1,273 Medical Coding jobs in the United States

Job Description:Pay Range: $30hr - $35hr Acts as an internal expert to ensure that as value-based reimbursement and medical policy models are developed and implemented. Provides advanced knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing, and contracting rules knowledge to help build the effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. Consults on proper coding rules in value-based contracts to ensure appropriate quality measure capture and proper use of CPT and ICD10 codes. Provides input on various consequences for different financial and incentive models. Supports to use of alternatives and solutions to maximize quality payments and risk adjustment. Translates from claim language to services in an episode or capitated payment to articulate inclusions and exclusions in models. Serves as a technical resource / coding subject matter expert for contract pricing related issues. Conducts business and operational analyses to assure payments are in compliance with contract; identifies areas for iimprovement and clarification for better operational efficiency. Provides problem solving expertise on systems issues if a code is not accepted. Troubleshoots, make recommendations and answer questions onmore complex coding and billing issues whether systemic or one-off. Supports and contributes to the development and refinement of effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. May interface directly with provider groups during proactive training events or just in time on complex claims matters. Consults with various teams, including the Practice Transformation Consultants, Medical Policy Analysts and Provider Networks colleagues to interpret coding and documentation language and respond to inquiries from providers. Keeps up-to-date on coding rules and standards. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Education Level: High School Diploma.Experience: 3 years experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in managed care; state or federal health care programs; or health insurance industry experience.Preferred Qualifications: Bachelor's degree in related discipline. Experience in medical auditing. Experience in training/education/presenting to large groups. Experience in revenue cycle management and value-based. reimbursement/contracting models and methodologies. Knowledge, Skills and Abilities (KSAs) Proficiency. Knowledge of billing practices for hospitals, physicians and/or ancillary providers as well as knowledge. about contracting and claims processing Proficient. Knowledge and understanding of medical terminology to address codes and procedures Advanced. Excellent communication skills both written and verbal Proficient. Detail oriented with an ability to manage multiple projects simultaneously Proficient Demonstrated ability to effectively analyze and present data Proficient Experience in using Microsoft Office (Excel, Word, Power Point, etc.) and demonstrated ability to learn/adapt to computer-based tracking and data collection tools Proficient. Responsibilities will include reviewing provider claims with medical records for SIU prepayment team. The role is to ensure properly coded claims in accordance with AMA, industry standards, and identification of FWA indicators.Accreditations Include: CPC, CPMA, COC through AAPC.

Medical Coding Specialist Job Details Professional Discipline : Health and Information Management Specialty : Medical Coder Employment Type : Full Time City : Columbia State : SC Pay Range : Job Description:We are seeking a detail-oriented Medical Coding Specialist to join our team. In this role, you will review medical documentation and perform coding validations across multiple lines of business under Medicare and TRICARE. Your responsibilities will include reassignment and sequencing of diagnostic and procedural codes using universally recognized coding systems, as well as compiling and analyzing data to identify areas for targeted medical review where there is a high potential for inappropriate payments.Key Responsibilities:Review and validate medical documentation for coding accuracy.Reassign and sequence diagnostic/procedural codes as appropriate.Utilize ICD-9, DRG, APC, HIPPS, HCPCS, or RUG coding systems.Analyze statistical data to identify trends and focus areas for medical review.Ensure compliance with Medicare/TRICARE billing and payment guidelines.Minimum Qualifications: Education: Associate degree in Health Information Management, graduation from an accredited nursing program, or successful completion of AHIMA or AAPC certification examLicensure/Certification: CCS, CPC, or active RN license (state or compact multistate)Experience: At least 1 year of coding and validation experience using ICD-9, DRG, APC, HIPPS, HCPCS, or RUGSkills:Proficiency in medical terminology and codingStrong analytical, organizational, and judgment skillsExcellent attention to detail and written communicationCustomer service orientationDiscretion with confidential informationBasic proficiency in word processing softwareEEO Statement:InGenesis is an equal opportunity employer committed to fostering a diverse, inclusive, and equitable workplace. We comply with all applicable federal, state, and local employment laws, including recent executive orders, and strictly prohibit discrimination, harassment, or retaliation based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, genetic information, age, veteran status, or any other characteristic protected by law.InGenesis is dedicated to making reasonable accommodations for qualified individuals with disabilities and ensuring that all employment decisions are based on qualifications, merit, and business needs. If you require a reasonable accommodation during the hiring process, please contact us by visiting our website at learn more about your rights, please refer to the Know Your Rights: Workplace Discrimination is Illegal poster issued by the U.S. Equal Employment Opportunity Commission (EEOC).Company Statement:With decades of experience, InGenesis has grown into one of North America's most trusted Healthcare Services Firms, which includes comprehensive health and workforce solutions. As the industry landscape shifts with new challenges in patient care, quality and compliance requirements, workforce retention, and operational efficiencies, we deliver strategic, data-driven solutions that include redefining workforce management and clinical service delivery. Explore InGenesis to discover how our expertise, innovative strategies, and commitment to excellence are shaping the future of healthcare workforce solutions. Join us in celebrating the professionals who define the next era of healthcare.

