193 certified nurse coder jobs found

UnitedHealth Group is seeking a remote Certified Coder to provide coding expertise and clinical support across benefit digitization and AI initiatives. This full-time role requires collaboration with cross-functional teams to ensure alignment with clinical and business goals. Ideal candidates have a nursing license, 3+ years in coding/reimbursement, and proficiency in CPT, ICD-10, HCPCS, CMS. Telecommuting is allowed from anywhere in the U.S. #J-18808-Ljbffr

UnitedHealthcare is seeking a Certified Coder for a national remote role in the US. You will deliver coding expertise and clinical support across diverse programs, collaborating with cross-functional teams to meet clinical and business objectives. This full-time position requires strong CPT/HCPCS/ICD-10 knowledge, regulatory compliance, and the ability to handle coding updates for benefit administration across markets. #J-18808-Ljbffr

UnitedHealthcare is seeking a Certified Coder to provide coding expertise and clinical support across benefit digitization programs. This full-time role collaborates with cross-functional teams to align clinical and business goals and drive enterprise initiatives. The position offers national remote work within the U.S. and requires CPT/HCPCS/ICD-10 proficiency, ACP/ AHIMA certification, and an active nursing license, with hours 8-5 EST. #J-18808-Ljbffr

UnitedHealth Group is seeking a Certified Professional Coder to provide coding expertise and clinical support across benefit digitization initiatives. This full-time, remote role offers collaboration with cross-functional teams and exposure to nationwide healthcare programs. You will maintain coding integrity, manage CPT/HCPCS/ICD-10 updates, and support regulatory compliance while delivering actionable insights to project teams. #J-18808-Ljbffr

## Clinical Documentation Improvement Nurse Coder (Certified)Applylocations: Portland, MEtime type: Full timeposted on: Posted 2 Days Agojob requisition id: REQ-2026-227Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.## Position SummaryThe Clinical Documentation Improvement (CDI) Nurse Coder supports accurate and complete clinical documentation that reflects the severity of illness, quality...

Martin's Point Health Care Inc. in Portland, Maine, is seeking a Clinical Documentation Improvement Nurse Coder (Certified) to ensure accurate documentation, optimize risk adjustment, and support quality reporting. The role requires RN licensure, CDI experience, coding certifications, and strong collaboration with providers and care teams. This full-time role emphasizes documentation integrity and regulatory compliance to improve population health outcomes. #J-18808-Ljbffr

Ankura Health Care Disputes, Compliance and Investigations Practice Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura's Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also...

Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura's Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also provide investigative assistance in matters involving research...

**Requisition number:** 2377170 **Job category:** Medical & Clinical Operations _This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** As the organization accelerates its digital transformation, Benefit Digitization and AI 10.0 efforts are key to improving efficiency, enhancing member and provider experiences, and managing long term costs. To achieve these goals, dedicated roles are needed to design, implement, and manage the digital capabilities that support these initiatives. This...

**Requisition number:** 2377170 **Job category:** Medical & Clinical Operations _This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** As the organization accelerates its digital transformation, Benefit Digitization and AI 10.0 efforts are key to improving efficiency, enhancing member and provider experiences, and managing long term costs. To achieve these goals, dedicated roles are needed to design, implement, and manage the digital capabilities that support these initiatives. This...

**Requisition number:** 2377170 **Job category:** Medical & Clinical Operations _This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** As the organization accelerates its digital transformation, Benefit Digitization and AI 10.0 efforts are key to improving efficiency, enhancing member and provider experiences, and managing long term costs. To achieve these goals, dedicated roles are needed to design, implement, and manage the digital capabilities that support these initiatives. This...

**Requisition number:** 2377170 **Job category:** Medical & Clinical Operations _This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** As the organization accelerates its digital transformation, Benefit Digitization and AI 10.0 efforts are key to improving efficiency, enhancing member and provider experiences, and managing long term costs. To achieve these goals, dedicated roles are needed to design, implement, and manage the digital capabilities that support these initiatives. This...

**Requisition number:** 2377170 **Job category:** Medical & Clinical Operations _This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** As the organization accelerates its digital transformation, Benefit Digitization and AI 10.0 efforts are key to improving efficiency, enhancing member and provider experiences, and managing long term costs. To achieve these goals, dedicated roles are needed to design, implement, and manage the digital capabilities that support these initiatives. This...

