29 qa coder jobs found

UPMC Health Plan seeks a Lead Certified Coder Quality Assurance Operational Integrity professional to lead QA and operational integrity reviews across ISD. This remote, full-time role requires CPC certification and strong leadership to drive risk management and compliance initiatives. The candidate will mentor staff, coordinate workgroups, and ensure high-quality audit processes while supporting ISD stakeholders nationwide. Excellent communication and project management are essential. #J-18808-Ljbffr

UPMC Health Plan is seeking a Lead Certified Coder Quality Assurance Operational Integrity (QAOI) Lead. This full-time, remote position guides QA and operational integrity reviews across the Insurance Services Division, ensuring risk mitigation and compliance. The candidate must hold a CPC certification and demonstrate strong leadership and process expertise. The role emphasizes coordinating projects, mentoring staff, and delivering high-quality audit work papers and findings to support ISD #J-18808-Ljbffr

Mysemg is seeking a Certified Medical Coder to review medical records and ensure accurate billing codes. You will participate in audits to verify code accuracy and help drive QA improvements. A CPC certification and solid medical terminology knowledge are essential. Ideal candidates have at least one year of medical billing experience and excellent communication skills, with the ability to work well in a fast-paced team environment and meet deadlines. #J-18808-Ljbffr

Virtual Vocations Inc. seeks a full-time, Connecticut-licensed Senior Coder to serve as a subject-matter expert in professional coding. The role involves QA reviews, mentoring, and managing pre-accounts receivable processes, while working remotely. The candidate will oversee day-to-day AR activities, identify coding trends, and guide the team to meet departmental goals. Excellent Excel skills and relevant certifications are required. #J-18808-Ljbffr

Lead Senior Coder QA Salary Range $65,000.00 - $75,000.00 Salary Position Type Full Time Education Level High School Overview 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. This role performs complex coding and dispute/appeal reviews, ensures compliance with RADV guidelines, provides quality assurance and feedback to coders, and serves as a subject matter expert and escalation point for coding questions. The Lead Sr. Coder also leads and supports a team of up to 15 coders, assists with training and development, and...

RELI Group, an organization partnering with government agencies, seeks a Lead Senior Coder QA to manage complex coding validation and RADV-compliant reviews. You will provide QA feedback, act as escalation for coding questions, and lead a team of up to 15 coders ensuring accuracy, productivity, and confidentiality. The role requires a certified medical coder with at least five years of ICD-9/ICD-10-CM experience, strong leadership, and the ability to train staff while maintaining 95% IRR #J-18808-Ljbffr

About Our Company: At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups. We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard. A 2025 Great Place to Work In 2025, Infinx was certified as a Great Place to Work in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx...

24-MAG LLC is offering a freelance remote opportunity for experienced US-based Inpatient Medical Coders with ICD-10-CM/PCS expertise to support AI training and evaluation in inpatient coding workflows. You will review complex records, apply coding guidelines, assess MS-DRG classification, and provide feedback to improve AI-driven documentation and coding accuracy while working remotely with a minimum of 10 hours per week. #J-18808-Ljbffr

Remotebridge is seeking Inpatient Coders for a remote US-based contractor role focused on enhancing inpatient coding accuracy and data quality. You’ll apply your facility coding expertise to help train next-generation AI systems using real-world documentation. Responsibilities include reviewing notes, evaluating AI outputs for ICD-10-CM alignment, DRG/POA concepts, and writing prompts that test AI handling of billing and regulatory processes. Availability at least 10 hours weekly. #J-18808-Ljbffr

Gramian Consultancy seeks an experienced Medical Coder / CDI Specialist for an AI training and evaluation project. Focus on coding accuracy, documentation quality, medical necessity, and revenue-cycle reasoning. Remote-USA contract engagement with 12 weeks duration. Responsibilities include creating and reviewing complex CDI cases, benchmarking tasks, and defensible reference solutions, while calibrating outputs against coding guidelines and clinical validation standards. #J-18808-Ljbffr

24-MAG LLC is seeking a remote Medical Coder (CCS or CIC) for an AI training project focused on inpatient coding, ICD-10-CM/PCS, MS-DRG assignments, and clinical documentation review. You will review inpatient records, annotate codes, ensure accuracy, and apply POA indicators to improve coding quality for AI evaluation. This freelance engagement is fully remote for U.S.-based professionals, offering $50-$70 per hour. #J-18808-Ljbffr

24-MAG LLC offers a fully remote freelance consulting role for experienced US-based Inpatient Medical Coders. You will review inpatient records, assess diagnostic and procedural coding accuracy, and evaluate AI-generated documentation to improve AI training in clinical coding. The ideal candidate holds CCS/CIC/COC/RHIA/RHIT credentials, has substantial inpatient coding experience, and can work at least 10 hours weekly. #J-18808-Ljbffr

24-MAG LLC offers a fully remote, US-based freelance role for experienced Certified Inpatient Coders. You will review inpatient records, apply ICD-10-CM/PCS guidelines, assign MS-DRGs, assess POA indicators, and provide detailed feedback to AI systems. The engagement is 10 hours per week with flexible scheduling. Ideal candidates hold CIC/CCS credentials and have strong clinical documentation interpretation skills. Remote work arrangement nationwide within the United States is supported. #J-18808-Ljbffr

