46 primary coder jobs found

Coding Quality Specialist 3 - PM&R CoderFocus on Encompass Hospital rehabilitation coding, which differs slightly from the typical PM&R coder. There will be wound care in addition to what you have below. They will be serving as a back up to all the items listed, so I think we could keep them, but a call out that the mainstay of the coding in Rehab Hospital coding. Accurate documentation and coding are essential to delivering high-quality patient care, supporting compliance, and ensuring the financial health of a leading academic medical center. This role offers an opportunity to make a meaningful impact by serving as a trusted coding quality resource for a highly specialized Physical Medicine & Rehabilitation practice. As a Coding Quality Specialist 3 supporting PM&R Musculoskeletal services, you will leverage your expertise in coding, auditing, and clinical documentation review to ensure accurate capture of complex services. This position will focus primarily on...

UVA Health is seeking a Lead Inpatient Coder to serve as the primary subject matter expert for hospital inpatient coding. This remote role focuses on auditing, education, and guidance to ensure the highest standards of accuracy, compliance, and reporting integrity. The ideal candidate has 5+ years of inpatient coding experience, CPC certification, and a proven ability to mentor others while working with complex cases and advanced programs in a leading academic health system. #J-18808-Ljbffr

Accurate coding is critical to the financial health, compliance, and operational success of a high-performing academic health system. This opportunity allows an experienced neurosurgery coding professional to contribute directly to revenue integrity, regulatory compliance, and the support of exceptional patient care through expert coding practices. As a fully remote Coding Specialist 3, you will serve as a subject matter expert in Gastrointestinal professional fee coding, independently reviewing complex clinical documentation and assigning accurate codes for surgical procedures, office-based services, and Evaluation & Management encounters. This role offers the opportunity to apply advanced coding expertise while partnering with providers and revenue cycle professionals to ensure coding accuracy, quality outcomes, and compliance. The Role In this highly specialized position, you will utilize your expertise in neurosurgery coding to accurately translate complex clinical...

The Clinical Coding Coordinator (Lead Coder) provides advanced coding expertise to ensure the accuracy, integrity, and completeness of coded data across hospital services. The coordinator performs pre-bill and retrospective validation reviews, resolves complex coding issues, and serves as a resource to coding, CDI, and related teams to ensure adherence to official coding guidelines and documentation standards. This role focuses on complex case review, quality oversight, and ensuring the integrity of coded data submitted for reimbursement, quality reporting, and value-based payment models. Performs pre-bill and retrospective reviews to validate the accuracy of diagnosis and procedure coding, sequencing, and DRG or APC assignment. Identifies and resolves coding issues that delay account completion and ensures documentation supports accurate capture of severity of illness and risk of mortality. Reviews and validates coding impacting comorbidities, patient safety...

About Baptist Health Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital. Baptist Medical Center Jacksonville is currently hiring for a Full-time Inpatient Hospital Coder to join our Appeals & Denials Department at Baptist Metro Square! The Inpatient Hospital Coder Responsibilities include: This role is responsible for correctly identifying and assigning diagnosis and procedure codes using the ICD-10-CM/PCS Classification System to each patient's account for optimization in accordance with State and...

## Description**Capital Area Health Network (CAHN)***Richmond, VA - On-Site Position*Make a real impact with Capital Area Health Network (CAHN), a dynamic and growing Federally Qualified Health Center (FQHC) located in the heart of Richmond, VA. We're expanding our team and seeking talented, mission-driven professionals who want to elevate community health. At CAHN, we innovate, we serve with purpose, and *we are just better.* Step into a role where your work creates lasting change.-**Our Core Values****Compassion** - We treat every person with dignity and fairness, ensuring no one feels alienated or discriminated against.**Accountability** - We safeguard confidentiality and remain transparent with all stakeholders.**Reverence** - We are called to serve and uplift those in need while fostering mutual respect.**Excellence** - We commit to continuous learning to deliver culturally responsive, high-quality care.**Stewardship** - We manage resources responsibly for the benefit of our...

