242 lead medical coding specialist jobs found

Lead Medical Coding Specialist The Lead Medical Coding Specialist works in conjunction with the Coding Supervisor to ensure accuracy, consistency and efficiency in relation to code assignment for reimbursement and reporting purposes. The Lead Medical Coding Specialist will complete quality reviews for coding staff in order to validate code and reimbursement assignments. This position is a "working" Lead position and is expected to work alongside staff as well as provide direction. Essential Job Functions Assist Coding Supervisor in the supervision of Medical Coding staff for Emergency Facilities, Inpatient, Observation and Ancillary services coding Assists in managing staffing schedule and departmental overtime Performs quality review of staff for accuracy/efficiency and identifies charge capture opportunities Completes metric reporting as required by agreed upon deadlines and assists in month end close processes In conjunction with the Coding Supervisor, ensures standard...

Lead Medical Coding Specialist The Lead Medical Coding Specialist works in conjunction with the Coding Supervisor to ensure accuracy, consistency and efficiency in relation to code assignment for reimbursement and reporting purposes. The Lead Medical Coding Specialist will complete quality reviews for coding staff in order to validate code and reimbursement assignments. This position is a "working" Lead position and is expected to work alongside staff as well as provide direction. Essential Job Functions Assist Coding Supervisor in the supervision of Medical Coding staff for Emergency Facilities, Inpatient, Observation and Ancillary services coding Assists in managing staffing schedule and departmental overtime Performs quality review of staff for accuracy/efficiency and identifies charge capture opportunities Completes metric reporting as required by agreed upon deadlines and assists in month end close processes In conjunction with the Coding Supervisor, ensures standard...

Lead Medical Coding Specialist The Lead Medical Coding Specialist works in conjunction with the Coding Supervisor to ensure accuracy, consistency and efficiency in relation to code assignment for reimbursement and reporting purposes. The Lead Medical Coding Specialist will complete quality reviews for coding staff in order to validate code and reimbursement assignments. This position is a "working" Lead position and is expected to work alongside staff as well as provide direction. Essential Job Functions Assist Coding Supervisor in the supervision of Medical Coding staff for Emergency Facilities, Inpatient, Observation and Ancillary services coding Assists in managing staffing schedule and departmental overtime Performs quality review of staff for accuracy/efficiency and identifies charge capture opportunities Completes metric reporting as required by agreed upon deadlines and assists in month end close processes In conjunction with the Coding Supervisor, ensures standard...

Lead Medical Coding Specialist The Lead Medical Coding Specialist works in conjunction with the Coding Supervisor to ensure accuracy, consistency and efficiency in relation to code assignment for reimbursement and reporting purposes. The Lead Medical Coding Specialist will complete quality reviews for coding staff in order to validate code and reimbursement assignments. This position is a "working" Lead position and is expected to work alongside staff as well as provide direction. Essential Job Functions Assist Coding Supervisor in the supervision of Medical Coding staff for Emergency Facilities, Inpatient, Observation and Ancillary services coding Assists in managing staffing schedule and departmental overtime Performs quality review of staff for accuracy/efficiency and identifies charge capture opportunities Completes metric reporting as required by agreed upon deadlines and assists in month end close processes In conjunction with the Coding Supervisor, ensures standard...

A reputable healthcare organization in Maryland seeks a Lead Coding Specialist for their Medical Coding Department. This role involves conducting reviews of diagnosis and procedure codes, managing daily coding reports, and mentoring a team of coders. The ideal candidate has significant experience in coding within an acute hospital and demonstrates strong leadership skills. This position offers a competitive salary ranging from $32.17 to $48.25 per hour, with a focus on work-life balance and professional development. #J-18808-Ljbffr

A regional healthcare provider in Dodgeville, WI is seeking a Medical Coding Team Lead to manage daily operations and ensure compliance in coding practices. The ideal candidate will have an associate degree, relevant certifications, and strong communication skills. This full-time role includes supervising a coding team, ensuring accurate data entry, and maintaining coding compliance. Comprehensive benefits are available from day one. #J-18808-Ljbffr

A healthcare organization is seeking a Medical Coder responsible for translating patient medical records into coding for claim processing. The role requires 2-3 years of medical coding experience and knowledge of ICD-10, CPT, and HCPCS systems. Key responsibilities include ensuring documentation accuracy for reimbursement and resolving complex coding issues. Ideal candidates will possess strong leadership, problem-solving, and communication skills. This position is located in Somerville, Massachusetts. #J-18808-Ljbffr

Support Center. If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire an experienced Lead Coding Specialist for our Medical Coding Department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. Responsibilities Conduct reviews to validate I-10-CM diagnosis codes and PCS procedure codes for inpatient bill hold related to PSI, PPC & other reimbursement conventions to be resolved prior to final coded data. Manages daily DNFB and DNFC reports and work queues for un-coded or outstanding records. Under the direction of the coding manager, the coding specialist lead should be proficient in communicating with the coding team. Oversees coding corrections, abstracts elements for HSCRC submissions, and ensures coding compliance with coding standards. Liaison between coding and other departments, managing coding-related tasks...

