227 nurse coder jobs found

Overview Medical Review Nurse Coder (Home Health) Job Summary: The Catholic Health Home Care Medical Review Nurse Coder is responsible for ensuring the accuracy, completeness, and regulatory compliance of home health clinical documentation prior to billing. This role reviews OASIS assessments, patient charts, Face-to-Face (F2F) encounters, physician orders, and Plans of Care to support Medicare Conditions of Participation, payer requirements, and timely reimbursement. Role Impact: This role is essential to maintaining regulatory compliance, ensuring accurate reimbursement, and supporting high-quality, timely patient care in the home health setting. Job Details Key Responsibilities Review OASIS assessments for accuracy, completeness, and compliance Audit patient records to ensure documentation supports billed services Validate Face-to-Face (F2F) encounters for regulatory compliance Review Plans of Care for accuracy, timeliness, and physician signatures Ensure proper clinical...

A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful candidates will have an active RN license, relevant coding certifications, and experience in clinical practice. A competitive salary of $85,000 to $90,000 is offered, along with a comprehensive benefits package. #J-18808-Ljbffr

GBMC Health Partners is seeking a Clinical Documentation Improvement Nurse/Nurse Coder to join our Primary Care team. The ideal candidate is a clinically experienced nurse coder who is EMR savvy, knowledgeable in HCC and ICD-10 coding, with exposure to ambulatory medicine. Responsibilities include chart review, identifying documentation improvement opportunities, and educating practice physicians on documentation and coding changes. EPIC experience preferred. #J-18808-Ljbffr

As a full-time, remote Texas Licensed Nurse Coder, the professional will provide coding expertise and clinical support, collaborating with cross-functional teams to implement coding initiatives and ensure compliance with industry standards. Key responsibilities: Partner with clinical and operational teams on coding initiatives, providing strategic guidance for implementation Develop and promote standardized coding methodologies to ensure accurate and compliant benefit digitization Manage procedure and service code groupings, maintaining coding integrity through quality oversight and adherence to regulations Required qualifications: High School Diploma/GED or equivalent work experience Certified Professional Coder (AAPC or AHIMA) Active unrestricted nursing license 3+ years of experience with coding and reimbursement methodologies (e.g., CPT, HCPCS, ICD-10) Intermediate proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint

TREND Health Partners is a tech-enabled payment integrity company. Our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows. Joining TREND Health Partners means becoming part of a dynamic, growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and associated claim information to validate accuracy of DRG assignments and/or medical necessity for inpatient level of care. This role will apply coding and clinical principles based on industry standards and...

To support accurate billing practices, the full-time remote Nurse Coder Auditor will review medical records and claims, validate coding accuracy, and conduct hospital bill audits while ensuring compliance with industry standards and guidelines. Key responsibilities Validate the accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on facility claims Review medical records and documentation to ensure billed services are accurately represented Conduct hospital bill audits and itemized bill reviews to identify potential coding and billing issues Required qualifications Active coding certification in good standing, such as CCS, CPC, COC, RHIT, or RHIA Strong knowledge of CPT, HCPCS, ICD-10, revenue codes, and CMS coding guidelines Experience with coding validation, auditing, or claims review Ability to review and interpret complex medical documentation Knowledge of inpatient coding and billing guidelines, including hospital bill audits

Registered Nurse (RN) Coder – Community Hospice Part-Time RN Coder – Hybrid Role Employment type: Part time. Shift: Day Shift. This hybrid role primarily works from home with occasional office requirements during orientation or as requested by the hiring manager. Position Highlights Comprehensive orientation provided. Eligible for part‑time benefits through St. Peters Health Partners. Flexible hours and days. What You Will Do Work closely with leadership and hospice providers to ensure accurate and timely documentation and coding for compliance and billing. What You Will Need A current license to practice as a Registered Nurse in the State of New York. Associate’s Degree in Nursing; BSN preferred. At least 1 year of RN experience, preferably in hospice, home care, or acute care. Ability to work independently. Pay Range: $31.50–$40.00 per hour (based on experience, skills, and education). Exempt roles under FLSA will be paid within the base salary equivalent of the...

