45 data coder jobs found

UnitedHealth Group is seeking a remote Medical Coder to review provider inquiries, code diagnoses and procedures, and ensure coding accuracy across CPT and ICD-10. The role emphasizes independent work, data privacy, and adherence to telecommuter policy. Hours are full-time with training and the ability to work remotely anywhere in the United States. A high school diploma and active coding credentials are required, with 1+ year of relevant experience in CPT and ICD-10 coding. #J-18808-Ljbffr

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary POSITION IS REMOTE BUT YOU MUST MEET QUALIFICATIONS LISTED IN JOB DESCRIPTION. **If you are located outside of the state of Texas -- you must be located in KANSAS, OKLAHOMA, TENNESSEE, LOUISIANA, GEORGIA, SOUTH CAROLINA, NORTH CAROLINA, or be willing to relocate to one of the eligible states (including Texas). ** Responsible for reviewing and abstracting inpatient medical...

Job Description MET Healthcare Solutions is seeking a detail-oriented and organized medical biller and coder to join our growing team. As a part of our billing and coding team you will review and accurately code consultations for reimbursement as well as account receivable processes. Duties Include: Assist in general office duties including (but are not limited to) answering telephone calls, verifying claim eligibility, preparing reports, filing documents, following up with payors, etc. Submit electronic invoices to clients via their designated electronic billing system and verify successful submission Assist clients with questions and complaints Verifies accuracy of claim data, correction of any errors Data entry and maintaining records, invoices, and supporting documents of services Track status of claims submitted, identifying issues, and working to address rejections as they arise Requirements: Good interpersonal, written and oral communication skills Must have...

Medical Coder OpportunityGI Associates is seeking a full-time Medical Coder to join our growing team! In this role, you'll play an important part in supporting accurate and compliant coding for both professional and ambulatory surgery center (ASC) services. You'll review clinical documentation, assign and verify appropriate diagnosis and procedure codes, and help ensure services are coded accurately and in accordance with current payer, state, and federal guidelines.We're looking for someone who is detail-oriented, confident in their coding knowledge, and enjoys digging into the details to ensure things are done right. If you enjoy problem-solving, value accuracy, and want to be part of an experienced and collaborative team, we'd love to hear from you!This is a full-time position with initial training completed on-site at our Wausau office.Essential Job Functions and ResponsibilitiesReviews documentation and enters codes and charges for all professional services and ASC facility...

Mental Health Medical Biller Your new beginning starts here! Employee-owned, mission-driven. Celebrating 40 years! We're more than a human services agency—we're partners in transformation, walking alongside you on the journey to a fuller, richer life. We are seeking a detail-oriented, proactive Mental Health Medical Biller to manage our revenue cycle for a multi-office practice, ensure accurate insurance processing, and act as a supportive advocate for our clients and clinical staff. For 40 years, Aurora has been a leader in providing customized services that support individuals with disabilities, chronic mental illness, and traumatic brain injuries in residential settings. We value employees that are passionate about making people smile every day by empowering them to live as independently as possible. Key responsibilities include: Submit clean claims: Process and submit electronic and paper insurance claims (CMS-1500) for outpatient mental health services. Denial...

Mental Health Medical BillerYour new beginning starts here! Employee-owned, mission-driven. Celebrating 40 years! We're more than a human services agency—we're partners in transformation, walking alongside you on the journey to a fuller, richer life.We are seeking a detail-oriented, proactive Mental Health Medical Biller to manage our revenue cycle for a multi-office practice, ensure accurate insurance processing, and act as a supportive advocate for our clients and clinical staff.For 40 years, Aurora has been a leader in providing customized services that support individuals with disabilities, chronic mental illness, and traumatic brain injuries in residential settings. We value employees that are passionate about making people smile every day by empowering them to live as independently as possible.Key responsibilities include:Submit clean claims: Process and submit electronic and paper insurance claims (CMS-1500) for outpatient mental health services.Denial resolution: Review...

Job Description Job Description Prairie Ridge Health is looking for a team member to join Business Services in the role of Claims Resolution Specialist. This position is 1.0 FTE (40 hours per week) and will work Monday - Friday, days. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed up in a timely manner... POSITION SUMMARY   The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed up in a timely manner. This position also requires corresponding with other teams on various types of errors to resolve claims needing additional review. They independently review accounts and apply billing follow up knowledge required for all insurance payors to ensure proper and maximum reimbursement.  Uses multiple systems to resolve outstanding claims according to...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary POSITION IS REMOTE BUT YOU MUST MEET QUALIFICATIONS LISTED IN JOB DESCRIPTION. **If you are located outside of the state of Texas -- you must be located in KANSAS, OKLAHOMA, TENNESSEE, LOUISIANA, GEORGIA, SOUTH CAROLINA, NORTH CAROLINA, or be willing to relocate to one of the eligible states (including Texas). ** Responsible for reviewing and abstracting inpatient medical...

