319 nurse coder jobs found

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 amission 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

As a Subject Matter Expert, the full-time remote State Licensed Nurse Coder will independently audit outpatient and inpatient claims, validate coding accuracy, and provide strategic recommendations while ensuring compliance with industry standards. Key responsibilities Utilize coding and clinical guidelines to validate DRG or APC claims and ensure compliance with CMS and payer regulations Independently perform quality checks for team members and provide appeal responses for claims Execute strategic decision-making and support management with enterprise-level recommendations Required qualifications An active RN professional license in good standing Coding certification in good standing (e.g., CCS, CIC) Clinical practice experience and coding validation/auditing experience Proficiency in Microsoft Office, specifically Excel Well-developed verbal and written communication skills

Nurse Coder Drg Auditor Iii This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Nurse Coder Drg Auditor Iii based in United States. This role serves as a subject matter expert in clinical coding, claims auditing, and payment integrity. You will independently audit inpatient and outpatient claims using coding and clinical guidelines alongside supporting medical documentation. The position combines clinical expertise with advanced coding validation, quality assurance, and appeal response responsibilities. You will evaluate diagnoses, procedures, sequencing, discharge statuses, and levels of care to identify accurate and compliant claim outcomes. The role also provides opportunities to influence coding standards, develop new concepts, and contribute to strategic recommendations. Strong collaboration with internal teams and, when needed, clients will be essential to communicating audit findings...

Medical Reviewer, RN Coder - Temporary Position Location: Remote *This role is a temporary position and employment is expected to be for a limited duration (approx. 3-6 months) About J29 J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee-centered healthcare management consulting company. Our team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinical expertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels. J29 was founded to be an employee-centric company that prioritizes the well-being and value of its employees. Our mission is to empower our employees to do great things for the benefit...

To support a temporary project, the full-time Remote Medical Reviewer, Registered Nurse Coder will perform automated and complex reviews of Medicare Fee-for-Service claims, ensuring compliance with Medicare policies and documenting findings accurately. Key responsibilities Conduct automated and complex reviews of Medicare claims to assess payment accuracy Participate in dispute resolution and provide documentation for re-examined claims Collaborate with team members to ensure process improvement and compliance with CMS standards Required qualifications 5+ years of direct medical coding or billing experience in a healthcare environment 3+ years of experience in a productivity-based claims or case management setting 3+ years of remote work experience with various technology systems Active Medical Coding Certification (CPC, CCS, or equivalent) required Active Registered Nurse license in good standing in the United States

Our client is a fast-growing healthtech company building AI agents for health plans to streamline care navigation and optimize healthcare spending. On their behalf, we are seeking an RN-Coder Clinical Validation Reviewer to join their team in New York, NY (Flatiron District) . In this role, you will review medical records against billed claims, document clear clinical rationales, and partner directly with product teams to refine AI-supported review workflows. Key Responsibilities Review professional and facility claims against medical records to validate billed services, diagnoses, codes, and payment findings. Write clear, professional clinical and coding rationales for payment integrity and audit workflows. Identify unsupported claims and potential overpayments. Collaborate with product and operations teams to test and give feedback on AI-assisted review tools. What We’re Looking For CPC or CCS certification required (additional coding credentials a plus). Experience reviewing...

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...

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...

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....

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...

Outpatient Coder Position The Outpatient Coder works under general supervision to complete charge documents for outpatient services. The Certified Professional Coder, LPN, or RN is responsible for reviewing a patient's medical records after a visit and translating the information into codes that payors use to process claims from patients. The coder will work under general supervision to complete charge sessions for outpatient services within the primary care setting. The coder must have a strong work ethic as there is a productivity requirement with the completion of a minimum of 240 charge sessions daily. The outpatient coder will be responsible for complying with medical coding guidelines and policies regarding appropriate CPT/ICD-10/HCPCS codes. Education & Experience: Certified Professional Coder (CPC) certification, or, graduate from a school of nursing (LPN or RN), required If candidate is a Nurse, without the coding certification, then CPC certification...

Outpatient Coder PositionThe Outpatient Coder works under general supervision to complete charge documents for outpatient services. The Certified Professional Coder, LPN, or RN is responsible for reviewing a patient's medical records after a visit and translating the information into codes that payors use to process claims from patients. The coder will work under general supervision to complete charge sessions for outpatient services within the primary care setting. The coder must have a strong work ethic as there is a productivity requirement with the completion of a minimum of 240 charge sessions daily. The outpatient coder will be responsible for complying with medical coding guidelines and policies regarding appropriate CPT/ICD-10/HCPCS codes.Education & Experience:Certified Professional Coder (CPC) certification, or, graduate from a school of nursing (LPN or RN), requiredIf candidate is a Nurse, without the coding certification, then CPC certification (through the AAPC)...

This is a remote based position. Applicants can be located nationwide Back Inpatient Medical Coder #2922 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges. Tell us about your experience with Inpatient Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to...

This is a remote based position. Applicants can be located nationwide Back Inpatient Medical Coder #2922 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges. Tell us about your experience with Inpatient Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to...

This is a remote based position. Applicants can be located nationwide Back Inpatient Medical Coder #2922 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges. Tell us about your experience with Inpatient Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to...

Supervisor Of Certified Medical Assistant I,II - Specialty Pediatrics Hiring Range $30.14 to $40.18 Qualifications: SCF programs are established to serve a primary population comprised of Alaska Native people who are affiliated with Cook Inlet Region, Inc. (CIRI) and Alaska Native and American Indian people within SCF's geographical service area. Employees should have a thorough understanding of the cultures and the needs of this population. Such knowledge is critical to ensure the achievement of SCF's vision of a Native Community that enjoys physical, mental, emotional and spiritual wellness, and mission of working together with the Native Community to achieve wellness through health and related services: Bachelor's degree; OR two (2) years of experience as a CMA or LPN; OR demonstrated proficiency working at SCF as a CMA or LPN. Certification as a Medical Assistant OR licensed in the State of Alaska as a Practical Nurse. Basic Life Support (BLS) certification is...

This is a remote based position. Applicants can be located nationwide Back Inpatient Medical Coder #2922 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges. Tell us about your experience with Inpatient Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to...

This is a remote based position. Applicants can be located nationwide Back Inpatient Medical Coder #2922 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges. Tell us about your experience with Inpatient Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to...

This is a remote based position. Applicants can be located nationwide Back Inpatient Medical Coder #2922 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges. Tell us about your experience with Inpatient Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to...

This is a remote based position. Applicants can be located nationwide Back Inpatient Medical Coder #2922 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges. Tell us about your experience with Inpatient Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to...

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...