Lead professional coder jobs | Healthcare Careers

Datavant Indianapolis, IN, USA

Join Datavant, a pioneering data collaboration platform in healthcare committed to securing, accessing, and making health data actionable. We provide vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. Be part of an innovative team that is transforming health data utilization to enhance health outcomes. What We Are Looking For: We are on the lookout for a Lead Professional Coder with a strong orthopedic focus, especially in spinal procedures. The perfect candidate will efficiently manage work queue volumes, address coding queries from physicians and staff on a daily basis, and act as a bridge between the client and the coding team. Key Responsibilities: Conduct thorough reviews of medical record documentation to accurately identify diagnoses and procedures needing coding for professional fee charts, ensuring compliance with federal regulations. Initiate proactive communication with physicians to clarify code...

Da

Lead Professional Coder

Datavant Washington, DC, USA

Join Datavant, a pioneering data collaboration platform in healthcare committed to securing, accessing, and making health data actionable. We provide vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. Be part of an innovative team that is transforming health data utilization to enhance health outcomes. What We Are Looking For: We are on the lookout for a Lead Professional Coder with a strong orthopedic focus, especially in spinal procedures. The perfect candidate will efficiently manage work queue volumes, address coding queries from physicians and staff on a daily basis, and act as a bridge between the client and the coding team. Key Responsibilities: Conduct thorough reviews of medical record documentation to accurately identify diagnoses and procedures needing coding for professional fee charts, ensuring compliance with federal regulations. Initiate proactive communication with physicians to clarify code...

Da

Lead Professional Coder

Datavant Providence, RI, USA

Join Datavant, a pioneering data collaboration platform in healthcare committed to securing, accessing, and making health data actionable. We provide vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. Be part of an innovative team that is transforming health data utilization to enhance health outcomes. What We Are Looking For: We are on the lookout for a Lead Professional Coder with a strong orthopedic focus, especially in spinal procedures. The perfect candidate will efficiently manage work queue volumes, address coding queries from physicians and staff on a daily basis, and act as a bridge between the client and the coding team. Key Responsibilities: Conduct thorough reviews of medical record documentation to accurately identify diagnoses and procedures needing coding for professional fee charts, ensuring compliance with federal regulations. Initiate proactive communication with physicians to clarify code...

Da

Lead Professional Coder

Datavant Annapolis, MD, USA

Join Datavant, a pioneering data collaboration platform in healthcare committed to securing, accessing, and making health data actionable. We provide vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. Be part of an innovative team that is transforming health data utilization to enhance health outcomes. What We Are Looking For: We are on the lookout for a Lead Professional Coder with a strong orthopedic focus, especially in spinal procedures. The perfect candidate will efficiently manage work queue volumes, address coding queries from physicians and staff on a daily basis, and act as a bridge between the client and the coding team. Key Responsibilities: Conduct thorough reviews of medical record documentation to accurately identify diagnoses and procedures needing coding for professional fee charts, ensuring compliance with federal regulations. Initiate proactive communication with physicians to clarify code...

CI

Certified Professional Coder (CPC) Lead/Provider Liaison

Careers Integrated Resources Inc Newark, NJ, USA

Certified Professional Coder (Cpc) Lead/Provider Liaison A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. This is a contract position with my direct client. Job Description Direct client need- immediate interviews- we have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJ. Duration: contract to hire. Job summary: The provider liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing...

IA

Outpatient/Professional Lead Coder

Industrial Asset Management Council, Inc Des Moines, IA, USA

Additional Information About the Role BJC is hiring for a Outpatient/Professional Lead Coder. We are looking for previous coding experience in ancillary or ED. This role is responsible for being a mentor for the coders on the team. At least one of the following certifications is required for this position: RHIA, RHIT, CCS, CCS-P, CPC, COC, or CCA. Open remotely to the following states: Alabama, Iowa, North Carolina, Wisconsin Arkansas, Kansas, Ohio Florida, Kentucky, Oklahoma Georgia, Louisiana, South Carolina Illinois, Mississippi, Tennessee Indiana, Missouri, Texas BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple...

