Medical coding specialist i jobs

Sentara Healthcare Virginia Beach, VA, USA

Medical Coding Specialist I Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. This is a HYBRID position--one day per week office time is required to fulfill administrative tasks for Coding Denials work. Candidate must be close to either Sentara Rockingham Memorial Hospital or Sentara Martha Jefferson Hospital Charlottesville. Required: Minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) and Modifier Coding preferred. CCS or CPC required Education: High School Diploma or equivalent Certification/Licensure: CCS or CPC Coding Certification (Required) Experience: Minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT),...

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Medical Coding Specialist I

Sentara Healthcare USA

City/State Virginia Beach, VA Work Shift First (Days) Overview: Medical Coding Specialist I Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. This is a HYBRID position--one day per week office time is required to fulfill administrative tasks for Coding Denials work. Candidate must be close to either Sentara Rockingham Memorial Hospital or Sentara Martha Jefferson Hospital Charlottesville Required: minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) and Modifier Coding preferred. CCS or CPC required Education High School Diploma or equivalent Certification/Licensure CCS or CPC Coding Certification (Required) Experience minimum of...

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Hybrid Medical Coding Specialist I: CPT/ICD-10 Expert

Sentara Health Plans Virginia Beach, VA, USA

A healthcare provider is seeking a Medical Coding Specialist I to manage the billing cycle and coding for medical services. This hybrid role requires 3+ years of multi-specialty coding experience and a CCS or CPC certification. The candidate will work in-office one day per week for administrative tasks related to coding denials. Benefits include health plans, tuition assistance, and more, fostering a supportive work environment focused on diversity and inclusion. #J-18808-Ljbffr

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Medical Coding Specialist I

Sentara Health Plans Virginia Beach, VA, USA

Medical Coding Specialist I page is loaded## Medical Coding Specialist Iremote type: Hybridlocations: Virginia Beach, VAtime type: Full timeposted on: Posted Todayjob requisition id: JR-94612**City/State**Virginia Beach, VA**Work Shift**First (Days)**Overview:**# **Medical Coding Specialist I**Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections.This is a HYBRID position--one day per week office time is required to fulfill administrative tasks for Coding Denials work. Candidate must be close to either Sentara Rockingham Memorial Hospital or Sentara Martha Jefferson Hospital CharlottesvilleRequired:* minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) and Modifier Coding...

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Urology Medical Coding Specialist I - Precision & Compliance

Cape Fear Valley Health Cape Fear, NC, USA

A healthcare provider in Fayetteville, North Carolina, is seeking a Clinical Coding Specialist I. The role involves coding medical records accurately, verifying patient data, and ensuring compliance with federal guidelines. Candidates must have a high school diploma, preferred associate degree, and relevant coding experience. The work environment is busy, requiring strong data entry skills and the ability to focus in a noisy setting. This position is crucial for accurate documentation and coding in healthcare administration. #J-18808-Ljbffr

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Hybrid Medical Coding Specialist I: Remote Mon & Fri

MedStar Health Columbia, MD, USA

A healthcare organization in Maryland is seeking a Medical Coder to manage coding and abstracting for transport services. This hybrid position offers a flexible work schedule after a probation period and requires medical coding certification. The role involves accurate charge entry and compliance with coding standards. Applicants must have a high school diploma and at least one year of coding experience, with certification as a Professional Coder required. Competitive hourly pay between $23.65 - $42.03 is offered. #J-18808-Ljbffr

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Medical Coding Specialist I/II - Growth & Impact

Southcentral Foundation Anchorage, AK, USA

A healthcare organization in Alaska is seeking a Coding Specialist responsible for ensuring accurate assignment of medical coding for a variety of services. The ideal candidate will have an Associate’s Degree and CPC certification, along with three years of coding experience. Responsibilities include understanding medical terminology and maintaining compliance with coding regulations. The position offers competitive pay and hiring incentives. #J-18808-Ljbffr

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Inpatient Coding Specialist I - Medical Records - Mount Sinai Hospital - FT Days 8AM-4PM (Remote)

Mount Sinai Hospital New York, NY, USA

Coding Specialist Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions for the establishment of diagnoses and procedures. The coded data is utilized for reimbursement, clinical care assessment, education, research, case mix and health care statistical reporting. Responsibilities 1. Reviews, analyzes and codes inpatient and/or ambulatory (outpatient) surgery records utilizing all prevailing coding guidelines and conventions for the establishment of diagnoses and procedures. 2. Queries physicians for clarification of documentation if required. 3. Participates in the documentation improvement process in conjunction with Coding management and leadership. 4. Consistently meets or exceeds coding productivity standards as per department policies. 5. Ensures compliance with CMS and other regulatory compliance guidelines. 6. Participates in continuing education opportunities...

