269 nurse coder jobs found

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

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

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...

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...

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...

Supervisor of Medical/Surgical/Pediatrics 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 under the direction of the Director of Medical/Surgical/Pediatrics. This position assists with the assessment, planning, implementation and evaluation of nursing care for Medical/Surgical/Pediatrics, patients and participates in nursing educational needs assessments and quality improvement activities. The Supervisor, Medical/Surgical/Pediatrics assists with annual staff performance evaluations, investigating Safety Risk Management Reports, and with the development, revision, and implementation of new policies and procedures. This position facilitates patient care by informing staff, educating staff, and ensuring competence within staff members' scope of practice by implementing best practices. This position requires leadership...

Job Description Job Description Description: Summary/Objective: Obtain accurate reimbursement for healthcare claims. Essential Functions Reviews and resolves all assigned charges thoroughly based on coding guidelines, chart documentation and related charges in billing system. Audits task manager work files with charges reviewed by Claims Manager that were found to have coding errors/omissions. When appropriate communicates approved coding changes and/or questions to Physician’s and their office staff. Also alerts providers of missing or late charges. Alerts management to coding trends discovered while working daily charges/edits. Stays informed and up to date on coding issues by attending seminars. Possesses a comprehensive understanding of carrier specific State of Florida billing guidelines. Consistently stays within the department production goal set for your area Requirements: Required Education and Experience: High School Graduate or Equivalent. Must be a...

Location: Scarborough, ME Facility: MaineHealth Corporate Schedule: Full Time Shift: Day Job Category: Professional - Nonclinical Req #: 75901 Date Posted: Aug 16, 2026 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),...

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...

Senior Medical CoderPride Health is hiring a Senior Medical Coder to support our client's healthcare facility.Job Details: Schedule: 8am - 5 pm Location: Remote Job Type: Contract Contract Length: 6 months (possibility of extension) Pay Range: $18/hr- $20/hr Pay offered is based on experience, expertise, credentialing, and education.Duties:Review medical records and clinical documentation to accurately assign diagnosis, procedure, E/M, and ancillary service codes.Perform CMS-HCC/Risk Adjustment coding and medical record review when applicable.Apply ICD-10-CM, CPT, HCPCS, and modifier coding guidelines.Review documentation for completeness, accuracy, and coding opportunities.Identify unclear or incomplete documentation and submit provider queries for clarification.Requirements:Education: High SchoolLicense(s):Certification(s): Current coding certification from AAPC or AHIMAYears of experience: 3 yearsSkills/Specialties/Technology:Pride-Health offers eligible employee's comprehensive...

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 . Complete required continuing...

Job Description Job Description Certified Home Health Coder & QA Specialist Become a part of the Hope At Home Family! We currently have a position available for a Certified Home Health Coder & QA Specialist. Position Summary: Certified Home Health Coder & QA Specialist is required to have PDGM, Oasis D1 experience, and Kinnser software knowledge. Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of skilled service visits. The position is also responsible for reviewing OASIS and abstracting visit data for billing and data collection purposes. Responsibilities: Codes records using ICD-10-CM and coding guidelines. Reviews OASIS. Observes and report unusual patterns in data collection and/or lack of adequate documentation for code assignments. Review documentation and provide ICD-10 coding recommendations based on current coding and Oasis guidelines. Performs other related duties as requested by the Home...

Quality Assurance Coder/Auditor The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and audience for provider education. The Quality Assurance Coder/Auditor will perform medical record reviews...

Senior Medical Coder Pride Health is hiring a Senior Medical Coder to support our client's healthcare facility. Job Details: Schedule: 8am - 5 pm Location: Remote Job Type: Contract Contract Length: 6 months (possibility of extension) Pay Range: $18/hr- $20/hr Pay offered is based on experience, expertise, credentialing, and education. Duties: Review medical records and clinical documentation to accurately assign diagnosis, procedure, E/M, and ancillary service codes. Perform CMS-HCC/Risk Adjustment coding and medical record review when applicable. Apply ICD-10-CM, CPT, HCPCS, and modifier coding guidelines. Review documentation for completeness, accuracy, and coding opportunities. Identify unclear or incomplete documentation and submit provider queries for clarification. Requirements: Education: High School License(s): Certification(s): Current coding certification from AAPC or AHIMA Years of experience: 3 years Skills/Specialties/Technology: Pride-Health...

HCC Coding Quality EducatorLocation: Madisonville, Louisiana, United States of AmericaCategory: ClericalRemote: Office/Remote HybridSchedule: Full timeAt St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.Job Description and Position RequirementsScheduled Weekly Hours: 40Job Summary:The HCC Coding Quality Educator (HC) facilitates the improved integrity of medical record documentation through interaction with healthcare providers to support the appropriate representation of severity of illness, risk of mortality, acuity, and...

Job TitleEssential FunctionsMust be able to plan and prioritize workflow and produce an acceptable volume of work accurately.Must possess strong analytical and research capabilities to review physician and nurse documentation.Good problem solving skills and the ability to communicate clearly in writing and verbally to assigned providers and support staff.Review and edit charges for accuracy of codes and modifier usage based on established billing guidelines and completeness of charges/diagnoses by specialties. Reviews and prints charges for data verification for E&M services.Reviews, edits and exports MedAptus charges daily to encompass all charges in prior months.Communicates coding changes and/or questions to Physicians' offices to appropriate staff.Monitors uncharged encounters in MedAptus and sends notices to Physician offices on missing charges.Reviews ETM charges on a daily basis, reviews auto exported charges at the end of the day and makes necessary changes to release...

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...