2923 coder quality specialist jobs found

Coding Quality Specialist Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care. Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications. Your Daily Mission The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately...

Your Daily Mission The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately assigned based upon clinical documentation, ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic Guidance, CMS program guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Coding Quality Specialist will apply guidance provided for the medical record code abstraction primarily for Medicaid lines of business (Complete Code Capture), but may also include Medicare Advantage Risk Adjustment or Commercial Risk Adjustment. Who You Are Minimum of 5 years certified with a core coding credential from AHIMA or AAPAHIMA – CCS, CCS-P, AAPC – CPC, CRC. Minimum of 3 recent years of production coding experience in Retrospective Risk Adjustment coding (must be within last 6 months) Minimum of 2 years experience conducting coder...

Coding Quality Specialist Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care. Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications. Your Daily Mission The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately assigned...

Your Daily Mission The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately assigned based upon clinical documentation, ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic Guidance, CMS program guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Coding Quality Specialist will apply guidance provided for the medical record code abstraction primarily for Medicaid lines of business (Complete Code Capture), but may also include Medicare Advantage Risk Adjustment or Commercial Risk Adjustment. Who You Are Minimum of 5 years certified with a core coding credential from AHIMA or AAPAHIMA - CCS, CCS-P, AAPC - CPC, CRC. Minimum of 3 recent years of production coding experience in Retrospective Risk Adjustment coding (must be within last 6 months) Minimum of 2 years experience conducting coder...

Coding Quality Specialist Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care. Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications. Your Daily Mission The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately...

focus on Encompass Hospital rehabilitation coding, which differs slightly from the typical PM&R coder. There will be wound care in addition to what you have below. They will be serving as a back up to all the items listed, so I think we could keep them, but a call out that the mainstay of the coding in Rehab Hospital coding. Accurate documentation and coding are essential to delivering high-quality patient care, supporting compliance, and ensuring the financial health of a leading academic medical center. This role offers an opportunity to make a meaningful impact by serving as a trusted coding quality resource for a highly specialized Physical Medicine & Rehabilitation practice. As a Coding Quality Specialist 3 supporting PM&R Musculoskeletal services, you will leverage your expertise in coding, auditing, and clinical documentation review to ensure accurate capture of complex services. This position will focus primarily on Encompass Hospital Rehabilitation...

Accurate coding is critical to the financial health, compliance, and operational success of a high-performing academic health system. This opportunity allows an experienced neurosurgery coding professional to contribute directly to revenue integrity, regulatory compliance, and the support of exceptional patient care through expert coding practices. As a fully remote Coding Specialist 3, you will serve as a subject matter expert in Gastrointestinal professional fee coding, independently reviewing complex clinical documentation and assigning accurate codes for surgical procedures, office-based services, and Evaluation & Management encounters. This role offers the opportunity to apply advanced coding expertise while partnering with providers and revenue cycle professionals to ensure coding accuracy, quality outcomes, and compliance. The Role In this highly specialized position, you will utilize your expertise in neurosurgery coding to accurately translate complex clinical...

LMH Health is seeking a Coder I to perform accurate coding, data abstraction, claims filing, and audit-proof documentation review from medical records. The role emphasizes staying current with ICD-10-CM/PCS, CPT/HCPCS, and UHDDS guidelines in a hospital setting while ensuring high data quality and compliance. Remote work is available after onboarding, with on-site meetings as needed and you must reside in Kansas or Missouri. #J-18808-Ljbffr

The Royal Marsden NHS Foundation Trust is seeking a Procedure Coder and Data Quality Co-ordinator for Private Care to ensure accurate coding and timely billing of private patient activity. You will review clinical information, apply ICD-10, OPCS and CCSD standards, query documentation, and collaborate with clinical, operational and finance colleagues to support data quality and efficient charge capture. #J-18808-Ljbffr

LMH Health is seeking a Coder I to perform accurate coding, data abstraction, claims filing, and audit-proof documentation review from medical records. The role emphasizes staying current with ICD-10-CM/PCS, CPT/HCPCS, and UHDDS guidelines in a hospital setting while ensuring high data quality and compliance. Remote work is available after onboarding, with on-site meetings as needed and you must reside in Kansas or Missouri. #J-18808-Ljbffr

NHS Jobs in the United States is seeking a Procedure Coder & Data Quality Co-ordinator for Private Care. You will ensure accurate coding, mapping and validation of Private Care activity in line with CCSD schedules and insurer requirements, working with clinicians and billing teams. As part of the role you will extract clinical information from operation notes, endoscopy and radiology reports, maintain data quality, and support timely invoicing while upholding professional standards and ongoing #J-18808-Ljbffr

Job Category Health Information Management Posting Date 08/07/2026, 06:39 PM Locations 1111 Marcus Ave, Lake Success, NY, 11042, US Job Schedule Full time Internal Posting Start Date 05/22/2026 Internal Posting End Date 05/28/2026 Minimum Salary/Range* 44.1690 Maximum Salary/Range* 51.4910 Shift Days Shift Begin Time 7:00 AM Shift End Time 7:00 PM Schedule Full Time Job Description Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 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. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. Utilizes resources and reference materials (e.g., on-line sources,...

Overview The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. Responsibilities Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, namely CPT-4 for surgical procedures, for outpatient and/or physician services; and/or HCPCS coding, namely Evaluation and Management, for physician services. Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital Association’s Coding Clinics, and/or American Medical Association’s CPT Assistant. Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled nursing facilities, inpatient rehabilitation as well as other third party medical billing requirements. Assigns codes...