34 data coder jobs found

Pursue Your PurposeExceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to discover your passion, reach your potential, and Pursue Your Purpose. Exceptional care starts with exceptional people and teams. Together we are leading the way.This job reviews and accurately codes and abstracts the most complex hospital services, in-patient procedures, overnight / multi-night stay services and all other complex medical services. Utilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment and works closely with management to resolve problems and meet deadlines.To perform this...

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...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies....

Pursue Your PurposeExceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Together we are leading the way.This job is responsible for reviewing and accurately coding either most professional services, including evaluation and management, and Procedures or hospital outpatient surgeries/procedures and observation patients. Remains in conformance with applicable Medicare, Medicaid and third-party payer guidelines to ensure receipt of accurate reimbursement.To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.This job description is a summary of the primary...

Risk Adjustment Coder Location: Baton Rouge, LA 70809 Contract Length: 4 Months Position Summary We are seeking an experienced Risk Adjustment Coder with a strong background in Medicare Advantage Risk Adjustment and ACA Risk Adjustment coding. This position supports ongoing risk adjustment initiatives through accurate coding, medical record review, documentation validation, and quality assurance activities. The coder will help ensure compliance with CMS and other regulatory requirements while supporting risk adjustment accuracy and revenue integrity goals. Candidates should have demonstrated experience with CMS-HCC coding methodologies, medical record review, and risk adjustment documentation validation. This position works under general supervision and does not have direct supervisory responsibilities. Key Responsibilities Review and assess medical record documentation and accurately assign ICD-10-CM diagnosis codes for Medicare Advantage and ACA Risk Adjustment programs....

Job Title Responsible for assignment of appropriate ICD-10-CM diagnosis, ICD-10-PCS/CPT procedure codes, and abstracting statistical and reimbursement data for inpatient and outpatient encounters. Educational and/or Professional Qualifications: High school diploma or GED preferred. Associates or Bachelors of HIM (preferred) Keyboarding/computer skills Certified Coding Specialist, Registered Health Information Technician, or Registered Health Information Administrator (CCS, RHIT, or RHIA) required Demonstrated working knowledge of Medical Terminology, Anatomy and Physiology, Disease Process, and Pharmacology. Previous Experience: 1. Computers and other office equipment 2. Combination of at least 5 years of Acute Inpatient and/or Outpatient coding experience or 2 years management experience with coding/auditing experience required

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...

Coder - HIM - Health Information Management Description Madison Parish Hospital is currently accepting applications for one (1) Full-Time Coder- HIM. Reports to the Director of Health Information Management. Job Purpose To accurately review, analyze, and assign standardized diagnosis, procedure, and service codes to patient health records in accordance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, payer regulations, and organizational policies. The Coder supports accurate reimbursement, regulatory compliance, quality reporting, and the integrity of health information while maintaining confidentiality and adherence to applicable healthcare standards. Duties and Responsibilities . Assign accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes according to official coding guidelines and regulatory requirements. · Abstract clinical and demographic data from patient records into health information and billing systems. · Ensure coding accurately reflects diagnoses, procedures, treatments,...

Medical Records Technician (Coder-Outpatient and Inpatient) Department: Department of Veterans Affairs This position is located in the Health Information Management (HIM) section at the Southeast Louisiana Veterans Healthcare System. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Key Responsibilities These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation. Assigns codes to documented patient care encounters (inpatient and outpatient);...

Medical CoderAlli Management Solutions is seeking a Medical Coder to join our growing team. Alli is a management services organization that provides a variety of services to businesses in the medical industry. Our services include management, consulting, revenue cycle (billing), accounting, human resources, IT support, and Anesthesia. Alli, Louisiana's premiere medical management company, manages the myriad of expectations for physician practices, small healthcare facilities, large hospitals, and on-site employee medical clinics for a Fortune 200 company. This position is full-time, Monday - Friday and offers a competitive salary, PTO, benefits, and paid holidays.Summary:Under the general directions of the Team Leader, Medical Record Department, this specialist is responsible for accurate coding of all inpatient, outpatient, and emergency service diagnosis and conditions, working from the appropriate documentation in the Medical Record of the patient.Reviews medical records and...