University of Missouri School of Medicine / University Physicians

Full Time

Supervisor, Coding & Data Management

University of Missouri School of Medicine / University Physicians Hybrid (Columbia, MO, USA)

The University of Missouri School of Medicine is seeking an experienced and strategic Supervisor, Coding & Data Management to lead our Professional Coding and Revenue team. This role is critical to ensuring accurate medical coding that directly translates into clinical revenue integrity, regulatory compliance, and operational excellence. If you are a certified coding professional who thrives in leadership, process improvement, and complex reimbursement environments, we invite you to apply. Why Join Us? At the School of Medicine, our coding leadership team plays a vital role in supporting clinical operations, optimizing reimbursement, and maintaining compliance with federal and commercial payer regulations. You will collaborate with physicians, administrators, and revenue cycle professionals in a mission-driven academic healthcare setting. Position Overview The Supervisor, Coding & Data Management is responsible for overseeing coding accuracy, reimbursement...

Full Time

Outpatient/Provider Coder III

University of Utah Health Remote

Overview Top candidates will have experience with Oncology Coding. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for...

Full Time

Director, Reimbursement and Market Access

Magnolia Market Access Remote

About the Job The Director of Reimbursement and Market Access is responsible for assisting the Senior Vice President of Reimbursement and Market Access by collaborating with life sciences clients to provide analysis and insight related to coding, reimbursement, practice management, and policy. This individual will leverage internal data sources and professional experience to effectively support clients in developing and implementing reimbursement and market access strategies for their drugs, devices and other healthcare technologies. Duties and Responsibilities Develop and implement coding and reimbursement strategies for new and existing drugs, biologics, medical devices, digital technologies and diagnostic tests Lead client project engagements by serving as the direct point of contact for clients and coordinating with project teams Evaluate drugs and technologies to assess the potential applicability of coding options (HCPCS, CPT, ICD-10-PCS, and ICD-10-CM)...

NH

Senior Coder

Northwell Health Kensington, NY, USA

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 significant...

AH

Coder II - Outpatient

Avera Health Sioux Falls, SD, USA

Coder II Responsible for the timely and accurate assignment of diagnostic and procedural codes for a variety of outpatient charts for multiple facilities within Avera Health. Accurate abstracting, along with other reporting and editing functions is also a major responsibility. The Coder II works independently to meet quality and production goals for the position with occasional guidance from other professional staff. What You Will Do: Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM, CPT, and HCPCS diagnosis and procedure codes for assigned patient charts across Avera's facilities. Understands ICD-10-CM, CPT and HCPC codes in depth, and be willing to update that knowledge through research or other educational opportunities. The Coder II focuses on determining the appropriate APC/EAPC and/or medical coding for a variety of outpatient patient types including but not limited to, ER, ancillaries, imaging, lab, PT,...

SH

Senior Professional Coder (Profee Surgery)

Shriners Hospitals for Children Myrtle Point, OR, USA

Company Overview #LI-Remote Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans...

Bi

Registered Nurse - Utilization Management/Coder

Bienvivir El Paso, TX, USA

Registered Nurse - Utilization Management/Coder Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. Bienvivir is currently accepting applications for the following position: Registered Nurse - Utilization Management / Coder The...

PC

Certified Medical Coder - Risk Adjustment (HCC)

Porter Cares, Inc. Pompano Beach, FL, USA

Job Description Job Description Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. Position Overview We are seeking a certified coder with expertise in risk adjustment coding and...

EH

DRG Coding Auditor Principal

Elevance Health Roanoke, VA, USA

DRG Coding Auditor Principal _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. 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 medical records on claims paid based on Diagnostic Relation Group...

YN

Outpatient Senior Coder (Remote)

Yale New Haven Hospital Youngstown, OH, USA

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Reporting to the Supervisor of Outpatient Coding, The OP Senior Coder is a vital multifaceted role within the Outpatient Coding Department. This position provides support to the Outpatient Coding Department as a OP coding subject matter expert, educator, QA reviewer, and also focuses daily efforts on A/R management and oversight. Additionally, this person works with partner departments to problem solve issues and streamline processes. The OP Senior Coder is also required to mentor other team members and also prepare them for the role of OP Senior Coder. The OP Senior Coder possesses a strong level of OP clinical coding expertise, and has the ability to handle multiple priorities....

CH

Certified Medical Coder I

CERIS Health Youngstown, OH, USA

CERIS is seeking a Certified Coder. The CERIS Certified Coder reverse code previously coded medical bills to determine coding accuracy. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determine validity and compensability of the claim using CorVel proprietary programs Make recommendations to referring office Communicate claim status with referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program ( IIPP ), as well as, maintain HIPAA compliance KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims...

