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Medical Auditor jobs at Conduent

- 181 jobs
  • Certified Medical Coder

    Infojini Inc. 3.7company rating

    Columbus, OH jobs

    Certified Coding Specialist Duration: 06-07+ months with strong possibility of extension Shift timing: Mon- Fri: 8:00 a.m. and 5:30 p.m (8 hrs/day & 40 hrs/week) Pay Rate: $34/hr on W2 JOB ID- RFQ- ICD-10 Interview Process: Two-part in-person testing This is on-site position, 5 days a week. When a candidate has completed the probation period/training, it will be reviewed.BWC location, 30 W. Spring St., Columbus, OH Minimum Requirements: • Proficient in diagnosis coding using ICD-10-CM and in coding procedures using CPT and using nationally recognized correct coding guidelines. • Current coding credentials from AHIMA (CCS, RHIT, or RHIA) OR AAPC (CPC) • At least 2 years' experience in ICD-10-CM diagnosis and CPT coding • Ability to handle time-sensitive coding issues. • Resume with references.
    $34 hourly 3d ago
  • Risk Adjustment Coder

    Software Guidance & Assistance, Inc. (SGA, Inc. 4.1company rating

    Greensboro, NC jobs

    Software Guidance & Assistance, Inc., (SGA), is searching for a Risk Adjustment Coders for a Contract assignment with one of our premier Healthcare clients in Greensboro, NC. (Open to remote) Responsibilities : The Coding Educator Risk Adjustment provides coding trainings and education as well as supports physicians, mid-levels,and support staff on how to be understand and capture HCCs for appropriate organization members. Working under general supervision, this role provides prospective and retrospective chart reviews, provider assessments, and one-on-one and group education. Abstracts diagnosis codes per THN policy from notes to be used to educate provider and staff on the importance of coding appropriately for HCC. Prepares targeted education for providers and staff with practice specific information. Acts as a coding resource for practices and responds in a timely manner to inquiries. Establishes and maintains a positive and professional working relationship with physicians, clinical, administrative and other staff as well as THN internal staff. Works with leadership team to establish EMR access within all practices. Actively participates in THN POD meetings with other THN departments and completes daily logs and other process forms as directed by supervisor. Performs other duties as assigned. Required Skills: HS Diploma/GED MUST be a Certified Professional Coder (CPC only) - no other coding certs accepted 2-5 years of Risk Adjustment coding experience required Ability to work independently in a fast paced environment own ICD10 coding books (required) Preferred Skills: CRC certification preferred SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at ******************* . SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company EEO page to request an accommodation or assistance regarding our policy.
    $40k-52k yearly est. 4d ago
  • EHR/EMR Principal Data Analyst

