294 general coder jobs found

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities: • Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) • Conduct utilization reviews to assess medical necessity and documentation compliance • Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases • Analyze medical records for payer disputes, recoupments, and appeals • Prepare detailed, defensible written audit reports • Provide expert review, affidavit support, deposition preparation, and testimony when required • Interpret...

Job Description Required: Coding Auditor with inpatient hospital experience Experience coding and auditing ICD-10-PCS. Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. 3.Able to communicate effectively with coders and CDI staff. 4.Demonstrates knowledge of coding policy and procedures. 5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. 6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 7.Reviews potential reassignments; demonstrates accurate and timely review of...

Job Title Conducting coding audits to optimize diagnosis related groupings. Developing and implementing coding instruction classes. Preparing coding guidelines; implementing coding changes. Job Responsibilities 1. Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 2. Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. 3. Able to communicate effectively with coders and CDI staff. 4. Demonstrates knowledge of coding policy and procedures. 5. Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. 6. Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 7. Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. 8. Implements coding changes; demonstrates ability to relate coding changes accurately and...

Job Description Job Description Ready to take the next step in your career? We're a dynamic, fast-growing medical billing company and we're looking for a passionate Team Lead to join our Plastic Surgery division. This is more than just a billing role — it's a chance to make an impact, lead a team, and grow alongside a company that's investing in its people. If you love what you do and want to be somewhere that values your expertise, you'll feel right at home with us. What You'll Do • Lead day-to-day billing operations for our plastic surgery client accounts • Manage A/R follow-up and oversee accurate, timely charge posting • Be the go-to person for clients — answering questions, solving problems, and building strong, lasting relationships • Apply your knowledge of ICD-10 coding and Medicare/Medicaid guidelines to ensure clean claims and clear documentation • Mentor and support team members, identify workflow improvements, and help shape best practices as we grow What You...

Medical Records - Coder I - Full Time - Days Department: CODING Job Summary: Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA AMA Guidelines, CMS and NGS. Core Job Responsibilities: Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Audit charges and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and assist in the maintenance of coding related policies and procedures Perform other duties as required Education/Experience Requirements: REQUIRED: AS in Health Information Management, a related degree or equivalent experience...

Job Description Job Description The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in...

Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to join our team. We are deeply rooted in the communities we serve, which means that our patients are often our family, friends, and neighbors, and it is special to be able to care for them. As one of the top healthcare systems, we are committed to your ongoing growth and development. After work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Coder Abstractor? Remote work schedule Our dynamic work environment includes many opportunities for growth and development Our efforts directly impact patient satisfaction and outcomes Our employees work in positive, supportive, and compassionate environments built on our organizational values. Skills At least 1 years recent coding experience including coding surgical cases preferred. Experienced in coding hospital inpatient and...

Intern Him Coding The Intern HIM Coding pursues a career in medical coding for hospital inpatient/emergency/outpatient services and professional/provider services. Assists the team with assigning appropriate codes, reviews coding claim and edits or performs any other duties as assigned. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics. Utilizes knowledge and experience gained with a goal to serve as a coding specialist. Your Everyday General Duties Gains/Implements basic knowledge of ICD-10-CM and PCS, IPPS and DRG payment methodology, CPT and HCPCS coding principles in the work. Assigns ICD-10, CPT and HCPCS codes to reflect services provided. Also implements knowledge of software programs related to EHR coding and billing. Regulatory and Payer Knowledge Implements knowledge of federal, state and...

Position Title: Inpatient Coding Auditor Department: HIM Coders Job Description: Ask your recruiter about our competitive wages and total rewards package! Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. This position may be filled as levels I, II, or III, depending on individual experience, education, certification(s), and business need. ****Ideal candidate will have experience in complex inpatient coding at an academic medical center.**** General Description Ensures accurate, quality, and compliant Inpatient facility coding through prebill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality. Essential Job Duties Responsibilities listed in this section are core to the position. Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position. · Performs all functions of coding...

Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do: Coding OB/GYN surgeries for an Academic Medical Center Coding GYN/ONC procedures for an Academic Medical Center Communicating codes to the provider with official source rationale What You Will Need: High School Diploma or equivalent 3+ years of experience coding OB/GYN and GYN/ONC specialties CPC from the AAPC Ability to maintain 95% or higher quality accuracy What Would Be Nice To Have: Specialty OB/GYN credential from the AAPC The annual salary range for this position is $44,000.00-$74,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment...

Welcome to Ovation Healthcare! At Ovation Healthcare (formerly QHR Health), we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated professionals with a desire...

This position is within a project with one of the foundational LLM companies. The goal is to assist these foundational LLM companies in enhancing their Large Language Models. One way we help these companies improve their models is by providing them with high-quality proprietary data. This data serves two main purposes: first, as a basis for fine-tuning their models, and second, as an evaluation set to benchmark the performance of their models or competitor models. What does day-to-day look like: • Design multi-turn conversations that simulate real interactions between users and AI assistants using apps like calendar, email, maps, and drive. • Emulate both the user and the assistant, including the assistant's tool calls (only when corrections are needed). • Carefully select when and how the assistant uses available tools, ensuring logical flow and proper usage of function calls. • Craft dialogues that demonstrate natural language, intelligent behavior, and contextual understanding...

