22 rn field coder jobs found

Universal Hospital Services Inc. is seeking an RN Field Coder to focus on documentation and coding review for medical records at partnered practices in McAllen, Texas. This role requires an active RN license in Texas and a coding certification, with responsibilities including coding documentation accurately, provider education, and occasional onsite work. Candidates should have strong analytical skills and clinical knowledge, preferably with experience in HCC coding. Benefits include competitive compensation, loan forgiveness, and outstanding health plans. #J-18808-Ljbffr

Providers is seeking an RN Field Coder in McAllen, Texas. The role involves reviewing and coding medical records, ensuring accurate diagnosis reporting for optimal performance in risk adjustment. Candidates must hold an active RN license in Texas and preferably have coding certification (CPC, CRC). Benefits include competitive compensation, loan forgiveness programs, and career development opportunities. Strong clinical knowledge and proficiency in EMR systems are essential for success in this position. #J-18808-Ljbffr

Job Summary The RN Field Coder will be responsible for documentation and coding review of medical records where services are rendered at various partnered medical practices. The RN Field Coder will work with assigned provider offices to ensure accurate reporting of diagnoses and service codes to support optimal performance in risk adjustment and quality measurement. The scope of work supported by the RN Field coder will include pre, post and wraparound visit input. Pre-Visit: Reviewing the medical records, outside results and health plan data for upcoming patient appointments and flagging important insights for the provider to review before seeing the patient. Post Visit: reviewing the provider note, populating all supported codes (ICD‑10, CPT, CPT‑II, etc.) and assisting with submission of encounter for claim processing. Wrap Around Education: periodic review of findings, highlighting areas of opportunity in documentation and ongoing education. The Field Coder will be responsible...

Responsibilities The RN Field Coder will be responsible for documentation and coding review of medical records where services are rendered at various partnered medical practices. The RN Field Coder will work with assigned provider offices to ensure accurate reporting of diagnoses and service codes to support optimal performance in risk adjustment and quality measurement. The scope of work supported by the RN Field Coder will include pre, post and wraparound visit input. Pre-Visit: Reviewing the medical records, outside results and health plan data for upcoming patient appointments and flagging important insights for the provider to review before seeing the patient. Post Visit: review the provider note, populate all supported codes (ICD-10, CPT, CPT-II, etc.), and assist submission of encounter for claim processing. Wrap Around Education- periodic review of findings, highlighting areas of opportunity in documentation and ongoing education. The Field Coder will be responsible for...

Prominence Health is seeking an RN Field Coder in McAllen, TX, responsible for documentation and coding review of medical records. The role includes pre-visit reviews, post-visit coding, and provider education. Candidates must have an active RN license in Texas, coding certification, and substantial experience in HCC risk adjustment coding. The position offers a supportive environment with benefits like loan forgiveness and career development opportunities. #J-18808-Ljbffr

Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The RN Field Coder will be responsible for...

RN Field Coder Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Job Summary: The RN Field Coder will be responsible for documentation and coding review of medical records where...

Universal Health Services, Inc. is seeking an RN Field Coder in McAllen, Texas. The candidate will document and code medical records, ensuring accuracy and compliance with guidelines. Essential qualifications include an active RN license in Texas, at least two years of experience in CMS HCC coding, and coding certification. The role includes providing education to providers and may require occasional travel for in-person training. Benefits include a loan forgiveness program, competitive compensation, and comprehensive health plans. #J-18808-Ljbffr

Overview BlueCross BlueShield of South Carolina is a leading national insurance company that has served the South Carolina community for more than seventy years. We are the largest insurance company in South Carolina, a leading administrator of government contracts, and operate one of the most sophisticated data processing centers in the Southeast. With a diverse family of subsidiary companies we deliver outstanding service to our customers and build on diverse business strengths. Position Purpose Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (serious, preventable medical errors) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. Location This is a remote position, Monday -...