    Elsevier 4.2company rating

    Philadelphia, PA jobs

    Client Facing EHR/EMR Principal Data Analyst About the role - We are seeking a Principal Data Analyst with an EHR/EMR expertise to provide the technical and operational expertise that supports ClinicalPath's sales, implementation, and product teams. This role combines a deep understanding of EHR integrations with hands-on technical skills in SQL, reporting, and automation. You will be a key partner in customer-facing technical discussions-helping clarify integration requirements, supporting security and compliance assessments, and ensuring a seamless handoff into implementation. This position is ideal for someone who thrives at the intersection of technology, healthcare workflows, and customer engagement. About the team - ClinicalPath is a clinical decision-support system used mainly in cancer care. It gives doctors evidence-based treatment pathways so they can choose the best possible care plan for each patient. Requirements Possess extensive and current SQL skills for query writing, optimization, and troubleshooting. Have a deep familiarity with EHR/EMR systems and integration workflows, including HL7, FHIR, and ADT message formats. Experience supporting or executing technical assessments, security reviews, or RFPs. Possess the ability to easily communication with both technical and clinical stakeholders. Proven ability to manage and maintain technical documentation and customer-facing collateral. Experience in technical or customer-facing role (product operations, solutions engineering, or technical account management). Understanding of cloud infrastructure (AWS, Azure) and healthcare data security best practices. Responsibilities Customer & Sales Support Participating in customer-facing technical and sales discussions to assess EHR integration needs, data exchange requirements, and clinical workflows. Providing expert guidance on interoperability standards (HL7, FHIR, ADT, API integrations) and their application within the ClinicalPath platform. Supporting the completion of technical documentation, risk/security questionnaires, and compliance assessments (HIPAA, ISO 27001). Maintaining and refresh demo environments (Figma-based and live) to ensure technical accuracy and consistency with current product capabilities. Serving as a technical liaison during the contracting and pre-implementation phase, ensuring accurate documentation and clear communication of requirements. Technical Execution & Operations Writing, optimizing, and troubleshooting SQL queries to support reporting, analytics, and data-driven product operations. Developing and maintaining recurring reporting and extract processes, including payer, client, and internal data feeds. Maintaining up-to-date technical documentation, architecture diagrams, and internal FAQs to support consistency and knowledge sharing. Cross-Functional Collaboration & Improvement Partnering closely with product, implementation, and customer success teams to translate customer requirements into clear, actionable specifications. Identifying opportunities to streamline demo, handoff, and documentation processes for greater operational efficiency. Contributing to product and process improvements based on recurring customer feedback or integration challenges. Supporting data analysis and technical insights for leadership teams across sales, product, and operations.
    $75k-99k yearly est. 1d ago
  • Medical Coder III

    SAIC 4.4company rating

    Texas jobs

    SAIC is looking for a Full-Time **Remote** Medical Coder III to provide remote medical coding support to government Medical Treatment Facilities assigned under the Defense Health Agency (DHA) Medical Coding Program Branch. This position is 100% remote and can be performed anywhere in the United States. Applicants must have experience in multiple coding modalities/specialties, such as inpatient professional, inpatient facility, same day surgeries, observation, Emergency Department, outpatient specialty/ primary care encounters. **Responsibilities and Qualifications:** + Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT). + Advanced knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and Resource-Based Relative Value Scale (RBRVS). + Advanced knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes. **Qualifications** **Experience Requirements:** + A minimum of five (5) years of medical coding and/or auditing experience in four or more medical, surgical, and ancillary specialties within the past fifteen (15) years. + A minimum of one (1) year of performance in the specialty is required to be qualifying. Multiple specialties encompass different medical specialties (i.e., Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes. Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E&M codes do not count as qualifying experience. Additionally, coding, auditing, and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience. Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) is not a qualifying factor. **Certifications:** Applicants must have **ONE** of the following medical coding certifications: **RHIT/RHIA/CPC/CCS-P/** **CDEO/CDEI/ACDIS/CCDS/CCDS-O/CDIP/CEMA** Applicants who possess multiple certifications from the list above are preferred. ****** Medical coding personnel shall maintain the required continuing education hours in order to maintain current and proper national certification (requirements for this position).** **Selected applicant must do the following before starting, based on government requirements:** + Pass a pre-employment coding test. + Provide proof of specific vaccinations. + The selected applicant will be subject to a government security investigation and must meet eligibility requirements. + Must be able to obtain clearance. Target salary range: $40,001 - $80,000. The estimate displayed represents the typical salary range for this position based on experience and other factors. REQNUMBER: 2512059 SAIC is a premier technology integrator, solving our nation's most complex modernization and systems engineering challenges across the defense, space, federal civilian, and intelligence markets. Our robust portfolio of offerings includes high-end solutions in systems engineering and integration; enterprise IT, including cloud services; cyber; software; advanced analytics and simulation; and training. We are a team of 23,000 strong driven by mission, united purpose, and inspired by opportunity. Headquartered in Reston, Virginia, SAIC has annual revenues of approximately $6.5 billion. For more information, visit saic.com. For information on the benefits SAIC offers, see Working at SAIC. EOE AA M/F/Vet/Disability
    $40k-80k yearly 9d ago
  • Medical Coding Analyst

