124 value based coder ii jobs found

Value Based Coder IIInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate...

Department 05509 WFBMG University Group Practice: WFBMC Main - Radiology: Xray Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details/Additional Information Will support The role covers diagnostic radiology, MRI, nuclear medicine, PET, CT, mammography, and ultrasound. Interventional radiology and its procedures are excluded. Schedule Monday - Friday 1st shift, 8 hours day, 40 hours a week. Can pick a start between 6:00 and 9:00 a.m. Certification Required Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Hybrid Opportunity Primarily remote, and will need to go on site as needed for computer equipment pick up and support and department team events at Atrium Health Wake Forest Baptist - Medical Center. Pay Range $26.55 - $39.85 Essential Functions Code hospital-based professional services accurately and on time, including outpatient or inpatient...

Certified Medical Coder Are you a skilled and detail-oriented Certified Medical Coder seeking an exciting opportunity to join Quest National Services, a thriving medical billing company? We are looking for a dedicated individual to join our dynamic team at our Downtown Orlando office. If you have a passion for accuracy, teamwork, and growth opportunities, we want to hear from you! Job Description Utilize your expertise as a Certified Medical Coder to accurately assign appropriate medical codes to diagnoses, procedures, and services, ensuring compliance with all relevant coding guidelines and regulations. Review medical documentation and superbills to extract essential information required for proper coding. Work collaboratively with medical providers and billing specialists at Quest National Services to clarify coding questions, resolve discrepancies, and optimize claim accuracy. Stay updated with the latest coding guidelines, industry changes, and regulations to maintain...

Medical Device In The Quality DepartmentJoin the healthcare information technology team that's turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you'll help evolve leading-edge thinking into reality and make a measurable difference in improving human health.We're looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company's continued growth.Are you ready for this exciting challenge?First Databank (FDB) is currently seeking a Medical Device in the Quality department. This position is responsible for researching data published from the FDA, device...

Department 05509 WFBMG University Group Practice: WFBMC Main - Radiology: Xray Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details/Additional Information Will support The role covers diagnostic radiology, MRI, nuclear medicine, PET, CT, mammography, and ultrasound. Interventional radiology and its procedures are excluded. Schedule Monday - Friday 1st shift, 8 hours day, 40 hours a week. Can pick a start between 6:00 and 9:00 a.m. Certification required Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Hybrid opportunity Primarily remote, and will need to go on site as needed for computer equipment pick up and support and department team events at Atrium Health Wake Forest Baptist - Medical Center. Pay Range $26.55 - $39.85 Medical Coder II Requirements and Responsibilities Essential Functions Code hospital-based professional services...

Job Description Summary Under the direction of Burden of Illness department leadership, the Risk Adjustment Coding Specialist is responsible for various aspects of decision-making and coding reviews to facilitate, obtain, validate, and reconcile appropriate provider documentation for clinical conditions that accurately reflect the severity of illness and complexity of patient care. How Will You Make An Impact & Requirements This Position Is Responsible For Risk Adjustment Coding And Quality Assurance Validation For The Following Programs, Including But Not Limited To: Prospective medical record review Concurrent outpatient claim diagnosis coding Retrospective medical record and provider response reviews Responsibilities Perform prospective medical record reviews for clinical indicators supportive of an underlying diagnosis to be presented to a clinician for review during a subsequent face-to-face encounter. Review the encounter level patient medical record and provider selected...

Summary Reporting to the Manager of Professional Coding, the Professional Coding Specialist is responsible for the accurate review, interpretation, and assignment of ICD-10-CM, CPT, and HCPCS Level II codes for physician and other qualified healthcare provider services. This role ensures coding accuracy and compliance with federal regulations, payer guidelines, and organizational policies to support appropriate reimbursement and minimize audit risk. Summary Reporting to the Manager of Professional Coding, the Professional Coding Specialist is responsible for the accurate review, interpretation, and assignment of ICD-10-CM, CPT, and HCPCS Level II codes for physician and other qualified healthcare provider services. This role ensures coding accuracy and compliance with federal regulations, payer guidelines, and organizational policies to support appropriate reimbursement and minimize audit risk. The Coding Specialist collaborates with providers, revenue cycle teams, and clinical...

1.0 FTE Full time Day - 08 Hour R2658919 Remote USA 108610021 Admin Compliance Business & Administration Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview Billing and Coding Compliance Auditors conduct audits and monitoring activities to identify and address compliance risks related to billing and coding practices. They review and evaluate healthcare regulatory compliance, focusing on the detection of documentation, coding, and billing errors. Responsibilities include assessing the adequacy and accuracy of documentation supporting billed services, including ICD, CPT, HCPCS, and other third-party payer codes, as well as adherence to Teaching Physician guidelines, Evaluation & Management criteria, DRG and APC assignments, medical necessity, and reimbursement accuracy. Auditors serve as a communication channel, partnering with Billing and Coding Compliance Educators to address compliance issues. They are responsible for conducting...

Description At ScionHealth, we empower our caregivers to do what they do best.We value every voice by caring deeply for every patient and each other.We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Codes medical records, including all diagnoses, operative and diagnostic procedures in patient medical records, using the International Classification of Diseases and enters coded information into an automated system Essential Functions Using the coding system, assigns and records an accurate code to all diagnoses, procedures, and operations as documented in the patient medical record based on official coding guidelinesEnsures that all factors necessary for assigning an accurate CPT are present, and that all diagnoses are recorded properlyContacts practice designee regarding questions on...

CERIS Certified Coder The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. This is a remote position. Essential Functions & Responsibilities: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Maintain HIPAA compliance Additional duties as assigned Knowledge & Skills: Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or...

Coding Compliance Auditor/EducatorTitle: Coding Compliance Auditor/Educator Location: Fountain Valley/Predominantly Remote (Must reside in CA) Department: Document Improvement Status: Per Diem Shift: Day Pay Range*: $50.00/hrMemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve...

Inpatient Coder II The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient acute rehabilitation swing bed and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines Coding Clinic knowledge of clinical disease processes and treatments. This position completes analysis and follow-up record reviews. Responsibilities: Codes complex diseases procedures and diagnoses using the ICD-10-CM/PCS classification systems in accordance with Official Coding Guidelines CMS guidelines PPS guidelines and organizational compliance standards. Assumes responsibility for professional development by participating in workshops conferences and/or in-services and maintains appropriate records of participation. Completes complex coding assignments for reimbursement research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals...

MaineHealth Corporate Professional - Nonclinical Req #: 75901 Summary The Inpatient Coder III role is responsible for identifying and accurately assigning ICD10 diagnostic and ICD10 procedural codes after thorough review of provider documentation; and abstracts demographic and clinical information for inpatient records for the purpose of data collection, reimbursement, research and compliance with state and federal regulations and other agencies utilizing established coding principles and protocols. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate’s Degree in Health Information Management and/or Bachelor’s Degree in Health Information Management, or other science-based degree such as nursing preferred. License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS) or Certified Professional Coder...

RCS Medical Coding Auditor page is loaded## RCS Medical Coding Auditorremote type: Hybridlocations: Raleigh, NCtime type: Full timeposted on: Posted 7 Days Agojob requisition id: JR10360**Position Summary**The **RCS Medical Coding Auditor** is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.The ideal candidate brings strong hands-on experience with **professional fee coding**, deep knowledge of **E/M, surgical, and modifier use**, and the ability to translate audit findings into actionable insights.**Key Responsibilities*** Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback* Validate ICD‐10‐CM, CPT(R), HCPCS, and modifier assignment against clinical...

Medical Records Coder, LTAC, Part-time (Remote)Louisville, Kentucky Facility ScionHealth Corporate Support CenterReq ID 545469 Post Date 08 / 05 / 2025 Category Medical CodingDescriptionAt ScionHealth , we empower our caregivers to do what they do best.We value every voice by caring deeply for every patient and each other.We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job SummaryCodes medical records, including all diagnoses, operative and diagnostic procedures in patient medical records, using the International Classification of Diseases and enters coded information into an automated systemEssential FunctionUsing the coding system, assigns and records an accurate code to all diagnoses, procedures, and operations as documented in the patient medical record based on official coding guidelinesEnsures...

