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27 coding specialist jobs found

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Adventist Healthcare
Full Time
 
Lead Coding Specialist, Day Shift, Medical Coding
Adventist Healthcare Gaithersburg, MD, USA
Adventist HealthCare seeks to hire an experienced Lead Coding Specialist for our Medical Coding Department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Lead Coding Specialist, you will: Conduct reviews to validate I-10-CM diagnosis codes and PCS procedure codes for inpatient bill hold related to PSI, PPC & other reimbursement conventions to be resolved prior to final coded data. Manages daily DNFB and DNFC reports and work queues for un-coded or outstanding records. Under the direction of the coding manager, the coding specialist lead should be proficient in communicating with the coding team. Oversees coding corrections, abstracts elements for HSCRC submissions, and ensures coding compliance with coding standards. Liaison between coding and other departments, managing coding-related tasks and denials. Provides mentoring support to coders on coding...

Feb 09, 2026
TH
Full Time
 
Provider Coding Specialist- REMOTE
Tidelands Health Remote
Provider Coding Specialist Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview Under the supervision of the Coding Supervisor, the Provider Coding Specialist is responsible for analyzing and assigning ICD-10-CM diagnostic codes, CPT, and HCPCS codes to professional surgical patient accounts, based on the medical information provided and consistent with regulatory guidance and best practices in the industry and Organization policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify documentation to ensure accurate code assignment. Organizes and prioritizes...

Jan 14, 2026
University Health
Full Time
 
Compliance & Coding Audit Specialist (SOME FLEXIBILITY ON REMOTE WORK OPTION; 5 days per week; 8:00a-4:30p; Mon-Fri)
University Health Hybrid
Help safeguard accuracy, integrity, and regulatory compliance across our organization. We are seeking a skilled Compliance & Coding Audit Specialist to support the Corporate Compliance Program through detailed auditing, monitoring, and provider education related to coding, billing, and clinical documentation practices. What You’ll Do Conduct ongoing coding, billing, and documentation audits to ensure compliance with hospital policies and federal and state regulations Interpret medical records and related documentation using advanced coding knowledge to assess accuracy and risk Execute compliance audit assignments with a high degree of independence, confidentiality, and professional judgment Analyze findings, prepare audit documentation, and identify trends or improvement opportunities Present audit results directly to physicians and providers, delivering clear feedback and education on documentation and coding best practices...

Jan 26, 2026
New York Oncology Hematology
Full Time
 
Certified Billing and Coding Specialist
New York Oncology Hematology Hybrid (NY, USA)
SCOPE: Under minimal supervision performs periodic, comprehensive coding audits for all assigned regional oncologists (medical, radiation and surgical oncology).   Verifies charge documentation and charge submission processes are in compliance with Federal and State regulations, as well as payer guidelines. Coordinates efforts with manager and front office managers to ensure optimal revenue cycle processes and adherence to compliance and revenue cycle policies and procedures.  Provides effective educational feedback to physicians and staff on findings from audits and updates in Payer billing regulation . ESSENTIAL DUTIES AND RESPONSIBILITIES: Develops Audit and Education Programs Abstracts relevant clinical and demographic information from the medical record to assign current ICD and CPT codes in accordance with coding and reimbursement guidelines. Codes with an accuracy of 97% based on QA internal reviews Performs Evaluation and Management (E&M)...

Mar 02, 2026
KH
Full Time
 
Billing & Coding Integrity Specialist
Keystone Health Chambersburg, PA, USA
Billing & Coding Integrity Specialist Full Time (Benefit Eligible) Monday - Friday (No weekends or holidays), 8:00 am - 5:00 pm  This role is an on‑site position and is not eligible for remote work. The Patient Financial Services Department is seeking a full time Billing and Coding Integrity Specialist to join the team. Under the direction of the Director of Patient Financial Services the specialist is responsible for implementing and promoting consistent revenue integrity practices that will improve compliance, accurate billing, and charge capture at the point of service to ensure optimal reimbursement for Keystone Health.  The specialist is responsible for auditing and monitoring appropriate coding guidelines and regulations. Recommending any corrective action and assists with implementing the corrective action.  This position is also responsible for providing billing/coding training and education to providers and staff and maintaining a current...

