18 coding compliance specialist jobs found

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding compliance across medical, behavioral, transportation and other healthcare providers. The CPC will review records, determine correct coding, and ensure state, federal and company requirements are met. The role requires CPC certification, 3+ years in coding or auditing, and strong Excel/Word skills. #J-18808-Ljbffr

Fully Remote Lake Park Building Full time R180277 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

This is a remote based position. Applicants can be located nationwide Back Medical Coder - Surgery/Anesthesia #2889 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and...

HIM Coder Certified, PRN, RemoteFully Remote • Amberwell Atchison - Atchison, KS 66002OverviewPosition Type PRN (As needed - no set schedule) Job Shift PRN - As Needed, no set Shift Education Level Other Travel Percentage Periodic - As Needed Category Health Information ManagementDescriptionBASIC FUNCTION:Reviews patient records and assigns accurate codes for each diagnosis and procedure on the accounts assigned to coder. Applies knowledge of medical terminology, disease processes, and pharmacology. Demonstrates tested data quality and integrity skills. Performs chart verification as assigned. Performs final chart reviews as necessary.SHIFT DAYS/HOURS:Remote PositionPart-Time: 20-32 Hours per WeekFull-Time: 40 Hours per Week, Monday through Sunday.PRN: As needed.Hours and Days are Subject to change based on business necessityEXPOSURE TO HAZARDS:According to OSHA standards, this position is classified as low risk with little or no risk of exposureEQUIPMENT USED:Computer, Copier, Fax...

HIM Coder Certified, PRN, Remote Fully Remote • Amberwell Atchison - Atchison, KS 66002 Overview Position Type PRN (As needed - no set schedule) Job Shift PRN - As Needed, no set Shift Education Level Other Travel Percentage Periodic - As Needed Category Health Information Management Description BASIC FUNCTION: Reviews patient records and assigns accurate codes for each diagnosis and procedure on the accounts assigned to coder. Applies knowledge of medical terminology, disease processes, and pharmacology. Demonstrates tested data quality and integrity skills. Performs chart verification as assigned. Performs final chart reviews as necessary. SHIFT DAYS/HOURS: Remote Position Part-Time: 20-32 Hours per Week Full-Time: 40 Hours per Week, Monday through Sunday. PRN: As needed. Hours and Days are Subject to change based on business necessity EXPOSURE TO HAZARDS: According to OSHA standards, this position is classified as low risk with little or no risk of...

Amberwell Health in Atchison, KS, is seeking a detail-oriented Health Information Management professional to ensure accurate coding of patient records. Responsibilities include coding discharges and ensuring compliance with AHIMA standards. Ideal candidates should possess a high school diploma and relevant certifications. This role accommodates a PRN schedule with the opportunity for part-time and full-time hours. Candidates must demonstrate coding experience and knowledge of medical terminology. Amberwell Health values adherence to HIPAA and patient confidentiality. #J-18808-Ljbffr

HIM Coder II, Certified, RemoteFully Remote • Amberwell Atchison - Atchison, KS 66002OverviewPosition Type Full Time Job Shift 8 Hour Day Education Level Other Travel Percentage Periodic - As Needed Category Health Information ManagementDescriptionThe HIM Coder II is a key member of the HIM team. The HIM Coder II will work under the direction of the Manager of Coding. This position will review documentation in the electronic medical record and assign and sequence ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes, in accordance with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and in compliance with ICD-10 Official Coding Guidelines and other regulatory requirements. The primary focus of the role is the coding of all inpatients, observation, and surgical accounts. Inpatients will use Diagnosis Related Groups (DRG) methodologies, including present on admission indicators, analyzing the medical record...

Something special starts here. You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full - with joy, purpose and lifelong health - it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health. You'll find everything you're looking for at LMH Health: Join a team that cares about the community Tuition reimbursement to support continuing education Professional development and recognition Excellent benefits We're looking for you. Job Description I. JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the medical...

