PRN Clinical Coding Reimbursement Compliance Manager Harris Health SystemPRN Clinical Coding Reimbursement Compliance ManagerHouston, TXHarris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston. This person will also coordinate and conduct review of targeted areas to assume timely billing process, correct hospital reimbursements and perform random audits to validate accuracy of DRG, APC, and other coding to ensure compliance with coding and billing requirements.
Clinical Coding Specialist I - Radiation Oncology - Full Time Days NEW Indiana University Health IncClinical Coding Specialist I - Radiation Oncology - Full Time Days NEWMuncie, INReviews clinical documentation and diagnostic results to extract data and assigns all appropriate CPT, HCPCS and ICD-10 procedural and diagnostic codes for billing, internal and external reporting, research and regulatory compliance for inpatient and/or outpatient technical and professional charges. Candidates who will be considered will be those who have: Completed an accredited coding program, have previous coding experience, or hold a RHIA, RHIT, CCS, CCS-P, CCA, COC, or CPC credential.
Manager - Coding University Health Services IncManager - CodingWAYNE, PAHealthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, government sponsored and commercial follow-up requirements as well as appeals processes and requirements Thorough understanding of the revenue cycle and how the various components work together Perform ongoing review and feedback on the correct use of CPT-4 and ICD-10 codes and to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Prepares well thought-out and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectations AAPC CPC Certification required Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable As an IPM employee you will be part of a first-class organization offering: A Challenging and rewarding work environment.
NewMedical Records Director Woodlands Place Rehabilitation SuitesMedical Records DirectorDenison, Texas$19–$21 / hourFull timeWage Commensuration: The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. Benefits: All of our employees are valued and receive a competitive wage; full time team members are also offered a comprehensive benefit package which includes: Medical, Dental, Vision, Life and Disability Insurance/ Flexible Spending Accounts.
Coding Supervisor UCLA Health SystemCoding SupervisorLos Angeles, CA$67,700–$134,700 / yearAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Under the direction of the Physician Billing Office (PBO) Coding Director, the Coding Department Supervisor oversees the daily operations of a team of certified coding professionals.
Provider Educator Foreign Medical Graduate Herself Health (US)Provider Educator Foreign Medical GraduateCARemoteAbout the Provider Educator Role: The Provider Educator provides analysis, reporting, education, training, and ongoing support to treating clinicians and care teams to promote accurate and complete documentation of patient conditions. Develop and update presentations, quick-reference sheets, case studies, and other educational resources, ensuring content is clinically accurate, current, appropriately sourced, and aligned with applicable guidance.
Medical Coding Analyst University of New MexicoMedical Coding AnalystAlbuquerque, NM$25–$33 / hourRequisition ID req37898 Working Title Medical Coding Analyst Position Grade 11 Position Summary The University of New Mexico Student Health & Counseling clinic (SHAC) is recruiting for a knowledgeable, detail-oriented Medical Coding Analyst to coordinate the processing of fees for professional services provided to patients within a specified group of clinical areas, for the purpose of reimbursement. Additional Requirements Campus Main - Albuquerque, NM Department Student Health and Counseling (037A) Employment Type Staff Staff Type Regular - Full-Time Term End Date Status Non-Exempt Pay Hourly: $25.00 - $33.00 Depending on Education and Experience Benefits Eligible This is a benefits eligible position.
Coding Education Specialist - Remote or On-Site (82573) Lake Region HealthcareCoding Education Specialist - Remote or On-Site (82573)Fergus Falls, MNRemote$31.95–$43.55 / hourBenefit Offerings: Lake Region Healthcare is pleased to offer a comprehensive benefit program designed to meet your unique needs. Onboarding new providers and helping to train new coders to the most recent and up to date coding guidelines in their respective specialties.
Coding Specialist III SavistaCoding Specialist IIIMassachusettsYou’ll use your inpatient coding expertise to review complex clinical documentation, assign accurate ICD-10-CM and ICD-10-PCS codes, validate MS-DRG assignments, and help identify and resolve coding-related claim edits. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
Inpatient DRG Coding Auditor Emory HealthcareInpatient DRG Coding AuditorJohns Creek, GeorgiaFull timeMedium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required.
