7 primary care validation coder jobs found

Become a part of our caring community The Medical Coder confirms appropriate diagnosis related group (DRG) assignments. As a Medical Coder, you will provide medical coding expertise and support for accurate code assignment and documentation review. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Responsibilities Review medical records, clinical documentation, and related source materials to assign appropriate diagnosis and procedure codes Apply ICD-10-CM, CPT, HCPCS, and other applicable coding systems in accordance with official coding guidelines and company standards Ensure coding is accurate, complete, timely, and compliant with regulatory and organizational requirements Analyze, enter, update, and maintain...

Join Our Caring CommunityThe Medical Coder confirms appropriate diagnosis related group (DRG) assignments. As a Medical Coder, you will provide medical coding expertise and support for accurate code assignment and documentation review. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology.ResponsibilitiesReview medical records, clinical documentation, and related source materials to assign appropriate diagnosis and procedure codesApply ICD-10-CM, CPT, HCPCS, and other applicable coding systems in accordance with official coding guidelines and company standardsEnsure coding is accurate, complete, timely, and compliant with regulatory and organizational requirementsAnalyze, enter, update, and maintain coding-related...

Medical Coding CoordinatorThe Medical Coding Coordinator confirms appropriate diagnosis related to the appropriate Outpatient CPT and ICD-10 code assignments. As a Medical Coding Coordinator, you will provide medical coding expertise and support for accurate code assignment and documentation review. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology.ResponsibilitiesReview medical records, clinical documentation, and related source materials to assign appropriate diagnosis and procedure codesApply ICD-10-CM, CPT, HCPCS, and other applicable coding systems in accordance with official coding guidelines and company standardsEnsure coding is accurate, complete and compliant with regulatory and organizational...

Medical Coder The Medical Coder confirms appropriate diagnosis related group (DRG) assignments. As a Medical Coder, you will provide medical coding expertise and support for accurate code assignment and documentation review. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Responsibilities Review medical records, clinical documentation, and related source materials to assign appropriate diagnosis and procedure codes Apply ICD-10-CM, CPT, HCPCS, and other applicable coding systems in accordance with official coding guidelines and company standards Ensure coding is accurate, complete, timely, and compliant with regulatory and organizational requirements Analyze, enter, update, and maintain coding-related...

Join Our Caring Community The Medical Coder confirms appropriate diagnosis related group (DRG) assignments. As a Medical Coder, you will provide medical coding expertise and support for accurate code assignment and documentation review. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Responsibilities Review medical records, clinical documentation, and related source materials to assign appropriate diagnosis and procedure codes Apply ICD-10-CM, CPT, HCPCS, and other applicable coding systems in accordance with official coding guidelines and company standards Ensure coding is accurate, complete, timely, and compliant with regulatory and organizational requirements Analyze, enter, update, and maintain...

Job SummaryThe Medical Coder is responsible for accurately reviewing, coding, and validating medical documentation for primary care services in accordance with applicable coding guidelines, payer requirements, and regulatory standards. This role supports accurate billing, compliance, quality reporting, and risk adjustment by ensuring clinical documentation is complete, accurate, and properly coded for both commercial and Medicare populations.Required ExperienceMinimum of 2–3 years of medical coding experience in a primary care or outpatient settingExperience with Medicare, Medicare Advantage, and commercial payers requiredRisk adjustment and HEDIS coding experience preferredLicenses / CertificationsOne or more of the following required:CPC (AAPC)CCS or CCS-P (AHIMA)Additional risk adjustment certification preferred (CRC, COC, or equivalent)Knowledge, Skills & Abilities (KSAs)Advanced knowledge of ICD-10-CM, CPT, and HCPCS coding guidelinesStrong understanding of CMS, Medicare...

Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development . Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of...