38 professional coder 2 jobs found

City / State Norfolk, VA Work Shift First (Days) 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...

Compliance Coding Auditor page is loaded## Compliance Coding Auditorremote type: Remotelocations: Norfolk, VAtime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR-99531**City/State**Norfolk, VA**Work Shift**First (Days)**Overview:**# Compliance Coding AuditorPerforms a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines.Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology,...

City / StateNorfolk, VAWork ShiftFirst (Days)Overview :Claims Resolution Coder- RemoteResponsible for reviewing medical documentation to assign modifiers to insurance claims with issues identified by the National Correct Coding Initiative (NCCI), Medicare Outpatient Code Editor (OCE),or other third party payer specific claims processing guidelines.Works with Coding, Billing and Reimbursement staff to resolve edits.Is additionally responsible for trending errors, supporting identification of root causes, and effective communication with coding and training staff to improve coding accuracy and clean claims processing.Researches regulations to ensure accuracy of CPT codes and documentation.Associates degree in Health Information Technology or Medical Billing preferred.2 years direct application of coding, medical billing or reimbursement in health care setting, hospital or physician office required.CPC or CCS coding certification required at time of hire.Thorough knowledge of lab,...

Coder Position The Atlantic Region CBO is seeking a dynamic and talented Coder. The Coder is responsible for reviewing medical records and assigning ICD-10-CM and CPT codes to Inpatient and/or Outpatient records. Key responsibilities include: posting charges and level emergency room visits, abstracting medical, demographic and other information from the medical record and entering data into the hospital wide information system, meeting coding standards and daily productivity, and other duties as assigned. Benefit highlights include a challenging and rewarding work environment, competitive compensation and generous paid time off, excellent medical, dental, vision and prescription drug plans, 401(k) with company match and discounted stock plan, SoFi student loan refinancing program, and career development opportunities within UHS and its 300+ subsidiaries. More information is available on our benefits guest website: benefits.uhsguest.com. Qualifications Job requirements include...

Job Description Job Description About Us: Dominion Women’s Health is dedicated to delivering high-quality healthcare services with accuracy, efficiency, and integrity. We are seeking a detail-oriented and knowledgeable Medical Coder to join our team on-site and play a critical role in ensuring proper coding and billing practices. As a part of our team, all employees must maintain strict confidentiality and adhere to all HIPAA and OSHA regulations to ensure patient privacy and workplace safety. Qualifications: Certified Professional Coder or Certified Professional Coder Apprentice 1–2 years of coding experience preferred (newly certified candidates may be considered). Strong knowledge of ICD-10, CPT, and HCPCS coding guidelines. Ability to work independently with strong attention to detail. Excellent communication and organizational skills. Must be willing to submit to a background investigation, including for example, verification of your past employment, criminal...

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...

Newport News, Virginia FOR APPLICATION REVIEW - PROVIDE YOUR CREDENTIAL OR AHIMA ID NUMBER ON YOUR APPLICATION OR RESUME This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. Overview Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient or inpatient records. Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation needed for accurate coding. Works with DRG and CPT denials from commercial payers and writes appeal letters as indicated. What you will do Ensures coding compliance. Applies all coding guidelines and principles as defined in the Coding Clinic and leading authorities. Complies with standardized coding standards, conventions and regulations, corporate compliance standards and reimbursement policies. Identifies training needs and provides education to team members. May teach...

Coder The Atlantic Region CBO is seeking a dynamic and talented Coder. The Coder is responsible for reviewing medical records and assigning ICD-10-CM and CPT codes to Inpatient and/or Outpatient records. Key responsibilities include: posting charges and level emergency room visits, abstracting medical, demographic and other information from the medical record and entering data into hospital wide information system, meeting coding standards and daily productivity. Other duties as assigned. Benefit highlights include: challenging and rewarding work environment, competitive compensation & generous paid time off, excellent medical, dental, vision and prescription drug plans, 401(K) with company match and discounted stock plan, SoFi student loan refinancing program, and career development opportunities within UHS and its 300+ subsidiaries! Qualifications: high school diploma or equivalent, 2 years coding experience in ICD-10-CM and CPT-4. Computer/keyboard skills, knowledge of...

