Medical Billing and Coding Specialist Apex StaffingMedical Billing and Coding SpecialistLittle Rock, Arkansas$45,000–$52,000 / yearAccurately abstracts data and codes ambulatory surgery center procedures for reimbursement using ICD-10, CPT, and other applicable patient classification schemes. Medical Billing and Coding Certification with successful completion of medical terminology, anatomy, physiology, and coding courses in ICD-10-CM and CPT-4 preferred.
Billing/ Coding Administrator Carolina Macular and Retinal CareBilling/ Coding AdministratorMount Pleasant, SC$20–$25 / hourJoin a physician-led retina practice where your coding expertise directly impacts patient care and practice performance. This role offers stable hours, a small team environment, and the opportunity to expand your skills beyond routine charge entry.
HIM Coding Tech II Lake Charles Memorial Health SystemHIM Coding Tech IILake Charles, LAAs a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Codes Inpatient, Observation and Same Day Surgery (SDS) charts using ICD10-CM and CPT coding guidelines.
Senior Compliance Coding Auditor CH (REMOTE) TRAVIS COUNTY HEALTHCARE DISTRICTSenior Compliance Coding Auditor CH (REMOTE)Austin, TXRemoteThorough understanding of Centers for Medicare & Medicaid Services (CMS) regulations, National Correct Coding Initiative (NCCI) edits, Office of Inspector General (OIG) compliance guidance, Medicare and Medicaid policies, and applicable payer-specific coding and billing requirements. This role partners closely with physicians, advanced practice providers, practice leadership, revenue cycle, coding, clinical operations, and executive leadership to promote compliant billing and documentation practices.
Manager, Enterprise Hospital Coding Operations University of VirginiaManager, Enterprise Hospital Coding OperationsCharlottesville, VARemote$76,420–$152,840 / yearThe Manager oversees inpatient and outpatient coding supervisors, coding staff, coding support personnel, and contract coding resources, ensuring efficient work allocation, achievement of departmental KPIs, and timely completion of coding activities. This position collaborates with Coding Quality & Education, CDI, Billing, Patient Access, ancillary departments and other operational leaders to support compliant coding practices, reduce DNFB accounts, and optimize revenue cycle performance.
Coding Services Auditor WellStar Health System IncCoding Services AuditorGACommuncate knowledge of these and engages in conversations of potential impacts 9 Performs other duties as assigned to include but no tlimited to preparation of educational material, instructions, and tip sheets Codes/abstracts/audits accounts A. Accurately and completely assigns appropriate ICD-10 CM/PCS and/or CPT/HCPCS codes to the greatest specificity with a minimum accuracy rate in accordance with Coding and WHS guidelines B. -Validates adherence to WellStar Coding Policies and Procedures -Validates adherence to Wellstar Coding Query Policy 2. Reviews and identifites coding opportunities on mortality accounts using validation criteria from Vizient as well as other sources 3.Idenitifies query opportunities or other documentation improvements on reviews Data Capture and Reporting 1.
Manager Coding Quality/Education Texas Children's HospitalManager Coding Quality/EducationHouston, TXTexas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world.
Acute Coding Subject Matter Expert (SME) UnitedHealth Group IncAcute Coding Subject Matter Expert (SME)Eden Prairie, MN$72,800–$130,000 / yearPrimary Responsibilities: Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all coding staff (domestic and global) and best demonstrated coding practices; drives the integration of Optum360 Coding related business objectives within the client environment. Responsible for providing oversight to Optum360 coding services, directly overseeing facility-based and/or HIM (Health Information Management) Center operations leadership of Optum 360 Coding Departments within the assigned Region.
NON-CLINICAL CODING AUDITOR AND TRAINER Carson Tahoe Regional HealthcareNON-CLINICAL CODING AUDITOR AND TRAINERCarson City, NVThis position ensures that billing is optimized, and errors are minimized by identifying opportunities through audit and observation; remaining abreast of regulatory and procedure changes which may affect coding compliance and /or reimbursement. Work closely with HIM and Coding leadership to complete new provider audits, including documentation review during first month and audit of charges to ensure coding accuracy.
Senior Compliance Coding Auditor CH (REMOTE) Central HealthSenior Compliance Coding Auditor CH (REMOTE)Austin, TexasRemoteFull timeThorough understanding of Centers for Medicare & Medicaid Services (CMS) regulations, National Correct Coding Initiative (NCCI) edits, Office of Inspector General (OIG) compliance guidance, Medicare and Medicaid policies, and applicable payer-specific coding and billing requirements. This role partners closely with physicians, advanced practice providers, practice leadership, revenue cycle, coding, clinical operations, and executive leadership to promote compliant billing and documentation practices.
Remote Outpatient Coding Specialist HEALTH INFORMATION ASSOCIATES, INC.Remote Outpatient Coding SpecialistRemoteCodes all requested outpatient acute care facility records using the most accurate and appropriate ICD-10-CM/PCS and CPT codes in accordance with coding guidelines. You will also be responsible for abstracting key data required from the medical information consistent with UHDDS requirements, other regulatory coding guidelines, best practices in the industry and HIA policy and procedures.