Feb 19, 2026
CH
Full Time
 
Coding Specialist
CHAS Health Spokane, WA, USA
Purpose of Job: Improve the overall health of the communities we serve by efficiently and accurately coding and processing claims.   Essential Duties and Responsibilities: Reviews health documentation and records to extract and ensure appropriate codes, including CPT, HCPCS, ICD-10/HCC, are captured in the electronic health records system. Codes and completes charge entry into electronic practice management systems. Researches and resolves coding related payer denials.  Serves as a documentation and coding subject matter expert to support CHAS Health teams and providers. Communicates with co-workers, providers, and third-party representatives in a professional manner while maintaining confidentiality according to HIPAA regulations. Ability to consistently adhere to established productivity standards required. Performs other duties as assigned, including supporting the CHAS Health Mission and Core Values. Qualifications: Education/Experience:...

Feb 18, 2026
University of Colorado Medicine
Full Time
 
Coding Education Specialist
University of Colorado Medicine Remote
University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking 2 motivated  Coding Education Specialists  with an emphasis in Pathology/Interventional Radiology and Anesthesia/Radiation Oncology.  This job can be performed 100% remotely and out of state candidates will be considered. The Coding Education Specialist will primarily be responsible for supporting and leading ongoing education to existing coding staff,...

Feb 20, 2026
Gainwell Technologies
Full Time
 
Clinical DRG Auditor – Remote
Gainwell Technologies Remote (USA)
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the...

Mar 10, 2026
CNY Family Care, LLP
Full Time
 
Medical Coder and Auditor
CNY Family Care, LLP Hybrid (Initial training onsite. Hybrid schedule once/week in offce.)
CNY Family Care's commitment to excellence sets us apart and guides us as we provide care for our community. The Medical Coder and Auditor will be responsible to conduct prospective audits of coding and billing; analyze physician and provider documentation in outpatient office health records; correct evaluation and management (E/M) service levels, appropriate procedure codes, and any necessary modifiers.  Medical Coder and Auditor Responsibilities: Navigate the patient health record, office visit notes, and procedure reports in the determination of diagnoses, reason for visit, procedures, and modifiers to be coded. Code outpatient records utilizing coding books, online tools, and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers. Document individual encounter audit findings and communicates results to providers. Access charge work queues to validate and assign charges. Perform all required EMR functions as efficiently as possible and according...

Mar 06, 2026
MedReview
Full Time
 
DRG (Coding) Reviewer/Auditor
MedReview Remote
Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare.  As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the direction of the DRG Operations Department leaders, the DRG Reviewer will conduct reviews of inpatient claims for both coding accuracy as well as perform screening referrals for clinical support of coded diagnoses. Responsibilities: Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate the reported ICD-10-CM/PCS codes to ensure proper DRG assignment for accurate billing. Demonstrates the ability to perform a comprehensive initial review as outlined in the standard operating procedures and departmental guides. Collaborates with physician reviewers, as needed. Ability to prioritize and organize workload and complete tasks independently....

Feb 19, 2026
Physicians Choice LLC
Full Time
 
Quality Analyst / Coding Auditor I
Physicians Choice LLC Remote
Physicians' Choice is currently seeking a highly proficient and seasoned Medical Coding Auditor specializing in Evaluation and Management (E/M) services, with a comprehensive understanding of Emergency Medicine, to join our esteemed team. If you possess extensive expertise in current E/M coding guidelines and have a strong background in auditing, we invite you to apply for this exceptional opportunity. Job Description:  As a Medical Coding Auditor you will play a vital role in ensuring accurate and compliant coding practices within our organization. You will be responsible for conducting detailed audits of medical records, coding documentation, and related billing processes to verify compliance with established coding guidelines, regulatory requirements, and internal policies. Responsibilities: Perform comprehensive audits of medical records, coding documentation, and billing processes. Evaluate the accuracy, completeness, and appropriateness of medical...

Feb 18, 2026
University of Utah Health
Full Time
 
Outpatient/Provider Coder III
University of Utah Health Remote
Overview Top candidates will have experience with Oncology Coding.   As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA   This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for...

