250 senior clinical data coder jobs found

Clinical Data Management Lead Manage single and multi-service projects, ensuring quality deliverables on time, within budget and to the customer's satisfaction; Provide expert skills as part of a Clinical Data Management (CDM) team to provide quality data that meet customer needs; Provide leadership to the team in the area of coding, project planning and execution, financial management, communication and milestone tracking; Viewed as an expert in coding of clinical data. Essential Functions Serve as an account lead, or internal or external point of contact on standalone coding studies or accounts Maintain post-coding dictionary up-versioning synonym and coding reconciliation to align coding to latest dictionary versions. Perform Dictionary up-versioning activities. Perform external verbatim coding of data from non-EDC sources in line with required coding dictionary versions. Manage the customer relationship for the project team including active participation in coding related...

Clinical Data Management Lead Manage single and multi-service projects, ensuring quality deliverables on time, within budget and to the customer's satisfaction; Provide expert skills as part of a Clinical Data Management (CDM) team to provide quality data that meet customer needs; Provide leadership to the team in the area of coding, project planning and execution, financial management, communication and milestone tracking; Viewed as an expert in coding of clinical data. Essential Functions Serve as an account lead, or internal or external point of contact on standalone coding studies or accounts Maintain post-coding dictionary up-versioning synonym and coding reconciliation to align coding to latest dictionary versions. Perform Dictionary up-versioning activities. Perform external verbatim coding of data from non-EDC sources in line with required coding dictionary versions. Manage the customer relationship for the project team including active participation in...

Indiana University Health is seeking a detail-oriented professional to provide accurate clinical data for billing and reimbursement. This position involves coding and abstracting outpatient ancillary encounters with responsibilities that may include rectifying pre-bill coding related edits and managing coding related denials. The ideal candidate will have a high school diploma or equivalent, experience in coding, or hold a relevant credential. Strong interpersonal, problem-solving, and analytical skills are essential for success in this role, along with effective communication abilities. #J-18808-Ljbffr

OVERVIEW Join us in shaping the future of healthcare as an allied health professional at Redeemer Health. We offer a dynamic environment equipped with state-of-the‑art facilities and a culture that prioritizes safety. With our workforce spanning southeastern Pennsylvania and New Jersey, we celebrate diversity and inclusivity. We're committed to your long‑term success, providing competitive benefits, as well as resources like educational assistance and a unique onboarding program that sets you up for long‑term success while introducing you to our mission and celebrated service orientation. Join us, and let's make a difference together. SUMMARY OF JOB The Senior Coding Specialist assigns diagnostic and procedural codes consistent with ICD-9-CM and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and in its publication, Coding Clinic and AMA’s publication CPT Assistant....

OVERVIEW Join us in shaping the future of healthcare as an allied health professional at Redeemer Health. We offer a dynamic environment equipped with state-of-the‑art facilities and a culture that prioritizes safety. With our workforce spanning southeastern Pennsylvania and New Jersey, we celebrate diversity and inclusivity. We're committed to your long‑term success, providing competitive benefits, as well as resources like educational assistance and a unique onboarding program that sets you up for long‑term success while introducing you to our mission and celebrated service orientation. Join us, and let's make a difference together. SUMMARY OF JOB The Senior Coding Specialist assigns diagnostic and procedural codes consistent with ICD-9-CM and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and in its publication, Coding Clinic and AMA’s publication CPT Assistant....

City/State: Tarrytown, New York Grant Funded: No Department: REV - Revenue Integrity Engagement Team Work Shift: Day Work Days: MON-FRI Scheduled Hours: 8:30 AM-5 PM Scheduled Daily Hours: 7.5 HOURS Pay Range: $76,632.04-$95,790.05 Job Summary The Senior Coding Auditor performs detailed audits of medical cases to ensure accuracy of assigned codes, charges, availability of documented medical records, medical accounts and compares the cases with the itemized bill and overall procedures. The Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes regarding charge errors, percentage of savings or losses for the facility, data processing errors, the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill. Works cooperatively with the Associate Directors/Director in the identification of process improvement initiatives related to the coding and charging of hospital services....

Health Information Management Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1. Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3. Utilizes resources and reference materials (e.g., on-line sources, manuals) to identify appropriate codes and reference code applicability, rules and guidelines. 4. Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality...

Job Description Job Description Porter is hiring a Risk Adjustment Coder to join our Team!   Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.    Position Overview We are seeking a certified coder with expertise in risk adjustment coding...

Coder, Hospital, Inpatient - Remote - FT page is loaded## Coder, Hospital, Inpatient - Remote - FTremote type: Fully Remotelocations: WI, City - Remote WItime type: Full timeposted on: Posted Yesterdayjob requisition id: R-0253888**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**Work Shift:8 Hours - Day Shifts (United States of America)Scheduled Weekly Hours:40Salary Range: $21.50 - $34.50**Union Position:**No**Department Details****Summary**Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and PCS diagnostic and procedural codes used for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring.**Job Description**Using...

About Us: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.The Lead Senior Coder shall be certified as RHIA, RHIT, CCS, CPC with a minimum of five (5) years’ experience in abstracting and ICD-9/ICD-10-CM coding of general acute hospital inpatient, outpatient, and physician medical records and serve as the gold standard for all medical record coding projects. This role performs intake, medical record abstraction, and coding validation in accordance with RADV contractual, and organizational guidelines, while applying expertise...

