56 data coder jobs found

A technology company focused on AI is seeking proficient programmers to help advance AI development. This remote position allows you to set your own schedule and choose projects that fit your interests. Responsibilities include designing coding tasks for AI systems, writing high-quality code, and evaluating outputs for accuracy. Ideal candidates will have fluency in English, experience in Kotlin, and proficiency in one or more programming languages. Strong writing skills and a bachelor's degree are preferred. #J-18808-Ljbffr

Highmark Health is seeking a qualified medical coder in Saint Paul, Minnesota. The role includes reviewing medical information, abstracting data, and ensuring efficient management of medical records. Ideal candidates must have a High School diploma, 1 year of hospital coding experience, and CCS or CIC certification. Competitive pay ranges from $23.73 to $37.14 per hour, with additional benefits including a sign-on bonus. Join a committed healthcare team dedicated to quality patient care. #J-18808-Ljbffr

About this Position The Coder II accurately applies the correct ICD-10CM and CPT coding with appropriate modifiers, analysis and data entry performed on inpatient and outpatient's services in either the professional services or in hospital setting for billing customer accounts and ensures accurate clinical data base is maintained. The incumbent will also ensure compliance of coding and documentation for reimbursement according to federal regulations and guidelines. Requirements Education Graduate from approved coding specialist program required. Certification through AAPC or AHIMA required. Maintenance of certification and continuing education hours required. Experience Minimum of three (3) years of coding experience. Knowledge, Skills and Abilities Mets department quality and productivity requirements. Continuous learner focused on quality coding. Ability to be self-motivated with time management and critical-thinking skills. Independent and self-motivated....

Requisition number: 2366526 Job category: Medical & Clinical Operations Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts...

Highmark Health is seeking a qualified medical coder in Saint Paul, Minnesota. The role includes reviewing medical information, abstracting data, and ensuring efficient management of medical records. Ideal candidates must have a High School diploma, 1 year of hospital coding experience, and CCS or CIC certification. Competitive pay ranges from $23.73 to $37.14 per hour, with additional benefits including a sign-on bonus. Join a committed healthcare team dedicated to quality patient care. #J-18808-Ljbffr

About this Position The Coder II accurately applies the correct ICD-10CM and CPT coding with appropriate modifiers, analysis and data entry performed on inpatient and outpatient's services in either the professional services or in hospital setting for billing customer accounts and ensures accurate clinical data base is maintained. The incumbent will also ensure compliance of coding and documentation for reimbursement according to federal regulations and guidelines. Requirements Education Graduate from approved coding specialist program required. Certification through AAPC or AHIMA required. Maintenance of certification and continuing education hours required. Experience Minimum of three (3) years of coding experience. Knowledge, Skills and Abilities Mets department quality and productivity requirements. Continuous learner focused on quality coding. Ability to be self-motivated with time management and critical-thinking skills. Independent and self-motivated....

Join Optum Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Schedule: Monday - Friday except for weekends for a shift differential You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with...

Health Information Coding Analyst II, Outpatient Same Day Surgery Coder Join our team at Regions Hospital as a Health Information Coding Analyst II. As a coding analyst, you will support multiple sites and actively participate within a team who performs a wide variety of complex coding scenarios to ensure accurate assignment of ICD-10 and CPT Codes. This position: Completes coding analysis of each individual patient stay. Provides accurate diagnoses, procedures and other relevant database information for optimal financial reimbursement, collection of unique and pertinent information and accumulation of statistical data. Perform related duties as assigned. Work schedule: FTE: 1.0 (40 hrs. weekly) Remote, Monday-Friday Flexible. Candidates must live in MN, WI, IA, ND, or SD. Required Qualifications: Education: Graduate from an associate or bachelor's degree program in health information, completion of a coding specialist program or successful completion of AHIMA or...

Caring. Connecting. Growing Together Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assigns CPT and ICD-10 codes to all services Monitors assigned work queues to ensure all records are charged/coded in a...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Expert knowledge in all facility outpatient coding types: Same Day Surgery Identify...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of ICD-10 Codes, CPT and modifiers for facility services while...

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 you to...

SDS/Observations Medical Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The SDS/Observations Medical Coder position is full-time (40 hours/week) Monday to Friday. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Ambulatory Observation services while adhering to the...