    IMO 4.2company rating

    Remote

    The Medical Coding Analyst plays a critical role in applying accurate and compliant code set mappings for customers and clients using IMO Health's interface terminology. This role requires a solid foundation in terminology mapping and active participation in complex work beyond core team responsibilities. The Medical Coding Analyst is committed to continuous growth across IMO Health knowledge, technical expertise, and soft skills, and contributes meaningfully to team success through collaboration and initiative. WHAT YOU'LL DO: Assign and maintain administrative code set mappings (ICD-10-CM, ICD-10-PCS, CPT4, HCPCS) for interface terminology in accordance with production and release schedules. Maintain content in accordance with code set updates and adhere to nationally recognized authoritative coding guidelines. Collaborate with internal teams to address customer inquiries via IMO health's defined ticketing system as necessary. Stay current with evolving clinical practices, regulatory guidelines, and updates to code sets from CMS, AMA, and other regulatory organizations. Participate in editorial discussions and contribute to the development of team standards and best practices. Take initiative in identifying mapping discrepancies and proactively engage in discussions to resolve them. Contribute to team systems that support quality and data-driven decision-making. WHAT YOU'LL NEED: Experience with US-based ICD-10-CM, ICD-10-PCS, CPT4, and HCPCS code sets required. Associate or bachelor's degree in health information management systems or equivalent experience preferred. A minimum of three years' experience with medical records coding, electronic health records and medical terminology preferred. One of the following credentials required: RHIA, RHIT, CCS, or CPC. Demonstrated ability to apply conceptual and critical thinking to solve complex mapping challenges, identify root issues, and communicate solutions clearly. Effective communication skills, including the ability to present information clearly, listen actively, and collaborate constructively across teams. Technical expertise in applying and expanding knowledge of code sets (ICD-10-CM, ICD-10-PCS, CPT4, HCPCS) and emerging technologies to support quality and compliance. IMO Health is a hybrid workplace. We generally work wherever we do our best work; however, we value facetime & collaboration in the office.
    $71k-96k yearly est. Auto-Apply 60d+ ago
  • Outpatient Facility Coding Specialist FT TEMP (K)

    Gebbs 4.4company rating

    Remote

    Outpatient Facility Coding Specialist - Full Time Temp. Position Type: Full-Time Temporary (scheduled through May 2025) Employment Status: W-2 Employee, Benefit Eligible GeBBS Healthcare Solutions is a leader in Health Information Management and Revenue Cycle Management. We are dedicated to fostering a culture of excellence and collaboration in the healthcare industry. We are currently seeking credentialed Outpatient Facility Coding Specialists with a minimum of 2-3 years of experience to join our dynamic team. Position Overview: As an Outpatient Facility Coding Specialist, you will play a crucial role in coding all diseases, operations, and procedures for outpatients in accordance with ICD-10-CM, UHDDS, and AMA CPT-4 standards. Your expertise in large trauma Level I facilities will be invaluable in ensuring the accuracy and compliance of our coding practices. Responsibilities Key Responsibilities: Code all outpatient procedures according to client specifications. Abstract patient data, ensuring accuracy and compliance with client policies. Stay updated on coding policies and procedures; seek clarification on ambiguous information. Utilize healthcare abstracting software and ICD-10 data sets. Initiate physician queries following client-specific procedures. Monitor and communicate regulatory changes to the Coding Supervisor. Qualifications Qualifications: Credentialed medical coder with at least 3 years of experience. Experience in facility OP & ED coding for large trauma Level I facilities (SDS, OBS, ED) is essential; IR/Cath experience is preferred Strong attention to detail and commitment to accuracy. Working hours must be between 6a-6:30p Pacific time Mon-Fri only. This position is expected to end May 2025. Full time prefer 40 hours but will consider 30. US Based Benefits: At GeBBS, we value our employees and offer a comprehensive benefits package, including: Health insurance through Aetna (medical, dental, vision, FSA, HSA, Life Insurance, STD, LTD, AD&D). Laptops and second monitors provided as needed. Professional development opportunities with over 10,000 employees worldwide. Paid time off and holidays 401K matching and Roth options. Why Join Us? If you are a passionate and experienced medical coding professional looking for flexible remote work opportunities, we encourage you to apply today. Become a part of a team that values excellence and collaboration in healthcare!
    $38k-55k yearly est. Auto-Apply 60d+ ago
  • Coder - Facility - CABG/Heart Cath

