7 revenue integrity coder jobs found

Job description Experienced Associate, Healthcare Forensics The 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 matters Contributes to forensic engagements related to...

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...

Description Columbia Orthopaedic Group Fast-paced. Detail-driven. Team-focused. Every claim, code, and detail matters in delivering accurate, compliant, and timely patient care behind the scenes. If you take pride in precision and enjoy working in a collaborative healthcare environment, this role is for you. Why This Role Is Different This is not just a coding role-it is a key part of the revenue cycle that directly impacts the success of orthopaedic care delivery. Your work ensures providers are accurately represented, claims are clean, and reimbursement flows efficiently. You'll partner closely with physicians, billing, and administrative teams in a highly collaborative environment where accuracy, communication, and compliance are essential. About the Role The Medical Coder is responsible for accurately coding orthopaedic services to support timely and compliant claim submission. This role ensures documentation integrity, supports revenue cycle...

NKC Health is seeking an experienced HIM Facility Coder to maintain clinical databases, code and abstract medical records, and ensure accurate claim processing. You will assign CPT, ICD-10 and HCPCS codes per guidelines and collaborate with Revenue Integrity to resolve edits and verify code accuracy. The role requires 1-3 years of facility medical coding experience, proficiency with 3M and Oracle Cerner, and strong knowledge of coding guidelines, anatomy, physiology, and reimbursement rules. #J-18808-Ljbffr

SUMMARY: SUMMARY: Under the direction of the HIM Department Director and Coding Supervisor, maintains clinical databases through coding and abstracting of medical records. Assigns appropriate CPT, ICD-10 and HCPCS codes in accordance with Official Coding Guidelines, CMS guidelines and internal policies. Demonstrates ability to determine first listed diagnosis, secondary diagnosis, and surgical procedures. The HIM Facility Coder collaborates with Revenue Integrity and Patient Financial Services to resolve edits, verify code accuracy and ensure claim processing. Receives and responds to educational feedback identified by Coding Compliance and Education. Achieves quality and quantity production standards, participates in professional development efforts, and maintains knowledge of medical record and provider documentation to maximize coding specificity with query opportunities. EXPERIENCE: 1-3 years of facility medical coding and/or billing experience preferred. Proficient...

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...

Inpatient II CoderBJC is hiring for an Inpatient II Coder. We are looking for 2 years of Inpatient Hospital Coding experience. Must have one of the following certifications: CCS, RHIA, or RHIT. This is a remote position. Eligible remote states include Alabama, Kentucky, Oklahoma, Arkansas, Louisiana, South Carolina, Florida, Mississippi, Tennessee, Georgia, Louisiana, Texas, Indiana, North Carolina, Wisconsin, Iowa, and Ohio.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 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...