67 rn certified coder jobs found

Job SummaryWe are seeking an experienced Certified RN Medical Coder to support a full-time COC / SPD project focused on building out coding for benefit plans.This role combines clinical knowledge with technical coding expertise to ensure accuracy, consistency, and compliance across plan documentation.You'll work closely with a team of certified coders and business analysts in a collaborative, fast-paced environment where precision and partnership drive success.Why this Opportunity?Top ranked company in Fortune's 2024 World's Most Admired Companies for over a decade consecutively.This healthcare client is ranked number one in key attributes of reputation :Innovation People management Social responsibility Quality of Management Financial soundness Long-term investment value Quality of products Services and global competitiveness.Job Responsibilities :Determine and assign appropriate codes to benefit plan language as part of the COC / SPD project.Review coding selections made by peers...

Job SummaryWe are seeking an experienced Certified RN Medical Coder to support a full-time COC / SPD project focused on building out coding for benefit plans.This role combines clinical knowledge with technical coding expertise to ensure accuracy, consistency, and compliance across plan documentation.You'll work closely with a team of certified coders and business analysts in a collaborative, fast-paced environment where precision and partnership drive success.Why this Opportunity?Top ranked company in Fortune's 2024 World's Most Admired Companies for over a decade consecutively.This healthcare client is ranked number one in key attributes of reputation :Innovation People management Social responsibility Quality of Management Financial soundness Long-term investment value Quality of products Services and global competitiveness.Job Responsibilities :Determine and assign appropriate codes to benefit plan language as part of the COC / SPD project.Review coding selections made by peers...

Work Status Details: Full Time | 80.00 Hours Every Two Weeks Exempt from Overtime: Non-Exempt Shift Details: 8-4:30 M-F Department: Health Information | Reports To: Manager-Health Information The mission of Faith Health is to serve Christ by providing all people with exemplary medical services in an environment of love and care. Summary: To abstract and code patient records utilizing ICD-10 and CPT coding nomenclatures. The listing of job duties contained in this job description is not all inclusive. Duties may be added or subtracted at any time due to the needs of the organization. Responsibilities: Essential Job Duties and Responsibilities: 1. Assigns diagnoses and procedure codes to all patient records. 2. Maintains at least a 97% accuracy standard. 3. Ensures sequencing of codes is completed according to established guidelines for optimum reimbursement. 4. Reviews medical records for completeness and to abstract clinical data such as...

Medical Coder - Outpatient Pride-Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors. Fair Chance Employment Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this...

Medical Coder - Inpatient Pride-Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors. Fair Chance Employment Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role,...

Anticipated End Date: 2026-09-25 Position Title: DRG Coding Auditor Principal Job Description: Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit...

RN, DRG Coder / Clinical Auditor Must be a Registered Nurse with experience Remote | Full-Time | Healthcare | Clinical Documentation & Coding About the Role We’re seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records and documentation. This role ensures accurate coding and clinical support for DRG assignments, helping improve billing accuracy, reimbursement, and compliance. You’ll work independently to review records, validate coding, and communicate findings clearly and professionally. Key Responsibilities Chart Review & Validation Review medical records to validate DRG assignments and ensure clinical documentation supports coding decisions. Physician Documentation Review Confirm that physician notes and clinical indicators support assigned DRGs. Audit & Compliance Conduct audits to verify coding accuracy, enhance reimbursement, and identify cost-saving opportunities. Coding Expertise Apply ICD-10-CM and PCS...

Description At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a...

Coder III Coder III is responsible conducting clinically based concurrent and retrospective reviews of inpatient medical records. This review is to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. The CDS will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. The CDS/Coder III abstracts and codes the diagnostic and procedural information for Inpatient Services and Surgery medical records utilizing the current version of International Classifications of Diseases in accordance with regulatory agencies and hospital specific guidelines. The CDS/Coder III enters the coded data and other abstracted data from the medical record into the electronic information system. This position assumes primary responsibility for clarifying ambiguous documentation, DRG optimization with the primary role in assisting medical staff members with improving...

Anticipated End Date: 2026-09-25 Position Title DRG Coding Auditor Principal Job Description Location: This role enables associates to work virtually full-time , except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. How you'll make a difference Analyzes and audits claims by integrating advanced or convoluted medical chart coding principles (found in the Official Coding Guidelines, Coding Clinics, and the ICD-10 Alphabetic and Tabular Indices), complex clinical guidelines and...

