716 coder lead professional jobs found

It's more than a career, it's a calling. WI-REMOTE Worker Type: Regular Job Summary: Coordinates, organizes and prioritizes the work flow activities for the coding area. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Leads and/or coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and/or associates. Serves as a leader through modeling, mentoring and training assigned staff. Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record. Identifies need for medical records from outside the organization and follows established procedures to obtain. Ensures all coded services meet appropriate...

It's more than a career, it's a calling. WI-REMOTE Worker Type: Regular Job Summary: Coordinates, organizes and prioritizes the work flow activities for the coding area. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Leads and/or coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and/or associates. Serves as a leader through modeling, mentoring and training assigned staff. Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record. Identifies need for medical records from outside the organization and follows established procedures to obtain. Ensures all coded services meet appropriate Medicare, National Correct Coding...

It's more than a career, it's a calling. WI-REMOTE Worker Type: Regular Job Summary: Coordinates, organizes and prioritizes the work flow activities for the coding area. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Leads and/or coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and/or associates. Serves as a leader through modeling, mentoring and training assigned staff. Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record. Identifies need for medical records from outside the organization and follows established procedures to obtain. Ensures all coded services meet appropriate Medicare, National Correct Coding...

Job Title It's more than a career, it's a calling. WI-REMOTE Worker Type: Regular Job Summary: Coordinates, organizes and prioritizes the work flow activities for the coding area. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Leads and/or coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and/or associates. Serves as a leader through modeling, mentoring and training assigned staff. Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps. Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record. Identifies need for medical records from outside the organization and follows established procedures to obtain. Ensures all coded services meet appropriate Medicare,...

Help Ensure The Accuracy Behind Exceptional Patient Care! Join our Revenue Integrity team and play a key role in supporting quality patient care through accurate coding, regulatory compliance, and revenue cycle excellence. As a Lead Revenue Integrity Coding Specialist, you'll combine your advanced coding expertise with leadership responsibilities to help ensure accurate reimbursement, mentor team members, and promote continuous quality improvement across the organization. If you enjoy solving complex coding challenges, collaborating across departments, and serving as a trusted resource for your team, we'd love to hear from you. Key Responsibilities Assign and sequence ICD-10-CM and CPT-4 codes for a variety of patient encounters, including inpatient, outpatient, ambulatory, and emergency department records. Accurately code advanced and complex procedural accounts with multiple components. Review medical records for documentation deficiencies and ensure diagnoses and procedures are...

Help Ensure The Accuracy Behind Exceptional Patient Care! Join our Revenue Integrity team and play a key role in supporting quality patient care through accurate coding, regulatory compliance, and revenue cycle excellence. As a Lead Revenue Integrity Coding Specialist, you'll combine your advanced coding expertise with leadership responsibilities to help ensure accurate reimbursement, mentor team members, and promote continuous quality improvement across the organization. If you enjoy solving complex coding challenges, collaborating across departments, and serving as a trusted resource for your team, we'd love to hear from you. Key Responsibilities Assign and sequence ICD-10-CM and CPT-4 codes for a variety of patient encounters, including inpatient, outpatient, ambulatory, and emergency department records. Accurately code advanced and complex procedural accounts with multiple components. Review medical records for documentation deficiencies and ensure diagnoses and...

Job DescriptionFull-Time Professional Lead Coder $30.00 - $35.00 per hour Why Join Us? At Managed Resources, we're more than just another revenue cycle vendor - we're a trusted partner to some of the nation's largest health systems. Our team is backed by nearly three decades of experience, national recognition through KLAS ratings, and proven results that overturn denials and recover millions for providers. What sets us apart is our blend of deep expertise, hands-on execution, and education - we don't just do the work, we empower our clients to thrive. Here, you'll be part of a team that combines credibility, innovation, and impact to make a real difference in healthcare. Purpose: The primary responsibility of the Professional Lead Coder is to code CPT, HCPCS, ICD-10-CM, Modifiers, Units based on medical record documentation in a remote environment. Reports to: Manager of Professional Coding and Audit Essential Job Functions: Complete the following functions in accordance...

Job Description Full-Time Professional Lead Coder $30.00 - $35.00 per hour Why Join Us? At Managed Resources, we're more than just another revenue cycle vendor - we're a trusted partner to some of the nation's largest health systems. Our team is backed by nearly three decades of experience, national recognition through KLAS ratings, and proven results that overturn denials and recover millions for providers. What sets us apart is our blend of deep expertise, hands-on execution, and education - we don't just do the work, we empower our clients to thrive. Here, you'll be part of a team that combines credibility, innovation, and impact to make a real difference in healthcare. Purpose: The primary responsibility of the Professional Lead Coder is to code CPT, HCPCS, ICD-10-CM, Modifiers, Units based on medical record documentation in a remote environment. Reports to: Manager of Professional Coding and Audit Essential Job Functions: Complete the...