Inpatient Corporate Coding Coordinator - Remote based in US Texas Staff HQInpatient Corporate Coding Coordinator - Remote based in USDallas, TXRemote$30–$45 / hourThe Inpatient Corporate Coding Coordinator under the Supervision of the Corporate Coding Managers is responsible for reviewing and resolving Coding Coordinator designated DNFC code holds, second level coding reviews, and post coding/post billing edit resolution. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
Senior Coding Educator Endeavor HealthSenior Coding EducatorSkokie, IllinoisOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. The purpose of this job is to educate physicians, other qualified billing providers, and ancillary staff on their documentation for all specialties and review providers progress notes, as needed, to ensure coding/billing compliance in accordance with coding rules, third party payor guidelines, governmental regulations, and MG's Coding Compliance Program.
Registered Nurse - HCC/RAF Coding Specialist Baystate HealthRegistered Nurse - HCC/RAF Coding SpecialistSpringfield, MassachusettsThe HCC/RAF Coding Specialist serves as a key resource supporting providers and clinical teams by ensuring patient conditions are accurately reflected in the medical record in accordance with CMS Hierarchical Condition Category (HCC) and MassHealth DxCG guidelines. Our network includes Baystate Medical Center, Baystate Children's Hospital, Baystate Noble Hospital, Baystate Franklin Medical Center, Baystate Wing Hospital, Baystate Medical Practices, and Baystate Home Health & Hospice .
Outpatient Coding Quality Auditor, Lead Associate- Remote Gainwell Technologies LLCOutpatient Coding Quality Auditor, Lead Associate- RemoteTXRemote$60,100–$85,800 / yearThis position requires extensive expertise in outpatient reimbursement methodologies, including Enhanced Ambulatory Patient Groups (EAPG), Ambulatory Payment Classifications (APC), and Ambulatory Surgery Center (ASC) payment systems, as well as a strong understanding of outpatient coding edits and payment integrity principles. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Risk Adjustment Documentation & Coding Educator Strive Health, LLCRisk Adjustment Documentation & Coding EducatorDenver, CO$74,000–$90,000 / yearDeliver individual and group education sessions, primarily through virtual platforms, for providers, coding teams, and leadership on risk adjustment, HCC documentation, ICD-10-CM guidelines, clinical documentation requirements, compliant query practices, CMS expectations, and value-based care initiatives. Build trusted working relationships with network practice coders, coding leaders, providers, regional clinical leaders, and operational partners to understand workflows, identify needs, and provide practical support.
NewCoding Quality Analyst Allmed Staffing IncCoding Quality AnalystRemote, RemoteRemoteThe Coding Quality Analyst is responsible for reviewing medical records, extracting relevant clinical and coding information, and developing accurate, strongly supported appeal letters on behalf of clients. The Coding Quality Analyst will use established coding guidelines, clinical information, and evidence-based medical literature to support accurate and defensible appeals while ensuring appropriate DRG assignment and coding accuracy.
Risk Adjustment Coding Auditor Clever Care Health Plan IncRisk Adjustment Coding AuditorHuntington Beach, CA$72,800–$80,000 / yearThe Risk Adjustment Coding Auditor is responsible for conducting retrospective and prospective coding audits, diagnosis validation reviews, provider documentation assessments, and compliance monitoring activities to support accurate Medicare Advantage risk adjustment reporting and CMS audit readiness. The position supports enterprise risk adjustment initiatives through audit activities, RADV preparedness, chart review validation, vendor oversight, provider education, and continuous quality improvement efforts aimed at enhancing coding accuracy, documentation integrity, and risk score accuracy.
Outpatient Hospital Reimbursement & Coding Specialist Iii, Remote Erlanger HealthOutpatient Hospital Reimbursement & Coding Specialist Iii, RemoteChattanooga, TNRemoteJob Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators (inpatient only) on inpatient or outpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed responsibilities: Reviews inpatient or outpatient medical records to assign and sequence all appropriate diagnosis and procedures codes utilizing encoder software and following by proficiently translating diagnostic statements, procedure descriptions, physician orders, and other pertinent documentation.
Coding Specialist III Parkland HealthCoding Specialist IIICoach other coders by training and advising on coding and abstracting according to ICD-10-CM/PCS conventions and guidelines, responding to coding inquiries, reviewing and noting coded charts, providing feedback and monitoring chart corrections to ensure that noted changes have been made to facilitate coding consistency, accuracy, efficiency and appropriate billing and reimbursement. Facilitate a positive working relationship with management, coders, physicians, nurses, medical staff, COPCs, Financial Control, Business Services and hospital employees, to ensure that medical record information is documented and coded according to established conventions and Parkland’s policies and guidelines.