125 facility claims coder jobs found

Patient accounts coder ($22.09-$28.45) DISTINGUISHING FEATURES OF THE CLASS : This position is responsible to code conditions and procedures as documented by clinics using the appropriate classification system as well as deal with patients and/or relatives regarding the nonmedical aspect of hospitalization related to payment for care and treatment. Employees of this class perform a wide variety of duties in maintaining cooperative relationships with patients and their families and in facilitating payment for hospital care and services. The work is performed under the general direction of the Patient Accounts Manager with considerable leeway granted for the exercise of independent judgment in dealing with individual patients under established policy guidelines. Does related work as required. TYPICAL WORK ACTIVITIES : • Codes and submits claims, ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations; • Follow up...

Facility: Administrative Regional Training Cntr Shift: Shift 1 Status: Full Time FTE: 1.0 Bargaining Unit: ACE Associates Exempt from Overtime: Yes Work Schedule: Days Hours: 7-4, 8-4 flexible Job Summary Under the direction of the Manager/Director of Revenue Integrity, including oversight from System revenue cycle leadership, the Revenue Integrity Coder of Infusion Services will be responsible for optimization of charge capture, charge review, appropriate documentation and work queue edits for all infusion services, specifically Oncology and Chemotherapy. This position serves as the primary contact/resource for Patient Financial Services, Revenue Integrity and Infusion Clinical Staff. The position requires advanced knowledge of Oncology, Chemotherapy, and Infusion drug requirements of various insurance providers as well as federal billing rules, Medicare and Medicaid. The incumbent actively participates as needed in both external third‑party audits and internal audits and...

Overview At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordance with CMS and payer-specific guidelines. This role supports the development and implementation of payment integrity initiatives by identifying coding and billing inaccuracies, trends, and potential cost savings opportunities across outpatient facility claims. The ideal candidate has advanced knowledge of outpatient coding, APC and EAPG payment methodologies, and clinical documentation requirements, with strong analytical and auditing skills. Salary Range: $100,000 - $102,500 Responsibilities Perform detailed coding audits on outpatient facility claims to validate appropriate CPT/HCPCS, revenue codes, modifiers, and ICD-10 coding...

Medical Coder - National Remote job at UnitedHealth Group. United States. Work Hours Full-time (40 hours/week), Monday-Friday. Employees are required to have flexibility to work any of the 8-hour shift schedules during normal business hours of 5am-5pm. Overtime may be required occasionally. During paid training, hours are 7am-3:30pm CST, Monday-Friday. Primary Responsibilities Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits on cases and complete audit of medical records received to ensure proper editing is applied Review medical charts electronically Abstract and code diagnosis and procedures from the medical record Review and supply procedure and diagnosis codes for benefit coding requests Document requested information from the medical record Perform ongoing analysis of medical record charts for the appropriate coding compliance Required...

Apply with Indeed Salary: USD35 - USD40 per hour Job Title: Inpatient Coder Location: Fully Remote (Not eligible in CA, ND, HI, AK, VT) Employment Type: Contract-to-Hire Compensation: $35-40/hour (heavily based on experience) Benefits: LaSalle Network consultants are eligible to enroll in benefits - https://www.thelasallenetwork.com/consultants/ LaSalle Network is hiring an Inpatient Code r to support a nationally recognized healthcare revenue cycle organization. This is an excellent opportunity for an experienced inpatient facility coder who thrives in a fast-paced, quality-focused environment and enjoys working independently while maintaining high coding accuracy. Responsibilities Assign ICD-10-CM and ICD-10-PCS codes for inpatient hospital accounts while maintaining production and quality standards Validate MS-DRG assignments and abstract clinical data for billing and reporting purposes Review clinical documentation to ensure accurate code assignment and...

The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services. In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical professional who thrives in a fast-paced, remote environment and is passionate about accuracy, compliance, and continuous improvement in healthcare operations. Duties & Responsibilities Serve as a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding Perform DRG validation and retrospective medical claims reviews Analyze inpatient and outpatient claims for coding accuracy and reimbursement determinations Prepare clear, detailed determination letters and...