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor an education plan for each assigned provider. The role reports to the Manager, Medicare Risk Adjustment and involves on-site education, data-driven materials, and collaboration across market provider-facing teams. You will lead educational sessions, analyze reports to identify needs, and create presentations on coding quality trends and risk areas. #J-18808-Ljbffr

Job Description Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all...

PROFESSIONAL CODER 2# PROFESSIONAL CODER 2## OverviewSalary Range$23.50 - $33.51 HourlyJob ShiftDayEducation LevelCertificateTravel PercentageNone## Description**Who You’ll Join:**At **Santiam Hospital & Clinics**, we believe exceptional patient care starts with a supportive and inclusive work environment. We empower every team member by providing access to advanced medical technology and continuous professional development. Join our collaborative culture, where your contributions are valued and your growth is encouraged.Bring your coding expertise to **Santiam Hospital & Clinics** as a **Professional Coder 2**, where your accuracy and attention to detail directly support quality care, compliant documentation, and a smooth revenue cycle. In this role, you will use your ICD-10 knowledge with your extensive understanding of payer requirements and reimbursement guidelines to review health information records, identify documentation opportunities, and collaborate with providers...

Job Title: Executive/Sr.Executive Business Unit: Global Clinical Development Job Grade: G12B/G11A Location: Gurgaon Key Roles & Responsibilities Perform clinical data coding activities across assigned projects/program. May perform impact analysis for Medical Coding using MedDRA, WHO Drug and/or other relevant dictionary up versioning or as applicable. Validates/tests the coding set up and programming of coding reports; may also test databases, edit specifications or any coding related programming activities. Conduct data review (including but not limited to medical data review) Write and resolve data inconsistencies/discrepancies. May perform Serious Adverse Event (SAE) reconciliation activities. Works in strict adherence to SOPs and other applicable standards in compliance with Sun Procedural Documents, ICH-GCP and local regulations. Develop and maintain good communications and working relationships with the global clinical data management team. Additionally,...

Our Billing Co. is seeking a Medical   Coding Supervisor  to join our team!  The Medical   Coding Supervisor  will lead and manage the medical coding team, ensuring that all medical records are accurately, efficiently, and compliantly coded. This role is responsible for overseeing the team’s performance, ensuring adherence to coding standards, training staff, and collaborating with various departments to resolve coding issues. The ideal candidate will have strong leadership and technical skills, a deep understanding of coding regulations, and a commitment to continuous improvement in coding practices. Essential Functions: Leadership Team Functions: Acts as staff resource and role model for ethical, professional conduct. Supervises and provides leadership to the medical coding team, ensuring accurate, compliant, and timely coding of medical records. Reviews and audits coded data to ensure accuracy and compliance with ICD-10, CPT, and HCPCS standards. Trains and...

Professional Physician Coder II The Professional Physician Coder II accurately and efficiently accesses wide range primary care and specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. This role assists with educating physicians, management, support staff and administration. This role also identifies possible revenue opportunities. Essential Job Functions Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCSall levels). Assists with the Central Business Office to ensure...

Job Posting Job Summary Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Perform daily feedback and education to providers, staff and patients of BMG. Assist with education of current coding staff. Performs other duties as assigned. Responsibilities Codes diagnoses and procedures of records. Completes assigned goals. Serves as a resource to physician office staff, clinical documentation specialist, case managers, etc. Act as lead for the team, assisting in onboarding of new staff and/or education of more specialized workflows. Assist in research of new specialty areas, new treatments in medicine, etc. Work with new acquisitions on documentation improvement and medical necessity, including education. Specifications Experience Minimum Required Over one year of experience in physician/professional, outpatient surgery, and/or emergency department coding. Skill and proficiency in...

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...

Company Overview :Upward Health is an in-home, multidisciplinary medical group providing 24 / 7 whole-person care.Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help.Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients.We are able to treat a wide range of needs - everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals - because we know that health requires care for the whole person.It's no wonder 98% of patients report being fully satisfied with Upward Health!Job Title & Role Description :The Certified Medical Coder is responsible for analyzing provider documentation to accurately select ICD-10 and CPT / HCPCS codes, ensuring compliance with coding guidelines, third-party reimbursement policies, and accreditation standards.This role...

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...

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 Highlights: Position: Medical Coder III Location: Hybrid – Skokie, 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...