Ankura Health Care Disputes, Compliance and Investigations Practice Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura's Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also...

Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura’s Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also provide investigative assistance in matters involving research...

Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura's Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also provide investigative assistance in matters involving research...

QA Nurse / Coder (RN) As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentationparticularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter noteswhile properly sequencing diagnoses according to federal/state standards and agency policy. Core responsibilities include: Review OASIS forms and Plans of Care for appropriateness, completeness, and compliance. Assign and sequence ICD?10 codes in line with current home health coding guidelines. Ensure consistency and compliance of face-to-face encounter documentation with OASIS and care plans. Conduct additional clinical record audits and OASIS reviews as assigned. Stay current on Medicare reimbursement policies, home health regulations, and compliance requirements. Maintain relevant certifications (HCS?D, HCS?O or COS?C). Participate in quality assurance and performance-improvement efforts. Coordinate with physicians, facilities,...

Catholic Health Services is seeking a Medical Review Nurse Coder to ensure the accuracy and regulatory compliance of home health clinical documentation. You will review OASIS assessments, patient charts, Face-to-Face (F2F) encounters, and Plans of Care to support Medicare conditions. This role is crucial in maintaining compliance and ensuring quality patient care. The position offers a salary range of $90,000 - $110,000 along with comprehensive benefits including tuition assistance and a defined benefit pension plan. #J-18808-Ljbffr

Summary Of Responsibilities This position is responsible for reviewing, prioritizing, and analyzing adverse medical events related to medical devices that are submitted on Med Watch reporting forms via hard copy or electronically to our customer, the Food and Drug Administration (FDA). Additionally, this position is responsible for processing and coding a variety of reports from device manufacturers, importers, user facilities, health care professionals, and customers. While Analyst Coders may be assigned to perform the primary functions shown above, they will also be cross‑trained to perform secondary duties according to business need. Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Analyze all Med Watch reporting forms to determine if they meet the designated Code Blue criteria as identified by FDA. Assign the appropriate product, manufacturer, patient, and device problem codes that correlate...

Certified Coder This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is for a Certified Coder who will provide coding expertise and clinical support across a wide range of initiatives and processes. This role requires close collaboration with cross-functional teams to ensure alignment with both clinical and business objectives, while supporting the successful execution of projects. This position is full-time (40 hours/week), Monday - Friday. Employees must work an 8-hour shift...

Certified Coder This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is for a Certified Coder who will provide coding expertise and clinical support across a wide range of initiatives and processes. This role requires close collaboration with cross-functional teams to ensure alignment with both clinical and business objectives, while supporting the successful execution of projects. This position is full-time (40 hours/week), Monday - Friday. Employees must work an 8-hour shift...

Certified Coder This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is for a Certified Coder who will provide coding expertise and clinical support across a wide range of initiatives and processes. This role requires close collaboration with cross-functional teams to ensure alignment with both clinical and business objectives, while supporting the successful execution of projects. This position is full-time (40 hours/week), Monday - Friday. Employees must work an 8-hour shift...

Certified Coder This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is for a Certified Coder who will provide coding expertise and clinical support across a wide range of initiatives and processes. This role requires close collaboration with cross-functional teams to ensure alignment with both clinical and business objectives, while supporting the successful execution of projects. This position is full-time (40 hours/week), Monday - Friday. Employees must work an 8-hour shift...

Certified Coder This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is for a Certified Coder who will provide coding expertise and clinical support across a wide range of initiatives and processes. This role requires close collaboration with cross-functional teams to ensure alignment with both clinical and business objectives, while supporting the successful execution of projects. This position is full-time (40 hours/week), Monday - Friday. Employees must work an 8-hour shift...

