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US

  • Perform thorough review of medical records for identification of relevant diagnoses and procedures.
  • Assign appropriate ICD-CM and ICD-10 PCS codes to ensure accurate MS-DRG and APR-DRG assignment.
  • Abstract required data elements and adhere to compliant provider query practices and coding guidelines.

Medical Terminology Microsoft Office Data Abstraction

20 jobs similar to Clinical Documentation Coding Specialist II

Jobs ranked by similarity.

US

  • Review and analyze medical record documentation to assign diagnoses and procedure codes for inpatient, outpatient, and professional services.
  • Ensure compliance with official coding guidelines and ethical standards set by AHIMA.
  • Work remotely in a full-time, days shift position using ICD-10-CM and CPT/HCPCS coding systems.

Mercy is a Catholic health system founded by the Sisters of Mercy, providing care across hospitals and clinics in the Midwest. It is a large, collaborative organization focused on innovation, technology, and compassion, with a heritage spanning over 195 years.

US

  • Reviews, analyzes, and validates diagnostic and procedural codes for reimbursement and billing purposes.
  • Abstracts accurate information from the electronic health record to support patient care evaluation and administrative decision making.
  • Ensures compliance with established coding guidelines, third-party reimbursement policies, and regulatory requirements.

Henry Ford Health is a leading academic health system providing a comprehensive continuum of care, from primary and specialty care to virtual care, pharmacy, and health insurance, across Michigan and around the world. With 12 hospitals and hundreds of ambulatory care locations, the organization is grounded in purpose, collaboration, and belonging, empowering team members to grow their careers and make a meaningful difference.

US

  • Reviews inpatient and outpatient medical records for documentation, abstracting, and assigning codes to the highest level of specificity.
  • Assigns procedural and diagnosis codes following ICD-10-CM, CPT, HCPCS guidelines, and payer regulations.
  • Collaborates with Clinical Auditors to improve coding quality and resolves coding-related denials per payer policies.

UnityPoint Health is a healthcare system providing patient services and medical care. It is recognized as a Top 150 Place to Work in Healthcare, with a culture that champions belonging and offers competitive benefits.

US

  • Complete final review of medical records and select appropriate ICD-10 and CPT codes within 4 days of patient discharge.
  • Review documentation to match codes with medical necessity and assign working diagnoses and DRGs.
  • Collaborate with Clinical Documentation Specialists to identify and address documentation deficiencies.

UAMS is Arkansas' only comprehensive academic health sciences center, combining education, research, and clinical programs. It fosters a collaborative culture focused on improving patient care and supporting teamwork and diversity.

US Unlimited PTO 17w maternity 9w paternity

  • Review and abstract professional medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes.
  • Maintain coding quality metrics, participate in audits, and stay current with coding guidelines.
  • Ensure confidentiality and adhere to HIPAA and compliance standards while working independently.

Sprinter Health reimagines how people access care by bringing it directly into their homes, using technology to deliver care where people are. Backed by over $125M from top investors like a16z, General Catalyst, GV, and Accel, the team of clinicians, technologists, and operators has supported 2 million patients across 22 states with a 92 NPS.

US

  • Review and analyze complete patient medical records to identify all diagnostic and procedural information.\n- Assign accurate diagnostic and procedural codes using encoder software to ensure proper MS-DRG assignment and sequencing.\n- Maintain compliance with coding guidelines and verify medical record completeness for accurate reimbursement.

Henry Ford Health is a leading academic health system providing a comprehensive continuum of care, including primary to complex care, virtual care, and health insurance. With 12 hospitals and hundreds of ambulatory locations across Michigan, it is headquartered in Detroit and committed to innovation and community impact.

US

  • Code and abstract complex inpatient records for data retrieval, analysis, reimbursement, and research.
  • Use the 3M encoder and EMR to assign diagnostic and procedure codes accurately.
  • Meet advanced quality and productivity standards across all facilities.

CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, home-based care, and virtual care services. It is a large healthcare organization committed to building healthy communities and advocating for the poor and vulnerable.

US 2w PTO

  • Review outpatient medical records and assign diagnosis and procedure codes accurately based on clinical documentation.
  • Maintain a minimum 95% coding accuracy rate and meet productivity expectations while handling complex coding scenarios.
  • Collaborate with stakeholders to identify documentation improvement opportunities and ensure compliance with coding standards.

The company provides healthcare coding consulting services to hospitals and clinics. It is a remote-first organization that values accuracy, quality, and professional development, with a collaborative and supportive culture.

Coder II

Unknown
US

  • Review and interpret medical records to assign ICD-10-CM and CPT codes accurately.
  • Collaborate with physicians and clinical teams to improve documentation and coding standards.
  • Maintain productivity, quality, and compliance with payer requirements and regulatory guidelines.

The company provides medical coding services for complex orthopedic and procedural services. They offer a collaborative healthcare environment with opportunities for professional development and career growth.

