LPWA) networking technologies to provide clients various options to decrease re-occurring costs associated with operating an IoT network of sensors and connected devices. We specialize in design, deployment, optimization, and support of these Networks. Whether an off-the-shelf or custom solution is needed, we’ll...

Job Title Essential Duties and Responsibilities These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned. Coordinate, supervise, and respond to third-party patient bill audits. Perform patient-requested audits in a timely manner. Perform random quality audits as schedule permits. Assist Patient Account personnel with patient questions about itemized charges. Maintain reporting systems for audit activities and identify patterns and trends in results. Act as a resource for all hospital departments regarding charging questions and issues. Routinely review inpatient and outpatient records for appropriate coding and charging. Provide educational sessions for revenue-producing departments regarding appropriate charging processes and procedures. Work cooperatively with the Patient Accounting staff and other healthcare professionals in obtaining correct HCPCS codes and modifiers. Assist the Health...

UKG is seeking a Senior Coding Specialist to accurately assign and sequence ICD-10-CM/PCS and CPT-4/HCPCS codes for inpatient and outpatient records in Virginia. The role requires meticulous attention to documentation, adherence to coding guidelines, and collaboration with clinical staff to obtain complete records. Responsibilities include selecting DRG and APC, abstracting data, entering information into coding systems, and ensuring compliance with accuracy targets. #J-18808-Ljbffr

Chesapeake Regional Healthcare is seeking a Senior Coding Specialist to accurately assign and sequence ICD diagnostic and procedural codes for healthcare records. The role involves ensuring coding compliance, maintaining accuracy, and collaborating with medical staff. This position requires completion of an accredited coding program and four years of coding experience in an acute hospital setting. Required certifications include RHIA or RHIT and CCS or CIC. #J-18808-Ljbffr

## Risk Adjustment CoderApplyremote type: Hybridlocations: SMG Administrationtime type: Full timeposted on: Posted Todayjob requisition id: JR-103351**City/State**Virginia Beach, VA**Work Shift**First (Days)**Overview:**# **Overview**Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk adjustment ICD-10-CM coding-related activities. Conducts annual risk assessments,...

Job Title House Supervisor – Maryview Medical Center Job Summary The Facility Nursing Supervisor is responsible for maintaining continuity of patient care in the absence of the unit nurse managers/directors in all areas of the hospital. Essential Functions Supervises and coordinates activities of hospital personnel to maintain the continuity of a safe and efficient standard of care. Makes patient care assignments according to staff ability and patient needs. Evaluates care given by others under his/her direction. Makes appropriate changes and provides feedback to other personnel. Maintains accountability for own care and care delegated to others. Adheres to ethical and legal standards. Seeks assistance from appropriate resources, when needed. Visits the nursing units to oversee nursing care and evaluate condition of patients. Evaluates the census and acuity level of patients per unit and collaborates with ROC (Resource Optimization Center) and other department leaders for...

DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients....

PH Physician Supervisor (Medical Director) Title: PH Physician Supervisor (Medical Director) State Role Title: Physicians and Surgeons, All Other Hiring Range: $203,571.05 - $207,909.99 Pay Band: 8 Agency: Virginia Department of Health Location: Chesterfield HQ Agency Website: https://www.vdh.virginia.gov/chesterfield/ Recruitment Type: General Public - G Job Duties The Virginia Department of Health (VDH) is dedicated to protecting and promoting the health of Virginians. The VDH is made up of a statewide Central Office in Richmond and 33 local health districts. The Chesterfield Health District provides public health services to the residents of Chesterfield County, Powhatan County, and the City of Colonial Heights. This position is based in the Chesterfield Health Department. Are you interested in providing clinical care while working on ways to address the upstream causes of preventable diseases? The Chesterfield Health District is looking for a physician-leader who has...