14 program manager certified coder jobs found

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...

Inpatient Coder III Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator Mosaic places the holistic needs of patients first by providing the right care at the right time and place offering high value and quality health care. Mosaic has a wide array of benefits to meet each employees individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued including concierge services employee lounge wellness programs free covered parking free on-site and virtual health clinics and many more. When paired with compensation and recognition it is what continues to make us the employer of choice for employees at any stage of their journey. Details: Remote Inpatient Coding Full Time Status Day Shift Pay: $24.74 - $37.11 / hour Summary: Candidates residing in the following states will be considered for...

Opportunities At Change Healthcare Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing Together. Job Description: The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours:...

Lead Inpatient Coder BJC HealthCare is one of the largest nonprofit health care organizations in the United States delivering services to residents primarily in the greater St. Louis southern Illinois and southeast Missouri regions. With net revenues of 6.3 billion and more than 30000 employees BJC serves patients and their families in urban suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care primary care community health and wellness workplace health home health community mental health rehabilitation long-term care and hospice. BJC is the largest provider of charity care unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide 785.9 million annually in community benefit. That includes 410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay....

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...

Medical Coding Specialist Full Time St. Louis, MO, US Join Us to Build Healing and Hope Together! As leaders in children's mental health and wellness, St. Louis Children's and KVC Health Systems Youth Mental Health Care have partnered to create one of the nation's most innovative and transformative youth mental health and wellness campuses. The partnership includes a 77-bed acute care hospital and outpatient programs. Located on the KVC Missouri Children's Mental Wellness Campus conveniently located in Webster Groves, Missouri, the peaceful environment and broad continuum of care allow children and families to access the appropriate level of treatment throughout their healing experience. The new campus is slated to open in late 2026. Learn more at stlouischildrenskvc.org. Join us and be a part of this journey of healing and hope for thousands of children and teens. Job Summary The Medical Coding Specialist is KVC's Hospitals subject matter expert on medical coding. They...

Position Summary Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Primary Duties & Responsibilities Responsible for appealing claims denied by third‑party payers. Creates appropriate letters and compiles documentation to substantiate the validity of claims. Investigates and problem‑solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with physicians and other clinical staff as needed to provide documentation feedback and develop appeals. Researches payer policies and processes. Review clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient’s conditions and treatment. Works with coders and IBC staff with medical terminology and policy interpretation as required. Codes evaluation and management...

At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based on documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. FLSA Status Non-exempt...

Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time The Lead Outpatient Coder is an experienced, credentialed coding professional who serves as the point-of-contact for coders, assists manager with managerial duties, able to take lead on department projects, as well as other departments' coding questions. Responsibilities Serves as a coding resources to clinic and outpatient coders. Ensures the accuracy of clinical data collection from outpatient medical records. Codes diseases, procedures, and diagnosis using the ICD-10-CM and CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards. Completes complex coding assignments for the purpose of...

Inpatient Coder III Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator Mosaic places the holistic needs of patients first by providing the right care at the right time and place offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee’s individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued including concierge services employee lounge wellness programs free covered parking free on-site and virtual health clinics and many more. When paired with compensation and recognition it is what continues to make us the employer of choice for employees at any stage of their journey. Details: Remote Inpatient Coder III Inpatient Coding PRN Status Day Shift Pay: 24.74 - 37.11 / hour Summary: Candidates residing in the following states will be...

City/State: Saint Louis, Missouri Categories: Health Information Management Job Status: Full-Time Req ID : 109097 Pay Range: $23.10 - $38.36 / hour (Salary or hourly rate is based on job qualifications and relevant work experience) Additional Information About the Role BJC is hiring for a Lead Inpatient Coder position. We are looking for a minimum of 2 years of Inpatient Coding experience. This is a remote position. Required certs: CCS, RHIA, or RHIT Remote Eligible states; Alabama Kentucky Oklahoma Arkansas Louisiana South Carolina Florida Mississippi Tennessee Georgia Louisiana Texas Indiana North Carolina Wisconsin Iowa Ohio Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000...

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...

Additional Information About the Role BJC is hiring for a Lead Inpatient Coder position. We are looking for a minimum of 2 years of Inpatient Coding experience. This is a remote position. CCS, RHIA, or RHIT Remote Eligible States Alabama Kentucky Oklahoma Arkansas Louisiana South Carolina Florida Mississippi Tennessee Georgia Louisiana Texas Indiana North Carolina Wisconsin Iowa Ohio Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation,...

At Houston Methodist, the Senior Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE Three years of relevant inpatient coding experience or successful completion of the Houston Methodist Senior Inpatient Coder Transition Program REQUIRED CERTIFICATIONS RHIT – Certified Health Information Technician (AHIMA) RHIA – Registered Health Information Administrator (AHIMA) CCS – Certified Coding Specialist (AHIMA)...