    CPSI 4.7company rating

    Remote

    Abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Works with coding databases and confirms DRG and CPT assignments. Inputs and maintains data on procedures required for state or other reporting. May require an associate degree. Requires an AAPC Certified Professional Coder (CPC) or AHIMA RHIT or CCS active credentials. Works with the coding manager and the coding team on this site. Works under moderate supervision. Has attained full proficiency in multiple specialties of discipline. Typically requires 4+ years of related coding experience. Performs coding on multiple specialties with proficiency. Business Support
    $40k-56k yearly est. Auto-Apply 6d ago
  • Coder - Facility (Surgery & Observation) - Heart Cath/CABG

    CPSI 4.7company rating

    Remote

    Abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Works with coding databases and confirms CPT codes. Inputs and maintains data on procedures required for state or other reporting. May require an associate degree. Requires a certification from AAPC Certified Professional Coder (CPC) or AHIMA RHIT or CCS. Works with the coding manager and team on this site. Has attained full proficiency in multiple specialties of discipline. Typically requires 4+ years of related OBS/OPS coding experience, and may include additional credentials. Performs coding on multiple specialties with proficiency. Business Support
    $40k-56k yearly est. Auto-Apply 40d ago
  • Quality Medical Auditor - Coding Specialist

    Palmetto GBA 4.5company rating

    Columbia, SC jobs

    Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Location: This role is located at 2401 Faraway Drive, Columbia, SC 29229. There is the potential for remote work. What You'll Do: Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates. Manages records retrieval, release, HIPAA compliance, and all aspects of document management. Serves as expert resource on methodology and procedures for medical records and coding issues. To Qualify for This Position, You'll Need the Following: Required Education: Associates in a job-related field Degree Equivalency: Graduate of Accredited School of Nursing Required Work Experience: 3 years medical record management to include coding and validation review experience. Skills and Abilities: Excellent verbal and written communication, organizational, customer service, and analytical or critical thinking skills. Good judgment. Ability to handle confidential or sensitive information with discretion. Extensive medical records and coding knowledge. Working knowledge of contract evaluations, claims processing and adjudication practices. Required Licenses and Certificates: Registered Records Administrator or Technician, OR active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR Certified Coding Specialist. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.
    $35k-44k yearly est. Auto-Apply 11d ago
  • Medical Coding Analyst

    IMO 4.2company rating

    Houston, TX jobs

    The Medical Coding Analyst plays a critical role in applying accurate and compliant code set mappings for customers and clients using IMO Health's interface terminology. This role requires a solid foundation in terminology mapping and active participation in complex work beyond core team responsibilities. The Medical Coding Analyst is committed to continuous growth across IMO Health knowledge, technical expertise, and soft skills, and contributes meaningfully to team success through collaboration and initiative. WHAT YOU'LL DO: Assign and maintain administrative code set mappings (ICD-10-CM, ICD-10-PCS, CPT4, HCPCS) for interface terminology in accordance with production and release schedules. Maintain content in accordance with code set updates and adhere to nationally recognized authoritative coding guidelines. Collaborate with internal teams to address customer inquiries via IMO health's defined ticketing system as necessary. Stay current with evolving clinical practices, regulatory guidelines, and updates to code sets from CMS, AMA, and other regulatory organizations. Participate in editorial discussions and contribute to the development of team standards and best practices. Take initiative in identifying mapping discrepancies and proactively engage in discussions to resolve them. Contribute to team systems that support quality and data-driven decision-making. WHAT YOU'LL NEED: Experience with US-based ICD-10-CM, ICD-10-PCS, CPT4, and HCPCS code sets required. Associate or bachelor's degree in health information management systems or equivalent experience preferred. A minimum of three years' experience with medical records coding, electronic health records and medical terminology preferred. One of the following credentials required: RHIA, RHIT, CCS, or CPC. Demonstrated ability to apply conceptual and critical thinking to solve complex mapping challenges, identify root issues, and communicate solutions clearly. Effective communication skills, including the ability to present information clearly, listen actively, and collaborate constructively across teams. Technical expertise in applying and expanding knowledge of code sets (ICD-10-CM, ICD-10-PCS, CPT4, HCPCS) and emerging technologies to support quality and compliance. IMO Health is a hybrid workplace. We generally work wherever we do our best work; however, we value facetime & collaboration in the office.
    $66k-93k yearly est. Auto-Apply 60d+ ago
  • Medical Coder

