6 senior coder jobs found

RPMGlobal is looking for a certified coder in Bethel, Alaska. The role involves assigning ICD and CPT codes and abstracting patient data into clinical systems. Ideal candidates should have 5 years of coding experience and relevant certifications. Benefits include generous PTO, comprehensive healthcare coverage, and an employee wellness center. Join RPMGlobal to make a significant impact in healthcare! #J-18808-Ljbffr

Humana is looking for a Senior Market Consultation / Partnership Professional based in Juneau, Alaska. This role involves supporting clinical initiatives by ensuring accurate documentation and coding practices that enhance quality programs across risk adjustment. The ideal candidate will perform medical record reviews, validate diagnosis coding, and collaborate with physicians and market leadership. This position requires an active RN license, Certified Professional Coder credentials, and strong knowledge of ICD-10-CM coding guidelines. Humana offers a competitive salary range of $86,300 - $118,700 per year and a comprehensive benefits package. #J-18808-Ljbffr

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Description Providence is calling for Compliance Auditor - Remote The Revenue Cycle Compliance Hospital Auditor conducts audits to evaluate compliance with a wide variety of Federal and State laws, regulatory rules & regulations, PSJH policies and procedures. Areas of audit focus for this position may involve clinical and non-clinical services, including but not limited to revenue cycle: Rev Cycle departments, Rev Cycle Billing Offices, External Vendor; HIM Coding, Revenue Integrity RI, Chargemaster CDM, EPIC, and Clinical Documentation CDT. This position works collaboratively with Case Management, Utilization Review, Revenue Integrity, our PB Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The Revenue Cycle Compliance Hospital auditor navigates and analyzes data across both the Clinical EMR and Epic Billing systems. This includes reviewing...

TITLE :Medical Billing Specialist on site in Kenai AlaskaREPORTS TO :CFOWORK WEEK :Hours not to exceed 40 per weekWAGE CLASSIFICATION :Non-exempt $21.00 per hourOSHA RISK CLASSIFICATION :LowSUMMARY POSITION STATEMENTThis position exists to ensure the financial well-being of the PCHS organization through timely and accurate filing of insurance claims and collection of patient accounts and ensure proper posting of payments into existing PCHS systems for medical dental optometry and / or behavioral health.This position may be responsible for any or all the essential functions listed below in the electronic health record systems.ESSENTIAL FUNCTIONS / ROLES & RESPONSIBILITIES OF THE POSITIONCollaborate with staff providers team members patients and insurance companies to get all claims processed and paid.Capable of performing all aspects of medical billing independently including but not limited to charge entry posting insurance payments rejections and follow-up.Assign correct...