84 outpatient complex coder jobs found

Job Code: SRMC - 114 Revision Date: October 21, 2026 Starting Salary: $21.52 hourly; $44,768 annually FLSA: Exempt Overview We are an agency committed to innovative behavioral health services in trauma-informed care that promote healing and recovery to instill a sense of empowerment and foster a lifelong sense of resilience. General Description The Medical Coder Supervisor provides day-to-day leadership, development, and accountability for assigned Billing and Coding Specialists. The position establishes work priorities and performance expectations; monitors coding quality, productivity, and turnaround time; addresses performance and conduct matters in coordination with Human Resources; and ensures coding, charge-capture, provider-query, and documentation-review activities are completed accurately, consistently, and in accordance with applicable laws, regulations, payer requirements, organizational policies, and ethical coding standards. The position also serves as a...

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Overview Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate...

Outpatient Coder (Remote) Full-time Work From Home Must have Surgical/OBS coding experience and documented billing edit experience Ob Summary As part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position. Job Responsibilities Verifying accuracy of assigned CPT codes for complex and/or error prone procedures, Verifying the diagnosis coding accuracy for complex and/or error prone encounters, Validating certain discharge dispositions, Reviewing charge and procedure mismatches, Reviewing codes with revenue integrity for NCD/LCD coverage, Reviewing invalid codes, code conflicts, and missing modifiers, Working with...

Summary:The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines.Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records.Primarily codes complex ambulatory surgery and observation visit medical records.Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting.Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as...

The University of Texas MD Anderson Cancer Center is seeking a Senior Clinical Coding Specialist to join its Revenue Operations and Coding team. The Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. This position works remotely and collaborates closely with coding professionals, leadership, and clinical partners. The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency. UT MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The ideal candidate brings strong expertise in clinical coding practices, including CPT, ICD-10, and regulatory guidelines, along with experience...

Company Overview Community Health Choice, Inc. (Community) is a non‑profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 members with the following programs: Medicaid State of Texas Access Reform (STAR) program for low‑income children and pregnant women Children's Health Insurance Program (CHIP) for the children of low‑income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre‑existing conditions. Community Health Choice (HMO D‑SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare...

VA Northeast Ohio Healthcare System – Cleveland, Ohio This Position Is Contingent Upon Bid Award Work Location Department of Veterans Affairs VA Northeast Ohio Healthcare System – Cleveland, Ohio VA Northeast Ohio Healthcare System / Cleveland VA Medical Center Wade Park Campus 10701 East Boulevard Cleveland, OH 44106 Citizenship / Access Requirements: U.S. citizenship is required. Personnel must satisfy all VA suitability, background-investigation, PIV, privacy, information-security, and system-access requirements. Security Requirements: No classified clearance is specified. Favorable VA screening, National Agency Check initiation, PIV eligibility, and applicable ADP-sensitive access requirements apply. Type of Employment: Full-Time Contractor Position Estimated Compensation: $39.22 per hour. Paid Sick Leave: Up to 56 hours per year, accrued in accordance with Fidelity Partners policy and applicable requirements. Working Hours: Work must be staffed within the...

Senior Clinical Coding Specialist The University of Texas MD Anderson Cancer Center is seeking a Senior Clinical Coding Specialist to join its Revenue Operations and Coding team. The Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. This position works remotely and collaborates closely with coding professionals, leadership, and clinical partners. The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency. UT MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The ideal candidate brings strong expertise in clinical coding practices, including CPT, ICD-10, and regulatory...

Job Description Under limited supervision, responsible for conducting the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Responsibilities Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles. Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes. Works coding related charge review and claim edits daily to ensure timely and accurate billing. Researches and resolves coding related issues, and assists in meeting productivity and quality standards. Contacts other facilities to obtain medical records and information need to bill for services rendered. Verifies fee tickets and physician notes for...

Fidelity Partners is seeking an Inpatient/Outpatient MRT Coder Lead for VA Northeast Ohio Healthcare System in Cleveland. You will perform and review medical coding while guiding the coding team, resolving complex questions, and supporting supervisors. The role requires US citizenship, AHIMA/AAPC credential, 2+ years of VA-level coding, and proficiency with ICD-10-CM/PCS, CPT/HCPCS, E/M. Remote work via VA VPN is allowed; standard hours Mon-Fri 6:00-18:00. #J-18808-Ljbffr

Fidelity Partners seeks an experienced Inpatient/Outpatient MRT Coder Lead for the VA Northeast Ohio Healthcare System in Cleveland. You will lead medical coding for inpatient and outpatient services, provide technical guidance to the coding team, and coordinate workflows to ensure accuracy and timely reporting. The role requires AHIMA or AAPC credential and at least two years of coding experience in a complex healthcare setting, with proficiency in ICD-10-CM/PCS, CPT/HCPCS, and Oracle Health #J-18808-Ljbffr

About the job Inpatient/Outpatient MRT Coder Lead Inpatient/Outpatient MRT Coder Lead VA Northeast Ohio Healthcare System - Cleveland, Ohio This Position Is Contingent Upon Bid Award Work Location Department of Veterans Affairs VA Northeast Ohio Healthcare System / Cleveland VA Medical Center Wade Park Campus 10701 East Boulevard Cleveland, OH 44106 Citizenship / Access Requirements: U.S. citizenship is required. Personnel must satisfy all VA suitability, background-investigation, PIV, privacy, information-security, and system-access requirements. Security Requirements: No classified clearance is specified. Favorable VA screening, National Agency Check initiation, PIV eligibility, and applicable ADP-sensitive access requirements apply. Type of Employment: Full-Time Contractor Estimated Compensation: $38.28 per hour. Working Hours: Work must be staffed within the Monday-through-Friday service window of 6:00 AM-6:00 PM local facility time....