Location: New York, United StatesCompany: AAPCPosted: 2026-10-02PathWell Home Health is seeking a Home Health Coder & OASIS Reviewer to accurately code and review OASIS documentation in line with CMS guidelines. You will collaborate with clinical staff to improve documentation quality and reduce claim denials.The role requires ICD-10 expertise, OASIS knowledge, and proficiency with EMR systems. A flexible, remote work arrangement is offered with potential for training and career growth in home health compliance.#J-18808-Ljbffr

Veradigm Inc. is seeking a skilled ProFee abstract medical coder to review and abstract coding for E/M visits and office-based services, ensuring accuracy and compliance with AMA CPT, ICD-10-CM, CMS, NCCI, and payer guidelines. The role involves collaboration with providers and internal teams to drive coding quality, deliver targeted education, and support denial prevention and appeals as needed. Requirements include CPC or CPC-A credentials, 2+ years of ProFee coding experience, and strong #J-18808-Ljbffr

Working remotely, the full-time CCS Certified Inpatient Coder will review medical documentation, assign ICD-10-CM and ICD-10-PCS codes, and ensure coding accuracy while meeting productivity standards in a fast-paced environment. Key Responsibilities Review documentation to code diagnoses (ICD-10-CM) and procedures (ICD-10-PCS) Communicate with physicians to clarify diagnoses and procedures through the query process Perform peer reviews of coding auditors and coders to maintain coding quality Required Qualifications Active CCS, RHIT, RHIA, CPC, or CIC credential Minimum of three years of facility-based inpatient coding experience Level 1 Trauma coding experience required Epic experience required Ability to interpret medical records and apply judgment in coding decisions #J-18808-Ljbffr

Ovation seeks an experienced Inpatient Coder to apply ICD-10-CM/PCS codes for inpatient and outpatient records, focusing on complex cases from trauma centers and teaching facilities. This remote, full-time role requires passing a coding assessment, maintaining 95% QA accuracy, and strong proficiency in Microsoft Office (Excel, Outlook, Teams). Excellent communication and multitasking skills are essential. #J-18808-Ljbffr

Outpatient Coding Compliance AuditorOptum 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. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...

Country: United States of America Location: Florida - Remote WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages. Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance. A LITTLE BIT ABOUT FCS Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting‑edge technologies, and advanced treatments, we are committed to providing world‑class cancer care. We are recognized by the American Society...

Overview Cotiviti has multiple openings for full-time coders....these roles will focus on claims audits for appeals, checking for completeness & accuracy based on coding guidelines. Experience with E&M coding & auditing is preferred. These are full-time remote positions and can be done anywhere within the continental US and will work a traditional day time schedule. The hire date for this position will be 1/18/2027 and you will be expected to attend training Monday-Friday from 9-5 ET. Training will last about 30 days. 100% attendance is required. Responsibilities Clinical Validation - Perform daily audits on provider appeals for completeness and accuracy based on specified coding guidelines to ensure appropriateness for reimbursement. Apply client specific coding guidelines when applicable. Learns new appeal categories as production need requires. Stays current on coding guidelines appropriate to the position. Uses the Cotiviti applications to processes CV...

Certified Coder reviews medical records to assure proper billing. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improve coding issues identified. Codes must meet QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Requirements Essential Job Functions: CPC certification required through AAPC Excellent written and verbal communication skills Good interpersonal skills and team oriented Well organized and detail oriented Positive attitude, enthusiastic and energetic. At least one year of previous medical billing experience Previous primary care experience a plus Ability to perform well in a fast-paced team environment and to manage time effectively. In-depth knowledge of medical terminology, anatomy, physiology, and disease process. Comprehensive understanding of ICD-10-CM classification systems. Ability to read and analyze patient records to determine a set of established and correct medical...

Job Description Location: Fully Remote Employment Duration: 3 months Patient Record Abstractor fulfills a role as a Medical Coder for UCSF's physician practices. They review patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services. They apply national and international coding classifications to ensure records reflect the care delivered, supporting accurate reimbursement and reliable clinical data. They have knowledge of Current Procedural Terminology (CPT), International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM), and Healthcare Common Procedural Coding System (HCPCS). The role operates within a healthcare records or billing team and requires close liaison with clinicians, clinical coders, and administrative staff to resolve documentation queries. Coders must maintain currency with coding updates, compliance requirements, and professional...

Location: New York, United StatesCompany: AAPCPosted: 2026-10-06RELI Group in the United States is seeking a Senior Coder to perform intake and coding validation on medical records and enter the data into CMS tools in accordance with RADV guidelines.The role requires experienced coders with ICD-9-CM/ICD-10-CM knowledge, the ability to review records, write technical notes, and support the Project Director.You will maintain PHI confidentiality, participate in QA discussions, and strive for 95% IRR while meeting productivity and attendance standards.#J-18808-Ljbffr

QHR Health, LLC dba Ovation Healthcare seeks experienced Inpatient Coders for 100% remote work. You will review hospital patient medical records and assign accurate codes to ensure proper reimbursement and compliance with regulations. Ideal candidates should have at least three years of inpatient medical coding experience and AHIMA/AAPC credentials. Essential skills include proficiency in Microsoft Office and maintaining high QA accuracy rates. #J-18808-Ljbffr