21 lead coder jobs found

A prominent health data platform seeks experienced inpatient coders to join their remote team. Ideal candidates must possess exceptional attention to detail and a profound understanding of medical terminology. Responsibilities include assigning diagnostic codes, ensuring high coding accuracy, and mentoring junior coders. Preferred qualifications include at least 3 years of inpatient coding experience with relevant certifications. This role offers a flexible schedule, enabling you to contribute from your own workspace while shaping healthcare's future. #J-18808-Ljbffr

Astrana Health Management is hiring a Risk Adjustment Coding Specialist II in Maryland. This full-time role involves conducting high-volume chart reviews to ensure coding accuracy for Medicare and ACA requirements. The ideal candidate has 3-5 years of risk adjustment experience, along with CPC or CRC certifications. Strong communication and Excel skills are essential. The position follows a hybrid work structure, requiring occasional travel to provider sites in Maryland. The compensation ranges from $70,000 to $85,000 per year. #J-18808-Ljbffr

A prominent health data platform seeks experienced inpatient coders to join their remote team. Ideal candidates must possess exceptional attention to detail and a profound understanding of medical terminology. Responsibilities include assigning diagnostic codes, ensuring high coding accuracy, and mentoring junior coders. Preferred qualifications include at least 3 years of inpatient coding experience with relevant certifications. This role offers a flexible schedule, enabling you to contribute from your own workspace while shaping healthcare's future. #J-18808-Ljbffr

CareFirst BlueCross BlueShield is looking for a Risk Adjustment Coding Specialist in Baltimore, Maryland. This role involves reviewing and coding medical records, ensuring compliance with federal and state guidelines. You will also develop coding guidelines and provide guidance to junior specialists. The position supports a hybrid working model and offers a salary range between $51,984 and $95,304. The ideal candidate will have an Associate degree in Health Information Technology and at least 3 years of coding experience. Required certifications include CCS or CPC upon hire. #J-18808-Ljbffr

Position Overview The Senior Medical Coding Specialist acts as an internal expert to ensure that value‑based reimbursement and medical policy models are developed and implemented to support Payment Integrity. This role provides expert knowledge to support effective partnership with provider entities, guidance on the appropriate quality‑measure capture and proper use of CPT and ICD‑10 codes in claims submissions. The specialist utilizes coding expertise, combined with medical policy, credentialing and contracting rules knowledge, to build effective guidelines and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. This role also provides expertise and mentoring to other team members and will sit within the Payment Integrity team. Essential Functions Consult on proper coding rules in value‑based contracts to ensure appropriate quality‑measure capture and proper use of...

About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we’re supporting data-driven decisions, modernizing systems or safeguarding critical programs. Job Overview We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality...

Auditing Team Lead Under direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assists Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and...

Program Overview This program is designed for individuals preparing for a career in medical coding within physician offices and is essential for certification on the CCS‑P or CPC exams. Participants gain the qualifications required to read medical charts and assign accurate ICD‑10, CPT and HCPCS codes, preparing them for revenue cycle and reimbursement roles in medical practice settings. Key Responsibilities Review patient records and assign numeric/alphanumeric codes for each diagnosis and procedure. Maintain in‑depth knowledge of the CPT coding system and stay familiar with ICD‑10‑CM and HCPCS Level II coding systems. Assign accurate medical codes for professional (physician) procedures, services and diagnoses. Adhere to medical coding guidelines, regulations and compliance standards. Qualifications Prior billing & coding or industry experience recommended. Strong attention to detail and analytical skills. Basic understanding of medical terminology, anatomy and...

Description About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently demonstrates high accuracy and productivity. Responsibilities: Perform diagnosis coding of inpatient, outpatient, and physician office...

About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD‑9‑CM/ICD‑10‑CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance efforts....

Senior Medical Coder Fully Remote • Windsor Mill, MD 21224 Overview Salary Range $65,000.00 - $75,000.00 Salary Position Type Full Time Education Level None Description About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient,...

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. 1,500 Sign on Bonus 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,...

Professional Fee Coding Auditor & Educator We are seeking an experienced Professional Fee Coding Auditor & Educator to partner with physicians and APPs on coding accuracy, documentation improvement, compliance, and provider education. Must currently possess both the CPC and CPMA certifications in order to be considered for the role. The Coding Auditor and Educator role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or...