Alignment Health is a remote company focused on senior care. The Medical Risk Adjustment (MRA) Coding Auditor role supports departmental quality assessment audits of internal coding analysts and vendors to ensure accurate and complete data submission to CMS. General Duties / Responsibilities Supports regular quality assurance audits of the internal Coding Analyst Team to validate and confirm coding & abstracting quality (95% HCC accuracy), ensuring coding quality and performance improvement standards are maintained. Tracks and reports progress of QA audits performed on coding vendors to verify coding accuracy and quality of data submitted to AHP for CMS submission. Works with Risk Adjustment Management on any MRA data validation or coding audit to ensure completeness and coding accuracy of all CMS submissions; this may include data reconciliation, data flow integrity, UAT testing, review of high‑cost/low‑risk score members, retrospective chart reviews, or other related data...

About Us: 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. Lead Senior Coder Description: The Lead Senior Coder shall be certified as RHIA, RHIT, CCS, CPC with a minimum of five (5) years’ experience in abstracting and ICD-9/ICD-10-CM coding of general acute hospital inpatient, outpatient, and physician medical records. The role performs intake, medical record abstraction, and coding validation in accordance with RADV contractual and organizational guidelines, and applies expertise in CMS Part C risk adjustment data...

Koniag Advisory Business Solutions, LLC, a Koniag Government Services company , is seeking a Medical Records Technician Coder V-Supervisor to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid Vacation, paid sick leave and more. Join Our Team Where Precision, Integrity, and Leadership Matter. Koniag Advisory Business Solutions (KABS) is seeking an experienced, highly skilled, and mission-focused Medical Records Coder V (Supervisor) to lead a coding team supporting a large-scale healthcare mission serving hospitals and clinics. This is a critical leadership role supporting coding and billing for more than 300,000 patient visits, where technical expertise, accountability,...

To be considered for the role, you must permanently reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia. Job Overview The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding new auditors. The role supports audit supervisors with quarterly audit work plans and workflow processes, recommends process improvements, and contributes to special projects as needed. Responsibilities Perform complex audits of hospital and physician claims to ensure compliance with federal, state, local, and payer requirements. Develop and maintain audit schedules, software, and quality assurance reviews. Serve as team liaison for audit software maintenance and troubleshooting. Act as a peer mentor and train new auditors. Conduct two risk‑based...

Senior Inpatient Medical Coder Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high-quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Job Description Responsible for supervising the work of staff who review, interpret, code and abstract medical records information according to standard classification systems; performs the most advanced medical records coding and abstraction duties; performs data quality reviews and prepares complex reports as required; and performs other related duties as assigned. Principal Accountabilities Promotes Coding Audit department goals by selecting, motivating, and training capable team members. Leads the activities of assigned Coding Audit team members by communicating and providing guidance toward achieving department objectives. Assists in analyzing common operational definition of metrics and assists in the development of regional reports to monitor individual hospitals in one database and develops processes to integrate clinical department managers in correction and resubmission of medical records. Assists with the development of tools to track performance including daily...

Sr. Certified Coder Clinical Document-Coding Mgmt The Sr. Certified Coder will: In accordance with established coding principals and guidelines assigns appropriate diagnosis and procedure codes to all applicable records - (concurrently/discharge) on patient units. Collaborates with coding supervisor for managing workflow and distribution of discharged records to non-senior coding staff. Responds to inquiries from fellow coders, regarding coding questions or concerns. Collaborates with clinical documentation nursing specialists to ensure quality documentation practices. Assists physicians, hospital personnel and others as needed with coding and billing inquiries. Reports discharged not final billed (DNFB) problems to coding supervisor. Requirements Knowledge of coding systems, medical terminology, anatomy and physiology required. A minimum of five (5) years of inpatient coding experience required. Strong interpersonal and decision-making skills required. Certified Coding...

Req Number 184854 Note: This role will at times require training on-site in Port Jefferson Must have coding experience and/or certified CPC, CCS, RHIT Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., on-line sources, manuals) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the...

Join to apply for the Inpatient Coder role at SUNY Downstate Health Sciences University Join to apply for the Inpatient Coder role at SUNY Downstate Health Sciences University Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors. Bargaining Unit UUP Job Summary The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time Inpatient Coder. Reporting to the Coding Manager and to the Director of the Health Information Management, the successful candidate will: Abstract clinical information from the medical record and...

Start Date: 2/24/2025 Contract: 6 month CTH HARD Requirements: Facility outpatient complex coding experience (5+ years experience) with at least 1 year educator/lead/etc. Could be someone who has worked 50/50 with education and productivity as their main responsibilities. Additional related education and/or experience preferred. ED experience is a plus. Outgoing and able to speak publicly to large teams virtually. Certifications: CPC license required Preferred COC, CCS, CPT Equipment: Laptop issued from Client Location: Fully remote Working AZ time, but can be flexible Assessment: Health Stream assessment will be taken after interview Metrics: Dependent on the tasks coming their way 1 on 1's with coders biweekly Applications: EMR - Cerner Optum coding software Interview Process: Team Size: Work in tandem with 2 outpatient educators (3 educators in total) Take care of several teams - outpatient diagnostics, ED, Outpatient complex (observation/surgery (complex)) A total of 100-120...

Job Location: Windsor Mill, MD 21224 Position Type: Full Time Education Level: None Salary: $80,000.00 - $85,000.00 About Us 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. Position Overview The Lead Senior Coder shall be certified as RHIA, RHIT, CCS, CPC with a minimum of five (5) years’ experience in abstracting and ICD-9/ICD-10-CM coding of general acute hospital inpatient, outpatient, and physician medical records and serve as the gold standard for all medical record coding projects. This role performs intake, medical...

Senior Clinical Coding Specialist The University of Texas MD Anderson Cancer Center is seeking a Senior Clinical Coding Specialist to join its Revenue Operations and Coding team. The Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. This position works remotely and collaborates closely with coding professionals, leadership, and clinical partners. The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency. UT MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The ideal candidate brings strong expertise in clinical coding practices, including CPT, ICD-10, and regulatory...

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer center. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio. Position Summary: Responsible for working with and providing...