Certified Coder II or III for Central Admin in NE Portland (Multispecialty Healthcare) Job Category : Business Office/Shared services Requisition Number : CERTI005427 Posted : August 12, 2026 Full-Time Locations Showing 1 location Central Admin - 541 541 NE 20th Ave, Suite 225 Portland, OR 97232, USA Description Make an Impact at The Oregon Clinic! Premium Benefits, Competitive Pay, and Inspiring Purpose Join us at The Oregon Clinic as a full-time Certified Coder II or III in Multispecialty Healthcare (Hybrid/Remote). Work alongside a collaborative team of patient-focused colleagues in our thriving Central Administration office. Every person at TOC makes a difference in our mission of delivering world-class care with kindness and empathy. As a member of our team, you have the opportunity to make a valuable impact within the local community and our ecosystem of care. By providing patients and internal and external stakeholders with a consistent, efficient, and easy...

Job Description Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time The Clinic /Outpatient Coder II works under the guidance and supervision of the HIM Coding Manager. Expected to be proficient in coding the following assignments of ICD-10-CM and/or CPT codes for following types of services: Outpatient coder: Emergency Room, Injection and Infusion, non-complex outpatient surgeries, obstetric observation.Clinic coder: Coding multiple specialties, or non-complex surgical specialties. Responsibilities Codes procedures and diagnoses using the ICD-10-CM, CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, payer rules and policies, and Mosaic compliance standards....

EMS Medical Coding SpecialistAt Paramedic Services of Illinois, we are dedicated to providing compassionate and high-quality emergency medical care to our community. Our company culture is centered around the belief that every individual deserves prompt and professional medical attention delivered with empathy and respect.The EMS Medical Coding Specialist is responsible for accurate and compliant assignment of diagnosis and procedure codes to emergency medical services encounters, including ground and air ambulance transports. This senior-level position requires expert knowledge of ICD-10-CM, HCPCS Level II coding conventions, and Medicare/Medicaid billing regulations specific to EMS transport services. The specialist ensures optimal reimbursement while maintaining strict adherence to federal and state compliance requirements.Medical Coding & Documentation:Review and abstract patient care reports (PCRs) to assign accurate ICD-10-CM diagnosis codes and HCPCS transport codes...

CERIS Certified CoderThe CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. This is a remote position.ESSENTIAL FUNCTIONS & RESPONSIBILITIES:Receives claim and processes based on state rules and regulationsDetermines validity and compensability of the claim using CorVel proprietary programsMakes recommendations and communicates claim status to referring officeRead and comprehend all medical reportsAdhere to client and carrier guidelines and participate in claims review as neededAssists other claims professionals with more complex or problematic claims as necessaryMaintain HIPAA complianceAdditional duties as assignedKNOWLEDGE & SKILLS:Ability to learn rapidly to develop knowledge and understanding of claims practicesStrong organizational skillsAbility to meet or exceed performance...

Inpatient Coder IIRemote - United States (Remote)Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time.The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed, and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic knowledge, of clinical disease processes and treatments. This position completes analysis and follow-up record reviews.Responsibilities:Codes complex diseases, procedures, and diagnoses using the ICD-10-CM/PCS classification systems in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines, and...

Coder II Professional FeeInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.The posted compensation range of $24.03 - $36.59 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.Job Summary and ResponsibilitiesYou have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with...

Inpatient Coder IIIThe Inpatient Coder III role is responsible for identifying and accurately assigning ICD diagnostic and ICD procedural codes after thorough review of provider documentation; and abstracts demographic and clinical information for inpatient records for the purpose of data collection, reimbursement, research and compliance with state and federal regulations and other agencies utilizing established coding principles and protocols.Required Minimum Knowledge, Skills, and Abilities (KSAs)Education: Associate’s Degree in Health Information Management and/or Bachelor’s Degree in Health Information Management, or other science-based degree such as nursing preferred.License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required.Experience: One year of experience as an inpatient...

Job Description Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, knowledge of clinical disease processes and treatments. This position completes analysis and follow-up record reviews. Responsibilities Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance...

In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, ambulatory, and inpatient medical records to identify elements to be abstracted, as well as diagnostic and procedure codes. Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome. Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative...