99 jobs found

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

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 and CPT 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-10 CM/CPT 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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Job Summary Assigns appropriate codes to all patient types Abstracts critical information and enters data into hospital information system Monitors accounts "in process" for diagnosis to assure daily DNFB standard is met Maintains high level of coding expertise Meets expectations for Remote Coding Placement outlined in the NRHS Remote Coder Agreements Qualifications Education Bachelors of Science or Associates in Applied Arts/Science or equivalent years of experience. Certification with American Health Information Management Association (AHIMA) as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) and/or Registration with American Association of Professional Coders (AAPC) as a Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC) or other equivalent coding certification preferred. Three years coding of experience preferred. Experience...

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 for...

Signature Performance seeks a remote Medical Coder specializing in Inpatient Professional Fee coding. You will assign diagnoses and procedures using CPT/ICD coding, review multiple medical documents, and ensure accurate DRG/APC payment alignment. Minimum 2 years of professional coding experience and AHIMA/AAPC certifications are required. The role emphasizes accuracy, regulatory compliance, and collaboration to support reimbursement accuracy across nationwide healthcare facilities. #J-18808-Ljbffr

Medical Records Coder V-Supervisor Koniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a Medical Records Coder V-Supervisor to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid vacation, paid sick leave and more. Join Our Team Where Precision, Integrity, and Leadership Matter. Koniag Advisory Business Solutions (KABS) is seeking an experienced, highly skilled, and mission-focused Medical Records Coder V (Supervisor) to lead a coding team supporting a large-scale healthcare mission serving hospitals and clinics. This is a critical leadership role supporting coding and billing for more than 300,000 patient visits, where technical expertise,...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. You will audit medical records for CPT/HCPCS alignment, prepare detailed findings, and communicate results to investigators and regulators. The role requires 3+ years of coding or auditing experience and proficiency with CPT, ICD-10, CMS 1500, and UB04 guidelines. Ideal candidates will have CPC certification, strong analytical skills, and experience with Excel and #J-18808-Ljbffr

Current Saint Francis Employees - Please click HERE (https://wd115.myworkday.com/saintfrancis/d/task/2998$46522.htmld) to login and apply. This position is ECB status – requires a minimum number of worked hours per month as needed by the department; limited benefit offerings. Variable Job Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA. Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam. Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient and inpatient coding exam. Essential Functions and Responsibilities: Codes ER's, outpatients,...

Coding Auditor The Coding Auditor performs coding audits to assure compliance with Corporate Compliance Plan standards. This role develops, coordinates, and implements clinic wide education for coding and billing issues while serving as a resource to physicians, office staff, management and patients for coding and billing issues. Additionally, this role coordinates successful response to regulatory bodies and insurance companies for medical record reviews and audits. Minimum Education: High School Diploma or GED. Bachelor's degree in Healthcare Administration or Business Administration, preferred. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA). Work Experience: Minimum 3 years of hospital or physician auditing experience with 1 year of hospital or physician coding experience. Hierarchical Condition...

Koniag Advisory Business Solutions, LLC, a Koniag Government Services company , is seeking a Medical Records Technician Coder IV-Lead to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid Vacation, paid sick leave and more. Join Our Team Where Precision, Integrity, and Expertise Matter. Koniag Advisory Business Solutions (KABS) is seeking highly skilled, self-directed Medical Records Coder IV (Lead) professionals to support a large-scale healthcare mission serving hospitals and clinics. This is an opportunity to bring your expertise to a team responsible for coding and billing more than 300,000 patient visits, where accuracy, compliance, sound judgment, and accountability are...

Express Employment International is seeking a Work Authorization Auditor to join their Corporate Headquarters in Oklahoma City, OK. In this pivotal role, you will conduct thorough audits of Form I-9 documents and E-Verify cases, ensuring compliance with federal regulations. The ideal candidate will hold a Bachelor's degree or equivalent experience, possess strong attention to detail, and have knowledge of immigration law. The position entails a four-day in-office schedule with one day for remote work, contributing to ongoing work authorization compliance efforts. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in 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 for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

The Physicians' Group in SW Oklahoma City seeks an experienced Medical Billing professional with Coding credentials to join our four-provider practice. This role combines billing with workers' compensation experience and medical coding certification to support patient accounts and payer submissions. You will work in a collaborative, team-oriented office, enjoy a comprehensive benefits package, and contribute to high-quality patient care. To learn more, visit our website. #J-18808-Ljbffr