Coder II Location: Remote Duration: 6 Months Payrate: $21.66/hr. on W2 (hourly payrate) Will this role be fully remote?: Role is fully remote Are there any specific locations the candidates should be in (i.e., do they need to live in IL): Anywhere US (approved Client States) CANDIDATES MUST LIVE IN ONE OF THE PREFFERRED 17 STATES ((AZ, SC, MI, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle), WI) What are the day to day job duties?: Coding for multiple concepts to determine principal diagnosis as well as working with repricing the claims Top Skills Required: CIC or CCS coding certification Is there potential for this to extend past 6 months and/or convert to an FTE?: yes, potential to extend past 6 months Job Description: Directly responsible and accountable for performing chart reviews, physician education, and maintaining comprehensive knowledge of coding rules and regulations. Provide overall coding expertise as well as...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for...

SUMMARY: Reports to the Coding Manager. Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics. Reviews the medical records to ensure the documentation supports the code assignment. Utilizes 3M 360 Finder for code assignment and appropriate resolutions of claim edits (CCI, NCD, OCE, etc.) Confer with physician for clarification as needed. Monitors outpatient uncoded report to ensure timely coding and billing process. Maintains and meets HIS quality and productivity standards. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which...

Department: Finance Reporting Manager: CFO Position Status: Non - Exempt FLSA Level: Varies Revised: 06/16/2026 Position Summary Oversees an organization's medical billing and coding department. They oversee that clean claims are sent out in a timely manner and denials are corrected. They provide effective leadership to the billing staff, reconcile accounts, enforce compliance with financial regulations, health care regulations and insurance guidelines. This position also helps develop strategies to optimize revenue and claim submissions. Supervisory Responsibilities Oversees medical billers and coders Timecards PTO usage Training Hiring Disciplinary actions Performance evaluations Essential Functions / Responsibilities Performs overall revenue cycle management including accurate and timely submission of claims to insurance carriers, ensuring proper coding and documentation to avoid denials, maximizing billing revenue and collections, posting payments in a timely...

Medical Billing Administrator Position Summary: Oversees an organization's medical billing and coding department. They oversee that clean claims are sent out in a timely manner and denials are corrected. They provide effective leadership to the billing staff, reconcile accounts, enforce compliance with financial regulations, health care regulations and insurance guidelines. This position also helps develop strategies to optimize revenue and claim submissions. Supervisory Responsibilities: Oversees medical billers and coders including timecards, PTO usage, training, hiring, disciplinary actions, and performance evaluations. Essential Functions/Responsibilities of the Position: Performs overall revenue cycle management including accurate and timely submission of claims to insurance carriers, ensuring proper coding and documentation to avoid denials, maximizing billing revenue and collections, posting payments is timely, and resolution of denied/rejected claims. Research and...

Certified Medical Coder EXC Remote Work - Amherst, NY 14226 Overview Salary Range $21.00 - $35.64 Hourly Position Type Full Time Job Shift Day Education Level High School Travel Percentage None Description Join Our Growing Coding Team – Where Orthopaedics Meets Opportunity! Why Join Our Coding Team? We know Coders are looking for more than just a job - you want growth, support, and the tools to succeed. What Sets Us Apart: Company-issued laptop for streamlined documentation Collaborative environment Opportunity to work fully remote after training Opportunity to become a part of organization that is team-focused! Retirement Benefits: Guaranteed 3% company contribution to your 401(k) Discretionary profit-sharing contribution annually (after 1 year of service and meeting eligibility requirements) Job Summary The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance...

Department/Unit: Physicians Billing Work Shift: Day (United States of America) Salary Range: $46,947.00 - $65,726.00 The Medical Billing Analyst is an intermediate billing position within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS). This role is centered around the timely follow up needed on accounts that have already been billed but need re-billing, accounts in which the payer has not responded within the regulatory guidelines, or AMHS has received a denial that needs an immediate action and/or rebuttal. The denials assigned in this role are more intricate than others and the denial response may require a professional narrative accompanied by supporting documentation to be overturned. Some or all these areas may be the focus of the position depending on the resources needed. The incumbent must be able to prove that they have an ability to learn quickly and work independently. They will possess the ability to use payer websites to locate...

CDPHP and its family of companies are mission-driven organizations that support the health and well-being of our customers and the communities we are proud to serve. CDPHP was founded in Albany in 1984 as a physician-guided not-for-profit, and currently offers health plans in 29 counties in New York state. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience. CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services, LLC. Strategic Solutions Management Consultants (SSMC) is a full-service medical billing and practice management firm offering a...