About Integrated Management Strategies (IMS) LLC We are a women-owned small business and management consulting firm that provides an array of business and technical services. IMS is headquartered in the Washington, D.C. metropolitan area, with employees across 39 US states. What We Do We support the mission critical needs of federal agencies by leveraging our experience, talent and can-do attitude, and solve their strategic and operational challenges. How We Do It We earn our clients’ trust through our personalized approach and attention to detail, allowing us to collaborate and solve even the most complex problems. About the role Are you ready for your next career adventure? Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coding Auditor to join our healthcare consulting practice. The...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Were focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high-quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. Youll play a key part in healing the health system by ensuring our high standards for documentation processes...

Position Summary Codes accurately and productively with abstraction to assigned inpatient medical records to meet the reimbursement, indexing, and statistical requirements of the hospital. Consistently maintains production and accuracy standards at all times. Essential Duties and Responsibilities Accurately code and sequence all diagnoses and procedures documented in the medical record according to the established official coding guidelines, principles, and appropriate reimbursement standards. Utilizes Computer Assisted Coding software program following assigned workflows. Accurately abstracts required data entering into Computer Assisted Coding system. Works with Clinical Documentation Improvement Specialists to assure clear, concise, and specific documentation from physicians when clarification is needed. Issues accurate coding queries following AHIMA compliant coding query guidelines and assists medical staff member documentation clarification. Ability to meet and...

Posting Details Posting Summary Working Title Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Role Title Role Code FLSA Exempt Pay Band UG Position Number 295A0003 Agency Tidewater Community College Division Tidewater Community College (Div) Work Location Suffolk - 800 Hiring Range Commensurate with qualifications and experience. Emergency/Essential Personnel No EEO Category I-Faculty Full Time or Part Time Part Time Does this position have telework options? -Telework options are subject to change based on business needs- No Does this position have a bilingual or multilingual skill requirement or preference? Work Schedule Varies Sensitive Position No Job Description Tidewater Community College has served South Hampton Roads - both students and employers - for 50 years. It has grown from 1 campus into a regional educational and economic force. TCC is...

Title: Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Agency: Tidewater Community College Location: Suffolk - 800 FLSA: Exempt Hiring Range: Commensurate with qualifications and experience. Full Time or Part Time: Part Time Additional Detail Job Description: Tidewater Community College has served South Hampton Roads - both students and employers - for 50 years. It has grown from 1 campus into a regional educational and economic force. TCC is the largest provider of higher education and workforce services in Hampton Roads, enrolling nearly 25,000 students in 2024-25. Founded in 1968 as a part of the Virginia Community College System, Tidewater Community College (TCC) services South Hampton Roads with 4 campuses in Chesapeake, Norfolk, Portsmouth, and Virginia Beach, 7 regional centers and 2 important cultural institutions. The college had 3,399 graduates in 2024-2025, 40 percent of whom pursued degrees...

Coding Specialist Newport News, Virginia This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. Overview Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient or inpatient records. Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation needed for accurate coding. Works with DRG and CPT denials from commercial payers and writes appeal letters as indicated. What you will do Ensures coding compliance. Applies all coding guidelines and principles as defined in the Coding Clinic and leading authorities. Complies with standardized coding standards, conventions and regulations, corporate compliance standards and reimbursement policies. Identifies training needs and provides education to team members. May teach or coordinate coding huddles. Coaches and mentors staff. Performs focused reviews and quality...

This is a remote 6‑month contract outpatient surgical coder role with a potential extension or permanent conversion. The client is located in the United States and the coder must be based in AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, or WY. Responsibilities Review coding denials to determine accurate coding, add additional codes if required, and correct denials without writing appeals. Focus on outpatient surgical coding within the facility. Perform 3‑5 reviews per hour to meet performance standards. Qualifications 2–5 years of hospital surgical coding experience Experience with outpatient coding CCS, CPC, RHIA or RHIT certifications Experience working with denials Advanced knowledge of medical terminology, anatomy, physiology, pharmacology, and coding guidelines Epic experience Job Details Seniority Level: Associate Employment Type: Contract Job Function:...