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ICD-CPT Coder I - Medical Coding Specialist

MyMichigan Health Midland, MI, USA

A healthcare provider located in Midland, Michigan, is seeking a Coding Specialist responsible for reviewing medical records and assigning accurate ICD-10 and CPT codes to ensure proper reimbursement. Candidates must possess an Associate’s Degree in Health Information Technology and have coding experience from an AHIMA-approved internship. Strong interpersonal and communication skills are essential, along with proficiency in Microsoft Windows and a commitment to ongoing education in the field. #J-18808-Ljbffr

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Inpatient Coding Specialist I - Medical Records - Mount Sinai Hospital - FT Days 8AM-4PM (Remote)

Mount Sinai New York, NY, USA

Mount Sinai - 1468 Madison Avenue - Responsibilities: Reviews, analyzes and codes inpatient and/or ambulatory (outpatient) surgery records utilizing all prevailing coding guidelines and conventions for the establishment of diagnoses and procedures.; Queries physicians for clarification of documentation if required.; Participates in the documentation improvement process in conjunction with Coding management and leadership.; Consistently meets or exceeds coding productivity standards as per department policies.; Ensures compliance with CMS and other regulatory compliance guidelines.

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Healthcare Coder I: Medical Billing & Coding Specialist

Catholic Health Initiatives Houston, TX, USA

A healthcare provider in Houston seeks a Coder to ensure precise communication with insurance companies and accurately translate medical records into standardized codes. The ideal candidate will have a high school diploma or GED along with 1-3 years of coding experience. Responsibilities include maintaining compliance with coding standards and communicating with clinical and administrative teams. This position offers a pay range of $24.15 - $34.12 per hour. #J-18808-Ljbffr

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Full Time

Healthcare Coding Compliance Auditor

Riverside University Health System Medical Center Hybrid (Riverside, CA, USA)

Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care hospital...

Full Time

Quality Analyst / Coding Auditor I

Physicians Choice LLC Remote

Physicians' Choice is currently seeking a highly proficient and seasoned Medical Coding Auditor specializing in Evaluation and Management (E/M) services, with a comprehensive understanding of Emergency Medicine, to join our esteemed team. If you possess extensive expertise in current E/M coding guidelines and have a strong background in auditing, we invite you to apply for this exceptional opportunity. Job Description: As a Medical Coding Auditor you will play a vital role in ensuring accurate and compliant coding practices within our organization. You will be responsible for conducting detailed audits of medical records, coding documentation, and related billing processes to verify compliance with established coding guidelines, regulatory requirements, and internal policies. Responsibilities: Perform comprehensive audits of medical records, coding documentation, and billing processes. Evaluate the accuracy, completeness, and appropriateness of medical...

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 Part Time

Fractional CoCM Billing Compliance & Audit Lead (CPMA required)

Mederva Health Remote

About the role We run a fast-growing care management program billed under partner clinic TINs across a mixed payer population. We need an expert to tighten CoCM billing yield while keeping documentation audit-proof as we scale from ~24 clinics to 100+. The right candidate will be able to convert this into a full-time role with equity, and grow with the company. Looking to hire ASAP. What you’ll own Design and audit CoCM and CCM billing workflows , including appropriate patient stratification between programs. Define clear, defensible criteria for assigning patients to CoCM vs CCM (and transitions over time). Build “gold standard” documentation templates and checklists for 99492/99493/99494, 99490, 99439 , and related codes as applicable. Design simple, audit-proof time capture and attribution workflows across care team members. Create and run a QA sampling plan with feedback loops for care teams and clinic billers. Partner with...

Full Time

Lead Coding Specialist, Day Shift, Medical Coding

Adventist Healthcare Gaithersburg, MD, USA

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. As a Lead Coding Specialist, you will: 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 and denials. Provides mentoring support to coders on coding...

Full Time

CDM Specialist Sr - 17715

Nemours Children's Health Orlando, FL, USA

Job Description Nemours is seeking a Sr. CDM Specialist in Orlando, FL This position is responsible for: assistance in maintenance of Charge Description Master (CDM) within Nemours hospital revenue producing departments. Works with the CDM/HB Manager to ensure an accurate CDM and Coding process resulting in clean and compliant claims. Acts as liaison and problem solver for CDM issues with Administration, insurance companies, charge capture departments, Health Information Management, Utilization Management, Recovery Auditors, Managed Care, Corporate Compliances, and Central billing Office (CBO). Responsibilities: Responsible for the coordination of ongoing CDM consistency within revenue producing departments. Includes maintaining accurate descriptions, coding, in-activations, and revenue code assignments. Demonstrate and incorporate a working knowledge of the hospital's billing and coding software applications as related to coding...

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Medical Coder

Aya Healthcare Georgetown, SC, USA

Provider Coding Specialist Join Team Tidelands and help people live better lives through better health! Provider Coding Specialist Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider we are also one of our area's largest employers. More than 2500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview Under the supervision of the Coding Supervisor the Provider Coding Specialist is responsible for analyzing and assigning ICD-10-CM diagnostic codes CPT and HCPCS codes to professional surgical patient accounts based on the medical information provided and consistent with regulatory guidance and best practices in the industry and Organization policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracting required clinical information from the medical record. Queries physicians as...