Adventist Healthcare’s Support Center seeks to hire an experienced Coding Auditor for our Revenue Integrity department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. Responsibilities Leads discussions and educational sessions, with manager support, with various impacted Revenue Integrity stakeholders to improve overall revenue goals and departmental needs. Analyzes and resolves billing edits and bill holds for areas impacted by coding. Manages assigned work queues and associated tasks to review, analyze, and provide corrective action. Maintains work queues at agreed‑upon levels to keep on task with department goals and objectives. Escalates barriers or concerns to the manager in a timely, clearly articulated and documented format. Performs EHR analyses and research along with associated patient accounting, medical charting, and system interfacing to examine and understand underlying root causes of charge...

Job Description Job Description Registered Nurse PACU Medical Coding Auditor - Ambulatory Job Description: About Company: Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities. Guided by our core principles of excellence, integrity, and collaboration, we are dedicated to delivering high-quality staffing solutions that strengthen the delivery of patient care nationwide. Rooted in a culture of Linked Prosperity, PPDG values the success of our clients, employees, and partners alike—offering competitive compensation, comprehensive benefits, professional growth, and a cooperative workplace built on trust, respect, and service. As a proud Department of Defense Partner Employer and participant in the Military Spouse Employment Partnership (MSEP), PPDG remains committed to supporting our...

Inpatient Coder - Full‑time with Benefits Job Category: Admin/Clerical Requisition Number: CODER012234 Full‑time Overview Supports and incorporates Frederick Health (FH) mission, vision, core values and customer service philosophy into daily performance, adhering to the FH Compliance Program and all regulatory requirements and the FH Standards of Behavior. Codes and abstracts inpatient medical records of all types, performing rigorous reviews of clinical documentation to assign appropriate ICD‑10‑CM/PCS code sets and the correct APR‑DRG within the hospital information system. May also code other work types as assigned by the Coding Manager. Essential Functions Determines the correct principal diagnosis, identifies and assigns comorbidities and complications, secondary diagnoses, present‑on‑admission indicators for ICD‑10‑CM and Maryland Hospital Acquired Conditions (MHACs), principal procedure codes and secondary procedure codes. Assigns the appropriate APR‑DRG. Works...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system,...

nTech Workforce has an immediate 22913 Certified Medical Coder Terms of Employment W2 Contract, 5 Months Location: Remote Overview The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; retrieves information from medical records, ensuring adherence with established methods and procedures. Responsibilities Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Serves as backup to other administrative functions as assigned. Meets job standards for achieving contract deliverables. Assists with other job- and education-related...

Job Summary Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior. Codes and abstracts inpatient medical records of all types and, following a rigorous review of the clinical documentation, abstracts and assigns appropriate ICD-10-CM/PCS code sets and assigns the correct APR-DRG into the hospital information system. May also code other work types as assigned by the Coding Manager. Essential Functions: • Determines the correct principal diagnosis, identifies and assigns co-morbidities and complications, secondary diagnoses, present on admission indicators for ICD-10-CM and MHACs (Maryland Hospital Acquired conditions), principal procedure codes and secondary procedure codes. • Assigns the appropriate APR-DRG. • Works in collaboration with CDI to...

Support Center If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist Healthcare's Support Center seeks to hire an experienced Coding Auditor for our Revenue Integrity department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Coding Auditor, you will: • Leads discussions and educational sessions, with manager support, with various impacted Revenue Integrity stakeholders. to improve overall revenue goals and departmental needs. • Analyzes and resolves billing edits and bill holds for areas impacted by coding • Manages assigned work queues and associated tasks to review, analyze, and provide corrective action. • Maintains work queues at agreed-upon levels to keep on task with department goals and objectives • Escalates barriers or concerns to the manager in a timely clearly articulated and documented format • Performs EHR analyses...

This position is responsible for reviewing, prioritizing, and analyzing adverse medical device events submitted via MedWatch reporting forms in hard copy or electronically to our customer, the Food and Drug Administration (FDA).Additionally, this position is responsible for processing and coding a variety of reports from device manufacturers (MFRs), importers, user facilities, healthcare professionals, and customers.While Analyst Coders may be assigned to perform the primary functions listed above, they will also be cross-trained to perform secondary duties as needed.MEDICAL CODER / ANALYST CODER II The interview will be on-site.This position requires on-site attendance in the office (Landover, MD) during the training period of 90 days minimally.After successful completion of training, the role may be eligible for remote or hybrid work arrangements, subject to manager approval.PLEASE READ THE REQUIRED QUALIFICATION:Required Qualifications: Must possess a Bachelor's degree in...