380 revenue integrity coder jobs found

Facility: Administrative Regional Training Cntr Shift: Shift 1 Status: Full Time FTE: 1.0 Bargaining Unit: ACE Associates Exempt from Overtime: Yes Work Schedule: Days Hours: 7-4, 8-4 flexible Job Summary Under the direction of the Manager/Director of Revenue Integrity, including oversight from System revenue cycle leadership, the Revenue Integrity Coder of Infusion Services will be responsible for optimization of charge capture, charge review, appropriate documentation and work queue edits for all infusion services, specifically Oncology and Chemotherapy. This position serves as the primary contact/resource for Patient Financial Services, Revenue Integrity and Infusion Clinical Staff. The position requires advanced knowledge of Oncology, Chemotherapy, and Infusion drug requirements of various insurance providers as well as federal billing rules, Medicare and Medicaid. The incumbent actively participates as needed in both external third‑party audits and internal audits and...

Catholic Health is seeking a Revenue Integrity Coder for Infusion Services to optimize charge capture and ensure accurate documentation for oncology and chemotherapy services. The role supports Patient Financial Services, Revenue Integrity and Infusion Clinical staff, with focus on CPT/HCPCS coding, denial resolution and audit participation. The incumbent will monitor insurer policy changes, provide data-driven improvements, and assist with appeals and reporting to reduce financial risk across #J-18808-Ljbffr

Leading a remote team, the full-time Lead Revenue Integrity Coder will ensure accurate coding and compliance for patient encounters, mentor team members, and support quality improvement initiatives. Key Responsibilities Assign and sequence ICD-10-CM and CPT-4 codes for various patient encounters, ensuring accuracy and compliance Review medical records for documentation deficiencies and collaborate with providers to obtain necessary supporting documentation Train and mentor team members while overseeing coding compliance and quality improvement initiatives Required Qualifications 4+ years of coding experience in an acute care or medical office setting Nationally recognized coding certification required (such as CCS, CPC, or AAPC) 2+ years of experience utilizing electronic medical record (EMR) systems Thorough knowledge of ICD-10-CM, CPT-4 coding guidelines, and reimbursement methodologies Strong understanding of anatomy, physiology, medical terminology, and health...

Job Description At ConvenientMD, we’re on a mission to make good health more convenient for all – working to improve how patients and providers experience healthcare in NewEngland. To support this belief, we’re building a team of dedicated professionals who genuinely care about improving lives, are passionate about work that can make a difference, and are driven to learn from one another. The Opportunity As a Revenue Integrity Coder, you will ensure the accuracy of coding and billing for ConvenientMD. You will work closely with Billing, Compliance, and Clinical Documentation Improvement (CDI) teams to optimize revenue and reduce compliance risks. This role requires expertise in medical coding, reimbursement methods, and regulatory guidelines. Your Impact Medical Coding: Accurately assign ICD-10-CM, CPT, and HCPCS codes for billing based on medical records. Auditing: Conduct detailed audits of coded data to ensure accuracy and completeness. Collaboration: Work with physicians,...

ConvenientMD in New England is seeking a Revenue Integrity Coder to ensure accurate coding and billing. You will collaborate with Billing, Compliance, and CDI teams to optimize revenue and minimize compliance risks, drawing on ICD-10-CM, CPT, and HCPCS knowledge. The role emphasizes audits, documentation clarification with clinicians, and process improvements to strengthen revenue integrity. A CCS or CPC certification and at least three years of coding experience are preferred, with strong #J-18808-Ljbffr

Guidehouse is hiring a Revenue Integrity Coding Billing Specialist for a fully remote role. The position focuses on resolving claims, applying pre-bill edits, and validating codes (ICD-10, CPT, HCPCS) with an emphasis on medical necessity and payer rules. Strong knowledge of Medicare/Medicaid and UB-04 is required. The ideal candidate has 5+ years in Revenue Integrity, AAPC or AHIMA certification, and the ability to ensure compliance across outpatient settings. #J-18808-Ljbffr

A leading consulting firm is seeking a Revenue Integrity Coding and Billing Specialist to join their remote team. The role involves reviewing and resolving Medicare claims, ensuring compliance with billing guidelines, and applying appropriate medical codes. The ideal candidate will have over three years of relevant experience and certification in coding. Competitive compensation ranges from $49,000 to $81,000 annually, alongside a rich benefits package that includes health insurance and retirement plans. #J-18808-Ljbffr

Logan Health is seeking a Lead Revenue Integrity Coding Specialist to join our remote Revenue Integrity team. You will assign and review ICD-10-CM and CPT-4 codes across inpatient, outpatient, and ED records, ensuring accuracy and compliance. Leadership duties include mentoring staff and coordinating audits to improve coding quality. The role requires 4+ years of acute care coding, 2+ years with an EMR, and CCS/CPC/AAPC certification. #J-18808-Ljbffr

Weill Cornell Medicine seeks a Revenue Cycle Specialist in a remote role for the Central Business Office (AR - Coding Surgical). You will investigate and resolve coding denials, review records for accuracy, and ensure CPT/ICD coding aligns with documentation to maximize legitimate reimbursements. Required CPC or CCS certification with 3–5 years physician billing experience and eMR familiarity. Remote work with NY guidelines; strong Excel and analytical skills are essential. #J-18808-Ljbffr

A major medical institution in Chicago is seeking a PB Coder to oversee the billing and coding process for physicians. This role requires three years of medical billing experience and certification through AAPC or AHIMA. Responsibilities include coordinating charge capture, assigning appropriate coding, and ensuring compliance with guidelines. The ideal candidate has strong communication, organization, and problem-solving skills, with a valid coding certification being essential for consideration. Full-time position offers competitive pay based on experience. #J-18808-Ljbffr

Coder I The Coder I reviews, analyzes and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record. Queries physicians for diagnoses or missing/ambiguous information for accurate coding. Apply organizational documentation policies and procedures in conjunction with official coding guidelines. Applies knowledge of coding and Prospective Payment System and Medical Necessity guidelines for ethical and optimal reimbursement. Competent to accurately code and abstract all 23-hour observations, same day surgery, emergency room and/or clinic records in a consistent, accurate and timely manner....

