9 payment integrity coder jobs found

Job Summary Responsible for reviewing patients' medical records after a visit and translating the record into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting queries when appropriate. Essential Job Responsibilities Promote the mission, vision, and values of the organization Responsible for making sure CPT, HCPCS, modifiers, and ICD-10 codes are assigned correctly and sequenced appropriately as per guidelines and regulations. Ensuring compliance with medical coding guidelines and policies. Reviewing patients' records and documents for verification and accuracy. Following up and clarifying any information that is not clear to other staff members. Appropriately querying providers per coding guidelines. Ensure all codes are current and active Observe confidentiality and safeguards of all patients' related information. Maintain a good...

Job Description About the Role: We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact...

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. So, if you're looking for a change and want to join a pioneering team, look no further. Are you a dedicated and compassionate individual seeking a fulfilling career where you can make a real difference in people's lives? Look no further! Our organization is looking for a Medical Coder to join our dynamic and thriving healthcare organization committed to providing exceptional patient-centered care, and we want YOU to be a vital part of our team. Click here to watch a video and learn more about what it is to be a part of the ClearSky Rehabilitation team. 🌟 What We Offer: Your Path to a Rewarding Career Starts Here! 🌟 Competitive Compensation Comprehensive Benefits Package including Medical, Dental, Vision...

UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* *This position requires extensive knowledge and experience with E/M coding. *$4,000 Sign-on Bonus* Minimum $56,173 - Midpoint $70,217* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical...

Job Description Job Description Description: Job Description Position: Medical Billing Specialist Department: Revenue Cycle Management/Revenue Cycle Services Supervisor: Billing Manager Employment Type: Full-Time Scope: We are seeking an experienced Medical Billing Specialist to join our billing team. The ideal candidate would have a background in the medical billing processes, excellent communication skills, and the ability to handle complex billing tasks efficiently. This role involves resolving billing errors, interacting with patients and various clients, and ensuring an accurate and timely billing practice. CLIA Responsibilities: This is not a CLIA regulated position. Duties / Responsibilities: Patient and Business Communication: Answer billing questions for patients and businesses. Take credit card payments over the phone and provide billing support as required. Check and reply to emails related to billing inquiries and updates. Error...

CLOSING DATE: Monday, February 2, 2026, at 4:00 PM (MST) Salary Range: $26.13/hr. - $32.14/hr. **APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE** **RESUMES AND REFERENCES ARE REQUIRED** ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES Retrieves information from the RPMS in identifying the patients; and reviews medical records to insure FDIHB providers assign the correct diagnosis and procedural codes. Assigns and categorized codes using the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), International Classification of Diseases, Tenth Revision, Procedural Coding System (ICD-10-PCS), Current Procedure Terminology (CPT), Health Common Procedure Coding System (HCPCS) Code, coding guidelines and other policies set by FDIHB, Centers for Medicare and Medicaid Services (CMS) or other regulatory organizations as related. Uses the 3M Grouper System to assist in classifying diagnoses and verifying the...

Overview CLOSING DATE: Monday, February 2, 2026, at 4:00 PM (MST) Salary Range: $26.13/hr. - $32.14/hr. APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE RESUMES AND REFERENCES ARE REQUIRED Essential Duties, Functions And Responsibilities Retrieves information from the RPMS in identifying the patients; and reviews medical records to ensure FDIHB providers assign the correct diagnosis and procedural codes. Assigns and categorized codes using ICD-10-CM, ICD-10-PCS, CPT, HCPCS Code, coding guidelines and other policies set by FDIHB, CMS or other regulatory organizations. Uses the 3M Grouper System to assist in classifying diagnoses and verifying the accuracy of coding assignments. Abstracts necessary information by auditing and analyzing PCC, Electronic Health Record for appropriate Evaluation and Management (E&M) levels, CPT and HCPCS codes describing each medical/surgical procedure or supply on each patient visit. Performs quantitative analysis to ensure...

divh2Medical Coder Opportunity/h2pOur hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. So, if youre looking for a change and want to join a pioneering team, look no further./ppAre you a dedicated and compassionate individual seeking a fulfilling career where you can make a real difference in peoples lives? Look no further! Our organization is looking for a Medical Coder to join our dynamic and thriving healthcare organization committed to providing exceptional patient-centered care, and we want YOU to be a vital part of our team./ppWhat We Offer: Your Path to a Rewarding Career Starts Here!/pulliCompetitive Compensation/liliComprehensive Benefits Package including Medical, Dental, Vision/lili401k Matching/liliStudent Loan Repayment and Tuition Reimbursement/liliProfessional Development...

Medical Coding Auditor - Must have a NM Residence UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* *This position requires extensive knowledge and experience with E/M coding. *$2,000 Sign-on Bonus* Minimum $56,173 - Midpoint $70,217* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and...