Overview Aya Healthcare is looking for remote coders to fulfill upcoming needs at our partner facilities! Please note, this is an "evergreen" opening. You may not be contacted immediately. Job Details Job title: Medical Coder Contract duration: 13-52 weeks Shift: Day Reporting location: 100% remote Onboarding time: Expect 2-3 weeks from offer acceptance to start date. Responsibilities 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. This role includes research and planning aligned with department productivity standards and maintaining the approved work schedule. Qualifications Bachelors Degree in Health Information Management or similar field preferred. 2+ years of relevant experience preferred. Familiarity or experience with Computer Assisted...

This range is provided by Pride Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Direct message the job poster from Pride Health Job Title Job Title: Coding Specialist (OBGYN) (Temp-to-Hire) Location Location: Remote (Time Zone: EST) Shift Shift: Day shift Duration Duration: 6 months (26 Weeks) Pay rate Pay rate: $27.00 an hour on W2 Base pay range $25.00/hr - $27.00/hr Position Summary Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions. Assigns specified codes to medical diagnoses with some coding of specific clinical procedures. Job Requirements HS Diploma/GED Certification as a CPC or CCS-P required. Proficient in assigning and abstracting ICD-10-CM and CPT codes from provider...

Benefits: 401(k) matching Dental insurance Health insurance Vision insurance Lead the medical claims and coding analyses, identifying and resolving process, payment, and systems issues. Provide support in developing and maintaining bill processing controls, including determining restrictions on service code utilization based on code descriptions (HCPCS/CPT). Analyzing the performance of bill processing contractors by reviewing claim transactions to ensure accurate billing and processing, designing and implementing medical coding studies, and providing analysis and recommendations on medical coding practices, and response to customer inquiries. RESPONSIBILITIES: Plans, designs, and implements assignments, projects, and/or studies in the areas of medical coding. Utilizes current medical and scientific knowledge available in reference manuals, books, and other documents on how they clinically and administratively apply to the OWCP Central Bill Processing (CBP) processes....

Start Date: 2/24/2025 Contract: 6 month CTH HARD Requirements: Facility outpatient complex coding experience (5+ years experience) with at least 1 year educator/lead/etc. Could be someone who has worked 50/50 with education and productivity as their main responsibilities. Additional related education and/or experience preferred. ED experience is a plus. Outgoing and able to speak publicly to large teams virtually. Certifications: CPC license required Preferred COC, CCS, CPT Equipment: Laptop issued from Client Location: Fully remote Working AZ time, but can be flexible Assessment: Health Stream assessment will be taken after interview Metrics: Dependent on the tasks coming their way 1 on 1s with coders biweekly Applications: EMR - Cerner Optum coding software Interview Process: Team Size: Work in tandem with 2 outpatient educators (3 educators in total) Take care of several teams - outpatient diagnostics, ED, Outpatient complex (observation/surgery...

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. 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...

Inova Health is looking for a dedicated Medical Records Coder Supervisor to join the Inpatient team. Full-time Day Shift: Monday-Friday, general office hours, working remotely. This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their...

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...

Coder Position The Atlantic Region CBO is seeking a dynamic and talented Coder. The Coder is responsible for reviewing medical records and assigning ICD-10-CM and CPT codes to Inpatient and/or Outpatient records. Key responsibilities include: posting charges and level emergency room visits, abstracting medical, demographic and other information from the medical record and entering data into the hospital wide information system, meeting coding standards and daily productivity, and other duties as assigned. Benefit highlights include a challenging and rewarding work environment, competitive compensation and generous paid time off, excellent medical, dental, vision and prescription drug plans, 401(k) with company match and discounted stock plan, SoFi student loan refinancing program, and career development opportunities within UHS and its 300+ subsidiaries. More information is available on our benefits guest website: benefits.uhsguest.com. Qualifications Job requirements...

Job Description Inova Health is looking for a dedicated Medical Records Coder Supervisor to join the Inpatient team. Full-time Day Shift: Monday-Friday, general office hours, working remotely. This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team...