130 registered nurse coder jobs found

Employment Type Full time Shift Day Shift Description Come join the satisfied, long-term staff of this 5 out of 5 Star Agency. There's not a local agency that compares to us! Position: Registered Nurse (RN) CODER/OASIS Reviewer Eddy Visiting Nurse and Rehab Association has a rewarding opportunity for a per diem, part time, or full time Registered Nurse (RN) CODER/OASIS Reviewer to join our interdisciplinary Home Care team! Flexibility to work remote What You Will Do 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. Requirements Valid NYS Registered Nurse license Must have current HCS-D Must have either current HCS-O or COS-C (preferred). COS-C Certification would have to be obtained within a year of hire if missing. Must have one year of previous experience in...

Description Eddy Visiting Nurse and Rehab Association has a rewarding opportunity for a per diem, part time, or full time Registered Nurse (RN) CODER/OASIS Reviewer to join our interdisciplinary Home Care team! Employment Type Full time Shift Day Shift What You Will Do 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. Requirements Valid NYS Registered Nurse license Must have current HCS-D Must have either current HCS-O or COS-C (preferred). COS-C Certification would have to be obtained within a year of hire if missing. Must have one year of previous experience in the health care field. Additional experience working with seniors and/or in home care field preferred. Offering flexible shift and shift length options! Pay Range:$36.00 - $47.52 Our Commitment Rooted in our...

Weekend Track RN - Hospice Coding Specialist - Community Hospice - Hybrid Role The Community Hospice is seeking a dedicated and detail-oriented Weekend Track RN to join our Coding Team. Training in Hospice Coding will be provided! Schedule: Every Saturday and Sunday 8:00 AM - 8:00 PM What We Offer: Hybrid work opportunity with the flexibility to work primarily from home Eligible for full-time medical benefits through St Peters Health partners Meaningful work that supports high-quality hospice care Collaboration with an experienced and supportive interdisciplinary team Opportunity to utilize both your clinical knowledge and analytical skills in a specialized role Comprehensive orientation provided What you will do: In this key role, you will collaborate closely with hospice providers and organizational leadership to ensure the accuracy, completeness, and timely submission of clinical documentation and coding. Your expertise will help support regulatory compliance, quality...

Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility Leverages clinical expertise to identify and validate DRG code assignment. Full review of CDI suggested code changes Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Communicates DRG changes and rationale to the coding and CDI staff. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations. Operates under general...

Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility Leverages clinical expertise to identify and validate DRG code assignment. Full review of CDI suggested code changes Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Communicates DRG changes and rationale to the coding and CDI staff. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations. Operates under general...

Job Role The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Manager and support a culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity, and regulatory guidelines. Description The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Manager and support a culture...

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...

## Clinical Documentation Improvement Nurse Coder (Certified)Applylocations: Portland, MEtime type: Full timeposted on: Posted 2 Days Agojob requisition id: REQ-2026-227Join 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...

Eddy Visiting Nurse and Rehab Association is seeking a Registered Nurse (RN) to join our Home Care team as a CODER/OASIS Reviewer. This per diem, part-time, or full-time role codes and completes OASIS reviews on SOC, ROC, and RECERTS, aligning with Coding and OASIS guidelines to support high-quality patient care. Candidates must hold a NYS RN license with current HCS-D, and ideally HCS-O or COS-C (COS-C within one year of hire). Minimum one year in healthcare; home care experience is preferred. #J-18808-Ljbffr

Job Description Job Description Pride Health is hiring a Certified Coder  to support our client's healthcare facility in  Houston , TX .  Interested? Apply Today!    Job Details:  Schedule:  Monday–Friday, 8:00 AM - 5:00 PM Location:  Houston, TX 77024 Hybrid Job Type:  Local contract  Contract Length:  3 months + possible extension   Pay Range:  $21/hr. - $24/hr. On W2    *Pay offered is based on experience, expertise, credentialing, and education.      Duties:  Review clinical documentation and diagnostic results to identify and accurately code diagnoses, treatments, and procedures. Assign ICD-10-CM diagnoses, CPT-4 procedure codes, and appropriate modifiers for outpatient encounters. Apply current coding principles, official coding guidelines, and APC reimbursement requirements. Perform outpatient Evaluation and Management (E/M) coding accurately. Code neurology and neurosurgery services for physicians. Requirements:  Education: High...

Job Title: Clinical Nurse Auditor / RN Nurse Coder (Payment Integrity) Job Type: Full-Time (40 hours/week, Monday - Friday) Schedule: Standard business hours Department: Payment Integrity & Claims Audit Location: Remote About the Role We are seeking experienced, detail-oriented Registered Nurses (RNs) with strong clinical acumen and medical coding knowledge to join our growing Payment Integrity team. In this role, you will analyze flagged claims data, review complex clinical documentation, and identify potential overpayments and billing discrepancies. You will leverage your clinical expertise to validate diagnoses, assess code assignments, and make authoritative determinations on claim validity-protecting healthcare resources while ensuring accurate reimbursement. Key Responsibilities Clinical Review & Determination: Review flagged claims (both inpatient and outpatient) to evaluate the clinical validity of billed services. Make independent clinical determinations,...

Description MaineHealth Corporate (100% remote) Professional - Nonclinical Req #: 84078 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: Diploma or other science-based degree such as nursing preferred. License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required. Experience: One year of experience as an inpatient coder at an 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...