Key Responsibilities: Assign accurate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and medical services based on provider documentation. Review patient charts and medical records to ensure completeness and compliance with regulatory standards. Prepare, submit, and follow up on insurance claims to ensure timely reimbursement. Verify patient insurance coverage, benefits, and authorization requirements. Identify and correct billing errors or claim rejections, resubmitting claims when necessary. Maintain patient confidentiality and adhere to HIPAA compliance standards. Communicate with healthcare providers, insurance companies, and patients regarding billing questions and claim status. Keep up-to-date with changes in coding regulations, payer guidelines, and industry best practices.

Department: CodingWork Hours: 40 hours per week. Remote work - Resident of Pennsylvania required.Basic Function:Responsible for evaluating inpatient and outpatient medical records to determine the course of patient treatment in order to ensure a correct diagnosis and procedure (if applicable), and appropriate code assignment. Ensures appropriate reimbursement by coding timely and accurately in accordance with both national and payer specific requirements/guidelines. Provides accurate coding for all inpatient and outpatient accounts using ICD-10-CM, ICD-10- PCS, and CPT4 codes. Ensures regulatory guidelines are met when assigning codes to an episode.Qualifications:Required: One to three years coding or equivalent experience in a healthcare setting OR applicable education or certification in Medical Coding. Advanced computer skills. Successful completion of applicable clearances as outlined in Human Resources policy HR-106 within 90 days of commencing employment.Preferred:Graduate of a state approved Registered Health Information Technician Program (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC). Five years' experience in an acute care setting. Experience with coding utilizing the suite of 3M tools including Computer Aided Coding (CAC) and Healthcare Data Management (HDM). Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Job DetailsJob LocationErikson Family Medicine - Idaho Falls, IDPosition TypeFull TimeEducation LevelCPC-Certified Professional CoderTravel PercentageNoneJob ShiftAnyJob CategoryHealth CareDescriptionMountain View Hospital is looking for a Medical Coding Specialist to join our team!JOB SUMMARY:Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. The coder assigns ICD-10 CM and/or HCPCS codes, creating APC or DRG group assignment for reimbursement purposes. Requires skill in the sequencing of diagnosis/ procedures to optimize reimbursement. Must be able to read and interpret operative reports, history and physicals, physician orders, and pathology reports to determine the correct CPT and diagnosis coding. Ensures that records are coded in an accurate and timely manner. Abstracting worksheets to put codes in the computer.BENEFITS:Taking care for our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include:Medical, Dental and Vision InsurancePaid Time Off (vacation, holidays and sick days) and Medical Paid Time OffRetirement Plans (401K with up to 6% match)Earned Quarterly Bonus ProgramEducation Reimbursement ProgramDiscount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community HospitalPlease note benefits are based on eligibility according to full-time, part-time or PRN status classification. DUTIES AND RESPONSIBILITIES:Ensures all records are properly reviewed and coded according to Physician's diagnoses and procedures 100% of the time. Contacts responsible physician if diagnoses and procedures are not available on chart.Codes all diagnoses/procedures in accordance to ICD-10-CM coding principles and the Coding Manual.Assists with coding and error resolution or refers charts to manager if there are questions regarding diagnoses and procedures.Utilizes computerized coding/abstracting equipment.Ensures data quality and optimum reimbursement allowable under the federal and state payment system. Maintains regulatory requirements. Maintains 99% rate of information correctly abstracted. Interacts professionally and treats patients and their families with respect and dignity; ensures confidentiality of patients' records.Acts as a resource person to hospital staff for coding and may provide education regarding coding changes/issues.Demonstrates an ability to be flexible, organized and function well in stressful situations.Responsible to assist the receptionists when needed.Maintains a good working relationship both within the department and with other departments.Manages and operates equipment safely and correctly.Participates in the educational programs, completes annual educational requirements, and attends in-service meetings as required.Attends at least 75% of staff meetings annually.Reports to work on time and as scheduled, completes work within designated time. Must wear appropriate clothing acceding to dress code. Wears identification while on duty. Uses computerized punch time system properly.Performs other job related duties as assigned by management.The employee is required to comply with all PCI standards and other company policies and procedures for payment card acceptance and security.About Mountain View:Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley - all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.QualificationsEducation/Certification: High School diploma or general education degree (GED). Knowledge of diagnoses/procedures in accordance with ICD-10 CM coding principles for acute care facilities. Must be CPC certified. Experience: One year or more related experience and/or training; or equivalent combination of education and experience. Equipment/Technology: Ability to use abstracting and coding software, computer, fax machine.Language/Communication: Ability to read and interpret documents such as safety rules, operating and maintenanceInstructions and procedure manuals. Ability to write routine reports and correspondence. The ability to speak effectively before groups of customers or employees of organization.Mathematical Skills: Basic math skillsMental Capabilities: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.Performance: Must maintain positive and professional attitude

• Evening, night, and weekend shift differential
• Overtime
• On-call pay

• Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance
• Annual wellness reimbursement
• Opportunity for on-site day care through UW Health Kids
• Tuition reimbursement for career advancementask about our fully funded programs!
• Abundant career growth opportunities to nurture professional development
• Strong shared governance structure
• Commitment to employee voice

