120 mra coder jobs found

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,...

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...

Valora Medical Group is seeking a Risk Adjustment (MRA) Coder/Auditor to ensure accurate identification of chronic conditions and ICD-10 coding to support correct billing. The role includes training providers, producing regular office reports, and improving documentation quality. This is a hybrid position with onsite training support. Required: Bachelor’s in healthcare or related field, 2+ years coding plus 1+ year risk adjustment experience, and Certified Professional Coder; Certified Risk #J-18808-Ljbffr

Location: Orlando, FL Job Id: 266 # of Openings: 1 Valora Medical Group is a visionary company focused on high-quality primary care services and consisting of healthcare providers and professionals dedicated to the health and well-being of our patients. At Valora, we treat our patients like family. With multiple locations throughout the Dallas-Fort Worth and Central Florida area, we understand that providing quality medical care and an exceptional patient experience across all our centers requires having an outstanding team. A Risk Adjustment (MRA) Coder ensures all significant chronic conditions found in the patient’s chart affecting the risk score are identified to allow the Clinical Provider to determine which conditions are current so they can be addressed during the patient visit. This role is also responsible for proper identification of respective ICD-10 codes to ensure the accuracy of billing for addressed diagnoses. In addition, the MRA Coder/Auditor provides...

ASAAR Medical is seeking a HCC Coder & Provider Engagement Specialist ***This is NOT a REMOTE Position *** May require travel *** Duties: Reporting to the Director of MRA and Risk Coding. the HCC / MRA Coder will offer real-time support and coordination for Primary Care Providers and Care Coordinators for MRA Risk Coding in a value-based care setting. Engages providers by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts ASAAR Medical's overall success first. Review patient charts and pursues excellence: Seeks out learning, strives to develop and expand personally, and continuously helps practices upgrade their capability to contribute to the ACO. Helps to educate clinician and non-clinician office staff on coding guidelines, documentation standards, and appropriate Medicare Risk Adjustment (MRA) procedures. Assists in education and transition with onboarding new providers, optimally within their first...

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

Medical Biller The Medical Biller is responsible for ensuring all providers' encounters are coded, billed and submitted in a timely manner to insurance companies, while also monitoring and resolving any rejections or denials through company billing portals. This position is essential to ensuring clean claim submission, reducing delays in reimbursement, and supporting compliance with payer and CMS guidelines. Essential Duties and Responsibilities Review, verify and submit provider encounters for accuracy in coding and documentation. Ensure timely and clean claim submission through appropriated billing software. Correct and resubmit rejected claims with proper supporting documentation or edits. Communicate with providers and clinical teams as needed to clarify documentation or encounter issues. Work closely with internal MRA coders to resolve discrepancies in diagnosis or procedures codes. Maintain billing logs and status update to ensure all encounters are...

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....

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 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...

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...

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

Overview South Shore Speech is looking for a competent, responsible and dedicated individual to join our busy/fast paced, award winning team. Benefits and Perks: Family/friendly work environment. Supportive management and staff. Employee appreciation events regularly. Teaching/training will be provided. Qualifications Certified Professional Coder Proficiency with Excel Motivated and possess the ability to multitask Past medical office experience necessary Strong organization skills Able to interact well and professionally with the public both in person and over the phone Responsibilities Pre‑Authorizations & Verifications Contact payers (e.g. Medicaid, private insurances, NICU-funded programs) to verify patient eligibility and coverage before treatment begins. Submit pre-authorization requests for services requiring prior approval (e.g. speech therapy visits under Early Intervention or CPSE). Track authorizations, monitor denials, and coordinate with clinical staff to...

Position Summary:The Medical Coder is responsible for reviewing patient medical records and accurately assigning diagnosis and procedure codes using current ICD coding standards and applicable regulatory guidelines. This position ensures the integrity, accuracy, and completeness of coded data for billing, reporting, reimbursement, and quality improvement purposes. The Medical Coder also assists with medical record abstraction, reporting, and communication with providers regarding documentation requirements.ESSENTIAL DUTIES AND RESPONSIBILITIESReview patients' complete medical records and assign appropriate diagnosis codes using the International Classification of Diseases (ICD) system.Determine the correct sequencing of diagnoses in accordance with Uniform Hospital Discharge Data Set (UHDDS) guidelines and applicable coding standards.Assign appropriate procedure codes for surgical and designated diagnostic procedures.Record and maintain required data elements including attending...

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...

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,...

Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-08-25Location: Boston, Massachusetts, United StatesCompany: TakedaPosted: 2026-08-19LocationsZurich, Switzerland; Boston, MAJob DescriptionOBJECTIVES / PURPOSEProvides enterprise-level governance, portfolio and operational leadership for medical grants, medical education grants and sponsorships within Global Medical.Ensures that funding decisions are transparent, objective, well documented, aligned with enterprise Medical priorities, Therapeutic Area strategies, unmet scientific or educational need, patient-centric outcomes, and compliant with Takeda standards and applicable industry requirements.Establishes and maintains clear funding frameworks, decision criteria, review pathways, committee operations, documentation expectations, budget visibility, system/repository requirements and lifecycle oversight from intake through close-out. The role partners with Global Therapeutic Areas, regions, LOC Medical,...

Medical Records Coder# Medical Records CoderSatanta District Hospital - Satanta, KS 67870## OverviewSalary Range$23.03 - $24.34Job ShiftDayEducation Level2 Year Degree## Description**Position Summary:**The Medical Coder is responsible for reviewing patient medical records and accurately assigning diagnosis and procedure codes using current ICD coding standards and applicable regulatory guidelines. This position ensures the integrity, accuracy, and completeness of coded data for billing, reporting, reimbursement, and quality improvement purposes. The Medical Coder also assists with medical record abstraction, reporting, and communication with providers regarding documentation requirements.**ESSENTIAL DUTIES AND RESPONSIBILITIES*** Review patients' complete medical records and assign appropriate diagnosis codes using the International Classification of Diseases (ICD) system.* Determine the correct sequencing of diagnoses in accordance with Uniform Hospital Discharge Data Set (UHDDS)...

Salary : $3,720.00 - $6,703.00 Monthly Location : Monroe, LA Job Type: Classified Job Number: NEDHSA-225561-HIC-090126-SH Department: LDH-Northeast Delta Human Services Authority Opening Date: 09/01/2026 Closing Date: 9/11/2026 11:59 PM Central About this Job NORTHEAST DELTA HUMAN SERVICES AUTHORITY MISSION: Serve as a catalyst for individuals with mental health, developmental disabilities, and addictive disorders to help them realize their full human potential by offering quality, excellent care with greater accessibility. Northeast Delta Human Services Authority is seeking an experienced Health Information Coder to provide billing and coding support with minimal instructions and directions. This position is directly supervised by the Administrative Program Manager 2. This position is essential in ensuring correct codes are used to bill behavioral health and primary care services per government and insurance regulations. Analyzes medical billing...