8 senior level coder jobs found

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...

A healthcare company located in Reno, NV is seeking a full-time Coder to abstract medical data and assign accurate diagnosis and procedure codes. The ideal candidate should have a high school diploma and at least three years of coding experience, preferably in Orthopedics or Neurology. Strong knowledge of ICD-10 and CPT coding is essential. This mid-senior level position provides an excellent opportunity for professional growth within a respected healthcare organization. #J-18808-Ljbffr

Become a part of our caring community. Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will perform quarterly...

Become a part of our caring community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities: You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will...

Become a part of our caring community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities: You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will...

Renown Health is proud to team up with Kaiser Permanente, opening two new clinics in Northern Nevada. Join us at the forefront of this collaboration dedicated to expanding high-quality healthcare services in our community. Position Purpose The Clinical Supervisor serves as a clinical leader who identifies patient care efficiencies and works to apply them through the development of clinical information systems and information technology. As well as being accountable for directing and coordinating the delivery of patient care. The role of the Supervisor is to assist in achievement of organizational goals through and with the effort of others This leader will inspire a shared vision of clinical efficiency and act as a hands-on advocate and change agent for promoting electronic use and adoption of the electronic record system, to support the development of the clinical staff and physicians of Renown Health. Nature and Scope This is a clinically focused position that is...

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...

Position Purpose The Clinical Supervisor serves as a clinical leader who identifies patient care efficiencies and works to apply them through the development of clinical information systems and information technology. As well as being accountable for directing and coordinating the delivery of patient care, the role of the Supervisor is to assist in achievement of organizational goals through and with the effort of others. This leader will inspire a shared vision of clinical efficiency and act as a hands‑on advocate and change agent for promoting electronic use and adoption of the electronic record system, to support the development of the clinical staff and physicians of Renown Health. Nature and Scope This is a clinically focused position that is challenged to maintain a well‑organized and functioning department that allows for the enhancement of evidence‑based practice and continuity of patient care throughout the healthcare continuum. The Supervisor coordinates care and...