9 edits coder jobs found

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. We're looking for experienced and credentialed outpatient 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 you to help shape the...

Professional Coder II (Remote) The Coder II position is responsible for accurate coding of professional services from medical record documentation. Reviews, codes and assigns correct ICD-10-CM diagnosis codes, procedure codes, and E/M level codes for professional services across multiple specialties according to AMA/CMS coding guidelines. This is a fully remote position following the initial probation period. The coder may be asked to come on site for special assignments or training as needed after this period. Minimum Requirements High school diploma or equivalent. Current AAPC or AHIMA Coding Certification (e.g., CPC, COC, CCS, Specialty Coding Credential). 2-years medical records coding of CPT/HCPCS & ICD-10 for multiple specialties. Knowledge of insurance company, third-party and government reimbursement programs; i.e. Medicare, Medicaid, MC+, etc. Knowledge of medical insurance billing and collection. Knowledge with CPT, ICD 9/10 CD, and HCPCS coding and medical...

COMPANY OVERVIEW Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG currently bidding on a contract with the Federal Government for several coding positions. You would be a W-2 employee for HPMG and NOT a government employee. SUMMARY Responsible for assignment of accurate ICD codes for diagnoses and procedures. Medical Severity - Diagnostic Related Group (MS-DRG) is automatically assigned by the grouper software for inpatient stays. Inpatient coders may also be responsible for the assignment of accurate ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (a.k.a., rounds or IBWA encounters). Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. MANDATORY KNOWLEDGE AND SKILLS Position requires...

Hiring Department University Physicians Job Description This position is a dual post linked to Job ID 59698 - MCS-C and the department will be hiring for two positions. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records to identify potential problems with coding and reimbursement, such as edits, denials, and appeal letters. Act as liaison between third-party payers and assigned departments to coordinate all aspects of professional coding. Provide assistance to faculty, residents, and department staff in standards of medical record documentation and coding. Assist in the presentation of training sessions for faculty, residents, and staff to inform them of changes made to Medicare billing, federal laws and regulations, and other specific standards...

OU Health in Missouri is seeking a Professional Coding Specialist II to handle complex professional coding tasks across multiple specialties. Responsibilities include coding encounters, resolving edits and denials, and collaborating in quality review programs. The ideal candidate must have at least 3 years of relevant experience and hold a CPC or CCS-P certification. This position offers a supportive environment with competitive compensation and flexible remote options. #J-18808-Ljbffr

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! Job Overview This position reviews and accurately codes and abstracts hospital services, inpatient procedures, overnight/multi‑night stay services or complex professional medical services. The coder applies appropriate coding guidelines to assign ICD and CPT codes, conforming to Medicare, Medicaid, and third‑party payer requirements to ensure accurate reimbursement. In the inpatient setting, the coder collaborates with the Clinical Documentation Improvement team to ensure accurate DRG...

Certified Professional Coder, Outpatient Billing Full Time Corporate 3 days ago Requisition ID: 4107 Salary Range: $27.00 To $35.00 Hourly Position Summary This role is responsible for ensuring accurate, compliant, and complete coding of professional outpatient encounters in a high-volume urgent care environment. This role reviews provider documentation, validates and corrects CPT® and ICD-10-CM code selection, queries providers for missing or unclear documentation, and ensures all claims meet CCI, payer, and outpatient coding requirements prior to billing. This role also plays a key role in supporting provider coding and documentation audits and manual coding activities required during system downtime or special operational needs. Key Responsibilities Documentation Review & Coding Validation Review clinical documentation to confirm all services rendered are documented completely and accurately prior to billing. Validate provider-selected CPT® and ICD-10-CM codes to...

Professional Billing Lead Coder (Remote) page is loaded## Professional Billing Lead Coder (Remote)locations: Work From Home-City Tax Exempttime type: Full timeposted on: Posted Todayjob requisition id: R0017223**If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.****Please log into to search for positions and apply.**Professional Billing Lead Coder (Remote)101 Truman Medical Center# **Job Location**Work From Home-City Tax ExemptLees Summit, Missouri# **Department**Corporate Professional Billing# **Position Type**Full time# **Work Schedule**7:30AM - 4:00PM# **Hours Per Week**40# **Job Description**The coding leads serve as liaisons and leaders between coding staff, the operation, and the Director. The coding leads are recognized as the subject matter experts for coding and for meeting operational objectives. The Lead Coder position is responsible for accurate coding of professional...

GENERAL DESCRIPTION This position will primarily handle insurance claim submissions, payment posting, and researching claim rejects/denials. This position must have a thorough knowledge of government, commercial, HMO, PPO, and other types of insurance billing guidelines. ESSENTIAL JOB FUNCTIONS Submits claims to government and commercial payers according to timely filing requirements. Posts payments and remittance advices in appropriate database(s). Tracks and collects aging accounts receivables. Research claim denials & clearinghouse edits. Completes requests for medical information and other related correspondence. Identifies and analyzes open claims and corrects billing errors. Re-submits claims to insurance carriers as appropriate. Monitors all past due accounts for payment. Contributes to a cohesive departmental unit. Maintains regular and predictable attendance. REQUIRED SKILLS High School Diploma...