47 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...

Description Codes outpatient charts and/or professional charts and abstracts all required data from records according to established procedures; including medical necessity for Medicare charts. Uses ICD-10 CM/PCS/CPT-4/chargemaster to code all diagnoses, operative procedures and physician procedures performed for outpatient procedures. Verifies/changes levels of care provided according to level of care guidelines. Captures all missing records and documentation, i.e. IV start/stop times, etc. Interacts with physicians and physician's offices regarding diagnoses or coding questions. Performs other work as needed to help within the department. Keeps current with coding practices and skills through in-services, seminars, workshops and current literature to increase coding knowledge. Reviews the entire medical record for identification of all documented conditions, diagnoses and procedures. Demonstrates the ability to read physicians handwriting and interpret...

3 days ago Be among the first 25 applicants Description Reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD‑10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross‑training established coders in new specialties. Employment Type Full time Shift Day...

More Than Just Care, It’s Community Imagine doing meaningful work in a place where people vacation. That’s life at Munson Healthcare - northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee...

Compliance Coding Auditor-Educator Trinity Health IHA Medical Group is looking for a customer-focused Compliance Coding Auditor-Educator to join our team. In this role, you will serve as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services. Provides professional expertise and education in CPT, ICD and HCC coding. What You'll Do: Develops and leads audit projects for medical record integrity. Reports audit results utilizing a standard reporting process. Identifies new errors while performing audits, investigates and assesses root cause. Performs one-on-one Audit meetings and provides for corrective educational guidance. Maintains complete knowledge and complies with all relevant insurance, CPT coding and diagnosis guidelines. Provides training for IHA staff and providers on CPT, ICD10 and HCC coding standards and procedures. General Requirements:...

Coder - Hospital Outpatient Services - Revenue Cycle Mid Service * Days - 40hrs/wk Shift: Days FTE status: 1 On-call: No Weekends: No One year ambulatory surgery/OBV experience required. General Summary: Under the direction of the Coding Supervisor and Manager, the Coder for Hospital Services is responsible for accurately coding outpatient conditions and procedures. The Coder reviews clinical documentation and diagnostic results in order to extract data for billing, internal and external reporting, and research, ensuring all codes are appropriately applied per the ICD-10-CM Official Guidelines for Coding and Reporting. When applicable, the Coder is responsible for accurately and completely capturing charges for hospital services provided by reviewing clinical documentation. This data is utilized for revenue processing, internal and external reporting, research and regulatory compliance as documented in the CPT guidelines. Knowledge, Skills and Abilities: High School...

Join Stout: Relentless ExcellenceAt Stout, we're dedicated to exceeding expectations in all we do – we call it Relentless Excellence. Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.Impact You'll MakeContribute to complex healthcare consulting engagements involving coding and billing audits, disputes, claims analysis, investigations, compliance reviews, and litigation support.Deliver accurate, defensible analyses across inpatient and outpatient facilities, ambulatory surgery centers (ASCs), and professional fee services.Identify clinical documentation, coding, billing, reimbursement, contractual, regulatory, and fraud, waste, and abuse risks from provider and payor perspectives.Translate...

Job Description Job Description Healthrise is seeking experienced, U.S.-based Radiology Coders to support our revenue cycle services in either Diagnostic Radiology or Interventional Radiology (IR). Each coder works within a single specialty track. Coders translate radiology and procedural documentation into accurate, compliant claims data. Success in the role comes down to coding precision, steady production, and sound judgment on documentation gaps, with the goal of cleaner claims and fewer downstream denials. Duties and Responsibilities Core Coding Operations • Knows, understands, incorporates, and demonstrates the Healthrise Core Values in all interactions with team members, clients, and stakeholders. • Review radiology reports and supporting documentation and assign accurate CPT, HCPCS, ICD-10-CM, and applicable modifier codes. • Meet established productivity and accuracy benchmarks, to be defined with the client. • Query providers when documentation is...

