21 senior coder jobs found

Job Requirements Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc.utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as...

Remote Jobs is seeking a Senior Outpatient Surgery Coder to accurately assign ICD-10-CM and CPT-4 codes across ER, OP Trauma, Hospital and ASC surgeries, IR & Cardiology, while ensuring compliance and timely billing. The role requires 3+ years in outpatient facility coding, proficiency in EPIC/3M, and a CIRCC or equivalent certification; Maryland-based hospital coding workflows are supported. A strong attention to detail and independent work style are essential. #J-18808-Ljbffr

RELI Group, Inc. is seeking an experienced Senior Medical Coder in Baltimore, MD. You will support Medicare Part C Risk Adjustment Data Validation initiatives, performing diagnosis coding across various care settings. The ideal candidate will have a minimum of five years of coding experience and be a certified coder. The role offers an annual salary range of $60,000 to $80,000 based on skills and experience. Join a team that values expertise and impact. #J-18808-Ljbffr

About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we’re supporting data-driven decisions, modernizing systems or safeguarding critical programs. Job Overview We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality...

RELI Group, Inc. is seeking a Senior Medical Coder to support Medicare Part C RADV initiatives. The role requires extensive ICD-9-CM/ICD-10-CM coding across inpatient, outpatient, and physician office encounters, with emphasis on documentation quality and attestation. The ideal candidate will have 5+ years of coding experience, hold CPC/CCS/RHIA/RHIT credentials, and be able to perform intake reviews, disputes, and QA activities while maintaining strict confidentiality and high accuracy in a #J-18808-Ljbffr

Description About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality...

RELI Group, Inc. is seeking a Senior Medical Coder to support Medicare Part C Risk Adjustment Data Validation initiatives in Woodlawn, Maryland. The role requires strong experience in ICD-9/ICD-10 coding across various care settings. Responsibilities include performing diagnosis coding, conducting intake reviews, and supporting appeal responses. The ideal candidate will have at least five years of coding experience and necessary certifications. RELI Group offers a competitive salary range of $60,000 to $80,000 along with additional employee benefits. #J-18808-Ljbffr

About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD‑9‑CM/ICD‑10‑CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance efforts....

RELI Group, Inc. is seeking a Senior Medical Coder to support Medicare Part C Risk Adjustment Data Validation initiatives in Woodlawn, Maryland. The role requires strong experience in ICD-9/ICD-10 coding across various care settings. Responsibilities include performing diagnosis coding, conducting intake reviews, and supporting appeal responses. The ideal candidate will have at least five years of coding experience and necessary certifications. RELI Group offers a competitive salary range of $60,000 to $80,000 along with additional employee benefits. #J-18808-Ljbffr

About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD‑9‑CM/ICD‑10‑CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance efforts....

Kaiser Permanente is seeking a skilled Medical Coder to ensure accurate coding of diagnostic and procedure codes for ambulatory and professional services. The role requires extensive experience in healthcare coding, compliance knowledge, and strong collaboration with clinical teams. The candidate will research HCPCS Level II codes, support colleagues, and contribute to education materials while maintaining regulatory standards and accurate reimbursement processes. #J-18808-Ljbffr

Position Overview The Senior Medical Coding Specialist acts as an internal expert to ensure that value‑based reimbursement and medical policy models are developed and implemented to support Payment Integrity. This role provides expert knowledge to support effective partnership with provider entities, guidance on the appropriate quality‑measure capture and proper use of CPT and ICD‑10 codes in claims submissions. The specialist utilizes coding expertise, combined with medical policy, credentialing and contracting rules knowledge, to build effective guidelines and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. This role also provides expertise and mentoring to other team members and will sit within the Payment Integrity team. Essential Functions Consult on proper coding rules in value‑based contracts to ensure appropriate quality‑measure capture and proper use of...

Medical CoderHot JobFully Remote • Windsor Mill, MD 21224OverviewSalary Range $45,000.00 - $55,000.00 Salary Position Type Full Time Education Level NoneDescriptionAbout Us:At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs.We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently...

Summary of Responsibilities Analyze, prioritize and organize daily workloads for the team for the many different types of reports. Accountable for ensuring that the contract deliverables are met and/or exceeded on the daily basis. Edit reports to maintain the specified Federal privacy and anonymity guidelines. Analyze daily workloads to identify the product, manufacturer, device problems or malfunctions that contributed to the adverse event of the device. Perform editorial responsibilities to assist and guide the data entry staff in the entry of reports into the FDA database. Monitor performance outcomes and conduct periodic evaluations for direct reports. Coach, counsel and discipline direct reports as needed to achieve favorable performance outcomes. Perform strategic thinking to mitigate problems that could adversely impact the project. Supporting Responsibilities Participate in team and management meetings to discuss coding and personnel issues. Participate in...

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...

Description About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently demonstrates high accuracy and productivity. Responsibilities: Perform diagnosis coding of inpatient, outpatient, and physician office...

Summary of Responsibilities Analyze, prioritize and organize daily workloads for the team for the many different types of reports. Accountable for ensuring that the contract deliverables are met and/or exceeded on the daily basis. Edit reports to maintain the specified Federal privacy and anonymity guidelines. Analyze daily workloads to identify the product, manufacturer, device problems or malfunctions that contributed to the adverse event of the device. Perform editorial responsibilities to assist and guide the data entry staff in the entry of reports into the FDA database. Monitor performance outcomes and conduct periodic evaluations for direct reports. Coach, counsel and discipline direct reports as needed to achieve favorable performance outcomes. Perform strategic thinking to mitigate problems that could adversely impact the project. Supporting Responsibilities Participate in team and management meetings to discuss coding and personnel issues. Participate in...

Anticipated End Date: 2026-08-31 Position Title: DRG Coding Auditor - MS-DRG and APR-DRG Job Description: DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of 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 an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also...

Medical Billing Specialist Are you ready to make an impact in healthcare while growing your career in a fast paced, supportive environment? We're looking for a detail oriented, customer focused Medical Billing Specialist to join our dynamic team. As an Medical Billing Specialist, your drive for accuracy directly supports our ability to deliver high quality care to residents and maintain strong relationships with payers and families. You will play a vital role in a mission-driven organization that values your expertise and empowers you to grow your career. This individual must have third-party billing experience, including billing, collections, cash posting, or other revenue cycle-related functions in a health care setting. This is a position located in Catonsville, Maryland. How you will impact the team: Reconcile third party payments and perform necessary adjustments. Manage accurate pre-billing reviews, billing, follow-up, and cash postings for an assigned business line. Deliver...

DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of 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 an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to...

CareFirst BlueCross BlueShield is looking for a Risk Adjustment Coding Specialist in Baltimore, Maryland. This role involves reviewing and coding medical records, ensuring compliance with federal and state guidelines. You will also develop coding guidelines and provide guidance to junior specialists. The position supports a hybrid working model and offers a salary range between $51,984 and $95,304. The ideal candidate will have an Associate degree in Health Information Technology and at least 3 years of coding experience. Required certifications include CCS or CPC upon hire. #J-18808-Ljbffr