Senior Medical Coder Pride Health is hiring a Senior Medical Coder to support our client's healthcare facility. Job Details: Schedule: 8am - 5 pm Location: Remote Job Type: Contract Contract Length: 6 months (possibility of extension) Pay Range: $18/hr- $20/hr Pay offered is based on experience, expertise, credentialing, and education. Duties: Review medical records and clinical documentation to accurately assign diagnosis, procedure, E/M, and ancillary service codes. Perform CMS-HCC/Risk Adjustment coding and medical record review when applicable. Apply ICD-10-CM, CPT, HCPCS, and modifier coding guidelines. Review documentation for completeness, accuracy, and coding opportunities. Identify unclear or incomplete documentation and submit provider queries for clarification. Requirements: Education: High School License(s): Certification(s): Current coding certification from AAPC or AHIMA Years of experience: 3 years Skills/Specialties/Technology: Pride-Health...

Job Description Job Description Pride Health is hiring a Certified Coder to support our client's healthcare facility in Houston , TX . Interested? Apply Today! Job Details: Schedule: Monday–Friday, 8:00 AM - 5:00 PM Location: Houston, TX 77024 Hybrid Job Type: Local contract Contract Length: 3 months + possible extension Pay Range: $21/hr. - $24/hr. On W2 *Pay offered is based on experience, expertise, credentialing, and education. Duties: Review clinical documentation and diagnostic results to identify and accurately code diagnoses, treatments, and procedures. Assign ICD-10-CM diagnoses, CPT-4 procedure codes, and appropriate modifiers for outpatient encounters. Apply current coding principles, official coding guidelines, and APC reimbursement requirements. Perform outpatient Evaluation and Management (E/M) coding accurately. Code neurology and neurosurgery services for physicians. Requirements: Education: High School...

Our client is a fast-growing healthtech company building AI agents for health plans to streamline care navigation and optimize healthcare spending. On their behalf, we are seeking an RN-Coder Clinical Validation Reviewer to join their team in New York, NY (Flatiron District) . In this role, you will review medical records against billed claims, document clear clinical rationales, and partner directly with product teams to refine AI-supported review workflows. Key Responsibilities Review professional and facility claims against medical records to validate billed services, diagnoses, codes, and payment findings. Write clear, professional clinical and coding rationales for payment integrity and audit workflows. Identify unsupported claims and potential overpayments. Collaborate with product and operations teams to test and give feedback on AI-assisted review tools. What We’re Looking For CPC or CCS certification required (additional coding credentials a plus). Experience...

Location: Cincinnati, Ohio, United StatesCompany: MedpacePosted: 2026-08-18Our corporate activities are growing rapidly, and we are currently seeking a full-time, office-based Clinical Data Coder to join our Clinical Coding & Support team in Cincinnati, OH. This position will work on a team to accomplish tasks and projects that are instrumental to the company’s success. If you want an exciting career where you use your previous coding, pharmacy, or nursing expertise and can develop and grow your career even further, then this is the opportunity for you!ResponsibilitiesPerform accurate coding of medical terms and medications utilizing industry-wide standards as well as company standards;Coordinate the assignment of appropriate dictionaries for meeting study requirementsDevelop and maintain coding guidelines;Issue queries on adverse events, medications, and medical history terms to ensure high quality coding;Work collaboratively with the Medical, Data Management, Safety and...

Job SummaryOur corporate activities are growing rapidly, and we are currently seeking a full-time, office-based Clinical Data Coder to join our Clinical Coding & Support team in Cincinnati, OH. This position will work on a team to accomplish tasks and projects that are instrumental to the company’s success. If you want an exciting career where you use your previous coding, pharmacy, or nursing expertise and can develop and grow your career even further, then this is the opportunity for you!ResponsibilitiesPerform accurate coding of medical terms and medications utilizing industry-wide standards as well as company standards;Coordinate the assignment of appropriate dictionaries for meeting study requirementsDevelop and maintain coding guidelines;Issue queries on adverse events, medications, and medical history terms to ensure high quality coding;Work collaboratively with the Medical, Data Management, Safety and Biostatistics teams to meet needs of the study; andProduce coding...

2902 W Arlington Loop, Hattiesburg, MS 39401, USA Job Description POSITION SUMMARY: The Outpatient Coder works under general supervision to complete charge documents for outpatient services. The Certified Professional Coder, LPN, or RN is responsible for reviewing a patient’s medical records after a visit and translating the information into codes that payors use to process claims from patients. The coder will work under general supervision to complete charge sessions for outpatient services within the primary care setting. The coder must have a strong work ethic as there is a productivity requirement with the completion of a minimum of 240 charge sessions daily. The outpatient coder will be responsible for complying with medical coding guidelines and policies regarding appropriate CPT/ICD-10/HCPCS codes. EDUCATION & EXPERIENCE: Certified Professional Coder (CPC) certification, or, graduate from a school of nursing (LPN or RN), required If candidate is a graduate from a...