    Bcforward 4.7company rating

    Austin, TX jobs

    About BCforward BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 17 locations in North America as well as Hyderabad, India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. With 14+ years of uninterrupted growth, the addition of two brands (Stafforward and PMforward) and a team of more than 1400 resources our teams deliver services for multiple industries from both public and private sectors. BCforward's team of dedicated staffing professionals has placed thousands of talented people over the past decade, with retention rates that are consistently higher than the industry average. Job Description Basic Qualifications: - Certified Professional Coder certification required. ICD-10 certified with broad current outpatient billing/coding experience to assist in operationalizing medical policy development related matters or other projects as specified by the State. The Certified Coder must demonstrate competency in the knowledge and skills specified. - Minimum of 3 years of health care/medical industry experience - Minimum of 2 years proficiency in using PC software, including word processing, MS-Excel - Minimum of 2 years of International Classification of Disease ( ICD) experience Preferred skills: - RN/LVN - Strong knowledge of medical/dental terminology - Prior health insurance, Medicaid, and or claims processing, including ICD, NCCI and HCPCS experience - Significant experience using spreadsheet and word processing functionality - Degree in health care/medical field Professional Experience: - Excellent oral and written communications - Excellent analytical and problem solving Additional Information Must be able to pass a background and drug screen
    $50k-65k yearly est. 60d+ ago
  • Medical Coding Analyst

    IMO 4.2company rating

    Rosemont, IL jobs

    The Medical Coding Analyst plays a critical role in applying accurate and compliant code set mappings for customers and clients using IMO Health's interface terminology. This role requires a solid foundation in terminology mapping and active participation in complex work beyond core team responsibilities. The Medical Coding Analyst is committed to continuous growth across IMO Health knowledge, technical expertise, and soft skills, and contributes meaningfully to team success through collaboration and initiative. WHAT YOU'LL DO: Assign and maintain administrative code set mappings (ICD-10-CM, ICD-10-PCS, CPT4, HCPCS) for interface terminology in accordance with production and release schedules. Maintain content in accordance with code set updates and adhere to nationally recognized authoritative coding guidelines. Collaborate with internal teams to address customer inquiries via IMO health's defined ticketing system as necessary. Stay current with evolving clinical practices, regulatory guidelines, and updates to code sets from CMS, AMA, and other regulatory organizations. Participate in editorial discussions and contribute to the development of team standards and best practices. Take initiative in identifying mapping discrepancies and proactively engage in discussions to resolve them. Contribute to team systems that support quality and data-driven decision-making. WHAT YOU'LL NEED: Experience with US-based ICD-10-CM, ICD-10-PCS, CPT4, and HCPCS code sets required. Associate or bachelor's degree in health information management systems or equivalent experience preferred. A minimum of three years' experience with medical records coding, electronic health records and medical terminology preferred. One of the following credentials required: RHIA, RHIT, CCS, or CPC. Demonstrated ability to apply conceptual and critical thinking to solve complex mapping challenges, identify root issues, and communicate solutions clearly. Effective communication skills, including the ability to present information clearly, listen actively, and collaborate constructively across teams. Technical expertise in applying and expanding knowledge of code sets (ICD-10-CM, ICD-10-PCS, CPT4, HCPCS) and emerging technologies to support quality and compliance. IMO Health is a hybrid workplace. We generally work wherever we do our best work; however, we value facetime & collaboration in the office.
    $50k-68k yearly est. Auto-Apply 60d+ ago
  • Sr. Medical Coder (Inpatient)

