41 professional coder associate jobs found

Overview Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Responsibilities Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and...

Under direct supervision, the Senior Inpatient Coder accurately codes hospital inpatient accounts for appropriate reimbursement, research, statistics, and compliance with federal and state regulations using established ICD-10-CM and ICD-10-PCS classification systems. Key Responsibilities Serve as a clinical coding subject matter expert Apply strong critical thinking skills to analyze and evaluate documentation issues in collaboration with medical staff, clinical staff, and clinical documentation specialists Analyze, code, and abstract complex inpatient cases including trauma, rehab, neurology, and critical care using ICD-10-CM and ICD-10-PCS to ensure accurate APR-DRG, SOI, ROM, and POA assignment Collaborate with senior coders and coding staff to share knowledge and provide guidance on complex cases Monitor assigned workload daily to support timely billing processes Code and abstract records within established turnaround times for each patient type Maintain a coding accuracy rate...

Under direct supervision, the Senior Inpatient Coder accurately codes hospital inpatient accounts for appropriate reimbursement, research, statistics, and compliance with federal and state regulations using established ICD-10-CM and ICD-10-PCS classification systems. Key Responsibilities Serve as a clinical coding subject matter expert Apply strong critical thinking skills to analyze and evaluate documentation issues in collaboration with medical staff, clinical staff, and clinical documentation specialists Analyze, code, and abstract complex inpatient cases including trauma, rehab, neurology, and critical care using ICD-10-CM and ICD-10-PCS to ensure accurate APR-DRG, SOI, ROM, and POA assignment Collaborate with senior coders and coding staff to share knowledge and provide guidance on complex cases Monitor assigned workload daily to support timely billing processes Code and abstract records within established turnaround times for each patient type Maintain a coding accuracy rate...

Under direct supervision, the Senior Inpatient Coder accurately codes hospital inpatient accounts for appropriate reimbursement, research, statistics, and compliance with federal and state regulations using established ICD-10-CM and ICD-10-PCS classification systems. Key Responsibilities Serve as a clinical coding subject matter expert Apply strong critical thinking skills to analyze and evaluate documentation issues in collaboration with medical staff, clinical staff, and clinical documentation specialists Analyze, code, and abstract complex inpatient cases including trauma, rehab, neurology, and critical care using ICD-10-CM and ICD-10-PCS to ensure accurate APR-DRG, SOI, ROM, and POA assignment Collaborate with senior coders and coding staff to share knowledge and provide guidance on complex cases Monitor assigned workload daily to support timely billing processes Code and abstract records within established turnaround times for each patient type Maintain a coding accuracy rate...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

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. 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 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...

Additional Information Position Objective: The Medical Lead Coder under the supervision of the Manager of Coding and Data Quality In accordance with Luminis Health coding guidelines, ICD-10-CM Official Coding Guidelines for Coding and reporting and other authoritative resources assists with oversight of daily coding operations. This may include work volume and distribution, workflow evaluations and testing. This position may also include reviewing and reconciling reports, providing coding training within the Coding Department, and performing research on coding issues. Essential Job Duties: 1. Review medical records, including patient histories, examination findings, diagnoses, and treatment plans, to extract pertinent information for code assignment. 2. Assign accurate codes to diagnoses, procedures, and services rendered using coding systems such as ICD (International Classification of Diseases) and CPT (Current Procedural Terminology). 3. Ensure compliance with coding...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

Overview Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Responsibilities Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting...

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 documentation. 2+...

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...

Currently recruiting an REMOTE Medical Coding Auditor to provide support to Active Duty heroes, their families, and retirees.The full-time position is Monday-Friday, 8 hours shifts between 7:30am and 4:30pm.DUTIES OF THE MEDICAL CODING AUDITOR:Verifies the accuracy of the diagnosis, procedure, supply codes, modifiers, and sequencing for the professional and institutional (facility) components of inpatient, ambulatory, and outpatient encounters.Provides second-level review of coding assignment to ensure compliance with legal and procedural policies to ensure optimal reimbursements while adhering to regulation prohibiting unbundling and other questionable practices.Examines records for proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained.When assigned to perform Data Quality Management Control (DQMC) audits, provides each assigned MTF with coding audit accuracy data...