Job Description Job Description Certified Home Health Coder & QA Specialist Become a part of the Hope At Home Family! We currently have a position available for a Certified Home Health Coder & QA Specialist. Position Summary: Certified Home Health Coder & QA Specialist is required to have PDGM, Oasis D1 experience, and Kinnser software knowledge. Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of skilled service visits. The position is also responsible for reviewing OASIS and abstracting visit data for billing and data collection purposes. Responsibilities: Codes records using ICD-10-CM and coding guidelines. Reviews OASIS. Observes and report unusual patterns in data collection and/or lack of adequate documentation for code assignments. Review documentation and provide ICD-10 coding recommendations based on current coding and Oasis guidelines. Performs other related duties as requested by the Home...

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...

Job Summary: Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Essential Responsibilities: Coding and...

Medical Coding and/or Medical Billing Extern Karim Healthcare | Southern Michigan Position Type: Unpaid Educational Externship Program Partnership: AAPC Extern Program Format: Hybrid, based on approved learning activities Service Area: Hillsdale, Branch, and Lenawee Counties, Michigan About Karim Healthcare Karim Healthcare is a multi-location healthcare organization serving patients throughout Hillsdale, Branch, and Lenawee Counties in southern Michigan. Our practices provide primary care and specialized medical services, with a commitment to quality patient care, accurate documentation, compliant coding, and effective billing operations. Our areas of practice include primary care, sleep medicine, pulmonary medicine, critical care, pulmonary function testing (PFTs), office procedures, and some dermatology. We also operate multiple satellite offices staffed by mid-level providers who deliver primary care services to our communities....

Duties And Responsibilities Coding Operations Reviews bariatric surgery clinic, operative, and follow-up documentation and assigns accurate CPT, HCPCS, ICD-10-CM, and applicable modifier codes. Codes common bariatric procedures, including sleeve gastrectomy, Roux-en-Y and other gastric bypass, duodenal switch and SADI-S, and adjustable gastric band placement, removal, replacement, and adjustment. Codes revisional and conversion procedures (such as sleeve-to-bypass or band-to-sleeve) and reoperations, and identifies when unlisted codes are appropriate and what documentation supports them. Determines when related services are separately reportable or bundled, including hiatal hernia repair, intraoperative endoscopy, and cholecystectomy. Assigns evaluation and management (E/M) levels for pre-operative consultations, post-operative visits, and surgical and nutrition follow-up based on current AMA guidelines for medical decision making or total time. Assigns diagnosis codes that support...

University of Michigan Health-Sparrow is seeking a Physician Coding Specialist to code diagnostic and procedure services from patient records, supporting daily coding activities and the revenue cycle. Required credentials include CPC/COC/RHIT/RHIA/CCS/CCS-P, AHIMA or AAPC membership, and EPIC experience with CPT/ICD-10-CM knowledge. At least one year in a multi-physician setting with physician billing exposure is preferred. #J-18808-Ljbffr

Job Description Job Description Description: CPC-As are not being considered at this time. We're coding rebels with a cause. KODE is a health-tech company developed by medical coders for medical coders looking to change the way things are done in the industry. Our company may be young but we're growing rapidly. That also means we're not buried in outdated policies and bureaucracies.Coders play a critical role in healthcare, but have you ever felt like you're just a cog in the machine? At KODE there are no cogs, there are people. We aren't looking for a coder to fill an open position simply. We're looking for a new teammate passionate about professional coding who wants to join our collective mission to be awesome.We're serious about two things: coding and treating you like the professional you are. If this intrigues you, please keep reading. About this Role We're looking for a Facility Inpatient Coder to join our company! Responsibilities: Review medical...

Employment Type: Full time Shift: Description: Purpose Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. Note: “patients” refers to patients, clients, residents, participants, customers, members Essential Functions Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency &...

Job Description Job Description Performs day-to-day professional-fee coding for bariatric surgery partner organizations on a PRN (as-needed) basis. Translates bariatric clinic, operative, and follow-up documentation into accurate, compliant claims data to support clean claims and reduce downstream denials. Provides flexible coding capacity during volume surges, coverage gaps, and backlog reduction, and escalates documentation and coding issues to project leadership as needed. Duties and Responsibilities Coding Operations Reviews bariatric surgery clinic, operative, and follow-up documentation and assigns accurate CPT, HCPCS, ICD-10-CM, and applicable modifier codes. Codes common bariatric procedures, including sleeve gastrectomy, Roux-en-Y and other gastric bypass, duodenal switch and SADI-S, and adjustable gastric band placement, removal, replacement, and adjustment. Codes revisional and conversion procedures (such as sleeve-to-bypass or band-to-sleeve) and...

