43 credentialed coder jobs found

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Springfield Clinic seeks a skilled medical coder to review documentation and apply CPT, ICD-10-CM, and HCPCS coding for professional and facility services. You’ll ensure compliance with CMS guidelines and communicate with physicians for needed records. Qualified candidates have AHIMA or AAPC credentials (CPC/CCS/CCS-P/RHIT/RHIA) and at least 2 years of coding experience, with proficiency in EncoderPro, Athena, Ingenious Med, and RCX. #J-18808-Ljbffr

Certified Medical CoderResponsible for timely, accurate and comprehensive abstraction of physician services from the medical record, utilizing appropriate CPT-4 procedure and ICD-10 diagnosis codes. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges.High School Diploma or equivalentCPC (Certified Professional Coder) credential required or CPC-A (Certified Professional Coder - Apprentice) or Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician based (CCS-P) or Certified Coding Associate (CCA) or Certified Evaluation and Management Coder (CPC-CEMC) or Registered Health Information Technologist (RHIT)One to two years’ experience in physician codingCrusader Community Health serves the Rock River Valley area with quality primary health care for all people in need. CCH provides a comprehensive benefits package which includes: Medical, Dental, Flexible Spending/Health...

The Coding Network (TCN) is seeking an Ophthalmology E&M coder to contract for multiple clients nationwide. You will access operation reports via a remote connection to the clients' EMR and return coded cases. Hours range from 15 to 40 per week, with no surgical Ophthalmology coding needed at this time. Applicants must have at least 3 years of Ophthalmology E&M coding experience, an active CPC/RHIA/RHIT credential, reside in the United States, and pass TCN's Ophthalmology E&M Coding Exam. #J-18808-Ljbffr

Advocate Health is seeking an inpatient coder to handle complex documentation and assign accurate ICD-10-CM/PCS, CPT, and HCPCS codes. The role spans a mix of inpatient cases across service lines with CDI collaboration to ensure proper DRG alignment and compliance. The ideal candidate holds an AHIMA or AAPC credential, an associate degree in health information management, and at least seven years of inpatient coding experience in an acute care setting. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Outpatient Coding Auditor #2972 United States Remote/Nationwide Position Description About You You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System (HCPCS)....

Signature Performance, Inc. is seeking an Outpatient Coding Auditor to ensure accuracy in ICD-10-CM/PCS, CPT-4, and HCPCS coding while leading quality reviews across departments. You will deliver clear audit findings, educate coders and managers, and identify documentation gaps that impact accuracy and reimbursement. This remote, nationwide role requires 5+ years of coding experience and credentials preferred. #J-18808-Ljbffr

Position: Inpatient Coder Client: Healthcare Provider Location: 100% Remote (PST Hours) Contract Length: 6-months, with potential for extension Start Date: ASAP Summary Medasource is partnering with a leading regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity, multi-specialty environment and is ideal for coders with strong experience handling complex inpatient cases. Key Responsibilities Perform accurate inpatient coding across a wide range of specialties, including: Cardiology, Neurology, Surgical cases, Transplants, Neonatal Intensive Care Unit (NICU), Additional complex inpatient cases Assign appropriate diagnosis and procedure codes in accordance with organizational, regulatory, and industry standards Maintain timely and accurate coding in a fast-paced, high-acuity environment Consistently meet established productivity and quality expectations Qualifications Certified Coding...

OP/ED/OBS Coding Auditor Be a part of a world-class academic health-care system at UChicago Medicine as a OP/ED/OBS Coding Auditor in the HIM Coding/CDI department. This is a remote, work from home opportunity, and you may be based outside of the greater Chicagoland area. Essential Job Functions Performs data quality reviews on inpatient and outpatient records to ensure proper coding & charging guidelines have been followed and appropriate DRG or APC assignments have been made by HIM coders. Provides coding quality information and statistical reports with analysis of trends to Coding Manager. Communicates and educates Medical Staff as needed to discuss clinical questions with respect to the assignment of ICD-10/CPT codes for diagnoses and/or procedures. Reviews and drafts Hospitals specific coding guidelines and procedures as needed with management. Participate in team meetings with coding personnel to discuss coding problems, changes, or issues. Performs routine coding...

