213 nurse medical coder jobs found

Experience Required 5 - 20 years Minimum Education Required Bachelor's Degree Compensation $7.25 / hourly Hours Per Week 40 Number Of Positions 1 Work Schedule and Shift Requirements First (Day) Job Description Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs. As part of the Complex Payment Solutions Team, the Audit Policy Analyst applies subject matter expertise across government and commercial healthcare...

ABOUT OLYMPIC MEDICAL CENTER: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 SHIFTDaysPAY RANGE:$103,833.60 - $169,436.80UNION: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 under the direction of the Director...

Olympic Medical Center in Port Angeles, WA, seeks a Supervisor of Medical/Surgical/Pediatrics to lead patient care, staff development and policy implementation across units. The role supports annual performance evaluations, safety and quality initiatives, and collaboration with nursing management and other departments to sustain high standards. Requirements include a BSN, Master’s preferred, at least three years in M/S/P, and one year of charge nurse or supervisory experience. #J-18808-Ljbffr

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...

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...

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...

Medical Coder - Outpatient Pride-Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors. Fair Chance Employment Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this...

Overview MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a...

Cardiac Specialist Registered Nurse - CVOR At TriHealth, our corporate team thrives on a service-oriented mindset grounded in inclusivity, innovation, and collaboration. We cultivate a supportive culture where every team member is valued, empowered, and given a true sense of belonging. When you join us, you become part of a community that invests in your personal well-being and your professional future. You'll experience meaningful growth and development opportunities, excellent benefits, and a workplace where people actively support one another and share best practices every day. Here, your contributions matterand together, we make a lasting impact. Location: This is a work from home role that requires the team member to live in the Greater Cincinnati/Northern Kentucky area Schedule: Day Shift Job Overview: Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, APR-DRG's, SOI, ROM, POA indicators, discharge dispositions and...

Job Description Job Description Neurology and pain management office is seeking an experienced medical biller. The ideal candidate will have a strong background in medical billing and coding, with the skills necessary to increase collections and reduce A/R days by effectively working denied claims. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism. Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified Must be able to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims, and report any problems, issues, or payer trends to management Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly, or bill patient Research payer guidelines and write and submit appeals...

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...

Medical Coder Pride Health is hiring a Medical Coder to support our client's medical facility remotely. This is a 3+ month contract assignment (Possibility of conversion or extension) and a great way to start working with a top-tier healthcare organization! Job Title: Medical Coder (Med Coder/24/MCO400) Location: Remote Job Type: Full-Time (40 hours/week) Work Schedule Monday through Friday during normal business hours Overtime may be required based on business needs Position Summary We are seeking an experienced Certified Medical Coder responsible for accurately assigning diagnosis, procedure, and modifier codes for professional services across multiple healthcare settings, including clinics, outpatient facilities, and inpatient facilities. The ideal candidate will have strong knowledge of medical coding guidelines, provider documentation, and Medicare Advantage Risk Adjustment (HCC) coding. Key Responsibilities Accurately assign ICD-10-CM, CPT, HCPCS, and modifier...

Patient Billing Specialist 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...

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 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...

## Coder IIIApplylocations: GBMC Hospitaltime type: Full timeposted on: Posted Todayjob requisition id: JR107398Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately assign the appropriate ICD-10-CMcodes and CPT codes.**Education**Associates Degree preferred.**Experience**At least 3 years of CPT and ICD-10-CM coding experience with certification. 3 years of radiology/interventional radiology coding and charging experience preferred. Knowledge of specialty coding including wound care. Other combinations of formal education, training and experience may be considered.**Skills*** Knowledge of medical terminology and anatomy and physiology* Knowledge in all aspects of Radiology and Interventional Radiology and wound care coding* Knowledge of coding guidelines as set forth by Official Coding Guidelines, Coding Clinic. Ability to keep current with recent trends within the industry* Skill in using computers and...

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...

Clinical Policy Clinical Coder RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Clinical Policy Clinical Coder RN II is responsible for analyzing, interpreting, and operationalizing medical and utilization management policies to ensure accurate coding,...

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 • BLS 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...

HCC Coding Quality Educator Location: Madisonville, Louisiana, United States of America Category: Clerical Remote: Office/Remote Hybrid Schedule: Full time At 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 Requirements Scheduled Weekly Hours: 40 Job 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,...

Job Title 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 documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation. Contacts and works with physicians as needed for clarification of details to ensure correct coding. Accurately utilizes the ICD-10-CM classification system and...

Job Description Job Description Overview American Physiatry is a growing healthcare organization providing physician and advanced practice provider services in skilled nursing and post-acute care facilities. We are seeking an experienced Certified Medical Coding Auditor and Provider Educator to strengthen the accuracy, consistency, and compliance of our clinical documentation and professional coding. This is a full-time remote position. The primary focus of the role is conducting coding and documentation audits, educating physicians and nurse practitioners, identifying compliance risks, and helping providers improve their documentation practices. The position will also include coding and coding-review responsibilities as needed. The ideal candidate has a strong background in professional E&M coding, provider education, Medicare Part B billing, and coding compliance. Experience with E&M services in skilled nursing facilities, nursing homes, or other post-acute...

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...

Medical Compliance Auditor We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers. This process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria. Think you've got what it takes? Job Duties & Responsibilities Assess the treatment plan, clinical information, and medical necessity of all requested services Utilizes established criteria to appropriately review billed services within established timeframe required. Consults with medical directors and clinical staff regarding patient's history and current care needs and whether services billed were appropriate....