169 professional coder 2 jobs found

Job Description Must have: CCS, RHIT/RHIA or nursing certification/License with inpatient auditing experience Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. 3.Able to communicate effectively with coders and CDI staff. 4.Demonstrates knowledge of coding policy and procedures. 5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. 6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 7.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments....

Inpatient Coder Level 2 The Inpatient Coder Level 2 performs independent coding of inpatient medical records, ensuring accuracy assigning ICD-10-CM and ICD-10-PCS codes for inpatient hospital encounters in compliance with official coding guidelines, regulatory agencies, and hospital policies. This role requires prior coding experience and strong knowledge of DRG (Diagnosis Related Group) assignment, clinical documentation, and coding compliance. Primary Department, Division, or Unit: Coding Support Services, UHS Revenue Cycle Operations Primary Work Shift: Day Compensation Range: $27.80 - $41.69 per hour, depending on experience You will be eligible for benefits if you are hired into a regular position with at least 24 scheduled weekly hours. Key Responsibilities Demonstrate proficient understanding of complex clinical scenarios, including comorbidities and complications. Analyze detailed clinical documentation to identify relevant clinical indicators for accurate coding....

Medical Group Coder I Under the direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality and revenue cycle operations. The coder reviews and analyzes medical records to accurately select all forms of HCPCS service codes (HCPCS, CPT, CPTII, CPTIII) and ICD-10-CM codes for professional services of hospital-based primary care, psychiatric and other non-inpatient surgical providers. This includes services in the office or other outpatient settings and inpatient settings. Core Job Responsibilities Assign the applicable HCPCS (HCPCS, CPT, CPTII, CPTIII) service codes based on review and analysis of medical records, following CMS, CPT, insurance company, hospital based and office based guidelines. Assign applicable modifiers, review medical necessity, CCI and other internal and external coding edits. Assign applicable ICD-10-CM diagnosis codes based on knowledge of ICD-10-CM,...

Medical Coding Specialist (NY HELPS) - FT - Day Shift HOURLY RANGE: $26.57 - $34.83 NY HELPS: This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means NO EXAMINATION IS REQUIRED, but all candidates must meet the minimum qualifications of the title for which they apply. At a future date (within one year of permanent appointment), it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, WITHOUT HAVING TO TAKE A CIVIL SERVICE TEST. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified. DISTINGUISHING FEATURES OF THE CLASS: The work involves performing the...

Certified Medical Coder Medical Health Associates (MHA) is seeking an experienced Certified Medical Coder to join our team supporting a network of outpatient pediatric physician offices. This position is responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, ensuring compliance with coding regulations, and helping optimize reimbursement while maintaining the highest standards of accuracy and integrity. Essential Responsibilities Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for outpatient pediatric services. Ensure coding complies with payer guidelines, federal regulations, and organizational policies. Identify and resolve coding discrepancies by working collaboratively with providers and clinical staff. Review claims for coding accuracy prior to submission. Assist with denial management and coding-related appeals as needed. Stay current with coding updates, payer requirements, and regulatory...

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. 1,500 Sign on Bonus 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,...

Inpatient Hospital Coder The Inpatient Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services. This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position. Qualifications Inpatient Coding Experience 2+ years Preferred High School Diploma/G.E.D. - required Prior experience in hospital/inpatient medical coding - preferred Prior experience with 3M 360 and EPIC system - preferred Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency) Excellent written and...

We appreciate that you are interested in pursuing your next career opportunity. As you complete the application below, here are a few tips you should consider: Visit Go/Develop forinformation on professional development, resume guidance, and interview best practices. Watch a quick video to discover how Humana’s Career Framework can help you identify meaningful growth opportunities. Visit Go/AskARecruiter for expert advice on your job search from our Talent Acquisition Team. Tailor your resume to highlight achievements and skills that align with the roleyou'reapplying for. Update your Workday profile to reflect your key accomplishments and experiences. Please read the job description carefully and ensure you meetallrequired qualifications. Consider having a conversation with your current leader about your career goals and interest in this opportunity. Their support can be valuable as you explore your next step. Job Profile Medical Coding Professional 2 Job Level...

SwiftCruit is seeking a Coding Specialist to perform CPT, HCPCS, and ICD-10-CM coding for outpatient surgeries. Candidates must have 2-3 years of relevant coding experience and be certified through AAPC or AHIMA. The role is remote and requires proficiency in Microsoft Excel and coding references. In this position, you will support our clients by accurately applying coding guidelines and maintaining compliance. Interested candidates should demonstrate effective communication and productivity. #J-18808-Ljbffr

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—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, Datavant 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. *****1,500 Sign on Bonus***** 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...

HCC Medical Coder Location: Fully Remote Positions Available: Up to 200 Employment Type: Contract (2 months) Pay Rate: $27/hour Schedule: Full-time preferred Minimum 20 hours/week between 8:00 AM – 8:00 PM CST Must be available 8:00 AM – 5:00 PM CST for the first 2 weeks of training Training: 2 weeks, Monday–Friday Contract End Date: January 31, 2026 Equipment: Provided Paid Time Off: Not included; paid only for hours worked Job Summary We are seeking experienced HCC Medical Coders to join a large-scale remote project. In this role, you will review medical charts, assign accurate ICD-10 codes for risk adjustment, and ensure compliance with coding standards. Successful candidates will demonstrate strong attention to detail, coding accuracy, and productivity while working independently in a fast-paced environment. Key Responsibilities Assign accurate ICD-10 codes for physician and facility services in observation and inpatient settings Maintain knowledge of...

