42 jobs found

Join Datavant, a leading data platform company revolutionizing health data exchange! We are dedicated to ensuring every healthcare decision is supported by the right data at the right time. Our extensive health data network provides secure, accessible, and usable data, enabling healthcare professionals to make informed decisions. By becoming a part of our high-performing team, you will tackle some of healthcare's most complex challenges with innovative technology solutions. We value diversity in professional, educational, and personal experiences to achieve our ambitious vision. We are seeking experienced and credentialed outpatient coders to enhance our team. Candidates should have exceptional attention to detail and a robust understanding of medical terminology. This fully remote role offers a flexible schedule, allowing you to contribute to the future of healthcare from your own workspace! Key Responsibilities: Review medical records and accurately assign codes for...

A leading data platform company is seeking an experienced outpatient coder to join its remote team. The ideal candidate will have AHIMA or AAPC certification and at least 2 years of coding experience, with strong attention to detail and knowledge of medical terminology. Responsibilities include reviewing medical records to assign accurate codes and maintaining high productivity standards. This opportunity offers a flexible schedule, comprehensive training, and various employee benefits. #J-18808-Ljbffr

Inpatient Hospital Medical Coder An inpatient hospital medical coder is a healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and assigning standardized codes for diagnoses and procedures. These codes are primarily based on ICD-10-CM (International Classification of Diseases) and PCS (Procedure Coding System) standards. Responsibilities: Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform additional duties as requested by management from the hospital side of forms (not...

Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Job Opportunity: Inpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our...

Outpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate...

The Certified Medical Coder is responsible for accurately assigning ICD-9 and CPT codes for clinic office visits, hospital services, laboratory, and radiology encounters, as applicable. This role ensures timely and compliant charge entry, monitors claim progress, and resolves coding-related denials in accordance with established guidelines, regulations, and payer requirements. The Certified Medical Coder reconciles daily charge batches, reviews outstanding encounters, and collaborates with clinical and billing teams to ensure documentation supports accurate coding and reimbursement. This position also conducts audits of provider documentation and coding practices as assigned, contributing to continuous quality improvement and regulatory compliance. Additional duties may be assigned to support departmental operations. KNOWLEDGE/EXPERIENCE: Knowledge of ICD-9-CM and CPT coding guidelines. Knowledge of anatomy and physiology, medical terminology and disease processes. EDUCATION:...

Benefis Health System Opportunity Benefis is one of Montana's largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you! Responsible for performing age and diagnosis specific assessment and treatment relevant to the patient's individual needs. This assessment may include cognitive, sensory, neuromuscular, perceptual motor skills, psychosocial skills, functional daily living and work-related skills, and home/work/community environments. Develops, initiates, performs, and manages plan of care as indicated, assesses response to treatment, and assists in discharge planning. Provides education related to the treatment program, disease process, and prevention of further injuries to the patient...

Job Opportunity: Physician Coder St. Luke Community Healthcare has a great opportunity for a dependable full-time physician coder for our business office. Some duties will include insurance billing. Normal hours are Monday through Friday 8:00 -- 4:30. Current certification through AHIMA or the American Academy of Professional Coders and coding experience is preferred. Professional customer service and communication skills are required. Willing to train the right candidate!

Medical Records Technician Coder I Koniag Advisory Business, a Koniag Government Services company, is seeking a Medical Records Technician Coder I to support Koniag Advisory Business and our government customer in Poplar, MT. This position requires the candidate to be able to obtain a Public Trust. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three weeks paid time off, and more. Key Responsibilities Medical Coding: Perform quantitative analysis of medical records to ensure completeness and accuracy Assign CPT/HCPCS/CDT/DSM codes in accordance with AHIMA and AMA guidelines Ensure proper Evaluation & Management (E&M) levels are applied Sequence diagnostic and procedural terminology accurately Ensure compliance with official coding conventions and regulations Medical Records Management: Scan medical documents into...

Benefis is one of Montana's largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you! Responsible for performing age and diagnosis specific assessment and treatment relevant to the patient's/resident's/client's individual needs. This assessment may include cognitive, sensory, neuromuscular, perceptual motor skills, psychosocial skills, functional daily living and work-related skills, and home/work/community environments. Develops, initiates, performs, and manages plan of care as indicated, assesses response to treatment, and assists in discharge planning. Provides education related to the treatment program, disease process, and prevention of further injuries to the patient/resident/client...

At the Great Falls Clinic Hospital, we pride ourselves on providing high quality care and exceptional service to our patients. Here you will find excellent nurse to patient ratios. This allows us to provide more personalized care and create stronger connections. You will discover a culture of teamwork, compassion, and an opportunity for professional growth. POSITION OVERVIEW: The Manager, Revenue Cycle is a key change agent position with significant corporate level visibility. This position requires a leader that can facilitate and drive change in a fast paced and “ever changing” environment leveraging their strong interpersonal and organizational skills. Key to success in this position is the ability to work within the organization at all levels creating value and buy-in as the lead change facilitator driving the performance of their designated hospitals. EDUCATION: Bachelor's degree, required EXPERIENCE: 5 years of experience in one or more of the following:...

