Medical Coding
615 open positions
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Post-Service Appeals Case Manager↗ Noctrix HealthRemote, US 1mo Manage medical necessity appeals and support resolution of denied durable medical equipment (DME) claims after service has been provided.
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Senior Coder - Profee Trauma Surgery↗ Guidehouse India Pvt LtdTN, IN 1mo Transform medical diagnoses and procedures into alphanumerical codes (ICD-10-CM, CPT, HCPCS) for trauma surgery and emergency room cases.
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Physician Advisor↗ Adventhealth ApopkaApopka, FL, US $207k–$207k1mo Educates and advises Utilization Management, HIM, Revenue Cycle, Patient Access, Managed Care teams, and medical staff on updates and trends related to utilization and denial prevention; provides physician-level review of utilization, claims management, and…
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Charge Posting Executive - US Healthcare/Medical Billing↗ Taurus PartnersHR, IN $312k–$312k1mo Review medical charts and charge tickets to extract, verify, and enter charge data accurately into the billing system for US healthcare providers.
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Required Doctors _ Non Clinical _ Working from Office↗ Medi Assist Insurance Tpa Private LimitedAS, IN $240k–$264k1mo Auditing processed claims and preauthorizations to validate process guidelines, quality, and terms while ensuring no financial implications for the organization during settlement.
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RN Reviewer CoherehealthRemote $0k–$0k1mo Perform prospective, concurrent, and retrospective reviews to determine the medical appropriateness of clinical requests for inpatient admissions, outpatient services, and procedures across Commercial, Medicare, and Medicaid lines of business.
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Redetermination Examiner (Medicare, DME) (6 Month Temp) BroadwayventuresRemote $0k–$0k1mo Conducts redetermination reviews and appeals processing for Medicare claims, ensuring compliance with CMS guidelines and identifying claims processing deficiencies.
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QuickCode Clinical Success Manager RadformationRemote 1mo Manage adoption and implementation of QuickCode automated billing QA software for radiation oncology clinics, bridging clinical and billing teams to optimize workflows.
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Senior Executive - Quality Auditor↗ Exl ServiceTN, IN 1mo Perform detailed quality audits of coded medical records to ensure accuracy, compliance, and adherence to official coding guidelines and payer-specific requirements.
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Operations Analyst, Associate (Abstractor)- Allegheny & Westmoreland County Area↗ UpmcPittsburgh, PA, US 1mo Abstract medical records from EMR or paper sources to support Medicare HCC identification and claims transactional systems.
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Medical Review Coder Specialist (Medicare)↗ Empower AI Inc.Remote, US $52k–$52k1mo Review and analyze sampled Medicare claims using medical records to make payment determinations based on coding guidelines and practice standards.
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Quality Practice Advisor CenteneRemote-IA $0k–$0k1mo Establishes and fosters relationships with physician practices and IPAs to educate them on NCQA HEDIS measures, risk adjustment, and appropriate medical record documentation/coding.
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Nurse Specialist II↗ QlarantRemote, US 1mo Reviews medical records and claims for Medicare, Medicaid, and other programs to detect overpayment, fraud, waste, and abuse.
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?CDI Specialist III - Inpt↗ Remote, US 1mo Strategic management of service line integration and clinical documentation integrity reviews for inpatient acute care patients.
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Claims Manager - Medical Indemnity Professional Conduct Claims↗ AvantSydney, NSW, AU 1mo Manage a portfolio of medical indemnity claims, complaints, investigations, and disciplinary matters for doctors and members.
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Projektkoordinator Digitalisierung (m/w/d)↗ Katholisches Klinikum BochumBochum, NW, DE 1mo Ensuring timely and accurate coding of inpatient hospital services, supporting leadership on coding and revenue assurance, and analyzing performance data for strategic decisions.
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Credentialing Manager↗ Proficio Therapy ServicesKL, IN $840k–$840k1mo Leading end-to-end provider credentialing, recredentialing, and payer enrollment for healthcare providers (BCBAs, SLPs, OTs) to ensure uninterrupted billing and reimbursement.
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Clinical Coder / Summariser↗ Lombard Medical CentreNewark-on-Trent, ENG, GB 1mo Summarize patient medical records and code clinical correspondence to enable efficient access to medical histories for clinical staff.
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On-Site Lead ROI Medical Records Specialist - Huntsville, AL SharecareCOS - Huntsville Hospital Huntsville, AL 1mo Processing Release of Information (ROI) requests by retrieving, scanning, and releasing patient medical records in compliance with HIPAA and legal guidelines.