Requisition number: 2354739 Job category: Medical & Clinical Operations Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Schedule Monday - Friday except for weekends with shift differential. Telecommuting Telecommute from anywhere within the U.S. is available. All telecommuters must adhere to UnitedHealth Group's Telecommuter Policy. Primary Responsibilities Identify appropriate assignment of ICD-10-CM and ICD-10-PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and assigned facility guidelines. Abstract additional data elements during Chart Review when coding, as needed. Adhere to ethical standards of coding established by AAPC and/or AHIMA. Maintain required levels of coding quality and productivity as established by Optum360. Provide documentation feedback to providers and query physicians when appropriate. Maintain up-to-date coding knowledge by reviewing materials disseminated by the QM Manager, Coding Operations Managers, and Director of Coding / Quality...

Blue Cross and Blue Shield of Minnesota is looking for a Risk Adjustment Coding Auditor. The role ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. Responsibilities Evaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practices. Protects patient records and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory requirements. Performs retrospective and prospective chart reviews to ensure accurate risk adjustment reporting. Verifies and ensures the accuracy, completeness, specificity and appropriateness of provider‑reported diagnosis codes based on medical record documentation. Reviews medical record information to identify complete and accurate diagnosis code capture based on CMS HCC categories. Maintains knowledge of relevant regulatory mandates and ensures activities are in compliance with...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

This position is full-time (40 hours/week) Monday‑Friday during normal business hours, with occasional overtime as needed. Employees may telecommute from anywhere within the U.S. Primary Responsibilities Identify appropriate assignment of ICD‑10 codes, CPT and modifiers for facility services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Expert knowledge in all facility outpatient coding types: Ancillary, Emergency, Same Day Surgery, and Observation Abstract additional data elements during the chart review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and/or AHIMA Maintain required levels of performance in both coding quality and productivity as established by Optum Query physicians when appropriate Maintain up‑to‑date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality...

Optum offers a full‑time, remote-friendly position focused on outpatient surgery coding. The role requires 3+ years of coding experience and the ability to work across facility charging and billing systems. Primary Responsibilities Identify appropriate assignment of ICD‑10, CPT and modifiers for facility services while adhering to official coding guidelines and the client coding guidelines of the assigned facility. Apply expert knowledge in all facility outpatient coding types: ancillary, emergency, same‑day surgery, and observation. Abstract additional data elements during the chart review process when coding, as needed. Adhere to the ethical standards of coding as established by AAPC and/or AHIMA. Maintain required levels of performance in both coding quality and productivity as established by Optum. Query physicians when appropriate. Maintain up‑to‑date coding knowledge by reviewing materials disseminated or recommended by the QM Manager, Coding Operations Managers, and...

AAPC/AHIMA Certified Professional Coder We are seeking a knowledgeable and experienced AAPC/AHIMA-certified Professional Coder to support Quality Assurance (QA) activities for HEDIS measure charts. The ideal candidate will have strong expertise in HEDIS measures, chart review, and quality validation, along with the ability to independently interpret NCQA guidelines. Key Responsibilities: Perform Quality Assurance (QA) on HEDIS measure charts and abstraction results Review and validate accuracy, completeness, and compliance of HEDIS data Analyze HEDIS measurement specifications and ensure adherence to NCQA guidelines Conduct detailed chart reviews to identify gaps, inconsistencies, and coding errors Interpret and apply HEDIS technical specifications during QA validation Perform independent research on HEDIS requirements using the NCQA manual Collaborate with internal teams to resolve discrepancies and improve data quality Provide feedback and recommendations to...

Requisition number: 2363678 Job category: Medical & Clinical Operations Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of CPT and ICD-10 Codes for outpatient ancillary services while adhering to the official coding guidelines and established client coding...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity. Schedule: Monday to Friday,...

Overview Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. This is a remote, work-from-home opportunity. The role provides coding services to providers and requires strong organization, self‑direction, and proficiency with technical applications. Previous success in a remote environment is preferred. There is a $5,000 sign-on bonus for external applicants. Training is 4 weeks, from 8:00 AM to 5:00 PM, Monday through Friday, conducted virtually from home. You will have the flexibility to telecommute from anywhere within the U.S. while addressing coding responsibilities. Primary Responsibilities Identify appropriate assignment of ICD-10-CM and ICD-10-PCS Codes for inpatient services in a hospital setting and understand their impact on the DRG with reference to CC/MCC, adhering to official coding guidelines and client facility guidelines Abstract additional data elements during the chart review process when coding,...