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12 jobs found

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Skagit Regional Health
Full Time
 
Certified Coder
Skagit Regional Health Hybrid
Join a dynamic team committed to supporting our employees and our community. Our Vision: Improving lives through compassionate and innovative healthcare. Schedule: Days - Variable, 40/hrs a week Base Wage: $37.72 to $50.59 Location: SRH Business Center, Mount Vernon, WA - Remote hybrid available Sign-On Bonus: $1,000.00 Apply online at www.skagitregionalhealth.org/careers Job Summary Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and assign Ambulatory Payment Classifications (APC) and/or Diagnosis-Related Group (DRG) codes. To ensure success...

May 14, 2026
Washington University in St. Louis
Full Time
 
Medical Coding & Appeals Specialist (HYBRID)
Washington University in St. Louis Hybrid (St. Louis, MO)
Champion Accurate Coding. Win Appeals. Make an Impact. Primarily Remote | Monthly Onsite   Love the challenge of proving you’re right? This role is for coders who don’t just assign codes — they defend them. You’ll be part of a team that ensures providers are paid accurately for the care they deliver. When a payer says no, you build the case that turns it into yes. Your coding expertise, clinical insight, and persistence directly impact reimbursement and provider success.   What makes this role exciting You’ll advocate for correct payment, not just code charts Your work directly reverses denials and underpayments You’ll collaborate with physicians, payers, and fellow coding experts Every appeal you win is a tangible victory   What you’ll do Review medical records to validate accurate ICD‑10, CPT, and HCPCS coding Identify documentation or coding issues that impact reimbursement Build, submit, and follow payer...

May 06, 2026
MD Capital
Full Time
 
Coding Manager
MD Capital Remote
Position Summary    The Medical Coding Manager provides operational leadership for coding activities across assigned specialties and service lines. This role ensures coding accuracy, productivity, and compliance with applicable regulatory and payer requirements, while partnering with billing, clinical, and compliance teams to support clean claim submission, reduce denials, and protect revenue integrity.   Key Responsibilities    Team Leadership & Development     Lead, coach, and develop coding staff (in-house and outsourced resources) to support accuracy, consistency, and accountability Support recruiting, onboarding, training, and competency validation for new and existing team members Establish clear performance expectations and conduct regular evaluations aligned to quality and productivity standards Address performance gaps through structured coaching and corrective action plans as needed   Operational Oversight...

Apr 20, 2026
C2Q Health Solutions
Full Time
 
Medical Coding and Billing Analyst
C2Q Health Solutions Hybrid (NY)
JOB PURPOSE: Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel on coding guidelines, and ensuring the accuracy and timeliness of clinical documentation. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting performance results to leadership, and supporting HCC/RAF optimization strategies. The role will also oversee the training of Medical Practice Assistants, Physician and IDT disciplines in ICD-9/ICD-10 guidelines. JOB RESPONSIBILITIES: Responsible to deliver accurate and timely billing of insurance claims and patient statements for all...

Apr 15, 2026
Prevea Health
Full Time
 
Revenue Integrity Manager
Prevea Health Green Bay, WI
The Revenue Integrity Manager will lead the development of the revenue integrity function and is responsible for the oversight and management of the revenue integrity team. This position is accountable for optimizing revenue by ensuring accurate, compliant, and efficient charge capture and billing practice. The Revenue Integrity Manager will improve the performance of revenue cycle processes including developing best practices, coordinating issue resolution, establishing proactive lost revenue prevention measures, and monitoring compliance. The ideal candidate has a strong understanding of EPIC systems, coding standards, and billing regulations across both physician and facility revenue streams. Utilize data analytics and process improvement techniques to identify potential revenue leakage and support accurate charge capture. Use EPIC reporting tools to extract and analyze charge data. Perform extensive data mining, develop reports, review trends, and recommend enhancements...

Mar 26, 2026
Bridge Medical Consultants
Full Time
 
EXPERIENCED MEDICAL BILLER (NEUROLOGY & INTERNAL MEDICINE)
Bridge Medical Consultants San Ramon, CA
(Location: SAN RAMON) About the Practice / Office: Bridge Medical Neurology Consultants is a comprehensive neurology practice that offers in-depth and personalized consultations and advanced in-house neuro-diagnostic procedures for the management and treatment of a range of conditions. Dr. Said Ibrahimi, M.D. Q.M.E, has over 14 years of experience as a leading board-certified neurologist with a subspecialty in Brain Injury Medicine, tending to his expansive cohort of Adult patients, and additionally providing care for Personal Injury (P.I.) and Worker’s Compensation cases. With his extensive training and sub-specialty, Dr. Ibrahimi specializes in the treatment and management of conditions such as strokes, TIAs, dementia, Parkinson’s and Alzheimer’s Disease, epilepsy, nerve and muscle dysfunction, and many more. As a Qualified Medical Examiner (Q.M.E.) Dr. Ibrahimi also offers medical-legal services such as Independent Medical Examinations, and Expert Witness Review....

