18 medicaid rebate coder jobs found

Medical Associates Clinic is seeking a Certified Medical Coder to join our team. The role focuses on coding outpatient and inpatient services per CPT and ICD-10-CM guidelines, with a mix of remote work and in-office collaboration to educate providers. During training, expect in-person hours with potential for 4x10 or 5x8 schedules once productive. Collaboration with nursing, billing, and analytics teams is essential to improve denials and accuracy. #J-18808-Ljbffr

Cognizant is seeking an Inpatient Medical Coder to review and resolve denied or rejected claims due to coding errors, working remotely from the United States. You will code inpatient cases, communicate with physicians, and maintain a 98% accuracy rate while meeting productivity standards. The role requires CPC/COC/CCC/CIRCC and RHIT/RHIA/CCS certifications, with EPIC and 3M Encoder experience. Remote work is available with time-zone flexibility and standard benefits. #J-18808-Ljbffr

The University of Iowa Health Care is seeking an Emergency Department Medical Coder (Coding Representative) for a full-time, remote-eligible role. The position is classified under Health Information Management, with a 40-hour work week and negotiable days. The role focuses on accurate coding for ED services and supportive tasks in a professional and scientific staff environment. Responsibilities include assigning ICD-10-CM and CPT codes for facility and physician ED services, participating in #J-18808-Ljbffr

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...

Overview The Area Supervisor is responsible for managing the daily scheduling of the ROI Specialists at specified client sites. The Area Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations and are completed in a timely manner. Responsibilities Manages workflow among on-site employees at multiple client sites to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies at the staffed hospital sites. Provides coverage in event of backlogs, illness, vacation or leave of absence of ROI Specialists. Performs Quality Assurance monitoring of work performance for the ROI Specialists. In conjunction with and under the direction of the Area Manager, conducts productivity and work performance reviews for ROI Specialist in accordance with MRO/customer policies and...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Hybrid | Des Moines, IA (Onsite Tues–Thurs, Remote Mon/Fri) $40/hour | 6-Month Contract with Potential for Conversion We are seeking a Certified Risk Adjustment Coder (CRC) to support Medicare Risk Adjustment initiatives through detailed HCC medical record reviews and direct provider engagement. This role is ideal for someone confident, collaborative, and comfortable working onsite with provider teams to drive documentation accuracy and performance improvement. This position requires onsite presence Tuesday–Thursday in Des Moines, IA with 10% local travel , and remote flexibility on Mondays and Fridays. Position Overview This role performs concurrent medical record reviews to ensure accurate capture of HCC conditions and appropriate documentation reflecting patient severity of illness. The coder will collaborate closely with physicians, clinical leadership, and provider engagement teams to improve documentation practices and support compliance with CMS guidelines. Key...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Signature Performance is seeking a Medical Coder who is passionate about accurate coding and compliance with medical guidelines. This remote position requires a minimum of 2 years of experience in Medical Coding, particularly with Professional Fee Coding. The successful candidate will review medical records and assign appropriate diagnoses and procedures while ensuring accuracy and adherence to coding guidelines. The role demands attention to detail and strong problem-solving skills. #J-18808-Ljbffr

The University of Iowa Health Care is hiring a Coding Representative. This role involves assigning ICD‑10‑CM diagnosis codes and CPT codes for various services, including outpatient and inpatient encounters. Eligible for remote work, candidates must have a Bachelor's degree and coding certifications like RHIT or CPC. Responsibilities include reviewing medical records, ensuring coding compliance, and communicating with healthcare staff. Join us in making a difference! #J-18808-Ljbffr

Responsibilities Clive Behavioral Health Be a part of our caring team of professionals at Clive Behavioral Health, where we provide compassionate inpatient and outpatient care for individuals who struggle with a behavioral health disorder or co-occurring disorders. Our care providers work closely with patients and their loved ones to help achieve their personal treatment goals. We provide a secure, healing environment for all our patients, staff and visitors. Clive Behavioral Health is a 100-inpatient bed stand‑alone mental health hospital. We also offer intensive outpatient programming (IOP) for adolescents aged 13 to 17 and a substance use disorder intensive outpatient program for adults called First Step Recovery. Our goal with all of our programs is to help people reach their highest quality of life. Qualifications POSITION SUMMARY The Health Information (Coder) participates as an integral member of the records management team by ensuring the quality maintenance of patient...

Responsibilities Be a part of our caring team of professionals at Clive Behavioral Health, where we provide compassionate inpatient and outpatient care for individuals who struggle with a behavioral health disorder or co-occurring disorders. Our care providers work closely with patients and their loved ones to help achieve their personal treatment goals. We provide a secure, healing environment for all our patients, staff and visitors. Clive Behavioral Health is a 100‑inpatient bed stand‑alone mental health hospital. We also offer intensive outpatient programming (IOP) for adolescents aged 13 to 17 and a substance use disorder intensive outpatient program for adults called First Step Recovery. Our goal with all of our programs is to help people reach their highest quality of life. Qualifications Position Summary The Health Information (Coder) participates as an integral member of the records management team by ensuring the quality maintenance of patient information/medical...

As a Medical Billing Specialist I , you’ll play a vital role at the heart of our healthcare operations, transforming complex billing processes into seamless, accurate submissions that keep everything running smoothly. You’ll be the expert ensuring claims are processed on time, tackling rejections and denials with precision, and driving the financial health of the organization forward. Schedule General business hours, M – F, 40 hours per week, based out of our Johnston location Hybrid work is an option once trained Benefits Comprehensive Health Coverage– Medical, dental, and vision insurance 403(b) retirement plan with up to an employer match Onsite cafeteria with free fountain drinks and low‑priced meals! How You’ll Make an Impact Quality Assurance Verify charges, procedure codes, and diagnosis codes, utilizing appropriate modifiers and diagnosis digits. Prepare and submit billing to the correct payers on a weekly or monthly basis within specified timelines. Review and...

Medical Billing Specialist I (Full-Time) Admin & Support (Operations, Accounting, HR, HIM, Marketing) Johnston, Iowa Apply Description As a Medical Billing Specialist I, you’ll play a vital role at the heart of our healthcare operations, transforming complex billing processes into seamless, accurate submissions that keep everything running smoothly. You’ll be the expert ensuring claims are processed on time, tackling rejections and denials with precision, and driving the financial health of the organization forward. Schedule General business hours, M – F, 40 hours per week, based out of our Johnston location Hybrid work is an option once trained Benefits Comprehensive Health Coverage – Medical, dental, and vision insurance 403(b) retirement plan with up to an employer match Onsite cafeteria with free fountain drinks and low-priced meals! How You’ll Make an Impact Quality Assurance: Verify charges, procedure codes, and...

PRN Inpatient Occupational Therapist: Medical Center University Posting ID 156008 Department Rehab Therapy/UIHC Jobcode Occupational Therapist Working Title PRN Inpatient Occupational Therapist: Medical Center University Details The Department of Rehabilitation Therapies at the University of Iowa Health Care will be hiring a PRN Staff Occupational Therapist . You will administer treatment to patients with complex physical dysfunctions, disorders and/or injuries and interpret findings. You will be working in an inpatient setting. This position is located at our Medical Center University Campus in Iowa City. Duties to include: * Provide quality patient care, evaluation, assessment, and treatment appropriate for patients' needs. * Evaluate and instruct patients in appropriate treatment plans to achieve treatment goals. * Participate in divisional quality/process improvement activities and recommends opportunities for improvement in service quality. *...