OTHER

FEED

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Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Responsibilities: The essential duties and responsibilities (including but not limited to): Review requests for coding changes (including but not limited to CPT/HCPCS, diagnosis, modifiers, place of service, authorizations, UOM, MUE, NDC) based on payer denials to ensure accurate coding and billing.

Texas Oncology

Coding Analyst

[AW]-iCims

Assigns work; plans and manages priorities, provides technical assistance, oversees staff schedules, monitors quality of work, monitors team projects, mentors staff, provides constructive feedback, oversees staff training, ensures quality improvement, provides leadership feedback on staff performance, and assists with goal setting for the team. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

HOUR

Peace Health

Provider Coding Specialist Lead

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)

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SUMMARY: Under the general supervision of the Vice President, Corporate Compliance and Internal Audit (Vice President, CCIA), the Deputy Compliance Officer coordinates and manages the Compliance Program and is responsible for maintaining and continuously improving the effectiveness of Brown University Health's compliance program through developing and maintaining compliance metrics and data analytics, monitoring compliance work plan activities, managing the Conflict of Interest process, System Wide Exclusion Process, Revenue Compliance, and Review of Non Employed Clinician Agreements (including managing the database) and Brown University Health System Policy process, and overseeing the on-going development and administration of compliance risk assessment, training, monitoring and education activities. EXPERIENCE: Four to Seven years of healthcare compliance and privacy related experience required, along with previous management experience or four years of escalating responsibility and work-experience in compliance and/or privacy field (healthcare, law, internal audit) including progressive program and project management roles in large and complex organizations.

YEAR

Brown University Health

Director, Compliance Operations, Deputy Compliance Officer

A strong outpatient coding background at a senior level including coding of outpatient/inpatient charts, E/M charging, injection and infusions charging, as well as data management and coder audit and education experience. What You Will Do: Assists coders, compliant documentation management staff, and the Internal Revenue Integrity team with complex patient care cases by analyzing documentation and discussing correct code assignment.

Guidehouse Inc

HIM Outpatient Coding Supervisor

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). 8.Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.

Northwell Health Inc

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

FULL_TIME

Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina** . Identifies high volume, high risk coding, and reimbursement and quality problems.

Norton Healthcare

Coding Auditor, Revenue Integrity/Coding Physician Services, Shift Times Vary, Fully Remote

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

The Analyst serves as a bridge between technical teams, finance, managed care administrators, and operational teams to translate complex contractual and technical information into actionable business insights, with a focus on advanced data analysis and accurate calculation automation. The Managed Care Analyst position is responsible for building, maintaining, optimizing, and analyzing managed care contracts within Epic's Contract Maintenance and Contract Modeling modules for both hospital (HB) and professional (PB) billing environments to ensure accurate reimbursement calculations.

University of Texas MD Anderson Cancer Center

Managed Care Analyst

The Facility Biller & AR Specialist will review coding, correct and submit front-end rejections from the clearing house, review rejections from third party payers, along with analyzing and monitoring any aged accounts receivables through identifying areas of concern by age, category, payer, provider specialty, and facility to order to resolve claim issues and resubmit in a timely manner. We are seeking a motivated individual who is detail oriented and takes a collaborative team approach to problem solving, the Facility Biller & AR Specialist performs the day-to-day billing and follow-up activities concerning facility claims for multiple locations, and specialties.

Insight

Facility Biller

Department: QUALITY | Reports to: CHIEF COMPLIANCE & QUALITY OFFICER | Supervision Exercised: QUALITY STAFF OVERSIGHT Job Purpose: Director of Quality and Risk Adjustment The Director of Quality and Risk Adjustment provides strategic leadership for the development, implementation, oversight, and continuous improvement of organizational quality, risk adjustment, population health, and performance improvement programs. The Director collaborates with leadership, providers, and cross-functional teams to improve member outcomes, support value-based care initiatives, enhance revenue integrity, and drive organizational performance through data-informed decision making.

Advanced Health

Director of Medicaid Risk Adjustment & Quality

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

The compensation range for this position is specific to the location and is in good faith what SI-BONE expects to pay for the position taking into account the wide variety of factors that are considered in making compensation decisions, including job-related knowledge; skillset; experience, education and training; certifications; and other relevant business and organizational factors. Track, monitor and report the outcomes of reimbursement initiatives (example: appeal outcomes from peer – peer reviews, external [independent] medical reviews, trends, observed from the various initiatives, etc. in assigned territory.

SI-BONE

Senior Patient Case Advocate

GoHealth’s Core Values, listed below, are essential functions of this position: · Collaboration: Takes ownership for collectively establishing productive partnerships and relationships and seek to gain joint understanding of priorities and objectives so that the greater good of the organization and those we serve is always at the forefront. · Physical Activity: The role may require the ability to lift, carry, push, or pull materials, supplies, and equipment (up to 10 lbs.) Duties typically involve a combination of sitting, standing, and walking, with frequent changes in position.

GoHealth Urgent Care - UCSF Health

Coding Supervisor

Revenue Integrity'',''Revenue Integrity'',''MN-Minneapolis-Downtown Campus'',''MN-Minneapolis-Downtown Campus'','''','''',''FTE = 1.00 (80 hours per pay period)'',''FTE = 1.00 (80 hours per pay period)'',''Day'',''Day'',''Staff'',''Staff'',''Regular'',''Regular'',''Yes'',''Yes'',''Non-Union'',''Non-Union'',''$24.85'',''$24.85'',''$37.27'',''$37.27'',''Sep-11-2026'',''Sep-11-2026'',''false'',''428355'',''428355'',''true'',''428355'',''false'',''Submission for the position: Revenue Integrity Analyst Associate - (Job Number: 260982)'',''false'',''428355'',''false'',''true''. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St.

Hennepin County Medical Center

Revenue Integrity Analyst Associate

Responsible for all facets of medical, vision and/or dental billing and accounts receivable management including charge entry, payment posting, customer service and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability. Follow-up on all outstanding patient account balances at 90-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.

STERLING HEALTH SOLUTIONS, INC.

Billing Specialist I

The Clinical Coding Analyst will play a critical role in ensuring accurate and efficient processing of patient data, supporting the financial and operational integrity of healthcare services. If you have a passion for healthcare and a keen eye for detail, we invite you to apply for the position of Clinical Coding Analyst with our reputable organization.

Certified Professional Coder Jobs in the United States

Coding Analyst Texas Oncology

Provider Coding Specialist Lead Peace Health

Denials Coding Specialist (Part-Time) Gundersen Health System

Director, Compliance Operations, Deputy Compliance Officer Brown University Health

HIM Outpatient Coding Supervisor Guidehouse Inc

Coding Auditor Northwell Health Inc

Outpatient Certified Coder - Health Information Management County of Ventura

HCC Risk Adjustment Coder Datavant LLC

Coder Altru Health System

Coding Auditor, Revenue Integrity/Coding Physician Services, Shift Times Vary, Fully Remote Norton Healthcare

Professional, Certified Coding Integrity THE WRIGHT CENTER

Managed Care Analyst University of Texas MD Anderson Cancer Center

Facility Biller Insight

Director of Medicaid Risk Adjustment & Quality Advanced Health

Professional Medical Coder I Yale New Haven Health

Senior Patient Case Advocate SI-BONE

Coding Supervisor GoHealth Urgent Care - UCSF Health

Revenue Integrity Analyst Associate Hennepin County Medical Center

Billing Specialist I STERLING HEALTH SOLUTIONS, INC.

Clinical Coding Analyst Marvel Superheros

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