57 rn certified coder jobs found

Remote Rn Certified Coder Pride Health is hiring a remote RN certified coder for a well-known client! (REMOTE) Schedule: Monday-Friday (9am-5pm EST) Contract: 12 months Pay Rate: 60-64/hour Job Responsibilities Determine which codes belong to the language in the benefit plans Review what peers have designated as correct coding Facilitate any discussions needed to get to a coding document Review audit results and make adjustments as necessary Participate in project meetings Requirements 3 + years' experience with coding and reimbursement methodologies (e.g. CPT, HCPCS, ICD-10, CMS), 3+ years Certified Professional Coder (AAPC or AHIMA) Active unrestricted RN license AAPC or AHIMA certification Pride Global offers eligible employee's 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...

Pride Health is hiring a Remote RN Certified Coder for a well-known client! (REMOTE) Schedule: Monday-Friday (9am-5pm EST) Contract: 12 months Pay Rate: 60-64/hour Job Responsibilities Determine which codes belong to the language in the benefit plans Review what peers have designated as correct coding Facilitate any discussions needed to get to a coding document Review audit results and make adjustments as necessary Participate in project meetings Requirements 3 + years' experience with coding and reimbursement methodologies (e.g. CPT, HCPCS, ICD-10, CMS,), 3+ years Certified Professional Coder (AAPC or AHIMA) Active unrestricted RN license AAPC or AHIMA certification Apply with Pride Health for this opportunity! Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement...

Job SummaryWe are seeking an experienced Certified RN Medical Coder to support a full-time COC / SPD project focused on building out coding for benefit plans.This role combines clinical knowledge with technical coding expertise to ensure accuracy, consistency, and compliance across plan documentation.You'll work closely with a team of certified coders and business analysts in a collaborative, fast-paced environment where precision and partnership drive success.Why this Opportunity?Top ranked company in Fortune's 2024 World's Most Admired Companies for over a decade consecutively.This healthcare client is ranked number one in key attributes of reputation :Innovation People management Social responsibility Quality of Management Financial soundness Long-term investment value Quality of products Services and global competitiveness.Job Responsibilities :Determine and assign appropriate codes to benefit plan language as part of the COC / SPD project.Review coding selections made by peers...

Job SummaryWe are seeking an experienced Certified RN Medical Coder to support a full-time COC / SPD project focused on building out coding for benefit plans.This role combines clinical knowledge with technical coding expertise to ensure accuracy, consistency, and compliance across plan documentation.You'll work closely with a team of certified coders and business analysts in a collaborative, fast-paced environment where precision and partnership drive success.Why this Opportunity?Top ranked company in Fortune's 2024 World's Most Admired Companies for over a decade consecutively.This healthcare client is ranked number one in key attributes of reputation :Innovation People management Social responsibility Quality of Management Financial soundness Long-term investment value Quality of products Services and global competitiveness.Job Responsibilities :Determine and assign appropriate codes to benefit plan language as part of the COC / SPD project.Review coding selections made by peers...

QA Nurse / Coder (RN) As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentationparticularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter noteswhile properly sequencing diagnoses according to federal/state standards and agency policy. Core responsibilities include: Review OASIS forms and Plans of Care for appropriateness, completeness, and compliance. Assign and sequence ICD?10 codes in line with current home health coding guidelines. Ensure consistency and compliance of face-to-face encounter documentation with OASIS and care plans. Conduct additional clinical record audits and OASIS reviews as assigned. Stay current on Medicare reimbursement policies, home health regulations, and compliance requirements. Maintain relevant certifications (HCS?D, HCS?O or COS?C). Participate in quality assurance and performance-improvement efforts. Coordinate with physicians, facilities,...

Medical Review Nurse Coder (Home Health) 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. This role is essential to maintaining regulatory compliance, ensuring accurate reimbursement, and supporting high-quality, timely patient care in the home health setting. 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 coding and case-mix accuracy...

