364 regulatory analyst coder jobs found

Overview Ivyhill has an immediate need for a Regulatory Analyst Coder to support their Publication Surveillance project. The position will mostly be remote, but may require travel to the Hyattsville, MD location. This is an excellent opportunity for a detail-oriented professional with strong analytical skills to join a dynamic team focused on regulatory compliance and data evaluation. Note: This position does not involve IT or programming coding. It entails inputting, organizing, and classifying data to identify themes and relationships within regulatory content. Base pay range $43,680.00/yr - $44,720.00/yr Responsibilities Apply analytical methodologies and regulatory principles to support compliance initiatives Evaluate industry data and advertising materials to identify trends and implement strategic response Collect, code, and model data to create performance measurements aligned with project goals Organize and classify regulatory data to identify key themes, issues, and...

Department/Unit: Physicians Billing Work Shift: Day (United States of America) Salary Range: $46,947.00 - $65,726.00 The Medical Billing Analyst is an intermediate billing position within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS). This role is centered around the timely follow up needed on accounts that have already been billed but need re-billing, accounts in which the payer has not responded within the regulatory guidelines, or AMHS has received a denial that needs an immediate action and/or rebuttal. The denials assigned in this role are more intricate than others and the denial response may require a professional narrative accompanied by supporting documentation to be overturned. Some or all these areas may be the focus of the position depending on the resources needed. The incumbent must be able to prove that they have an ability to learn quickly and work independently. They will possess the ability to use payer websites to locate...

Job Description Job Description Coder Analyst II Job ID:156893 Location: Fort Worth, TX 76102 Pay: $36.00/hour Schedule: Mon - Fri , 8am -5pm Duration: Temp 26 week contract Job Summary We are seeking an experienced HIM Coder Analyst II to join a healthcare team in Fort Worth. This position is ideal for a certified medical coding professional with strong ICD-10-CM and CPT-4 hospital outpatient coding experience , particularly with ambulatory surgery and observation cases. The HIM Coder Analyst II will review medical record documentation, accurately assign diagnosis and procedure codes, abstract required information, and ensure coding meets applicable Medicare/Medicaid rules and guidelines. Key Responsibilities Review and interpret patient medical records to identify diagnoses and procedures. Assign ICD-10-CM and CPT-4 codes accurately and to the highest level of specificity. Primarily code complex ambulatory...

Job Description HIM Coder Analyst II LOCATION Fort Worth, Texas | Onsite COMPENSATION & SCHEDULE Pay: $35.00-$40.00/hour Schedule: Full-time Employment Type: W2 ROLE IMPACT Support accurate reimbursement, regulatory compliance, and quality reporting by reviewing outpatient medical records and assigning accurate ICD-10-CM and CPT-4 codes. Success in this role is measured by coding accuracy, productivity, effective provider communication, and adherence to coding guidelines and documentation standards. KEY RESPONSIBILITIES Review and interpret outpatient medical records to assign ICD-10-CM and CPT-4 codes with the highest level of specificity for ambulatory surgery, observation, special procedures, emergency department, ancillary, and clinic encounters. Code primarily complex ambulatory surgery and observation cases while maintaining a minimum coding accuracy rate of 95%. Abstract required clinical and demographic information into the electronic health record to support...

Medical Billing AnalystThe Medical Billing Analyst is an intermediate billing position within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS). This role is centered around the timely follow up needed on accounts that have already been billed but need re-billing, accounts in which the payer has not responded within the regulatory guidelines, or AMHS has received a denial that needs an immediate action and/or rebuttal. The denials assigned in this role are more intricate than others and the denial response may require a professional narrative accompanied by supporting documentation to be overturned. Some or all these areas may be the focus of the position depending on the resources needed. The incumbent must be able to prove that they have an ability to learn quickly and work independently. They will possess the ability to use payer websites to locate payer policies that may be impacting the ability for AMHS to be paid timely. The incumbent will be...