RN- Registered Nurse - ER- Emergency Room, Medical/Surgical, Pediatrics, Critical Access Hospital, Supervisor Alliant has a new Travel opportunity for a ER- Emergency Room, Medical/Surgical, Pediatrics, Critical Access Hospital, Supervisor RN- Registered Nurse in Dillon, MT! You must have a valid license and current experience as a RN- Registered Nurse. Details: RN- Registered Nurse- ER- Emergency Room, Medical/Surgical, Pediatrics, Critical Access Hospital, Supervisor Dillon, MT Shift: 3x12 Estimated Gross Pay Package: $1,809.00-$1,836.00 per Week (Based on expected Hours/Week) Requirements: Current Resume Graduate of a RN- Registered Nurse education program Previous work experience as an RN- Registered Nurse. Current active and unrestricted RN- Registered Nurse license in the Assignment state, if applicable Two recent professional supervisor references. Ability to pass background/urine drug screening as well as complete other onboarding/compliance items as...

Job Summary The Compliance Auditor reports to the Internal Audit Coordinator and performs audits to evaluate adherence to laws, regulations and policies by reviewing records, analyzing data, and interviewing staff and stakeholders. These audits include high‑risk services identified via the annual risk assessment, OIG‑CMS‑PGBA workplan areas, ad hoc audit requests, and “for cause” coding and billing concerns. The audit scope covers regulatory and industry research for audit planning, pre‑and post‑audit meetings with stakeholders, a cohesive audit report communicating results with a corrective action plan if warranted, and education and training to stakeholders as needed. Education & Qualifications Bachelor’s degree in a related field and a minimum of 2 years of medical billing, coding, or audit experience; or a high school diploma or equivalent (GED) and 4 years of medical billing, coding, or audit experience. A college degree is preferred. The applicant must be credentialed...

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...

Hybrid | Des Moines, IA (Onsite Tues–Thurs, Remote Mon/Fri) $40/hour | 6-Month Contract with Potential for Conversion We are seeking a Certified Risk Adjustment Coder (CRC) to support Medicare Risk Adjustment initiatives through detailed HCC medical record reviews and direct provider engagement. This role is ideal for someone confident, collaborative, and comfortable working onsite with provider teams to drive documentation accuracy and performance improvement. This position requires onsite presence Tuesday–Thursday in Des Moines, IA with 10% local travel , and remote flexibility on Mondays and Fridays. Position Overview This role performs concurrent medical record reviews to ensure accurate capture of HCC conditions and appropriate documentation reflecting patient severity of illness. The coder will collaborate closely with physicians, clinical leadership, and provider engagement teams to improve documentation practices and support compliance with CMS guidelines. Key...

Job Title Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. Location: This is a remote position, Monday - Friday from 8:30am - 5pm. What You'll Do: Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates. Manages records retrieval, release, HIPAA compliance, and all aspects of document...

Internal Reference Number: R1050337 Summary Performs validation reviews of Diagnosis Related Groups (DRG), Ambulatory Procedure Codes (APC), and Never Events (serious, preventable medical errors) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department.Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have...

Job Description Summary The Compliance Auditor reports to the Internal Audit Coordinator and performs audits to evaluate adherence to laws, regulations and policies by reviewing records, analyzing data, and interviewing staff and stakeholders. These audits include but are not limited to services identified as high-risk via the annual risk assessment, OIG-CMS-PGBA workplan areas, ad hoc audit requests, and "for cause" coding and billing concerns. The audit scope includes a) the regulatory and industry research needed for audit planning, b) pre and post audit meetings with stakeholders, c) cohesive audit report that communicates results and includes a corrective action plan if warranted, and d) education and training to stakeholders as needed. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC002278 SYS - Compliance Program Pay Rate Type Salary Pay Grade Health-27 Scheduled Weekly Hours...