This is an Exempt Night shift position located at Scripps Memorial Hospital La Jolla. Eligible to participate in the Supervisor Incentive Plan. Responsibilities The Supervisor, Patient Care RN ensures nursing practice reflects established standards of care and practice and a culture that promotes patient safety. Under the general direction of the Patient Care Manager, shares leadership responsibilities for the nursing unit, including managing daily staffing plans. Ensures appropriate and timely use of bed placement technology and adherence to care processes for bed placement, patient transfer, patient transport, room cleaning and patient discharge. Ensures the safe transition of patients through the continuum of care to include active participation of nursing staff in planning and coordinating patient care, and direct hand‑off to the next appropriate level of care. Required Education / Experience / Specialized Skills Two years applicable clinical experience, one of which in a...

Nursing Supervisor (RN) Medical Surgical Urology/Genitourinary Full Time Days Bring your passion to Texas Health so we are Better + Together Work location: Texas Health Dallas, 8200 Walnut Hill Lane, Dallas Texas, 75231 Work hours: Full Time Days (7A-7P) Medical Surgical Department Highlights 24-Bed Urology Inpatient Medical-Surgical Unit Self-scheduling with rotating weekend requirements Working with a Multi-Disciplinary Team Work with patients and provide life-saving care The opportunity to work with a diverse patient population What You Need Associate Degree in Nursing required; BSN preferred. Current RN licensure or compact licensure recognized by the Texas Board of Nursing upon hire required BCLS prior to providing independent patient care and maintained quarterly required ACLS - Advanced Cardiac Life Support 90 Days Req And CPI Crisis Prevention Intervention Training within 90 days of hire 2-year experience as a registered nurse with previous...

Job Details Physician Office | Kettering | Full-Time | First Shift Responsibilities & Requirements This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance, HCC capture and EPIC WQ Reconciliation. KPN Pro Fee Coding Specialist Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Reviewing the ambulatory records for the appropriate risk adjustment components Identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10 Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements...

Primary Responsibilities Sets team direction, resolves problems and provides guidance to members of own team Oversees work activities of medical coders or recovery resolutions representatives Adapts departmental plans and priorities to address business and operational challenges Influences or provides input to forecasting and planning activities Leverages pertinent data to identify and solve a range of problems Examines, assesses, and documents business operations and procedures to ensure data integrity, data security, and process optimization Leverages solid communication skills (verbal, non‑verbal, and written) with a demonstrated ability to communicate ideas clearly and concisely with peers, superiors, subordinates, members, and providers Manages the day‑to‑day activities of staff Sets priorities for the team to ensure task completion and performance goals are met Provides coaching and constructive feedback to team members Employee will be required to complete the...

Supervisor, Patient Care RN This is an Exempt Night shift position located at Scripps Memorial Hospital La Jolla. Eligible to participate in the Supervisor Incentive Plan. Unit: The Supervisor, Patient Care RN ensures nursing practice reflects established standards of care and practice and a culture that promotes patient safety. Under the general direction of the Patient Care Manager, shares leadership responsibilities for the nursing unit, including managing daily staffing plans. General Surgery & Medical Acute is a 36 Bed General Surgery and Medical Cardiac unit (5P) located in Prebys Cardiovascular Institute on the Scripps Memorial La Jolla campus. The patient populations include bariatric, gynecological, colorectal, and medical cardiac patients. Responsibilities Ensure nursing practice reflects established standards of care and practice and a culture that promotes patient safety. Share leadership responsibilities for the nursing unit, including managing daily staffing...

Scripps Health is seeking a Supervisor, Patient Care RN for the night shift at Scripps Memorial Hospital La Jolla. This role involves ensuring that nursing practice meets established standards of care and promotes patient safety. The supervisor will share leadership responsibilities, manage staffing plans, and facilitate the transition of patients through the continuum of care. The ideal candidate will have strong leadership skills and a background in patient care management. #J-18808-Ljbffr

At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and employer of choice! Will you join us, to help achieve our higher purpose? What Makes Us Unique We are an empowered primary care...

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. Accommodations 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...

