19 outpatient complex coder jobs found

Join to apply for the Ambulance Coder Remote role at Pafford Medical Services Join to apply for the Ambulance Coder Remote role at Pafford Medical Services Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes Prioritize workflow to ensure timely claim submission Knowledge of state and federal insurance regulations Ability to analyze and problem solve complex issues Knowledge of billing requirements, coverage and benefits Uphold Medicare, Medicaid and HIPAA guidelines Identifies and communicates documentation issue trends Utilize various resources to locate insurance payers for ambulance transportation Contact the hospital, patient’s family, and/or patient to obtain insurance information Fax partner hospitals requests for information Validate and update patient demographics in the practice management system Responsible for the accurate entry of data into the practice management system This...

Join to apply for the Remote Ambulance Coder role at Pafford Medical Services Join to apply for the Remote Ambulance Coder role at Pafford Medical Services Job Title : Remote Ambulance Coder Work Location : Pafford Medical Services, Inc. - Division/Department: PMBS Reports To: AVP Revenue Cycle-Oklahoma Full-Time Nonexempt Job Description: Responsible for charge validation and assigning appropriate ICD-10 and HCPCS codes to ambulance claims. Responsible for reviewing ambulance trip reports to determine medical necessity and to assign the appropriate level of care. Includes fulfilling assigned duties and responsibilities for the accurate submission of all ambulance transports in order to process third party claims and patient bills. Essential Duties And Responsibilities: Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes Prioritize workflow to ensure timely claim submission...

Medical Coder I - PRN - Revenue Cycle - Tulsa Job Category: Medical Billing and Coding Requisition Number: MEDIC001081 Location: Council Oak Comprehensive Healthcare (Tulsa) 10109 E 79th St Tulsa, OK 74133, USA Description MINIMUM QUALIFICATIONS Education High school diploma or GED required; associate's or bachelor's degree in Health Information Management or related field preferred Experience 1-2 years of experience in medical coding, with a focus on outpatient and ancillary coding preferred Licenses & Certification Certified Professional Coder (CPC), Certified Coding Specialist-Physician-based (CCS-P), or equivalent outpatient/ancillary certification required. Knowledge & Skills Trained knowledge of medical terminology, anatomy, and physiology Accomplished knowledge of assigning ICD-10-CM, CPT, and HCPCS coding systems Well-versed knowledge of medical coding guidelines Strong knowledge of Local Coverage Determination (LCD) and National Coverage...

Medical Coder II - Revenue Cycle - Okmulgee Job Category: Medical Billing and Coding Requisition Number: MEDIC001044 Posted: October 1, 2025 Full-Time On-site Revenue Cycle 1101 S Belmont Ave Okmulgee, OK 74447, USA Description The purpose of this position is to accurately translate healthcare services, diagnoses, and procedures into standardized codes for billing, reimbursement, and data analysis using an international classification of disease systems. Incumbent reports to the Coding Supervisor/Manager regarding attendance, leave, and daily on-site/remote supervision. Minimum Qualifications Education High school diploma or GED required; associate's or bachelor's degree in Health Information Management or related field preferred Experience 2-3 years of experience in medical coding, with a focus on inpatient and outpatient coding preferred Licenses & Certification Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or equivalent inpatient...

Lead Medical Coder Fully Remote Home Office - Oklahoma City, OK 73134 Overview Level: Experienced Position Type: Full Time Job Shift: Day Education Level: Certification Travel Percentage: None Category: Health Information Management (HIM) Description JOB PURPOSE: The Lead Coder will be able to code all patient types as needed; inpatient, swing bed, same-day surgery, ancillary, ambulatory and provider-based clinics. This individual will mentor, train and assist with cross training coding staff, including newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10-CM/PCS and CPT/HCPCS. ESSENTIAL FUNCTIONS INCLUDE BUT NOT LIMITED TO: Ensures that coding compliance initiatives are met with all record types. Conducts regular internal...

Join Datavant, a pioneering data platform company that is transforming the health data exchange landscape! We are dedicated to empowering every healthcare decision with the accurate data it deserves. Our comprehensive health data network ensures secure, accessible, and usable information, enabling healthcare professionals to make well-informed decisions. As part of our dynamic and high-performing team, you will tackle some of the most challenging obstacles in healthcare using cutting-edge technology solutions. We value diverse professional, educational, and personal backgrounds, all contributing to our ambitious goals. We are looking for experienced and credentialed outpatient coders to enhance our team. Candidates should have exceptional attention to detail and a strong understanding of medical terminology. This remote position offers flexibility, allowing you to contribute to the future of healthcare from your own workspace! Key Responsibilities: Review medical...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Datavant is a cutting-edge data collaboration platform transforming healthcare. Our mission is to enhance the security, accessibility, and actionability of health data, benefiting a variety of organizations across the healthcare sector, including providers, health plans, researchers, and life sciences companies. By leveraging health data, we are shaping the future of patient care and health outcomes. By joining Datavant, you will become part of a driven, collaborative team dedicated to making impactful changes in the healthcare landscape. We are seeking experienced outpatient coders to be key members of our team. The ideal candidate will have meticulous attention to detail and a solid understanding of medical terminology. This role is fully remote with a flexible schedule, enabling you to contribute to the healthcare revolution from home! Preferred: Experienced PRN Outpatient Coder with a minimum of 3 years in SDS and Observation coding. Key Responsibilities: Review...

