26 credentialed coder jobs found

## Medical Auditor (Billing and Coding)Applylocations: Hybridtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR101418At 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.**Medical Auditor (Billing & Coding)****Previous coding experience required Hybrid - must be...

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...

Outpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL - Sign-on bonus eligible) Full-time Job Shift: Day Job (1st) Salary Range Minimum: $29.13 Salary Range Maximum: $39.32 Compensation: USD 29.13 - USD 39.32 - hourly Job Description Required: 3-4 years of coding experience in an acute healthcare setting RHIT, RHIA or CCS credentialed The Outpatient 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. Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinics, interprets ICD-10-CM coding conventions and instructional notes to select appropriate diagnoses with a minimum of 95% accuracy. Meets established minimum coding productivity per departmental protocol and guidelines. The Outpatient Coder II is...

Carle Health seeks an HIM Certified Coder to accurately code hospital inpatient, outpatient and professional encounters using ICD-10/ICD-PCS, CPT, and HCPCS. The coder applies regulatory guidelines and modifiers to ensure compliant billing and resolves coding-related Edits in Carle systems. Qualified candidates hold RHIT or RHIA, plus CPC/COC/CIC/CCS-P/CCS credentials, with strong knowledge of CPT/HCPCS and coding datasets. Equal opportunity employer; E-Verify participant. #J-18808-Ljbffr

Carle Health in Urbana, IL seeks a HIM Certified Coder to accurately code inpatient, outpatient and professional encounters using ICD-10-CM/PCS, CPT and HCPCS codes. You will utilize coding software and reference materials to ensure compliant Carle claims. Qualifications include RHIT/RHIA/CPC/COC/CIC/CCS-P/CCS certifications with ongoing credential maintenance. The role supports audits, education, and collaboration with billing to optimize revenue. #J-18808-Ljbffr

Medical Coder The Medical Coder shall perform remote medical record coding and related services in support of the Veterans Health Administration, including but not limited to: Coding of all assigned inpatient admissions, ambulatory surgery cases, and outpatient encounters (including ancillary, prosthetics, and other services). Coding of inpatient professional services and non-VA care under VA auspices, as directed. Limited coding audits/validation reviews when requested Comply with all HIPAA provisions and with VA information security/privacy requirements, including VA-specific clauses and training requirements. Access VA VistA/CPRS (and other VA-required systems) to review records and enter codes into the approved encoder/EHR applications. Perform all services in accordance with current coding guidelines and approved references (including Coding Clinic, CPT Assistant, and other recognized publications as available via the encoder). Use the VA national encoder...

PB Coder Chicago 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...

Title: Inpatient Coder Location: 100% Remote Compensation: $35-42/hr Structure: 6 month-1 year Contract-to-Hire ABOUT THE ROLE Our client is seeking experienced Inpatient Coders to join a large-scale ramp-up supporting a major system transition to Epic (Epic Go-Live). This contract-to-hire opportunity is part of an initiative to insource Revenue Cycle Management (RCM) teams. The role requires high-quality, detail-oriented professionals with strong QA focus and the ability to code complex cases in high-acuity settings. WHAT YOU'LL DO Review, analyze, and accurately code inpatient medical records using ICD-10-CM/PCS and other relevant coding systems Ensure coding quality and compliance with regulatory and organizational standards, maintaining ~95% accuracy Meet productivity targets by coding 2.0-2.5 charts per hour while prioritizing quality over quantity Apply specialty-specific coding expertise in areas such as Cardiovascular, NICU, Interventional...

Full Time, 80 Hours Per Pay Period Department: Health Information Position Posted On: 10/11/2024 Requirements Education: Associate Degree in Health Information Technology with RHIT certification within six (6) months of hire/equivalent certification (AAPC) preferred; or a minimum of one (1) year hospital coding experience with Certified Coding Specialist credentials/equivalent certification (AAPC) within one (1) year of hire accepted. Training And Experience Preference of prior experience in the field of H.I., plus on the job training with preferred experience in the use of Encoders. Job Knowledge: The Certified Coder should be familiar with medical terminology, abbreviations, techniques, and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and the metric system to identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record. S/he should also have knowledge of the...

Rush University Medical Center in Chicago, IL is seeking a full-time Medical Records coder. You will assign ICD-10-CM-PCS and CPT-4 codes to charts, abstract data in 3M encoder and Epic, and complete UHDDS data abstraction with meticulous attention to detail. Ideal candidates hold RHIA/RHIT/CCS credentials, at least 3 years of coding experience, and strong knowledge of medical terminology and anatomy. Excellent accuracy and focus in a fast-paced environment are essential. #J-18808-Ljbffr

PB CoderChicagoThe 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...

Inpatient Coding AuditorHuron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly...

