27 plan coder jobs found

Profee Surgery Medical Coder The Profee Surgery Medical Coder is responsible for assigning ICD-10-CM diagnosis codes and surgical CPT codes as appropriate and abstracts pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, COC (No CCA's or CPC-A's) for a minimum of 2 years and have a minimum of 2 years relevant coding experience Must be at least 18 years of age Looking for the following specialties: Cardiology (Thoracic & Vascular) IR Neurology General Surgery OBGYN Orthopedics ENT Gastroenterology Urology Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has...

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, andlife 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 future of...

Profee E/M Medical Coder The Profee E/M Medical Coder is responsible for assigning ICD-10-CM diagnosis codes and E/M (Evaluation and Management) codes as appropriate and abstracts pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) for a minimum of 2 years and have a minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of...

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviewsmedical records toreport conditions that map toHCCs by reviewing medical record documentation and applying theappropriate ICD-10diagnosis codes. Followsstate and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works onprojects that may include making phone calls to providers. Works within broad guidelines with little...

Certified Coder, Special Investigations Unit (SIU) SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 hours / Days *Hybrid or Remote Join a mission-driven health plan where precision and expertise protect both members and resources-we're seeking a certified coder who can identify discrepancies others miss, analyze coding patterns with accuracy, and turn complex clinical data into clear, actionable insights; if you bring deep knowledge of coding standards, a sharp analytical mindset, and a passion for ensuring integrity in healthcare claims, this is your opportunity to make a meaningful impact and strengthen the quality of care delivery. Summary : Performs review of medical claims to ensure compliance with industry standard coding practices and plan payment policies through a comprehensive medical record evaluation for all provider types. Determines correct coding and appropriate documentation required while ensuring state, federal and company policies are...

Inpatient Medical Coder The Inpatient Medical Coder is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate and abstracts pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) for a minimum of 2 years and have a minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

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...

Coder APS Medical Billing located in Toledo, Ohio is seeking certified professional coders with experience in surgical pathology or diagnostic radiology to become part of our progressive team. This position works with clients to ensure proper documentation for charge capture and remains current with industry guidelines. $45,000.00 to $54,000.00 annually Qualifications Demonstrated ICD-10-CM proficiency Demonstrated understanding of the CPT guidelines for separate procedures, bundling, and add-on-codes Experience in abstracting medical records for accurate CPT code assignments Experience in surgical pathology or diagnostic radiology preferred Understanding and application of CMS initiatives including NCCI Edits, MIPS, and NCD/LCD policies Benefits Package includes Paid Time Off Medical plan Health Savings Account Alight Personal Health Care Advisor Dental, Vision, Life Insurance, 401K Paid holidays EAP - Employee Assistance Program We are an Equal Opportunity...

SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 hours / Days Hybrid or Remote Join a mission‑driven health plan where precision and expertise protect both members and resources—we’re seeking a certified coder who can identify discrepancies others miss, analyze coding patterns with accuracy, and turn complex clinical data into clear, actionable insights; if you bring deep knowledge of coding standards, a sharp analytical mindset, and a passion for ensuring integrity in healthcare claims, this is your opportunity to make a meaningful impact and strengthen the quality of care delivery. Summary Performs review of medical claims to ensure compliance with industry standard coding practices and plan payment policies through a comprehensive medical record evaluation for all provider types. Determines correct coding and appropriate documentation required while ensuring state, federal and company policies are met. Makes recommendations to Medical Directors, Compliance, Internal...

Maxim Healthcare, nation's largest privately owned healthcare staffing agency, takes pride in matching quality caregivers with our clients with the intention of finding a great fit! We offer positions on short term, long term contract and direct placement basis. Maxim has positions nationwide, don't hesitate to reach out to learn more! Job Description REMOTE INPATIENT CODER Maxim Health Information Services is seeking a full-time inpatient coder for a remote position. Candidate must have strong inpatient experience. Qualifications One of the following certifications: RHIA, RHIT, CCS, CPC Minimum of 3 years documented Coding experience Pass a pre-employment assessment Preferred Skills: Large, teaching facility experience 350+ Bed Hospital experience Experience with various encoders and EMRs; EPIC and 3M are strongly preferred ICD-10 trained Production rate can be between 2-3 charts/hour Additional Information Benefits for Working with Maxim Competitive Pay Health, Dental, Vision,...

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 this...

Certified Coder, Special Investigations Unit (SIU) (Job ID: 59225) SummaCare - 1200 E Market St, Akron, OH Full‑Time / 40 Hours / Days Hybrid or Remote Join a mission‑driven health plan where precision and expertise protect both members and resources—we’re seeking a certified coder who can identify discrepancies others miss, analyze coding patterns with accuracy, and turn complex clinical data into clear, actionable insights; if you bring deep knowledge of coding standards, a sharp analytical mindset, and a passion for ensuring integrity in healthcare claims, this is your opportunity to make a meaningful impact and strengthen the quality of care delivery. Summary Performs review of medical claims to ensure compliance with industry standard coding practices and plan payment policies through a comprehensive medical record evaluation for all provider types. Determines correct coding and appropriate documentation required while ensuring state, federal and company policies are met....