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...

Job Description Job Description Description: Job Role The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Manager and support a culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity, and regulatory guidelines. Requirements: Responsibilities will include: Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines. Analysis of claims data to optimize reimbursement by ensuring that the diagnosis codes, procedure codes, and supporting...

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 Responsibilities This...

Exceptional care starts with exceptional people. For us, this is more than a job- it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to discover your passion, reach your potential, and Pursue Your Purpose. Exceptional care starts with exceptional people and teams. Together we are leading the way. This job reviews and accurately codes and abstracts the most complex hospital services, in-patient procedures, overnight / multi-night stay services and all other complex medical services. Utilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment and works closely with management to resolve problems and meet deadlines. To perform this job...

Job Description Job Description Pride Health is hiring a Certified Coder  to support our client's healthcare facility in  Houston , TX .  Interested? Apply Today!    Job Details:  Schedule:  Monday–Friday, 8:00 AM - 5:00 PM Location:  Houston, TX 77024 Hybrid Job Type:  Local contract  Contract Length:  3 months + possible extension   Pay Range:  $21/hr. - $24/hr. On W2    *Pay offered is based on experience, expertise, credentialing, and education.      Duties:  Review clinical documentation and diagnostic results to identify and accurately code diagnoses, treatments, and procedures. Assign ICD-10-CM diagnoses, CPT-4 procedure codes, and appropriate modifiers for outpatient encounters. Apply current coding principles, official coding guidelines, and APC reimbursement requirements. Perform outpatient Evaluation and Management (E/M) coding accurately. Code neurology and neurosurgery services for physicians. Requirements:  Education: High...

Pre-Payment Clinical Auditor (RN/Medical Coder) | 5 Years of Experience | Remote | Contract Walker Healthforce is seeking a Pre-Payment Clinical Auditor (RN/MedicalCoder) with 5 years of combined experience in clinical auditing, medical coding, payment integrity, or related healthcare reimbursement functions to investigate complex healthcare claims, validate medical coding accuracy, and ensure compliance with medical necessity and reimbursement guidelines. This is a Contract opportunity. Start Date: ASAP Location: Remote - Nationwide, excluding NY, CA, HI, and AK Hours/Schedule: Monday-Friday, 40 hours Worker Type: W2 Core Requirements 5 years of combined experience in clinical auditing, medical coding, payment integrity, SIU investigations, utilization management, healthcare compliance, or related healthcare reimbursement functions. Active Registered Nurse (RN) license. Active, nationally recognized coding certification through AAPC (CPC, COC, CIC, CPMA) or...

Pre-Payment Clinical Auditor (RN/Medical Coder) | 5 Years of Experience | Remote | Contract Walker Healthforce is seeking a Pre-Payment Clinical Auditor (RN/MedicalCoder) with 5 years of combined experience in clinical auditing, medical coding, payment integrity, or related healthcare reimbursement functions to investigate complex healthcare claims, validate medical coding accuracy, and ensure compliance with medical necessity and reimbursement guidelines. This is a Contract opportunity. Start Date: ASAP Location: Remote - Nationwide, excluding NY, CA, HI, and AK Hours/Schedule: Monday-Friday, 40 hours Worker Type: W2 Core Requirements 5 years of combined experience in clinical auditing, medical coding, payment integrity, SIU investigations, utilization management, healthcare compliance, or related healthcare reimbursement functions. Active Registered Nurse (RN) license. Active, nationally recognized coding certification through AAPC (CPC, COC, CIC, CPMA) or...

Revenue Cycle AuditValidates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.Job ResponsibilityLeverages clinical expertise to identify and validate DRG code assignment.Full review of CDI suggested code changesDemonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.Applies coding rules and regulations to the validation review process.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.Communicates DRG changes and rationale to the coding and CDI staff.Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations.Operates under general guidance and work assignments are...

City/State Doral, FL Work Shift First (Days) Overview: AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA in Doral, FL! Status: Full-timepermanent position (40 hours) Standard working hours: 8am to 430pm EST, M-F Location: This is a hybrid position, 2 days onsite in AvMed Doral Office, 3470 NW 82nd Ave Suite 1100, Doral, FL 33122, and 3 days remote. Job Profile Summary Then Risk Adjustment Clinical Coder/Nurse performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for...

Job Description Location: Fully Remote Employment Duration: 3 months Patient Record Abstractor fulfills a role as a Medical Coder for UCSF's physician practices. They review patient records, discharge summaries, operative reports, and other clinical documentation to assign standardized codes for diagnoses, procedures, and services. They apply national and international coding classifications to ensure records reflect the care delivered, supporting accurate reimbursement and reliable clinical data. They have knowledge of Current Procedural Terminology (CPT), International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM), and Healthcare Common Procedural Coding System (HCPCS). The role operates within a healthcare records or billing team and requires close liaison with clinicians, clinical coders, and administrative staff to resolve documentation queries. Coders must maintain currency with coding updates, compliance requirements, and...

Clinical RN Chart Reviewer The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Manager and support a culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity, and regulatory guidelines. Responsibilities will include: Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines. Analysis of claims data to optimize reimbursement by ensuring that the diagnosis codes, procedure codes, and supporting documentation accurately support the service rendered....