24 revenue integrity coder jobs found

UnitedHealth Group, via Optum, is seeking a Senior Medical Coder to ensure accurate CPT and E/M coding for maximum reimbursement and minimal denials. The role supports coding across charge review, claim edits, and denials, upholding revenue cycle integrity. Remote nationwide with standard hours, requiring CPC or RHIT/RHIA credentials and 3+ years of Pro-Fee coding experience. Strong ICD-10-CM/CPT knowledge is essential to guide documentation quality. #J-18808-Ljbffr

Optum is seeking a Senior Medical Coder to perform concurrent review of FFS coding rules and ensure accurate CPT and E/M coding for maximum reimbursement and minimized denials. The role supports charge review, claim edits, and denials within a remote nationwide setting. Candidates must have CPC or RHIT/RHIA credentials, 3+ years of Pro-Fee coding experience, and strong ICD-10-CM, CPT, modifiers knowledge. We offer a comprehensive benefits package and flexible telecommuting options in a #J-18808-Ljbffr

About Us Meduitis is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com. About the Role The Medical Coding Specialist II is responsible for correctly coding healthcare claims and analyzing denials to obtain proper reimbursement. The Medical Coder accurately and efficiently codes hospital outpatient and professional services using official code sets and classifications systems to obtain the most accurate data based on documentation. Title: Medical Coder II Location: Remote Schedule: 8am – 5pm in Eastern, Central, Mountain, or Pacific time zones Department: Insurance Reports To: Coding Supervisor Compensation: $26–$30 per hour, depending on qualifications Key Responsibilities...

North Memorial Health is seeking a CodER II to accurately apply ICD-10CM and CPT coding with modifiers for inpatient and outpatient services in hospital or professional settings. The role emphasizes data integrity and regulatory compliance in a revenue cycle environment. The incumbent will ensure coding accuracy for reimbursement and maintain quality, with a focus on meeting department productivity standards and ongoing professional development. #J-18808-Ljbffr

North Memorial Health is seeking a dedicated Coding Specialist II to join its Revenue Cycle team. The role focuses on accurate ICD-10CM and CPT coding for inpatient and outpatient services, with attention to modifiers and data integrity. The ideal candidate will have a coding credential, minimum of three years’ experience, and ongoing commitment to professional development. This non-contract, daytime role offers remote work options and competitive compensation based on experience. #J-18808-Ljbffr

HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks. ACCOUNTABILITIES: Performs retrospective chart review for diagnosis coding accuracy. Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education. Reviews vendor coding and provide recurring feedback and education to vendor team. Participates in internal and CMS-mandated risk adjustment data validation review. Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities. Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics. Increases collaborative efforts...

Meduitis a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus onoptimizingpayments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented.Learn more at www.meduitrcm.com. About the Role: The Medical Coding Specialist II is responsible for correctly coding healthcare claims and analyzing denials to obtain proper reimbursement. The Medical Coder accurately and efficiently codes hospital outpatient and professional service using official code sets and classifications systems to obtain the most accurate data based on documentation. Title: Medical Coder II Location: Remote Schedule: 8am – 5pm in Eastern, Central, Mountain, or Pacific time zones Department: Insurance Reports To: Coding Supervisor Compensation: $26-$30 per hour, depending on qualifications Key Responsibilities: Read and analyze...

Medical Coder IIMeduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented.The Medical Coding Specialist II is responsible for correctly coding healthcare claims and analyzing denials to obtain proper reimbursement. The Medical Coder accurately and efficiently codes hospital outpatient and professional service using official code sets and classifications systems to obtain the most accurate data based on documentation.Title: Medical Coder II Location: Remote Schedule: 8am – 5pm in Eastern, Central, Mountain, or Pacific time zones Department: Insurance Reports To: Coding Supervisor Compensation: $26-$30 per hour, depending on qualificationsKey Responsibilities:Read and analyze patient recordsAccurately and efficiently code...