Senior Outpatient Coding Specialist - RemoteMonday - Friday 6AM-6PM ET (40 hours/week)We are seeking aJob RequirementsSenior Outpatient Coding Specialist - RemoteMonday - Friday 6AM-6PM ET (40 hours/week)We are seeking a Senior Outpatient Surgery Coder with experience in IR & Cardiology coding to join our team. This role is responsible for the accurate and timely assignment of CPT, ICD-10-CM, and applicable modifiers for IR & Cardiology procedures, ensuring compliance with official coding guidelines, payer requirements, and organizational policies. The Senior OP Surgery Coder possesses the ability to code these complex cases and contributes to quality initiatives, audits, and process improvements. The ideal candidate demonstrates knowledge of surgical anatomy, operative reports, and specialty-specific procedures, along with strong critical-thinking skills, attention to detail, and the ability to work independently while meeting productivity and quality standards. This role...

Senior Outpatient Coding Specialist - RemoteMonday - Friday 6AM-6PM ET (40 hours/week)We are seeking aJob RequirementsSenior Outpatient Coding Specialist - RemoteMonday - Friday 6AM-6PM ET (40 hours/week)We are seeking a Senior Outpatient Surgery Coder with experience in IR & Cardiology coding to join our team. This role is responsible for the accurate and timely assignment of CPT, ICD-10-CM, and applicable modifiers for IR & Cardiology procedures, ensuring compliance with official coding guidelines, payer requirements, and organizational policies. The Senior OP Surgery Coder possesses the ability to code these complex cases and contributes to quality initiatives, audits, and process improvements. The ideal candidate demonstrates knowledge of surgical anatomy, operative reports, and specialty-specific procedures, along with strong critical-thinking skills, attention to detail, and the ability to work independently while meeting productivity and quality standards. This role...

Lifebridge Health, Inc. is seeking a detail-oriented professional for their Health Information Management Department in Baltimore, Maryland. The candidate will be responsible for coding and abstracting medical records of outpatient facilities, ensuring accuracy and compliance with established guidelines. Ideal candidates hold an Associate's degree and have one to three years of experience. Relevant certifications like CCS or RHIA are required. Our organization values innovation and offers ample opportunities for growth, including tuition reimbursement and professional development. #J-18808-Ljbffr

Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. About the Role: Certified Coder reviews clinical documentation, abstracts and code(s) based on AMA, CCI Polices, Government Regulations, Payer Policies, and ICD-10-CM guidelines. Coders will submit charges through IDX. Coding feedback will be sent to providers regularly. Coders will serve as a coding resource for their coding assignment(s). Identify trends and coding educational opportunities to management. 100% REMOTE POSITION! CANDIDATES MUST RESIDE IN MD, DC, PA, VA OR WVA KEY RESPONSIBILITIES: Review documentation and follow American Medical Association, Government Regulations, Correct...

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry-standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana's internal standards. The Medical Coding Auditor Evaluation & Management will report to the Manager, Medical Coding. WORK STYLE: Remote/Work at home WORK HOURS: Associates will work on EST, regardless of where the associate resides. All associates must start between 6AM-9AM EST, Monday - Friday as a dedicated schedule. Work...

Outpatient Coder Location Baltimore, MD Facility SINAI CORPORATE Department HLTH INFORMATION MNG Schedule - Shift - Hours PRN - As Needed - 8:00am-4:30pm Job Category PROFESSIONAL Req # 87195 $21.06-$39.12 Experience based Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests. SIGN-ON BONUS ELIGIBLE $10,000 Eligible remote states: District of Columbia,...

LifeBridge Health is seeking a Remote Medical Coder to join its Health Information Management Department. This role involves coding and abstracting outpatient medical records, ensuring accurate coding for various procedures. Candidates must have an Associate's degree and 1-3 years of experience, along with certifications like CCS or CPC-H. The position also offers professional growth opportunities and competitive benefits, all while working in a dynamic health system committed to community care. #J-18808-Ljbffr

Overview At Anne Arundel Dermatology we give exceptional care - to our patients and to eachother.  Patient First | Caring | Accountability | Trust | One Team | Growth The Coding Auditor and Educator role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing.  In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information.  An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a “hands on” environment.  The majority of time is spent in the delivery of support services or activities, typically under supervision.  An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require...

Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Responsibilities Serves as a clinical coding subject matter expert, utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Collaborates with other senior coders and other coding staff to share coding information and provide coding advice regarding complex cases. Monitors assigned work daily to facilitate the...

Summary 100% REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 Eligible remote states: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests. Key Responsibilities: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of...

Job Requirements Inpatient Coder - Remote Part Time, 20 Hours/Week We are hiring for an inpatient coder! We are looking for candidates with one of the following certifications: CCS, CIC, RHIT, or RHIA. Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive...

Summary 100% REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 Eligible remote states: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests. Key Responsibilities: Following established conventions and guidelines, codes and abstracts the medical records of inpatients. Groups...