JOB SUMMARY: Post patient charges, includes checking coding, ABN documentation, and verification of patient demographics. Posts Payments. Files appeals when necessary and assists in determining final claim status. Maintains accurate count of collections received each day. Maintain daily count of physician, procedure, nursing home, hospital and nurse visits. Job Duties: Submits claims to accounts as appropriate. Submits claims to carriers and intermediaries as appropriate. Checks coding to insure accuracy and medical necessity. Insures information is appropriate for client or insurance billing. Assists in follow-up on payment and billing errors. Send medical records requested by insurance companies. Send monthly deposit reports to accounting. Fill out paperwork for patient/insurance refunds. Help answer the phone and make appointments. Perform other duties as assigned by supervision. Other duties as assigned by Director associated with clinic...

Hiring Range $23.00 - $29.90/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. Newport News, Virginia Overview Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. What You Will Do Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. Audits for...

Coding Specialist Performs coding/DRG and abstracting functions for medical records, quality assessment and billing purposes. Codes all Huntsville Hospital medical records with ICD-10-CM/PCS and CPT-4 codes. Abstracts key data elements according to medical record review criteria. Performs coding quality assurance as needed. Education/Certification HS/GED required. Prefer post high school education in anatomy, physiology and pathophysiology Require CCS certification (certified coding specialist) Experience ICD-10-CM/PCS or CPT coding experience in hospital or physician's office preferred. Additional Skills/Abilities Must have excellent communication skills with the ability to work in a fast paced environment, requiring prioritizing and changing tasks frequently and quickly. Must be able to maintain confidentiality. Must be able to use computer, word processing and spreadsheet software, fax machine, and copy machine. Highlights of our hospitals Huntsville Hospital...

Job Description Job Description The Certified Cardiology Coder plays a critical role in accurately translating cardiology medical records into standardized codes used for billing and documentation. This position requires expertise in cardiology procedures and coding standards to ensure compliance and data integrity. The coder works closely with clinicians and utilizes specific coding software alongside manual coding processes to support effective claims processing and reporting.   Responsibilities Assign accurate codes based on cardiology medical records Review and audit medical records for coding compliance Ensure data accuracy and adherence to coding guidelines Generate reports related to coding and billing activities Analyze patient data for completeness and coding accuracy Conduct coding audits to identify discrepancies and improve processes Collaborate with clinicians to clarify documentation and coding queries Process claims efficiently to support timely...

Job Title Eddy Visiting Nurse and Rehab Association has a rewarding opportunity for a fulltime CODER/OASIS reviewer to join our interdisciplinary HomeCare team! Job Description Candidates must have completed or be within the process of completing CODER certification for homecare (HCS D, HCS - 0). The role of the coding/OASIS position is to code and complete OASIS reviews on SOC, ROC, and RECERTS, meeting Coding and OASIS guidelines. We take pride in our job at EVNRA working closely with the clinical team to achieve a 5 Star - Top 6% in the country. Fulltime hours required. Must have one year of previous experience in the health care field. Additional experience working with seniors and/or in home care field preferred. Valid Registered nurse in NYS and Certified in OASIS and Coding. Valid NYS driver's license Offering flexible shift and shift length options! Apply now for more information! Pay Range:$36.00 - $47.52 Pay is based on experience, skills, and education....

Coding Specialist We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job reviews and accurately codes and abstracts the most complex hospital services, in-patient procedures, overnight / multi-night stay services and all other complex medical services. Utilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG...

Eddy Visiting Nurse and Rehab Association in Troy, NY, is seeking a full-time CODER/OASIS reviewer to join our HomeCare team. The role codes and reviews OASIS assessments for SOC, ROC, and RECERTS, collaborating closely with clinicians to maintain high-quality, compliant documentation. Candidates must have CODER certification or be in the process, with at least one year of healthcare experience and NYS RN licensure. #J-18808-Ljbffr

Eddy Visiting Nurse and Rehab Association is seeking a full-time CODER/OASIS reviewer to join our HomeCare team. The role codes and reviews OASIS data for SOC, ROC, and recertifications, collaborating closely with clinicians to ensure high-quality care. Candidates must be an NYS-licensed RN with CODER certification and OASIS/coding credentials, plus at least one year of healthcare experience; NYS driver’s license required. Flexible shift options available. #J-18808-Ljbffr

Registered Nurse - Diagnosis Related Group Coding Auditor Principal – Carelon Payment Integrity Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical records and attending physician’s statements provided by acute care hospitals on paid DRG,...

A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful candidates will have an active RN license, relevant coding certifications, and experience in clinical practice. A competitive salary of $85,000 to $90,000 is offered, along with a comprehensive benefits package. #J-18808-Ljbffr

Overview MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a...