UNKNOWN

FEED

REQUIRED EDUCATION AND EXPERIENCE: Associate's degree in Business, Healthcare, or a related field; and at least five (5) years of healthcare experience, including at least two years in an active role involving coding, auditing, finance, revenue cycle management, and/or physician billing (preferably within an Academic Medical Center setting); or equivalent combination of education and experience. ESSENTIAL RESPONSIBILITIES / DUTIES: Revenue Cycle Initiative Leadership: Leads complex revenue cycle initiatives and large-scale optimization projects across high-revenue-generating or at-risk clinical departments to improve overall revenue integrity, operational efficiency, and regulatory compliance.

YEAR

Boston Medical Center

Senior Coding and Revenue Integrity Analyst

FULL_TIME

However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. Essential Functions and Responsibilities include the following: Review accounts using information from multiple data bases to assign applicable codes; Enter/validate all additional information needed for billing.

Air Methods

Coding Specialist 1

[AW]-iCims

This role supervises billing, collections, payment posting, denial management, and accounts receivable teams to ensure clients achieve optimal reimbursement, reduced A/R days, and high clean-claim rates. The RCM Supervisor serves as a key liaison between clients, payers, providers, and internal teams, ensuring service excellence and compliance with industry regulations.

PROMD PRACTICE MANAGEMENT INC

RCM Supervisor

The Clinical Documentation Integrity (CDI) Education Lead collaborates with key stakeholders such as the CDI Leadership team, coding team members, providers, facility and service-line operational leadership, CDI & Coding auditors, and others to train providers on documentation best practices aimed at improving clinical documentation and coding accuracy. It is expected that all non-clinical (coding) background candidates have at least one of the following active/current certifications: (1) Certified Coding Specialist (CCS) from AHIMA, (2) Certified Professional Coder (CPC) from AAPC, (3) Registered Health Information Administrator (RHIA) from AHIMA, or (4) Registered Health Information Technician (RHIT) from AHIMA Upon Hire Required.

Wellstar

Clinical Documentation Education Lead

At least one year of hands-on AdvancedMD experience supporting revenue-cycle workflows , including claims, payment posting, denials, reporting, or A/R managementExperience building financial and RCM performance reports and presenting them to leadership. Build, analyze, and present RCM and financial performance reports to leadership, including net collections, days in A/R, aging, denial trends, reimbursement variance, underpayments, bad debt, and team productivity.

Rocky Mountain Laboratories LLC

Revenue Cycle Manager – Clinical Lab Billing

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OTHER

Provide leadership for all revenue cycle staff; supervise staffing, productivity, annual evaluations, coaching, disciplinary actions, and payroll approvals; partner with executive leadership, operations, finance, compliance, and clinical leaders to achieve organizational goals. Operating 11 Community Health Centers, 2 PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.

Piedmont Health Services

Revenue Cycle Manager

ExactHire

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.

HOUR

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

ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. By maintaining up-to-date knowledge of healthcare regulations and insurance policies, the Claims Examiner helps protect the organization from financial loss and supports the delivery of fair and efficient claims processing.

Independent Living Systems LLC

Claims Examiner

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

Experience with coding denials, payer rejections, Medicare National Correct Coding Initiative (NCCI) edits, and Medicare National and Local Coverage Determinations (NCDs/LCDs). Emplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin.

Gundersen Health System

Denials Coding Specialist (Part-time)

Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country. Certified Coding Specialist (CCS) certification by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC).

Seattle Children's Hospital

Revenue Integrity Specialist

Deliver 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.

Strive Health

Risk Adjustment Documentation & Coding Educator

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

Advanced Analytics & Suspecting Engine Governance: Suspecting Models: Partner with Healthcare Data Analytics teams to optimize "suspecting engines" that evaluate historic claims, prescription data, lab results, and social determinants of health (SDOH) to predict undocumented or under-documented chronic illnesses. Operating within a network structure comprised of independent, Fee-for-Service (FFS) practices and delegated Independent Physician Associations (IPAs), this Director leads programs such as in-home and virtual assessments, pre-visit suspecting, point-of-care documentation supports, and concurrent validation.

Inland Empire Health Plan

Director, Risk Adjustment Prospective Programs

When determining a team members base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Preferred Qualifications: Experience in surgical coding with an emphasis on the following specialties: ENT, Neurosurgery, Orthopedics, Transplant, Plastic/Reconstructive Surgery.

Northwell Health Inc

Coding Auditor (Surgical Coding experience required)

This role is responsible for reviewing, researching, and resolving unpaid or denied insurance claims while ensuring accurate and timely reimbursement for medical services rendered. The ideal candidate is highly organized, an effective communicator, and comfortable working independently in a remote yet collaborative environment.

ResPro Health

Medical Billing Manager

Initial training will take place at a Norton Healthcare facility, and you must be available to come onsite for business needs as required. Identifies high volume, high risk coding, and reimbursement and quality problems.

Norton Healthcare

Coding Auditor, Revenue Integrity/Coding Administration, Days, Hybrid

ADAPTED_NOW

Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization.

Certified Professional Coder Jobs in the United States

Senior Coding and Revenue Integrity Analyst Boston Medical Center

Coding Specialist 1 Air Methods

RCM Supervisor PROMD PRACTICE MANAGEMENT INC

Clinical Documentation Education Lead Wellstar

Revenue Cycle Manager – Clinical Lab Billing Rocky Mountain Laboratories LLC

Revenue Cycle Manager Piedmont Health Services

Outpatient Certified Coder - Health Information Management County of Ventura

HCC Risk Adjustment Coder Datavant LLC

Coder Altru Health System

Claims Examiner Independent Living Systems LLC

Professional, Certified Coding Integrity THE WRIGHT CENTER

Denials Coding Specialist (Part-time) Gundersen Health System

Revenue Integrity Specialist Seattle Children's Hospital

Risk Adjustment Documentation & Coding Educator Strive Health

Professional Medical Coder I Yale New Haven Health

Director, Risk Adjustment Prospective Programs Inland Empire Health Plan

Coding Auditor (Surgical Coding experience required) Northwell Health Inc

Medical Billing Manager ResPro Health

Coding Auditor, Revenue Integrity/Coding Administration, Days, Hybrid Norton Healthcare

Clinical Documentation Specialist (40 hrs/Temple Physicians Inc.) Temple Health

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