15 credentialed medical coder jobs found

The Coding Specialist position is responsible for coding and abstracting of medical records. Other duties as assigned. Education: High School Diploma/GED required. Additional Education Requirements : Education and credentials as a Registered Health Information Administrator, Registered Health Information Technician, Certified Coding Specialists, Certified Procedural Coder with proven experience as a qualified Coder. Additional Certification Details : Education and credentials as Registered Health Information Administrator, Registered Health Information Technician, and/or Certified Coding Specialist, with proven experience as a qualified coder. Associate's or Bachelor's level of education in related health field preferred. Experience: Minimum of one year of coding inpatient, observation or day surgeries with an accuracy rate of 95% or above and productivity standards based on record type. Understanding of ICD-10 CM/PCS, CPT coding and drg assignment. Demonstrates...

Baptist Memorial Health Care in Memphis, TN seeks a skilled Medical Coder to assign ICD-10-CM diagnoses and procedures for inpatient records, supporting reimbursement, research, and data analytics. This role requires one year of acute care coding experience or AHIMA credentials (RHIT/RHIA/CCS), strong English communication, and the ability to review records accurately to support regulatory compliance and hospital operations. #J-18808-Ljbffr

Emergency Department Coder Required Skills & Experience - 3+ years of ED coding experience AAPC or AHIMA credential Fracture coding experience Thorough working knowledge of ICD-10-CM and CPT coding systems, and federal/state regulations regarding reimbursement. Thorough working knowledge of the hospital information system, electronic medical record systems, and encoder. Working knowledge of standards for chart completion. Job Description This role, under general direction, is responsible for coding and abstracting of diagnoses and charging for procedures from emergency department medical records for optimal and timely reimbursement and quality reporting. Key responsibilities: Assigns ICD-10-CM codes, and CPT/HCPCS codes for emergency department medical record accounts, including but not limited to diagnoses, facility level evaluation & management (E/M) charges, infusion/injection charges, and additional bedside procedure charges. Abstracts key data...

Edit & Denials Coder Required Skills & Experience- 5+ years of Edit & Denials coding Active AAPC or AHIMA credential Ability to independently resolve denials. Strong payer knowledge Knowledge of ICD-10 and CPT Coding Must be comfortable working with AR teams to resolve issues. Must be able to pass a coding assessment. Must be proficient in Microsoft Office, including Outlook, Excel, and Teams. Ability to multi-task and have excellent communication skills Job Description We are seeking an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role is responsible for performing advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies. Key Responsibilities: Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host...

Job Description We are seeking an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role is responsible for performing advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies. Key Responsibilities: • Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse. Creates appropriate letters to substantiate the validity of claims. • Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up. Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals. • Researches payer policies...

Facility Inpatient Coder We are seeking Facility Inpatient coders with at least three years of experience. The Inpatient Coder will be responsible for reviewing hospital patient medical records and assigning accurate diagnostic or procedural codes (ICD-10-CM/PCS, DRGs) to ensure proper reimbursement, accurate data for reporting, and compliance with healthcare regulations. Key responsibilities: Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding. Submit necessary provider queries to resolve documentation discrepancies. Perform quality assessment of records, including verification of medical record documentation. Responsible for researching errors or missing documentation from medical records to provide accurate coding processes. Abstracts and assigns the appropriate ICD-10-CM/PCS codes for all diagnoses and procedures performed in the outpatient and inpatient settings as applicable. Required Skills...

Professional Fee Coding Specialist Required Skills & Experience• 3+ years of professional fee coding experience. • Active coding certification through AAPC or AHIMA. • Active RHIT, RHIA, CPC, COC, CCS-P, CCS, CEDC, or equivalent coding credential. • Experience coding clinic visits/professional services. • Strong experience with Evaluation & Management (E/M) coding, diagnosis coding, injections, and procedure coding. • Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and coding compliance guidelines. • Experience with Cerner EMR. • Experience working remotely. • Proficiency in Microsoft Outlook, Excel, and Teams. Strong communication, organization, and multitasking skills. Nice to Have Skills & Experience• Emergency Department (ED) coding experience. • Multi-specialty Pro-Fee coding background. • Experience with regulatory reporting and data abstraction. • Prior hospital or health system coding experience. • Experience partnering with AR/billing teams on claim...

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You must reside in one of these states to be eligible for this position: Arkansas California Kentucky Massachusetts Nevada New Mexico Oregon Utah Tennessee Texas Wyoming Job Summary: The Senior Coder supports assigned inpatient and/or outpatient coding operations through day-to-day workflow leadership and may provide oversight of coding quality, coding edits, auditing, and staff education. Assigned functions may include inpatient, observation, emergency department, ambulatory surgery, ancillary, clinic, and other hospital-based coding services. The position supports Revenue Cycle Operations with special projects, including denial review, appeals, discharge-not-final-billed management, regulatory and payer edit review, and process improvement efforts designed to meet organizational goals while promoting accurate, complete, and compliant coding and billing....

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Fully Remote Lake Park Building Full time R182990 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...

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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Datavant is seeking an HCC coder to review medical records and assign accurate diagnoses using ICD-10-CM guidelines. The role requires at least 2 years of HCC coding experience and a strong knowledge of medical terminology. Candidates must be able to work remotely for 40 hours per week and maintain a high coding accuracy. Ideal applicants will hold AHIMA or AAPC credentials (RHIA/RHIT/CCS or CPC family; CRC preferred) and demonstrate excellent written and verbal communication. #J-18808-Ljbffr

Job Description Day-to-Day Responsibilities Review and code professional fee encounters using ICD-10-CM, CPT, and HCPCS guidelines. Assign accurate E/M levels, diagnoses, and procedure codes to ensure compliant reimbursement. Abstract key patient and encounter data for billing, regulatory, and reporting purposes. Audit medical records to ensure documentation supports services billed and identify documentation gaps. Communicate with physicians and providers to obtain coding and documentation clarifications. Review and resolve coding-related claim edits, including medical necessity and NCCI/CCI edits. Collaborate with billing and Accounts Receivable teams to resolve coding and reimbursement issues. Maintain quality and productivity standards while meeting a 95% coding accuracy requirement. Work within EMR, hospital information systems, and encoder software in a fully remote environment. Stay current on coding regulations, payer requirements, and continuing education requirements....

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Job description Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties: Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to...