Join Our Billing Team at Rocky Mountain Medical Center! This is an on-site position only - no remote work is offered at this time. Are you a highly motivated and hardworking individual looking for an exciting career opportunity? We are seeking a full-time Medical Billing Specialist to join our dynamic team! Why You'll Love Working With Us: • Work-Life Balance: Enjoy a Monday to Friday schedule from 8:30am to 5:30 pm, with no nights or weekends! • Competitive Compensation: Starting wage is $19.38 per hour or DOE, with full benefits, including health, vision, dental, life insurance, 401(k) plan, 18 days of paid vacation, sick leave, holiday pay, and more! What You'll Do: As a Medical Billing Specialist, you'll play a crucial role in our Bookkeeping Department. Your responsibilities will include: • Answer phone calls and patient questions regarding their bills. • Submit claims to insurance companies electronically and via mail. • Monitor and follow up on outstanding...

Position Summary: The Compliance Auditor supports an effective compliance program by planning and executing risk-based audits, monitoring adherence to federal and state regulations, and evaluating internal controls and procedures. The role partners with departments across the organization to assess billing, coding, privacy/security, and operational practices; identifies vulnerabilities; and recommends corrective actions that promote ethical, compliant operations. The position prepares clear reports for leadership and supports survey readiness, investigations, and ongoing education to sustain compliance. Qualifications: Bachelor’s degree in healthcare administration, business, accounting, or related field. Professional certification (e.g., Certified in Healthcare Compliance (CHC), Certified Professional Compliance Officer (CPCO)); or ability to obtain within twelve (12) months of hire. Three (3) years of experience in healthcare compliance, auditing, or a...

Job Description: Analyzes, codes, abstracts, and compiles medical records of patients of health care delivery system to document patient condition and treatment by performing the following duties: Essential Duties and Responsibilities Medical Record Coder Abstracts and codes diagnoses, operations, and procedures from health records by using appropriate classification systems, standards, and procedures. Prepares statistical reports required by applicable legal, accrediting, and/or licensing regulations and office policy. Assigns patient severity of illness index ratings, supplemental codes, and other data as necessary. Compiles information and data from health records and computer systems for use in the evaluation of quality of care and utilization review. Monitors completion of medical records in accordance with time standards. Audits incomplete records and prepares reports on delinquencies. Confers with doctors, nurses, and...

Job Description: Analyzes, codes, abstracts, and compiles medical records of patients of health care delivery system to document patient condition and treatment by performing the following duties: Essential Duties and Responsibilities Medical Record Coder Abstracts and codes diagnoses, operations, and procedures from health records by using appropriate classification systems, standards, and procedures. Prepares statistical reports required by applicable legal, accrediting, and/or licensing regulations and office policy. Assigns patient severity of illness index ratings, supplemental codes, and other data as necessary. Compiles information and data from health records and computer systems for use in the evaluation of quality of care and utilization review. Monitors completion of medical records in accordance with time standards. Audits incomplete records and prepares reports on delinquencies. Confers with doctors, nurses, and other health personnel to assure...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

The Inpatient/Outpatient Medical Coder is responsible for accurately assigning diagnostic and procedural codes for inpatient and outpatient encounters in accordance with ICD-10-CM/PCS and CPT guidelines. This role ensures timely, compliant coding that supports accurate reimbursement, regulatory reporting, and organizational quality standards. The Medical Coder works collaboratively with clinical teams, CDI specialists, and revenue cycle partners to resolve documentation issues, prevent denials, and maintain coding quality and productivity benchmarks. KNOWLEDGE/EXPERIENCE: Minimum 2 years coding experience in acute care setting highly preferred. Knowledge of ICD-10 CM/PCS and CPT coding guidelines. Knowledge of DRGs, MS-DRGs , APR-DRGs, APCs, MUE Edits, LCD/NCD Edits, anatomy and physiology, medical terminology and disease processes. EDUCATION: BA, BS or AA in Health Information Management or coding certification required. ICD-10 training appropriate to credential required....

Job Description About the Role: We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

Become a part of our caring community and help us put health first The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

SPECIALTY SCOPE FOR THIS CODER II POSITION TO INCLUDE BUT NOT LIMITED TO: Upper Extremity: - Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair - Elbows: Cubital tunnel release, Bursectomy, Arthroplasty - Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) - Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: - Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy - Pelvis: Fracture repairs - Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs - Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs,...

Job Description About the Role: Join our innovative healthcare information management team as a Lead Inpatient Medical Coder. This pivotal position is essential in connecting clinical data with technology, driving the development of advanced AI solutions for medical coding and billing. You will leverage your expertise to significantly influence our product development initiatives. Requirements and Qualifications: At least 3 years of extensive experience in inpatient medical coding within a hospital setting. Expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and their modifiers from patient records. Comprehensive knowledge of the evidence requirements for precise coding. Hands-on experience with grouper software for MS-DRG and APR-DRG assignment. Excellent communication skills for effective collaboration with the billing department on coding-related matters. Up-to-date with the latest ICD-10-CM,...