63 data coder jobs found

Saint Luke’s Health System in Kansas City seeks a qualified healthcare coder to assign ICD-10-CM/PCS codes and DRGs for inpatient accounts, ensuring accurate billing and reporting. You will determine first-listed and secondary diagnoses, abstract data, and query clinicians as needed. The role requires CCS, RHIT, or RHIA certification with strong adherence to quality and productivity standards. Telecommuting options and a collaborative CDI team environment are part of the role. #J-18808-Ljbffr

Location: Kansas City, Missouri, United StatesCompany: Saint Luke's Health SystemPosted: Job TitleReview medical record documentation for more complex ED, Clinic, Ancillary, Day Surgery and Observation accounts to assign appropriate ICD-10, CPT, modifiers, and HCPCS codes for billing, internal and external reporting, research, and regulatory compliance. Ability to determine first listed diagnosis, secondary diagnoses, and surgical procedures. Analyze documentation and abstract pertinent data. Must maintain minimum quality and productivity standards.ResponsibilitiesCode procedures, diagnoses, and modifiers on more complex outpatient, ED, clinic, day surgery, observation, and other ancillary accountsQuery clinical providers when appropriateAbstract pertinent dataMeet coding quality standardsMeet coding productivity standardsTelecommuteCCS, CPC, RHIT or RHIA requiredRequirementsApplicable Experience: 1 year Cert Coding Specialist - American Health Information Management...

Job Description The Opportunity: Review medical record documentation of lower acuity inpatients to assign appropriate ICD-10-CM, ICD-10-PCS, and DRG codes for billing, internal and external reporting, research, and regulatory compliance. Ability to determine first listed diagnosis, secondary diagnoses, and surgical procedures. Analyze documentation and abstract pertinent data. Must maintain minimum quality and productivity standards. Required Certification for role include: CCS, RHIT or RHIA. Code procedures and diagnoses for inpatient accounts Assign present on admission indicators to diagnoses Query clinical providers when appropriate Abstract pertinent data Meet quality standards Meet productivity standards Communicate with CDI team Telecommute The Shifts: 40 hours per week 8:00 AM to 5:00 PM core hours. Why Saint Luke’s? Evening and Weekend Shift Differential Saint Luke’s offers competitive salaries and benefits packages to all eligible employees. We believe in creating a...

Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time The Lead Outpatient Coder is an experienced, credentialed coding professional who serves as the point-of-contact for coders, assists manager with managerial duties, able to take lead on department projects, as well as other departments' coding questions. Responsibilities Serves as a coding resources to clinic and outpatient coders. Ensures the accuracy of clinical data collection from outpatient medical records. Codes diseases, procedures, and diagnosis using the ICD-10-CM and CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards. Completes complex coding assignments for the purpose of...

Ochsner Health System is seeking a skilled Medical Coding Specialist to review and abstract outpatient, ED, lab, radiology, and minor primary care services. You will assign ICD-10, CPT, and HCPCS codes in line with guidelines and payer requirements, ensuring accurate reimbursements. Requirements include a high school diploma and either 1 year coding experience or AHIMA/AAPC certification. Strong communication and data entry skills are essential in a collaborative hospital setting. #J-18808-Ljbffr

Saint Luke’s Health System in the United States is seeking a Coder I Inpatient to review medical record documentation and assign ICD-10-CM, ICD-10-PCS, and DRG codes for inpatient accounts. The role requires certification (CCS/RHIT/RHIA) and less than one year of experience, with remote work options and core hours 8:00 AM–5:00 PM. The coder will interact with the CDI team, abstract data, ensure accuracy for billing and regulatory compliance, and meet quality/productivity standards. #J-18808-Ljbffr

Hannibal-Regional-Healthcare-System is seeking a medical billing coder reviewer to collaborate with coding and billing teams. The role focuses on comprehensive reviews of denied visits to ensure accurate billing, reimbursement, and complete data capture while adhering to all guidelines and regulations. The ideal candidate will have a high school diploma and current coding credentials (AHIMA/AAPC or RHIT/RHIA) with PPS knowledge and strong analytical skills. #J-18808-Ljbffr

Lead Clinic/Outpatient CoderRemote position available in the United States. Candidates residing in Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia will be considered for remote employment. Remote work will not be permitted from any other state at this time.The Lead Outpatient Coder is an experienced credentialed coding professional who serves as the point-of-contact for coders, assists manager with managerial duties, and is able to take lead on department projects as well as other departments' coding questions.Responsibilities:Serves as a coding resource to clinic and outpatient coders.Ensures the accuracy of clinical data collection from outpatient medical records.Codes diseases, procedures, and diagnosis using the ICD-10-CM and CPT classification systems in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards.Completes...

Inpatient Coder IIThe Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient acute rehabilitation swing bed and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines Coding Clinic knowledge of clinical disease processes and treatments. This position completes analysis and follow-up record reviews.Responsibilities:Codes complex diseases procedures and diagnoses using the ICD-10-CM/PCS classification systems in accordance with Official Coding Guidelines CMS guidelines PPS guidelines and organizational compliance standards.Assumes responsibility for professional development by participating in workshops conferences and/or in-services and maintains appropriate records of participation.Completes complex coding assignments for reimbursement research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding...

***HYBRID OPPORTUNITY (REMOTE 1-2 DAYS/WEEK)*** Minimum hourly rate $22.95, Maximum $36.66, based on experience Collaborates with coding and billing department to perform a comprehensive review of the denied visit. The comprehensive review should ensure accurate billing and reimbursement and completed data capture. Stays within departmental guidelines, rules, regulations and all billing requirements. High School Diploma or equivalent required Current coding certification through AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders), or RHIT/RHIA with coding experience required Thorough knowledge of the related prospective payments systems (PPS) Knowledge of ancillary testing (laboratory, x-ray, EKG) Knowledge of anatomy, physiology and medical terminology Understanding of ethical coding practices and guidelines Knowledge of applicable federal, state and laws and regulations Knowledge of all aspects of...

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

St. Luke’s Hospital in Chesterfield, MO is seeking a Coding Specialist III to abstract clinical data from inpatient records and assign ICD-9-CM/HCPCS codes in compliance with regulations. This role supports reimbursement and data collection while promoting teamwork. Requirements include a High School Diploma or equivalent and RHIA, RHIT, or CCS certification. The hospital offers a day-one benefits package, 401K, and continued education support. #J-18808-Ljbffr

Coder Reimbursement Specialist - HospitalThe Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

Coder Reimbursement Specialist - Hospital Full‑time position. The Coding and Reimbursement Specialist (CCS) is responsible for coding and abstracting clinical data from the medical record, including inpatient, outpatient, commercial, Medicare, Medicaid, Illinois Public Aid, and all other payor types. Accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis and DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. The CCS manages workload, assigns work to three inpatient and two outpatient coders, and oversees day‑to‑day operations of the coding/reimbursement area. The CCS monitors regulatory sources to keep HIM coding and other staff informed and trained on coding rules, regulations and related issues, works closely with patient financial services to resolve claim denials, assists in...

Inpatient Coder II The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient acute rehabilitation swing bed and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines Coding Clinic knowledge of clinical disease processes and treatments. This position completes analysis and follow-up record reviews. Responsibilities: Codes complex diseases procedures and diagnoses using the ICD-10-CM/PCS classification systems in accordance with Official Coding Guidelines CMS guidelines PPS guidelines and organizational compliance standards. Assumes responsibility for professional development by participating in workshops conferences and/or in-services and maintains appropriate records of participation. Completes complex coding assignments for reimbursement research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals...

Lead Clinic/Outpatient CoderRemote position available in the United States. Candidates residing in Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia will be considered for remote employment. Remote work will not be permitted from any other state at this time.The Lead Outpatient Coder is an experienced credentialed coding professional who serves as the point-of-contact for coders, assists manager with managerial duties, and is able to take lead on department projects as well as other departments' coding questions.Responsibilities:Serves as a coding resource to clinic and outpatient coders.Ensures the accuracy of clinical data collection from outpatient medical records.Codes diseases, procedures, and diagnosis using the ICD-10-CM and CPT classification systems in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards.Completes...

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...

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. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) 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. Conduct a...

AAPC Certified Medical CoderBelle, MO $52,089 - $67,099 a yearFull TimeJob DetailsJoin a dedicated healthcare team in the heart of the Midwest region, where your expertise in medical coding will directly support accurate billing and compliance with national standards. This role involves assigning ICD-10-CM, CPT, and HCPCS Level II codes to finalized medical documentation, ensuring claims are properly prepared according to AMA and CMS guidelines.Key Responsibilities:Assign appropriate medical codes to patient records and claims.Abstract data to determine modifiers for claim submissions.Communicate with providers to clarify documentation and request necessary addendums.Stay current with coding standards, including federal, state, and local regulations.Adhere to ethical coding standards and organizational compliance policies.Monitor provider documentation timeliness and maintain productivity standards.Maintain certification through AAPC or AHIMA and complete required continuing...

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. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) 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. Conduct a...

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. The Certified Coding Analyst will perform medical claim reviews for waste and error to ensure compliance with coding practices through a comprehensive record review for medical and institutional providers. The Analyst must have the ability to determine correct coding and appropriate documentation during the review of medical records. The Analyst must also ensure state; federal and company requirements are met. Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record...

Veterans Health Administration in St. Louis is seeking a Medical Records Technician (Coder) to classify data from patient health records and assign ICD, CPT, and HCPCS codes. The position requires knowledge of medical terminology, anatomy, physiology, and coding conventions. Applicants must meet the basic requirements, including U.S. citizenship and English proficiency, with mastery certification such as CCS, RHIT, RHIA, CPC, or CIC preferred. #J-18808-Ljbffr

This position is in the Health Information Management (HIM) section at the VA St. Louis Health Care System (VASTLHCS). 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. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). Experience. One year of...

VA St. Louis Health Care System (VASTLHCS) seeks a MRT (Coder) to classify medical data from patient health records and assign ICD/CPT codes in hospital and physician settings. Applicants may be referred while education or certification requirements are pending and must meet all qualification standards for full appointment. The role emphasizes accuracy, adherence to coding conventions, and collaboration within the HIM team to support high-quality patient care. #J-18808-Ljbffr