    Odyssey Information Services 4.5company rating

    Houston, TX jobs

    Job Description We're seeking an experienced Inpatient Coder to join our remote Health Information Management team. This advanced coding role functions with a high degree of independence and requires strong analytical skills, coding accuracy, and clinical understanding across a wide variety of specialties. You'll be responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes and MS-DRGs for inpatient hospital services across complex medical and surgical cases. This includes specialties such as Neurology, Oncology, Urology, Transplant, OB/Newborn, Orthopedics, Cardiology, and Critical Care - including trauma and acutely ill patients. This position offers the opportunity to work in a collaborative, quality-driven environment where coders partner closely with Clinical Documentation Improvement (CDI) teams and providers to ensure complete and compliant medical records. Key Responsibilities Assign accurate ICD-10-CM/PCS diagnosis and procedure codes for inpatient accounts. Determine and validate MS-DRG groupings per facility and payer guidelines. Ensure Present on Admission (POA) indicators are coded accurately. Review medical record documentation for completeness and query providers when needed. Collaborate with CDI specialists to ensure documentation supports optimal code assignment. Maintain 95% or higher coding accuracy and meet productivity standards. Support denial management and provide coding justifications for payer appeals. Participate in audits, QA reviews, and other departmental projects as assigned. Qualifications Required: 1+ year of recent inpatient coding experience in an academic or acute care hospital OR 3+ years of hospital inpatient coding experience in a multi-specialty environment. Certification: RHIA, RHIT, or CCS required. Education: Completion of a Coding Certificate Program or Associate degree in Health Information Management (HIM) or related field. Preferred: 3+ years of inpatient coding experience in an academic or Level I Trauma Center setting. Bachelor's degree in HIM or related discipline. Skills & Competencies In-depth knowledge of ICD-10-CM/PCS coding, DRG assignment, and CMS guidelines. Strong communication and query-writing skills. Proficiency in EMR systems and computer-assisted coding software. Ability to manage complex cases independently and meet strict deadlines. Commitment to compliance, accuracy, and continuous learning. Eligible States Candidates must reside in one of the following states to be considered: Alabama, Arizona, Arkansas, Colorado, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, or Wyoming.
    $48k-66k yearly est. 9d ago
  • Medical Coder

    Medusind 4.2company rating

    Miami, FL jobs

    At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with a rich domain expertise and robust compliance norms. Our four-prong approach of an excellent management team coupled with detailed eye for processes, experienced manpower, and cutting edge technology helps us deliver superior, cost effective services to our clients across the globe. Job Description SUMMARY: This position is a member of a team that is responsible for coding review, coding education, and charge entry. The goal of the team is to ensure correct coding, timely charge entry, billing compliance, and to provide on-going coding education to providers and staff. RESPONSIBILITIES: Stays up-to-date on coding rules and CPT/ICD/HCPCS codes. Stays up-to-date on 3rd party payer rules and integrates those rules into daily work. Review for accuracy all charge slips submitted by the Medusind clients and hospital departments. Make corrections based on the medical documentation. Assist the department manager with collecting data for trends to help develop training plans for clients and providers. Assist billing office in addressing billing concerns from the Collections team as necessary. Perform random audits on charts. Data entry of the charges in a timely and accurate fashion. Perform other duties as assigned. Participate in continuing education sessions. Foster and maintain excellent relationships with Medusind clients. Qualifications KNOWLEDGE, SKILLS, AND ABILITIES: Minimum of five years experience working with CPT, ICD-10 and HCPCS codes. A strong understanding of coding requirements. Must either possess a CPC certification or a CCS certification. 1 year Radiology, Neurology and Medicare Part B coding experience. Knowledge of computer applications and Microsoft Office processing. Additional Information All your information will be kept confidential according to EEO guidelines.
    $37k-49k yearly est. 2h ago
  • CODING Apprenticeship