Mar 20, 2026
Gainwell Technologies
Full Time
 
Clinical DRG Auditor – Remote
Gainwell Technologies Remote (United States)
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the...

Mar 10, 2026
New York Oncology Hematology
Full Time
 
Certified Billing and Coding Specialist
New York Oncology Hematology Hybrid (NY)
SCOPE: Under minimal supervision performs periodic, comprehensive coding audits for all assigned regional oncologists (medical, radiation and surgical oncology).   Verifies charge documentation and charge submission processes are in compliance with Federal and State regulations, as well as payer guidelines. Coordinates efforts with manager and front office managers to ensure optimal revenue cycle processes and adherence to compliance and revenue cycle policies and procedures.  Provides effective educational feedback to physicians and staff on findings from audits and updates in Payer billing regulation . ESSENTIAL DUTIES AND RESPONSIBILITIES: Develops Audit and Education Programs Abstracts relevant clinical and demographic information from the medical record to assign current ICD and CPT codes in accordance with coding and reimbursement guidelines. Codes with an accuracy of 97% based on QA internal reviews Performs Evaluation and Management (E&M)...

Mar 02, 2026
Cenevia
Full Time
 
Revenue Cycle Management Manager
Cenevia Remote
SUMMARY/OBJECTIVE: The Revenue Cycle Management Manager is responsible for all duties listed below. The position requires coordination with clients, executive staff and RCM staff for the revenue cycle management performance reporting.   ESSENTIAL FUNCTIONS: Core duties and responsibilities include the following. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. 1. LEAD AND SUPERVISE REVENUE CYCLE STAFF Provide day‑to‑day leadership, coaching, and performance oversight for billing, coding, collections, and reimbursement teams. Ensure staff adhere to organizational policies, regulatory requirements, and best practices across the full revenue cycle. 2. Monitor and Report Staff Productivity Develop, track, and analyze productivity metrics for all revenue cycle functions. Prepare regular performance dashboards and present findings AND SUGGESTIONS for improvement to...

May 12, 2026
Northwell Health
Full Time
 
Advisor, Revenue Cycle Quality & Performance Management
Northwell Health Remote
Inpatient Coding certificate required Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) 3-5 years of Inpatient Coding experience Manage and prioritize multiple tasks simultaneously while maintaining accuracy and efficiency Pivot quickly between changing priorities and deadlines in a dynamic work environment Utilize various technology tools and systems to support daily operations and improve workflow Conduct research to gather information, solve problems, and support projects or initiatives Coordinate meetings, events, and communications while ensuring smooth day-to-day operations Exhibits strong professional writing abilities and maintains timely and effective communication via phone, email, and other channels Maintain organized records and documentation Must be a resident of one of the following states: New York, New Jersey, North Carolina, South Carolina, Virginia, Florida, Texas, Georgia, Tennessee, or Connecticut 

May 12, 2026
DH
Full Time
 
Biller and Coder RCM Specialist
Dominion Health Hybrid
Overview: Dominion Health is seeking an experienced  Medical Biller & Coder with strong Revenue Cycle Management (RCM) expertise  to oversee end-to-end billing operations. This role is critical in optimizing collections, ensuring coding accuracy, and improving financial performance across multiple clinic locations. Key Responsibilities: 1. Medical Coding Accurately assign  ICD-10, CPT, and HCPCS codes  for outpatient visits Ensure proper documentation supports coding (E/M leveling, modifiers, etc.) Review provider charts for completeness and compliance Work closely with providers (MDs, NPs, PAs) to improve documentation quality 2. Billing & Claims Management Submit clean claims daily (electronic ) Monitor claim status and resolve rejections quickly Handle insurance follow-ups, denials, and appeals Ensure timely filing compliance across all payers 3. Revenue Cycle Management (RCM) Manage...

Apr 29, 2026
PP
Full Time
 
Senior Risk Adjustment Coder (HCC / Medicare Advantage)
Power Personnel Hybrid (Newark, CA)
Drive Accuracy. Influence Outcomes. Protect Revenue. We are seeking a highly experienced Senior Risk Adjustment Coder to play a critical role in risk adjustment accuracy, audit readiness, provider education, and clinical documentation excellence. Job Title: Senior Risk Adjustment Coder Location: Newark, CA (Candidates must currently reside within approximately 45–65 miles of the Newark area due to onsite operational needs.) Employment Type: Full-Time (Direct Hire) Salary Range: $91,000 – $119,000 annually, based on experience, skills, and internal equity About the Role: We are seeking a senior-level Risk Adjustment professional to support a leading healthcare organization focused on accurate HCC capture, audit readiness, documentation integrity, and provider engagement. This role is highly operational and collaborative in nature and is not a traditional production-only coding position. The ideal candidate will bring strong...

Apr 27, 2026
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