8226 health coder jobs found

Job Description Job Description Certified Home Health Coder & QA Specialist Become a part of the Hope At Home Family! We currently have a position available for a Certified Home Health Coder & QA Specialist. Position Summary: Certified Home Health Coder & QA Specialist is required to have PDGM, Oasis D1 experience, and Kinnser software knowledge. Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of skilled service visits. The position is also responsible for reviewing OASIS and abstracting visit data for billing and data collection purposes. Responsibilities: Codes records using ICD-10-CM and coding guidelines. Reviews OASIS. Observes and report unusual patterns in data collection and/or lack of adequate documentation for code assignments. Review documentation and provide ICD-10 coding recommendations based on current coding and Oasis guidelines. Performs other related duties as requested by the Home...

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. Essential Job Functions: Hcc Coding and Risk Adjustment (Ra) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with Hcc and risk adjustment guidelines. Ensure all...

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. Essential Job Functions: Hcc Coding and Risk Adjustment (Ra) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with Hcc and risk adjustment guidelines....

Home Health Coder & OASIS Reviewer PathWell Home Health is a Medicare-certified home health and hospice provider committed to delivering exceptional, patient-centered care across multiple U.S. markets. We partner with physicians, hospitals, and nursing homes to help patients transition safely to the comfort of their own homes, where they can recover, manage chronic conditions, and maintain their independence. Our clinical team—comprised of skilled nurses and licensed therapists—provides compassionate, evidence-based care while driving superior patient outcomes and ensuring regulatory compliance. At PathWell, we understand that quality care begins with strong operational support. Our coding and OASIS review team plays a vital role in maintaining documentation accuracy, meeting CMS requirements, and optimizing reimbursement—allowing our clinicians to focus on what matters most: caring for patients. Position Overview The Home Health Coder & OASIS Reviewer is...

CVS Health is seeking a skilled Medical Coding Auditor to ensure accuracy of CPT/HCPCS, ICD-10 and related data in behavioral health audits. You will review cases, discuss findings with Medical Directors, and research CMS guidelines to support investigations. The role requires CPC certification, 3+ years in behavioral health coding or auditing, and travel readiness. A strong mentoring mindset and proficiency with Excel/Word are essential. #J-18808-Ljbffr

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities...

CVS Health Corporation is seeking a Certified Professional Coder (CPC) for the Special Investigations Unit to perform medical claim reviews ensuring coding accuracy and documentation alignment. The role requires 3+ years of coding and record review experience, CPC certification, and ability to articulate findings to multiple stakeholders. Travel may be required. The position offers full-time hours and a comprehensive benefits package. #J-18808-Ljbffr

Seeking two experienced Certified Home Health Coders, the remote per diem positions will manage the review of patient records for accurate coding, audit OASIS assessments for compliance, and collaborate with clinical staff to ensure quality patient care. Key responsibilities Review Home Health patient records for accurate ICD-10-CM coding and billing Audit OASIS assessments for accuracy, completeness, and regulatory compliance Identify documentation discrepancies and recommend necessary corrections Required qualifications Current Medical Coding Certification - REQUIRED OASIS Certification - STRONGLY PREFERRED Strong proficiency in OASIS assessments and Home Health documentation Knowledge of ICD-10-CM coding and Medicare Home Health guidelines Minimum 1 year of Home Health experience preferred

A management and operations consulting firm is seeking a Medical Coder and Abstractor for a full-time position at Fort Stewart, GA. The successful candidate will support U.S. Armed Forces' health services by providing accurate coding and abstraction of medical records. Key qualifications include relevant certification and demonstrated experience in medical coding. The position emphasizes attention to detail, compliance with federal regulations, and proficiency in Microsoft Office tools. Benefits include competitive compensation and extensive health insurance options. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) for its Special Investigations Unit (SIU) to review medical records and ensure coding compliance across CPT, HCPCS and Revenue Codes. You will generate detailed findings, discuss cases with Medical Directors, and ensure adherence to state, federal, and company guidelines. Travel may be required. The role requires 3+ years of professional coding experience, CPC certification, and proficiency with CMS 1500/UB04 data elements, with strong #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder to perform medical claim reviews for the Special Investigations Unit. The role ensures coding compliance across medical, behavioral health, and related services, with findings communicated to investigators, leadership, and regulators. Responsibilities include reviewing CPT/HCPCS codes, applying CMS guidelines, and maintaining documentation rigor. Travel may be required; a CPC certification and 3+ years of coding experience are required. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder to perform medical record reviews for the SIU, ensuring coding accuracy and compliant documentation. You will communicate findings to investigators and leadership while applying CMS guidelines and identifying potential fraud or overpayments. Required CPC certification, 3+ years of professional coding with record review, and proficiency in CPT/HCPCS, Revenue Codes, CMS 1500/UB04. Travel may be needed; strong Excel/Word skills are expected. #J-18808-Ljbffr

