840 clinical coding analyst experienced jobs found

Hcc Coding Analyst Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. This position is hybrid-remote in Orange, CA. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid...

Coder - Physician Practice - CPC Required page is loaded## Coder - Physician Practice - CPC Requiredremote type: 100% Remotelocations: PACCT - 2000 Crawford Placetime type: Full timeposted on: Posted Todayjob requisition id: R1059742# At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A...

Sr. Recovery Resolution Analyst This position is remote in Massachusetts. You will have the flexibility to work remotely as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Sr. Recovery Resolution Analyst will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive conduct by health care providers who submit claims for payment. This position will utilize information from claims data analysis, plan members, the...

Overview Join to apply for the Facility Coding Inpatient Complex Coder role at Banner Health This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MD, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY. The hours are flexible as we have remote Coders across the Nation. Generally any 8-hour period between 7am – 7pm can work, with production being the greatest emphasis. A Coding Assessment will be given after a successful interview to be completed within 48 hours. Banner Health provides your equipment when hired. You will be fully supported during initial training by the Banner Coding Education team and your hiring manager, with continued support throughout your career here. Responsibilities Provides coding and abstracting for mid-tiered complexity range of acute care services at all Banner hospitals. Reviews diagnosis and diagnostic information and...

Department Name: Coding-Acute Care Hospital Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We’re looking for a motivated, experienced Inpatient Facility Acute Care Remote Medical Complex Coder to join our talented Inpatient Facility‑coding team. Candidate should have experience coding all service lines including, but not limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High‑Risk OB, NICU, and more . This is a facility‑based coding position requiring strong PCS coding experience as well as ability to code a wide...

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care...

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. This position is hybrid- remote in Orange, CA. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid Services (CMS). Provide...

Part-time Biller/Coder – Claims Analyst Vital Incite, an Alera Group company, is looking to add an experienced Biller/Coder – Claims Analyst to their team on a part-time basis (approximately 5–8 hours per week with flexible scheduling). About Alera Group Alera Group was founded in 2017 and has grown to become the 14th largest broker of U.S. business. We are passionate about our clients' success in the areas of Employee Benefits, Property and Casualty Insurance, and Financial Services. With a network of offices nationwide, our commitment to collaboration allows us to offer national resources combined with local service. Why Alera Group Make an Impact: Your work supports businesses and individuals in protecting what matters most. Grow With Us: We invest in development, mentorship, and long-term career growth. The Collaborative Way: We believe in accountability, teamwork, and shared success across all offices and lines of business. National Strength. Local Heart:...

Medical Coding Specialist The Medical Coding Specialist is responsible for reviewing medical records and encounter documentation to ensure accurate, complete, and compliant coding in accordance with ICD-10-CM and CPT guidelines. Under the supervision of the Director of Revenue Cycle and Billing, this role supports compliant billing practices, maximizes reimbursement, and ensures adherence to federal, state, and payer regulations, including those specific to Federally Qualified Health Centers (FQHCs). The Medical Coding Specialist collaborates closely with providers, billing staff, and other members of the healthcare team to clarify documentation, resolve coding issues, and promote best practices in clinical documentation and coding accuracy. Medical Coding Review and analyze patient records and clinical documentation to ensure completeness and accuracy for coding purposes. Assign and sequence diagnosis and procedure codes using ICD-10-CM and CPT for all services rendered....

Job Title Clinic Coder I Department Clinic Management Full Time/PRN Onsite; full time Job Summary Certified Medical Coder responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for clinic/professional services, ensuring compliance, supporting revenue capture, and maintaining documentation integrity. Essential Duties & Responsibilities Review and analyze medical records and documentation; assign correct ICD-10-CM, CPT, HCPCS codes; ensure regulatory compliance; collaborate with providers; conduct coding audits; provide coding guidance; stay current on coding regulations; resolve coding-related denials; maintain confidentiality. Minimum Qualifications Minimum 1 year clinic/professional coding experience; proficiency in ICD-10-CM, CPT, HCPCS; strong knowledge of medical terminology, anatomy, physiology; strong analytical and communication skills; ability to work independently; familiarity with EHR systems and coding software. Preferred Qualifications...

Hospital Coder IV Certified Medical Coder specializing in clinic/professional coding; responsible for accurate assignment of ICD-10-CM, CPT, HCPCS codes; ensures compliance and supports revenue integrity. Review/analyze records; assign ICD-10-CM, CPT, HCPCS; ensure compliance; collaborate with providers; conduct audits; provide coding guidance; stay current on coding changes; resolve denials; maintain confidentiality. 1+ year clinic/professional coding experience; proficiency in ICD-10-CM, CPT, HCPCS; strong medical terminology knowledge; analytical skills; communication skills; ability to work independently; familiarity with EHR/coding software. CPC or similar certification; experience in audits/compliance; knowledge of payer regulations; experience with fee billing processes. Primarily seated; lifting up to 15 lbs; frequent interaction with patients, staff, providers.

