204 senior medical coder jobs found

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Description Home Search Jobs Job Description Senior Medical CoderContract: Baltimore, Maryland, USSalary Range: 32.00 - 36.00 | Per HourJob Code: 363000End Date: 2025-07-17 Days Left: 11 days, 3 hours leftApplyAbout the Role The role involves providing advanced knowledge to support partnerships with provider entities and offering guidance on quality measure capture and the proper use of CPT and ICD-10 codes in claims submissions. The aim is to maximize quality and STARs outcomes without compromising payment integrity. Responsibilities Consult on proper coding rules in value-based contracts to ensure appropriate quality measure capture and proper use of CPT and ICD-10 codes. Provide input on various consequences for different financial and incentive models. Support the use of alternatives and solutions to maximize quality payments and risk adjustment. Develop and refine effective guides and resources for providers on billing and code submissions. Interface directly with provider...

Job Description (FULL TIME REMOTE - Any state but California, Hawaii or Canada) I. General Summary Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics, and compliance with federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. II. Principal Responsibilities and Tasks The following statements describe the general nature and level of work performed by personnel in this role. They are not exhaustive of all duties. Serve as a clinical coding subject matter expert, analyzing and evaluating documentation issues in consultation with medical, clinical staff, and documentation specialists as needed. Code and abstract complex inpatient cases such as trauma, rehab, neurology, critical care, etc., using ICD-10-CM and ICD-10-PCS to ensure accurate APR-DRG/SOI/ROM and POA assignment. Collaborate with senior coders and colleagues to share...

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'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Utilize resources and reference materials (e.g., on-line sources, manuals) to identify appropriate medical codes and reference code applicability, rules, and guidelines Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural,...

Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. 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. The Senior Medical Coder codes medical records using coding classifications to ensure data integrity and proper assignment of codes based on coding guidelines. In this role, you will be responsible for accurate record documentation to support correct code assignment, reimbursement, precise reporting of services rendered, and compliance with government regulations....

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Medical Coder you will determine and record the correct medical codes for all treatments and health services. Ensuring proper...

Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. 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. The Senior Medical Coder codes medical records using coding classifications to ensure data integrity and proper assignment of codes based on coding guidelines. In this role, you will be responsible for accurate record documentation to support correct code assignment, reimbursement, precise reporting of services rendered, and compliance with government...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Medical Coder you will determine and record the correct medical codes for all treatments and health services. Ensuring proper...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Medical Coder you will determine and record the correct medical codes for all treatments and health services. Ensuring proper...

Job Summary:Perform dictionary coding in accordance with study specific coding conventions using MedDRA and WHO Drug within various coding systems. Manage end-to-end delivery of clinical data management coding responsibilities concurrently for single/multiple projects ensuring quality and timeliness. Provide leadership and mentorship to Medical Coding Specialists as needed. Create, review, and maintain guidance and training documentation for coding guidelines an accordance with ICH guidance, official coding guidelines and dictionary definitionsResponsibilities: Perform coding in accordance with study specific coding conventions as outlined in the Data Management Plan (DMP) Perform coding using MedDRA and WHO Drug of (eCRF) verbatim terms using various coding systems Provide independent review of coded data by ensuring consistent code assignment within a project by reviewing coding and re-assignment Responsible for medical coding review, synonym dictionaries review, therapeutically...

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each internal and external customer Represents the Company in a professional manner, following all Company...

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. Schedule: Monday to Friday, core business hours- any time zone Location: Remote Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Coding and Auditing 100% of Risk Adjustment encounters on a concurrent level Add, delete, and change the ICD 10 based on the supporting document Coding CPT and II codes Sending...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. 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 Facility Certified 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...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. 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 Facility Certified 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...

The Senior Care division at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team. Expertise in HCC Coding with a background in MA and ACA is strongly preferred. In this role, youll complete first past reviews of member medical Senior Care, Medical, Coder, Risk, Senior, Insurance, Healthcare

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. 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 Facility 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...

Senior Inpatient Facility Medical Coder - National Remote Paid time off, paid holidays, tuition reimbursement, 401(k) $5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. Join us to make an impact on the communities we serve as you help us advance health equity on a global scale. Come make a difference: Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing operational effectiveness, and reinforcing our reputation for high-quality health services. As a Senior Inpatient Facility Certified Medical Coder, you will...

Job Description:We are seeking a detail-oriented and experienced Senior Certified Medical Coder to join our client's Claims team. This dual-role position is responsible for ensuring accurate medical coding and efficient claims processing to support timely reimbursement and regulatory compliance. The ideal candidate will have a strong background in medical coding, claims adjudication, and healthcare administration.Compensation:$50,000 - $60,000/year (based on experience)4 weeks of PTO + 9 company holidays401(k) with generous company matchFull medical benefitsRequirements:Education: Associate's or Bachelor's degree in Health Information Management, Healthcare Administration, or related field.Certifications: CPC, CCS, or equivalent medical coding certification required.Experience: Minimum 5 years of experience in medical coding and claims processing, preferably in a senior or lead role.Strong knowledge of medical terminology, anatomy, and healthcare reimbursement systems.Proficiency...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. 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 Facility Certified 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...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties: Reviews the content of the medical records from multiple EHR's and on-site for both hospital and professional inpatient or...

Position Summary MUST LIVE IN APPROVED STATES: AL, AZ, CO, GA, FL, ID, IL, MA, MI, NV, NM, NC, PA, SC, TX, VA, and WA. Position Summary: This posting covers all Physician coding roles, including Physician Coder I, II, and Senior. Candidates will be considered for the appropriate role based on organizational needs, experience, assessment results, and qualifications. Accurately access physician billing and Health Information Systems to code and bill professional services. MUST LIVE IN APPROVED STATES: AL, AZ, CO, GA, FL, ID, IL, MA, MI, NV, NM, NC, PA, SC, TX, VA, and WA. At Orlando Health, we are dedicated to providing exceptional healthcare and fostering a supportive work environment. We offer comprehensive benefits, career development programs, and a commitment to our employees' well-being. Responsibilities For Coder I and II: Review medical records and code physician services using ICD-10, CPT, and HCPCS. Verify billable services and ensure documentation adherence to federal...

Job Description Job Description The Center for Inherited Blood Disorders (CIBD) is a mission-driven non-profit focused on delivering high-quality, comprehensive, and family-centered care to improve the quality of life for children and adults with blood disorders. When choosing a career with CIBD, you will be part of a growing organization dedicated to improving public health and committed to your professional development. Job Summary Under the direct supervision of the Chief Financial Officer (CFO) and in close collaboration with the Senior Medical Biller and Coder, the Medical Biller & Coder processes the claims and coding for Clinic and Infusion Center services. Abiding by County, State and Federal regulations, the Medical Biller and Coder processes claims for every billable visit, codes the claims to the most appropriate level, sends the claims through the EMR for submission to the appropriate insurer, follows-up on the claims to ensure timely processing, works with the...

5 days ago Be among the first 25 applicants Job Purpose Codes and abstracts diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD9-CM and CPT Assistant for CPT/HCPCS. Assists with internal coding audit and training activities. About Job Description Job Purpose Codes and abstracts diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD9-CM and CPT Assistant for CPT/HCPCS. Assists with internal coding audit and training activities. Qualifications All job qualifications listed indicate the minimum level necessary to perform this job proficiently. LEVEL OF EDUCATION Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS...