18 document coder jobs found

Risk Adjustment Coder Analyst – Quality – Hansen Location: Green Bay, Wisconsin, United States Position: 40 hours per week Job Summary At Prevea Health the Risk Adjustment Coding Analyst will perform coding reviews of medical record documentation to ensure proper capture of CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement activities. The Risk Adjustment Coding Analyst will also be responsible for education on HCC's as well as working with different insurance contracts to aid in closure requirements. What you will do Complete thorough medical record reviews, identify and assist the provider to update the Active Problem List for accuracy (highest degree of specificity) by transitioning the less/unspecified diagnoses codes to the most accurate diagnosis and appropriate code specificity. Review records prior to scheduled appointments and accurately identify conditions not yet incorporated in the Problem List to...

Back Risk Adjustment Coder Analyst- Quality- Hansen #26-208 Green Bay, Wisconsin, United States Apply X Facebook LinkedIn Email Copy Location Hansen-006 Description This position will work 40 hours per week Risk Adjustment Coding Analyst Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health-they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care. Job Summary At Prevea Health the Risk Adjustment Coding Analyst will perform coding reviews of medical record documentation to ensure proper capture of CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement activities. The Risk Adjustment Coding...

Medical Coder page is loaded## Medical Coderlocations: TX-Remotetime type: Full timeposted on: Posted 30+ Days Agojob requisition id: R5468Our 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....

Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) 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 anInpatient Coding Auditor, Senior Associatewho is responsible for performing coding reviews of inpatient medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review services are being provided. This involves accessing...

Outpatient Medical Coder 3 page is loaded## Outpatient Medical Coder 3locations: Remote Locationtime type: Full timeposted on: Posted Todayjob requisition id: R138617Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these .**Current Employees and Students:**If you are currently employed or enrolled as a student at The Ohio State University, please log in to to use the internal application process.Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:* Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.* Prior to submitting your application, please review and...

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world‑class health care in America’s heartland. Facility: Remote WI Location: Remote, WI Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $19.00 - $30.50 Department Details Our Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures. The position requires strong problem‑solving skills, effective communication with medical professionals to improve documentation accuracy and the ability to work independently. We offer flexible hours and the ability to work remotely. Pay starts at $19.00/hr with additional credit given for work experience relative to this role. Job Summary Serve as a resource for providers in understanding covered indications and the supporting...

Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states. Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist II to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives,...

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER The Medical Coding Specialist is responsible for reviewing electronic encounter documents to ensure that the codes provided by the practitioners are accurate per coding protocols and comply with all established guidelines. The Medical Coding Specialist is responsible for assigning applicable codes to the medical records to ensure accuracy and completeness. The incumbent assists in providing coding education and required documentation criteria to practitioners and their staff and participates in job-related research projects. This position is responsible for reviewing insurance claims to determine possible coding errors and researching coding guidelines to support any insurance claim denials based on coding guidelines. As assigned, the incumbent may assist the Medical Coding Manager in various administrative tasks. The Medical Coding Specialist works under the general supervision and guidance of the Revenue Cycle...

Overview Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We offer development and advancement opportunities to our nearly 50,000 Sanford Family members who are dedicated to the work of health and healing across our broad footprint. Facility: Remote WI Location: Remote, WI Address: Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $21.50 - $34.50 Job Summary Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and ICD-10-PCS coding used for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring. Using professional coding training, critical thinking, and clinical acumen, accurately assigns ICD-10-CM and ICD-10-PCS codes to conditions and procedures documented within the inpatient electronic medical record. Applies Official Coding Guidelines, CMS regulations/guidelines, and other...

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40 Salary Range: $21.50 - $34.50 Union Position: No Summary Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and PCS diagnostic and procedural codes used for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring. Job Description Using professional coding training, critical thinking, and clinical acumen, accurately assigns ICD-10-CM and ICD-10-PCS codes to conditions and procedures documented within the inpatient electronic medical record. Applies Official Coding Guidelines, CMS...

Description Milwaukee Area Technical College (MATC) is Wisconsin's largest and most diverse technical college, offering 170+ high-quality programs that connect students to a career in as little as one to two years. The college also offers a less expensive path to a four-year degree. MATC is transforming lives, industry and our community by preparing students today for the careers of tomorrow. Together, we are meeting the needs of the community we share and are focused on students with the greatest needs. We are seeking passionate individuals to join our team who shares the same passion in serving this purpose. Learn more about MATC at www.matc.edu. Two (2) part-time vacancies. Up to 19 hours per week, hours vary based on departmental needs. Under supervision of the Dean or designee, to teach classroom, online and applied courses in the Medical Coding Specialist Technical Diploma Program. Related duties include advising students, evaluating student achievement, developing...

Description Western Wisconsin Health is looking for a full-time Medical Coding Specialist (1.0 FTE) to join the Health Information Management department. The Medical Coding Specialist is responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the HIM Director, accurately code inpatient, observation, outpatient diagnostic, therapeutic, consultative, emergency department services, ambulatory surgery (same day surgery), and clinic encounters, as assigned. Obtain appropriate reimbursement levels for professional services by reviewing and coding clinical diagnoses and procedures for physician visits and other services, conditions and procedures as documented in the ICD-10-CM and Official Guidelines for Coding and Reporting and CPT Coding Guidelines. Resolve errors associated with...

As an Inpatient or Outpatient Coder, you will work under general supervision to assign diagnostic and procedural codes to patient charts of moderate to high complexity levels using ICD-9 and CPT, HCPCS, and any other designated coding classification system in accordance with coding rules and regulations. Essential functions include but are not limited to: Reviews medical records for the determination and accurate assignment of all documented diagnoses and procedures. Assigns and sequence codes based on medical record documentation. Abstracts and enters coded data and designated quality management data for hospital statistical and reporting requirements. Communicates documentation improvement opportunities and coding issues (discrepancies, physician queries, etc.) to the appropriate personnel for follow up and resolution. Serves as a functional resource for entry-level coders and mentors/trains other coders as needed. Codes all types of patient records (i.e., inpatient, outpatient...

Administration - 1265 John Q. Hammons Drive, Madison, Wisconsin, United States of America Job Description Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER The Medical Coding Specialist is responsible for reviewing electronic encounter documents to ensure that the codes provided by the practitioners are accurate per coding protocols and comply with all established guidelines. The Medical Coding Specialist is responsible for assigning applicable codes to the medical records to ensure accuracy and completeness. The incumbent assists in providing coding education and required documentation criteria to practitioners and their staff and participates in job-related research projects. This position is responsible for reviewing insurance claims to determine possible coding errors and researching coding guidelines to support any insurance claim denials based on coding guidelines. As assigned, the incumbent may assist the Medical Coding Manager in various administrative...

Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) 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 anInpatient Coding Auditor, Senior Associatewho is responsible for performing coding reviews of inpatient medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review services are being provided. This involves accessing...

Job Title: Coder Inpatient II Location: Milwaukee, WI 53226 Duration: 01/26/2026 - 04/30/2026 Schedule: 5 days per week, 8 hours per day Shift: 1st Shift (Full time 40 hours per week, flexible schedule; a 3-hour assessment post interview is required and must be completed in one session) Required Skills & Experience A minimum one (1) year of recent experience at an academic medical center inpatient coding. OR Three (3) years of recent hospital inpatient coding experience. Preferred Skills & Experience A minimum of three (3) years of experience as an inpatient coder at an academic facility. Education Requirements Coding Certificate Program Completion or Associate Degree in HIM or equivalent. Preferred Education Bachelor's degree in HIM or equivalent. Required Certifications & Licensure Certified RHIA/RHIT or CCS. Job Summary This is a remote, advanced position functioning under general supervision and utilizing...

Summary: For further information and how to apply, contact directly:Application material may also be emailed to:HRmanager@badriver-nsn.govHRassistant@Badriver-nsn.govDarcie.powless@badriverhwc.com Summary: The Certified Medical Coder reviews, analyzes and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Job Announcement Flyer: Certified-Medical-Coder-03.17.25.pdf [pdf - 187.46 KB] Duties: Essential Duties and Responsibilities include the following.• Assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures for documented information. Assures the final diagnoses and procedures as stated by the physician are valid and complete. Abstracts all...

Job DescriptionJob DescriptionSummary :The Medical Biller is responsible for preparing, reviewing, correcting, and updating insurance claims for submission to payers,Typical Schedule :Full Time, Monday through Friday, DaysOnsite training / onboarding will be required.Qualifications :Recent experience in hospital billing required.Critical Access and / or Rural Health Clinic experience a plus.Experience in charge capture, coding, revenue cycle management, patient accounting and / or physician billing a plus.Experience with EPIC EMR preferred.Medical Terminology preferred.High School Diploma required.Responsibilities include :Investigating & resolving claim denialsIdentifying denial patterns and managing insurance project resubmissions with multiple claimsValidate denial code / reasons following explanation of benefit (EOB) review and ensure coding is accurate and reflects the procedures billedAnalyze all coding adjustments made on EOB to ascertain accuracy and valid supportReview...