25 outpatient complex coder jobs found

Auditing Team LeadUnder 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.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 scheduling. Manages time and attendance approvals.a....

Job Requirements Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. 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. Serves as a clinical coding subject matter expert,...

Primary CoderHot JobFully Remote • Windsor Mill, MDOverviewSalary Range $45,000.00 - $52,000.00 Salary Position Type Full Time Education Level High SchoolDescriptionAbout 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.Summary/ObjectivePerform intake and coding on medical records and enter the corresponding data into CMS Tool in accordance with contractual and organizational guidelines. Assist Project Director with any additional responsibilities requested.Essential FunctionsPerform diagnosis coding of inpatient,...

Lead Senior Coder QASalary Range $65,000.00 - $75,000.00 Salary Position Type Full Time Education Level High SchoolOverviewAt 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.This role performs complex coding and dispute/appeal reviews, ensures compliance with RADV guidelines, provides quality assurance and feedback to coders, and serves as a subject matter expert and escalation point for coding questions. The Lead Sr. Coder also leads and supports a team of up to 15 coders, assists with training and development, and ensures...

Senior CoderHot JobFully Remote • Windsor Mill, MDOverviewSalary Range $60,000.00 - $65,000.00 Salary Position Type Full Time Education Level High SchoolDescriptionAbout 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.Summary/ObjectivePerform intake and coding validation on medical records and enter the corresponding data into CMS tool in accordance with contractual and organizational guidelines. Assist Project Director with any additional responsibilities requested.Essential FunctionsPerform diagnosis coding 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. Summary/Objective Perform intake and coding on medical records and enter the corresponding data into CMS Tool in accordance with contractual and organizational guidelines. Assist Project Director with any additional responsibilities requested. 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...

University of Maryland Medical System seeks a clinical coding auditor to ensure accurate ICD-10-CM/PCS and CPT-4 coding across inpatient and outpatient encounters. The role involves auditing complex cases, advising CDI staff, and providing training to new employees. Responsibilities include monitoring coder productivity, reporting accuracy, and collaborating with hospital departments to resolve coding issues while adhering to AHIMA standards and system policies. #J-18808-Ljbffr

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...

Job Details: Job Location: Windsor Mill, MD 21224, Position Type: Full Time, Education Level: High School, Salary Range: $60,000.00 - $65,000.00 Salary 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. Summary/Objective Perform intake and coding validation on medical records and enter the corresponding data into CMS tool in accordance with contractual and organizational guidelines. Assist Project Director with any additional responsibilities requested. Essential Functions Perform diagnosis coding of inpatient,...

Job Details: Job Location: Remote - Windsor Mill, MD, Position Type: Full Time, Education Level: High School, Salary Range: $45000.00 - $52000.00Salary, 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. Summary/Objective Perform intake and coding on medical records and enter the corresponding data into CMS Tool in accordance with contractual and organizational guidelines. Assist Project Director with any additional responsibilities requested. Essential Functions Perform diagnosis coding of inpatient,...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS code...

Outpatient Medical Coder (100% Remote)Sign-On Bonus: Eligible for a $10,000 Sign-On BonusRemote Work Eligibility: Applicants must reside in one of the following locations: District of Columbia, Maryland, Pennsylvania, Virginia, West VirginiaWe are seeking an experienced Outpatient Medical Coder to join our team in a fully remote capacity. The successful candidate will be responsible for accurately reviewing, coding, and abstracting outpatient medical records in accordance with established coding guidelines and regulatory standards. This position supports accurate reimbursement, quality reporting, and compliance through timely and precise medical coding.Key ResponsibilitiesReview outpatient medical records to identify documented diagnoses and procedures.Assign accurate ICD-10-CM/PCS and CPT codes in accordance with established coding guidelines.Code and abstract a diverse range of outpatient encounters, including emergency department (ER), infusion, and other outpatient...

Job Description Job Description Description:   Verve, LLC is continually accepting applications for experienced Medical Coders specializing in Outpatient (Multispecialty) and Emergency Department coding. We are seeking detail-oriented professionals committed to coding accuracy, regulatory compliance, and delivering high-quality work in support of federal healthcare programs. The ideal candidate will have hands-on experience coding a broad range of outpatient encounters, including day surgery, anesthesia, emergency department, observation, and specialty clinic visits. Experience accurately assigning Evaluation and Management (E/M) levels across multiple specialties is strongly preferred. A valid Common Access Card (CAC), or the ability to obtain one promptly, is a requirement for this position. Candidates must be able to satisfy applicable client and government access, identity verification, and security requirements. This position offers a flexible, unit-based...

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS...

Hospital Coding Supervisor Shift: Mon-Fri, 8:00am-4:30pm 100% REMOTE OPPORTUNITY Eligible Remote Work States: District of Columbia Maryland Pennsylvania Virginia West Virginia POSITION SUMMARY The Hospital Coding Supervisor is responsible for overseeing the daily operations of the coding department and ensuring accurate, timely, and compliant coding of inpatient and outpatient medical records. This position supervises coding staff, conducts coding audits, provides training and education, and collaborates with other departments to maintain compliance with federal, state, and hospital regulations. The ideal candidate will have strong leadership skills, extensive coding knowledge, and a commitment to accuracy and quality. EXPERIENCE Essential: 3-5 years of relevant experience PAY RANGE $31.00-$47.91 per hour, based on experience. BENEFITS Medical, dental, and vision coverage beginning the first of the month following hire Wellness programs and mental health support 403(b)...

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...

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...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary : IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and complications. 2. Accurately...

Position Objective The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Essential Job Duties 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. Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate MS-DRG MCC/CC and APR-DRG/SOI/ROM and POA assignments. Utilizes critical thinking to analyze and evaluate...

Remote Opportunity! Summary: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of facility outpatient records. Assists with coding and leveling ERs as needed. Assists with coding and charging infusion cases as needed. Meets departmental accuracy and production standards. Experience: Required: 1-3 years Education: Preferred: Associate's Degree Licensures & Certifications: Required: CCS, COC, RHIA, or RHIT Preferred: Certified Professional Coder Pay Range: $22.22 to $36.57 Based On Experience Benefits: Medical, dental, and vision coverage starting the first of the month after hire, plus wellness programs and mental health support 403(b) retirement plan with employer match, pension, and life and disability insurance Tuition reimbursement toward advanced degrees and specialty certifications Generous paid time off, fitness discounts, and free on-site parking About Sinai Hospital Sinai Hospital of Baltimore is...

Medical Records Coding Specialist This position codes and abstracts same day surgery medical records of all types following a complete review of the clinical documentation, abstracts and assigns appropriate ICD-10-CM and CPT code sets and assigns the correct codes into the hospital Information System. May also code other outpatient work types as assigned by the Coding Manager, including Observation, Emergency Department, Ancillary and Recurring Accounts. Required: High School Diploma or GED required. Completion of a Coding Certificate Program is required. At least one of the following: CCS (Certified Coding Specialist), CPC, RHIA or RHIT is required. In addition, 3 years hospital coding experience preferred which includes coding of outpatient Same Day Surgery records using both ICD-10-CM and CPT-4. Demonstration of skills through completion of a hospital administered advanced coding test with a satisfactory score. Caring for you as you care for the CommUNITY Frederick Health...

Medical Coder The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. 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. Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate MS-DRG MCC/CC and APR-DRG/SOI/ROM and POA assignments. Utilizes critical thinking to analyze and evaluate documentation issues...