Overview RiverView Health, is a community owned, membership based non-profit organization that was formed in 1898 and continues to be the sole community hospital in Crookston, MN. RiverView Health operates a 25 bed Critical Access Hospital, RiverView Recovery Center; a chemical dependency outpatient treatment program, RiverView Home Care and five primary care and specialty clinics in the hospitals service area. We have a robust scholarship program for those furthering their education in a medical field, excellent benefits, and a friendly work environment. Full-time benefits include health insurance, free single vision and basic dental insurance, life insurance, long-term disability and short-term disability, and employer HSA contributions. Other benefits include employer pension matching, shift differential, incentive/premium pay, free annual biometric screening and paid volunteer time off. RiverView is an Equal Employment Opportunity employer.  Responsibilities...

Riverview Health Hospital CoderRiverView Health, a community owned, membership based non-profit organization formed in 1898, continues to be the sole community hospital in Crookston, MN. RiverView Health operates a 25 bed Critical Access Hospital, RiverView Recovery Center; a chemical dependency outpatient treatment program, RiverView Home Care and five primary care and specialty clinics in the hospitals service area.We have a robust scholarship program for those furthering their education in a medical field, excellent benefits, and a friendly work environment. Full-time benefits include health insurance, free single vision and basic dental insurance, life insurance, long-term disability and short-term disability, and employer HSA contributions. Other benefits include employer pension matching, shift differential, incentive/premium pay, free annual biometric screening and paid volunteer time off.RiverView is an Equal Employment Opportunity employer.ResponsibilitiesThe Hospital...

Risk Adjustment Coding Analyst SeniorHealthPartners is hiring a Risk Adjustment Coding Analyst Senior.This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks.Accountabilities:Performs retrospective chart review for diagnosis coding accuracy.Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education.Reviews vendor coding and provide recurring feedback and education to vendor team.Participates in internal and CMS-mandated risk adjustment data validation review.Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities.Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics.Increases collaborative efforts...

Optum is hiring a Senior Medical Coder for remote nationwide work. The role emphasizes accurate CPT, ICD-10-CM, and HCPCS coding with audits and denial management to optimize reimbursement. Strong query and provider communication skills are needed to maintain revenue cycle integrity. The position requires 3+ years of professional coding experience, CPC/CPC-H/CPC-P or RHIT/RHIA/CCS credentials, and Epic experience is a plus. Salary reflects market norms for this senior coding role. #J-18808-Ljbffr

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 coding accuracy and supporting revenue cycle integrity. Schedule: Monday to Friday, 8am -...

UnitedHealth Group is seeking a Senior Medical Coder to perform concurrent review of FFS coding rules, ensuring CPT and E/M codes are accurately billed to maximize reimbursement and minimize denials. This remote nationwide role requires coding certification (AAPC or AHIMA) and 3+ years of Pro-Fee coding experience across multiple specialties. You will support charge review, claim edits, denials and mentor others while contributing to revenue cycle integrity. #J-18808-Ljbffr

Optum is seeking a Senior Medical Coder to perform concurrent review of FFS coding rules, ensuring CPT and E/M codes are accurately billed for maximum reimbursement and minimal denials. This role supports coding functions within charge review, claim edits, and denials to sustain revenue cycle integrity. Schedule: Monday–Friday, 8am–5pm. Location: Remote Nationwide. You will apply ICD-10-CM, CPT, HCPCS knowledge, interrogate clinical documentation, and mentor others to improve coding quality #J-18808-Ljbffr

Coding Subject Matter ExpertOptum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.Responsible for providing oversight to Optum360 coding services, directly overseeing facility-based and/or HIM (Health Information Management) Center operations leadership of Optum 360 Coding Departments within the assigned Region. The SME will lead key initiatives within the organization related to Quality metrics, workflow improvement, and audits, etc. to meet or exceed metrics, drive efficient coding services, and deliver performance excellence through standardization of processes...

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Inpatient Hospital Based Coder Fairview is looking for an Inpatient Hospital Based Coder to join our team! This is a position approved for a 1.0 FTE (80 hours per pay period) on the day shift. This position provides inpatient coding utilizing ICD-10-CM and ICD-10 PCS Coding Classification systems. Utilizes an encoder and computer assisted coding (CAC) software to achieve accuracy and thorough coding. Researches complex coding scenarios and queries physicians on documentation for clarification. This is an HB Inpatient coding position for an experienced, trained inpatient coder. An Inpatient Coder analyzes clinical documentation; assigns appropriate diagnosis, procedure, and abstracts the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Assist in the...