About Baptist Health Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as "most preferred" for more than 30 years. We're Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital. Baptist Medical Center Jacksonville is currently hiring for a Full-time Inpatient Hospital Coder to join our Appeals & Denials Department at Baptist Metro Square! The Inpatient Hospital Coder Responsibilities include: This role is responsible for correctly identifying and assigning diagnosis and procedure codes using the ICD-10-CM/PCS Classification System to each patient's account for optimization in accordance with State...

Company DescriptionAmerica Networks is a leading sensor and networking solutions partner for companies in any Industrial, Manufacturing, and Waste management space. We design and manufacture sensors for storage tanks, water metering, energy metering, gas monitoring, and asset management. Our founders are hardcore telecommunications engineers with combined 200 + years of experience in designing, optimizing and performance engineering; for several mid – large wireless carriers internationally - that saw a need to provide low power, cost efficient sensors to collect data, create alerts, and predict needed actions. We have combined these sensors with low power, wide area (LPWA) networking technologies to provide clients various options to decrease re-occurring costs associated with operating an IoT network of sensors and connected devices. We specialize in design, deployment, optimization, and support of these Networks. Whether an off-the-shelf or custom solution is needed, we’ll...

Exceptional inpatient coding quality has a direct impact on patient care, reimbursement integrity, research initiatives, and the accuracy of healthcare data. This leadership-oriented coding opportunity allows an experienced inpatient coding professional to serve as a trusted expert, mentor, and quality champion within one of the nation's leading academic health systems. If you've progressed beyond production coding and enjoy auditing, education, solving complex coding challenges, and helping others succeed, this role offers the opportunity to make a meaningful impact while working with highly specialized cases and some of the most advanced programs in healthcare. The Role As the Clinical Coding Coordinator (Lead Coder) for Hospital Inpatient Coding, you will serve as the team's primary subject matter expert and quality resource. This is not a traditional production coding role. Instead, you will be the expert consultants turn to when complex questions arise, helping ensure...

Capital Area Health Network (CAHN) in Richmond, VA is seeking a Senior Certified Coder with FQHC expertise to ensure accurate outpatient coding across primary care, behavioral health, dental, and preventive services. The role requires CPC/CPC-H/CPC-P or RHIT certification and 5+ years of coding experience, including FQHC settings. You will review documentation, mentor team members, and support audits and revenue cycle initiatives, working on-site with a focus on compliance and payer requirements. #J-18808-Ljbffr

Exceptional inpatient coding quality has a direct impact on patient care, reimbursement integrity, research initiatives, and the accuracy of healthcare data. This leadership-oriented coding opportunity allows an experienced inpatient coding professional to serve as a trusted expert, mentor, and quality champion within one of the nation's leading academic health systems. The Role As the Clinical Coding Coordinator (Lead Coder) for Hospital Inpatient Coding, you will serve as the team's primary subject matter expert and quality resource. This is not a traditional production coding role. Instead, you will be the expert consultants turn to when complex questions arise, helping ensure the highest standards of coding accuracy, compliance, and reporting integrity. In this completely remote role you’ll work closely with coding professionals across the organization, providing guidance, education, quality oversight, and support for highly complex inpatient cases. Your expertise will...

Primary City/State: Phoenix, Arizona Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced Physician Coder with ideally 6 months-1 year Coding experience to join our talented team. Requires Certified Professional Coder (CPC) in active status (this position requires more than an apprentice CPC-A) with recent and consistent coding work history. This person will cover our Radiology group within banner and will be coding CT, Ultrasounds, All Modalities. We will accept CPC-A only if candidate has a minimum of 6 months experience coding radiology. Our leaders and coders...

