275 nurse coder jobs found

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

Clinical Documentation Improvement (CDI) Nurse CoderJoin Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.Position SummaryThe Clinical Documentation Improvement (CDI) Nurse Coder supports accurate and complete clinical documentation that reflects the severity of illness, quality of care, and services provided to patients. This role reviews medical records, collaborates with providers, and applies...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Clinical Documentation Improvement (CDI) Nurse Coder supports accurate and complete clinical documentation that reflects the severity of illness, quality of care, and services provided to patients. This role reviews medical records, collaborates with providers, and applies clinical expertise and coding knowledge to ensure...

Martin's Point Health Care Inc. in Portland, Maine, is seeking a Clinical Documentation Improvement Nurse Coder (Certified) to ensure accurate documentation, optimize risk adjustment, and support quality reporting. The role requires RN licensure, CDI experience, coding certifications, and strong collaboration with providers and care teams. This full-time role emphasizes documentation integrity and regulatory compliance to improve population health outcomes. #J-18808-Ljbffr

Nurse Practitioner Location: Long Beach, CA Department: Trauma Center Status: Per-diem Shift: Days (12hr shifts) Pay Range*: $79.78/hr - $99.50/hr MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and...

Registered Nurse (RN) Location: Long Beach Department: Invasive Cardiology (Cath Lab) Status: Full Time Shift: Days (0630-1700) Pay Range*: $50.00 to $74.98/hr Bonus: $10,000 signing bonus available to external hires new to MHS employment, contingent upon satisfaction of employment requirements. At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork. Position Summary The experience RN, Registered Nurse provides safe, cost-effective patient care through the...

Description Eddy Visiting Nurse and Rehab Association has a rewarding opportunity for a fulltime CODER/OASIS reviewer to join our interdisciplinary HomeCare team! Employment Type Full time Shift Day Shift Job Description Eddy Visiting Nurse and Rehab Association has a rewarding opportunity for a fulltime CODER/OASIS reviewer to join our interdisciplinary HomeCare team! Candidates must have completed or be within the process of completing CODER certification for homecare (HCS - D, HCS - 0). The role of the coding/OASIS position is to code and complete OASIS reviews on SOC, ROC, and RECERTS, meeting Coding and OASIS guidelines. We take pride in our job at EVNRA working closely with the clinical team to achieve a 5 Star - Top 6% in the country. Fulltime hours required. Must have one year of previous experience in the health care field. Additional experience working with seniors and/or in home care field preferred. Valid Registered nurse in NYS and Certified in OASIS and Coding....

Ankura Health Care Disputes, Compliance and Investigations PracticeAnkura is a team of excellence founded on innovation and growth.Practice OverviewAnkura'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...

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...

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...

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...

QA Nurse / Coder (RN)As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentation—particularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter notes—while 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, and clinical staff...

JOB SUMMARY: Post patient charges, includes checking coding, ABN documentation, and verification of patient demographics. Posts Payments. Files appeals when necessary and assists in determining final claim status. Maintains accurate count of collections received each day. Maintain daily count of physician, procedure, nursing home, hospital and nurse visits. Job Duties: Submits claims to accounts as appropriate. Submits claims to carriers and intermediaries as appropriate. Checks coding to insure accuracy and medical necessity. Insures information is appropriate for client or insurance billing. Assists in follow-up on payment and billing errors. Send medical records requested by insurance companies. Send monthly deposit reports to accounting. Fill out paperwork for patient/insurance refunds. Help answer the phone and make appointments. Perform other duties as assigned by supervision. Other duties as assigned by Director associated with clinic...

Hiring Range $23.00 - $29.90/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. Newport News, Virginia Overview Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. What You Will Do Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. Audits for...

Job Description Job Description The Certified Cardiology Coder plays a critical role in accurately translating cardiology medical records into standardized codes used for billing and documentation. This position requires expertise in cardiology procedures and coding standards to ensure compliance and data integrity. The coder works closely with clinicians and utilizes specific coding software alongside manual coding processes to support effective claims processing and reporting.   Responsibilities Assign accurate codes based on cardiology medical records Review and audit medical records for coding compliance Ensure data accuracy and adherence to coding guidelines Generate reports related to coding and billing activities Analyze patient data for completeness and coding accuracy Conduct coding audits to identify discrepancies and improve processes Collaborate with clinicians to clarify documentation and coding queries Process claims efficiently to support timely...

Coding SpecialistPerforms coding/DRG and abstracting functions for medical records, quality assessment and billing purposes. Codes all Huntsville Hospital medical records with ICD-10-CM/PCS and CPT-4 codes. Abstracts key data elements according to medical record review criteria. Performs coding quality assurance as needed.Education/CertificationHS/GED required. Prefer post high school education in anatomy, physiology and pathophysiologyRequire CCS certification (certified coding specialist)ExperienceICD-10-CM/PCS or CPT coding experience in hospital or physician's office preferred.Additional Skills/AbilitiesMust have excellent communication skills with the ability to work in a fast paced environment, requiring prioritizing and changing tasks frequently and quickly. Must be able to maintain confidentiality. Must be able to use computer, word processing and spreadsheet software, fax machine, and copy machine.Highlights of our hospitalsHuntsville Hospital was recently named Best...