EAMC MISSION At East Alabama Medical Center, our mission is high quality, compassionate health care, and that statement guides everything we do. We set high standards for customer service, quality, and keeping costs under control. POSITION SUMMARY Assigns complex and specialized alphanumeric codes to describe the type of service a patient will receive in the invasive cardiology and radiology setting. Requires extensive, expert knowledge in coding, billing process, complex medical terminology, anatomy (normal and variant), CMS rules and regulations, invasive procedures and equipment used for these cases. POSITION QUALIFICATIONS Minimum Education Graduate of radiologic technology program or nursing program Minimum Experience Minimum 2 years in Cath Lab, EP, Invasive Radiology, or OR Required Registration/License/Certification RN or RRT or RCIS BLS within 90 days of DOH/Transfer Within 1 year of placement obtain Certified...

Certified Professional Coder Job Location: Hopewell, NJ Job Duration: 6 Months (possibility of extension) Payrate: $35 - $38/ hr. on w2 Job Summary: This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends. The role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. The position also provides education and guidance on ICD-10-CM coding, DRG assignment, payment methodologies, and auditing practices. Key Responsibilities: Lead hospital billing and coding audits, both on-site and remote Identify and present billing discrepancies and coordinate improper claim payment referrals Analyze trends related to documentation, billing errors, and provider contract interpretation issues Compile audit...

Description MaineHealth Corporate Professional - Nonclinical Req #: 75901 Summary: The Inpatient Coder III role is responsible for identifying and accurately assigning ICD diagnostic and ICD procedural codes after thorough review of provider documentation; and abstracts demographic and clinical information for inpatient records for the purpose of data collection, reimbursement, research and compliance with state and federal regulations and other agencies utilizing established coding principles and protocols. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate's Degree in Health Information Management and/or Bachelor's Degree in Health Information Management, or other science-based degree such as nursing preferred. License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS) or Certified...

Duties: Reviews medical documentation to perform a variety of coding validations for multiple lines of business under Medicare/TRICARE to determine accuracy of billing and payment. Reassigns and sequences diagnostic and procedural codes using universally recognized coding system as appropriate. Compiles and analyzes statistics to determine focus areas for targeted medical review activities where there is the greatest potential for inappropriate Medicare/TRICARE payments. 60% Determines methodology to identify cases for DRG, HIPPS, HCPCS, RUG, and APC validation. Conducts targeted coding, documentation reviews, and validation reviews coordinating rate adjustments and adjudication of corresponding claims. Utilizes Grouper, Rover, MDS QC tool or other appropriate software for code validation. 25% Compiles/analyzes statistics to determine focus areas for targeted medical review activities where there is the greatest potential for inappropriate Medicare/TRICARE payments demonstrating...

Job Title: Certified Professional Coder Job Location: Hopewell, NJ Job Duration: 6 Months (possibility of extension) Payrate: $35 - $38/ hr. on w2 Job Summary: This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends. The role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. The position also provides education and guidance on ICD-10-CM coding, DRG assignment, payment methodologies, and auditing practices. Key Responsibilities: Lead hospital billing and coding audits, both on-site and remote Identify and present billing discrepancies and coordinate improper claim payment referrals Analyze trends related to documentation, billing errors, and provider contract interpretation issues...

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities Abstract pertinent information from patient medical records. Assign...

1 week ago Be among the first 25 applicants This range is provided by Insight Global. Your actual pay will be based on your skills and experience talk with your recruiter to learn more. Base pay range $50,000.00/yr - $55,000.00/yr Direct message the job poster from Insight Global Professional Recruiter at Insight Global QUALIFICATIONS: Associates Degree or 3-5 years related experience or equivalent combination of education and experience specifically dealing with Medicare and Medicaid Experience collecting unpaid payor transactions and researching discrepancies. POSITION SUMMARY: Maintains accounts receivable records and processes invoice transactions for Medicaid and other insurance payors, performing follow-up efforts to secure payment for services delivered. ESSENTIAL DUTIES: Maintains the sponsor file in the Agency Accounts Receivable System (HSIS) to ensure proper billing to client payor sources. Performs collection activities to follow up...