INTEGRIS Health is seeking a Medical Staff Specialist at its Corporate Office in Oklahoma City, OK to develop, manage and administer credentialing for medical staff and allied health professionals. The role ensures compliance with Joint Commission standards, federal and state guidelines, and hospital policies, while coordinating orientation programs and supporting risk management activities. Strong communication in English and knowledge of credentialing requirements are essential. #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Fort Sill Apache Gaming Commission (FSAGC) seeks an Internal Auditor to conduct financial, operational, compliance, and special audits of Tribal gaming enterprises and operations. The role maintains independence from audited activities and reports to the FSAGC Director and Commissioners. Candidates should have 5+ years in gaming compliance or a related field, and/or a Bachelor's degree in accounting or related discipline, with strong analytical and communication skills and knowledge of IGRA, #J-18808-Ljbffr

International Executive Service Corps is seeking a Certified Coding Specialist responsible for accurate coding of procedures from medical records to ensure reimbursement compliance with OIG, CMS, and local regulations. The ideal candidate has experience in coding, knowledge of ICD-10, and strong analytical skills. Proficiency in Microsoft Office and a graduate of an AHIMA accredited program are preferred. #J-18808-Ljbffr

The International Executive Service Corps seeks a Certified Coding Specialist in Lawton, Oklahoma. In this role, you will handle accurate coding of medical procedures to ensure optimal reimbursement and compliance with OIG, CMS, and other regulatory bodies. The ideal candidate will have a Certified Coding Specialist (CCS) certification and at least one year of coding experience. Proficiency in ICD-10 coding principles, critical thinking skills, and ability to maintain confidentiality are essential requirements. #J-18808-Ljbffr

The International Executive Service Corps is seeking a Certified Coding Specialist responsible for accurate coding of medical procedures to ensure optimal reimbursement and compliance with necessary guidelines. Candidates should possess critical thinking skills and communication abilities, along with experience in coding practices. Qualifications include a graduate from an AHIMA accredited program or completion of a Basic ICD-10-CM coding program, along with the ability to manage confidential information proficiently. #J-18808-Ljbffr

Saint Francis Health System is seeking a Full Time Laboratory Supervisor at the Muskogee Campus to oversee the department/shift operations. The role requires a Baccalaureate Degree in Medical Technology and national certification, with 2 years of high-complexity lab experience. Strong leadership, communication, and planning skills are essential to ensure regulatory compliance and quality reporting. The supervisor will manage staff, coordinate daily workflows, and maintain procedure manuals while #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $29 .75 and $ 3 2 . 7 0 / hr based on experience Specialized Coders Wanted -$3,000 Sign On Bonus Awaits We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties. The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education. Job Responsibilities: Code claims directly from the medical record/operative report according to coding guidelines. Accurate and timely completion of work queues as...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system,...

Job Description Under the direction of the HIM Manager, the Coder will be responsible for chart review with experience in Inpatient and Outpatient coding within the hospital setting. Strong knowledge of ICD-10-CM, PCS, CPT/HCPCS coding, and CCI edits. Verify completeness of medical records to ensure documentation supports the assigned codes and modifiers. Knowledge of reimbursement systems and regulations pertaining to billing, documentation, and compliance standards including federal and state regulations. Maintain coding knowledge of current coding updates, medical terminology, updated changes in healthcare regulations, and maintain up-to-date coding certification. Attention to detail with excellent communication and interpersonal skills when working with healthcare providers, physicians, residents, and other departments within the hospital. Qualifications Associate Degree required Bachelors Degree preferred License/Certifications: CCS-Certified Coding Specialist, RHIT-...

Now Hiring: Medical Billing Specialist (Medicare & Medicaid) Full-Time | Onsite in Tulsa | Monday–Friday A respected healthcare organization is looking to add a skilled Medical Billing Specialist to their team. If you enjoy digging into details to solving billing issues, this could be a great fit. What You’ll Do: Manage end-to-end Medicare and Medicaid billing, from submission through resolution Investigate outstanding A/R and follow up on denied or underpaid claims Analyze discrepancies and collaborate with payers to resolve issues Review EOBs to ensure accurate payments and identify errors Submit corrected claims and handle appeals as needed Keep thorough and organized documentation on all accounts Communicate professionally with patients, payers, and internal teams What We’re Looking For: At least 2 years of hands‑on medical billing experience Strong understanding of Medicare and Medicaid processes Proven success with claims follow‑up, denials, and collections...