128 primary care validation coder jobs found

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. Recognized as a KLAS® Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry. We are dedicated to being a trusted healthcare partner by upholding the highest standards of quality, information security, and compliance. At GeBBS, we foster a collaborative and growth-oriented culture where employees are empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare. GeBBS Healthcare Solutions is seeking a detail-oriented, Full and part-time , remote Primary Care Validation Coder to support coding quality and compliance initiatives. In this role, you will...

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. Recognized as a KLAS® Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry. We are dedicated to being a trusted healthcare partner by upholding the highest standards of quality, information security, and compliance. At GeBBS, we foster a collaborative and growth-oriented culture where employees are empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare. GeBBS Healthcare Solutions is seeking a detail-oriented, Full-time , remote Primary Care Validation Coder to support coding quality and compliance initiatives. In this role, you will perform...

GeBBS Healthcare Solutions, Inc. is seeking a detail-oriented Validation Coder for remote, full-time or part-time work. The role focuses on validating ICD-10-CM, CPT, HCPCS, and modifier coding for Primary Care and other outpatient services, ensuring accuracy and compliance with client guidelines. The ideal candidate holds a CPC credential and has 3+ years of professional fee coding experience, with a preference for 2+ years in validation or QA. #J-18808-Ljbffr

GeBBS Healthcare Solutions, Inc. is seeking a detail-oriented Validation Coder for remote, full-time or part-time work. The role focuses on validating ICD-10-CM, CPT, HCPCS, and modifier coding for Primary Care and other outpatient services, ensuring accuracy and compliance with client guidelines. The ideal candidate holds a CPC credential and has 3+ years of professional fee coding experience, with a preference for 2+ years in validation or QA. #J-18808-Ljbffr

GeBBS Healthcare Solutions is seeking a detail-oriented, full-time, remote Validation Coder for Primary Care to support coding quality and compliance initiatives. You will perform secondary reviews of coded medical records to ensure precise ICD-10-CM, CPT, HCPCS, and modifier coding in line with client guidelines and regulatory requirements. The role operates during regular business hours, Monday through Friday, in a flexible remote setting. #J-18808-Ljbffr

Number of Positions In Requisition 1 Job Details Compliance Auditor Job Description JOB SUMMARY Under general supervision, performs risk-based audits of clinical documentation, coding, and billing records to ensure that documentation supports services billed and complies with applicable regulatory and organizational requirements. This position independently validates documentation and coding compliance, identifies areas of compliance risk, and supports internal audit activities and external audit readiness across hospital-and provider-based settings. This role is outcome-driven and requires the ability to independently manage audit workload, documentation, and deadlines. ESSENTIAL FUNCTIONS • Performs risk-based audits of clinical documentation, physician, technical, and specialty billing and payment records by analyzing medical records, coding records, and health system bills to validate that documentation supports services billed and complies with applicable...

Responsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. https://jobs.uhs.com/atlantic-region-cbo The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department. The primary responsibility of the DRG Coder is to analyze third party coding audits of paid claims, draft detailed appeal letters, evaluate clinical level of care and review denial trends. Key Responsibilities include: Perform DRG (Diagnosis Related Group) validation reviews in response to audits from third party payers. Review audit findings letters from third party payers to obtain a clear understanding of audited diagnosis codes and underlying payer clinical / coding rationale. Analyze medical records to obtain supporting...

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities The Outpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Outpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of...

Revenue Cycle Coder III-Inpatient CodingInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly...

Job Summary and Responsibilities As our Revenue Cycle Coder III-Inpatient Coding, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly impacting our revenue cycle integrity and healthcare data quality. Every day you will serve as a primary resource for complex coding and billing inquiries, providing authoritative guidance and problem-solving expertise. You will design, develop, and deliver comprehensive coding and CDI education programs, onboarding new staff, and conducting targeted training sessions across the health system. A key part of your role involves performing rigorous coding and DRG...

Revenue Cycle Coder III-Inpatient Coding Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly...

Job Description Please note: this is a temporary assignment (3 months) with potential to extend. Fully remote. UCSF's Temporary Employment Program (TEP) recruits and hires temporary employees for immediate clerical and technical support services to UCSF Departments and various off-campus locations. UCSF departments deploy temporary employees to work on special projects, fill in for regular employees who are on vacation or leave, or to temporarily fill a vacant position during recruitment. Frequently temporary employees become successful candidates for career and limited appointment positions. The Health Information Coder III is a senior level inpatient coder with an advance knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems. The skill set extends to advanced knowledge and comprehension of code sequences into Diagnoses Related Groups. Cases are coded to comply with the official guidelines for coding and reporting, practice...

