Review and validate medical codes for diagnoses, procedures, and services to ensure accuracy and compliance with ICD-10, CPT, and HCPCS coding systems.
Provide expert coding guidance to clinicians and departments, serving as a resource for complex coding questions.
Conduct coding audits and quality reviews, generate productivity reports, and collaborate with IT and billing teams to resolve system issues.
Translate patient medical records into standardized codes for diagnoses and treatments, ensuring accuracy and compliance.
Apply coding principles consistent with government regulations and payer-specific guidelines for Primary Care, Radiology, and Hospitalist charges.
Review ICD, E&M, CPT, and HCPCS codes, query providers on documentation, and educate staff on coding practices.
Dignity Health Medical Foundation is a California nonprofit public benefit corporation providing comprehensive health care services throughout California. It is part of Dignity Health, one of the largest health systems in the nation, with a culture focused on purposeful work and staff development.
Review clinical documentation and assign ICD-10, CPT, and HCPCS codes.
Maintain 95% coding accuracy while meeting production standards.
Collaborate with providers and clients to ensure compliant billing.
This company provides healthcare revenue cycle services, including professional medical coding. It offers a fully remote, collaborative work environment with a focus on quality and continuous learning.
Review and abstract professional medical records to ensure accurate code assignment.
Assign ICD-10-CM, CPT, HCPCS, and applicable modifiers following national and payer-specific guidelines.
Maintain coding quality metrics and participate in coding audits.
We reimagine how people access care by bringing it directly into their homes. We have supported over 2 million patients across 22 states, completed over 130,000 in-home visits, and raised over $125M from top investors.
Review and assign diagnostic and procedural codes from medical records with 95% accuracy.
Serve as a liaison between billing and clinical sites to resolve coding discrepancies.
Train new employees and act as an expert resource for coding compliance questions.
Munson Healthcare is northern Michigan's largest healthcare system with eight award-winning community hospitals serving over half a million residents. They emphasize a culture of excellence, teamness, positivity, and creativity with over 5,000 employees.
Review clinical documentation and assign accurate CPT, ICD-10-CM, and HCPCS codes for diagnoses, procedures, and services rendered.
Monitor outpatient coding work queues and unbilled accounts to support timely filing and claims submission, while resolving coding-related edits.
Collaborate with providers and revenue cycle teams to improve documentation, ensure coding accuracy, and maintain compliance with regulations.
Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We cultivate a caring, fun, honest, and autonomous work environment with a shared mission to create a positive impact.
Conducts baseline, routine, and focused audits comparing medical record documentation to reported CPT/HCPCS and ICD-10-CM codes.
Researches, interprets, and communicates federal and state laws and guidelines pertaining to CMS and Medicare.
Acts as an internal expert on coding issues to ensure compliance with state and federal regulations.
Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and focuses on scalable operations and cloud-based technology to reduce healthcare costs.
Validate accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on outpatient and inpatient facility claims.
Apply CMS guidance, coding guidelines, and industry standards during claim review, including hospital bill audits and itemized bill reviews.
Prepare appeal responses using applicable coding guidance and maintain required certifications and continuing education.
Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve access to healthcare. They are a dynamic growing organization promoting a collaborative and innovative work environment.
Abstracts and codes physician professional services using CPT and ICD-9 codes.
Provides documentation feedback to physicians and trains staff on billing and coding.
Resolves pre-accounts receivable edits and ensures charge capture through reconciliations.
Northwestern Medicine is a healthcare leader with a patient-first approach. They offer competitive benefits like tuition reimbursement, loan forgiveness, 401(k) matching, and lifecycle benefits, supporting a diverse team dedicated to better healthcare.
Conduct prospective chart reviews to validate ICD-10-CM and CPT coding accuracy.
Provide clinical documentation improvement feedback to providers on documentation gaps.
Ensure compliance with risk adjustment and regulatory coding guidelines.
Thyme Care is a cancer care navigation company transforming the cancer care experience through value-based care. They are building a diverse, mission-driven team to reshape the future of healthcare.
Perform medical claims audit reviews with a focus on the Home Health sector, applying medical review guidelines and documenting findings.
Collaborate with the audit team to identify vulnerabilities, generate audit letters, and support findings during appeals.
Maintain knowledge of coding systems (ICD-10, CPT-4, HCPCS) and regulatory changes to ensure high-quality, deadline-driven work.
Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients using an AI-powered platform. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, the company fosters a collaborative, fast-paced remote culture.
Review inpatient coding (ICD-10-CM/PCS) to ensure accuracy and completeness for multiple clients.
Validate DRG assignments and optimize reimbursement while maintaining compliance with regulatory standards.
Collaborate with service line teams and client departments to improve documentation and meet production goals.
Kodiak Solutions specializes in healthcare finance, unclaimed property, risk management, and revenue cycle management. They use technology-driven solutions to help healthcare organizations streamline operations and improve patient care.
Accurately assigns ICD-10-CM and CPT codes to professional fee inpatient and outpatient records for reimbursement and data collection.
Reviews medical records for documentation discrepancies and queries physicians for additional information when needed.
Maintains coding quality and productivity expectations, collaborating with Patient Financial Services to resolve edits promptly.
Vail Health is a nonprofit community healthcare system in Colorado's high country, operating a 56-bed hospital with advanced mountain healthcare services. The organization offers 24/7 emergency care, cancer care, surgery, and more, with a focus on community health and a culture of collaboration and excellence.
Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or technical outpatient accounts.
Utilizes ICD-10-CM, PCS, HCPCS, CPT, and other coding references for accurate coding.
Supports Revenue Cycle goals for timely billing.
Cooper University Health Care is committed to providing extraordinary health care. We offer competitive rates, comprehensive benefits, and opportunities for career growth.
Review medical record documentation to assign diagnoses, procedures, and modifiers for reimbursement and statistical classification.
Meet or exceed productivity and accuracy standards (95% accuracy) while following coding guidelines and maintaining confidentiality.
Participate in coding education, training, and departmental meetings, and assist in updating desk procedures.
Denver Health is an integrated academic healthcare system and Colorado's primary safety-net provider, including a Level I Trauma Center, 555-bed hospital, and 19 school-based health centers. It is a mission-driven organization with a culture of respect, belonging, and accountability, employing over 10,000 people.
Reconciles clinic or provider visits and codes multiple specialty services.
Interacts with providers and staff on billing issues and resolves claims.
Serves as a mentor and assists in training Level I Coders.
University of Utah Health is a patient-focused organization enhancing health through patient care, research, and education. It is a Level 1 Trauma Center with five hospitals and eleven clinics, nationally ranked for research and quality.
Review and abstract medical records for surgical CPT and ICD10 coding, ensuring accuracy and compliance.
Serve as a mentor for junior coders and handle escalated cases requiring complex coding expertise.
Work with multiple platforms including MD Cloud, Medaxion, and EMRs to manage edits, denials, and charge corrections.
US Anesthesia Partners is a healthcare company specializing in anesthesia services and revenue cycle management. They are a large employer with a focus on coding accuracy and compliance, fostering a collaborative and mentoring culture.
Assign ICD-10-CM, ICD-10-PCS, and DRG codes for inpatient accounts based on medical record documentation.
Query clinical providers when documentation is unclear and abstract pertinent data.
Maintain minimum quality and productivity standards while working remotely during core hours of 8:00 AM to 5:00 PM.
Saint Luke’s is a faith-based, nonprofit health system with 18 hospitals in Kansas City. It employs 12,000 people and fosters a collaborative, diverse, and inclusive culture focused on exceptional patient care.
Review anesthesia documentation for required elements such as attestations, signatures, and dates.
Abstract and code surgical procedures from CPT and crosswalk to ASA codes.
Meet team KPIs including daily production and quarterly coding audit score requirements.
US Anesthesia Partners provides anesthesia services and coding solutions. The company employs a large team and emphasizes a remote work culture with performance-based bonuses.
Responsible for coding procedures and entering charges to comply with federal/state regulations and internal policies.
Coordinate with Practice Coordinator and Revenue Integrity to ensure all necessary documentation is present to support selected procedure codes.
Participate in audits to evaluate coding accuracy and develop methodologies to improve coding issues identified.
Northside Hospital is an award-winning, state-of-the-art healthcare system. It is continuously growing and offers opportunities for healthcare professionals.
Perform daily audits on client data for completeness and accuracy of coding using clinical knowledge.
Respond to provider appeals and meet client turnaround time and KPI goals.
Utilize coding validation training to become familiar with claims payment policies and regulations.
Cotiviti is a healthcare analytics company that uses data-driven solutions to improve payment accuracy and quality in healthcare. The company offers a competitive benefits package and fosters a collaborative, fast-paced work environment.