PB Coder The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement policies such...

At OrthoVirginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment. With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive. Join us and become part of a trusted network committed to excellence in orthopedic care. Certified Orthopedic Surgical Coder | Charge Capture Bring Your Surgical Knowledge Beyond the OR OrthoVirginia is seeking a Certified Orthopedic Surgical Coder | Charge Capture professional who understands what happens during an...

Certified Medical Coder Responsible for timely, accurate and comprehensive abstraction of physician services from the medical record, utilizing appropriate CPT-4 procedure and ICD-10 diagnosis codes. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges. High School Diploma or equivalent CPC (Certified Professional Coder) credential required or CPC-A (Certified Professional Coder - Apprentice) or Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician based (CCS-P) or Certified Coding Associate (CCA) or Certified Evaluation and Management Coder (CPC-CEMC) or Registered Health Information Technologist (RHIT) One to two years’ experience in physician coding Crusader Community Health serves the Rock River Valley area with quality primary health care for all people in need. CCH provides a comprehensive benefits package which includes: Medical, Dental, Flexible...

Pyramid Consulting is seeking a Medical Coder/RN for a 06+ month contract, remotely in the US. Must have 5+ years in clinical auditing, medical coding, and healthcare compliance, with active RN license and coding credentials (CPC/COC/CCS/CPMA or CCS-P/RHIT/RHIA). Responsibilities include decoding referrals, auditing mental health claims, and collaborating with Medical Directors on audit summaries and SIU referrals. Strong DSM-5 knowledge required. #J-18808-Ljbffr

Hospital Outpatient Coding SpecialistExpected pay for this position is $21.71-$31.48. Actual pay will be determined by experience, skills and internal equity. MDH Benefits package includes: Medical, Dental, Vision 457B and employer match for FT Employees Company paid STD and LTDJob Summary: Codes and abstracts hospital outpatient medical records, including but not limited to, emergency department encounters, outpatient surgical services, observation services, rehabilitation services, infusion, and other hospital outpatient visits, for reimbursement, data reporting, research, and compliance with applicable coding guidelines and regulatory requirements. Assigns appropriate ICD-10-CM diagnosis codes, CPT procedure codes, and HCPCS codes based on provider documentation and applicable coding guidelines. Reviews medical records for completeness, accuracy, and appropriate code assignment; identifies documentation deficiencies and coding discrepancies; and coordinates follow-up or...

Immediate need for a talented Medical Coder/ RN . This is a 06+ Months Contract opportunity with long-term potential and is located in US (Remote) . Job ID: 26-33958 Pay Range: $48.5/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Analyze incoming third-party referrals, compliance tips, and external fraud allegations to identify specific billing patterns and suspect providers. Identify potential fraud, waste, abuse, and billing irregularities through thorough medical record reviews and claims analysis. Perform comprehensive clinical and technical reviews of high-dollar or complex medical records before claims are finalized for payment. Audit clinical documentation to ensure strict alignment with CPT, HCPCS, ICD-10-CM, ICD-10-PCS, and Official Coding Guidelines. Evaluate medical records against internal medical policies and...