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Certified Coder

Red Oaks Medical Group, Inc. Red Bluff, CA, USA

Business Office Representative Are you compassionate, collaborative, respectful, and strive for excellence? If so, you share our core values and we invite you to join our team as a Business Office Representative. Certified Coder Job Description Reports to: Revenue Cycle Manager, Billing Office Supervisor Organizational Peers: Billing Specialist Direct Reports: None Job Details: Full time, 40 hours/week, Monday-Friday, Non-Exempt, Pay Range: $25.75-$33.99/hour Job Summary: A Certified Coder is a nonexempt position responsible for front office and general coding billing duties. Responsible for Coding Audits, Claim, Billing review and Compliance. Performance Requirements: Knowledge: 1. Knowledge of billing practices and clinic policies and procedures. 2. Knowledge of coding and clinic operating policies. 3. Knowledge of medical terminology. 4. Knowledge of health care insurance claim practices and compliance. 5. Knowledge of computer systems, programs, and applications....

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Medical Billing and Coding Specialist for WA (Remote)

COC Consultants Carson City, NV, USA

Job Description Job Description Location: Washington State Employment Type: Part-Time Reports To: COO Position Summary The Medical Billing and Coding Specialist is responsible for accurately coding medical services, submitting insurance claims, and ensuring timely reimbursement in compliance with federal regulations, Washington State laws, and payer-specific guidelines. This role plays a critical part in maintaining revenue cycle integrity while supporting compliance with HIPAA and Washington healthcare regulations. Key ResponsibilitiesMedical Coding • Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes to diagnoses, procedures, and services. • Review clinical documentation to ensure coding accuracy and completeness. • Ensure compliance with CMS guidelines, Washington State Medicaid (Apple Health) requirements, and commercial payer policies. • Identify documentation deficiencies and communicate with providers for clarification. Medical Billing • Prepare and submit...

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Hospital Inpatient Coder II - Remote

Minnesota Jobs Rochester, MN, USA

HB Inpatient Coder Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. The HB Inpatient Coder reviews, interprets, and translates provider medical diagnostic and procedural documentation into appropriate codes following hospital inpatient claims and reporting requirements. The HB Inpatient Coder initiates provider queries as needed to support accurate and comprehensive code assignment. Associate degree and a minimum of 3 years of relevant hospital inpatient coding experience. Bachelor's Degree preferred. Registered Health Information Administrator (RHIA),...

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Coder III - Outpatient

Avera Health Sioux Falls, SD, USA

Coder III Avera Downtown Building-Sioux Falls Regular Day Shift (United States of America) $25.50 - $38.00 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 most types of outpatient charts for multiple facilities within Avera Health, with a focus on the more complex and high-dollar cases. Accurate abstracting along with other reporting and editing function is also a major responsibility. The Coder III works independently to meet quality and production goals for the position. Varied amounts of time will be spent educating Coder I, III and III coders along with helping others with denials management. What You Will Do Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM,...

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Sr. Outpatient/ED Coder-REMOTE- Full time, Days

Centra Health Lynchburg, VA, USA

Hospital Outpatient Coder II The Hospital Outpatient Coder II is responsible for coding recurring provider based billing (PBB), outpatient diagnostic, specialty outpatient diagnostic, medical observation, and emergency department encounters for the purpose of reimbursement, statistical analysis, and other clinical purposes in compliance with federal, state, and regulatory agencies' guidelines using the most current International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and Current Procedural Terminology (CPT) classification systems. Performs clinical documentation review, coding, charge entry, and charge review that includes appending modifiers to resolve claim edits. The Hospital Outpatient Coder II will be skilled in coding all services of Hospital Outpatient Coder I and be responsible for coding the following services: cardiology, PET scans, infusion therapy, maternity/newborn, radiation oncology, recurring PBB locations to include...

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Vascular Outpatient Coder- Full time, Days -Remote

Centra Health Lynchburg, VA, USA

Outpatient Specialty Medical Coder The Outpatient Specialty Medical Coder is responsible for coding outpatient records, Facility, and/or Professional, for the purpose of reimbursement in compliance with federal, state, and regulatory agencies' guidelines using the most current taxonomic and classification systems. Performs coding, charge entry, and charge review including but not limited to, reviewing clinical documentation, appending modifiers and/or correcting edits. The Outpatient Specialty Medical Coder I will be responsible for coding the following services: Non Centra Medical Group (CMG) Vascular, Endoscopy, Orthopedic Surgery, Gynocologic Surgery, Surgical Observation, General Surgery, Plastic Surgery, Neurosurgery, Urology, Bariatric Surgery, and Pain Management. Responsibilities Reviews clinical documentation and assigns appropriate outpatient facility and/or professional codes, reviews/posts charges for the purpose of reimbursement, research, and compliance in...

207 medical coding specialist i jobs found