115 mra coder jobs found

MRA Coder The MRA Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data. Review patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether the diagnosis codes are supported by the documentation to ensure they are within Guidelines for Coding and Reporting Schedule chart reviews with Physician practices Assist in obtaining medical records from Physicians to support audits requested by Health Plans Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment. Educate Physicians regarding proper billing and documentation policies, procedures, and conflicting/ambiguous or...

MRA CoderDepartment: Medicare Risk AdjustmentReports To: Medicare Risk Adjustment DirectorLocation: Miami-Dade & Broward CountyStatus: Full TimeDesignation: 75% local travelResponsibilities:The MRA Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data.Job Duties:Review patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether the diagnosis codes are supported by the documentation to ensure they are within Guidelines for Coding and ReportingSchedule chart reviews with Physician practicesAssist in obtaining medical records from Physicians to support audits requested by Health PlansEnsure compliance with all applicable Federal, State and/or County laws and regulations...

MRA Coder Department: Medicare Risk Adjustment Reports To: Medicare Risk Adjustment Director Location: Miami-Dade & Broward County Status: Full Time Designation: 75% local travel Responsibilities: The MRA Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data. Job Duties: Review patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether the diagnosis codes are supported by the documentation to ensure they are within Guidelines for Coding and Reporting Schedule chart reviews with Physician practices Assist in obtaining medical records from Physicians to support audits requested by Health Plans Ensure compliance with all applicable Federal,...

The MRA Coder role at DaMar Staffing focuses on coordinating retrospective and concurrent chart reviews using HCC coding to translate, input, extract and validate medical record data. You will review medical histories and reports to ensure diagnoses are supported by documentation, schedule chart reviews with physician practices, and help obtain records for audits. Fluency in English and Spanish, a CPC/CPMA/CRC/CCS-P/CCS credential, and expert Excel skills are required to support compliant risk #J-18808-Ljbffr

The MRA Coder role at DaMar Staffing focuses on coordinating retrospective and concurrent chart reviews using HCC coding to translate, input, extract and validate medical record data. You will review medical histories and reports to ensure diagnoses are supported by documentation, schedule chart reviews with physician practices, and help obtain records for audits. Fluency in English and Spanish, a CPC/CPMA/CRC/CCS-P/CCS credential, and expert Excel skills are required to support compliant risk #J-18808-Ljbffr

Clinical Documentation Integrity Specialist (Coder) Remote within the U.S.; preference for those located in Eastern or Central time zones. As a CDI Coding Specialist, you ensure our documentation accurately reflects the complexity of the seniors we serve. Your work strengthens clinical accuracy, supports high‑quality care, and helps providers deliver the right care at the right time. This role is fast‑paced, detail‑driven, and deeply collaborative. You'll review charts, validate documentation, and partner with providers to uphold the highest standards of coding excellence. If you thrive in a mission‑driven environment that values teamwork, integrity, and accountability, you'll feel right at home here. Master the chart, start to finish: Apply expert coding judgment using ICD‑10 guidelines to validate accurate diagnosis codes in medical record documentation Support the clinical care teams through completion of comprehensive pre-visit and post-encounter chart reviews....

It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.Job SummaryThe ACO Coding Auditor is responsible for reviewing medical records and identifying, collecting, assessing, monitoring, and documenting claims and encountering information as it pertains to Medicare Risk Adjustment. You implement ongoing quality improvement activities to assure the Medicare Risk score meets all requirements and act as a consulting MRA advisor to the practices you support. You review practices for both CMS and Commercial ACO’s for quality compliance.Essential Duties & ResponsibilitiesPerforms on-site and remote clinical validation audits and interpretation of medical documentation to capture all Medicare Risk codes in coordination with the physician.Provides guidance and consultation to practice team members to drive improved MRA coding proficiency...

Clinical Documentation Integrity Specialist (Coder) Remote within the U.S.; preference for those located in Eastern or Central time zones. As a CDI Coding Specialist, you ensure our documentation accurately reflects the complexity of the seniors we serve. Your work strengthens clinical accuracy, supports high‑quality care, and helps providers deliver the right care at the right time. This role is fast‑paced, detail‑driven, and deeply collaborative. You'll review charts, validate documentation, and partner with providers to uphold the highest standards of coding excellence. If you thrive in a mission‑driven environment that values teamwork, integrity, and accountability, you'll feel right at home here. What You'll Do Apply expert coding judgment using ICD‑10 guidelines to validate accurate diagnosis codes in medical record documentation Support the clinical care teams through completion of comprehensive pre-visit and post-encounter chart reviews. Review documentation...

It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.Job SummaryThe Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations.Duties & ResponsibilitiesEssential Duties & ResponsibilitiesReview medical record information to identify all appropriate coding based on CMS HCC categoriesPrepare the medical charts and track patient information via Excel spreadsheets.Complete appropriate paperwork/documentation/system...

## Risk Adjustment CoderApplyremote type: Hybridlocations: Jupiter, FLtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR4147It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.**Job Summary**The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations.**Duties & Responsibilities****Essential Duties & Responsibilities*** Review medical record information to identify all appropriate coding...

ACO Coding AuditorIt's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.The ACO Coding Auditor is responsible for reviewing medical records and identifying, collecting, assessing, monitoring, and documenting claims and encountering information as it pertains to Medicare Risk Adjustment. You implement ongoing quality improvement activities to assure the Medicare Risk score meets all requirements and act as a consulting MRA advisor to the practices you support. You review practices for both CMS and Commercial ACO's for quality compliance.Essential Duties & ResponsibilitiesPerforms on-site and remote clinical validation audits and interpretation of medical documentation to capture all Medicare Risk codes in coordination with the physician.Provides guidance and consultation to practice team members to drive improved MRA coding...