Nursing Supervisor (RN) Medical Surgical Urology/Genitourinary Full Time Days Bring your passion to Texas Health so we are Better + Together Work location: Texas Health Dallas, 8200 Walnut Hill Lane, Dallas Texas, 75231 Work hours: Full Time Days (7A-7P) Medical Surgical department highlights: 24-Bed Urology Inpatient Medical-Surgical Unit Self-scheduling with rotating weekend requirements Working with a Multi-Disciplinary Team Work with patients and provide life-saving care The opportunity to work with a diverse patient population Qualifications What you need: Associate Degree in Nursing required; BSN preferred. Current RN licensure or compact licensure recognized by the Texas Board of Nursing upon hire required BCLS prior to providing independent patient care and maintained quarterly required ACLS - Advanced Cardiac Life Support 90 Days Req And CPI Crisis Prevention Intervention Training within 90 days of hire 2-year experience as a registered nurse with...

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 SHIFT Days Pay Range $100,817.60 - $164,486.40 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 of...

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. Accommodations 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...

Recovery Resolutions Supervisor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our...

Description: Are you interested in building a career with other TOP PERFORMERS? Effingham Health System is committed to providing exceptional care and services in an environment that supports professional growth, diversity, and inclusion. Every team member's experience and work-life balance are a priority in our organization. EHS culture encourages and supports individuals in pursuing their career goals and well-being by providing work-life balance, flexible scheduling, career development, and all the benefits and perks you need for yourself and your family. New Grads are welcome to apply. Benefits Retirement plans 403 (b) and 457 Health insurance Dental Insurance Vision insurance Prescription Drug Plan Hospital Discount Flexible spending account Paid time off Extended Days off (Sick time) Employee assistance program Strive365 Wellness Program Basic Life insurance (Employer Paid) Voluntary Life insurance/Accident/Critical Illness Disability (LTD and STD) Tuition...

Nursing Supervisor (RN) – Medical Surgical Urology/Genitourinary – Full Time Days Texas Health Dallas, 8200 Walnut Hill Lane, Dallas, Texas, 75231 Full Time – Days (7:00 AM to 7:00 PM) Medical Surgical Department Highlights 24-Bed Urology Inpatient Medical‑Surgical Unit Self‑scheduling with rotating weekend requirements Working with a multidisciplinary team Providing life‑saving care to a diverse patient population What you need Associate Degree in Nursing required; BSN preferred Current RN licensure or compact licensure recognized by the Texas Board of Nursing upon hire required BCLS – prior to providing independent patient care and maintained quarterly required ACLS – Advanced Cardiac Life Support 90‑day requirement for CPI – Crisis Prevention Intervention Training 2‑year experience as a registered nurse with previous charge nurse or similar leadership role (e.g., Charge Nurse, committee chair, preceptor) required What you will do Provides bedside leadership and clinical...

Overview Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a unique managed care benefit for frail seniors (participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. Benefits for Full and Part-time Employees We pay 100% of the MEDICAL monthly premiums for Employee Only coverage. We pay 100% of the DENTAL monthly premiums for Employee Only coverage. We provide an...

Downtown Boulder Partnership is seeking a Clinical RN Auditor to ensure clinical documentation meets regulatory standards. This hybrid role requires 1-2 days per week in the Colchester, VT office for collaboration and in-person meetings. The auditor will review care documentation for accuracy, working to improve clinical outcomes while reducing risk through monitoring and expert collaboration. Candidates should possess Vermont RN Licensure and relevant coding certifications, along with strong experience in home health or hospice settings. #J-18808-Ljbffr

Job Description Initial onboarding will take place at our offices in Colchester, VT. The position will then be a hybrid work arrangement with 1-2 days per week in our offices located in Colchester, VT. In-person meetings are also required at least quarterly. Job Summary The Clinical RN Auditor is responsible for ensuring clinical documentation meets regulatory standards and procedures. This role involves reviewing potential quality of care issues, understanding workflows, and establishing patient care plans to support technical and clinical requirements. The auditor works to improve clinical outcomes by monitoring documentation accuracy and consistency, reducing risk, evaluating data, and collaborating with the manager of clinical outcomes to provide expertise in coding classifications. Qualifications / Job Requirements Education and Licensure Current unencumbered Vermont RN Licensure Homecare Coding Specialist- Diagnosis, or ability to obtain within one year from hire and...