7 program manager certified coder jobs found

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. Datavantes 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 this...

Medical Coder 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high-quality health services. As a Medical Coder, you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met....

Louisville, KY, United States of America The Coder reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. This role is responsible for coding, charge entry, Accounts Receivable (A/R) follow-up and reimbursement management. This position also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Essential Duties and Responsibilities Assigns and sequences codes to diagnoses and procedures for documented information. Assures the final diagnoses and operative procedures as stated by the provider are valid and complete. Pulls all necessary information from health records to identify secondary complications and co-morbid conditions Abstracts all necessary information and assigns codes, which most accurately describe each documented diagnoses, procedure and special therapy according to established guidelines Determines the final...

Experience Required 5 - 20 years Minimum Education Required Bachelor's Degree Compensation $7.25 / hourly Hours Per Week 40 Number Of Positions 1 Work Schedule and Shift Requirements First (Day) Job Description Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs. As part of the Complex Payment Solutions Team, the Audit Policy Analyst applies subject matter expertise across government and commercial healthcare...

Summary Medical Record Technicians (MRTs) (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. MRTs apply knowledge of medical record content, terminology, anatomy, diseases processes, and official coding guidelines to assign codes to the most basic and routine inpatient facility and/or professional services. Learn more about this agency Duties Help Total Rewards of a Allied Health Professional Duties of the position will vary dependent on grade for which selected, but may include: Selecting and assigning codes from the current versions of the International Classification of Diseases (ICD), Clinical Modification (CM), and Procedure Coding System (PCS) for inpatient facility MS-DRG coding, Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS) for...

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. As a Medical Coder , you will provide coding and coding auditing services directly to providers. You will play a key part in healing the health system by ensuring our high standards for documentation processes are met. At Optum, you will contribute to improving the health of our members, enhancing operational effectiveness, and reinforcing our reputation for high‑quality health services. Hours and Location This position is full‑time (40 hours / week), Monday – Friday, 8‑hour shifts (5 days a week). You will work with your manager on your schedule. You'll enjoy the flexibility to telecommute from anywhere within the U.S. As a telecommuter, you will be required to adhere to UnitedHealth...

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Profee Coder with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a ProfeeCoder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. What you will do in this role: Reviews and codes clinical notes and operative reports for assigned specialty/specialties. Coordinates and reconciles multiple schedules to ensure complete charge capture....