Child Health Associates in Auburn, MA is seeking an experienced Medical Coder/Biller to join our Billing team. The role focuses on accurate ICD-10-CM, CPT, HCPCS and E/M coding to support timely reimbursement and quality patient care. The candidate should have 2-3 years of medical coding and billing experience, including E/M coding, and be proficient with ICD-10-CM, CPT, HCPCS, CMS guidelines, and EPIC or another EHR system. This is a full-time, on-site position based in our Auburn office. #J-18808-Ljbffr

Child Health Associates in Auburn, MA is seeking an experienced Medical Coder/Biller to join our Billing team. The role focuses on accurate ICD-10-CM, CPT, HCPCS and E/M coding to support timely reimbursement and quality patient care. The candidate should have 2-3 years of medical coding and billing experience, including E/M coding, and be proficient with ICD-10-CM, CPT, HCPCS, CMS guidelines, and EPIC or another EHR system. This is a full-time, on-site position based in our Auburn office. #J-18808-Ljbffr

Certified Medical Coder Medical Health Associates (MHA) is seeking an experienced Certified Medical Coder to join our team supporting a network of outpatient pediatric physician offices. This position is responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, ensuring compliance with coding regulations, and helping optimize reimbursement while maintaining the highest standards of accuracy and integrity. Essential Responsibilities Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for outpatient pediatric services. Ensure coding complies with payer guidelines, federal regulations, and organizational policies. Identify and resolve coding discrepancies by working collaboratively with providers and clinical staff. Review claims for coding accuracy prior to submission. Assist with denial management and coding-related appeals as needed. Stay current with coding updates, payer requirements, and...

Job Type Full-time Description Come and join our growing organization as a Medical Biller! Roswell Park Care Network is a recognized leader in oncology and specialty care, supporting community physician practices across New York State. We are committed to delivering exceptional patient care while advancing innovative treatment options in a collaborative and patient-focused environment. Comprehensive Benefits: Monday-Friday schedule Medical, dental, and vision coverage Employer funded Health Reimbursement Account (HRA) 401(k) with company match Generous vacation and sick time Company-paid life insurance 11 paid Holidays Position is Sign-On Bonus ELIGIBLE! The Medical Biller position offers a hybrid schedule. After successfully completing on-site training, the schedule transitions to just one on-site day per week Responsibilities: Prepares, reviews, and transmits claims, both electronic and paper. Follows up on unpaid claims within...

Job Description Job Description Benefits Competitive salary Dental insurance Flexible schedule Free food & snacks Free uniforms Health insurance Paid time off Training & development Tuition assistance Vision insurance Pay Pay: $20.00 - $25.00 per hour Job description Located in Mount Pleasant, SC $20–$25 per hour Full-Time | No Weekends Our growing ophthalmology retina practice in Mount Pleasant, SC is seeking an energetic, detail-oriented Medical Biller & Coder to join our team. This role is ideal for someone with ophthalmology or optometric billing experience who enjoys working in a fast-paced healthcare environment and takes pride in accuracy and organization. You will play an important role in the financial health of the practice by ensuring accurate coding, timely claims submission, and effective insurance follow-up. This position offers stable hours, a supportive team environment, and the opportunity to expand your skills in a physician-led...

Job Description This is an On-Site position. Required work location: Marquette, MI Your experience matters UP Health System- Bell is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Byjoining our team, you're embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Coder who excels in this role: Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding Guidelines to select the appropriate diagnosis code. Uses available research and reference tools to understand the disease process and diagnosis....

Coder ILocation: Remote Organization: Premier Orthopaedics, in partnership with Philadelphia Hand to ShoulderOverviewPremier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely. As two of the region's most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development.Position SummaryThis role is responsible for accurately reviewing medical records and assigning ICD-10 and CPT codes in compliance with all applicable policies and regulations. It manages patient demographics, clinical documentation, and billing data across practice management systems and hospital records to ensure proper coding and reimbursement. The position also supports and educates clinical staff and providers on documentation and coding standards to promote compliance, accuracy, and effective...

ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. Job Description ProSidian Seeks a Medical Coder and Abstractor (Full-Time) in...

Lead Medical Coder and Auditor [PR0001D] Full‑time ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast‑paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. ProSidian Seeks a Lead...

Supervisor, Medical Records, Release Of InformationThe Area Supervisor is responsible for managing the daily scheduling of the ROI Specialists at specified client sites. The Area Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations and are completed in a timely manner.Position requires travel throughout Vero Beach, Port. St. Lucie, and Weston, Florida.Tasks and Responsibilities:Manages workflow among on-site employees at multiple client sites to ensure maximum productivity and quality standards are met.Adjusts work assignments as needed to cover peak periods, leave and vacancies at the staffed hospital sites.Provides coverage in event of backlogs, illness, vacation or leave of absence of ROI Specialists.Performs Quality Assurance monitoring of work performance for the ROI Specialists.In conjunction with and under the direction of the Area Manager,...

Medical Billing & Coding Specialist Position Summary The Medical Billing & Coding Specialist is responsible for managing insurance billing, claims processing, coding accuracy, and collection activities. This role ensures timely reimbursement, maintains compliance with coding guidelines, identifies documentation gaps, and works collaboratively with clinical and administrative teams to support accurate billing practices. This is an on-site position and is not remote. Education, Experience, and Certification Requirements High school diploma, GED, or equivalent required. Associate degree, bachelor’s degree, or relevant experience in medical records, healthcare administration, billing, or claims processing preferred. Experience with Kentucky Medicaid, medical billing, coding, insurance claims, or revenue cycle management preferred. Certification preferred: Certified Coding Associate (CCA) through AHIMA Certified Coding Specialist (CCS) through AHIMA Certified...