Fully Remote Lake Park Building Full time R180631 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...

Inpatient Coding Auditor Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the...

PB Coder Chicago 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...

The Inpatient Coding Auditor will be responsible for auditing inpatient coders and offshore inpatient coding auditors to ensure coding accuracy and DRG accuracy of a minimum of 95%. The role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. The Inpatient Coding Auditor reports to the Huron Managed Services Domestic Coding team. Key Responsibilities Audit inpatient coders and auditors to ensure compliance with client SOPs and coding guidelines. Perform quality checks, calibration audits, and suggest improvements. Conduct calibration sessions with offshore team counterparts and leaders. Prepare audit reports and provide direct feedback to coders and auditors on areas of opportunity. Participate in client interactions and internal stakeholder meetings. Monitor coding guideline compliance and correct identified errors before claims are rebilled. Conduct analysis and present summaries of findings to leadership...

Sarah Bush Lincoln is seeking coders for a hospital setting to assign ICD-CM/PCS, CPT and HCPCS codes, and determine MS-DRGs and APCs. The full-time role resides in Medical Record Management with remote work options for Illinois and on-site as needed. You will collaborate with physicians and staff to document coding needs, train new staff, and ensure high-quality coding for compliant reimbursements. HS diploma and credentials (CCA/CPC/RHIT/RHIA/CCS-H) are required. #J-18808-Ljbffr

Medical Coder (Remote) - Contract Opportunity Job ID: 297083 Location: Remote Facility: Hopedale Medical Complex Employment Type: Contract Duration: 13 Weeks Schedule: Day Shift Start Date: ASAP (Quick Start Available) Position Summary Hopedale Medical Complex is seeking an experienced Medical Coder to join its team on a contract basis. This remote opportunity is ideal for a coding professional with strong experience across multiple healthcare service lines and a commitment to coding accuracy, compliance, and revenue cycle integrity. The Medical Coder will be responsible for reviewing clinical documentation and assigning accurate diagnostic and procedural codes for a variety of patient encounters within a Critical Access Hospital environment. This position plays a key role in supporting compliant billing practices, reimbursement accuracy, and regulatory requirements. Key Responsibilities Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on...

Sterling Medical is currently looking for Certified Medical Coders with Outpatient/Inpatient Coding experience These positions will be to support the Veterans Health Administration Locations (4) in and around the North Chicago area Requirements – Coding Positions Applicants must hold one or more of the following credentials: AHIMA: RHIT, CCS, CCS-P, or RHIA AAPC: CPC Additional qualifications: Minimum of 3 years of continuous coding experience in a large, complex medical facility. VA or military experience systems helpful but not required (TRICARE….etc) Proficiency in relevant code sets, including: ICD-10 CM CPT & HCPCS ICD-10 PCS (for inpatient roles) DRGs (for inpatient roles) Ability to perform accurate facility and/or professional medical record coding. If you have the qualifications and experience for this rewarding opportunity to support our veterans, please contact me at 513-569-8365, or email me at jclark@sterlingmedcorp.com. Jenny Clark Healthcare Recruiting Manager...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a dedicated Surgical Coder with expertise in podiatric surgical procedures. The primary responsibility of this role is to accurately translate and code operative notes using CPT and ICD-10, ensuring compliance with industry standards and maximizing reimbursement. Key Responsibilities Operative Report Coding: Handle coding for podiatric surgical procedures like bunionectomies and reconstructive surgeries. Modifier Application: Ensure accurate use of anatomical, lateral, and surgical unbundling modifiers. Compliance & NCCI Edits: Use National Correct Coding Initiative edits for guideline analysis and compliance. Routine & Office-Based Care: Code evaluations, minor procedures, DME, and office evaluations. Provider Queries & Feedback: Collaborate with surgeons for documentation clarity and...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? 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 integrity? If so, we cannot wait to meet you. About The Position Advanced...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Outpatient Surgery CoderLaSalle Network is hiring for a skilled Outpatient Surgery Coder to support a high-performing healthcare team in a fully remote environment. This role is ideal for someone who thrives in independent work settings and has a sharp eye for detail, particularly when working with surgical documentation and coding accuracy. If you're ready to jump into a fast-paced, quality-driven role, we want to hear from you.Compensation: $60,000 – $70,000 Benefits: Medical, Dental, Vision Location: Illinois, Indiana, Iowa, Wisconsin, Ohio, Missouri, Michigan or Florida. Work Model: Fully RemoteWhat's the Job?Assign accurate ICD-10-CM, CPT and HCPCS codes for outpatient surgical encounters, with a strong focus on same day surgery casesReview operative reports and clinical documentation to ensure coding accuracy and completenessApply APC reimbursement methodologies to support accurate billing outcomesEnsure compliance with CMS guidelines and payer-specific requirementsQuery...