Medical Coding
615 open positions
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RN Manager Utilization Review- Full Time- Days↗ Elliot Health SystemManchester, NH, US 1mo Strategic and operational leadership for the Utilization Review (UR) function, ensuring regulatory compliance, denial mitigation, and appropriate resource utilization across the healthcare continuum.
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Credentialing Coordinator II (Eastern United States resident) GeisingerRemote 1mo Plans, coordinates, and oversees provider credentialing procedures and processes in compliance with regulatory requirements, conducting background investigations on physicians and other providers.
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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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Clinical Coding Auditor/Educator (Medical Records Manager Gde 1 / Health Manager Lvl 1) - Temp FT↗ NSW GovernmentRemote $91k–$91k1mo Audit clinical coding accuracy and compliance while developing education programs to enhance team capability in healthcare data quality.
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Internal Verificator Siloam-Hospitals-GroupPurwakarta, Jawa Barat, id 1mo Manage BPJS Kesehatan and insurance claim submissions, supervise medical coding teams, and ensure compliance with regulations to optimize claim accuracy and minimize fraud risk.
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PBTB | Assistant Manager, Fraud Waste and Abuse Management PrudentialKuala Lumpur (Takaful) 1mo Provide medical input and expertise to support fraud, waste, and abuse management, including case assessment, guideline development, and quality audits.
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Assistant Manager - Coding Auditor↗ Exl ServiceTN, IN 1mo Conduct DRG validation audits on inpatient medical records to ensure coding accuracy, completeness, and compliance with ICD-10-CM/PCS, AHA Coding Clinic, and CMS guidelines.
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Medical Coder – IP Rehab↗ Healthrecon ConnectIN 1mo Accurate coding of inpatient rehab cases to ensure compliance with regulatory and payer requirements while maintaining high quality and productivity.
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Medical Policy Release Manager↗ CotivitiRemote $105k–$125k1mo Manage the release schedule, QA, validation, and production deployment of medical policy content and IT system updates to ensure regulatory compliance and minimal disruption.
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?Home Health Traditional Medicare Billing Specialist – Inovalon Platform↗ TN, IN $420k–$420k1mo Submit and manage Traditional Medicare Home Health claims using the Inovalon Platform, ensuring compliance with CMS guidelines.
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Coder WFH↗ Kansas City Vascular & Gen SurgeryOverland Park, KS, US 1mo Reviews and codes designated office/hospital notes for physician practices, resolves complex coding scenarios, and provides documentation advice to physicians and practice management.
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Manager Registered Nurse - Utilization Management SsmhRemote 1mo Lead a team to oversee care coordination, utilization review, and regulatory compliance to ensure patients receive appropriate care at the right time.
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Orthopedic Surgeon Telecommute Medical Review Stream Physician↗ ConcentraRemote 1mo Reviews health claims to determine medical necessity, appropriateness of care, and return-to-work decisions for workers' compensation and group health claims.
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Coder WFH↗ Hca Healthcare Physician ServicesLee's Summit, MO, US 1mo Reviews and codes designated office/hospital notes for physician practices, resolves complex coding scenarios, and provides documentation advice to physicians and practice management.
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Clinical Experience Manager SmarterDxRemote $125k–$125k1mo Enhancing sales and customer success initiatives by demonstrating and explaining Revenue Cycle Management technology solutions to healthcare clients, acting as a trusted advisor to ensure solutions meet clinician needs.
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Supervisor Non-clinical BmcBrockton, MA, US $0k–$0k1mo Lead daily operations of the Health Information Management (HIM) department, ensuring accurate scanning, indexing, and quality review of patient health information for the EHR to support safe patient care and revenue cycle.
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Patient Access Appeals Case Manager↗ Noctrix HealthRemote, US 1mo Support patients, healthcare providers, and insurance companies through the denial and appeal process to ensure access to prescription-grade therapeutic wearables for chronic neurological disorders.
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Claims Administrator CottinghambutlerinsuranceservicesincDubuque, IA 1mo Manage medical-only Workers' Compensation claims from start to finish, including evaluation, documentation, and resolution.
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DRG Auditor (REMOTE) EnablecompRemote 1mo Review post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding.
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Junior Medical Coder↗ Aram Health WorksTN, IN $144k–$264k1mo Review and assign diagnostic, procedural, and service codes for patient records using ICD-10-CM, CPT, and HCPCS to support revenue cycle processes.
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Sr Executive - HIM services (ED Profee)↗ Corrohealth Infotech Private LimitedUP, IN 1mo Extracting and validating patient record information to assign medical codes for billing and compliance.
