25 document coder jobs found

Job Description Job Description Hi, we're Oscar. We're hiring an Associate, SIU Coding Auditor to join our SIU. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate, Special Investigations Unit Coding Auditor executes on Oscar's anti-fraud initiatives by supporting operational and financial targets while adhering to legal and regulatory obligations. You will help execute on audit strategy by ensuring team productivity is met while ensuring quality remains high. The associate networks across all partners, and recommends enhancements to processes, policies, and procedures to support a best in class Fraud Waste and Abuse program. We ask that you have attention to detail, innovation, and ability to shift priorities to align...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday. Preferred Skills and Experience: - At least 2 years of coding experience. - Experience with CPT modifiers and how they impact...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday. Preferred Skills and Experience: - At least 2 years of coding experience. - Experience with CPT modifiers and how they impact...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is looking for a Coding Auditor to join their team. The primary responsibilities include developing expertise in CPT, HCPCS, and ICD-10 coding guidelines, efficiently performing policy updates or audits on medical records or claims, and drafting written communications to providers. Key Responsibilities Develop and maintain expertise on CPT, HCPCS, and ICD-10 Coding guidelines and billing requirements. Perform thorough and complex policy updates or audits on medical records or claims. Document findings clearly for both clinical and non-clinical audiences. Create reports and reference guides for team communication and efficiency. Assist in drafting provider communication about audit findings. Participate in educational calls with providers. Train new team members. Develop and document team efficiency and...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.AZ Blue offersa variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer...

Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family. About the role: The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing effective Risk Adjustment processes. You will report into the Manager, Risk Adjustment. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be...

Title: HIM Technician Associate - Quality Assurance Hybrid Job Category: Clerical Schedule: Full time Shift: 1 - Day Shift SUMMARY Performs a variety of indexing and scanning duties in the Health Information Management department. Purges microfilm, media, and records, intakes records request and collects scanned material from hospital units. ESSENTIAL FUNCTIONS Collects, sorts, and files indexed documents both internally and externally, identifies document type, CSN, MRN, and account number. Ensures the proper routing of documents in the electronic health record from system. Identifies errors and corrects as appropriate or escalates as required. Maintains and updates multiple computer databases to ensure all systems are linked and accurate. Handles incoming telephone calls and exercises judgment as to the urgency of calls in compliance with applicable hospital and government policies, procedures, and regulatory requirements/statutes. Verifies accuracy of patient...

Job title: Field Medical Associate Director, Rheumatology - West Location: Remote/Field Los Angeles, CA San Francisco, CA Seattle, WA Denver, CO Phoenix, AZ About the Job Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you'll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs. As Field Medical Associate Director , you will hold a senior-level position within Sanofi's Field Based Medical organization with expert understanding in both science and business, along with existing relationships with priority key opinion leaders and key decision makers within top regional healthcare systems located within your assigned territory. The FMAD develops strategic engagement plans that transform medical practice and shape the healthcare ecosystem using a data-driven, AI-enabled approach to deliver personalized scientific...

Department Name: Coding-Acute Care Hospital Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We’re looking for a motivated, experienced Inpatient Facility Acute Care Remote Medical Complex Coder to join our talented Inpatient Facility‑coding team. Candidate should have experience coding all service lines including, but not limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High‑Risk OB, NICU, and more . This is a facility‑based coding position requiring strong PCS coding experience as well as ability to code a wide...

Join to apply for the Profee Senior Coder Surgical Cardiology role at Banner Health . Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience. Department: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle We are looking for a motivated, experienced Profee Coder | Physician Practice Senior Coder with 5+ years of Cardiology Complex Coding experience (ideally Surgical Cardiology) to join our talented team. This position does require Certified Professional Coder (CPC) in active status (this position requires more than an apprentice CPC-A) with recent/consistent coding work history of 3 years or more. Location: REMOTE, Banner provides equipment. Schedule: Full time; Flexible scheduling after training completed. Ideal Candidates: 5 years recent experience in Surgical Cardiology Profee EM coding (clearly reflected in your attached resume). Specialty Cardiology coding experience preferred. Must be currently certified...

Medical Billing Specialist This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. Under general supervision, the incumbent is responsible for examining, verifying, and maintaining data involved in processing medical care claims for alternate resources reimbursement and performing other third-party billing-related duties. The primary function of this position is to bill/process all medical care claims timely to ensure reimbursement from third-party payers. The work involves the review of medical claims to ensure accuracy and completeness and obtain missing information. The incumbent performs various accounting, budget, or financial management support-related duties or assignments related to medical billing. Essential Duties and Responsibilities: Responsible for received claims up until Third-Party Payer has paid the claim. Receives and examines...

Summary Southern Arizona VA Health Care System in Tucson - AZ is hiring a Medical Instrument Technician Supervisor to serve in our Imaging Department under the Diagnostic Imaging Service Line. This assignment assumes full administrative and professional responsibility for planning and directing the work of subordinate technicians. Qualifications 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: Medical Instrument Technicians must be proficient in spoken and written English May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in...

Coder II Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues. Education: High school diploma/GED or equivalent working knowledge preferred. Accredited by the American Health Information Management Association (CCS-P) or...

Job Description Job Description ESSENTIAL FUNCTIONS Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. · Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. · Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. · Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues. EDUCATION · High school diploma/GED or equivalent working knowledge preferred. · Accredited by the American...

Coder II Job Category: Clinic Support Requisition Number: CODER011863 Full-Time Phoenix, AZ 85023, USA Description Essential Functions Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues. Education High...

Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and military family members are encouraged to apply! Job Summary Under the direction of the DRG Supervisor or designee, conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment (DRG Validation.). Subject matter expert on medical claims coding for outpatient and inpatient services. Provides coding-related information to medical directors, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management and the claims subcontractor as needed. Functions as the designated...

SUMMARY Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for services. ESSENTIAL FUNCTIONS Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. For outpatient, must be able to code a minimum of four of the following independently: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts. Follows departmental and current official coding guidelines to ensure consistent and accurate coding of diagnostic...

Overview Essential Functions: Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. Responsibilities Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. Utilizes hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective...

ARMStaffing is seeking a travel Occupational Therapist for a travel job in Fort Mohave, Arizona. Job Description & Requirements Specialty: Occupational Therapist Discipline: Therapy Start Date: 05/04/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Occupational Therapist (OT) - Acute Rehabilitation Assignment Duration This is a 13-week contract position. Schedule Shift: 08:00 AM - 05:00 PM, rotating weekends. Job Description We are seeking a dedicated and skilled Occupational Therapist (OT) for our acute rehabilitation setting. The successful candidate will provide assessments, treatment plans, and interventions to patients to optimize their functional abilities. This role is crucial in aiding patients' recovery and improving their quality of life. Responsibilities Conduct comprehensive evaluations and assessments of patients. Develop individualized treatment plans to address...

Summary This position is in the Health Information Management (HIM) section at the Northern Arizona VA Medical Center. MRT (Coder) Auditor's 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. Qualifications 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 Citizenship Citizen of the United States Experience and Education Experience One year of creditable experience that indicates knowledge of medical terminology - anatomy - physiology - pathophysiology - medical coding - and the structure and format of a health records OR...

PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. Position Summary: Under general supervision, the incumbent is responsible for examining, verifying, and maintaining data involved in processing medical care claims for alternate resources reimbursement and performing other third-party billing-related duties. The primary function of this position is to bill/process all medical care claims timely to ensure reimbursement from third-party payers. Scope of Work: The work involves the review of medical claims to ensure accuracy and completeness and obtain missing information. The incumbent performs various accounting, budget, or financial management support-related duties or assignments related to medical billing. Essential Duties and Responsibilities: Responsible for received claims up until Third-Party Payer has paid the...

Medical Coder, Tucson, AZ We are currently looking for a Medical Coder. This position is 100% Onsite and NOT Remote. Medical Coder Responsibilities: - Make sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. - Comply with medical coding guidelines and policies. - Receive and review patients' charts and documents for verification and accuracy. - Follow up and clarifying any information that is not clear to other staff members. - Collect information made by the Physician from different sources to prepare monthly reports. - Implement strategic procedures and choosing strategies and evaluation methods that provide correct results. - Examine any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence. Medical Coder Qualifications: - A strong understanding of physiology, medical terms and anatomy. - Knowledge of federal,...

Navajo Preference Employment Act TCRHCC is located within the Navajo Nation and, in accordance with Navajo Nation law and applicable federal law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who are enrolled members of the Navajo Nation, Hopi Tribe, and San Juan Southern Paiute Tribe and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position. Applicants who are legally married to an enrolled member of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe, who have resided within the territorial jurisdiction of the Navajo Nation or other federally-recognized American Indian Tribe for at least one continuous year immediately preceding the date of application, and who meet the necessary qualifications for this position will be given secondary preference. Applicants who are enrolled members of any other federally-recognized American Indian Tribe and...