474 claim edit coder jobs found

Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $21.70, Maximum Offer $33.14 Now Hiring: Remote Claim Edit Coder Summary Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote Claim Edit Coder to join our team. Type of Opportunity: Full time. Job Exempt: No. Job is based: Remote. Workers New Mexico. Work Shift: Varied Days and Hours (United States of America). Responsibilities 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 PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures. Must demonstrate knowledge of coding multiple areas of service...

A leading healthcare provider is hiring a skilled Remote Claim Edit Coder to join their remote team. The role requires coding inpatient, outpatient, and various specialty records. Candidates must have a high school diploma, relevant coding certifications, and 1-3 years of coding experience. The position offers a competitive salary range between $21.70 and $33.14 per hour, alongside a comprehensive benefits package including medical, dental, vision, and more. #J-18808-Ljbffr

Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $21.70, Maximum Offer $33.14 Now Hiring: Remote Claim Edit Coder Summary Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote Claim Edit Coder to join our team. Type of Opportunity: Full time. Job Exempt: No. Job is based: Remote. Workers New Mexico. Work Shift: Varied Days and Hours (United States of America). Responsibilities 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 PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures. Must demonstrate knowledge of coding multiple areas of service and/or...

Remote Ed / Claim Edit CoderNow hiring a Remote ED / Claim Edit CoderHas 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 PHS Coding Leadership using the ICD-9 / 10 CM and CPT-4 classification system.Ensures adherence to Hospital and Departmental Policies and ProceduresWe value our employees' differences and find strength in the diversity of our team and community.At Presbyterian, it's not just what we do that matters.It's how we do it - and it starts with our incredible team.From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.Why Join UsFull Time - Exempt :NoRev Hugh Cooper Admin CenterWork hours...

Job Description Job Description 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: Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We're looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in...

Western Growers Health — a part of Western Growers Family of Companies — provides employer-sponsored health benefit plans to meet the needs of those working for the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association (est. 1926) to support the business interests of employers in the agriculture industry. Our mission at Western Growers Health is to deliver value to employers by offering robust health plans that meet the needs of a diverse workforce. By working at Western Growers Health, you will join a dedicated team of employees who care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to Western Growers Health today! Compensation: $46,669.19 - $65,668.50 with a rich benefits package that includes profit‑sharing. This is a remote position and can reside...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. Under direction of the Coding Manager, the primary responsibility of the MedicalCoder is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy,...

Role Requirements: Cardiology and cardiac surgery experience Strong critical care knowledge Must be able to abstract chart reviews to capture all billable charges CCC certification required Must be knowledgeable in heart catheterizations EPIC experience required (charge entry and charge review) Strong Evaluation and Management (E/M) inpatient and outpatient coding experience Must reside in CA but can work remotely Profee ONLY - NOT HCC/risk adjustment, ASC, or facility coding Desire to convert to full-time employment Bonus Experience working on denials GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more) Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing. This role is responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement, ensuring...

Coding Specialist Hours of Work: 8-430 Days Of Week: M-F Work Shift: Job Description: Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job Relationships: Reports to Coding Manager Certification Requirements: Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC Preferred Skills, Credentials, Professional Qualifications: High school diploma or equivalent; Associate degree is an asset A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies Independently disciplined in time management and productivity Experience in electronic medical record software, preferably Epic Microsoft Office proficient Ability to communicate written and oral coding information to healthcare...

Lead HIM Coder 6804 Remote - United States Full‑time regular Datavant is a 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. What We’re Looking For: Our coding team is growing and we need a Lead Coder to support our client needs. We’re looking for a strong, experienced candidate with high attention to detail and a depth of knowledge in medical terminology, combined with extensive hands‑on experience with EPIC systems, including configuration, troubleshooting and workflow optimization. This role is fully remote with a flexible schedule. What You Will Do: Perform daily work queue (WQ) management, ensuring timely and accurate progression of accounts through the coding workflow. Monitor and report daily coding volumes, proactively...

Overview 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 Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We’re looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in medical terminology with extensive...

Overview 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 Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We’re looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in medical terminology with extensive...

Overview 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 Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We’re looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in medical terminology with extensive...

Job Summary and ResponsibilitiesYou have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.This is a senior level professional fee coding position with at least three (3) or more years' experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable...

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: Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We're looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in medical terminology with extensive...

Pinnacle Claims Management Job Opportunity If you're looking for a career that provides affordable health benefit solutions to the people who support some of the most vital industries, we're looking for you. At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. As part of the Western Growers Family of Companies, we are committed to providing our employees with everything they need to succeed and grow. We know that taking care of our clients starts with taking care of our employees. As a keystone of our philosophy, we recognize that every person on our team comes to us with a unique background, history and story that adds strength to our organization. Additionally, employees are encouraged to recognize that there isn't a work life and a home...

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: Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We're looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in medical terminology with extensive...

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: Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We're looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in medical terminology with extensive...

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: Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We're looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in medical terminology with extensive...

Summary Reports to the Coding Manager. Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics. Reviews the medical records to ensure the documentation supports the code assignment. Utilizes 3M 360 Finder for code assignment and appropriate resolutions of claim edits (CCI, NCD, OCE, etc.) Confer with physician for clarification as needed. Monitors outpatient uncoded report to ensure timely coding and billing process. Maintains and meets HIS quality and productivity standards. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which...

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: Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We're looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in medical terminology with extensive...

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job Summary Responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem‑solving skills to address coding related tasks of detailed, medium complexity. Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery, and other ancillary services. Responsible for reviewing, analyzing, and interpreting physician...

Job Summary and ResponsibilitiesYou have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.This is a senior level professional fee coding position with at least three (3) or more years' experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable...

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: Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We're looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in medical terminology with extensive...