Pursue Your PurposeExceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to discover your passion, reach your potential, and Pursue Your Purpose. Exceptional care starts with exceptional people and teams. Together we are leading the way.This job is responsible for reviewing and accurately coding either most professional services, including evaluation and management, and Procedures or hospital outpatient surgeries/procedures and observation patients. Remains in conformance with applicable Medicare, Medicaid and third-party payer guidelines to ensure receipt of accurate reimbursement.To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable...

Ochsner Health seeks a medical coder to accurately code professional services and hospital outpatient procedures. You will ensure compliant documentation, verify data integrity, and collaborate with providers to resolve coding questions. A strong background in ICD-10-CM/PCS, CPT, HCPCS and data entry is required. Ideal candidates have at least 1 year of coding experience and a high school diploma or equivalent, with AHIMA or AAPC certification preferred. #J-18808-Ljbffr

Job TitleResponsible for assignment of appropriate ICD-10-CM diagnosis, ICD-10-PCS/CPT procedure codes, and abstracting statistical and reimbursement data for inpatient and outpatient encounters.Educational and/or Professional Qualifications:High school diploma or GED preferred.Associates or Bachelors of HIM (preferred)Keyboarding/computer skillsCertified Coding Specialist, Registered Health Information Technician, or Registered Health Information Administrator (CCS, RHIT, or RHIA) requiredDemonstrated working knowledge of Medical Terminology, Anatomy and Physiology, Disease Process, and Pharmacology.Previous Experience:1. Computers and other office equipment2. Combination of at least 5 years of Acute Inpatient and/or Outpatient coding experience or 2 years management experience with coding/auditing experience required

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: Conduct a...

Baton Rouge General Medical Center is seeking a detail-oriented medical coder with at least 10 years of general coding experience. AAPC certification is preferred, with strong knowledge of medical coding systems and HIPAA compliance. The role involves coding discharged records, ensuring accuracy, and coordinating follow-up for deficient cases. You will work within a team, contribute to data quality for reimbursement, and uphold patient confidentiality and safety practices across EHR systems. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

CW Risk Adjustment Coder Position Summary Experienced Risk Adjustment Coder with a strong background in Medicare Advantage Risk Adjustment coding and ACA Risk Adjustment coding. This position supports ongoing risk adjustment initiatives through accurate coding, medical record review, documentation validation, and quality assurance activities. The coder will help ensure compliance with CMS and other regulatory requirements while supporting the organization's risk adjustment accuracy and revenue integrity goals. Candidates should have demonstrated experience with CMS-HCC coding methodologies, medical record review, and risk adjustment documentation validation. This position works under general supervision and does not have direct supervisory responsibilities. Key Responsibilities: Review and assess medical record documentation and accurately assign ICD-10-CM diagnosis codes for Medicare Advantage and ACA Risk Adjustment programs. Perform retrospective and prospective coding...

Medical Coder 3The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision.ResponsibilitiesCoding/AbstractingAssists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion.Quality/PerformanceCorresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patient's medical...

Coding SpecialistWe've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!This job reviews and accurately codes and abstracts the most complex hospital services, in-patient procedures, overnight / multi-night stay services and all other complex medical services. Utilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG...

Coding Compliance SpecialistProvides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities.NoneConduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies.Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed.Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes; must be able to present effectively to physician groups.Review all coding-related denials to identify trends, root causes, and systemic risks; recommend preventive strategies to reduce future denials.Review Athena coding rejections and validate relevance to FQHC...

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate's degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: - RHIT - Certified Health Information Technician (AHIMA) - RHIA - Registered Health Information Administrator (AHIMA) - CCS - Certified Coding Specialist (AHIMA)...

Summary This position is located in the Health Information Management (HIM) section at the Southeast Louisiana Veterans Healthcare System. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation. Assigns codes to documented patient care encounters (inpatient and outpatient); encounters are routine and less complex or for only one specialty or subspecialty. Has basic knowledge of medical...

Health Information Management (HIM) Section This position is located in the Health Information Management (HIM) section at the Southeast Louisiana Veterans Healthcare System. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers.

Southeast Louisiana Veterans Healthcare System seeks a Medical Records Technician (Coder-Outpatient/Inpatient) to classify medical data from patient records, applying ICD-CM, PCS guidelines and CPT codes in both inpatient and outpatient settings. Roles include navigating health records, abstracting pertinent data, and ensuring accurate coding under Joint Commission and CMS guidelines; positions require basic qualifications and potential grandfathering per VA standards. #J-18808-Ljbffr