279 nurse coder jobs found

AvMed, a division of Sentara Health Plans, seeks a Risk Adjustment Nurse/Coder (RN/CPC/COC/CIC/CCS-P/CCS/RHIT/RHIA) to join the hybrid Doral, FL team. The role focuses on risk adjustment coding and CMS/HHS guidelines, with activity spanning medical record reviews and RADV audits. Qualifications include an associate degree and relevant certifications, plus 2 years of coding experience or 4 years without a degree. Competitive benefits offered, with a base salary range disclosed. #J-18808-Ljbffr

Risk Adjustment Nurse/Coder AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA) in Doral, FL! Status: Full-time permanent position (40 hours) Standard working hours: 8am to 4:30pm EST, M-F Location: This is a hybrid position, 2 days onsite in AvMed Doral Office, 3470 NW 82nd Ave Suite 1100, Doral, FL 33122, and 3 days remote. Job Profile Summary The Risk Adjustment Clinical Coder/Nurse performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical...

AvMed, a division of Sentara Health Plans, seeks a Risk Adjustment Nurse/Coder (RN/CPC/COC/CIC/CCS-P/CCS/RHIT/RHIA) to join the hybrid Doral, FL team. The role focuses on risk adjustment coding and CMS/HHS guidelines, with activity spanning medical record reviews and RADV audits. Qualifications include an associate degree and relevant certifications, plus 2 years of coding experience or 4 years without a degree. Competitive benefits offered, with a base salary range disclosed. #J-18808-Ljbffr

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

## Clinical Documentation Improvement Nurse Coder (Certified)Applylocations: Portland, MEtime type: Full timeposted on: Posted 2 Days Agojob requisition id: REQ-2026-227Join 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...

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

Trend Health Partners At Trend Health Partners, 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 a 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. Nurse Coder Drg Auditor The Nurse Coder DRG Auditor's primary responsibility is to review medical records and associated claim information to validate accuracy of DRG assignments, APC assignments and/or medical necessity for inpatient level of care. This role will...

Nurse Coder Drg Auditor III 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 III's primary responsibility is to operate as a Subject Matter Expert. Independently audit outpatient and inpatient claims applying coding guidelines while reviewing supporting medical documentation, completing appeal responses and...

Nurse Coding Auditor At Trend Health Partners, 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 a 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 Coding Auditor is responsible for reviewing medical records, clinical documentation, itemized bills, and facility claims to validate accurate revenue codes, CPT codes, HCPCS codes, and related billing practices. This role applies coding principles, industry...

Job Title Eddy Visiting Nurse and Rehab Association has a rewarding opportunity for a per diem, part time, or full time Registered Nurse (RN) CODER/OASIS Reviewer to join our interdisciplinary Home Care team! Employment Type: Full time Shift: Day Shift Description: Come join the satisfied, long-term staff of this 5 out of 5 Star Agency. There's not a local agency that compares to us! Flexibility to work remote What you will do: 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. Requirements: Valid NYS Registered Nurse license Must have current HCS-D Must have either current HCS-O or COS-C (preferred). COS-C Certification would have to be obtained within a year of hire if missing. Must have one year of previous experience in the health care field. Additional...

Weekend Track RN - Hospice Coding Specialist - Community Hospice - Hybrid Role The Community Hospice is seeking a dedicated and detail-oriented Weekend Track RN to join our Coding Team. Training in Hospice Coding will be provided! Schedule: Every Saturday and Sunday 8:00 AM - 8:00 PM What We Offer: Hybrid work opportunity with the flexibility to work primarily from home Eligible for full-time medical benefits through St Peters Health partners Meaningful work that supports high-quality hospice care Collaboration with an experienced and supportive interdisciplinary team Opportunity to utilize both your clinical knowledge and analytical skills in a specialized role Comprehensive orientation provided What you will do: In this key role, you will collaborate closely with hospice providers and organizational leadership to ensure the accuracy, completeness, and timely submission of clinical documentation and coding. Your expertise will help support regulatory compliance, quality...

Employment Type: Full time Shift: Weekend Shift Description: Weekend Track RN - Hospice Coding Specialist - Community Hospice - Hybrid Role The Community Hospice is seeking a dedicated and detail-oriented Weekend Track RN to join our Coding Team. *Training in Hospice Coding will be provided!* Schedule: Every Saturday and Sunday 8:00 AM - 8:00 PM What We Offer: Hybrid work opportunity with the flexibility to work primarily from home Eligible for full-time medical benefits through St Peters Health partners Meaningful work that supports high-quality hospice care Collaboration with an experienced and supportive interdisciplinary team Opportunity to utilize both your clinical knowledge and analytical skills in a specialized role Comprehensive orientation provided What you will do: In this key role, you will collaborate closely with hospice providers and organizational leadership to ensure the accuracy, completeness, and timely submission of clinical documentation and coding. Your...

Employment Type: Full time Shift: Day Shift Description: Come join the satisfied, long-term staff of this 5 out of 5 Star Agency. There’s not a local agency that compares to us! Eddy Visiting Nurse and Rehab Association has a rewardingopportunity for a per diem, part time, or full time Registered Nurse (RN) CODER/OASISReviewertojoin ourinterdisciplinaryHome Care team! Flexibility to work remote What you will do: The role of thecoding/OASIS position is to code and complete OASIS reviews on SOC, ROC, and RECERTS, meetingCodingand 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. Requirements: Valid NYS Registered Nurse license Must have current HCS-D Must have either current HCS-O or COS-C (preferred). COS-C Certification would have to be obtained within a year of hire if missing. Must have one yearofpreviousexperience in the health care field. Additionalexperience working with seniorsand/or in home...

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,...