Registered Nurse Registered Nurse (RN) Coder Home Health Full Time Provides nursing care through assessment, planning, implementation, and evaluation; promotes restorative/supportive care; ensures safe medication administration and documentation. Current RN license by MS Board of Nursing; ability to read/write/communicate effectively. CPR or ACLS certification. Coordinate care and perform assessments. Develop Plans of Care and educate patients/families. Document accurately; report changes. Maintain infection prevention; administer meds safely. Participate in performance improvement. Ability to stand and/or walk for extended periods. Frequent bending, reaching, squatting, and kneeling. Lift, carry, push, and pull up to 50 lbs independently; >50 lbs with assistance/devices. Assist with patient repositioning and transfers using proper body mechanics and equipment. Manual dexterity for clinical procedures and computer use; adequate vision, hearing, and speech. All...

Job Description Job Description Registered NurseJob Title: Registered Nurse (RN) Coder Department: Home Health Home Health Full Time/PRN: Full Time Job Summary Provides nursing care through assessment, planning, implementation, and evaluation; promotes restorative/supportive care; ensures safe medication administration and documentation. Minimum Qualifications • Current RN license by MS Board of Nursing; ability to read/write/communicate effectively. Preferred Qualifications • CPR or ACLS certification. Essential Duties & Responsibilities • Coordinate care and perform assessments. • Develop Plans of Care and educate patients/families. • Document accurately; report changes. • Maintain infection prevention; administer meds safely. • Participate in performance improvement. Physical Requirements • Ability to stand and/or walk for extended periods. • Frequent bending, reaching, squatting, and kneeling. • Lift, carry, push, and pull up to 50 lbs independently; >50 lbs...

MDB Health Services provides medical and psychiatric services to residents in long-term care facilities across Mississippi, Louisiana, Arkansas, Tennessee, Kentucky, and Texas. As the region’s largest LTC healthcare provider, we are proud to have an exceptional team of physicians, nurse practitioners, and therapists dedicated to delivering high-quality, compassionate care. For more than 13 years, we have built a strong reputation among both clinicians and long-term care communities by going above and beyond to help facilities provide the best possible healthcare to their residents while remaining people-first in everything we do. Job Summary This is an in-house medical billing position. The position is located at our company headquarters in Flowood, MS, billing for multiple locations. You will be joining a tight-knit and great billing team! This job will involve billing Part A and Part B. Primary Responsibilities General duties include core revenue cycle functions such as...

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and...

These nonexempt positions are Monday – Thursday, 7:30am – 5:00pm, Friday, 7:30am – 12:00pm with a possibility of some overtime. Benefits Benefits include: Medical health insurance (100% paid by AHI for employee). Retirement plan with employer matching 2 weeks Paid Vacation 1 week Paid Sick 9 paid holidays – New Years, Good Friday, Memorial Day, 4th of July, Labor Day, Thanksgiving (Thursday & Friday), Christmas Eve & Christmas Day. How to Apply Interested applicants can: Call 806-510-7250 Fax their resume to 806-510-7284 – Attn: Human Resources Email resume to jobs@amarilloheart.com Background check required. EOE Statement: We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. CERTIFIED NURSING ASSISTANT - CARDIOLOGY We are seeking a...

Medical Billing Position MDB Health Services provides medical and psychiatric services to residents in long-term care facilities across Mississippi, Louisiana, Arkansas, Tennessee, Kentucky, and Texas. As the region's largest LTC healthcare provider, we are proud to have an exceptional team of physicians, nurse practitioners, and therapists dedicated to delivering high-quality, compassionate care. For more than 13 years, we have built a strong reputation among both clinicians and long-term care communities by going above and beyond to help facilities provide the best possible healthcare to their residents while remaining people-first in everything we do. This is an in-house medical billing position. The position is located at our company headquarters in Flowood, MS, billing for multiple locations. You will be joining a tight-knit and great billing team! This job will involve billing Part A and Part B. Primary Responsibilities Generally, duties include core revenue cycle...