Job Details POSITION SUMMARY : Seeking an experienced Home Health ICD-10 Coder with OASIS review experience to support WellSky's stateside coding operations. The role focuses on ICD-10-CM coding, OASIS accuracy, documentation consistency, and compliance with Medicare, payer, CMS, and account-specific requirements. POSITION DUTIES Review home health clinical records and assign accurate ICD-10-CM codes in accordance with applicable coding guidelines. Review OASIS documentation for accuracy and consistency. Identify documentation opportunities as appropriate. Review the complete medical record to support appropriate coding and reimbursement. Follow the coding instructions, workflows, policies, and procedures established for the assigned WellSky client account. Meet established productivity and quality expectations. Participate in performance monitoring, quality review, and education as needed. MINIMUM REQUIRED QUALIFICATIONS Minimum of 3 years of recent...

CVS Health Corporation in the United States is seeking a Certified Professional Coder (CPC) to support the Special Investigations Unit by performing medical claim reviews, ensuring coding accuracy and compliance with CPT/HCPCS and CMS guidelines. The CPC will prepare detailed summaries, communicate findings to investigators and regulators, and help identify billing errors, fraud, and opportunities for cost savings while maintaining thorough documentation. Travel may be required. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU) to ensure coding accuracy, documentation integrity and compliance across medical and behavioral health records. Required CPC certification, 3+ years of professional coding experience, familiarity with CPT/HCPCS/Revenue codes, CMS 1500/UB04 data elements, and proficiency with Excel/Word. Travel may be required. Full-time with comprehensive benefits. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to support the Special Investigations Unit. The role focuses on comprehensive medical record reviews to ensure proper CPT/HCPCS/Revenue code coding and documentation, with detailed findings communicated to investigators and regulators. You will review cases with Medical Directors, apply state and CMS guidelines, and identify potential billing errors or fraud while maintaining meticulous records and meeting performance metrics. #J-18808-Ljbffr

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and proper documentation across medical, behavioral health, and related services. The role requires detailed record analysis and the ability to communicate findings to diverse stakeholders. The ideal candidate has 3+ years of coding experience, CPT/HCPCS knowledge, and proficiency in Excel/Word. #J-18808-Ljbffr

CVS Health is hiring a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and compliance with state and federal guidelines. You will review records across medical, behavioral health, and related services and articulate findings to investigators and leadership. This full-time role requires CPC certification, 3+ years of coding experience, proficiency with CPT/HCPCS and CMS data elements, and travel as needed. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation. You will review CPT/HCPCS/Revenue codes, generate written findings, and communicate with investigators, regulators, and providers. Located in Atlanta, full-time with a strong emphasis on accuracy and collaboration. Ideal candidates have 3+ years of coding experience, CPC certification, knowledge of CMS/state guidelines, and proficiency in #J-18808-Ljbffr

CVS Health Corporation seeks a Certified Professional Coder to perform medical record reviews for the SIU to ensure coding accuracy and compliant documentation. The role requires CPT/HCPCS knowledge and the ability to discuss findings with investigators, regulators, and providers. Qualified candidates will have 3+ years of coding experience, including review/audit work, CPC certification, and proficiency in Excel/Word. Travel may be needed for this role. Full-time with comprehensive benefits. #J-18808-Ljbffr

Job Details Job Location: Burlingame, CA 94010 Salary Range: $42.79 - $48.75 Hourly ESSENTIAL JOB FUNCTIONS HCC Coding and Risk Adjustment (RA) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines. Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance. Conduct prospective and retrospective chart audits to assess risk adjustment coding accuracy. Provider Training and Clinical Documentation Improvement (CDI) Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding. Provide one‑on‑one and group training to providers and clinical staff to improve documentation quality and accuracy. Serve as a resource and subject matter expert on HCC, risk adjustment, and related coding standards. Data Analysis and Reporting Analyze coding data to identify trends,...

Ovation Healthcare in Brentwood, TN is seeking a Certified Pro-Fee/Facility Coder with at least three years of hospital or clinic coding experience. You will work across inpatient and outpatient settings, applying ICD-10-CM, CPT, HCPCS guidelines and maintaining high QA accuracy. Proficiency in Excel and strong communication skills are required. This remote/hybrid role requires HIPAA-compliant practices and proficiency testing; compensation reflects experience and location. #J-18808-Ljbffr

Medical Coding Specialist Turn accurate coding into cleaner claims, reliable data, and stronger reimbursement. Work Style: Remote Location Requirement: Must reside in an authorized state (FL, GA, MO, PA, SC, NC, TN, or TX) FTE: Full-Time (1.0 FTE) Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation and resolves coding discrepancies, ensuring the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards such as ICD, CPT, and HCPCS, and supports the billing department by providing precise coded information for claims submission. Includes auditing coded data, training staff on coding procedures, and monitoring coding productivity and quality metrics to enhance departmental performance. Key Responsibilities Reviews and analyzes medical records to...