187 nurse medical coder jobs found

# Certified US Registered Nurse (USRN) Medical Coder - Remote Opportunity inConfidential Healthcare EmployerFull TimejuniorCAPosted Yesterday## Role OverviewConfidential Healthcare Employer is hiring a entry-level Certified US Registered Nurse (USRN) Medical Coder - Remote Opportunity in. This is a full-time role in CA. Part of Confidential Healthcare Employer's Nursing hiring, posted yesterday. Full responsibilities, required qualifications, and the apply link are listed in the description below.## Resume Keywords to IncludeMake sure these keywords appear in your resume to improve ATS scoringCPCEHREpicCernerHIPAAICD-10CPTORSign up free to auto-tailor your resume with all these keywords and get a higher ATS score## Job descriptionJoin our dynamic healthcare team as a Certified US Registered Nurse (USRN) Medical Coder and play a pivotal role in ensuring accurate medical billing and compliance for US-based healthcare providers. This fully remote position offers the flexibility to...

Registered Nurse Registered Nurse (RN) Coder Home Health Full Time Provides nursing care through assessment, planning, implementation, and evaluation; promotes restorative/supportive care; ensures safe medication administration and documentation. Current RN license by MS Board of Nursing; ability to read/write/communicate effectively. CPR or ACLS certification. 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. 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 lbs with assistance/devices. Assist with patient repositioning and transfers using proper body mechanics and equipment. Manual dexterity for clinical procedures and computer use; adequate vision, hearing, and speech. All...

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 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 Title Essential Functions Must 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...

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...

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...

To support accurate billing practices, the full-time remote Nurse Coder Auditor will review medical records and claims, validate coding accuracy, and conduct hospital bill audits while ensuring compliance with industry standards and guidelines. Key responsibilities Validate the accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on facility claims Review medical records and documentation to ensure billed services are accurately represented Conduct hospital bill audits and itemized bill reviews to identify potential coding and billing issues Required qualifications Active coding certification in good standing, such as CCS, CPC, COC, RHIT, or RHIA Strong knowledge of CPT, HCPCS, ICD-10, revenue codes, and CMS coding guidelines Experience with coding validation, auditing, or claims review Ability to review and interpret complex medical documentation Knowledge of inpatient coding and billing guidelines, including hospital bill audits

Medical Coder - Inpatient 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. 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 role, please contact us....

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....

Virtua Health Opportunity 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...

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

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...

Medical Billing Position MDB Health Services provides medical and psychiatric services to residents in long-term care facilities across Mississippi, Louisiana, Arkansas, Tennessee, Kentucky, and Texas. As the region's largest LTC healthcare provider, we are proud to have an exceptional team of physicians, nurse practitioners, and therapists dedicated to delivering high-quality, compassionate care. For more than 13 years, we have built a strong reputation among both clinicians and long-term care communities by going above and beyond to help facilities provide the best possible healthcare to their residents while remaining people-first in everything we do. This is an in-house medical billing position. The position is located at our company headquarters in Flowood, MS, billing for multiple locations. You will be joining a tight-knit and great billing team! This job will involve billing Part A and Part B. Primary Responsibilities Generally, duties include core revenue cycle...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. This position is remote, applicants can reside in any state within the US *This position REQUIRES a CPC. Position Summary The ideal candidate will coordinate the identification of potential claim editing & clinical program enhancements to ensure compliance with Medicare NCDs and LCDs as well as Federal and State Legislation. This individual will also collaborate and partner with functional leads and other business areas to ensure quality and end-to-end payment accuracy functions in the Medicare NCD/LCD and Federal/State legislation...

Duties: Reviews medical documentation to perform a variety of coding validations for multiple lines of business under Medicare/TRICARE to determine accuracy of billing and payment. Reassigns and sequences diagnostic and procedural codes using universally recognized coding system as appropriate. Compiles and analyzes statistics to determine focus areas for targeted medical review activities where there is the greatest potential for inappropriate Medicare/TRICARE payments. 60% Determines methodology to identify cases for DRG, HIPPS, HCPCS, RUG, and APC validation. Conducts targeted coding, documentation reviews, and validation reviews coordinating rate adjustments and adjudication of corresponding claims. Utilizes Grouper, Rover, MDS QC tool or other appropriate software for code validation. 25% Compiles/analyzes statistics to determine focus areas for targeted medical review activities where there is the greatest potential for inappropriate Medicare/TRICARE payments demonstrating...

