16 program manager certified coder jobs found

Internal Auditor Coder - Full-time with Benefits Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior. Audits, codes and abstracts inpatient and outpatient medical records of all types and, following a rigorous review of the clinical documentation, abstracts and assigns appropriate ICD-10-CM/PCS code sets and assigns the correct APR-DRG into the hospital information system. May also participate in other Special Projects as assigned by the Coding Manager. Example of Essential Functions: Audits both inpatient and outpatient records of all patient types for completeness of coding and determination of the clinical significance of codes assigned. Ability in Report Writing and use of Excel Spreadsheets. Provide education and feedback to staff....

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...

Position Objective: The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality 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. Essential Job Duties: 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. 1. 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 knowledge of coding nomenclature to ensure accurate MS-DRG MCC/CC and APR-DRG/SOI/ROM and POA assignments . 2. Utilizes critical...

iMedX is accepting applications for experienced inpatient facility coders.  Facility coders worked on behalf of facilities and have extensive experience with DRG-based reimbursement for inpatient coding.  This position does not apply to those pro-fee coders who have expertise in coding for physicians attending to patients in inpatient care.   Full-time, part-time, and independent contractor status will be considered.  Applicants must have a minimum of 3 years of broad-based acute care inpatient coding experience and have the requisite credentials to demonstrate compliance with this requirement.  This is a remote (work-from-home) position. Purpose: The Medical Coding Specialist abstracts clinical information from health records and assigns accurate and complete codes in accordance with Official Guidelines for Coding and Reporting and iMedX standards as appropriate. Organizational Structure:   The Coding Specialist reports to the Coding Manager. Key Responsibilities:...

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...

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...

divh2Inpatient Coder/h2pInsight Global is seeking an Inpatient Coder to support a large healthcare system based out of Annapolis, MD. The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality 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./ppEssential Job Duties:/pulliAnalyzes 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./liliDemonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment./liliUtilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed./liliMonitors...

Coding Auditor Adventist Healthcare's Support Center seeks to hire an experienced Coding Auditor for our Revenue Integrity department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Coding Auditor, you will: Lead discussions and educational sessions, with manager support, with various impacted Revenue Integrity stakeholders to improve overall revenue goals and departmental needs. Analyze and resolve billing edits and bill holds for areas impacted by coding. Manage assigned work queues and associated tasks to review, analyze, and provide corrective action. Maintain work queues at agreed-upon levels to keep on task with department goals and objectives. Escalate barriers or concerns to the manager in a timely, clearly articulated and documented format. Perform EHR analyses and research along with associated patient accounting, medical charting, and system interfacing to examine and understand underlying...

iMedX is actively recruiting for a Medical Coding Specialist with broad experience in Professional Fee Evaluation & Management coding in all places of service.  Facility Fee E/M coding is a plus as well. In addition to E/M coding, iMedX is actively recruiting for outpatient facility based coding experience in Emergency Room services such as Injections and Infusions, and procedures such as wound repairs and fracture reductions, Injections and Infusions including chemotherapy in an infusion center, and recurring charges in a PT/OT/ST department.  Must have broad-based experience in multiple specialties with the ability to learn and excel in the application of coding guidelines for additional disciplines as client needs dictate. Must also demonstrate expertise in appropriate assignment of ICD-10-CM diagnoses. Purpose The Medical Coding Specialist abstracts clinical information from health records and assigns accurate and complete codes in accordance with Official Coding...

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...

Medical Coder - Inpatient Pride-Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors. Fair Chance Employment Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential...

Requisition number: 2360324 Job category: Medical & Clinical Operations 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. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining...

Job Description Insight Global is seeking 1 Inpatient Coder to support a large healthcare system based out of Annapolis, MD. The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality 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. Essential Job Duties: 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 knowledge of coding nomenclature to...

Coding Auditor Adventist Healthcare's Support Center seeks to hire an experienced Coding Auditor for our Revenue Integrity department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Coding Auditor, you will: Lead discussions and educational sessions, with manager support, with various impacted Revenue Integrity stakeholders to improve overall revenue goals and departmental needs. Analyze and resolve billing edits and bill holds for areas impacted by coding. Manage assigned work queues and associated tasks to review, analyze, and provide corrective action. Maintain work queues at agreed-upon levels to keep on task with department goals and objectives. Escalate barriers or concerns to the manager in a timely, clearly articulated and documented format. Perform EHR analyses and research along with associated patient accounting, medical charting, and system interfacing to examine and understand...

Overview Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we’re supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality...

Introduction Do you want to join an organization that invests in you as a Trauma Surgical Profee Coder? At Parallon, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years. Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long‑term care coverage, moving assistance, pet insurance and...