Work Shift: Day Shift Time Type: Full time Department: CC807200 PSO Professional Coding Summary: Monday to Friday, full-time - Hybrid Salary: Most new hires start between $20.50-$25.60 per hour, depending on experience and qualifications. Additional Information: The Clinical Coder is responsible for reviewing patient medical records and accurately assigning standardized codes using ICD and CPT/HCPCS classification systems. The primary goal is to ensure timely and accurate coding for billing, reimbursement, research, and statistical reporting purposes, while maintaining compliance with established coding guidelines and regulations. Required Education: Recommended Education: No education requirements Required Work Experience: Recommended Work Experience: Required Certifications: 1 certification from AAPC or AHIMA - American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)...

Job Description HIM Coder Analyst II LOCATION Fort Worth, Texas | Onsite COMPENSATION & SCHEDULE Pay: $35.00-$40.00/hour Schedule: Full-time Employment Type: W2 ROLE IMPACT Support accurate reimbursement, regulatory compliance, and quality reporting by reviewing outpatient medical records and assigning accurate ICD-10-CM and CPT-4 codes. Success in this role is measured by coding accuracy, productivity, effective provider communication, and adherence to coding guidelines and documentation standards. KEY RESPONSIBILITIES Review and interpret outpatient medical records to assign ICD-10-CM and CPT-4 codes with the highest level of specificity for ambulatory surgery, observation, special procedures, emergency department, ancillary, and clinic encounters. Code primarily complex ambulatory surgery and observation cases while maintaining a minimum coding accuracy rate of 95%. Abstract required clinical and demographic information into the electronic health record to support...

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: Ensures that coding compliance initiatives are met with all record types. Reviews and analyzes medical records and abstracted data submitted by the coding staff to determine the accuracy of code assignment and adequacy of clinical documentation according to regulatory requirements. Performs frequent internal reviews and education maintenance long-term to ensure accuracy in the ever-changing environment of coding, documentation, quality initiatives, and impact to reimbursement. Can code, train, and educate on all types of outpatient medical records to provide timely coverage in all coding areas helping to ensure accuracy, stability, and efficiency in our revenue cycle. Code several different specialties, help train new coders, review records for provider audits, assist with...

Job Overview: Search Solution Group is seeking a Coder Analyst - Inpatient on behalf of our client, a non-profit healthcare system, located in Buffalo, NY. This position is responsible for accurately coding acute inpatient hospital, skilled nursing facility (SNF), and rehabilitation medical records to support appropriate reimbursement, regulatory compliance, quality reporting, and clinical research. The Coder Analyst - Inpatient will review complex medical documentation, assign ICD-10-CM, ICD-10-PCS, and CPT codes, collaborate with physicians and Clinical Documentation Improvement (CDI) teams, and ensure coding accuracy in accordance with federal regulations and industry standards. Key Responsibilities: Review and assign accurate ICD-10-CM, ICD-10-PCS, and CPT codes for acute inpatient, skilled nursing facility (SNF), and rehabilitation medical records Code ambulatory, emergency department, urgent care, interventional radiology, and same-day surgery records as needed...

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 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. You’ll enjoy the flexibility to telecommute* as you take on some tough challenges. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures...

We are seeking an experienced Remote Inpatient Facility Medical Coder to join our team and ensure accurate and compliant coding of inpatient facility records. The ideal candidate will have recent hands‑on experience in inpatient facility coding. This role requires precision, attention to detail, and familiarity with industry‑standard coding tools and guidelines. Responsibilities Review and analyze inpatient medical records to assign accurate ICD‑10‑CM/PCS codes. Ensure compliance with official coding guidelines and payer‑specific requirements. Maintain a high level of accuracy and consistency in coding to support proper billing and reimbursement. Communicate effectively with team members and leadership regarding documentation clarification and coding issues. Stay current with coding updates, regulatory changes, and organizational policies. Qualifications Minimum 3 years of recent inpatient facility coding experience (within the last 6 months). Extensive knowledge of...