Jobgether, on behalf of a partner company, is seeking a RCM Specialist / Certified Professional Coder (CPC) based in the United States. The role focuses on accurate claims processing, billing resolution, and compliance to support accessible, patient-centered care. You will manage denials, verify eligibility, work with payers, and help improve reimbursement workflows in a fully remote US environment. The ideal candidate holds CPC or CPB certification and has 1–2 years of medical billing #J-18808-Ljbffr

Health Information Management Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the director of Health Information Management, accurately code outpatient conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Responsibilities - Utilizing all required electronic applications interprets and abstracts pertinent patient health information from documentation in the medical record. Identifies the principle, secondary diagnosis and procedures including complications and co morbidities. All coders are required to continuously maintain the required standards of...

Job Title Health Information Management Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1. Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3. Utilizes resources and reference materials to identify appropriate codes and reference code applicability, rules and guidelines. 4. Applies the Uniform Hospital Discharge Data Set definitions as well as any additional regulatory guidelines and/or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable), as...

Brellium Mission Brellium's mission is to improve the standard of care across the US healthcare system. We've built AI-powered technology that helps healthcare providers deliver safer, higher-quality care - starting with the first real-time medical review platform built to fix clinical and compliance risks before they impact patients. Each year, 1 in 20 people in the U.S. experiences a medical diagnostic or compliance-related mistake. Most providers lack the time, staffing, and tools to mitigate these issues - so they go unnoticed, impacting care quality and increasing clinical and financial risk. Brellium is building the AI-powered platform that helps providers deliver safer, more consistent care by mitigating risk early and aligning patient visits with clinical best practices. Our goal is to give every provider in the U.S. the tools to deliver clinically excellent, data-driven care - at scale. Brellium was founded in 2021. Since then, we've grown to serve over 250,000 providers...

Inpatient Medical Coder 2 This area codes inpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Medical Center and The James Cancer Hospital. ICD-10-CM/PCS codes are assigned for the diagnoses and procedures for all inpatients treated within the OSU Health System. Medical record abstract data is reviewed for accuracy in EPIC/IHIS before completing the chart. This position is responsible for coding some or all the following types of records: inpatient record types. The position is primarily responsible for coding medical records and other documents at the conclusion of the patient's visit. This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, and sequencing diagnoses and procedures. Codes flow from the Encoder Software to EPIC/IHIS Resolute Billing system. This staff member is responsible for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital...

Beyond Blue Job Posting Title: PB Coder Associate Requisition Number: R-000002746 Department Name: Supervisor, PB Coding Work Location: Remote-KY Grade Level: 2 Type of Position: Regular Position Time Status: Full time Equivalency Link https://hr.uky.edu/employment/working-uk/equivalencies Shift: Days (United States of America) Job Description: Job Summary Responsible for learning and performing basic professional billing coding functions under close supervision. Applies knowledge of medical terminology, anatomy, and ICD-10, CPT, and HCPCS coding guidelines to assign codes for outpatient and physician services. Ensures accuracy and compliance with organizational policies, payer requirements, and regulatory standards. Develops foundational coding skills through training, mentoring, and supervised practice. Essential Functions • Assigns basic CPT, HCPCS, and ICD-10 to PB service with low-level of complexity. • Maintains consistent achievement of departmental productivity and...

Job Title Health Information Management Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1. Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3. Utilizes resources and reference materials to identify appropriate codes and reference code applicability, rules and guidelines. 4. Applies the Uniform Hospital Discharge Data Set definitions as well as any additional regulatory guidelines and/or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if...

Ellis Medicine is seeking a Medical Coder II to support revenue cycle activities across physician practices. Responsibilities include charge entry, charge reconciliation, code review, and ensuring documentation supports CPT/HCPCS and ICD-10 guidelines. The role requires CPC/CCS/RHIT/RHIA credentials and 2–5 years of outpatient coding experience, with proficiency in Windows, Excel, and Word. Soarian and Cerner PowerChart experience preferred. #J-18808-Ljbffr

Schedule - Shift - Hours Part Time (20 Less than 36 Hours) - Days The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to (1) managing the charge entry and charge reconciliation process for the assigned practice(s), (2) managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete, timely and accurate submission of claims, (3) facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts; and (5) ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. This position requires interacting with EMG leadership,...

We appreciate that you are interested in pursuing your next career opportunity. As you complete the application below, here are a few tips you should consider: VisitGo/Develop forinformation on professional development, resume guidance, and interview best practices. Watch a quick video to discover how Humana’s Career Framework can help you identify meaningful growth opportunities. Visit Go/AskARecruiter for expert advice on your job search from our Talent Acquisition Team. Tailor your resume to highlight achievements and skills that align with the roleyou'reapplying for. Update your Workday profile to reflect your key accomplishments and experiences. Please read the job description carefully and ensure you meetallrequired qualifications. Consider having a conversation with your current leader about your career goals and interest in this opportunity. Their support can be valuable as you explore your next step. Job Profile Medical Coding Professional 2 Job Level...

Certified Coder - University Associates in Obstetrics & Gynecology, UFPC Location: Stony Brook, NY At the manager's discretion, this role may be eligible for remote work; (2-3 days per week on a rotating schedule after the first 90 days) this position is only available to New York State residents. Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay: $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible...

How you move is why we’re here. ® Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let’s talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise. Emp Status Contractor Part time Work...