13 pro fee coder jobs found

Job Summary The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...

"A New Approach to an Age-Old Need" -  Pathway Geriatrics is a nurse practitioner-owned medical startup headquartered in Redmond, WA, currently serving Greater Seattle. We provide in-home primary care services for homebound older adults. Said differently, we bring our medical services to our clients, who often can't leave their homes to get the specialized care they need. We have a uniquely deep background in technology (and tech startups), which heavily influences our workflows and culture. Our vision is to build a new kind of medical practice that melds the latest technologies and best practices with the caring hearts of top-tier professionals. The Basics We are looking for an experienced  (5+ years) Medical Billing Specialist to join our team. You can expect to work from home 2 days a week and from our office in Redmond, WA, the rest of the time. Typical business hours are 9:00 AM to 5:00 PM, Monday - Friday. Compensation The position will pay $60,000 - $75,000...

Outpatient Coder 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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role...

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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

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. 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...

VACANCY ANN#: STOI-25-117 TITLE: BILLER/CODER DEPARTMENT: DCWMHC SUPERVISOR: PATIENT SERVICES REPRESENTATIVE SUPERVISOR LOCATION: WELLPINIT, WA STATUS: NON-EXEMPT, FULL-TIME RATE OF PAY: $25-$35 PER HOUR/DOQ OPENING DATE: DECEMBER 22, 2025 CLOSING DATE: OPEN UNTIL FILLED INTRODUCTION: The Biller/Coder is responsible for ensuring accurate and compliant coding, billing, and claim submission for all clinical services provided at the Tribal health center. This role supports the integrity of the revenue cycle by reviewing provider documentation, assigning appropriate ICD-10, CPT, and HCPCS codes, and ensuring timely submission of clean claims to Medicaid, Medicare, private insurance, and Purchased/Referred Care (PRC) where applicable. The position also helps maintain eligibility documentation, monitors denials, and collaborates with clinical and administrative staff to ensure proper documentation and reimbursement. ESSENTIAL DUTIES & RESPONSIBILITIES:...

Become a part of our caring community and help us put health first The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Overview Join to apply for the Coder/Abstractor III (2025-1049) role at Valley Medical Center . Job Title: Coder/Abstractor III Req: 2025-1049 Location: Remote Potential Department: Health Information Management Shift: Days Type: Full Time FTE: 1 Hours: As assigned City State: Renton, WA Job Description This salary range may be inclusive of several career levels at Valley Medical Center and will be narrowed during the interview process based on several factors, including (but not limited to) the candidate's experience, qualifications, location, and internal equity. Responsibilities Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned. Resolves coding related edits and denials and provides ongoing feedback and education to physicians and clinicians. Follow up on all accounts unable to code due to missing/incomplete documentation or charges. Maintain...

Join to apply for the Coder/Abstractor III (2025-1426) role at Valley Medical Center . 4 days ago Be among the first 25 applicants Job Title: Coder/Abstractor III Req: 2025-1426 Location: Remote Potential, Renton, WA Department: Health Information Mgmt Shift: Days Type: Full Time FTE: 1 Salary Range: Min $28.00 - Max $46.80/hr (DOE) Job Description Health Information Management. The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Coder/Abstractor III JOB OVERVIEW: Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned. Resolves coding related edits and denials and provides ongoing feedback...

Job Overview Coder/Abstractor III (2025-1050) — Valley Medical Center Location: Remote Potential; City State: Renton, WA. Department: Health Information Management. Shift: Days. Type: Full Time. FTE: 1. Hours: As assigned. Salary : Min $28.00 - Max $46.80/hr DOE. Job Description The position is responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned. Responsibilities include resolving coding edits and denials, providing feedback and education to physicians and clinicians, and following up on accounts with missing or incomplete documentation or charges. Responsibilities Review medical record documentation and assign appropriate ICD-10 diagnoses and procedures to determine the correct MS-DRG or APR-DRG. Ensure final coding and DRG accuracy on inpatient accounts; maintain confidentiality of protected health information. Review coding-based edits, correct errors, and...

Overview Job Title: Coder/Abstractor III Location: Remote Potential • Department: Health Information Management • Shift: Days • Type: Full Time • FTE: 1 Base pay range: $28.00/hr - $46.80/hr Responsibilities Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned. Resolves coding-related edits and denials and provides ongoing feedback and education to physicians and clinicians. Responsible for following up on all accounts unable to code due to missing/incomplete documentation or charges. Reviews medical record documentation and accurately assigns ICD-10 diagnoses and procedure codes, leading to the assignment of the correct MS-DRG or APR-DRG. Maintains confidentiality of protected health information. Collaborates with Clinical Documentation Specialists, HIM deficiency team, and medical staff to ensure completeness of documentation so appropriate codes and DRGs...

* Conduct retrospective, concurrent, and prospective audits of medical records to validate the accuracy of ICD-10-CM codes and ensure documentation supports submitted diagnoses for Medicare Risk Adjustment (HCC coding).* Perform detailed internal and external coding audits on a regular basis as defined by compliance & department requirements, including for our nephrology partners.* Execute targeted audit plans, including performing targeted audits of identified HCC outliers.* Identify trends, patterns, and areas of opportunity for documentation and coding improvement through data analysis and audit findings.* Prepare and present formalized audit reports to leadership, summarizing findings, identifying risk areas, and recommending corrective action plans.* Assist in internal and external audits, including Risk Adjustment Data Validation (RADV) audits, by preparing documentation and responding to inquiries.* Perform necessary research to provide supportive regulatory and coding...