Supervisor, Coding Data Management & Education Christiana Care Health SystemSupervisor, Coding Data Management & EducationWilmington, DE$79,497.60–$127,212.80 / yearPRIMARY FUNCTION: Provides operational oversight for HIMS (Health Information Management Services) coding data quality monitoring and coder education activities to support the accuracy, integrity, productivity, and compliance of coded data in alignment with organizational, regulatory, and reimbursement objectives. Performs or assigns record review activities related to pre‑bill edit resolution, internal coding audits, and responses to internal or external audit requests (e.g., RAC, OIG, Internal Audit, Compliance) or coding accuracy validation requests.
HIM Radiology Coding Lead Specialist Akron Children's HospitalHIM Radiology Coding Lead SpecialistAkron, OHReviews abstracted data elements such as patient information, dates of service, point of origin, discharge disposition and attending provider and makes the necessary changes in EPIC.Reviews operative reports, progress notes, dictated reports, pathology reports, cytology reports, x-ray reports, laboratory reports, and other medical record information by accessing the electronic record via EPIC.Abstracts clinical data from these same patient records and performs data entry into clinical/statistical database. Summary: The Health Information Management Radiology Coding Lead Specialist facilitate the reimbursement and data collection for Akron Children's Hospital Radiology and Interventional Radiology.
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.
Aapc - Approved Instructor / Cpc-I Bryant & Stratton CollegeAapc - Approved Instructor / Cpc-IOrchard Park, NYRemote$1,700–$2,000Serve as a brand ambassador for B&SC - promote the college inside and outside of the work environment (through means such as mentoring, participating in college projects, committees, and initiatives, referring adjuncts and students to the college, supporting building-based campuses in any capacity, acting as a SME for new or revised course builds, and keeping curriculum contemporary by submitting course support tickets for errors, updates, or ideas). The seven principles are: Encourage contact between students and faculty, Develop reciprocity and cooperation among students, Encourage active learning, Give prompt feedback, Emphasize time on task, Communicate high expectations, and Respect diverse talents and ways of learning.
Hospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding RemoteRemoteHospital Coder Inpatient Senior Coder is an expert-level coding professional responsible for accurately reviewing and coding complex inpatient medical records using ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and appropriate MS-DRG/APR-DRG grouping methodologies. This role serves as a subject matter expert within the coding department, performing second level reviews, mentoring staff, and collaboration with Clinical Documentation Improvement (CDI), quality, and revenue cycle teams to ensure optimal reimbursement and compliance with regulatory guidelines.
Coding Specialist II-Profee Cardiology SavistaCoding Specialist II-Profee CardiologyArizonaWe partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). In this role, you’ll review physician documentation, assign and sequence ICD-10-CM, CPT, and HCPCS codes, and ensure cardiology services are accurately captured for billing and reimbursement.
Senior Product Manager, Coding Data Platform DatavantSenior Product Manager, Coding Data PlatformYou will understand how clinical data flows from payer to retrieval to coding; how it gets ingested, transformed, and structured and you will have direct influence over how the underlying platform infrastructure is optimized for downstream consumption by AI models, reporting tools, and client-facing products. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Patient Accounts Specialist Bayhealth Medical Center IncPatient Accounts SpecialistDover, DE$18.27–$27.40 / hourb) Registration - accurately complete patient registration process c) Insurance Verification - obtain copies of insurance card when registering patient d) Scheduling - accurately schedules new patients and follow up appointments, following procedures and protocols. Responsibilities: Insurance Authorization for Services/Treatment a) Verify referring Physician authorization of services and ensures all diagnosis codes are accurate and appropriate prior to service delivery; working closely and collaboratively with physician offices.
NewManager - Clinical Documentation Specialist DeloitteManager - Clinical Documentation SpecialistLos Angeles, CAFull timeExperience using clinical documentation, coding, and quality metrics, including Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined Diagnosis Related Groups (APR-DRG), patient safety indicators, hospital-acquired conditions, present on admission indicators, and risk adjustment measures. Case management or medical coding certification, including Certified Risk Adjustment Coder (CRC), Certified Coding Associate (CCA), Certified Coding Specialist-Physician-based (CCS-P), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Case Manager (CCM).
NewManager Clinical Performance & Quality Coding (Nurse Practitioner or PA) Elevance HealthManager Clinical Performance & Quality Coding (Nurse Practitioner or PA)Atlanta, GeorgiaDevelop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures. Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.