Inpatient Hospital Coder The Inpatient Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services. This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position. Qualifications Inpatient Coding Experience 2+ years Preferred High School Diploma/G.E.D. - required Prior experience in hospital/inpatient medical coding - preferred Prior experience with 3M 360 and EPIC system - preferred Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency) Excellent written and...

Hospital Coder The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. Support the reporting of healthcare data elements (e.g. diagnoses and...

Job Description The Opportunity: Embry-Riddle Aeronautical University (ERAU) is seeking a Medical Billing and Coding Specialist within the Health Services Department at our Daytona Beach Campus. This position is in alignment with the mission, vision, and strategic priorities of Embry-Riddle Aeronautical University (ERAU) and the Division of Student Affairs, provides high-quality, student-centered service that supports student well-being, persistence, and success. Health Services embraces a holistic approach to student health, integrating prevention, education, wellness, and clinical care to foster a healthy and thriving campus community. Through compassionate service, proactive outreach, and innovative health initiatives, the department supports students in achieving their personal and academic goals. The Medical Billing and Coding Specialist is responsible for the accurate coding, billing, and processing of insurance claims for services provided through Health Services. This...

Certified Coder Remote - Stony Brook Surgical Associates, UFPC Location Stony Brook, NY Schedule Full Time Days/Hours Monday - Friday; 830 AM - 5 PM - At the Manager's discretion, this role may be eligible for remote work (after 90 days) Pay $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible compensation at the time of posting SUMMARY This incumbent is responsible for reviewing and analyzing physicians’ documentation, CPT, and ICD-10...

TREND Health Partners is a tech-enabled payment integrity company. Our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows. Joining TREND Health Partners means becoming part of a dynamic, growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and associated claim information to validate accuracy of DRG assignments and/or medical necessity for inpatient level of care. This role will apply coding and clinical principles based on industry standards and...

Select how often (in days) to receive an alert: *As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices Position Summary Under supervision, assists in the development and evolution of the overall strategy for the departments coding operations This role is also responsible for reviewing medical records for compliance with coding and documentation requirements Job Responsibilities Composes and maintains billing and/or billing compliance associated correspondence. Determines proper account resolution and/or adjustment as needed. Performs charge entry and/or payment posting within the practice management billing system as needed. Tracks and resolves issues on denied claims. Resubmits or appeals claims as required. Escalates more complex claim issues when necessary. Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. Disseminates information to colleagues and/or staff as...

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 Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

## Insurance/Billing Rep - Interventional - HPW - Full-time - DayApplylocations: Pennington, NJtime type: Full timeposted on: Posted Todayjob requisition id: JR110438Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.The...

Medical Biller This Medical Biller role focuses on end-to-end in-house billing for a fast-growing fertility and gynecology clinic, ensuring accurate billing and charting for medical and laboratory procedures in endocrinology, andrology, and embryology. The position requires substantial hands-on experience with medical billing, insurance authorizations, and claims management, as well as familiarity with EMR systems and medical terminology. You will play a key role in supporting the clinic's expanding lab services while providing clear, professional communication to patients about their billing inquiries. Responsibilities Manage the full in-house billing process from start to finish for medical and laboratory procedures, including endocrinology, andrology, and embryology services. Ensure accurate billing and charting of all medical procedures and lab procedures in accordance with clinic standards and payer requirements. Apply and maintain proper billing procedures, with...

Position Summary: The Inpatient Rehab Hospital Coder works from home and is responsible for identifying correct coding and sequencing of ICD-10-CM diagnosis and comorbidity codes on the claim form and IRF-PAI for the Hospital's inpatient population. Responsibilities: Ensures that documentation to substantiate code assignment is present in the medical record Completes coding and abstracting of inpatient medical records in accordance with ICD-10 CM coding rules and guidelines Queries physicians when documentation is unclear for coding purposes Enters codes into the medical record and outcome system to ensure IRF-PAI and claim will submit timely. Minimum Education and Experience: Two years of medical coding experience- IRF experience preferred Medical Coding certification- CPC, CCS, CMC or equivalent Knowledge, Skills and Ability Requirements: Excellent verbal and written communication skills Strong organizational, time management and prioritization skills Strong analytical and...