MIS Software Application Programmer/Coder - II/Systems and Application Engineer Contract America Networks is a leading sensor and networking solutions partner for companies in any Industrial, Manufacturing, and Waste management space. We design and manufacture sensors for storage tanks, water metering, energy metering, gas monitoring, and asset management. Our founders are hardcore telecommunications engineers with combined 200 + years of experience in designing, optimizing and performance engineering; for several mid – large wireless carriers internationally – that saw a need to provide low power, cost efficient sensors to collect data, create alerts, and predict needed actions. We have combined these sensors with low power, wide area (LPWA) networking technologies to provide clients various options to decrease recurring costs associated with operating an IoT network of sensors and connected devices. We specialize in design, deployment, optimization, and support of these...

Capital Area Health Network (CAHN) in Richmond, VA seeks a Senior Certified Coder with 5+ years of professional coding experience, including 3+ years in an FQHC setting. You will code outpatient visits across primary care, behavioral health, dental, and preventive services, ensuring compliance with ICD-10-CM, CPT, and payer guidelines. Applicants should hold AAPC CPC/CPC-H/CPC-P or RHIT certification and be proficient with EHR and billing systems. Knowledge of PPS and RHC models is required. #J-18808-Ljbffr

Primary City/State: Phoenix, Arizona Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced Physician Coder with ideally 6 months-1 year Coding experience to join our talented team. Requires Certified Professional Coder (CPC) in active status (this position requires more than an apprentice CPC-A) with recent and consistent coding work history . This person will cover our Radiology group within banner and will be coding CT, Ultrasounds, All Modalities. We will accept CPC-A only if candidate has a minimum of 6 months experience coding radiology. Our leaders and...

City/State Norfolk, VA Work Shift Multiple shifts available Overview: Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full-time, permanent position (40 hours) Work hours:8am to 5pm EST, M-F Location: This position is remote for candidates that live in the following states:VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year. Job Responsibilities Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products. Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits. Contribute to the review of reimbursement systems relating to health insurance...

Company DescriptionAmerica Networks is a leading sensor and networking solutions partner for companies in any Industrial, Manufacturing, and Waste management space. We design and manufacture sensors for storage tanks, water metering, energy metering, gas monitoring, and asset management. Our founders are hardcore telecommunications engineers with combined 200 + years of experience in designing, optimizing and performance engineering; for several mid – large wireless carriers internationally - that saw a need to provide low power, cost efficient sensors to collect data, create alerts, and predict needed actions. We have combined these sensors with low power, wide area (LPWA) networking technologies to provide clients various options to decrease re-occurring costs associated with operating an IoT network of sensors and connected devices. We specialize in design, deployment, optimization, and support of these Networks. Whether an off-the-shelf or custom solution is needed, we’ll...

Medical Record Review SpecialistThe purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; Retrieves information from medical records, ensuring adherence with established methods and procedures.Key Responsibilities/Accountabilities:Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions.Sequence the diagnoses and procedures using coding guidelines.Ensure DRG/APC assignment is accurate.Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges.Serves as backup to other administrative functions as assigned.Meets job standards for achieving contract deliverables.Assists with other job- and education-related duties as assigned.Other duties as assignedRead, understand, and adhere to all corporate policies...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Medical Coder-Inpatient to join our growing team. Job Summary: The Medical Coder is responsible for reviewing inpatient medical record documentation to ensure the accuracy, completeness, and...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate...

City/State Norfolk, VA Work Shift Multiple shifts available Overview:Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status:Full-time, permanent position (40 hours) Work hours:8am to 5pm EST, M-F Location:This position is remote for candidates that live in the following states:VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year.Job Responsibilities:Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products.Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits.Contribute to the review of reimbursement systems relating to health insurance claims...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate...

Responsibilities The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. https://jobs.uhs.com/atlantic-region-cbo The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department. The primary responsibility of the DRG Coder is to analyze third party coding audits of paid claims, draft detailed appeal letters, evaluate clinical level of care and review denial trends. Key Responsibilities include Perform DRG (Diagnosis Related Group) validation reviews in response to audits from third party payers. Review audit findings letters from third party payers to obtain a clear understanding of audited diagnosis codes and underlying payer clinical / coding rationale. Analyze medical records to obtain supporting clinical documentation for billed diagnosis...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate...