86 jobs found

Description Summary: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues, denials, and physician documentation clarifications, to ensure accurate billing...

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...

divh2Hcc Coder Position/h2pDatavant is a data platform company and the worlds 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 worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ppAs an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized...

divh2Senior Inpatient HIM Coder/h2pWe 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./ppRequirements and Qualifications:/pulliA minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment./liliProficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records./liliIn-depth understanding of supporting evidence requirements for accurate coding./liliPractical experience using grouper software for MS-DRG and APR-DRG assignment./liliStrong communication skills to interact effectively with the...

Join us in empowering our clients with a commitment to excellence in healthcare services! We offer exciting career opportunities across the globe, paving the way for a fulfilling career path. Explore the possibilities and discover your next career journey with us! Please be aware of employment scams. We recommend vigilance while verifying the authenticity of job offers and communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of recruitment. If you suspect fraudulent activity, please contact us directly through our official channels to protect your personal information. This position is contingent upon contract award and will be located onsite with potential travel requirements. Conduct complex tests across various domains including chemical, biological, hematological, immunologic, and bacteriological analyses. Examine body fluids and cells for analysis, including blood matching for...

Datavant is a leading data platform company revolutionizing health data exchange. Our mission is to ensure that every healthcare decision is made with the right data, delivered timely and in the appropriate format. Powered by the most extensive health data network in the U.S., our platform guarantees secure, accessible, and usable data to enhance health decisions. We are proud to be trusted by the foremost life sciences organizations, government bodies, and healthcare providers. By joining our team, you will be part of a high-performing and values-driven culture. Together, we are addressing some of healthcare's most challenging issues with innovative technology solutions. We embrace a diverse array of professional and personal experiences among our team members as we pursue our ambitious goals for healthcare. What We're Seeking We are on the lookout for seasoned and certified inpatient coders to join our team. The perfect candidate will have exceptional attention to...

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,...

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...

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,...

Join us in empowering our clients with a commitment to excellence in healthcare services! We offer exciting career opportunities across the globe, paving the way for a fulfilling career path. Explore the possibilities and discover your next career journey with us! Please be aware of employment scams. We recommend vigilance while verifying the authenticity of job offers and communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of recruitment. If you suspect fraudulent activity, please contact us directly through our official channels to protect your personal information. This position is contingent upon contract award and will be located onsite with potential travel requirements. Conduct complex tests across various domains including chemical, biological, hematological, immunologic, and bacteriological analyses. Examine body fluids and cells for analysis, including blood matching for...

Lead Med-Surg Excellence in New Mexico Step into a high-impact leadership role as the Medical Surgical Med Surg Nurse RN Supervisor at a thriving New Mexico acute care hospital-where innovation, compassion, and career growth converge. This Medical Surgical Med Surg Nurse RN Supervisor position invites transformational leadership that elevates patient outcomes and energizes a motivated nursing team . Why this organization is an exceptional place to work The Medical Surgical Med Surg Nurse RN Supervisor will join an award-winning hospital widely recognized for quality, safety, patient experience, and nursing professional development. The Medical Surgical Med Surg Nurse RN Supervisor will benefit from cutting-edge technologies such as advanced EHR platforms, smart infusion systems, telehealth-enabled rounding, modernized med-surg units, and evidence-based care pathways that improve throughput and reduce readmissions. The Medical Surgical Med Surg Nurse RN Supervisor will be...

Location Address: 9521 San Mateo NE , Albuquerque, New Mexico 87113-2237, United States of America Compensation Pay Range: Minimum Offer $: 23.11 Maximum Offer for this position is up to $: 35.29 Now hiring a IP Facility Coder III CCS (Remote) Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled IP Facility Coder III CCS to join our team. Type of Opportunity: Full time Job Exempt: No Job is based : Reverend Hugh Cooper Administrative Center Work Shift: Varied Days and Hours (United States of America) Responsibilities: Presbyterian is seeking a talented IP Facility Coder III - CCS. The IP Facility Coder has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical...

Location Address: 9521 San Mateo NE , Albuquerque, New Mexico 87113-2237, United States of America Compensation Pay Range: Minimum Offer $: 23.11 Maximum Offer for this position is up to $: 35.29 Now hiring a Remote PRN DRG/PCS IP Facility Coder Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote PRN DRG/PCS IP Facility Coder to join our team. Type of Opportunity: PRN Job Exempt: No Job is based : Reverend Hugh Cooper Administrative Center Work Shift: Varied Days and Hours (United States of America) Responsibilities: Presbyterian is seeking a talented PRN DRG/PCS IP Facility Coder Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by...

UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* *This position requires extensive knowledge and experience with E/M coding. *$4,000 Sign-on Bonus* Minimum $56,173 - Midpoint $70,217* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical...

Physician Coder: Multi-Specialty/RHC Physician Coder: Multi-Specialty/RHC is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coder: Multi-Specialty/RHC is expected to adhere to MedKoder's internal coding policies and expectations set forth by department management. Physician Coder: Multi-Specialty/RHC must prioritize daily duties, multitask, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. We are currently looking for candidates with recent coding experience specializing in the following areas: Rural Health Clinic (RHC) Family Medicine and multi-specialties Ideally candidates also have experience in Radiology (CT, US, MRI) and/or Urology procedures Responsibilities:...

Medical Billing And Coding Specialist Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and...

divh2Medical Billing Specialist/h2pNeolytix is a boutique Consulting and Management Services Organization that works with small medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices./ppAt Neolytix, you will learn to hone your Consultative skills, develop drive leadership, balance work with family time and importantly have fun!/ppMedical Billing Specialist is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner./ppResponsibilities include:/pulliWorking directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid./liliVerifying correct insurance filing information on behalf of the client and patient./liliVerifying receipt of all patient registration data from the client and notifying the client of potential coding...

Job Title: Registered Nurse (Rn) We are seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. This role involves claims analysis, provider audits, fraud detection, and regulatory enforcement to ensure compliance with state and federal regulations. Key Responsibilities: Analyze claims data, medical records, and provider documentation to identify discrepancies, fraud, or non-compliance. Conduct retrospective case reviews, on-site provider audits, and recipient interviews. Review billing practices for upcoding, duplicate billing, and unbundling of services using ICD-10, CPT, and HCPCS manuals. Prepare reports, case findings, and recommend sanctions when violations are identified. Coordinate and participate in teleconferences, hearings, and legal proceedings with the Office of General Counsel and other agencies. Respond to provider complaints and compliance inquiries via hotline,...

Details Client Name Coding PB 5225 / 2630 Job Type Travel Offering Non-Clinical Profession Health and Information Management Specialty Medical Coder - Outpatient Job ID 17680432 Job Title Health and Information Management - Medical Coder - Outpatient Weekly Pay $1572.62 Shift Details Shift 5x8 Days Scheduled Hours 40 Job Order Details Start Date 02/23/2026 End Date 05/16/2026 Duration 12 Week(s) Client Details Address 2669 Scenic Drive City Alamogordo State NM Zip Code 88310

A client of Innova Solutions is immediately hiring for an Outpatient Coder multi-specialty Position type: Full-time, Contract Duration: 3+ Months Location: Remote in Texas, Louisiana, Arkansas, Georgia, New Mexico. As an Outpatient Coder multi-specialty you will: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate client's Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory...

Location Address: 2100 N Dr Martin Luther King Jr Blvd , Clovis, New Mexico 88101-9412, United States of America Compensation Pay Range: Minimum Offer $: 37.29 Maximum Offer for this position is up to $: 56.92 Summary: How you grow, learn and thrive matters here. * Educational and career development options, including tuition and certification reimbursement, scholarship opportunities * Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern) * Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions) * Malpractice liability insurance * Loan forgiveness through the New Mexico Higher Education Department * EPIC electronic charting system Type of Opportunity: Full time FTE: 1 Job Exempt: No Work Shift: Varied Days and Hours (United States of America) Responsibilities: Plains Regional Medical Center in Clovis, NM...

Job Summary Responsible for reviewing patients' medical records after a visit and translating the record into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting queries when appropriate. Essential Job Responsibilities Promote the mission, vision, and values of the organization Responsible for making sure CPT, HCPCS, modifiers, and ICD-10 codes are assigned correctly and sequenced appropriately as per guidelines and regulations. Ensuring compliance with medical coding guidelines and policies. Reviewing patients' records and documents for verification and accuracy. Following up and clarifying any information that is not clear to other staff members. Appropriately querying providers per coding guidelines. Ensure all codes are current and active Observe confidentiality and safeguards of all patients' related information. Maintain a good...

Job Type Full-time Description Job Summary: ESSENTIAL FUNCTIONS: • Consistently and accurately assigns ICD-10-CM, CPT and/or HCPCS codes in accordance with current year CMS/AMA CPT-4, HCPCS and Official ICD-10 Coding Guidelines by reviewing and interpreting medical documentation from physician office visit notes, procedure notes, nurse visit notes, provider orders, pathology, labs, etc. • Identifies and abstracts any additional documented HCC diagnosis not listed by the provider in the Assessment/Impression/Final Diagnosis • Review and report missing or incomplete documentation • Query providers or clinic staff as necessary for clarification of documentation or lack thereof as it pertains to proper application of ICD-10-CM diagnosis coding, HCPCS and CPT E/M and procedure coding • Monitor assigned work lists and provider lists to ensure all records are coded in a timely manner • Meets departmental productivity standards for coding • Maintain current...

Job Description Job Description Description: Job Summary: ESSENTIAL FUNCTIONS: · Consistently and accurately assigns ICD-10-CM, CPT and/or HCPCS codes in accordance with current year CMS/AMA CPT-4, HCPCS and Official ICD-10 Coding Guidelines by reviewing and interpreting medical documentation from physician office visit notes, procedure notes, nurse visit notes, provider orders, pathology, labs, etc. · Identifies and abstracts any additional documented HCC diagnosis not listed by the provider in the Assessment/Impression/Final Diagnosis · Review and report missing or incomplete documentation · Query providers or clinic staff as necessary for clarification of documentation or lack thereof as it pertains to proper application of ICD-10-CM diagnosis coding, HCPCS and CPT E/M and procedure coding · Monitor assigned work lists and provider lists to ensure all records are coded in a timely manner · Meets departmental productivity standards for coding · Maintain current...