20 cpc certified professional coder jobs found in Des Moines, IA

Humana Inc is seeking a Medical Coding Auditor to join the SIU clinical review team in Des Moines, Iowa. This role involves reviewing medical records for coding accuracy, applying Evaluation & Management coding principles, and communicating findings to stakeholders. Candidates must have CPC certification and acute outpatient coding experience. The position offers a remote work environment with occasional office visits for training or meetings. Benefits include medical, dental, vision, and a retirement plan. #J-18808-Ljbffr

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 a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate...

Company : Allegheny Health Network Job Description : General Overview This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. Essential Responsibilities Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%) Performs...

A healthcare organization is seeking a professional to perform medical record review and code diagnosis and procedures using ICD coding systems. Candidates must have at least a High School diploma or GED and certification in coding. Responsibilities include interpreting medical information, managing data, and ensuring cash flow efficiency. The role offers a pay range of $23.03 to $35.70 based on qualifications and experience, with additional considerations for internal equity. #J-18808-Ljbffr

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 We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Datavant is seeking experienced outpatient coders to join their remote team. Candidates must possess AHIMA or AAPC certifications and have a strong understanding of coding guidelines. You'll review medical records, assign codes for diagnoses and procedures, and ensure a high coding accuracy rate. This position offers a flexible schedule, a $1,500 sign-on bonus, and a comprehensive benefits package including health insurance and paid time off. Join Datavant today to help shape the future of healthcare! #J-18808-Ljbffr

A healthcare provider in Des Moines is seeking a Medical Coder to ensure accurate coding and reimbursement for services. Responsibilities include reviewing physician dictation, correcting coding denials, and assisting with billing processes. Ideal candidates should hold a medical coding certification and have at least one year of experience. The organization promotes continued learning and offers a competitive benefits package including health, dental, and a 401(k) with company match. Join our team dedicated to delivering quality healthcare. #J-18808-Ljbffr

The Medical Coder ensures optimum reimbursement for medical services through accurate and timely reporting and posting of all physician and ancillary services. Our team consists of individuals who enjoy being challenged, continuously learning, and creating a positive work experience! To thrive in this role, applicants must live in Iowa. Key Responsibilities:? Review physician dictation for office and hospital visits Verify and maker sure that the appropriate CPT/HCPC/ICD-10-CM codes have been chosen to ensure visit meets criteria for the level chosen Post Co-Pay Payments when applied to encounters during coding Review, code, and post charge for all events in NextGen (including Hospital, ASC, Clinic, and Radiology) Review and Correct ALL Coding Denials as needed and assigned in WorkLog (including Assisting Billing with Appeals as needed) Locate corrections or additions needed in dictation, and send requests to physicians and Transcription Department for necessary changes and...

Hybrid | Des Moines, IA (Onsite Tues–Thurs, Remote Mon/Fri) $40/hour | 6-Month Contract with Potential for Conversion We are seeking a Certified Risk Adjustment Coder (CRC) to support Medicare Risk Adjustment initiatives through detailed HCC medical record reviews and direct provider engagement. This role is ideal for someone confident, collaborative, and comfortable working onsite with provider teams to drive documentation accuracy and performance improvement. This position requires onsite presence Tuesday–Thursday in Des Moines, IA with 10% local travel , and remote flexibility on Mondays and Fridays. Position Overview This role performs concurrent medical record reviews to ensure accurate capture of HCC conditions and appropriate documentation reflecting patient severity of illness. The coder will collaborate closely with physicians, clinical leadership, and provider engagement teams to improve documentation practices and support compliance with CMS guidelines. Key...

Responsibilities Performs all functions essential in the billing of providers and ancillary services. Organizes workflow and communication with the clinics and providers for accurate billing information. Effectively communicates within the organization and with the public consistent with the clinic philosophy, vision and mission. Appropriately uses facility communication, information systems and equipment. Job Specific Competencies Performs all functions essential in the billing of providers and ancillary services. Organizes workflow and communication with the clinics and providers for accurate billing information. Effectively communicates within the organization and with the public consistent with the clinic philosophy, vision and mission. Appropriately uses facility communication, information systems and equipment. JCMG Core Competencies Strives for continuous quality improvement. Participates in educational experiences designed to maintain and/or improve professional...

A healthcare facility in Missouri is seeking a detail-oriented professional for coding and billing responsibilities. Candidates should have at least two years of experience in a Physician Coding environment and certifications like CPC or CCA. In addition to competitive pay, the role offers health benefits, generous PTO, and a supportive office environment. A focus on continuous improvement and quality customer service is essential for success. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Overview Position Summary: Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Responsibilities Review the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient’s conditions and treatment. Code evaluation and management to appropriate CPT codes and code diagnoses to appropriate ICD-9 code. Meet with physicians to review documentation, resolve coding and secure signatures of all unsigned dates of service, tagging files for follow up. Act as lead person and assist coders with IBC staff with medical terminology and policy interpretation as required. Assist with efforts to increase physician awareness of documentation requirements. Prepare case reports and initiate follow-up for billing process. Working Conditions Job Location/Working Conditions: Normal office environment. Physical & Equipment Typically sitting...

A leading educational institution in Missouri is seeking a professional to review medical records for appropriate billing codes. The role includes responsibilities like coding evaluations, assisting physicians, and preparing case reports. Ideal candidates will have one of the required coding credentials, while previous coding experience and knowledge of ICD-10 and CPT coding is preferred. Salary ranges from $25.30 to $37.94 hourly, alongside competitive benefits including vacation days and health insurance. #J-18808-Ljbffr

Position Summary Under limited supervision, accurately and efficiently assigns ICD-10-CM/PCS codes, CPT/HCPCS codes and posts associated charges as required. Ensures all actions taken in carrying out responsibilities support patient-centered care. Position Responsibilities Unit Specific Position Responsibilities Assigns diagnostic and procedure codes using documentation within the medical record and according to recognized classification systems and coding rules and guidelines. Able to navigate within the EHR according to account type. Accurately selects CPT based on physician documentation for posting of required charges. Understands and uses the encoder and available references appropriately , employs appropriate automation when using computer assisted coding tools, complies with best practice for efficiencies and accuracy. Reviews coding and billing edits for accurate modifier assignment when appropriate. Reviews records for...