457 medical coder data abstraction specialist jobs found

Allegheny Health Network is seeking a Medical Coder to review medical records, determine ICD-10-CM/CPT codes, and abstract data for reporting. You will input coded information into designated systems and help manage unbilled coding reports to support cash flow. Role requires 1 year of hospital/physician coding, strong medical terminology, and the ability to collaborate with the health care team while staying current with coding updates and guidelines. #J-18808-Ljbffr

OVERVIEW Join us in shaping the future of healthcare as an allied health professional at Redeemer Health. We offer a dynamic environment equipped with state-of-the-art facilities and a culture that prioritizes safety. With our workforce spanning southeastern Pennsylvania and New Jersey, we celebrate diversity and inclusivity. We're committed to your long-term success, providing competitive benefits, as well as resources like educational assistance and a unique onboarding program that sets you up for long-term success while introducing you to our mission and celebrated service orientation. Join us, and let's make a difference together. SUMMARY OF JOB The Senior Coding Specialist assigns diagnostic and procedural codes consistent with ICD-9-CM and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and in its publication, Coding Clinic and AMA’s publication CPT Assistant....

Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced Physician Complex Coder with 3 years of General Pediatric coding with multi-specialty experience to join our talented team. In this role, you will cover our Pediatric providers within Banner and will be coding for Complex charts including surgical procedures. Our Profee coders need to be experienced and independent E/M coders. Production expectations depend on what is being coded; straight E/M, procedure, or a minimum of 9 encounters/hr. Requirements: 3 years recent experience in Pediatric Profee EM coding (clearly...

HCC Coding Auditor Senior - Health Plan NetworkUS:TX:Irving | Revenue Cycle Audit | Full TimeHCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option.Responsibilities:Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion,...

Summary HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option. Description HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and...

Medical CoderAs a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.Job Location:2619 W Henrietta Rd, Rochester, New York, United States of America, 14623Opening:Worker Subtype: RegularTime Type: Full timeScheduled Weekly Hours: 40Department: 900370 Health Info Mgmt-CodingWork Shift: UR - Day (United States of America)Range: UR URG 107 HCompensation Range: $23.27 - $32.60The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications,...

Medical Coding Specialist As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location: 2613 W Henrietta Rd, Brighton, New York, United States of America, 14623 Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 108 H Compensation Range: $25.14 - $35.24 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education,...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.78 - $30.53 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to,...

Who We Are Who We AreCentauri 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 based...

Lexington Health seeks a skilled Medical Coding Specialist in South Carolina to assign ICD and CPT codes for hospital and professional services. You will adhere to CPT, ICD, CMS guidelines, and stay current with coding trends while ensuring accurate statistical documentation. Responsibilities include data abstraction, coding edits review, and collaboration with physicians and coding staff to maintain high-quality reimbursement processes. Remote SC-based position with full-time hours. #J-18808-Ljbffr

ePathUSA is looking for an experienced Medical Coder to support CMS RADV review efforts by validating medical record documentation, abstracting diagnoses, and ensuring coding accuracy in accordance with ICD-10-CM, CMS-HCC, and regulatory requirements. The ideal candidate will demonstrate strong attention to detail, a commitment to quality, and the ability to meet established performance standards.Job Duties:Perform medical record intake review, verifying that documentation submitted by Medicare Advantage Organizations meets required format, provider type, signature, and date-of-service criteria before records advance to coding review.Perform diagnosis code abstraction on hospital inpatient, hospital outpatient, and physician medical records in accordance with ICD-10-CM coding guidelines and CMS-approved RADV workflows.Evaluate medical record documentation against CMS-HCC (Hierarchical Condition Category) model requirements to determine whether submitted diagnoses are...

Medical Coder SpecialistAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington.*Now offering a $10,000 sign-on...

Medical Coder SpecialistAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia,...

Medical Coder IIIAs a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.Remote Work - New York, Albany, New York, United States of America, 12224Regular Time as Reported / Per Diem As ScheduledDepartment: 910503 United Business Office CodingWork Shift: UR - Day (United States of America)Range: UR URG 107 HCompensation Range: $23.27 - $32.60The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and...

We are sharing a specialised remote consulting opportunity for experienced US-based Certified Inpatient Coders with strong expertise in inpatient medical coding, ICD-10-CM and ICD-10-PCS classification systems, clinical documentation review, and MS-DRG assignment to contribute their professional knowledge to advanced AI training and evaluation initiatives. Selected professionals will review complex inpatient medical records, validate diagnosis and procedure coding, assess clinical documentation accuracy, and evaluate AI-generated medical information against established coding standards. The work combines practical inpatient coding expertise with clinical data interpretation, regulatory guideline application, structured quality assessment, and detailed technical feedback to help improve the accuracy, consistency, and reliability of AI systems operating across healthcare coding and clinical documentation workflows. Key Responsibilities Inpatient Medical Record Review & Coding...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address) Remote Work - New York, Albany, New York, United States of America, 12224 Opening Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.78 - $30.53 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education,...

Coding Specialist (Part-Time)At Commence, we're the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient processes to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.The Coder Reviewer position is responsible for supporting and conducting reviews and determinations for independent dispute resolutions at both the Federal and State levels. Subject matter expert in clinical...

Job Description Job Description: Certified Inpatient Coder Role Type: Contractor Location: United States (Remote) Job Summary We are seeking experienced Certified Inpatient Coders to support a project focused on improving medical coding accuracy, clinical documentation quality, and healthcare data integrity. In this role, you will apply your expertise in inpatient coding to review medical records, validate diagnosis and procedure codes, assess AI-generated clinical documentation, and ensure compliance with official coding guidelines. Your feedback will help improve the accuracy and reliability of AI systems used in healthcare. Scope of Work Review and analyze inpatient medical records to ensure accurate ICD-10-CM and ICD-10-PCS coding in accordance with current official guidelines and industry best practices. Evaluate clinical documentation for accuracy, completeness, consistency, and coding integrity. Identify principal and secondary diagnoses, sequence codes...

Risk Adjustment Coding Specialist II - Los AngelesWe are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Orange County market. In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You'll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you'll track and report on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success. We are seeking candidates who have experience with risk adjustment experience, and we are open to training those without previous provider education experience! This position requires travel to provider offices up to 30% of the time in Los Angeles and the San Gabriel Valley!Our Values:Put Patients...

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...

OVERVIEW Join us in shaping the future of healthcare as an allied health professional at Redeemer Health. We offer a dynamic environment equipped with state-of-the-art facilities and a culture that prioritizes safety. With our workforce spanning southeastern Pennsylvania and New Jersey, we celebrate diversity and inclusivity. We're committed to your long-term success, providing competitive benefits, as well as resources like educational assistance and a unique onboarding program that sets you up for long-term success while introducing you to our mission and celebrated service orientation. Join us, and let's make a difference together. SUMMARY OF JOB The Senior Coding Specialist assigns diagnostic and procedural codes consistent with ICD-9-CM and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and in its publication, Coding Clinic and AMA’s publication CPT Assistant....

Profee Medical Coder Complex Surgical Pediatric### Profee Medical Coder Complex Surgical PediatricApply: Remote: Remote Arizona: Full time: Posted Yesterday: R4457234**Department Name:**Coding Ambulatory**Work Shift:**Day**Job Category:**Revenue CycleInnovation and highly trained staff. Banner Health recently earned Great Place To Work CertificationTM. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced **Physician Complex Coder with 3 years of General Pediatric coding with multi-specialty experience** to join our talented team. In this role, you will cover our **Pediatric** providers within Banner and will be coding for **Complex charts including surgical procedures**. Our Profee coders need to be experienced and independent E/M...