Job Description Job Description   Performs day-to-day professional-fee coding for urgent care partner organizations on a PRN (as-needed) basis. Translates urgent care visit documentation into accurate, compliant claims data to support clean claims and reduce downstream denials. Provides flexible coding capacity during volume surges, coverage gaps, and backlog reduction, and escalates documentation and coding issues to project leadership as needed. Duties and Responsibilities Coding Operations Reviews urgent care encounter documentation and assigns accurate CPT, HCPCS, ICD-10-CM, and applicable modifier codes. Assigns evaluation and management (E/M) levels based on current AMA guidelines for medical decision making or total time. Codes common urgent care procedures and services, including laceration repair, incision and drainage, fracture and splint care, injections and infusions, vaccines, in-house laboratory testing, and point-of-care imaging. Applies modifiers...

Performs day-to-day professional-fee coding for urgent care partner organizations on a PRN (as-needed) basis. Translates urgent care visit documentation into accurate, compliant claims data to support clean claims and reduce downstream denials. Provides flexible coding capacity during volume surges, coverage gaps, and backlog reduction, and escalates documentation and coding issues to project leadership as needed. Duties And Responsibilities Coding Operations Reviews urgent care encounter documentation and assigns accurate CPT, HCPCS, ICD-10-CM, and applicable modifier codes. Assigns evaluation and management (E/M) levels based on current AMA guidelines for medical decision making or total time. Codes common urgent care procedures and services, including laceration repair, incision and drainage, fracture and splint care, injections and infusions, vaccines, in-house laboratory testing, and point-of-care imaging. Applies modifiers appropriately, including -25, -59, and...

Inpatient Coder (CCS Certified) – Remote Location: Remote (work from home office) Experience: 3+ years of facility-based inpatient coding Job Summary The Inpatient Coder is a key role supporting one or more Cognizant clients, responsible for reviewing medical documentation and accurately assigning ICD-10-CM diagnosis and ICD-10-PCS procedure codes. This role works independently and as part of a team, queries physicians to clarify documentation, and supports coding quality through peer review, while meeting accuracy and productivity standards in a fast-paced remote environment. Key Responsibilities Review documentation to code diagnoses (ICD-10-CM) and procedures (ICD-10-PCS). Communicate with physicians to obtain or clarify diagnoses and/or procedures through the query process. Assign accurate codes using an electronic encoder application in accordance with practice policy and regulatory guidelines. Perform peer reviews of company Health Information Management coding...

Advanced Coding PositionAdvanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes 3M 360 in accordance with established workflow. Follows Michigan Medicine policies and procedures and maintains required quality and productivity standards.Characteristic Duties And ResponsibilitiesExtract, review, and analyze clinical information,...

Posterity Group is seeking a Medical Coder to support The Richard L. Roudebush VA Medical Center. The role focuses on accurately attaching images to electronic health records and ensuring correct indexing and linkage to veteran records. Qualified candidates will have 3+ years of experience, knowledge of Cerner/Oracle or similar EHR systems, and active coding credentials. This is an on-site position in Michigan with competitive hourly pay. #J-18808-Ljbffr

Job TitleUses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization's strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge.Note: "patients" refers to patients, clients, residents, participants, customers, membersEssential FunctionsOur Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of...

Datavant is seeking experienced inpatient coders for a fully remote role with a flexible schedule. You will assign diagnostic and procedural codes, abstract patient records, and audit coders to ensure accuracy. The role emphasizes documentation improvement and adherence to MS-DRG guidelines. The ideal candidate has 3+ years of inpatient coding experience, strong communication skills, and relevant AHIMA/AAPC credentials. Remote work offers autonomy with collaboration across teams. #J-18808-Ljbffr