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...

Overview If you’re looking for a schedule that fits your lifestyle, check out PAM Health - and ask us about our comprehensive benefits package! Some things that our hospital can offer YOU as a full-time employee: Medical Benefits: EPO/HDHP/HSA options, including prescription coverage, Rx ’n Go, and Teladoc Comprehensive dental and vision benefits Employee Assistance Program, including counseling, legal, and financial service Flexible spending (FSA) and health savings (HSA) accounts Life and Disability insurance benefits Education/In-Service Opportunities including continuing education and tuition assistance Supplemental benefits: Accident, critical illness, cancer, pet, and identity theft protection insurance options Auto, Home, Cell Phone, and Gym Membership discount offerings Personal Travel Discounts Employee Bonus Referral Program 401(k) plans and discretionary employer match Generous Paid Benefit Time This position has responsibility for performing coding and abstracting of...

Overview This job reviews and accurately codes and abstracts the most complex hospital services, inpatient procedures, overnight/multi-night stay services, and all other complex medical services. The role utilizes appropriate coding guidelines to assign ICD and CPT codes, conforms to applicable Medicare, Medicaid, and other third-party payer guidelines to ensure accurate reimbursement, and collaborates with the Clinical Documentation Improvement team to ensure accurate DRG assignment. The coder works closely with management to resolve problems and meet deadlines. Education Required – High School diploma or equivalent. Preferred – Completion of an American Health Information Management Association (AHIMA) accredited coding program with certification. Work Experience Required – 3 years coding experience. Certifications Required – Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Administrator (RHIA), or Registered Health Information...

Coder The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, ICD-10-PCS, and CPT codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Verifies that all ICD-10-CM and CPT codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing productivity and quality standard of 95% accuracy rate or better....

Medical Billing and Coding – Shreveport, LA Last updated: 1 day ago Full-time Responsible for coordination and oversight of the Medical Staff Services Department, including physician and allied health credentialing and re-credentialing and privileging. Hourly: $17.00 Medical Coder / Billing Specialist Full-time, Monday–Friday, 8:30 AM–4:30 PM Starting at approximately $17/hour, based on experience and qualifications. Paid holidays when office is closed. Chief Medical Director Full-time Strategic leader creating a plan for aligning people, processes and values that support and further the organization's mission. Clinical Tech Full-time Provide clinical and administrative support essential for effective patient care under the direct supervision of a provider, nurse practitioner or physician assistant. Medical Billing Clerk – Shreveport Full-time Hourly: $37.00 Master the codes; support a growing healthcare team; knowledge of ICD, CPT, claims and reimbursement processes...

Overview The Compliance Auditor Provider Liaison is responsible for conducting detailed audits of professional coding and provider documentation across numerous specialties, identifying compliance risks, and promoting best practices through education and feedback. The auditor partners closely with providers, coders, and revenue cycle leadership to ensure alignment with organizational policies, payer requirements, and federal regulations. Qualifications Education: High School diploma or GED required. License: Certified Coder with Auditing Certification with AAPC. Experience: Minimum of 5 years of experience in a hospital or professional revenue cycle. Minimum of 5 years coding experience with CPC certification. Minimum of 3 years coding auditing experience. Broad exposure to multiple specialties such as cardiology, general and specialized surgery, oncology, and primary care/internal medicine strongly preferred. Demonstrated experience educating or training providers on...

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...

CVS Health Job Opportunity We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The ideal candidate will coordinate the identification of potential claim editing & clinical program enhancements to ensure compliance with Medicare NCDs and LCDs as well as Federal and State Legislation. This individual will also collaborate and partner with functional leads and other business areas to ensure quality and end-to-end payment accuracy functions in the Medicare NCD/LCD and Federal/State legislation policy space. They will provide support and management, as needed, of savings...