    I.C.Stars 3.6company rating

    Kansas City, MO jobs

    Thank you for your interest in i.c.stars! YOUR FUTURE IN TECH, STARTS TODAY! We are now accepting applications for the upcoming cycle. APPLY TODAY! Who are we?: i.c.stars |* is an immersive, technology-based leadership training program for promising young adults. The basics: Participants in the program start as *Interns. As an i.c.stars |* Intern, you participate in a 16-week paid training program, which includes: project-based learning to build leadership skills and emotional intelligence core technical skills training in coding: JavaScript, HTML, CSS, C#, and SQL Networking opportunities with Executives and Professionals in the IT field Career preparation and placement assistance Upon completing the 16-weeks, *Interns graduate to become *Residents. Residency includes: 20 months of professional and social service support Access to laptops and software Business and Leadership Development events College Enrollment Assistance Our minimum requirements: Minimum age 18 or older Demonstrate financial need GED recipient or High School graduate (Bachelor degree candidates are not eligible, some college accepted) Have never attended a coding bootcamp in the past Available to attend training from 8AM-8PM, Monday-Friday for 16 weeks 6 months previous full-time work experience preferred Agree to a strict 'On Time, No Absence' policy
    $34k-43k yearly est. 60d+ ago
  • CODING Apprenticeship

    I.C.Stars 3.6company rating

    Milwaukee, WI jobs

    Thank you for your interest in i.c.stars! YOUR FUTURE IN TECH, STARTS TODAY! We are now accepting applications for the upcoming cycle. APPLY TODAY! Who are we?: i.c.stars |* is an immersive, technology-based leadership training program for promising young adults. The basics: Participants in the program start as *Interns. As an i.c.stars |* Intern, you participate in a 14-week paid training program, which includes: project-based learning to build leadership skills and emotional intelligence core technical skills training in coding: JavaScript, HTML, CSS, C#, and SQL Networking opportunities with Executives and Professionals in the IT field Career preparation and placement assistance Upon completing the 14-weeks, *Interns graduate to become *Residents. Residency includes: 20 months of professional and social service support Access to laptops and software Business and Leadership Development events College Enrollment Assistance Our minimum requirements: Minimum age 18 or older Demonstrate financial need GED recipient or High School graduate (Bachelor degree candidates are not eligible, some college accepted) Have never attended a coding bootcamp in the past Available to attend training from 8:30 AM-7:00 PM, Monday-Friday for 14 weeks 6 months previous full-time work experience preferred Agree to a strict 'On Time, No Absence' policy
    $35k-44k yearly est. 60d+ ago
  • Analyst Coder II/ Medical Records Coder

    Heitech Services 4.4company rating

    Hyattsville, MD jobs

    Job DescriptionDescription: At HeiTech Services, our employees are our biggest assets. HeiTech Services is dedicated to attracting highly skilled and motivated professionals. We value our employees. We offer our employees challenging opportunities that facilitate professional growth and development while also providing the support you need to succeed. We are committed to your success because we understand that our employees are the driving force behind HeiTech Services' continued growth. Our mission is to help the Federal Government keep Americans safe. Position Description: * Non-patient care role. This position is responsible for reviewing, prioritizing, and analyzing adverse medical events related to medical devices that are submitted on MedWatch reporting forms via hard copy or electronically to our customer, the Food and Drug Administration (FDA). Additionally, this position is responsible for processing and coding a variety of reports from device manufacturers (MFR), importers, user facilities, health care professionals, and customers. While Analyst Coders may be assigned to perform the primary functions shown above, they will also be cross-trained to perform secondary duties according to business needs. Security Clearance: Must possess or be able to obtain a Public Trust Clearance. Location: This position requires onsite attendance in the office (Landover, MD) during the training period. After successful completion of training, the role may be eligible for remote or hybrid work arrangements. Essential Functions: Analyze all MedWatch reporting forms to determine if they meet the designated Code Blue criteria as identified by FDA. Assign the appropriate product, manufacturer, patient, and device problem codes that correlate with the patient consequences that occurred due to the use of the device. Enter the product code, MFR shortname, patient and device codes into the FDA proprietary database application. Take phone reports from the general public and translate the data to the MedWatch 3500 form. Identify reports not regulated by the Center for Devices and Radiological Health (CDRH) and inform the Supervisor for forwarding to the appropriate FDA Center. Participate in team meetings to discuss coding and other processing issues. Interact with Administrative, Data Entry, Quality Control, and Editor staff to process the reports according to quality guidelines of the contract. Query databases for information needed in the processing of the reports. Ensure the accuracy of data entered into critical fields, per coding principles and procedures and the Standard Operating Procedures (SOPs). Perform data entry functions as needed; and provide quality assurance of the entered data providing critical feedback to data entry staff using a database designed to capture, track, and report errors. Perform coding in accordance with FDA instructions for coding and ICH Coding Principles for documents. Perform quality control and quality assurance procedures to ensure the appropriate selection of codes. Interface with internal users as well as external stakeholders. Apply and use MS Office Suite tools Microsoft Word and Microsoft Excel. Review and retrieve system data, match output with specifications in accordance with Standard Operating Procedures and resolve discrepancies. HeiTech Services is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or veteran status. Requirements: Must possess a Bachelor's degree in related health science fields such as nursing, pharmacy, veterinary, and/or certified licensed technicians as appropriate for each center. Good telephone etiquette. Clinical experience in the different medical specialties. Team player, good organizational skills, flexible, open to feedback, and sensitive to time related deadlines. Attention to detail and ability to note and implement the changing regulations and procedures. Basic computer and typing skills.
    $43k-63k yearly est. 15d ago
  • CODING Apprenticeship