Medical Coding Specialist - ASC Cardiology Coder Company MedHQ, LLC is a fast‑growing provider of consulting and technology‑enabled expert services for outpatient healthcare. With a 97% client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), surgical hospitals, physician practices, and hospital outpatient facilities nationwide. Position Summary The ASC Cardiology Coder accurately reviews, interprets, and codes outpatient cardiology and cardiovascular procedures performed in an ASC setting. The role optimizes reimbursement, maintains regulatory compliance, and supports the revenue cycle for the ASC’s cardiovascular services. Key Responsibilities Assign CPT, ICD‑10‑CM, and HCPCS codes for outpatient cardiology procedures, validate code selection against operative reports and physician documentation, and apply modifiers accurately. Ensure coding practices align with CMS guidelines, NCCI edits, payer policies, ASC billing rules, and conduct...

This is a remote based position. Applicants can be located nationwide Back Medical Billing Specialist II #2878 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are someone who has a strong understanding of medical billing processes, payer guidelines, and attention to detail. We need someone who can ensure proper claim details, billing compliance, and timely claims resolution to support the organization's financial goals. In the role of Medical Billing Specialist II, you will be responsible for accurately preparing and submitting medical claims to appropriate payers. Tell us about your experience with Medical Billing or in Revenue Cycle Operations. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you?...

Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology–enabled expert services for outpatient healthcare. With a 97% long‑term client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values—Respect, Innovation, Trust, and Energy—permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. We...

MedHQ, LLC is looking for a qualified Medical Billing and Coding Specialist to join their growing team. This remote position requires a candidate with at least 3 years of relevant experience and a strong understanding of ICD-10 coding guidelines. Responsibilities include accurately coding patient encounters, submitting claims, following up on claims status, and ensuring compliance with industry standards. Excellent communication and analytical skills are a must. The company offers a comprehensive benefits package, including employer-sponsored health insurance and generous paid time off. #J-18808-Ljbffr

Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York. Job Responsibility Leverages clinical expertise to identify and validate DRG code assignment. Full review of CDI suggested code changes Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Communicates DRG changes and rationale to the coding and CDI staff. Identifies appropriate coding...

This position assigns, per coding guidelines, the current version of ICD diagnosis and procedure codes for Inpatient medical records or outpatient Infusion accounts. Completes coding for all accounts on a timely basis within the four day bill hold time frame. This position also follows up on all accounts needing coding queries or documentation completion by clinicians or medical staff. Demonstrates coding competencies with quality of coding and meeting department productivity standards. Position Duties Maintains consistent coding accuracy rate of 95% or better. Assigns diagnosis codes and procedure codes utilizing the current version of ICD diagnosis and procedure codes and CPT-4 coding classification systems in compliance with hospital guidelines, ICD-9-CM Official Guidelines for Coding and Reporting, and UHDDS definitions. Meets the established productivity standards for each visit type coded. Abstracts clinical and requested data from the health record and enters into HRM...

Job DetailsJob LocationAmberwell Hiawatha - Hiawatha, KSRemote TypeFully RemotePosition TypeFull TimeEducation LevelOtherJob Shift8 Hour DayJob CategoryHealth Information ManagementDescriptionBASIC FUNCTION :Reviews patient records and assigns accurate codes for each diagnosis and procedure on the accounts assigned to coder.Applies knowledge of medical terminology, disease processes, and pharmacology.Demonstrates tested data quality and integrity skills.Performs chart verification as assigned.Performs final chart reviews as necessary.SHIFT DAYS / HOURS :Remote PositionFull-Time :40 Hours per Week, Monday through Sunday.Hours and Days are Subject to change based on business necessity.ESSENTIAL FUNCTIONS :Review and abstract patient medical records.Report diagnoses, treatments, as well as surgical and non-surgical procedures for CAH facility medical services.Perform coding duties of discharged patient medical records using AHA Coding Clinic for ICD-10-CM and ICD-10-PCS, AHA Coding...

**Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and...

Summary This position is located in the Health Information Management (HIM) section at the VA Eastern Kansas Health Care System. Medical Records Technicians (MRT) Coder are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Learn more about this agency Duties Help Functions: Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the VAMC. Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation,...

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:...