Title: Clinical Supervisor Job Code: 000747 FLSA Status: Non - Exempt Reports To : Clinical Director - Nursing Position Objective The Clinical Supervisor directly supervises staff and is a clinical expert practitioner specific to the unit at education/staff development functions as well as designated management functions to promote high quality, cost effective health care. This position has authority to perform supervisory duties including but not limited to hiring, evaluating performance, issuing final disciplinary actions under the review of Human Resources, and recommending discharge in collaboration with members of management and Human Resources Essential Functions 1. 1. Clinical Decision Making/Judgment • Demonstrates expert clinical knowledge and skill in the specialization of the unit or initiative. • Provides for the coordination of patient care throughout the continuum for areas of responsibility. • Serves as an expert clinician,...

Job Description Job Title: Associate Director, Global Medical Communications, Gastroenterology (GI) Location: Cambridge, MA 02139 - Remote Duration: 12 Months Needs strong Medical Communications experience Description: OBJECTIVES/PURPOSE: (3-4 bullets) The Associate Director, Global Medical Communications is a dynamic, strategic role within Global Medical Affairs that collaborates with cross-functional partners to oversee one or more disease areas / assets on a Global level Responsible for the strategic co-development and execution of medical communication plans encompassing tactics such as: core content, scientific communication platforms, HCP education, congress activities, digital initiatives, and communication planning Lead medical review of promotional and non-promotional materials Apply medical communications expertise and business acumen to further therapeutic area and global medical communication strategy ACCOUNTABILITIES (Describe the...

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders -- internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! Job Summary The Senior Medical Coding Specialist provides analysis of the highest dollar and most complex claims by applying research, coding standards, industry knowledge and federal regulations to ensure correct billing practices. In this role, the incumbent will perform reviews to identify variations from quality billing practices and...

Benefits(full-time) : ~ 401(k) retirement plan with company match  ~ Vacation, six holidays, one personal day, and sick leave that begins accruing on day one ~ Life insurance, short/long term disability  ~ Medical, Dental, Vision, Health Savings Accounts    The RN Supervisor is responsible for the coordination of the patient’s care and services. Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of patients. Works together with the patient and family in accordance with all applicable laws, regulations, and Life Care standards. Associate’s or bachelor’s degree in nursing from an accredited college or university Must maintain an active Registered Nurse (RN) license in good standing throughout employment. Two (2) years’ nursing experience. Geriatric nursing experience preferred.Expert knowledge in field of practice Knowledgeable of practices and procedures as well as the laws, regulations, and...

Shift : Days, 2x12 hr shifts with rotating weekends Department : Central Staffing Scheduling JC Compensation : * $39.90 - $58.86/hr, based on experience * Shift Differentials: $4.00/hour for nights, $3.00/hour for weekends ABOUT THE JOB MU Health Care is looking for a dynamic and visionary House Supervisor to lead operational and personnel activities during days, weekends, and holidays. We are seeking an individual with exceptional leadership qualities to ensure next-shift staffing aligns with acuity levels, recognizing the diverse skills of our staff and meeting the unique needs of our patients. The ideal candidate will be an innovative thinker, identifying opportunities for service improvement and collaborating with stakeholders. In emergent situations, our House Supervisor will act as an incident commander, demonstrating poise and leadership until the arrival of the AOD. Upholding the highest standards of care, utilizing ANA Scope and Standards of Practice,...

House Supervisor Shift: Days, 2x12 hr shifts with rotating weekends Department: Central Staffing Scheduling Compensation: $39.90 - $58.86/hr, based on experience Shift Differentials: $4.00/hour for nights, $3.00/hour for weekends About The Job MU Health Care is looking for a dynamic and visionary House Supervisor to lead operational and personnel activities during days, weekends, and holidays. We are seeking an individual with exceptional leadership qualities to ensure next-shift staffing aligns with acuity levels, recognizing the diverse skills of our staff and meeting the unique needs of our patients. The ideal candidate will be an innovative thinker, identifying opportunities for service improvement and collaborating with stakeholders. In emergent situations, our House Supervisor will act as an incident commander, demonstrating poise and leadership until the arrival of the AOD. Upholding the highest standards of care, utilizing ANA Scope and Standards of Practice, and...