City/State: Tarrytown, New York Grant Funded: No Department: REV - Revenue Integrity Engagement Team Work Shift: Day Work Days: MON-FRI Scheduled Hours: 8:30 AM-5 PM Scheduled Daily Hours: 7.5 HOURS Pay Range: $76,632.04-$95,790.05 Job Summary The Senior Coding Auditor performs detailed audits of medical cases to ensure accuracy of assigned codes, charges, availability of documented medical records, medical accounts and compares the cases with the itemized bill and overall procedures. The Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes regarding charge errors, percentage of savings or losses for the facility, data processing errors, the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill. Works cooperatively with the Associate Directors/Director in the identification of process improvement initiatives related to the coding and charging of hospital services....

Position Overview The Revenue Cycle Management Specialist will report to the Director of Revenue Cycle Management and will be responsible for entering charges, posting payments, managing patient accounts, following up on outstanding accounts receivable, investigating and resolving payment discrepancies with payers, timely submission of claims both electronically and on paper, and handling A/R and follow-up within the company's centralized billing and reimbursement group. Essential Job Functions Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses. Process and follow up on payer denials, consulting with the patient and/or an authorized family member as needed. Follow up on submitted out-of-network claims, monitor unpaid claims, and resubmit as necessary. Follow up on Clearinghouse claims activity. Research and appeal denied claims; submit requested documentation as needed. Identify and bill secondary or tertiary insurance....

Medical Coding and Billing Compliance Auditor Location: Remote Division: Coding Compliance About the Role: The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy, documentation integrity, ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office applications including PowerPoint, Word, Excel, Outlook, TEAMS, and SharePoint. The Medical Coding Auditor will have a background in physician feedback and education on documentation integrity and coding accuracy. The ideal candidate will have extensive knowledge of CPT coding, ICD-10-CM coding, E/M coding, HCC methodologies, modifiers, telehealth, and HCPCS coding. The candidate will understand and know where to access...

Claims Payment Policy Lead (Contract) Location: Remote (Must reside in Pennsylvania, New Jersey, or Delaware) About the Role We are seeking a Claims Payment Policy Lead to join our Medical/Health Services team. This role sits at the intersection of clinical expertise and business operations, supporting the development and optimization of claim payment and medical policies .You will play a key role in aligning reimbursement policies with industry standards, identifying cost-saving opportunities, and ensuring policies improve affordability while maintaining quality care outcomes. This is a policy development and strategy role—not a chart audit position. What You’ll Do Lead cross-functional collaboration with clinical, coding, and business teams to design and implement claim payment policies. Develop and maintain reimbursement and medical policies aligned with: Nationally recognized standards (e.g., CMS, Medicare)State and federal regulations Internal benefits, contracting, and...

Job Description Job Description Job Title: Hospital Coder IV Department: Clinic Management Full Time/PRN: Primarily onsite; shift schedule not provided Job Summary Certified Medical Coder specializing in clinic/professional coding; responsible for accurate assignment of ICD-10-CM, CPT, HCPCS codes; ensures compliance and supports revenue integrity. Essential Duties & Responsibilities Review/analyze records; assign ICD-10-CM, CPT, HCPCS; ensure compliance; collaborate with providers; conduct audits; provide coding guidance; stay current on coding changes; resolve denials; maintain confidentiality. Minimum Qualifications 1+ year clinic/professional coding experience; proficiency in ICD-10-CM, CPT, HCPCS; strong medical terminology knowledge; analytical skills; communication skills; ability to work independently; familiarity with EHR/coding software. Preferred Qualifications CPC or similar certification; experience in audits/compliance; knowledge of payer regulations;...

Your experience matters Castleview Hospital- Physician Practice is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We prioritize your well-being so you can provide exceptional care to others. As a Physician Coder joining our team, you embrace a mission to make communities healthier. How you'll contribute A Physician Coder is responsible for assigning accurate ICD and CPT/HCPCS codes to individual patient health information for data retrieval, analysis, and claims processing. Responsibilities Assign accurate ICD diagnosis codes using compliant documentation. Assign accurate CPT/HCPCS codes to records using compliant documentation. Apply coding guidelines to select the appropriate diagnosis code. Use research and reference tools to understand disease processes and diagnoses. Interpret physician documentation within coding guidelines and seek clarification when documentation is vague or ambiguous. Enhance coding knowledge...