US

  • Perform accurate diagnostic and procedural coding for outpatient and/or inpatient medical records.
  • Assign diagnostic and procedure codes and modifiers to meet productivity, quality, and timeliness standards.
  • Serve as a subject matter expert and resource for other staff in coding and compliance.

Curana Health is a national leader in value-based care, offering senior living communities and skilled nursing facilities a range of solutions including on-site primary care and Medicare Advantage plans. Founded in 2021, the company has grown to serve over 200,000 seniors across 1500+ communities in 32 states, with a team of more than 1,000 clinicians and professionals ranked #147 on the Inc. 5000 list.

US

  • Assign diagnostic and procedural codes for general surgery and ophthalmology records using ICD-10-CM, CPT, and E&M guidelines.
  • Maintain high productivity and accuracy while reviewing medical documentation and resolving coding discrepancies.
  • Participate in coding education, roundtables, and mentoring to support team development and client requirements.

This company provides medical coding services to healthcare clients, ensuring accurate documentation and revenue-cycle operations. It operates as a fully remote, collaborative team focused on quality, compliance, and professional growth.

US

  • Provide professional fee coding services across one or more medical specialties, accurately assigning codes.
  • Review clinical documentation and assign diagnosis and procedure codes to the highest level of specificity.
  • Work independently in a remote environment while maintaining required productivity and accuracy standards.

The company provides professional fee coding services across medical specialties. They seek a detail-oriented coding specialist to work independently in a remote environment.

California

  • Perform comprehensive chart reviews to ensure documentation supports accurate HCC reporting.
  • Identify claims correction opportunities and submit them for processing.
  • Provide provider education and analyze coding trends for assigned medical groups.

Dignity Health Medical Foundation is a California nonprofit providing comprehensive health care services across the state. As part of Dignity Health, one of the largest U.S. health systems, it emphasizes purposeful work and staff growth.

  • Accurately assigns ICD-10-CM and PCS codes for inpatient CABG, Ortho, and Med cases.
  • Uses 3M 360 Encoder HDM to streamline coding and billing processes.
  • Creates compliant physician queries and reviews claims for medical necessity.

TruBridge provides innovative solutions that support both the financial and clinical sides of healthcare delivery. They foster a remote work culture that encourages employees to push boundaries and think differently.

$41,600–$134,680/yr
US

  • Review patient records to improve quality and completeness of clinical documentation, ensuring accuracy for severity of illness and level of services.
  • Collaborate with providers, coders, and care team members to ensure comprehensive patient documentation and compliant documentation clarification.
  • Develop and deliver clinical documentation improvement education to providers, and monitor documentation requests to support revenue cycle integrity.

ProMedica is a mission-driven, not-for-profit health care organization serving communities across nine states with acute and ambulatory care, a dental plan, and academic business lines. The organization employs over 1,300 health care providers and has more than 2,300 physicians with privileges, committed to clinical excellence and addressing social determinants of health.

US

  • Assess clinical documentation for compliance with AMA and CMS coding guidelines.
  • Validate clinical documentation and evaluate accuracy and timeliness of the billing process.
  • Investigate and identify opportunities for improvement and provide education to providers and staff.

UnityPoint Health is a healthcare organization providing services across Iowa, Illinois, and Wisconsin. It is recognized as a top place to work in healthcare and fosters a culture of belonging, development, and total rewards.

US

  • Provide real-time documentation support to healthcare providers before and after patient encounters.
  • Evaluate chart review performance and assist physicians in improving coding and documentation best practices.
  • Ensure compliance with federal and state laws related to coding and documentation guidelines for risk adjustment.

Interwell Health is a kidney care management company that partners with physicians to reimagine healthcare. They are mission-driven and value diversity, equity, and inclusion.

United States

  • Assess clinical documentation for compliance with AMA and CMS coding guidelines.
  • Provide education and guidance to providers, clinical staff, and coders on documentation standards.
  • Analyze audit data, report findings, and collaborate with leadership to improve coding practices.

UnityPoint Health is a healthcare system providing medical services across Iowa, Illinois, and Wisconsin. It is recognized as a top workplace, committed to team member support, development, and a culture of belonging.

US

  • Manage day-to-day operations for the outpatient clinical documentation improvement program across multiple facilities.
  • Liaise with physicians and leadership on coding rules, risk adjustment, and reimbursement guidelines.
  • Ensure compliant and accurate medical record documentation while facilitating standardization.

Henry Ford Health is an academic health system providing comprehensive care across Michigan. With 12 hospitals and hundreds of clinics, it is a large organization focused on collaboration and innovation.

US

  • Orchestrate the flow of coded medical record information across inpatient and outpatient settings for billing accuracy.
  • Champion data quality by monitoring completeness, accuracy, and timeliness of medical documentation and coded submissions.
  • Design and deliver educational programs for clinical providers and coding staff on best practices, compliance, and documentation improvement.

Henry Ford Health is a leading academic health system providing a comprehensive continuum of care across Michigan and beyond. With 12 hospitals and hundreds of ambulatory locations, they foster a culture of purpose, collaboration, and belonging, empowering team members to grow their careers and make a meaningful difference.