Supervisor of Medical/Surgical/Pediatrics Imagine working on Washington State's beautiful North Olympic Peninsula where recreational opportunities abound. Whether you enjoy hiking, camping, fishing, kayaking or cycling, the Olympic Peninsula is home to numerous adventures for outdoor enthusiasts. It's a great place to live, work, play and raise a family. Bordered by the scenic Olympic National Park, the Strait of Juan de Fuca and the Pacific Coast - with Seattle and Victoria, BC just a ferry ride away - you won't find a better location. You'll receive a competitive salary, excellent benefits plus an amazing PNW lifestyle a perfect combination! FTE: 100% Work Shift: Days Pay Range: $103,833.60 - $169,436.80 Union: Shift Differentials/Premiums: Job Description: The Supervisor of Medical/Surgical/Pediatrics is responsible for the management of patient care, personnel activities, and staff development in conjunction with the Clinical Educator and other Supervisors/Managers...

Job Description Location: Fully Remote Employment Duration: 3 months Schedule: Full-Time | Day Shift Pay Range: $50.61-$63.01/hour Patient Record Abstractor fulfills a role as a Medical Coder for UCSF's physician practices. They review patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services. They apply national and international coding classifications to ensure records reflect the care delivered, supporting accurate reimbursement and reliable clinical data. They have knowledge of Current Procedural Terminology (CPT), International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM), and Healthcare Common Procedural Coding System (HCPCS). The role operates within a healthcare records or billing team and requires close liaison with clinicians, clinical coders, and administrative staff to resolve documentation queries. Coders must maintain currency with...

Job Description Employment Duration: 3 Months (w/ potential for extension) Workplace: Remote - Fully Off-Site Schedule: Full-Time, Day Shift Department: Faculty Practice Revenue Management Operations (FPRMO) Salary Range: $50.61-$63.01/hour The Medical Coder fulfills a role supporting UCSF's physician practices. The position reviews patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services. The role applies national and international coding classifications to ensure records reflect the care delivered, supporting accurate reimbursement and reliable clinical data. The position requires knowledge of Current Procedural Terminology (CPT), International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM), and Healthcare Common Procedure Coding System (HCPCS). The role operates within a healthcare records or billing team and requires close liaison with...

Job Description Job Description Certified Medical Biller and Coder Position Summary Xpedited Care is seeking an experienced Certified Medical Biller and Coder responsible for accurate medical coding, claim submission, payment posting, denial management, accounts receivable follow-up, and overall revenue cycle support. The Certified Medical Biller and Coder must ensure that services are coded and billed accurately based on provider documentation, payer requirements, and applicable coding guidelines. This position requires strong attention to detail, knowledge of urgent care and primary care billing, and the ability to identify and resolve claim issues before they negatively affect reimbursement. Essential Duties and Responsibilities Medical Coding and Charge Review Review provider documentation for completeness and coding accuracy before claim submission. Assign and validate appropriate ICD-10-CM, CPT, and HCPCS Level II codes. Review E/M services and determine...

Description MaineHealth Corporate (100% remote) Professional - Nonclinical Req #: 83708 Summary: The Inpatient Coder III role is responsible for identifying and accurately assigning ICD diagnostic and ICD procedural codes after thorough review of provider documentation; and abstracts demographic and clinical information for inpatient records for the purpose of data collection, reimbursement, research and compliance with state and federal regulations and other agencies utilizing established coding principles and protocols. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate's Degree in Health Information Management and/or Bachelor's Degree in Health Information Management, or other science-based degree such as nursing preferred. License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Inpatient Coder (CIC), Certified Coding Specialist...

Job Description Employment Duration: 3 Months (w/ potential for extension) Workplace: Remote - Fully Off-Site Schedule: Full-Time, Day Shift Department: Faculty Practice Revenue Management Operations (FPRMO) Salary Range: $50.61-$63.01/hour The Medical Coder fulfills a role supporting UCSF's physician practices. The position reviews patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services. The role applies national and international coding classifications to ensure records reflect the care delivered, supporting accurate reimbursement and reliable clinical data. The position requires knowledge of Current Procedural Terminology (CPT), International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM), and Healthcare Common Procedure Coding System (HCPCS). The role operates within a healthcare records or billing team and requires close...

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that’s wellness and prevention, experienced specialists, life-changing care, or something in‑between - we are your partner in health devoted to building a healthier community.If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.In addition to five hospitals, seven emergency departments, seven urgent care...

Medical Assistant Supervisor (FGP) - Brooklyn, Multispecialty SurgeryNYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the Grossman School of Medicine at its core is committed to improving the human condition through medical education, scientific research, and direct patient care. At NYU Langone Health, equity and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace inclusion and individual skills, ideas, and knowledge.Position Summary:We have an exciting opportunity to join our team as a Medical Assistant Supervisor (FGP) - Brooklyn, Multispecialty Surgery. In this role, the successful candidate will oversee...

It's fun to work in a company where people truly BELIEVE in what they're doing! Our intention is to haveemployees who are passionate about making their personal mission statement come to life each day at work! Be it through providing healing, eradicating loneliness,contributing to efficiencies, streamliningprocesses, beingdependable,sparking creativity or something else,the demonstration ofHOW you do your job is just as important as WHAT you do in your job. Alongsideour valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcareorthoseembracingthe next chapter of their lives.Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, inclusion, integrity, financial stewardship, leadership and care. The Clinical Reviewer reviews and approves of all patient information that is provided by the licensed professional during a start of care, recertification, resumption...

Clinical RN Chart Reviewer The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Manager and support a culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity, and regulatory guidelines. Responsibilities will include: Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines. Analysis of claims data to optimize reimbursement by ensuring that the diagnosis codes, procedure codes, and supporting documentation accurately support the service rendered....