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CH
Analyst SIU Certified Coder
CVS Health Corporation Hartford, CT, USA
Analyst SIU Certified Coder page is loaded## Analyst SIU Certified Coderremote type: Remotelocations: CT - Work from hometime type: Full timeposted on: Posted Todaytime left to apply: End Date: April 2, 2026 (26 days left to apply)job requisition id: R0845997We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health(R), you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must...

Apr 09, 2026
CH
Remote Certified Coder - SIU Medical Audit Analyst
CVS Health Corporation Hartford, CT, USA
A leading health services company is seeking an Analyst SIU Certified Coder to perform medical claim reviews for compliance with coding practices. The role includes comprehensive medical record audits, documenting findings, and ensuring adherence to regulations. Candidates require 3+ years in medical coding, AAPC certification, and strong analytical skills. This full-time position allows for remote work and offers competitive compensation along with comprehensive benefits. #J-18808-Ljbffr

Apr 09, 2026
CH
Analyst SIU Certified Coder
CVS Health Hartford, CT, USA
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Apr 13, 2026
CH
Analyst SIU Certified Coder
CVS Health USA
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. • Conduct a...

Mar 31, 2026
SI
Revenue Cycle Coding Auditor/Trainer (5032)
Southern Illinois University School of Medicine Springfield, IL, USA
Salary: $25.89 - $28.48 Hourly Location : Springfield, IL Job Type: Civil Service Job Number: 2401379 Department: SIU HealthCare Coding-SMS Division: Administration Opening Date: 10/02/2025 Closing Date: 3/30/2026 2:00 PM Central FLSA: Non-Exempt Bargaining Unit: Non-Represented Shift: Days ExemptorNon_Exempt: Non-Exempt We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform...

Apr 03, 2026
SM
Revenue Cycle Coding Auditor/Trainer (5032)
SIU MEDICINE Springfield, IL, USA
We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform all audits based on specific departmental need. Examples of Duties PBS Auditor: 100% Conduct quality and productivity reviews of coding staff using structured and consistent review programs and methods. Demonstrate in-depth knowledge and experience with SIU-HC supported applications, including but not limited to Athena IDX, TouchWorks,...

Mar 30, 2026
SM
Revenue Cycle Coding Auditor/Trainer (5032)
SIU MEDICINE Springfield, IL, USA
Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to, employee productivity and quality based on proper documentation, accuracy, and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role‑specific productivity and quality expectations. The incumbent will utilize a high level of in‑depth knowledge of the coding role to perform all audits based on specific departmental need. Duties Conduct quality and productivity reviews of coding staff using structured and consistent review programs and methods. Demonstrate in‑depth knowledge and experience with SIU‑HC supported applications, including but not limited to Athena IDX, TouchWorks, Epic, Cerner and Precision BI. Understand the integration of applications and their impact on business processes and operations. Provide on‑site guidance and assistance to end users as necessary. Review, develop and...

Mar 28, 2026
New York Oncology Hematology
Full Time
 
Certified Billing and Coding Specialist
New York Oncology Hematology Hybrid (NY, USA)
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
MedReview
Full Time
 
DRG (Coding) Reviewer/Auditor
MedReview Remote
Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare.  As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the direction of the DRG Operations Department leaders, the DRG Reviewer will conduct reviews of inpatient claims for both coding accuracy as well as perform screening referrals for clinical support of coded diagnoses. Responsibilities: Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate the reported ICD-10-CM/PCS codes to ensure proper DRG assignment for accurate billing. Demonstrates the ability to perform a comprehensive initial review as outlined in the standard operating procedures and departmental guides. Collaborates with physician reviewers, as needed. Ability to prioritize and organize workload and complete tasks independently....

Feb 19, 2026
TJ
Data Coder-Speech Therapy Student (Per Diem Temporary) Jefferson Moss-Magee Rehab
Thomas Jefferson University Hospital Montgomery, PA, USA
Job Details Transcribe Speech and language samples from people with aphasia using broad principles of the International Phonetic Alphabet Job Description Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Learn and apply specialized coding systems, such as Correct Information Unit (CIU) analysis to transcribed data Manage and organize data sets using excel Assist with general duties of research and lab operations as warranted Education: Current student or recent graduate from a Bachelor's degree program in Speech-Language Pathology AND Experience: None required Work Shift Workday Day (United States of America) Worker Sub Type Temporary Employee Entity Albert Einstein Medical Center Primary Location Address 60 Township Line Road, Elkins Park, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia...