CHI Health Clinic is seeking a Clinic Coder II in Omaha, Nebraska to accurately abstract and code patient records in line with coding, billing, and data collection guidelines. You will optimize revenue cycle management and ensure compliant data submission across the clinic's financial services. You will review records to determine diagnoses using ICD-9-CM and CPT-4 rules, sequence codes, and validate charges. #J-18808-Ljbffr

Coder I The Coder I reviews, analyzes and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record. Queries physicians for diagnoses or missing/ambiguous information for accurate coding. Apply organizational documentation policies and procedures in conjunction with official coding guidelines. Applies knowledge of coding and Prospective Payment System and Medical Necessity guidelines for ethical and optimal reimbursement. Competent to accurately code and abstract all 23-hour observations, same day surgery, emergency room and/or clinic records in a consistent, accurate and timely manner....

Coder Specialty Office The Coder Specialty Office assures the integrity of the Norton Medical Group billing, insurance, coding, and accounting and referral functions. The incumbent serves as a liaison between the practice and the billing office as well as the accounting department of Norton Healthcare. In performing job functions, utilizes age appropriate principles of growth and development for patients of all ages according to the practice specialty. This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina Required: One year medical coding in a specialty office One of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT Desired: Diploma Certified Coding Associate OR Certified Coding Specialist OR Certified Inpatient Coder ICD-10 OR Certified...

A remote healthcare solutions provider is seeking a Certified Professional Coder (CPC) to manage denial issues and ensure accurate medical billing. The ideal candidate will analyze denials, manage appeals, and ensure compliance with coding guidelines. Applicants should have a CPC certification and a strong coding background. This full-time position is fully remote, with compensation of up to $10/hr. If you are detail-oriented and possess an investigative mindset, this role is for you. #J-18808-Ljbffr

Experience Required None Minimum Education Required High School Diploma/G.E.D. Compensation $7.25 / hourly Hours Per Week 40 Number Of Positions 1 Work Schedule and Shift Requirements First (Day) Job Description Responsibilities The Coder I reviews, analyzes and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record. Queries physicians for diagnoses or missing/ambiguous information for accurate coding. Apply organizational documentation policies and procedures in conjunction with official coding guidelines. Applies knowledge of coding and Prospective Payment...

Coder I The Coder I reviews, analyzes and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record. Queries physicians for diagnoses or missing/ambiguous information for accurate coding. Apply organizational documentation policies and procedures in conjunction with official coding guidelines. Applies knowledge of coding and Prospective Payment System and Medical Necessity guidelines for ethical and optimal reimbursement. Competent to accurately code and abstract all 23-hour observations, same day surgery, emergency room and/or clinic records in a consistent, accurate and timely manner....

Norton Healthcare, Inc. is seeking a Coder I to join their team remotely. This role involves reviewing, analyzing, and coding diagnostic and procedural information using ICD-10-CM and CPT coding. Candidates must have a minimum of one year of hospital coding experience and relevant certifications. The role requires a deep understanding of medical documentation policies to ensure accurate coding and reimbursement. The position is fully remote but applicants must reside in specific states. #J-18808-Ljbffr

ResponsibilitiesThe Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement.Assign and sequence ICD-10-CM / CPT codes by applying regulatory coding guidelines.Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books.Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record.Queries physicians for diagnoses or missing / ambiguous information for accurate coding.Apply organizational documentation policies and procedures in conjunction with official coding guidelines.Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement.Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and / or clinic records in a consistent, accurate and timely manner.Ensures the final diagnosis...

Optim Health is seeking a full time Revenue Integrity Specialist / Coder.This is a Remote position.Multiple positions available.Position Summary :The Revenue Integrity Analyst works with the management team of Revenue Cycle operations to drive business value by supporting revenue cycle management in the analysis of Revenue Cycle data as well as proactive identification of process improvement, charge master compliance and accuracy as well as charge capture opportunities and applying analytical and critical thinking to generate innovative and practical solutions to revenue cycle issues.Through research and analysis, the Revenue Cycle Analyst will assist with establishing benchmarks, and will act as a liaison between functional areas to ensure stakeholders understand and interpret data related to the benchmarks.Additionally, this position will assist in leading discussions regarding the data for the administrative, legal, operational, and financial opportunities for Revenue Cycle...

ResponsibilitiesThe Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement.Assign and sequence ICD-10-CM / CPT codes by applying regulatory coding guidelines.Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books.Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record.Queries physicians for diagnoses or missing / ambiguous information for accurate coding.Apply organizational documentation policies and procedures in conjunction with official coding guidelines.Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement.Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and / or clinic records in a consistent, accurate and timely manner.Ensures the final diagnosis...