28 payment integrity coder jobs found

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Overview Introduction Do you want to join an organization that invests in you as an Inpatient Coder? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and...

Hospital Inpatient Coder Join to apply for the Hospital Inpatient Coder role at HCA Healthcare . 5 days ago – Be among the first 25 applicants. Do you want to join an organization that invests in you as an Inpatient Coder? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Benefits Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long‑term care coverage, moving assistance, pet insurance and more. Free counseling services...

ABOUT PERFORMANT: At Performant, we’re focused on helping our clients achieve their goals by providing technology-enabled services which identify improper payments and recoup or prevent losses due to errant billing practices. We are the premier independent healthcare payment integrity company in the US and a leader across several markets, including Medicare, Medicaid, and Commercial Healthcare. Through this important work we accomplish our mission: To offer innovative payment accuracy solutions that allow our clients to focus on what matter most – quality of care and healthier lives for all. If you are seeking an employer who values People, Innovation, Integrity, Fun, and fostering an Ownership Culture – then Performant is the place for you! ABOUT THE OPPORTUNITY: Hiring Range: $78,500 - $104,000 The Healthcare Services Concept Specialist provides support to assigned Segment Specialists by maintaining current audit concepts as well as provide support for the development process of...

Description Do you want to join an organization that invests in you as an Inpatient Coder? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Introduction Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coder like you to be a part of our team. Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans...

Pro Fee Coder Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder I may...

Pro Fee Coder Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder I may...

Job Description - HIM Coder 2 (2600005P) Job Summary Under the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will: 1. Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. 2. Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper. 3. Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter. 4. Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and/or Supervisor to query for clarification of ambiguous documentation or patient diagnostic and procedural information in the medical record. 5. Be knowledgeable in the requirements of the industry with regard to...

Coding Specialist At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers...

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that...

Job Description This entry-level position is responsible for auditing outpatient and ambulatory services claims to federally funded healthcare payors across the Baptist Physician Enterprise (BPE) organization. The position audits and provides feedback as needed and attends BPE department meetings as needed to respond to compliance related coding and billing questions and provide feedback on audit findings and necessary remediation/corrective action requirements. The position analyzes coded records for compliance with federal, state and third-party insurer rules and regulations and note trends. The position educates physicians and staff on error trends and how to prevent/reduce errors to demonstrate compliance with the False Claims Act, the Federal Overpayment Rule, CMS and Medicaid billing and coding requirements; and maximize reimbursement. This role requires a keen eye for detail, excellent communications and critical thinking skills, and a commitment to maintaining the...

Clinical Coder II Job no: 538399 Work type: Staff Full-Time Location: Main Campus (Gainesville, FL) Categories: Health Care Administration/Support Department: 57720000 - INSTITUTE-CHILD HEALTH POLICY Classification Title: Clinical Coder II Classification Minimum Requirements: High school diploma or equivalent and minimum of three years of professional medical coding experience required. Relevant college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Certification as a Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC) or one of the following credentials, is required: Certified Coding Specialist (CCS-P)/Certified Coding Assistant (CCA)/Registered Health Information Administrator (RHIA), or an equivalent certification. Job Description: The Institute for Child Health Policy (ICHP) at the University of Florida supports contracts with Texas and Florida...

Overview Apply now Job no: 538399. Work type: Staff Full-Time. Location: Main Campus (Gainesville, FL). Categories: Health Care Administration/Support. Department: 57720000 - INSTITUTE-CHILD HEALTH POLICY. Classification Title: Clinical Coder II Responsibilities Request, process, review, and validate medical records to ensure compliance with national quality measures and the accuracy of claims data. Apply technical expertise to abstract information and accurately enter it into specialized databases. Maintain and update quality improvement (QI) databases, generate reports, and assist with the interpretation of results. Ensure accurate data entry across QI medical record review (MRR) deliverables and provide technical and clerical support to MRR lead and QI staff. Accurately document data from QI deliverables, noting areas of concern. Prepare meeting materials, record minutes for meetings, reviews, and audits. Support literature reviews and contribute to QI team...

Job Requirements ** Candidate to be considered must reside in the state of Florida. This is a work from home opportunity with majority being remote work** Position Summary To be fully engaged in providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement. PRIMARY ACCOUNTABILITES 1. Uphold regulatory compliance by assigning and sequencing accurate ICD 10 and CPT 4 codes to reference lab, ancillary, emergency room, endoscopy, ambulatory surgery, observation, and other outpatient records as per coding guidelines demonstrating behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. 2. Validate accuracy of codes assigned by the computer assisted coding software, recognizing inappropriate application of clinical coding rules/guidelines, and revising the codes assigned based upon expert subject matter knowledge and provider...

