16 coding compliance educator jobs found

About HHCS Henderson Health Care Services is a full-service hospital, long term care and two medical clinics in Henderson & Sutton, NE. We are professional, fast-paced, collaborative and our goal is to provide the greatest healthcare option to Henderson, Sutton and surrounding area patients while maintaining a family-based culture. Our Work Environment Modern office setting (currently under construction with major growth happening) Growth opportunities within HHCS Long term employees Position Health Information Management Coder – FT Henderson Health Care Services, Inc., a progressive, health care facility located in Henderson, NE, is seeking an on-site, full time Health Information Management (HIM) Coder. Responsible for reviewing, interpreting, and accurately coding medical record documentation for clinic and hospital services using standard classification systems (ICD-10-CM, CPT, HCPCS). This role ensures completeness, accuracy, and compliance in coding and abstracting...

Job Summary and Responsibilities As our Coder Lead, you will be a pivotal leader in our revenue cycle management team, serving as a trainer, resource, and mentor for other coders and staff. Your expertise will be crucial in coordinating the daily coding workflow, ensuring the accurate assignment of ICD-10 and CPT codes for moderately complex cases. You'll be responsible for monitoring and assessing the quality and production standards of our coding team, acting as a go-to expert for complex coding and billing issues within our healthcare ministry. Every day you will train staff on coding processes, policies, and systems, including new hires, and contribute to continuing education efforts. You'll coordinate coding assignments, manage workflow, and perform quality reviews to identify and resolve discrepancies. Acting as a subject matter expert, you will troubleshoot difficult coding problems, liaise between physicians and support staff to resolve issues related to coding, billing,...

Description ESSENTIAL DUTIES AND RESPONSIBILITIES Review and analyze clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes. Ensure coding accuracy and compliance with federal regulations, payer requirements, and clinic policies. Collaborate with providers, nurses, and clinical staff to clarify documentation when needed. Abstract relevant information from patient records to support accurate coding and billing. Enter and verify codes in the electronic health record (EHR) or billing software system. Identify and resolve coding errors, rejections, and denials in partnership with the billing team. Maintain current knowledge of coding guidelines, payer rules, and compliance standards (including HIPAA). Participate in regular audits and quality assurance activities to ensure documentation supports billed services. Assist with staff education and training related to coding and documentation best practices. Protect patient confidentiality and maintain the...

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Health Information Medical Coding Specialist Memorial Health Care Systems is proud to be recognized as a Top 20 Critical Access Hospital for 2026, and we are currently seeking a detail-oriented and dedicated Health Information Medical Coding Specialist to join our team. This is a full-time, onsite position, working Monday through Friday in a professional office setting. Position Summary The Health Information Medical Coding Specialist plays a vital role in ensuring accurate and compliant coding of patient records. This position is responsible for reviewing clinical documentation and assigning diagnosis and procedure codes in accordance with established national coding standards. Key Responsibilities Accurately assign ICD-10 and CPT codes based on clinical documentation Perform comprehensive reviews of closed clinical records across multiple levels of care Ensure compliance with national coding standards and regulations Maintain timely and accurate reporting for: Internal...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviewsmedical records toreport conditions that map toHCCs by reviewing medical record documentation and applying theappropriate ICD-10diagnosis codes. Followsstate and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works onprojects that may include making phone calls to providers. Works within broad guidelines with little...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

Description ENT Specialties, P.C. is a privately owned practice that has been providing comprehensive ENT services to all ages since 1991. As the largest Otolaryngology practice in Lincoln, we have a dedicated group of physicians, physician assistants, audiologists, nurses and staff that excel in providing the highest quality care with a compassionate touch. Position Overview The Certified Coder is a vital member of our team, responsible for accurately translating medical documentation into standardized codes for diagnoses, procedures, and services rendered. This role is particularly focused on coding activities within clinic and Ambulatory Surgery Center (ASC) settings. The Certified Coder ensures compliance with current coding guidelines/regulations and aids in the resolution of claim denials. The ideal candidate is an experienced professional with a keen eye for detail, a firm grasp of surgical coding guidelines, and a commitment to continuous learning and improvement. Key...

