UNKNOWN

FEED

Preferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.

YEAR

Elevance Health

DRG Clinical Validation Auditor - RN (Cdi, Ms-Drg, Ap-Drg & Apr-Drg)

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The Coding Associate 2 is primarily responsible for the coding and abstracting of ancillary/outpatient records, including ambulatory surgery and emergency room records pertaining to the patient's occasion of service. We are committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.

HOUR

Asante Health System

Coding Associate 2

The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.

Privia Health Group, Inc

Coding Compliance Audit & Education Specialist

Develops short and long-range departmental plans and programs consistent with organizational policies, coordinates programs with other departments. Assumes responsibility for ensuring confidentiality of all information and medical records are maintained by staff and programs by providing education and training as the HIPAA Privacy Officer.

FDIHB

Health Information Management Manager

Qualifications: High School Diploma required, Associates or Bachelors Degree Preferred 1-3 years of relevant experience required; 3-5 years of relevant experience preferred Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required Must consistently exhibit mental and emotional ability to understand and perform the essential functions of the job Cumberland Hospital is a drug-free and alcohol-free workplace. What We Offer: Hospital Programs Medically Complex/Rehabilitation Chronic Illness Behavioral/Mental Health Programs Psychiatric Inpatient Acute Neurobehavioral Residential Treatment Psychiatric Residential Treatment Cumberland Hospital is looking for a qualified Health Information Management Specialist who will be responsible for ensuring the accuracy, integrity, and security of healthcare documentation.

University Health Services Inc

Health Information Management Specialist (12-week assignment)

The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts.

Baptist Health Care

Hospital Coding Auditor

Duties may include but are not limited to the following: Codes and abstracts, and reviews discharged outpatient medical records and physician professional services for a multi-specialty teaching facility using International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM); International Classification of Diseases, Tenth Revision, Clinical Modification and Procedure Coding System (ICD-10-PCS); Current Procedural Terminology (CPT); Health care Common Procedure Coding System (HCPCS); Prospective Payment System (PPS); and/or Diagnosis-Related Group (DRG) assignments based on Prospective Payment System (PPS) and/or Ambulatory Payment Classification (APC) methodologies; including Evaluation and Management codes (E/M), procedure codes, modifiers, National and Local Correct Coding Initiatives (NCCI) edits; Examines and analyzes provider documentation and medical charts for completeness, accuracy, and relevancy in accordance with Federal and State regulations, ICD-10-CM Official Coding Guidelines and American Medical Association (AMA) guidelines; Identifies the need for additional clinical documentation and sends queries to physicians for clarification on diagnoses and procedures performed to assign and/or validate the diagnosis or procedure code(s); Conducts provider training and on-going education on billing guidelines and audits the work of non-facility coders; Assists the Clinical Documentation Improvement (CDI) team with education CPT/HCPCS codes, billing guidelines and charge capture Outpatient ancillary department clinical staff; Inputs completed patient data coding classification systems into the hospital's Information Management System in accordance with The Joint Commission (TJC) and the Corporate Integrity Agreement between VCMC and the Office of the Inspector General; May process fee-for-service physician claims and audit physician billing for contract compliance; Identifies coding trends or issues and assists in resolving them; Ensures codes meet payer-specific requirements and resolves denials; and. KNOWLEDGE, SKILLS, and ABILITIES: Thorough knowledge of: ICD-10-CM, ICD-10-PCS, CPT, HCPCS, PPS, DRG and APC systems; E/M and procedure codes, modifiers, and NCCI edits; anatomy, physiology, disease pathology, and medical terminology necessary to correctly code diagnoses, procedures, and services; and.

County of Ventura

Outpatient Certified Coder - Health Information Management

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. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.

Datavant LLC

HCC Risk Adjustment Coder

Accesses designated resources such as coding initiatives, local medical review policies, HCPCS, Coders Desk Reference, etc. to research appropriate codes for adherence with coding guidelines. The Coder monitors daily activity reports to assure all encounters are being coded and performs documentation review and audits to validate coding efforts.

Altru Health System

Coder

Research, evaluate, and implement quarterly and ongoing updates to medical coding, reimbursement methodologies, regulatory requirements, and health plan policies to ensure system configurations remain current and compliant with CMS, Medicare, Medicaid, ACA, HIPAA, NCQA, and commercial payer requirements. The position is responsible for validating claims processing and logic, maintaining coding integrity, troubleshooting configuration issues, and supporting continuous system optimization to improve automation, regulatory compliance, operational efficiency, accurate claims payment and provider coding reconsiderations.

