Coding and cdi jobs | Healthcare Careers

Full Time

Remote - Clinical Payment Integrity DRG Validator

ClarisHealth Remote

Job Summary: The DRG Coding Validator integrates advanced clinical nursing knowledge with expert inpatient coding proficiency to perform comprehensive validation of Diagnosis-Related Group (DRG) assignments and associated inpatient medical record coding. Drawing on dual expertise as a Registered Nurse (RN) and a Certified Inpatient Coder (CIC or CCS), this role evaluates both the clinical validity of documented diagnoses and procedures and the accuracy of ICD-10-CM/PCS code assignments, DRG sequencing, and discharge dispositions. This position serves clients by identifying coding inaccuracies, unsupported clinical documentation, and DRG assignment errors across MS-DRG and APR-DRG reimbursement methodologies. Why You'll Love Working at ClarisHealth We believe our team deserves the best, and we’re proud to offer a comprehensive benefits package designed to support your success, both at work and in life. Here’s what you can look forward to: Medical,...

NC

Full Time

Compliance Educator

Nationwide Children's Hospital Columbus, OH

Job Summary Designs and delivers education programs on compliant documentation, coding and billing practices, regulatory requirements, and internal policies through learning experiences such as instructor-led sessions, webinars, and e-learning modules. Serves as a key resource for physicians, clinical staff, auditors, coders, and other stakeholders, ensuring understanding and adherence to applicable standards. Analyzes data and reports to identify educational needs and may conduct limited audits to support targeted training efforts. Essential Functions: Develops and delivers targeted education based on new service or program implementation, CPT/ICD-10 changes, and regulatory changes. Reviews audit data and compliance trends to identify educational gaps and address areas of risk. Designs and maintains educational content and resources, supporting accurate CPT and diagnosis coding for professional services,...

Full Time

Pro Fee and Pro Clinic Coder

Healthcare Coding & Consulting Services (HCCS) Remote

Healthcare Coding and Consulting Services (HCCS) is a family-owned, U.S.-based medical coding company currently hiring experienced, certified Pro Fee and Pro Clinic coders for fully remote, full-time positions supporting Pro Fee with specialties in Wound Care, Psychiatric, Palliative Care, Rehab and Pro Clinic with specialties in Family Medicine, Internal Medicine, and Rural Health Clinics (RHC) At HCCS, we are committed to long-term employment and career stability. We do not offer short-term, contract, or project-based work. All team members are direct-hire W-2 employees with consistent workloads and full benefits. We also do not offshore any coding services — all HCCS coders are U.S.-based, ensuring strong compliance, communication, and provider support. We intentionally match coders to specialties they are experienced in, allowing them to work confidently and consistently within familiar chart types. Our Coding and Scheduling Managers actively support coders with workflow,...

Full Time

Revenue Cycle Management Specialist

Cenevia Remote

SUMMARY/OBJECTIVE: The RCM Specialist is responsible for all billing duties listed below. The position requires coordination with client contact for the daily and monthly revenue cycle management process. ESSENTIAL FUNCTIONS: Core duties and responsibilities include the following. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. Claims Processing Progress notes and account review Patient demographic and insurance updates Billing related alert creation and deletion Claims processing (both paper and electronic) Clearinghouse review and management of rejected claims Management and follow up of client returned claims Payment Processing Daily balancing Payment posting (both manual and electronic) Collection management AR Follow-Up Insurance website navigation and maintenance of log in access E-status review for provider participation...

4 coding and cdi jobs found