Apr 13, 2026
WV
Professional Coding Auditor-Educator
WVU Morgantown, WV, USA
## Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. Responsible for the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment.**MINIMUM QUALIFICATIONS:****EDUCATION, CERTIFICATION, AND/OR LICENSURE:**1. Graduate of a Health Information Technology (HIT) or equivalent program **AND** Five (5) years of coding...

Apr 13, 2026
PH
Risk Adjustment Coder Analyst- Quality- Hansen - Green Bay, WI
Prevea Health Green Bay, WI, USA
Back Risk Adjustment Coder Analyst- Quality- Hansen #26-208 Green Bay, Wisconsin, United States Apply X Facebook LinkedIn Email Copy Location Hansen-006 Description This position will work 40 hours per week Risk Adjustment Coding Analyst Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health-they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care. Job Summary At Prevea Health the Risk Adjustment Coding Analyst will perform coding reviews of medical record documentation to ensure proper capture of CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement activities. The Risk Adjustment Coding...

Apr 13, 2026
VH
Supervisory Medical Records Technician (Coder)
Veterans Health Administration Anchorage, AK, USA
Summary NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. This position is located in the Health Information Management (HIM) section at the Alaska VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Learn more about this agency Duties Help Total Rewards of a Allied Health Professional This position is located in the Health Information Management (HIM) section at the Alaska VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Duties will include: Functions: Basic: Applies comprehensive...

Apr 13, 2026
HF
Outpatient Professional Coder(Procedural/Surgical)/Full Time/Remote
Henry Ford Health - Careers Lansing, MI, USA
Overview Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patient\'s medical record for reimbursement/billing purposes. Abstracts information from the medical record for compilation of a patient database to support medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is a primary source for data and information used in health care today and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Responsibilities Review, analyze and code diagnostic and/or procedural information from the patient\'s medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for...

Apr 13, 2026
US
Medical Records Technician (Coder) - Auditor
U.S. Department of Veterans Affairs Charleston, SC, USA
Summary This position is in the Health Information Management (HIM) section at the Ralph H. Johnson VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting - and/or physician-based settings - such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy Experience One year of credible experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical...

Apr 13, 2026
PV
Patient Accounts Coder
Peak Vista Colorado Springs, CO, USA
Patient Accounts Coder Summary Title:Patient Accounts Coder ID:0402-5079 Department Location:3205/3207 N. Academy, Colorado Springs, CO 80917 Category:Administrative / Clerical / Skill Trades Description Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 20 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 74,300 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health...

Apr 13, 2026
VA
Medical Records Technician (Coder) - Auditor
Veterans Affairs, Veterans Health Administration Charleston, SC, USA
Summary This position is in the Health Information Management (HIM) section at the Ralph H. JohnsonVA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. Responsibilities Duties include but not limited to: Complete and accurate diagnostic and procedural coded data are necessary for research, epidemiology, outcomes and statistical analysis, financial and strategic planning, reimbursement, evaluation of quality of care, and communication to support the patient's treatment. Diagnoses and procedures will be coded utilizing the current edition of International Classification of Diseases (ICD) Clinical Modification (CM) and Procedure Coding System (PCS),...

Apr 13, 2026
CF
Medical Coder and Auditor
CNY Family Care, LLP East Syracuse, NY, USA
Medical Coder and Auditor - Family Care Practice * Full-Time * Monday - Friday * Flexible Schedule * $22.00 -$28.00 per hour (depending on experience) Medical Coder and Auditor Benefits: * Annual performance review, performance-based merit increase * Health, dental and vision benefits available with coverage effective the first of the month following date of hire * Full complement of voluntary benefits * $1,000 annual employer HSA contribution for employees enrolled in CNYFC high deductible health plan * Free office visits with NP or PA employees who are patients of the practice and enrolled in CNYFC high deductible health plan * Waiver program for health benefits ($3,000 annually) * 401K after six months with up to 7% combined employer match and annual discretionary profit-sharing contribution * Generous paid time-off that increases with years of service * 8 paid holidays per year * Closed on major holidays * Free onsite parking * Free lunch daily CNY Family Care's commitment...

Apr 13, 2026
IS
Coder Analyst Inpatient
Imagine Staffing Technology Buffalo, NY, USA
Job Description Job Description Job Title : Coder Analyst Inpatient Location : New York Hire Type : Temp to Hire Pay Range : $26.44 - $39.66/hour Work Type : Part-time Work Model : Remote Work Schedule : Monday – Friday, 9am – 5pm Recruiter Contact : Luisa Beato, LBeato@imaginestaffing.net Nature & Scope: Positional Overview The Imagine Group is recruiting for a Coder Analyst Inpatient on behalf of our client, a leading not-for-profit healthcare system, providing a comprehensive network of hospitals, outpatient services, rehabilitation, home care, and long-term care to patients throughout Western New York. The organization is committed to delivering compassionate, patient-centered care across a full spectrum of medical specialties while fostering a mission-driven culture of quality, dignity, and community service. In this role, you will be responsible for accurately reviewing and assigning diagnostic and procedural codes for inpatient medical...

