20 pfs coder jobs found

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...

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...

Requisition number: 2308943 Job category: Medical & Clinical Operations $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 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 Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key...

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. What We’re Looking For We’re looking for experienced and credentialed inpatient 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...

Caring. Connecting. Growing Together 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 Assigns CPT and ICD-10 codes to all services Monitors assigned...

Join Optum 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. Schedule: Monday - Friday except for weekends for a shift differential You will 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 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with...

Primary Responsibilities Assign accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assign CPT and ICD-10 codes to all services Monitor assigned work queues to ensure all records are charged/coded in a timely manner Generate coding queries for clarification regarding physician documentation as needed Stay abreast of all changes in coding conventions and coding updates Manage significant workload and work efficiently under pressure, meeting established deadlines with minimal supervision Perform 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 & AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase...

Requisition number: 2309328 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. Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these...

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...

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. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for...

Job Overview Are you an experienced inpatient coder looking to work fully remotely, with a team that values accuracy, continuous learning, and work-life balance? Fairview is hiring-you'll work Monday through Friday, handling 80 hours per pay period.What You'll Do Review and code inpatient clinical records using ICD-10-CM and ICD-10-PCS in alignment with coding guidelines, MS-DRG / APR-DRG reimbursement rules, and Fairview protocols.Validate computer-assisted coding (CAC) output and ensure thorough, accurate coding.Analyze clinical documentation and drill down on severity of illness (SOI), risk of mortality (ROM), HAC, and POA indicators.Collaborate with CDI (Clinical Documentation Integrity) staff to drive provider education and documentation quality.Assist in provider queries to improve documentation specificity.Partner with revenue cycle teams to support prompt claim submissions and optimize financial performance.Required Qualifications (must be met to be considered) :Certificate...

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...

Overview Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. This is a remote, work-from-home opportunity. The role provides coding services to providers and requires strong organization, self‑direction, and proficiency with technical applications. Previous success in a remote environment is preferred. There is a $5,000 sign-on bonus for external applicants. Training is 4 weeks, from 8:00 AM to 5:00 PM, Monday through Friday, conducted virtually from home. You will have the flexibility to telecommute from anywhere within the U.S. while addressing coding responsibilities. Primary Responsibilities Identify appropriate assignment of ICD-10-CM and ICD-10-PCS Codes for inpatient services in a hospital setting and understand their impact on the DRG with reference to CC/MCC, adhering to official coding guidelines and client facility guidelines Abstract additional data elements during the chart review process when...

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. What We’re Looking For We’re looking for experienced and credentialed inpatient 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...

DRG auditor Location: Maplewood Mn Pay Rate: Negotiable Duration: 12 months potential for extension Summary We are seeking two experienced inpatient DRG Auditors for an as‑needed role offering flexible hours (8–40 hours per week). Candidates may already have full‑time jobs, and the position is open to applicants on either the East or West Coast. The role will likely include two interviews. Qualifications 5–7+ years of inpatient hospital coding/auditing experience Experience working in acute care hospitals, large hospital systems, or academic medical centers Strong expertise with ICD‑10‑CM/PCS, MS‑DRG and APR‑DRG methodologies Understanding of Elixhauser scoring, HACs, PSIs, and clinical validation Prior exposure to Clinical Documentation Improvement (CDI) preferred Ability to independently perform DRG audits with high accuracy Strong analytical, communication, and documentation skills Responsibilities Perform inpatient DRG audits to validate the accuracy of coded...

Schedule Monday - Friday except for weekends with shift differential. Telecommuting Telecommute from anywhere within the U.S. is available. All telecommuters must adhere to UnitedHealth Group's Telecommuter Policy. 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 assigned facility guidelines. Abstract additional data elements during Chart Review when coding, as needed. Adhere to ethical standards of coding established by AAPC and/or AHIMA. Maintain required levels of coding quality and productivity as established by Optum360. Provide documentation feedback to providers and query physicians when appropriate. Maintain up-to-date coding knowledge by reviewing materials disseminated by the QM Manager, Coding Operations Managers, and Director of Coding / Quality...

Stryker Corporation is looking for a skilled Medical Coder to join their team in Eden Prairie, Minnesota. The role requires expertise in ICD-10-CM and ICD-10-PCS coding, along with at least 3 years of experience in acute care inpatient coding. This position allows telecommuting from anywhere in the U.S., offering a competitive hourly pay range of $23.89 to $42.69, alongside comprehensive benefits including paid time off, medical plans, and a 401(k) saving plan. #J-18808-Ljbffr

The Medical Billing Specialist performs all functions as it relates to the billing and collections of accounts receivables for the billing for the Ambulatory Surgery Centers (ASC) for Twin Cities Orthopedics. This position will do training at the Golden Valley Business Center and then be fully remote. A $1,500 sign-on bonus will be offered, payable on first paycheck with a 12-month commitment. Internal applicants are not eligible for sign-on bonus. Essential Functions: Perform all daily functions as it relates to full accounts receivable management. Essential tasks include (but not limited to): Primary contact for all incoming receivable questions from both patients and insurances. Download and format SC Charge Entry Sheets using current software systems (Allscripts and Amkai) Responsible for timely action to claims populating the RCM queue in Amkai. Build relationships with ASC teams and supporting physician groups. Entry of Excel charges into Amkai and...

Job Duties Beacon Hill was founded to set a new standard in search, career placement and flexible staffing. Inpatient Medical Coder (Hospital - Acute Care) Location: Remote Type: Contract or Contract-to-Hire Duration: ~3 months initially, conversion following Schedule: 40 hours/week (flexible) Overview We are partnering with a leading healthcare organization to hire an experienced Inpatient Medical Coder to support high-acuity hospital coding operations. This role requires strong expertise in inpatient facility coding within complex clinical environments, including academic or trauma-based settings. This is an excellent opportunity for coders who are comfortable working independently with complex case mixes and maintaining a high level of accuracy in a fast-paced environment. Key Responsibilities Review and assign accurate codes for inpatient medical records, including diagnoses and procedures Apply ICD-10-CM, ICD-10-PCS, and MS-DRG/APR-DRG methodologies...

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...