Virtual HIMS Coder Career Opportunity Valued for your Expertise in HIMS Coding Are you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your passion and values? Join our team where we believe in careers close to home and heart. Your role is vital in ensuring accurate coding of medical records, maintaining data integrity, and supporting healthcare efficiency. Translating medical information into standardized codes, you'll contribute to quality patient care. As a HIMS Coder, responsibilities include precise coding based on ICD-10-CM and CMS 13 group codes and maintaining compliance with regulatory guidelines and company policies. If you're eager to make a meaningful impact, explore this exciting opportunity with us where your expertise meets personal values. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing...

Job Type Full-time Description Job Title: Surgical Coder Department: Revenue Cycle Management Reports To: RCM Director Location: HQ West palm Beach Position Summary: The Surgical Coder is responsible for accurately reviewing, analyzing, and assigning the appropriate CPT, ICD-10-CM, and HCPCS codes for surgical and procedural documentation in patient medical records. This role ensures coding compliance with all applicable regulations and guidelines to optimize reimbursement and maintain the integrity of clinical and financial data. Key Responsibilities: Review operative reports and clinical documentation to assign appropriate CPT, ICD-10-CM, and HCPCS Level II codes. Ensure accurate capture of modifiers and adherence to payer-specific coding guidelines. Verify that all coded information supports medical necessity and aligns with regulatory requirements (e.g., CMS, AMA, and payer-specific policies). Query physicians for clarification or...

Job Description Job Description Please only submit an application if you live in one of these states: FL, VA, TX, NY, NJ, MO About Us At Greenbrook Medical, we believe seniors deserve more from the healthcare system—more time, more care, more coordination, and more heart. We provide high-touch, relationship-based primary care to seniors, built around one simple idea: deliver the kind of care we'd want for our own parents. Founded by two brothers inspired by their father's pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey, making sure they're never alone in a complex system. Our business model is designed around patient outcomes, not volume—so we only succeed when our patients thrive. With roots in Tampa Bay and a partnership with Tampa General Hospital, we're growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven,...

Must live in one of the approved states: Florida, Alabama, Georgia The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This position does not have excessive re-bills. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation is there to support codes/ER charges assigned. Responsible for being knowledgeable of coding and diagnostic procedures, as well as...

Job Description Location Requirement: Candidates must reside in one of the following states: Florida, Alabama, or Georgia. If offered the position, will be required to come onsite in Pensacola, FL for orientation. The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This position does not have excessive re-bills. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate...

Join to apply for the Coder I - Remote/CPC role at Baptist Health Care . Location Requirement: Candidates must reside in one of the following states: Florida, Alabama, or Georgia. If offered the position, they will be required to come onsite in Pensacola, FL for orientation. Job Description: The Coder is responsible for ensuring that claims reflect accurate diagnoses as ordered by the healthcare provider. This position validates that the coding methodology correctly reflects how tests were performed and meets all state, federal, local, and payer guidance. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation. Stays knowledgeable of coding and diagnostic procedures, remaining current about federal legislative changes that affect outcomes....

A healthcare provider in Florida is seeking a HIMS Coder to ensure accurate coding of medical records and support healthcare efficiency. This role involves coding diagnoses per ICD-10 and maintaining data integrity while adhering to compliance standards. Ideal candidates will possess relevant certifications and a background in health information technology. Join a vibrant community dedicated to improving patient care through precise coding practices. #J-18808-Ljbffr

HIMS Coder Career Opportunity Join Encompass Health as a HIMS Coder and contribute to accurate coding of medical records, maintaining data integrity, and supporting healthcare efficiency. Translating medical information into standardized codes, you will improve patient care quality and help the organization meet regulatory standards. Responsibilities Accurately code diagnoses and procedures per ICD‑10‑CM and assign impairment and CMS 13 group codes. Extract information from medical records and input data into PATCOM and UDS Proware, establishing a comprehensive database within professional standards and regulatory guidelines. Uphold JCAHO standards and Encompass Health policies while ensuring precise medical record abstraction. Maintain compliance with regulatory guidelines and company policies surrounding coding and data management. Qualifications RHIA, RHIT, CCS, CCA, CPC/CPC‑A or equivalent certification required. Graduate of an accredited Health Information...

## **Current Employees:**If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this .The University of Miami/UHealth Department of Central Business Office has an exciting opportunity for a full-time Medical Biller to work in Miami, FL. The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records.* Assists patients, insurance companies, and laboratories with inquiries regarding billing issues.* Reviews records for patient information, insurance information, service descriptors, diagnosis codes and managed care authorization requirements, and coordinates corrections.* Prints daily appointment voucher report and reconciles all vouchers to report.* Enters, reviews, and retrieves patient account information from system and ensures...