Where You'll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Job Summary and Responsibilities As our Revenue Cycle Coder III-Inpatient Coding, you will leverage...

DHR Health - US:TX:McAllen - Days Summary POSITION SUMMARY The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of Ethical Coding as set forth...

Join Our Caring CommunityThe Medical Coder confirms appropriate diagnosis related group (DRG) assignments. As a Medical Coder, you will provide medical coding expertise and support for accurate code assignment and documentation review. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology.ResponsibilitiesReview medical records, clinical documentation, and related source materials to assign appropriate diagnosis and procedure codesApply ICD-10-CM, CPT, HCPCS, and other applicable coding systems in accordance with official coding guidelines and company standardsEnsure coding is accurate, complete, timely, and compliant with regulatory and organizational requirementsAnalyze, enter, update, and maintain coding-related...

Overview The US Oncology Network is looking for a Senior Medical Coding Auditor to join our team at Texas Oncology . This full-time position will support the Revenue Cycle Departmentat our 3001 E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday 8:00a - 5:00p. This position will be a Sr level position. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology , we use leading-edge technology and research to deliver...

Ascendion is a full-service digital engineering solutions company. We make and manage software platforms and products that power and deliver captivating experiences to consumers and employees. Our engineering, cloud, data, experience design, and talent solution capabilities accelerate transformation and impact for enterprise clients. Headquarters in New Jersey, our workforce of 6,000+ Ascenders delivers solutions from around the globe. Ascendion is built differently to engineer the next. We have a culture built on opportunity, inclusion, and a spirit of partnership. Come, change the world with us: Build the coolest tech for world’s leading brands Experience the power of transforming digital engineering for Fortune 500 clients Master your craft with leading training programs and hands‑on experience Experience a community of change makers! Join a culture of high-performing innovators with endless ideas and a passion for tech. Our culture is the fabric of our company, and it is what...

Coding Auditor And Educator (Remote) Employment Type: Full-Time Shift: Days Position Highlights: Competitive pay Additional benefits: tuition reimbursement, free parking, employee discounts Quality of life: flexible work schedules Advancement: professional growth within the organization Location: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD. Description: Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Responsibilities: Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local...

Medical Coding CoordinatorThe Medical Coding Coordinator confirms appropriate diagnosis related to the appropriate Outpatient CPT and ICD-10 code assignments. As a Medical Coding Coordinator, you will provide medical coding expertise and support for accurate code assignment and documentation review. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology.ResponsibilitiesReview medical records, clinical documentation, and related source materials to assign appropriate diagnosis and procedure codesApply ICD-10-CM, CPT, HCPCS, and other applicable coding systems in accordance with official coding guidelines and company standardsEnsure coding is accurate, complete and compliant with regulatory and organizational...

Posted 2 days ago Description Summary POSITION SUMMARY The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of Ethical Coding as set forth...

About Ascendion Ascendion is an AI-native software engineering disruptor helping businesses innovate faster, smarter, and with greater impact. We partner with enterprise clients across North America, the UK, Europe, and APAC to solve complex challenges in data, experience design, software product engineering, and workforce transformation. Powered by expert engineers, thousands of AI agents, and our Engineering to the Power of AI (EngineeringAI) method, we deliver measurable outcomes that build trust, unlock value, and accelerate growth. Learn more at https://ascendion.com/ . Engineering to the Power of AI™, AAVA™, EngineeringAI, Engineering to Elevate Life™, Enterprise PlatformsAI, Data & InsightsAI, ExperienceAI, GCCAI, OperationsAI, Platform EngineeringAI, ProductAI, and Quality EngineeringAIare trademarks or service marks of Ascendion®. AAVA™ is pending registration. Unauthorized use is strictly prohibited. Ascendion | Engineering to elevate life We have a culture...

Coder III, CodingUS:TX:McAllen | Health Information Management | Full TimeThe Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of Ethical Coding...

Lead Senior Coder QA Salary Range $65,000.00 - $75,000.00 Salary Position Type Full Time Education Level High School Overview At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact- whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. This role performs complex coding and dispute/appeal reviews, ensures compliance with RADV guidelines, provides quality assurance and feedback to coders, and serves as a subject matter expert and escalation point for coding questions. The Lead Sr. Coder also leads and supports a team of up to 15 coders, assists with training and development, and...