43 mcs certified coder jobs found

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. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assigns CPT and ICD-10 codes to all services Monitors assigned work queues to ensure all...

Caring. Connecting. Growing Together 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. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assigns CPT and ICD-10 codes to all services Monitors assigned work queues to ensure all records are charged/coded in a...

Risk Adjustment Coding Auditor Blue Cross and Blue Shield of Minnesota is hiring a Risk Adjustment Coding Auditor. The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expertise to support consistent application of coding standards and enables informed decision-making across the enterprise. An ideal candidate has 5+ years of risk adjustment coding experience and an active CRC certification. This is a production-based role requiring comfort in a high-volume environment. Your Responsibilities Evaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practices Protects patient records and audit...

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Expert knowledge in all facility outpatient coding types: Observation Identify appropriate...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Health Information Coding Analyst II, Outpatient Same Day Surgery Coder Join our team at Regions Hospital as a Health Information Coding Analyst II. As a coding analyst, you will support multiple sites and actively participate within a team who performs a wide variety of complex coding scenarios to ensure accurate assignment of ICD-10 and CPT Codes. This position: Completes coding analysis of each individual patient stay. Provides accurate diagnoses, procedures and other relevant database information for optimal financial reimbursement, collection of unique and pertinent information and accumulation of statistical data. Perform related duties as assigned. Work schedule: FTE: 1.0 (40 hrs. weekly) Remote, Monday-Friday Flexible. Candidates must live in MN, WI, IA, ND, or SD. Required Qualifications: Education: Graduate from an associate or bachelor's degree program in health information, completion of a coding specialist program or successful completion of AHIMA or...

Join Optum 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. Schedule: Monday - Friday except for weekends for a shift differential You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with...

This position is full-time (40 hours/week) Monday‑Friday during normal business hours, with occasional overtime as needed. Employees may telecommute from anywhere within the U.S. Primary Responsibilities Identify appropriate assignment of ICD‑10 codes, CPT and modifiers for facility services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Expert knowledge in all facility outpatient coding types: Ancillary, Emergency, Same Day Surgery, and Observation Abstract additional data elements during the chart review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and/or AHIMA Maintain required levels of performance in both coding quality and productivity as established by Optum Query physicians when appropriate Maintain up‑to‑date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality...

Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical: Multiple plan options. Dental: Delta Dental or reimbursement account for flexible coverage. Vision: Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. The HB IP Coder reviews, interprets, and...

You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts. Assigns CPT and ICD-10 codes to all services. Monitors assigned work queues to ensure all records are charged/coded in a timely manner. Generates coding queries for clarification regarding physician documentation as needed. Stays abreast of all changes in coding conventions and coding updates. Ability to manage a significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision. All other duties as assigned. Benefits Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays. Medical Plan options along with participation in a Health Spending Account or a Health Saving account. Dental, Vision, Life...

Schedule Monday to Friday, 8 AM–5 PM Location Remote – Nationwide (telecommute from anywhere within the U.S.) Primary Responsibilities Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information Follow up with providers as necessary when responses to queries are not provided in a timely basis Utilize medical coding software programs or reference materials to identify appropriate codes Apply post‑query response to make final determinations Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations Manage multiple work demands...

Requisition number: 2361472 Job category: Medical & Clinical Operations $3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The SDS/Observations Medical Coder position is full-time (40 hours/week) Monday to Friday. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate...

Requisition number: 2308943 Job category: Medical & Clinical Operations $5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key...

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...

Join Optum 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Expert knowledge in all facility outpatient coding types: Emergency Identify...

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Expert knowledge in all facility outpatient coding types: Emergency Identify appropriate...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Responsibilities Participate in the inpatient coding training program, as needed, which is well-established. In times of light training responsibilities, this position will perform retrospective inpatient coding reviews for DRG validation and compliance reviews. If you are an inpatient coder with a proven track record of excellent quality, this is an opportunity to advance your career as a retrospective inpatient coding auditor, possibly to include coder training. Qualifications Requirements are at least three years of inpatient coding experience in a high complexity facility or organization, with a certification of a CCS (or CPC and CCS eligible), RHIT, or RHIA. #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...

Feitong Buke is seeking a Lead Coding Specialist I to assist with oversight of daily coding operations and provide training within the Outpatient Coding Division. This position requires a minimum of two years coding experience and an approved coding credential from AAPC or AHIMA. The successful candidate will analyze patient records, ensure coding accuracy, and manage coding for various departments while benefiting from a comprehensive benefits package including tuition assistance and career growth opportunities. #J-18808-Ljbffr

About Blue Cross and Blue Shield of Minnesota At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us. The Impact You Will Have Blue Cross and Blue Shield of Minnesota is hiring a Risk Adjustment Coding Auditor. The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expertise to support...

Primary Responsibilities Assign accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assign CPT and ICD-10 codes to all services Monitor assigned work queues to ensure all records are charged/coded in a timely manner Generate coding queries for clarification regarding physician documentation as needed Stay abreast of all changes in coding conventions and coding updates Manage significant workload and work efficiently under pressure, meeting established deadlines with minimal supervision Perform other duties as assigned Benefits Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase...

Requisition number: 2309328 Job category: Medical & Clinical Operations 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...

As a Senior Inpatient Medical Coder, you will provide coding services directly to providers. The role is virtual, remote, and requires strong organizational skills and proficiency with technical applications. You will receive 4 weeks of virtual training (8:00 AM - 5:00 PM Monday-Friday) and have the flexibility to telecommute from anywhere within the United States. Primary Responsibilities Identify appropriate assignment of ICD‑10‑CM and ICD‑10‑PCS codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the chart review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and/or AHIMA Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360 Provide...