Apr 13, 2026
TE
Outpatient Medical Coder
TEKsystems West Des Moines, IA, USA
*Description* Will be a 6-9 month set contract need to support automation within the business office. Contract needs may extend longer. 100% remote role; prefer candidates that sit in Iowa, Illinois, and Wisconsin. Open to candidates that sit in the Midwest. Hospital HB coding for Ambulatory surgery in all services areas (ortho, pain, wound, neuro, cardiac, etc.) is required for role. Must have hospital coding experience in surgery and wound service areas. The Outpatient Medical Coding role reviews inpatient and outpatient medical records for documentation, abstracting and analyzing. Assign all codes to the highest level of specificity following the current guidelines for ICD-10-CM, CPT, and HCPCS. Understand and properly apply modifiers, CCI edits, medical policy rules (e.g., LCD/NCD), etc., in compliance with payor regulations. This role will be using Epic and a stand alone encoder. Daily Duties: Assigns procedural codes according to coding conventions defined by the...

Apr 13, 2026
OA
MEDICAL CODER
ORTHOPAEDIC ASSOCIATES OF WISCONSIN Pewaukee, WI, USA
Summary of Role Individuals will be responsible for coding all physician, clinical, and surgical claims. Review documentation via EHR or operative note to verify the accuracy and completeness of CPT and ICD10 code assignment for claims submission. The Medical Coder is responsible for translating medical documentation into standardized codes that accurately represent the patient’s medical history, treatments, and procedures. The role ensures that the hospital’s billing processes are precise and compliant with regulations, facilitating efficient reimbursement from insurance companies and payers. Key Responsibilities Serves as the key point of contact for coding information. Provides onsite coding and documentation, education, and feedback to providers for coding changes (CPT including E&M, modifiers and internal codes, ICD-9, ICD-10, HCPCS), annual updates, payor requirements, and insurance rejection resolution. Staying abreast of payer regulations and documentation...

Apr 13, 2026
AH
Provider Side Medical Billing Specialist
AdaptHealth, LLC. Minneapolis, MN, USA
Provider Side Medical Billing Specialist Minneapolis, MN, USA Job Description Posted Tuesday, July 6, 2021 at 4:00 AM Provider Side Medical Billing Specialist ActivStyle, an AdaptHealth Company in NE Minneapolis specializes in the supply of home delivery of medical products. We offer personalized service, uncompromising commitment to quality, and superior customer service. We are passionate about making our customers' lives easier and hire only the most talented and compassionate individuals to make a profound impact on the quality of our customers\' lives. We are dedicated to pursuing better and use technology, process and the power of our national network to do so. We have a relentless commitment to using innovation to transform the durable medical equipment industry, break the status quo and provide the best quality care. Position Summary: The Provider Side Medical Billing Specialist is responsible for proper billing of and collections from third party insurance companies....

Apr 13, 2026
TE
Outpatient Medical Coder
TEKsystems West Des Moines, IA, USA
Overview Will be a 6-9 month set contract need to support automation within the business office. Contract may extend longer. 100% remote role; prefer candidates who sit in Iowa, Illinois, and Wisconsin. Open to candidates that sit in the Midwest. Daily Duties Assign procedural codes according to coding conventions defined by the American Medical Association's CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable. Assign diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting. Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations. Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality. Collaborate with Clinical Auditors to identify opportunities for improvement and provide guidance/counsel to providers. Monitor environmental conditions in...

Apr 13, 2026
EH
Medical Coder III
Endeavor Health Services Naperville, IL, USA
Medical Coder III The Medical Coder III is a senior-level position responsible for ensuring precise coding of diagnoses and procedures in compliance with established coding guidelines and regulations. This role is integral to maintaining financial accuracy and regulatory compliance within our institution. Position: Medical Coder III Location: Hybrid Warrenville, IL and remote Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, 8:00am-4:30pm What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records, demonstrating advanced proficiency in complex coding scenarios. Lead and conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments, providing guidance and feedback to junior coders. Analyze clinical documentation in medical records and collaborate with physicians and clinical staff to clarify and enhance documentation for accurate coding....

Apr 13, 2026
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