Feb 13, 2026
SGMC Health
Full Time
 
Professional Coder
SGMC Health Remote (WV, USA)
JOB LOCATION:   Remote (Considering applicants residing in Georgia, Florida, Ohio, North Carolina, South Carolina, West Virginia, Utah, Arizona, and Missouri.) DEPARTMENT:   REVENUE CYCLE MEDICAL GROUP, SGMC Health SCHEDULE:   Full Time, 8 HR Day Shift, 8-5 Abstracts ICD-10 and CPT codes for Diagnosis and Procedures on professional services. Reviews and analyzes medical records verifying and coding the diagnosis, evaluation and management service, minor procedures, or other codes required for the completeness and accuracy of the record. Additionally, will code and/or review principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, any applicable supply, medication, and injectable drugs. Maintains communication with Management, Practice Manager, and Provider to ensure timely notification of identified documentation issues. Interact with other team members of the revenue cycle and provider clinics. Responsible for continuing education of...

Jan 23, 2026
NC
Full Time
 
EXPERIENCED Pro fee and outpatient Coder for coding denials
Nationwide Credit and Collection Inc Remote
Physician Medical Coder Job Listing   PLEASE READ JOB DESCRIPTION    Profee coder to review coding denials and correct/validate CPT, ICD-10, HCPCS and modifiers for physician services.  Our coders will review medical records, research payer policy, and NCDs to make coding corrections and resubmit corrected claims in an accurate and timely manner. We work closely with other team members and management to translate clinical documentation consistently and accurately into ICD-10 and CPT codes with proper sequencing and modifiers. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors.     Job Requirements     At least one active certification is required. Additional certifications a plus. Accepted certifications...

Jan 15, 2026
MG
Full Time
 
Coding Auditor Behavioral Health
Marwood Group Hybrid (New York, NY, USA)
The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a  Certified Coding Auditor  to work in its New York office or remotely.   Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers....

Mar 02, 2026
MG
Full Time
 
Certified Coding Auditor - Primary Care
Marwood Group Hybrid (New York, NY, USA)
The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely.   Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers....

Feb 27, 2026
JotPsych
Full Time Part Time
 
Behavioral Health Billing Specialist (Mid and Senior Level)
JotPsych Remote (USA)
IMPORTANT: To submit your application, please click "Apply" to view our full job description, then submit the form listed under "Application Process". We're looking forward to receiving your application! INTRODUCTION: JotPsych is hiring a Behavioral Health Billing Specialist at both the middle and senior level to own the end-to-end billing lifecycle for a dedicated set of JotBill customers—behavioral health and psychiatry practices that depend on us to get their claims submitted accurately and paid promptly. This is a high-ownership, execution-focused role. You'll run the billing independently—managing the full claim lifecycle with a high standard of accuracy and follow-through. You'll thrive here if you: Are comfortable owning multiple accounts end-to-end, without needing someone to review your work at every step Get satisfaction from resolving a denial that's been sitting open—and then identifying why it happened so it doesn't happen again Are...

Feb 24, 2026
UM
Full Time
 
INPATIENT CODING EDUCATION ANALYST
UW Medicine Remote
UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODING EDUCATION ANALYSTS. WORK SCHEDULE 100% FTE Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Performs daily activities related to auditing, education and training of one or more content areas ERHI has coding oversight for. Serve as an expert in Inpatient coding, respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or implementation of audit/monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit activities, maintain unit records, monitor regulatory developments, and help develop Coding program policies and procedure. DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical...

Feb 23, 2026
MH
Full Time Part Time
 
Certified Medical Coder/Professional Biller
MJP Healthcare Consulting LLC Remote (WI, USA)
Work Location: Remote - Even though this position is remote, we are looking for candidates who are located in Wisconsin.   Job Overview We are seeking a detail-oriented and motivated Certified Medical Coder/Professional Biller to join our dynamic healthcare consulting team. In this vital role, you will be responsible for accurately coding medical diagnoses, procedures, and services using standardized coding systems such as ICD-10, CPT, and DRG. Your expertise will ensure precise billing processes, optimize revenue cycle management, and facilitate seamless communication between healthcare providers and payers. This position offers an exciting opportunity to contribute to high-quality patient care through meticulous documentation and coding accuracy. Responsibilities Review and analyze medical records to verify appropriate ICD-10 diagnosis codes, CPT procedure codes, and modifiers. Ensure all billing information complies with current healthcare regulations...