Medical Biller & Coder 4 (Team B) Argentina (Remote) Remote LATAM role. Compensation listed in USD with local currency equivalent. This particular role is an Argentina-based independent contractor engagement. Freedom Health Systems, Inc. is a mission-driven healthcare advisory and management consulting firm that partners with behavioral health and human services organizations to improve access, equity, and operational excellence. We specialize in guiding providers through program development, accreditation, compliance, and clinical best practices. While Freedom Health Systems does not provide direct clinical services, the organization delivers critical operational support through revenue cycle management, prior authorization, medical billing and coding, compliance consulting, and administrative services to outpatient behavioral health providers. This document defines the scope of work and service expectations for an independent contractor engagement and does not...

Medical Billing SpecialistDay Shift (United States of America)Hours:Monday - Thursday 8am-5pm & Friday 8am-3pmMary Free Bed SummaryWe have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients Ask for Mary, they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership, to clinicians and care providers.Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and...

Overview Join to apply for the Facility Coding Inpatient Complex Coder role at Banner Health This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MD, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY. The hours are flexible as we have remote Coders across the Nation. Generally any 8-hour period between 7am – 7pm can work, with production being the greatest emphasis. A Coding Assessment will be given after a successful interview to be completed within 48 hours. Banner Health provides your equipment when hired. You will be fully supported during initial training by the Banner Coding Education team and your hiring manager, with continued support throughout your career here. Responsibilities Provides coding and abstracting for mid-tiered complexity range of acute care services at all Banner hospitals. Reviews diagnosis and diagnostic information and...

Department Name: Coding-Acute Care Hospital Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We’re looking for a motivated, experienced Inpatient Facility Acute Care Remote Medical Complex Coder to join our talented Inpatient Facility‑coding team. Candidate should have experience coding all service lines including, but not limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High‑Risk OB, NICU, and more . This is a facility‑based coding position requiring strong PCS coding experience as well as ability to code a wide...

All the benefits and perks you need for you and your family :Benefits from Day One - Paid Time Off from Day One - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and SupportOur promise to you :Joining AdventHealth is about being part of something bigger.Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team.All while understanding thattogetherwe are even better.Schedule :Full TimeThe role you'll contribute :The Coder Analyst I, under general supervision of the Outpatient Coding Supervisor is responsible for Assigning codes to ER and Outpatient ancillary medical records, using ICD-10-CM and CPT codes via the 3m Encoder and Dolbey Computer...

Clinic Coder I Certified Medical Coder responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for clinic/professional services, ensuring compliance, supporting revenue capture, and maintaining documentation integrity. Review and analyze medical records and documentation; assign correct ICD-10-CM, CPT, HCPCS codes; ensure regulatory compliance; collaborate with providers; conduct coding audits; provide coding guidance; stay current on coding regulations; resolve coding-related denials; maintain confidentiality. Minimum 1 year clinic/professional coding experience; proficiency in ICD-10-CM, CPT, HCPCS; strong knowledge of medical terminology, anatomy, physiology; strong analytical and communication skills; ability to work independently; familiarity with EHR systems and coding software. CPC or related certification; experience with coding audits and compliance; knowledge of Medicare, Medicaid, payer regulations; experience in clinic or professional billing...

Clinic Coder I Certified Medical Coder responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for clinic/professional services, ensuring compliance, supporting revenue capture, and maintaining documentation integrity. Review and analyze medical records and documentation; assign correct ICD-10-CM, CPT, HCPCS codes; ensure regulatory compliance; collaborate with providers; conduct coding audits; provide coding guidance; stay current on coding regulations; resolve coding-related denials; maintain confidentiality. Minimum 1 year clinic/professional coding experience; proficiency in ICD-10-CM, CPT, HCPCS; strong knowledge of medical terminology, anatomy, physiology; strong analytical and communication skills; ability to work independently; familiarity with EHR systems and coding software. CPC or related certification; experience with coding audits and compliance; knowledge of Medicare, Medicaid, payer regulations; experience in clinic or professional billing...