29 outpatient complex coder jobs found

Medical Coder $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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work. Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Medical Coder you will determine and record the correct medical codes for all treatments and health services. Ensuring proper records is just one way your...

$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 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. 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 part in healing the health system by making sure our high standards for...

Senior Inpatient Medical Coder$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTSOptum 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 a Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards...

Job OverviewFairview is looking for a sharp, detail-driven Coder 2 to join our fully remote team and turn complex outpatient documentation into accurate, high-quality coding that truly makes a difference. In this role, you'll apply your expertise in ICD-10-CM, CPT-4, and HCPCS to code visits, labs, and consolidated funding accounts with precision, resolve medical necessity edits and documentation discrepancies, and collaborate with providers to strengthen documentation and charge capture. Your work will directly support compliance, quality reporting, and appropriate reimbursementensuring the story of patient care is told clearly and correctly. This is a full-time (1.0 FTE, 80 hours per pay period) day shift position and working one Saturday per month, offering meaningful impact, strong work-life balance, and the flexibility of working from home.ResponsibilitiesMaintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards.Actively...

Get started on an exciting career in health information management. We’re with you every step of the way. Starts out onsite, then transitions to REMOTE 4 days/week. Job Summary: Required Services provide single path medical coding services and related medical records functions. Single path coding combines facility coding and professional coding and allows one coder to code facility and professional codes for the same patient utilizing a single coding platform. perform technically complex professional services coding for medical conditions and assign the correct International Classification of Diseases, ICD-10-CM, Procedure Coding System (PCS) Current Procedural Terminology (CPT), Health Care Financing Administration Common Procedure Coding System (HCPCS), and Evaluation and Management (E&M) codes for diagnosis, acuity of care and procedures for a wide range of medical specialties to include coding of complicated cases identified as difficult to classify such as treatment of...

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...

Join our team at Regions Hospital as a Health Information Coding Analyst II., Outpatient Same Day Surgery Coder. 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 AAPC coding credential exam....

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:...

Job Overview Fairview is seeking a Coder 2 to join our team. This is a full‑time, benefit‑eligible position (80 hours per pay period) offering the opportunity to work within a collaborative and supportive coding environment. The role includes a weekend rotation requiring one Saturday shift per month; when scheduled to work a Saturday, you will receive a weekday off (Tuesday, Wednesday, or Thursday) during the same week. This position provides flexibility in where work is performed following training and departmental expectations, while remaining closely connected to the coding team and organizational operations. The ideal candidate will have coding experience across Hospital Billing (HB), Professional Billing (PB), and Emergency Department (ED) accounts, along with a strong understanding of ICD‑10‑CM, CPT, and HCPCS coding guidelines. Candidates should possess excellent attention to detail, coding accuracy, and a commitment to maintaining compliance with coding, documentation, and...

## Physician Coding AuditorApplylocations: Remote - Nationwide: Work at Home - Virginia - Other: Work at Home - Memphis - TN: Work at Home - Pittsburgh - PAtime type: Full timeposted on: Posted Todayjob requisition id: R046656**Thank you for considering a career at Ensemble!**Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:* **Customer Obsession:** Consistently provide exceptional experiences for our...

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: Same Day Surgery Identify...

Surgical Coder Why 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 Surgical Coder...

Requisition number: 2366530 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. 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...

Requisition number: 2363678 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. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of CPT and ICD-10 Codes for outpatient ancillary services while adhering to the official coding guidelines and established client coding...

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...

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....

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: Identify appropriate assignment of ICD-10 Codes, CPT and modifiers for facility services while...

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...

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...

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...

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...

Description:Evaluates health record documentation and charges to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the outpatient visit.Ensures that data complies with regulatory and coding guidelines.Reviews medical information, such as diseases or symptoms and diagnostic descriptions and procedures for a given visit, to accurately assign and sequence the correct ICD-1 CM, HCPCS and CPT codes.Adheres to the quality and productivity standards set by the department.Education Qualifications :Successful completion or currently enrolled in a medical coding program which includes completed course work inICD-1-CM, HCPCS, CPT codes, medical terminology, anatomy and physiology and disease process AND a passing score on the ESSENTIA HEALTH coding skills assessment test.OR Credentialed as, or eligible for, Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), Certified Professional...

The Professional Coder reviews, analyzes, and codes professional/physician medical record documentation to include, but not limited to, medical diagnostic and E/M coding information for various practices in the hospital outpatient, hospital inpatient and clinic settings.During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience.During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding.You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording.The complete interview will be reviewed by a Mayo Clinic staff member, and you will be notified of next steps..

Requisition number: 2366533 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. 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...