Diagnostic coder jobs | Healthcare Careers

Full Time

Director, Reimbursement and Market Access

Magnolia Market Access Remote

About the Job The Director of Reimbursement and Market Access is responsible for assisting the Senior Vice President of Reimbursement and Market Access by collaborating with life sciences clients to provide analysis and insight related to coding, reimbursement, practice management, and policy. This individual will leverage internal data sources and professional experience to effectively support clients in developing and implementing reimbursement and market access strategies for their drugs, devices and other healthcare technologies. Duties and Responsibilities Develop and implement coding and reimbursement strategies for new and existing drugs, biologics, medical devices, digital technologies and diagnostic tests Lead client project engagements by serving as the direct point of contact for clients and coordinating with project teams Evaluate drugs and technologies to assess the potential applicability of coding options (HCPCS, CPT, ICD-10-PCS, and ICD-10-CM)...

Full Time

Professional Coder

SGMC Health Remote (WV, USA)

JOB LOCATION: Remote (Considering applicants residing in Georgia, Florida, Ohio, North Carolina, South Carolina, West Virginia, Utah, Arizona, and Missouri.) DEPARTMENT: REVENUE CYCLE MEDICAL GROUP, SGMC Health SCHEDULE: Full Time, 8 HR Day Shift, 8-5 Abstracts ICD-10 and CPT codes for Diagnosis and Procedures on professional services. Reviews and analyzes medical records verifying and coding the diagnosis, evaluation and management service, minor procedures, or other codes required for the completeness and accuracy of the record. Additionally, will code and/or review principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, any applicable supply, medication, and injectable drugs. Maintains communication with Management, Practice Manager, and Provider to ensure timely notification of identified documentation issues. Interact with other team members of the revenue cycle and provider clinics. Responsible for continuing education of...

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Full Time

Provider Coding Specialist- REMOTE

Tidelands Health Remote

Provider Coding Specialist Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview Under the supervision of the Coding Supervisor, the Provider Coding Specialist is responsible for analyzing and assigning ICD-10-CM diagnostic codes, CPT, and HCPCS codes to professional surgical patient accounts, based on the medical information provided and consistent with regulatory guidance and best practices in the industry and Organization policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify documentation to ensure accurate code assignment. Organizes and prioritizes...

Full Time

Risk Adjustment Coding Specialist Remote

Lakeland Regional Health Remote (Lakeland, FL, USA)

Risk Adjustment Coding Specialist Remote LRH Medical Center - Lakeland, FL Work Hours per Biweekly Pay Period: 80.00 Shift: Monday Friday Location: Remote Pay Range: $29.21 - $36.51 Position Summary Under the direction of the LHRPG Coding Manager, the Risk Adjustment Coder is responsible for encursing proper risk adjustment coding by performing coding audits of physicians and Advanced Practice Providers. Ensures accurate representation of the care provided and ensures accuracy in the HCC codes reported. This role assists in improvement in the overall completeness and accuracy of quality data and outcomes through extensive interaction with physicians, nursing and administrative staff. Ensures the appropriate clinical diagnosis and procedure codes are assigned in accordance with the appropriate level of service provided with nationally recognized coding guidelines. The coder provides coding expertise as well as administrative oversight to ensure successful...

Full Time

Clinical DRG Auditor – Remote

Gainwell Technologies Remote (USA)

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the...

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Contract

Medical Policy Manager

Health System Innovations Remote

The Medical Policy Manager is responsible for overseeing all cap thresholds and medical review triggers, ensuring they are routed either for administrative evaluation by the vendor or referred to the state’s Utilization Management (UM) vendors for clinical review. Qualifications Certified Coding Specialist credential issued by the American Health Information Management Association (AHIMA) Minimum of five years’ experience creating and administering medical and/or Utilization Management (UM) policies for state Medicaid programs or Medicare Strong working knowledge of Centers for Medicare & Medicaid Services (CMS) procedure and diagnosis coding, including dental and Current Dental Terminology (CDT) codes Bachelor’s degree in a related discipline

Full Time Part Time

Behavioral Health Billing Specialist (Mid and Senior Level)

JotPsych Remote (USA)

IMPORTANT: To submit your application, please click "Apply" to view our full job description, then submit the form listed under "Application Process". We're looking forward to receiving your application! INTRODUCTION: JotPsych is hiring a Behavioral Health Billing Specialist at both the middle and senior level to own the end-to-end billing lifecycle for a dedicated set of JotBill customers—behavioral health and psychiatry practices that depend on us to get their claims submitted accurately and paid promptly. This is a high-ownership, execution-focused role. You'll run the billing independently—managing the full claim lifecycle with a high standard of accuracy and follow-through. You'll thrive here if you: Are comfortable owning multiple accounts end-to-end, without needing someone to review your work at every step Get satisfaction from resolving a denial that's been sitting open—and then identifying why it happened so it doesn't happen again Are...

Full Time

Coding Education Specialist

University of Colorado Medicine Remote

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking 2 motivated Coding Education Specialists with an emphasis in Pathology/Interventional Radiology and Anesthesia/Radiation Oncology. This job can be performed 100% remotely and out of state candidates will be considered. The Coding Education Specialist will primarily be responsible for supporting and leading ongoing education to existing coding staff,...

8 diagnostic coder jobs found