Av

Coder II - Outpatient

Avera Sioux Falls, SD, USA

Location: Avera Downtown Building-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $24.00 - $35.00 Position Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the timely and accurate assignment of diagnostic and procedural codes for a variety of outpatient charts for multiple facilities within Avera Health. Accurate abstracting, along with other reporting and editing functions is also a major responsibility. The Coder II works independently to meet quality and production goals for the position with occasional guidance from other professional staff. What you will do Review all aspects of a patient's clinical documentation in order to...

AI

Medical Biller/Coder (Marshall Islands)

Acuity International, LLC Cape Canaveral, FL, USA

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. Location: Cape Canaveral/Remote Job Summary: The Medical Biller/Coder is responsible for managing the administrative...

CH

Certified Professional Coder - Cone Health HeartCare

Cone Health Greensboro, NC, USA

The Professional Physician Coder accurately and efficiently accesses wide range 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 is an entry level professional physician coding role. Essential Job Function 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 (HCPCS-all levels). Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (ie, Insurance Denials). Notifies Team Lead, Manager,...

EI

Cleared Software Coder (Onsite - Boulder, CO)

Exploration Institute Boulder, CO, USA

Job Description Job Description We are seeking a hands-on software coder to support a classified government project. This role is ideal for someone who enjoys writing code, working in secure environments, and contributing to focused, mission-driven work. This position requires onsite work in a classified facility in Boulder, Colorado, beginning March. Candidates must currently hold an active U.S. security clearance and be based in Boulder or able to commute daily. Mandatory Requirements: -Active U.S. security clearance ( required ) -U.S. citizenship ( required ) -Must be based in Boulder, CO or able to commute daily -Must be available to work onsite starting in March - Remote work is not available due to classified environment requirements Applicants who do not meet these requirements will not be considered. Work Schedule: -Initial period: ~30 hours/week for the first two weeks -Ongoing: ~5–10 hours/week thereafter for the foreseeable future -Location: Onsite,...

BA

Registered Nurse - Utilization Management/Coder

Bienvivir All Inclusive Health El Paso, TX, USA

Job Description Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. BENEFITS for Full and Part-time employees who work 30 or more hours per week: We pay 100% of the MEDICAL monthly premiums for Employee Only coverage. We pay...

IS

Senior Medical Coder

Imagine Staffing Technology Buffalo, NY, USA

Job Description Job Description Job Title : Certified Medical Coder Location : New York Hire Type : Temp to Hire Pay Range : $26.44 - $39.66/hour Work Type : Full-time Work Model : Remote offered across Western New York Work Schedule : Monday – Friday, 9am – 5pm Recruiter Contact : Luisa Beato, lbeato@imaginestaffing.net Nature & Scope: Positional Overview The Imagine Group is recruiting for a Certified Medical Coder on behalf of our client, a leading not-for-profit healthcare system, providing a comprehensive network of hospitals, outpatient services, rehabilitation, home care, and long-term care for patients throughout Western New York . The organization is committed to delivering compassionate, patient-centered care across a full spectrum of medical specialties while fostering a mission-driven culture of quality, dignity, and community service. In this role, you will be responsible for performing advanced and accurate coding of complex...

IS

Certified Medical Coder

Imagine Staffing Technology Buffalo, NY, USA

Job Description Job Description Job Title : Certified Medical Coder Location : Remote: Must be in AL, FL, GA, IL, MD, NJ, NC, TX, VA, WV, IA, or NY. Hire Type : Temp-to-Hire Pay Range : $23.00 - $27.30/hour Work Type : Full-time Work Model : Remote Work Schedule : Monday – Friday, 8am – 4:30pm Nature & Scope: Positional Overview The Imagine Group is recruiting for a Certified Medical Coder on behalf of our client, a leading not-for-profit healthcare network serving Western New York, this organization provides comprehensive medical services through hospitals, outpatient centers, and long-term care facilities across the region. It is committed to advancing community health through innovation, education partnerships, and patient-centered care. In this role, you will be responsible for reviewing and accurately assigning diagnostic and procedural codes to patient records in compliance with ICD-10, CPT, and HCPCS guidelines. You will ensure proper...

698 lead professional coder jobs found