Current Saint Francis Employees - Please click HERE (http://www.myworkday.com/saintfrancis/d/task/3005$4482.htmld) to login and apply. This position is ECB status - requires a minimum number of worked hours per month as needed by the department; limited benefit offerings. Variable Job Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA. Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam. Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient and inpatient coding exam. Essential Functions and Responsibilities: Codes ER's, outpatients, outpatients...

Current Saint Francis Employees - Please click HERE (http://www.myworkday.com/saintfrancis/d/task/3005$4482.htmld) to login and apply. Full Time Job Summary: The Coder II Specialist codes ER, Outpatient, Outpatient Surgeries and Observations records. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: Must have one of the following AHIMA credentials: Certified Coding Specialist (CCS); Certified Coding Specialist - Procedural (CCSP); Certified Coding Associate (CCA). Work Experience: Minimum of 2 years related experience and a score of 80% or above on the outpatient coding exam. Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient coding exam. Essential Functions and Responsibilities: Codes ER, outpatients, outpatient surgeries, and observations. Works CCI/medical necessity...

Summary This position is located in the Health Information Management (HIM) section at the Oklahoma VA Healthcare System in Oklahoma City, OK. This position currently has a Return to Office (RTO) mid-term extension (180-days). Remote work is currently authorized; however, candidates may be subject to return to office in the event policy changes or the exemption is not extended. Responsibilities Basic Functions: Assigns codes to documented patient care encounters (inpatient facility and/or professional services) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Selects and assigns codes from...

Job Purpose The Lead Coder will code all patient types as needed; inpatient, swing bed, same‑day surgery, ancillary, ambulatory and provider‑based clinics, and will mentor, train, and assist coding staff, including newly hired staff. They must review documentation to assign appropriate CPT/HCPCS and ICD‑10‑CM‑PCS diagnosis codes and procedures for hospital and physician (professional) services for inpatient and outpatient records based on knowledge of coding systems. Essential Functions Ensures that coding compliance initiatives are met with all record types. Conducts regular internal coding audits and quality assurance reviews to monitor coding accuracy, identify areas for improvement, and implement corrective measures and education as needed. Assists with productivity reporting and reducing DNFC. Coding complex outpatient or inpatient accounts utilizing encoder software and references in the assignment of ICD‑10‑CM/PCS, CPT/HCPCS codes, DRG, POA assignments, APC assignment...

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...

Job Purpose This position is for an Outpatient Coder with Emergency Department and Ambulatory Surgery coding experience. The coder will code Surgery, Emergency department, and Ancillary records. Emergency Dept coding includes injection & infusion coding as well as the assignment of the E&M Professional fee. The coder will demonstrate competency by meeting productivity standards and achieving an accuracy rate of 95% on all chart types coded. Will abstract and code every account compliantly, accurately, and completely, to ensure accurate and timely reimbursement and reporting. Verifies, reviews, analyzes, and abstracts medical information; researches missing clinical information; assigns accurate codes; appropriately queries physicians when required; elevates documentation issues to management; ensures valid orders are on the record prior to coding; communicates with Coding Manager daily regarding obstacles that prevent a chart from being coded. Demonstrates proficiency in...

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...

Summary This position is located in the Health Information Management (HIM) section at the Eastern Oklahoma VA Healthcare System. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities Tulsa (James Mountain Inhofe VAMC) - https://youtu.be/3fMEu0iS7_Q?si=Y5RtGcnKKbJGxxk6 Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the VAMC. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Selects and assigns codes from the current version of several coding systems to include current...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: Join our innovative team as a Medical Coding Auditor Instructor, where you'll play a vital role in ensuring the accuracy and compliance of coding, billing, and medical documentation. Conduct thorough audits on medical records regarding DRGs, APCs, CPTs, and HCPCS Level II codes. Your expertise will be key in optimizing reimbursement strategies and enhancing data quality while adhering to all regulatory standards. ESSENTIAL RESPONSIBILITIES: Lead comprehensive audits and evaluate documentation, coding, and billing practices across various AHN entities. Develop and implement focused training programs to address any deficiencies identified during audits, ensuring compliance with regulatory standards. Collaborate closely with management on external audit findings and engage in strategic discussions to resolve issues. (20%) Create detailed audit reports to highlight the impacts of coding,...

Become a part of our caring community and help us put health first 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 Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor - DME Outpatient Coding 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 DME coding disputes and expertise in...

This is a remote based position.Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience.We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type.Tell us about your experience with Profee Outpatient Coding.Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills.We are looking for someone UNCOMMON.What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value...