Washington University in St. Louis is seeking a remote Medical Coding Specialist to review medical records and assign CPT and ICD-10 codes. Occasional campus visits may be required. The role involves collaborating with physicians, leading coders, and ensuring proper documentation for billing. The position emphasizes AHIMA/AAPC credentials, experience with ICD-10/CPT, and a focus on documentation standards. Eligible candidates enjoy WashU's comprehensive benefits and flexible work options. #J-18808-Ljbffr

Neurointerventional Radiology And Interventional Radiology CoderThe PB Coder is responsible for reviewing, analyzing, and accurately coding Neurointerventional Radiology and Interventional Radiology procedures. This role requires advanced expertise in vascular anatomy, component coding, and specialized interventional radiology techniques across multiple vascular territories, including the head and neck, visceral (abdominal and pelvic), and peripheral (extremity) systems.The PB Coder performs initial charge review and coding validation for complex interventional procedures within the Radiology and Neurosurgery specialties. Responsibilities include translating intricate diagnostic and therapeutic interventional procedures into the appropriate assignment of CPT, ICD-10-CM, HCPCS, and modifier for accurate reporting of physician professional services to third-party payers.This role ensures coding accuracy, completeness, and compliance with established coding guidelines, regulatory...

Fully Remote Lake Park Building Full time R183439 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...

Posterity Group LLC is a veteran owned, service-disabled small business, headquartered in Rockville, MD, that specializes in federal government contracting and staffing. We are tasked with staffing The Richard L. Roudebush VA Medical Center with Medical Coders. The Medical Coder is expected to do the following: Accurately attaching images to the appropriate electronic health record elements. Verifying that images are uploaded correctly and are legible for viewing. Locating Financial Identification Numbers (FINs) and accurately linking documents to the correct veteran record. Indexing documents within the correct section, note title, date of service, and visit location. Performing 100% internal QA on all work before submission. Requirements Knowledge and understanding of medical clinics and clinical documentation. Ability to locate Financial Identification Numbers (FINs) and accurately link documents to the correct veteran record in Cerner/Oracle. Ability to index documents within...

Medical Coder/ RNImmediate need for a talented Medical Coder/ RN. This is a 06+ Months Contract opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact me ASAP if you are interested.Job ID:26-33958 Pay Range: $48.5/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).Key Responsibilities:Analyze incoming third-party referrals, compliance tips, and external fraud allegations to identify specific billing patterns and suspect providers.Identify potential fraud, waste, abuse, and billing irregularities through thorough medical record reviews and claims analysis.Perform comprehensive clinical and technical reviews of high-dollar or complex medical records before claims are finalized for payment.Audit clinical documentation to ensure strict alignment with CPT, HCPCS, ICD-10-CM, ICD-10-PCS, and Official Coding...

EPITEC is seeking a Pre-Payment Clinical Auditor (RN/Coder) for a 6-month remote engagement in the United States. The role requires RN licensure, active coding credentials, and 5+ years in clinical auditing and coding. You will review complex claims prior to payment, validate documentation against CPT/HCPCS/ICD-10, assess medical necessity, and coordinate with Medical Directors and SIU as needed. #J-18808-Ljbffr

Posterity Group LLC is a veteran owned, service-disabled small business, headquartered in Rockville, MD, that specializes in federal government contracting and staffing. We are tasked with staffing The Richard L. Roudebush VA Medical Center with Medical Coders. The Medical Coder is expected to do the following: Accurately attaching images to the appropriate electronic health record elements. Verifying that images are uploaded correctly and are legible for viewing. Locating Financial Identification Numbers (FINs) and accurately linking documents to the correct veteran record. Indexing documents within the correct section, note title, date of service, and visit location. Performing 100% internal QA on all work before submission. Requirements Knowledge and understanding of medical clinics and clinical documentation. Ability to locate Financial Identification Numbers (FINs) and accurately link documents to the correct veteran record in Cerner/Oracle. Ability to index documents within...

Description The Inpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Inpatient Coder II is the coding and reimbursement expert for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex inpatient acute care discharges. Possesses a strong foundation in coding conventions, instructions, Official Guidelines for Coding and Reporting and Coding Clinics. Has a deep understanding of disease process, anatomy/physiology, pharmacology and medical terminology. RESPONSIBILITIES: Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity...

PB CoderThe PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies.Essential Duties and Responsibilities:Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management GuidelinesAnalyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement policies such as surgical...