Job Description Review clinical documentation and diagnosis results to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of Health Information Management (HIM) or a HIM supervisor, accurately code inpatient and outpatient encounters (e.g., diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service, and behavioral health encounters) as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve billing error reports, identify error patterns, and, when necessary, assist in designing and implementing workflow changes to reduce billing errors. Education and Credentials Associate’s degree from an accredited institution or enrollment in a medical coding course through an accredited agency (e.g., AHIMA/AAPC). Experience One year of progressive on-the-job experience. Must understand confidentiality and be able to operate...

Kaleida Health is looking for a coding specialist to review clinical documentation and apply ICD-9-CM and CPT4 codes for billing and reporting. The ideal candidate must have an Associate’s degree and two years of relevant experience. You will be responsible for coding inpatient and outpatient services, resolving billing errors, and improving workflow. The role requires excellent communication skills and the ability to work in a hybrid environment. Join us at Olean General Hospital! #J-18808-Ljbffr

Job Description Review clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the Direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Location Olean General Hospital, US:NY:Olean. Full-Time, Shift 1. Education and Credentials Associate’s degree from an accredited institution or have obtained education through an accredited agency...

Summary This position is located in the Health Information Management (HIM) section at the Kansas City VA Medical Center. MRTs (Coder) Auditors 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. Learn more about this agency Duties Help Duties consist of significant scope, complexity (difficulty), range of variety, and be performed by the incumbent at least 25% of the time. Auditors must be able to perform all duties of a MRT (Coder). Auditors serve as experts of current coding conventions and guidelines related to professional and facility coding. Auditors perform audits of encounters to identify areas of non-compliance in coding. They facilitate improved overall quality,...

Join a dedicated healthcare team serving a broad regional community in the Midwest. This role is perfect for a detail-oriented medical coder who thrives in a remote work environment and is passionate about accurate and ethical coding practices. General Summary The medical coder ensures that services are billed correctly according to the American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. This position involves insurance credentialing and educating providers and staff on coding and billing standards. Routine chart audits are conducted to maintain compliance and accuracy. Essential Duties and Responsibilities Assign ICD-10-CM, CPT, and HCPCS Level II codes to finalized medical documentation to create accurate medical claims. Abstract specific data from patient records to determine appropriate claim modifiers. Query providers for clarification when documentation is unclear or incomplete, requesting addendums as needed. Stay current with...

Saratoga Medical is currently hiring a full-time REMOTE Mid-level Medical Coder. The position includes a competitive rate, PTO, paid federal holidays, medical benefits and flexible scheduling. Required Qualifications Must possess a minimum of 2 years of experience in abstracting and ICD-9 coding of general acute hospital (inpatient and outpatient) and physician medical records by applying ICD-9 Coding Guidelines for inpatient and outpatient settings and related Official Coding Clinics. A minimum of 1-2 years of experience abstracting and ICD-10 coding of general acute hospital (inpatient and outpatient) and physician medical records by applying ICD-10 Coding Guidelines for inpatient and outpatient settings and related Official Coding Clinics. Knowledge in anatomy and physiology, pathology of disease and medical terminology required. Ability to write appropriate correspondence and effectively communicate with other members of VC/NextStep personnel, clients, and customers as...

Full Time Profee Multi Specialty Surgery Medical Coder - Remote Job Category: Coder Requisition Number: FULLT001816 Posted: June 5, 2026 Full-Time Remote Virtual, USA Job Details Description IKS Health takes on the chores of healthcare, reducing administrative, clinical, and operational burdens so that staff can focus on their core purpose: delivering exceptional care. Combining pragmatic technology and dedicated experts, IKS enables stronger, financially sustainable enterprises. Our Care Enablement Platform delivers data-driven value and expertise across the care journey, and IKS is a partner for clinician enterprises looking to effectively scale, improve quality and achieve cost savings through forward-thinking solutions. Founded in 2006, IKS Health's global workforce supports large health systems across the United States. As an experienced coder, you will be responsible for providing coding and abstracting services for clients on outpatient, physician or emergency room medical...

Cardiology Medical Billing Specialist  To be considered, you must be located in the state of Texas or in the process of relocating to Texas. This is non-negotiable. Please do not apply if you are not located in Texas.  Seeking a full-time, experienced medical billing specialist to join our Texas team. Knowledge of and experience with cardiology coding and billing is preferred. This is a remote position with the possibility of occasional travel.   Our company provides revenue management support for medical practices located all over the United States. Medical billing is one of the fastest growing industries with unlimited career opportunities. Our goal is to find someone that is willing to put in the time and investment in a career with us.  General Purpose  To contribute to the accuracy and timeliness of the revenue cycle process for each clinic on your designated team.  To successfully function as part of a team and to be able to communicate professionally with clients and...

SHIFT: Day (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview This role will be responsible for reviewing medical record documentation including procedure...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators.Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements.Reviews...

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. Responsible for the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of a Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR...

The Professional Fee (ProFee) Coder is responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties and client environments. Coders may support single-specialty or multi-specialty engagements depending on client needs and experience. Requirements Core Responsibilities (Sage Standards) Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes Ensure documentation supports coded services and identify discrepancies Apply appropriate modifiers, NCCI edits, and payer-specific coding rules Ensure compliance with CMS, AMA, and payer guidelines Maintain =95% coding accuracy and meet established productivity standards Identify documentation gaps and escalate for clarification when needed Participate in quality reviews, audits, and ongoing coding education Minimum...