Location:Remote - OhioDepartment:HIM Revenue CycleWeekly Hours:0Status:Per DiemShift:Days (United States of America)Job Summary:As the Inpatient Hospital Coder III, you will translate health care services and procedures into standardized codes on inpatient accounts. You will work with Epic work quests to maintain timeliness of coding, billing and accounts receivable.You will communicate with providers, coders and clinical documentation specialists as needed for comprehensive patient record documentation.You will formulate, monitor and respond to all compliant documentation clarification requests to query the provider for resolution of incomplete documentation.The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive.REQUIREMENTSAssociate’s or bachelor’s degree in HIT/HIM OR High school diploma AND Certificate of Completion of AHIMA Coding Basics Program and Coding Assessment and Training Solutions...

Summa Health is seeking a certified coder for a hybrid position based in Akron, Ohio, ensuring compliance with coding practices and analyzing medical claims. The ideal candidate will have strong analytical skills, a solid understanding of coding standards, and the ability to manage time effectively. This position offers a salary range of $28.10/hr - $42.15/hr, along with a comprehensive benefits program. Join a mission-driven health plan committed to quality care delivery and employee satisfaction. #J-18808-Ljbffr

Location: Mount Holly - 175 Madison Avenue Remote Type: 100% Remote Employment Type: Employee Employment Classification: Per Diem Time Type: Part time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 0 Please note all candidates must complete & pass onsite testing in Marlton, NJ prior to an interview. Summary Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment. Position Responsibilities...

Overview Looking to join and lead a dynamic team at Ohio State University Physicians where excellence meets compassion? Who we are With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth. Our culture At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community. Our benefits We know that having options and robust benefit plans are important to you. OSUP prioritizes the...

Encompass Health Corporation in Westerville, Ohio is looking for a Virtual HIMS Coder to ensure accurate coding of medical records while supporting healthcare efficiency. The role involves coding based on ICD-10-CM and maintaining compliance with regulatory guidelines. Join a company recognized for its commitment to inclusion and continuous growth, offering generous paid time off and affordable medical plans. Candidates must reside within a 150-mile radius of an Encompass Health Inpatient hospital. #J-18808-Ljbffr

Requirements Previous medical billing experience required Experience with Home Care and/or Skilled Home Health billing required Working knowledge of ICD-10 diagnosis coding preferred Experience with Medicare, Medicaid, Managed Care, Private Pay, and Workers' Compensation billing preferred Familiarity with skilled home health documentation, authorizations, and payer requirements strongly preferred Experience reviewing clinical documentation, visit notes, EVV data, and caregiver flowsheets for billing accuracy preferred Strong attention to detail and organizational skills Ability to multitask and meet deadlines in a fast-paced environment Strong computer, data entry, and communication skills Strong problem-solving and follow-through abilities Responsibilities Process and submit home care and skilled home health billing claims accurately and timely Review caregiver flowsheets, clinical visit documentation, and EVV data for billing accuracy Verify...

We have an immediate opening for a Medical Biller who will be responsible for managing patient billing processes, ensuring accurate claim submissions, and facilitating communication between healthcare providers, patients, and insurance companies.  You will work 2 days a week from 9 a.m. to 5 p.m. Job Responsibilities: Prepare, submit, and follow up on medical claims to insurance companies and patients, ensuring that healthcare providers receive timely payment for services rendered Generate and send invoices to patients for outstanding balances, providing clear billing information, and payment options Verify patient insurance coverage and eligibility before services are rendered to minimize claim denials Assign appropriate medical codes to diagnoses, procedures, and services provided, ensuring compliance with coding guidelines Analyze and address denied claims by identifying reasons for denial, appealing decisions when appropriate, and implementing...

Join Datavant as an Outpatient Coder, where you’ll be part of a passionate team dedicated to transforming healthcare. In this fully remote role, you'll review medical records, assign accurate codes, and maintain high coding accuracy. Ideal candidates will hold AHIMA or AAPC credentials and have a minimum of 2 years of coding experience. We offer excellent benefits, including medical coverage, 401k plans, and professional development opportunities. #J-18808-Ljbffr

Job Title Join our dynamic team at Ohio State University Physicians where excellence meets compassion. Job Description With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth. At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community. We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and that's why...

A health care provider is seeking an Inpatient Coder to work from home in any state. The ideal candidate will have advanced coding experience, specifically with inpatient records and Medicare guidelines. Key responsibilities include reviewing medical records, accurately assigning codes, and collaborating with medical staff to ensure documentation accuracy. The position offers several benefits, including competitive pay, health coverage, and opportunities for professional development. #J-18808-Ljbffr