Feb 21, 2026
OS
Full Time
 
Outpatient Medical Coder
Ohio State University Wexner Medical Center Remote
This is a remote position Scope of Position   Coding Services assigns diagnosis and procedural codes for hospital outpatient (facility) medical records to support accurate reimbursement and data collection across the entire Ohio State Health System, including University Hospital, East Hospital, and The James Cancer Hospital. This position does not include professional-fee (pro-fee) coding . ICD-10-CM and CPT diagnosis and procedure codes are applied to all hospital outpatients treated within The Ohio State Health System when services are not captured through the charge description master. Medical record abstract data is assigned based on a review of documentation for accuracy within IHIS during the coding process. Position Summary   The position is responsible for coding medical records and other documents at the conclusion of the patient’s visit. A senior medical records coding specialist requires the skill set to code multiple work types for...

Feb 18, 2026
AAPC Recruiting Services
Contract
 
Ophthalmology Professional Coder
AAPC Recruiting Services Remote
Contract to Hire Ophthalmology Professional Coder Job Description We are seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder with the potential to be hired as a full-time employee. This position is remote. The ideal candidate must have at least 5 years of coding experience for physician practices, with ophthalmology specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will possess the following: ·        Minimum 5 years of coding experience ·        Extensive coding in ophthalmology specialties ·        Excellent written and verbal communication skills ·        Detail oriented and deadline driven attitude...

Aug 23, 2024
CP
Full Time
 
Experienced Biller
Cottonwood Pediatrics Hybrid (We're flexible)
Billing Specialist Seeking a detail-oriented and dependable Billing Specialist to join our integrated care team in Newton, Kansas. This is a full-time position offering the opportunity to support patient care in a collaborative, mission-driven environment. We value collaboration, open communication, and a positive environment where everyone's input counts. As a vital member of the billing team, you play a critical role in the financial health of the organization and supporting access to care for our patients. We value the unique expertise each team member brings and are committed to supporting ongoing learning and professional development within the organization. What You'll Do Review charges for correct coding prior to claim submission, ensuring compliance with all federal and state regulations. Prepare and submit clean claims timely to insurance companies, electronically, via paper and through insurance portals. Resolve clearinghouse and payer...

Feb 16, 2026
Client First RCM, LLC
Full Time Part Time
 
Accounts Receivable Specialist
Client First RCM, LLC Remote (Orwigsburg, PA, USA)
Job Title:   Accounts Receivable (AR) Specialist Company:   Client First RCM, LLC Location:   In-Office/Remote/Hybrid– Pennsylvania Job Type:   Full-time About Us Client First RCM, LLC is a multi-specialty Revenue Cycle Management company serving providers across multiple states. We specialize in ethical, accurate, and efficient medical billing services with a focus on provider success and patient satisfaction. Job Summary We are seeking a dependable and detail-oriented Accounts Receivable (AR) Specialist to join our in-office team in Pennsylvania. This position plays a key role in managing AR follow-ups, claim resolution, and reimbursement activities across multiple medical specialties. Responsibilities: Follow up on unpaid or underpaid claims via phone, web portals, and written communication Resolve claim denials and rejections using EOBs and remittance advice Submit corrected claims and appeals with appropriate documentation Post...

Feb 06, 2026
FH
Full Time
 
Corporate Compliance Specialist
Frederick Health Frederick, MD, USA
Supporting the Vice President & Chief Compliance Officer, the Compliance Specialist assists in carrying out the activities of the Frederick Health Compliance Program, including risk assessment, training & education, audits, policy development and internal investigations. Requirements: BA/BS required. MBA/MHA preferred. 5-10 years' experience in healthcare compliance and internal auditing. Certification preferred. Knowledge of laws, regulations, policies and procedures of governmental authorities and payers. Experience in developing and carrying out training and education of staff. Excellent oral and written communication skills. Strong organizational skills and ability to prioritize and manage multiple tasks. Ability to maintain a high level of confidentiality. The following experience & credentials are strongly preferred: Experience in healthcare revenue cycle or patient accounting (coding and/or billing) internal auditing and compliance....

Jan 15, 2026
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