• High School diploma or equivalent and medical coding education. In lieu of a medical coding education, an active coding certification is required. Required
• Associate degree in a healthcare related field. Preferred

• Two years progressive coding experience in multiple specialties, HCC Risk adjustment Coding. Preferred
• Minimum of one-year of progressive coding experience. Required
• Experience with coding concepts (Current Procedural Terminology (CPT), International Classification of Disease 10th Edition-Clinical Modification (ICD-10-CM), Code on Dental Procedures and Nomenclature (CDT), Health Care Procedure Coding System (HCPCS), Diagnosis Related Group (DRG), and Hierarchical Condition Categories (HCC) for HCC. Required
• Experience using Microsoft Office (i.e., Excel, Word). Required

• Certification as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) required, Certified Risk Adjustment Coder (CRC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) required within one year of hire for HCC. Required
• Registered Health Information Technician (RHIT). Preferred
• Registered Health Information Administrator (RHIA). Preferred

Speedy interview process! Position Overview Support our healthcare partners & help them thrive at Meduit! The multi-specialty Coder is responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies. The Coder accurately and efficiently codes office visits using ICD-10 and CPT codes to obtain the most accurate data based on documentation.If you're eager to make a tangible difference in the healthcare ecosystem, apply today!Key ResponsibilitiesRead and analyze patient recordsDetermine correct codes for patient recordsAccurately and efficiently code for specialty services such as oncology and radiologySubmit clean claims for paymentMonitor, research, and correct claim denials within health plan requirements and document any trends with which to follow-upAssist with provider educationComplies with Federal and State standards utilizing CCI edits, Medicare bulletins, ACR bulletins, etc. to keep abreast of the changes within the industryMaintains knowledge of and complies with coding guidelinesFollow-up with multi-specialty practices on coding holdsFind documentation in multiple EMR systems such as EPIC, ECW, Cerner, MeditechInteracts with clients to ensure accuracyMaintain patient confidentiality and information securityMeet production goals assigned by supervisorMaintain an error rate of 5% or lessEssential Skills IntegrityAccuracyAnalysis, critical thinking, & decision makingProblem solvingRequired Qualifications High School Diploma/GEDCoding Certification from a nationally recognized coding institution3 years Professional Coding experienceExcellent phone and computer skills, including proficiency with ERM systems & Microsoft office productsExtensive knowledge of ICD-10, CPT, HCPCSStrong HIPAA, OSHA, & Insurance knowledgePreferred Qualifications Minimum of 3 years of experience with Rural Health Clinic, Critical Access Hospital, and Hospital Outpatient coding, including Observation and Emergency servicesExperience with coding denials and familiarity with Meditech, Availity RCM Clearinghouse, and Medicare Direct Data Entry systemsHigh production environment experienceAdditional Information Pay: $22 to $25/hourSchedule: 8:00am to 5:00pm CST, M-FLocation: RemoteAnticipated start date: 9/15/2025Internet Speed Test: Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED. (you can test your speed here: check: As a condition of employment, a pre-employment background check will be conducted. What we offer: Quarterly performance incentivesSteady work schedule (remote)Full comprehensive Paid Training Program (2-3 weeks)Medical, Dental, and Vision insuranceHSA and FSA available401(K)plans with company matchPTO and Paid holidaysEmployer paid life insurance and long-term disabilityInternal company growthWhat we do: Meduit was born out of a drive for excellence and a passion for improving revenue cycle management (RCM) for healthcare organizations and the patients they serve. To achieve our goal, we need you! Employees are the cornerstone of our success. As one of the nation's leading RCM solutions companies, we partner with hospital and physician practices in 48 states to provide excellent and compassionate patient engagement. We focus on the payments so our clients can focus on their patients, by living our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and being Results-Oriented. You can find out more about Meduit at Meduit is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status or status as a protected veteran or any other federal, state, or local protected class. #LI-Remote Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

City/State: Norfolk, VA

Work Shift: First (Days)

Overview:

Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) and Modifier Coding preferred. CCS or CPC required.

Successful candidates must have at least 3 years' experience working coding denials. This position is correcting claims to assure correct coding was submitted.

• High School Diploma

• Certification CCS or CPC required

• Must have at least 3 years working in coding Denials
• Current Procedural Terminology (CPT)
• International Classification of Diseases version 10 (ICD-10)
• Heath Care Common Procedure Coding System (HCPCS)
• Modifier Coding preferred.
• CCS or CPC required

Benefits: Caring For Your Family and Your Career

Medical, Dental, Vision plans

Adoption, Fertility and Surrogacy Reimbursement up to $10,000

Paid Time Off and Sick Leave

Paid Parental & Family Caregiver Leave

Emergency Backup Care

Long-Term, Short-Term Disability, and Critical Illness plans

Life Insurance

401k/403B with Employer Match

Tuition Assistance $,250/year and discounted educational opportunities through Guild Education

Student Debt Pay Down 10,000

Reimbursement for certifications and free access to complete CEUs and professional development

Pet Insurance Legal Resources Plan Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.