13 lead coder jobs found

Allegheny Health Network is seeking a Coding Supervisor to support the Coding Manager by supervising coders, assisting with daily operations, and driving coding quality. The role involves scheduling, payroll, and collaborating with physicians to support accurate coding and timely claims processing. You will help manage workflow, mentor staff, and lead process improvements to optimize revenue cycle performance. A professional coding certification and leadership experience are required. #J-18808-Ljbffr

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. Who are we? Optum360. We're a dynamic new partnership formed...

Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The Patient Safety DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in...

CentraCare Health – Monticello is a team of health care providers working together to deliver comprehensive, high-quality care in a compassionate environment, close to home. Our mission is to improve the health of every patient, every day. We are looking for caring, skilled professionals who are passionate about making CentraCare the leader in Minnesota for quality, safety, service and value. We offer an outstanding work environment to our employees, who are dedicated to providing a superior patient experience. Job Description The Coder II reviews electronic and written documentation to allow for accurate and timely diagnostic and procedural coding using ICD-9-CM/CPT4/HCPCS classification systems. Knowledge and use of applicable coding standards, guidelines, and regulations. As necessary, communicate with clinical staff including physicians to clarify medical record documentation, diagnosis, and codes. Safeguards patient privacy and confidentiality. Qualifications Registered Health...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Billing Specialist - Stop Hold Full Time Admin Support New Hope, Minneapolis, MN, US 7 days ago Requisition ID: 1089 Salary Range: $18.00 To $20.00 Hourly Position Summary The Billing Specialist plays a key role in ensuring accurate claim processing, timely reimbursement, and exceptional customer service. This position is responsible for following up on unpaid claims, filing appeals, maintaining accurate patient and insurance data, and supporting the billing team as needed. The ideal candidate is detail ‑ oriented , organized, and comfortable working in a fast ‑ paced medical billing environment . Key Responsibilities Accounts Receivable Follow ‑ Up — Monitor aging reports, follow up on unpaid claims, and file appeals when necessary to maximize reimbursement. Claims Processing — Perform adjudication, E ‑ Claims...

Tegria Services Group - US, Inc. is seeking a Supervisor, Coding, to lead a team of medical coders delivering outsourced services to Critical Access Hospitals. Your leadership will ensure compliance with coding regulations and improve team performance. The ideal candidate has 7+ years of experience, relevant certifications, and strong communication skills. The role allows for remote work, offering benefits like health coverage and retirement plans. #J-18808-Ljbffr

Job Description Job Description Join Senior CommUnity Care as a Medical Coder - Risk Adjustment Specialist and partner directly with physicians and Medical Directors to improve documentation, support CMS reporting, and strengthen value-based care for older adults in the PACE program. Medical Coder - Risk Adjustment Specialist- Remote Schedule: M-F 8:00 AM-5:00 PM Salary: $58,000-$66,000 (Based on Experience) Essentials: Collaboration for Risk Adjustment Integrity: Works closely with Medical Directors and PACE providers to uphold the integrity and accuracy of the risk adjustment reporting process. Engages in continuous dialogue with healthcare professionals to ensure that coding accurately reflects participant acuity. Medication Documentation Review and Diagnostic Coding: Reviews and interprets provider documentation to extract critical information. Assigns ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures from documented information in the medical...

Medical Coder The Medical Coder is responsible for reviewing medical documentation and assigning accurate diagnostic and procedural codes using ICD-10, CPT, and HCPCS coding systems. This role ensures correct billing and compliance with healthcare regulations, supporting the revenue cycle, and minimizing claim denials. The coder works closely with healthcare providers and billing staff to maintain accurate, complete, and up-to-date patient records. We are committed to providing wage ranges for all open positions. Please note that the specific compensation for this role will be determined based on experience, education and internal equity considerations. The hourly wage range for this position is $22.80-$32.18. This range reflects the base salary for this position. Key Accountabilities Reviews and analyzes medical records to identify pertinent diagnoses and procedures for accurate coding and reporting. Assigns accurate medical codes using ICD-10, CPT, and HCPCS coding systems...

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. What We're Looking For We're looking for experienced and credentialed inpatient 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...

Overview Certified Medical Coder required (AHIMA, AAPC, or PMI). Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud...

Apply for Job Job ID 374588 Location Twin Cities Job Family Animal Health Full/Part Time Full-Time Regular/Temporary Regular Job Code 7194CV Employee Class Civil Service Add to Favorite Jobs Email this Job About the Job This position is responsible for the supervision of the daily technical operations of the Small and Large Animal Medical Imaging and assigned services in the University of Minnesota Veterinary Medical Center (VMC). The Clinical Supervisor 4 is the fourth (lead) level within the Animal Health Job Family, and is responsible for providing professional support in a specific area(s) of animal health. Gives exceptional care to our patients and provides a positive and a professional learning environment for staff, students, residents and faculty. Coordinates the activities and supervises the technical and/or administrative staff assigned within the designated service area. Role models excellent customer service and actively participates in quality...

Apply for Job Job ID 374588 Location Twin Cities Job Family Animal Health Full/Part Time Full-Time Regular/Temporary Regular Job Code 7194CV Employee Class Civil Service Add to Favorite Jobs Email this Job About the Job This position is responsible for the supervision of the daily technical operations of the Small and Large Animal Medical Imaging and assigned services in the University of Minnesota Veterinary Medical Center (VMC). The Clinical Supervisor 4 is the fourth (lead) level within the Animal Health Job Family, and is responsible for providing professional support in a specific area(s) of animal health. Gives exceptional care to our patients and provides a positive and a professional learning environment for staff, students, residents and faculty. Coordinates the activities and supervises the technical and/or administrative staff assigned within the designated service area. Role models excellent customer service and actively participates in quality...

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...