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today! Position Summary: The Clinic Medical Coder meticulously analyses patient chart documentation and translates the extracted information into standardized medical codes for the professional component. This role needs to be detailed oriented and knowledgeable of coding guidelines. Position details Status Full-Time Shift Days FTE / Hours 1.0 / 40 Schedule Mon - Fri: 8:00am - 5:00pm Position Requirements Education : High School Diploma or GED required. Licensure: N/A Certification :...

A healthcare provider is seeking a Coder Auditor-Professional to audit coding assignments and train staff. The ideal candidate will hold a high school diploma and relevant certifications, with a focus on coding accuracy and quality audits. Responsibilities include conducting audits, assisting coders, and ensuring compliance with coding standards. This full-time hybrid position offers compensation between $23.87 and $37.00 based on experience, along with opportunities for career development and education support. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Hello, We Are ruralMED! Join our mission of supporting rural healthcare through collaboration focused on strategically tailored services, effective leadership, and industry-specific expertise. How This Role Makes an Impact: Support rural healthcare facilities to achieve excellence and thrive in ever-changing landscapes Work alongside a team of dedicated and driven experts passionate about supporting rural healthcare with revenue cycle expertise Apply problem-solving and critical thinking skills in the development of processes and workflows, enhancing efficiency and accuracy Ensure facilities achieve accurate and compliant coding, providing the highest quality of care to patients and communities What It’s Like Working at ruralMED: Elite and highly skilled professionals driven by delivering superior results, always striving for new levels of excellence Flexibility and autonomy with a company that understands the true value and benefits of work-life balance Personal and...

SUMMARY The HIM Coder is responsible for coding activities of patient records. Compliance with rules and regulations of all applicable federal, state and local laws as well as PMHC policies is a condition of employment. ESSENTIAL FUNCTIONS Incumbent must have the skills, ability and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation: Determines proper ICD-10-CM diagnoses and CPT procedure codes on all hospital patients, using the TruCode Encoder, and coding books when necessary.Retrieves records for appropriate medical personnel.Responds to correspondence as necessary.Prepares information for Birth Certificates and transmits to State of Nebraska.Presents a professional, pleasant and positive image.Greets guest promptly and courteously.Maintains confidentiality at all time.Responsible for personal development in attendance of educational programs, etc. SUPERVISORY RESPONSIBILITIES Directly responsible to the...

Job DescriptionJob DescriptionJefferson Community Health & Life is looking for a Certified Coder to work full-time.This is NOT a REMOTE position.Hours :M through Friday 8am - 4 :30pmNo weekends and no holidays.POSITION SUMMARY :The Clinic Coder is responsible for reviewing, analyzing, and accurately coding patient medical records to support timely and compliant billing.This includes assigning appropriate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services while ensuring adherence to legal, regulatory, and medical standards.The role supports revenue cycle accuracy, internal audits, and quality assurance initiatives within the clinic.QUALIFICATIONS :High school diploma or GEDCertified Professional Coder (CPC or CPC-A), preferred, or willingness to obtain certification.Knowledgeable of medical terminology, anatomy and physiology preferred.Experience with ICD-10, CPT and HCPCS coding preferred.Understanding of health insurance and billing practices...

Job Title: Clinical Coder - Onsite ($5,000 hire-on bonus) Location: Johnson County Hospital, Tecumseh, Nebraska Department: Health Information Management Reports To: HIM Manager Work Schedule: Working hours are scheduled Monday-Friday. Hours may vary due to workload. Use of overtime is discouraged unless required for patient care needs. Overtime must be approved by immediate supervisor. Position Summary: Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in sequencing of diagnosis/procedures. Ensures that records are coded in an accurate and timely manner for data retrieval, analysis, and claims processing. Duties & Responsibilities: Knowledgeable of all charting and coding requirements, including Acute care, Swingbed, and outpatient services. Ensures that records are coded accurately and timely, within four (4) days of discharge, excluding weekends and...