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Team Manager - Medical Coding Training HuronBangalore India - South 3rd Floor 1mo Lead and scale the training charter for a multi-geography Revenue Cycle Management (RCM) delivery organization, ensuring compliance and employee development in US healthcare.
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Medical Coding Auditor↗ Modernizing Medicine, Inc.Remote 1mo Conduct coding reviews and quality assurance audits to verify compliance with ICD-10-CM, HCPCS, and CPT guidelines for a healthcare IT platform.
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Manager, Clinical Documentation Specialist↗ Chs CorporateUS 1mo Oversees centralized Clinical Documentation Improvement (CDI) operations to ensure accurate clinical documentation for coding, reimbursement, quality outcomes, and regulatory compliance.
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Provider Operations Specialist Circadia HealthEl Segundo 1mo Manage the full lifecycle of incoming medical records requests, coordinating with RCM to ensure accurate and timely documentation submission for payers.
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Internal Verificator Siloam-Hospitals-GroupManado, Sulawesi Utara, id 1mo Manage insurance claim submissions and reimbursements, lead coders (OPD and IPD), and review their work to ensure claims and coding optimization are complete and on time.
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Coding Education Specialist – Inpatient Medicine UsacsRemote $0k–$0k1mo Researches complex coding issues, recommends resolutions, and develops processes for inpatient medicine coding while designing and delivering engaging coding curricula to learners.
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Medical Records Coding Coordinator↗ St. Joseph Medical CenterKansas City, MO, US 1mo Review and analyze medical records to assign accurate ICD-10, CPT, and HCPCS codes for revenue cycle operations and regulatory reporting.
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AR Quality Auditor - Revenue Cycle Physician RCM↗ Strivant HealthKA, IN 1mo Conduct quality audits on AR follow-up activities, track metrics, and coach team members to ensure accuracy and compliance in physician revenue cycle operations.
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Sr Executive - HIM services (Neuro Surgery)↗ Corrohealth Infotech Private LimitedTN, IN 1mo Extracting and validating patient record information to assign medical codes for billing and compliance.
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Coder WFH↗ Work From HomeNashville, TN, US 1mo Reviews and codes designated office/hospital notes, resolves complex coding scenarios, and provides documentation advice to physicians and practice management.
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Charge Capture Coordinator↗ Children’s Healthcare of Atlanta CardiologyAtlanta, GA, US 1mo Handles charge entry, report generation, audits, and accurate billing for pediatric cardiology services.
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CDI Physician Advisor, Greater Sacramento Division↗ Sutter HealthSacramento, CA, US $121k–$121k1mo Physician Advisor leading Clinical Documentation Improvement (CDI) initiatives to optimize documentation accuracy, capture severity/acuity, and support risk adjustment and quality reporting.
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Medical Examiner↗ University Hospitals of North Midlands NHS TrustStoke-on-Trent, ENG, GB 1mo Review and discuss proposed causes of death with attending practitioners and bereaved families to ensure accurate certification and support learning from deaths.
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Clinical Coder↗ Mater GroupRemote $98k–$98k1mo Assign morbidity and procedural classifications to patient episodes to meet data reporting and funding requirements.
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Coding Suspends Specialist↗ Ventra HealthRemote, IN 1mo Review and resolve coding-related suspends to ensure accurate and timely claim submission and reimbursement for facility-based physicians.
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Utilization Management - Informed Choice Supervisor↗ Staywell InsuranceHagåtña, GU, US $0k–$0k1mo Direct and oversee medical utilization management programs, including prospective, concurrent, and retrospective reviews, pre-certification, case management, and hospital claims review for StayWell Plans.
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Assoc Client Services Rep (Credentialing Specialist/Provider Enrollment Specialist)↗ IqviaRemote $37k–$37k1mo Support healthcare clients by managing provider credentialing processes, validating data, and resolving discrepancies to ensure data integrity for payers and providers.
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Manager - Profee↗ GuidehouseTN, IN 1mo Manage daily operations of the coding division, ensuring workflow quality and quantity while driving revenue cycle initiatives.
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Physician Reviewer - Utilization Management↗ Oscar HealthRemote $219k–$219k1mo Determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines.
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Medizinische Kodierfachkraft Artemed-SeBensheim, HE, de 1mo Independent review and coding of diagnoses, procedures, and relevant cases according to billing regulations; support medical and nursing services in optimizing hospital documentation.
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Quality Payment Program SME↗ Rainmakers Strategic SolutionsRemote 1mo Serve as a Subject Matter Expert for the CMS Quality Payment Program (QPP) and Merit-based Incentive Payment System (MIPS), focusing on public reporting requirements for doctors and clinicians.
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