Avera Health

Configuration and Coding Analyst

The Certified Coding Integrity Professional, a key position in the Revenue Cycle, facilitates the coding as well as manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients related to coding issues. As part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process.

THE WRIGHT CENTER

Professional, Certified Coding Integrity

Licensure, Registration and/or Certification: (CCS) Certified Coding Specialist - American Health Information Management Association (AHIMA), (CPC) Certified Professional Coder - American Association of Professional Coders (AAPC), (BCHH-C) Board Certified Home Health Coding Credentialing - WellSky, (RHIA) Registered Health Information Administrator - American Health Information Management Association (AHIMA), (RHIT) Registered Health Information Technician - American Health Information Management Association (AHIMA), or Hierarchical Conditions Categories (HCCS) from The Compliance Certification Board (CCB). Experience and/or training in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded, preferred.

Saint Francis Health System

Pro Fee Coding Specialist

Assist in the administration of the Drug Management Program (DMP) by compiling OMS/MARx data, tracking At-Risk and Potentially At-Risk Participant (ARB/PARB) case management timelines, and preparing required notices and supporting documentation. This role requires strong data analytics skills, a working knowledge of pharmacy benefit management (PBM) data, and the ability to translate complex data sets into actionable insights that support clinical, financial, and regulatory decision-making.

Centerlight Management Services

Pharmacy Data And Reporting Analyst

Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. Ability to foster and maintain good working relationships with internal and external customers including but not limited to supervisors, managers, other Associates and other departments/areas.

Memphis Hospitals

Coding Analyst II | PT | Outpatient Affiliated Services | Memphis

OTHER

Participates and seeks out career development activities by reading journals, coding articles, researching procedures and/or disease processes to ensure appropriate code selection, regularly attends coding education sessions, and actively participates in learning circles. Work may include, but are not limited to: charge review,coding review, prioritizing workload, resolving edits, researching denials, interacting with clinicians verbally and /or in writing, and performing other coding related tasks.

Yale New Haven Health

Professional Medical Coder I

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Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.

Advocate Aurora Health Inc

Facilities Management Application Analyst (BAS)

Job Duties include the following, other duties may be assigned: Assist in maintenance of Charge Master and Epic Procedure (EAP) Master files in accordance with government and commercial payers for accurate and compliant charging; adding, activating, reactivating Epic charge codes. This includes the responsibility for charge capture initiatives, operational reviews, and working to ensure linkage between operations, billing, HIM and other areas are fully integrated and functional.

Deaconess Clinic Downtown

Revenue Integrity Analyst CDM

Minimum Requirements: Requires a BA/BS degree in a related field and a minimum of 7 years reimbursement experience including performing detailed financial modeling and economic analyses; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Provider Reimbursement Policy Manager- Patient Safety

Position Summary: Jax Spine & Pain Centers is seeking a detail-oriented and motivated Accounts Receivable (AR) Representative to join our Revenue Cycle team. The ideal candidate is analytical, organized, and committed to maximizing collections while delivering exceptional customer service and supporting the overall financial health of the organization.

Jax Spine & Pain Centers

Accounts Receivable Representative

Betterteam

Functions as a floating Revenue Cycle leader by providing interim management coverage, operational support, special project leadership, and hands-on claims assistance across multiple RCM teams as organizational needs dictate. Through a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health.

Certified Professional Coder Jobs in the United States

DRG Clinical Validation Auditor - RN (Cdi, Ms-Drg, Ap-Drg & Apr-Drg) Elevance Health

Coding Associate 2 Asante Health System

Coding Compliance Audit & Education Specialist Privia Health Group, Inc

Health Information Management Manager FDIHB

Health Information Management Specialist (12-week assignment) University Health Services Inc

Hospital Coding Auditor Baptist Health Care

Outpatient Certified Coder - Health Information Management County of Ventura

HCC Risk Adjustment Coder Datavant LLC

Coder Altru Health System

Configuration and Coding Analyst Avera Health

Professional, Certified Coding Integrity THE WRIGHT CENTER

Pro Fee Coding Specialist Saint Francis Health System

Pharmacy Data And Reporting Analyst Centerlight Management Services

Coding Analyst II | PT | Outpatient Affiliated Services | Memphis Memphis Hospitals

Professional Medical Coder I Yale New Haven Health

Facilities Management Application Analyst (BAS) Advocate Aurora Health Inc

Revenue Integrity Analyst CDM Deaconess Clinic Downtown

Provider Reimbursement Policy Manager- Patient Safety Elevance Health

Accounts Receivable Representative Jax Spine & Pain Centers

CBO Billing Relations Manager MedVanta Careers

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