The University of Rochester is seeking an advanced medical coder to perform abstraction and coding of diverse medical documentation from a remote Texas-based role. You will assign procedural terminology and codes in line with coding guidelines and analyze data across multiple systems. Responsibilities include resolving coding denials, improving documentation, and communicating issues to internal stakeholders. #J-18808-Ljbffr

ClearSky Health in Eau Claire, WI seeks a Medical Coder to review and assign ICD-10-CM codes for patient records, ensuring compliance with state and federal regulations. This role supports accurate coding and data integrity across the hospital system. The ideal candidate has 3+ years of medical coding experience or a recognized coding certification, with strong knowledge of CPT/ICD-10 and a commitment to HIPAA privacy. Rehabilitation coding experience is a plus. #J-18808-Ljbffr

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries physician for...

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 Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA) SKILLS AND ABILITIES Demonstrates the skills and competencies...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): Remote Work - Texas, Austin, Texas, United States of America, 78711 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 107 H Compensation Range: $23.27 - $32.60 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience,...

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a Facility Inpatient Coder to join our team! This Position Can Be Trained and Worked Fully Remote Assigns ICD-10 CM, ICD-10 PCS and CPT codes based on a review of the health care record documentation and application of professional coding standards and billing regulations. Reviews and collects various health information data elements for patient care, statistical, financial and research purposes. Maintains confidentiality of health information. HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of medical record and coding practices normally acquired through completion of an Bachelor or Associate Degree in Health Information Technology or Coding, or an equivalent program with emphasis in coding...

Medical Coder Opportunity GI Associates is seeking a full-time Medical Coder to join our growing team! In this role, you'll play an important part in supporting accurate and compliant coding for both professional and ambulatory surgery center (ASC) services. You'll review clinical documentation, assign and verify appropriate diagnosis and procedure codes, and help ensure services are coded accurately and in accordance with current payer, state, and federal guidelines. We're looking for someone who is detail-oriented, confident in their coding knowledge, and enjoys digging into the details to ensure things are done right. If you enjoy problem-solving, value accuracy, and want to be part of an experienced and collaborative team, we'd love to hear from you! This is a full-time position with initial training completed on-site at our Wausau office. Essential Job Functions and Responsibilities Reviews documentation and enters codes and charges for all professional services...

Position Overview Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here. 100% Remote position with option to work onsite. Wisconsin or Illinois residency required. Title Medical Coding Specialist – Outpatient Position Specs FTE: 1.0 (40 hours per week) Schedule: Monday to Friday, five (5) 8-hour shifts between hours of 6am and 5pm Holiday Rotation: None Weekend Rotation: None On Call Requirements: None Position Summary Reviews medical reports and physician documentation for clinic and hospital outpatient services in order to apply diagnostic and procedural codes to individual patient health information for claims processing, data retrieval and analysis. This role will primarily focus on Emergency Department and Urgent Care coding but will also assist in other areas. Technical Responsibilities Assigns codes for ambulatory outpatient services using International Classification of Diseases (ICD) and Current Procedural Terminology (CPT)...

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. 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...

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...

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...

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...

Summary of Role Individuals will be responsible for coding all physician, clinical, and surgical claims. Review documentation via EHR or operative note to verify the accuracy and completeness of CPT and ICD10 code assignment for claims submission. The Medical Coder is responsible for translating medical documentation into standardized codes that accurately represent the patient's medical history, treatments, and procedures. The role ensures that the hospital’s billing processes are precise and compliant with regulations, facilitating efficient reimbursement from insurance companies and payers. Individuals will be responsible for coding all physician, clinical, and surgical claims. Review documentation via EHR or operative note to verify the accuracy and completeness of CPT and ICD10 code assignment for claims submission. The Medical Coder is responsible for translating medical documentation into standardized codes that accurately represent the patient's medical history,...

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a FACILITY OUTPATIENT CODER to join our CODING team! This Position Can Be Trained and Worked Fully Remote Assigns ICD10 CM and CPT codes based on a review of the health care record documentation and application of professional coding standards and billing regulations. Reviews and collects various health information data elements for patient care, statistical, financial and research purposes. Maintains confidentiality of health information. The ideal candidate would have experience in Medical Oncology outpatient coding.* HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of medical record standards and coding practices normally acquired through completion of a Bachelor or Associate Degree in Health...

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries physician for...