    I.C.Stars 3.6company rating

    Chicago, IL jobs

    Thank you for your interest in i.c.stars! YOUR FUTURE IN TECH, STARTS TODAY! We are now accepting applications for the upcoming cycle. APPLY TODAY! Who are we?: i.c.stars |* is an immersive, technology-based leadership training program for promising young adults. The basics: Participants in the program start as *Interns. As an i.c.stars |* Intern, you participate in a 16-week paid training program, which includes: project-based learning to build leadership skills and emotional intelligence core technical skills training in coding: JavaScript, HTML, CSS, C#, and SQL Networking opportunities with Executives and Professionals in the IT field Career preparation and placement assistance Upon completing the 16-weeks, *Interns graduate to become *Residents. Residency includes: 20 months of professional and social service support Access to laptops and software Business and Leadership Development events College Enrollment Assistance Our minimum requirements: Minimum age 18 or older Demonstrate financial need GED recipient or High School graduate (Bachelor degree candidates are not eligible, some college accepted) Have never attended a coding bootcamp in the past Available to attend training from 8AM-8PM, Monday-Friday for 16 weeks 6 months previous full-time work experience preferred Agree to a strict 'On Time, No Absence' policy
    $35k-45k yearly est. 60d+ ago
  • Medical Coder

    Bcforward 4.7company rating

    Philadelphia, PA jobs

    BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 20 locations in North America as well as India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. Job Description Position: Medical Coder Location: PHILADELPHIA PA 19103 Duration: 3+months Rate: $14.80/Hr on W2 Contractor will sign on daily chart review application to review medical records for risk adjustment coding. The coder will identify risk adjustment codes based upon coding guidelines. The coder will be knowledgeable and familiar with computers and technology. The coder will be a certified professional coder with at least 2 years of experience. The coder will meet 3x a week with a coding manager to review metrics and progress to-date. Additional Information Namratha Gandavarapu Sr. Recruiter Direct: ************
    $14.8 hourly 60d+ ago
  • Medical Coder

    Bcforward 4.7company rating

    Philadelphia, PA jobs

    BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 20 locations in North America as well as India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. Job Description Position: Medical Coder Location: PHILADELPHIA PA 19103 Duration: 3+months Rate: $14.80/Hr on W2 Contractor will sign on daily chart review application to review medical records for risk adjustment coding. The coder will identify risk adjustment codes based upon coding guidelines. The coder will be knowledgeable and familiar with computers and technology. The coder will be a certified professional coder with at least 2 years of experience. The coder will meet 3x a week with a coding manager to review metrics and progress to-date. Additional Information Namratha Gandavarapu Sr. Recruiter Direct: ************
    $14.8 hourly 2h ago

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