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Associate Medical Coder↗ OptumTN, IN 1mo Assign medical codes to patient records using ICD-10 and CPT guidelines to ensure accurate billing and data reporting.
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?Medical Transcriptionist↗ Remote $132k–$132k1mo Accurately transcribe audio recordings from healthcare providers into written medical documents.
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Medical Officer↗ Vidal Health Tpa Private LimitedKA, IN $336k–$420k1mo Reviewing inpatient (IPD) health insurance claims, evaluating medical necessity, and ensuring compliance with policy terms and clinical guidelines.
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Hiring for Medical Coders ( HCC )↗ Medcode ServicesTN, IN $173k–$173k1mo Evaluate medical documentation to assign CPT, ICD-10-CM, and HCPCS codes for diagnoses, procedures, and services to ensure precise billing and compliant claims.
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Medical Officer|Health Claims↗ Ocean GroupKL, IN $216k–$216k1mo Medical assessment and adjudication of health insurance claims, pre-authorization requests, and medical queries to ensure compliance and prevent fraud.
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Team Lead-Medical Officer _ Non Clinical _ Working from Office↗ Medi Assist Insurance Tpa Private LimitedMP, IN $240k–$300k1mo Auditing processed claims and pre-authorizations to validate process guidelines, quality, and terms while ensuring no financial implications for the organization.
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Clinical Documentation Specialist↗ Ramsay Health CareJoondalup, WA, AU 1mo Review clinical documentation to ensure accuracy, completeness, and appropriate remuneration for patient care.
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Medical Review Program Manager↗ Rubix SolutionsRemote 1mo Lead and oversee comprehensive medical review processes, ensuring regulatory compliance and driving process improvements within healthcare quality assurance teams.
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Health Information Manager↗ Healthscope LimitedSydney, NSW, AU 1mo Manage the Health Information Service, oversee medical record management, and lead clinical coding operations for a private hospital.
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Quality Assurance (QA) Nurse (RN)↗ Elite Home Healthcare LLCRemote, US 1mo Review patient clinical records and OASIS assessments to ensure compliance with agency policies and regulations for home health care.
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Medical Examiner↗ Hampshire Hospitals Nhs Foundation TrustBasingstoke, ENG, GB 1mo Independent scrutiny of non-coronial deaths, ensuring appropriate coroner referrals, and improving death certification quality and mortality data.
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Clinical Documentation Registered Nurse II - Document Integrity↗ CHRISTUS HealthBeaumont, TX, US 1mo Review inpatient medical records to ensure completeness and accuracy for DRG assignment and reimbursement.
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Associate Vice President – Coding↗ Credence Resource Management Pvt LtdMH, IN 1mo Lead end-to-end medical coding operations, denial management, and team guidance for specialized medical coding services.
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?State Fair Hearing Analyst↗ US $0k–$0k1mo Supports the Medicaid Fair Hearing process by preparing case analyses, managing hearing requests, and representing the organization in hearings.
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System Director, Clinical Documentation Integrity↗ University of California - San FranciscoSan Francisco, CA, US 1mo Oversees clinical documentation integrity strategy across a multi-site health system to ensure accurate representation of patient complexity, severity of illness, and care for quality outcomes and reimbursement.
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Medical Patient Language Writing Specialist CoherehealthRemote $85k–$85k1mo Translate complex medical and regulatory information into clear, patient-centered language for adverse determination communications.
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Skilled Systems Specialist Senior-LifestyleChicago, IL, us $90k–$90k1mo Support MDS and reimbursement processes through clinical technology management, audits, and data validation for skilled nursing facilities.
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Medical Examiner↗ Royal Surrey Nhs Foundation TrustGuildford, ENG, GB 1mo Senior independent doctors reviewing deaths through proportionate review, discussing with attending practitioners and bereaved families.
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Medical Coding Auditing Specialist 1 1↗ SercoRemote $64k–$64k1mo Independent examination of medical documentation and coding to validate conformity with official policies across Military Treatment Facilities and Dental clinics.
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Remote Medicare Risk Adjustment Coding/ Auditor (Prior CMS-HCC V28 required)↗ Alignment HealthRemote $64k–$64k1mo Conducts quality assurance audits on internal coding analysts and vendors to ensure accurate Medicare Risk Adjustment data submission to CMS.
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Clinical Evaluation Manager, Utilization Management↗ Vns HealthManhattan, NY, US 1mo Conducts clinical reviews and determinations for medical necessity, appropriateness of care, and utilization management to ensure cost-effective health services for members.
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