Join Team Trilogy Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services – a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. Position Overview Job Summary The Clinical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural and diagnostic codes to resident records. Accurately assigns and sequences ICD-10-CM diagnostic and procedural codes and/or E&M and procedural codes to patient records for use in reimbursement and data collection. Roles and Responsibilities • Confirms appropriate diagnosis related group assignments. • Verifies patient information to identify any documentation vs. report discrepancies and to ensure codes and other abstracted data are accurately applied to appropriate patient's account/encounter. • Codes and abstracts...

Job Description Atlantic Health System is seeking a HIM Inpatient Coder. Remote. This incredible opportunity is a part time position of approximately 22.5hrs a week. • Codes inpatient records capturing all diagnosis, POA indicators, and procedures and validates key UHDDS elements as well as abstracts pertinent information from patient records, to accurately reflect the patient's encounter. • Reviews CDI concurrent review notes and works with the CDI Team to ensure optimal code capture on all cases. Ensures optimal reimbursement in compliance with CMS policies and procedures and Official Coding Guidelines • Implements AHS physician query process when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous or unclear for coding purposes • Completes coding of all discharges/encounters ensuring the minimum productivity requirement of 10/day is met as well as a 95% accuracy rating. Assignments include Inpatient acute care,...

Job Description Job Description Pride Health is hiring a Remote Coder Specialist to support our client's healthcare facility in [REMOTE] . Interested? Apply Today! Job Details: Schedule: M-F 8-5 Location: REMOTE Job Type: local contract Contract Length: 1 months + extension Pay Range: $36/hr. - $41/hr. on W2 *Pay offered is based on experience, expertise, credentialing, and education. Duties: Job Summary The Coder Specialist will be responsible for coding Emergency Room (ER) and/or outpatient medical records accurately and efficiently while maintaining required quality and productivity standards. Key Responsibilities Code ER and/or outpatient medical records. Review and resolve CCI (Correct Coding Initiative) and medical necessity edits as needed. Monitor unbilled ER/outpatient accounts and ensure accounts are coded on a day-to-day basis. Maintain coding quality of 95% or higher . Maintain coding productivity of 95% or higher ....

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with us. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSE . The Senior Clinical Documentation Integrity Specialist ensures accurate, complete, and compliant clinical documentation that appropriately reflects severity of illness, risk of mortality, and supports correct reimbursement. This role partners closely with providers, coding teams, and practice participants to drive documentation quality, regulatory compliance, and value-based care initiatives. How You Contribute to the Company's Mission In This Role Develops and implements standard processes, job aids, and error prevention tools to strengthen clinical documentation integrity across participating practices. Educates providers and office staff on...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job reviews and accurately codes and abstracts the most complex hospital services, in-patient procedures, overnight / multi-night stay services and all other complex medical services. Utilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG...

Job Title Newport News, Virginia Hiring Range: $23.00 - $29.90/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. Overview Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. What You Will Do Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data...

Responsibilities Performing coding and abstracting of both inpatient and outpatient medical records in accordance with ICD-10-CM and CPT coding rules, guidelines, and conventions following hospital and PAM Health system procedures. Accurately reflect the reason for admission, extent of care received, and level of severity of illness. Requirements High school diploma or its equivalent is required. Coding, medical terminology, Anatomy/Physiology courses preferred. Certification as one of the following is preferred; a. Certified Coding Specialist (CCS) b. Certified Coding Specialist-Physician based (CCS-P) c. Certified Professional Coder (CPC) d. Certified Professional Coder Apprentice (CPC-A) e. Certified Billing and Coding Specialist (CBCS) f. Certified Coding Associate required (CCA) g. Registered Health Information Technician (RHIT) h. Registered Health Information Administrator (RHIA) i. Registered Nurse (RN) with ICD-9-CM coding background j. Licensed Practical Nurse (LPN)...

Job Description Job Description Pride Health is hiring a Certified Coder to support our client's healthcare facility in Houston , TX . Interested? Apply Today! Job Details: Schedule: Monday–Friday, 8:00 AM - 5:00 PM Location: Houston, TX 77024 Hybrid Job Type: Local contract Contract Length: 3 months + possible extension Pay Range: $21/hr. - $24/hr. On W2 *Pay offered is based on experience, expertise, credentialing, and education. Duties: Review clinical documentation and diagnostic results to identify and accurately code diagnoses, treatments, and procedures. Assign ICD-10-CM diagnoses, CPT-4 procedure codes, and appropriate modifiers for outpatient encounters. Apply current coding principles, official coding guidelines, and APC reimbursement requirements. Perform outpatient Evaluation and Management (E/M) coding accurately. Code neurology and neurosurgery services for physicians. Requirements: Education: High School...