Coder 3 Fairview is looking to add a Coder 3 to our team. This is a full-time, benefit-eligible position designed for an experienced coding professional with advanced expertise in complex coding. The Coder 3 is responsible for handling highly complex coding assignments and requires expert-level knowledge of coding guidelines, regulations, and reimbursement practices. The ideal candidate will demonstrate strong critical-thinking and research skills, exceptional attention to detail, and the ability to independently resolve complex coding scenarios. A CIRCC (Certified Interventional Radiology Cardiovascular Coder) credential is preferred. This is a clinical or hospital-based coding position for an experienced coder working with specialty professional or hospital outpatient accounts. OP Coder 3 will have specialized knowledge in Interventional Radiology and Heart Catheterization. OP Coder 3 will competently assign ICD-10-CM, CPT-4, HCPCS codes to more complex outpatient accounts...

Job Overview Fairview is looking for Inpatient Hospital Based Coder to join our team! This ispositionapproved for a1.0 FTE (80 hours per pay period) on the day shift. This position provides inpatient coding utilizing ICD-10-CM and ICD-10 PCS Coding Classification systems. Utilizes an encoder and computer assisted coding (CAC) software to achieve accuracy and thorough coding. Researches complex coding scenarios and queries physicians on documentation for clarification. This is an HB I npatient coding position for an experienced, trained inpatient coder. An Inpatient Coder analyzes clinical documentation; assigns appropriate diagnosis, procedure, and abstracts the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Assist in the resolution of clinical...

Job Overview Fairview is looking to add a Coder 3 to our team. This is a full-time, benefit-eligible position designed for an experienced coding professional with advanced expertise in complex coding. Job Overview Fairview is looking to add a Coder 3 to our team. This is a full-time, benefit-eligible position designed for an experienced coding professional with advanced expertise in complex coding. The Coder 3 is responsible for handling highly complex coding assignments and requires expert-level knowledge of coding guidelines, regulations, and reimbursement practices. The ideal candidate will demonstrate strong critical-thinking and research skills, exceptional attention to detail, and the ability to independently resolve complex coding scenarios. A CIRCC (Certified Interventional Radiology Cardiovascular Coder) credential is preferred. This is a clinical or hospital-based coding position for an experienced coder working with specialty professional or hospital outpatient...

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Coder 4 Inpatient Coding PositionCoder 4 provides inpatient coding utilizing ICD-10-CM and ICD-10 PCS Coding Classification systems. Utilizes an encoder and computer assisted coding (CAC) software to achieve accuracy and thorough coding. Researches complex coding scenarios and queries physicians on documentation for clarification. This is an inpatient coding position for an experienced, trained inpatient coder. A Coder 4 analyzes clinical documentation; assign appropriate diagnosis, procedure, and abstract the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Assist in the resolution of clinical documentation and provide feedback to providers on the quality of their documentation.ResponsibilitiesCode and abstract clinical and demographic data for...

Job Overview Are you an experienced inpatient coder looking to work fully remotely, with a team that values accuracy, continuous learning, and work-life balance? Fairview is hiring-you'll work Monday through Friday, handling 80 hours per pay period.What You'll Do Review and code inpatient clinical records using ICD-10-CM and ICD-10-PCS in alignment with coding guidelines, MS-DRG / APR-DRG reimbursement rules, and Fairview protocols.Validate computer-assisted coding (CAC) output and ensure thorough, accurate coding.Analyze clinical documentation and drill down on severity of illness (SOI), risk of mortality (ROM), HAC, and POA indicators.Collaborate with CDI (Clinical Documentation Integrity) staff to drive provider education and documentation quality.Assist in provider queries to improve documentation specificity.Partner with revenue cycle teams to support prompt claim submissions and optimize financial performance.Required Qualifications (must be met to be considered) :Certificate...