Overview Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many...

Department:13495 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Surgical and Complex Status:Full time Benefits Eligible:Yes Hours Per Week:40 Schedule Details/Additional Information: Will support :TraumaSchedule :Monday - Friday 1st shift 40 hours a week. Certification required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote opportunity: Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range:$26.55 - $39.85 Major Responsibilities: Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert...

Overview The US Oncology Network is looking for a Senior Medical Coding Auditor to join our team at Texas Oncology . This full-time position will support the Revenue Cycle Departmentat our 3001 E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday 8:00a - 5:00p. This position will be a Sr level position. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology , we use leading-edge technology and research to deliver...

Under limited supervision, responsible for conducting the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Responsibilities Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles. Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes. Works coding related charge review and claim edits daily to ensure timely and accurate billing. Researches and resolves coding related issues, and assists in meeting productivity and quality standards. Contacts other facilities to obtain medical records and information need to bill for services rendered. Verifies fee tickets and physician notes for completeness to include...

Risk Adjustment Coder IIThe Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a patient's risk score, by mapping diagnoses to Hierarchical Condition Categories (HCCs) while adhering to CMS guidelines and internal coding policies for the following programs: including, but not limited to, Commercial Risk Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). The Risk Adjustment Coder II will serve as a subject matter expert for risk adjustment and will assist in the development of team trainings, quality assurance audits, and collaborating with multiple departments across the organization.Job Specifications and Core Competencies:Provide advanced complex medical records reviews to identify and code all relevant diagnoses, including chronic conditions, utilizing ICD-10 coding guidelines for Commercial and Medicare risk...

Job TitleMedical Coding SpecialistJob DescriptionUnder limited supervision, responsible for conducting the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes.ResponsibilitiesReviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.Works coding related charge review and claim edits daily to ensure timely and accurate billing.Researches and resolves coding related issues, and assists in meeting productivity and quality standards.Contacts other facilities to obtain medical records and information need to bill for services rendered.Verifies fee tickets and...

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for a Lead Associate, Itemized Bill Review Quality Auditor to perform reviews of medical records, healthcare claims, itemized medical bill, and UB-04 forms to ensure accuracy, compliance, and proper billing practices. This role is responsible for conducting quality assurance audits and oversight of itemized bill review activities to ensure accuracy, consistency, regulatory compliance,...

Location: San Antonio, Texas, United StatesCompany: UT Health San AntonioPosted: Job Description The Outpatient Coder-Senior is responsible for conducting the quality review of outpatient coding, assuring coding compliance with federal regulations, and maintaining up-to-date coding guidelines and coding policy changes. Reviews, interprets, and assigns diagnostic and procedural codes based on medical record documentation according to correct coding principles. Knowledge of edit resolution and ability to code complex OP encounters. Assists in mentoring and training new coders on workflows and applications. Preserves the confidential nature of the information. Supports and maintains UT Health San Antonio policies, protocols, and values. Works under the general supervision of the Coding Operations Manager in a hospital setting.Qualifications Knowledge of Official Guidelines for coding and reporting.Knowledge of medical terminology, human anatomy, physiology and pharmacology.Knowledge...

Senior Clinical Coding SpecialistThe University of Texas MD Anderson Cancer Center is seeking a Senior Clinical Coding Specialist to join its Revenue Operations and Coding team. The Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. This position works remotely and collaborates closely with coding professionals, leadership, and clinical partners. The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency. UT MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The ideal candidate brings strong expertise in clinical coding practices, including CPT, ICD-10, and regulatory...

37492142 Title: HIM CODER ANALYST II Location: Fort Worth TX Pay Rate: $35-40/HR on W2 26- Week Contract Local Candidates only (Remote) This is a day shift position with a start time no earlier than 6:00 AM CST. Required Qualifications: Minimum of two (2) years of current, full-time coding experience. Required certification: RHIA, RHIT, CCS, or CPC. Must provide current AHIMA continuing education certification records. Preferred Qualifications: Pediatric coding experience highly preferred. Previous hospital children's coding experience highly preferred. Epic experience highly preferred. Equipment Requirements: Contractor will be responsible for providing their own equipment. Two monitors are recommended to support daily job functions. Candidates must successfully complete an assessment before being considered for an interview. The hiring manager will identify candidates selected to move forward with the assessment and will provide the assessment link directly to the...

Job TitleMedical Coding SpecialistJob DescriptionUnder direct supervision, responsible for conducting review of inpatient and outpatient coding, assuring coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Performs all tasks required to facilitate medical billing to include abstracting complex patient related data from medical records and coding of diagnoses and procedures using the ICD-10 and CPT classification systems.ResponsibilitiesReviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.Provides technical work in documentation and coding for medical billing, abstracts patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.Works coding related charge review and claim edits daily to ensure timely and accurate billing.Obtains medical records and charge fee information from patient...

Job Description Under limited supervision, responsible for conducting the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Responsibilities Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles. Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes. Works coding related charge review and claim edits daily to ensure timely and accurate billing. Researches and resolves coding related issues, and assists in meeting productivity and quality standards. Contacts other facilities to obtain medical records and information need to bill for services rendered. Verifies fee tickets and physician...