Anticipated End Date 2025-12-19 Position Title DRG Coding Auditor Principal Job Description DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies. Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient...

Job Description Job Description Join KVC Hospitals as a Medical Coding Specialist Work wellbeing score of 82 on Indeed – where your career and purpose align Are you an expert in medical coding with a passion for precision and compliance? KVC Hospitals is seeking a Medical Coding Specialist to lead our coding initiatives, maximize billing opportunities, and ensure documentation accuracy across our hospital network. This role is vital to maintaining financial health while upholding our commitment to quality care and regulatory compliance. Why KVC? At KVC, we value our people. Our work wellbeing score of 82 on Indeed reflects our dedication to creating a positive, supportive, and purpose-driven workplace. You’ll join a team that embraces innovation, respects diversity, and works collaboratively to make a real difference in the lives of children and families. Key Responsibilities Serve as the subject matter expert on medical coding for KVC Hospitals...

Anticipated End Date: 2025-12-26 Position Title: DRG Coding Auditor Job Description Virtual : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of...

Anticipated End Date: 2025-12-26 Position Title: DRG Coding Auditor Job Description Virtual : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of...

Job Description Job Description COMPANY INFORMATION: As a federally qualified health center (FQHC) Family Health Center serves all people with quality healthcare, dignity, and respect. We envision a seamless health care delivery system that is proactively responsible for the medical, dental and psychosocial needs of underserved individuals, children and families residing in Kalamazoo County. MISSION: To provide clinical excellence with outstanding patient experience while ensuring that all members of the community have access to quality, comprehensive, patient-centered health care. Full-Time Medical Billing & Coding Specialist POSITION SUMMARY: The Medical Billing & Coding Specialist is responsible for reviewing daily patient account transactions with a high level of speed and accuracy. Assists with the collection of insured accounts and maintenance of documents. Posts payments to transactions to patient accounts accurately. DUTIES AND RESPONSIBILITIES:...

Job Description Job Description Description: Location : Monticello, Illinois Shift: Day shift Schedule : M-F 40 hours Job Summary: Responsible for the conversion of diagnoses and treatment procedures in accordance with the rules, regulations and coding conventions as established by the American Hospital Association (Coding Clinic), ICD-10-CM, CMS, AHIMA, and Kirby Medical Center organizational/institutional coding guidelines. Under the direction of the lead coding manager, the coder will perform all tasks and duties in accordance with established standards, policies, procedures, protocols, and guidelines using classification of diseases. Requires skill in the sequencing of diagnoses/procedures to meet medical necessity requirements. Ensures that records are coded in an accurate and timely manner. Participates in the department’s performance improvement activities. Benefits: 40 hours PTO effective date of hire Health, Dental, Vision and Life insurance...

Job Description Job Description Description: We are seeking a highly skilled and experienced Medical Billing Specialist to oversee all aspects of billing operations at our Ambulatory Surgery Center. The ideal candidate will bring a strong background in coding, billing, collections, and dispute resolution, with the ability to manage a team and optimize financial performance. Requirements: Key Responsibilities Lead and manage the billing team, ensuring efficiency and compliance across all processes. Oversee end-to-end revenue cycle operations, including patient registration, coding, billing, collections, payment posting, and denial management. Ensure accurate coding and billing practices in compliance with federal, state, and payer-specific requirements. Manage surgical physician and facility billing, including implants and accessories. Oversee both in-network and out-of-network billing processes. Navigate and manage federal and state Independent Dispute Resolution...

Anticipated End Date: 2025-04-11 Position Title: DRG Coding Auditor Job Description: DRG CODING AUDITOR Location: This position will work virtually. Alternate locations may be considered. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Utilizes...

Medical Coding Supervisor Are you a detail-oriented leader with a passion for accuracy and process improvement? Join our team as a Medical Coding Supervisor, where you'll play a key role in ensuring high-quality coding practices, supporting provider education, and leading a dedicated team that drives the success of our revenue cycle operations. The Medical Coding Supervisor oversees the operations and personnel within the Medical Coding department. Key responsibilities include reviewing provider-assigned codes for accuracy and compliance, auditing insurance claims, and addressing coding-related denials. This role provides coding education to providers, supports documentation standards, and may assist with related research initiatives. The supervisor manages team functions such as hiring, onboarding, training, performance evaluation, and ensuring adequate staffing. Additional duties include developing departmental policies, leading staff meetings, addressing inquiries or...

Anticipated End Date: 2025-12-26 Position Title: DRG Coding Auditor Job Description Virtual : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of...

Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Job Location/Working Conditions Normal...