Review patient records and accurately assign appropriate ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and treatments.
Serve as the subject matter expert for the coding team by answering coding-related questions and providing guidance on complex scenarios to ensure adherence to guidelines.
Regularly audit the work of coding team members to ensure accuracy and compliance with payer requirements and identify areas for improvement.
ICD-10 CodingCPT CodingHCPCS CodingMedical TerminologyEMR Systems
Verify and analyze medical record documentation to assign diagnostic and procedural codes using CMS and organizational guidelines.
Serve as a resource for physicians and billing staff, resolving coding discrepancies and ensuring a 95% accuracy rate for charge entry.
Assist in training new employees and collaborate with the central billing office to process charges within two business days.
Munson Healthcare is northern Michigan's largest healthcare system, operating eight community hospitals to serve over half a million residents across 29 counties. The organization emphasizes a values-driven team culture focused on excellence, teamwork, and positivity in a region known for its natural beauty and outdoor lifestyle.
Codes complex inpatient acute care discharges using ICD-10-CM and ICD-10-PCS codes.
Reviews provider notes and clinical documentation to assign accurate codes.
Collaborates with CDI on discharges, regulatory guidelines, and coding conventions.
Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. They deliver modern, patient-first care supported by innovation with state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care first.
Review and validate medical codes for accuracy and compliance.
Provide expert coding guidance and support to clinicians.
Conduct coding audits and quality reviews to ensure adherence to regulatory guidelines.
Mission Healthcare is the largest home health and hospice company in the western United States, located in seven states. They provide comprehensive services to meet the needs of patients and families, delivering care with Compassion, Accountability, Respect, Excellence, and Service (CARES).
Review and abstract professional medical records to ensure accurate code assignment.
Maintain coding quality, compliance, and productivity standards for preventive and chronic care.
Stay current with coding guidelines and contribute to improving documentation processes.
Sprinter Health's mission is reimagining how people access care by bringing it directly into their homes, using marketplace and last-mile technologies. The tech-forward team has raised over $125M from top investors and enjoys a multi-year runway.
Identify and manage changes to medical rules by reviewing policies, transmittals, and bulletins for revision, retirement, or addition.
Build and maintain Clinical Transaction Engine tables, assign CPT/HCPCS codes, and review national policies for integration into medical edits.
Independently prepare data editorials for production release, analyze coding trends, and resolve client issues forwarded by Compliance Support.
Experian is a global data and technology company that powers opportunities for people and businesses by redefining lending, preventing fraud, simplifying healthcare, and creating digital marketing solutions. With over 23,300 employees across 32 countries, it's a FTSE 100 company known for its innovative, people-first culture focused on inclusion and development.
Supports coding and documentation quality assurance.
Performs internal audits to assess compliance and quality.
Researches coding, billing, and charging compliance issues.
Presbyterian Healthcare Services is dedicated to improving the health of patients, members, and communities. They are a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group, employing nearly 14,000 individuals.
Codes and abstracts hospital medical records for diagnostic and procedural coding.
Utilizes federal, state procedures/guidelines to assure accuracy of coding.
Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation.
Virtua Health is dedicated to offering quality care through its extensive range of services and facilities. They have over 14,000 colleagues, including over 2,850 doctors, physician assistants, and nurse practitioners committed to providing quality healthcare.
Accurately abstracts information from service documentation and assigns CPT, ICD-10, and HCPCS codes for billing compliance.
Reviews and resolves coding denials and completes charge sessions in assigned work queues in a timely manner.
Ensures documentation meets current EM Guidelines and specific payer rules before releasing codes for billing.
UofL Health is a fully integrated regional academic health system with hospitals, medical centers, and numerous physician practice locations. It has over 14,000 team members, including physicians and nurses, focused on delivering patient-centered care.
Review documents to identify all procedures and diagnosis.
Ensure the encounters have been coded correctly based on documents received.
Ensure encounters are coded using the most current coding guidelines.
Ventra is a business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. They partner with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions.
Accurately translate patients’ medical records into standardized codes for diagnoses and treatments.
Ensure compliance with legal, regulatory, and organizational standards.
Ensure claims are processed correctly and on time.
Dignity Health Medical Foundation was established in 1993, and it is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation works together with physicians and providers throughout California to provide comprehensive health care services.
Provides leadership and expertise to coding teams, ensuring daily operations and compliance are met.
Serves as a mentor and resource for staff, assisting with training, complex coding questions, and workflow improvements.
Balances hands-on coding with auditing and oversight to maintain accuracy and timeliness in coding practices.
Rochester Regional Health is an integrated health services organization serving people in Western New York and beyond with a network of hospitals, practices, and laboratories. The organization emphasizes a collaborative environment focused on enabling healthier lives for its community members.
Reviews, analyzes, and codes medical record documentation for surgical specialties using ICD-10, CPT, and/or HCPCS codes.
Abstracts demographic and coding information into the information system accurately and completely; reviews documentation for medical necessity.
Provides technical guidance to physicians and staff, identifies and resolves issues, and develops effective working relationships with stakeholders.
Piedmont Healthcare aims to provide real career change. They value diverse teams and offer schedule flexibility, recognizing contributions to patient outcomes and investing in employee success.
Analyze customer coding workflows and share best practices for automation and improvement.
Manage coding quality assessments, drive world-class coding standards, and present audit results to customers.
Serve as a subject matter expert on medical coding and billing, providing expert guidance to internal teams and supporting customer implementations.
CodaMetrix develops an AI-powered autonomous coding platform that translates clinical information into accurate medical codes for healthcare revenue cycle management. It is a fast-paced company dedicated to improving patient care by allowing physicians to focus on clinical work, and it offers a collaborative, inclusive, and authentic workplace with benefits like health insurance, 401(k), and generous PTO.
Accurately assigning ICD-10, CPT, HCPCS, ASA, and modifiers for infusion services.
Reviewing medical documentation to ensure proper coding and compliance.
Staying up to date with third-party payer regulations and compliance guidelines.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions. They are committed to exceptional care and empower their team to thrive while living their core values.
Responsible for coding and abstracting patient records for professional billing and reimbursement.
Reviews medical records retrospectively and concurrently for accurate diagnosis and procedure coding.
Serves as a resource for coding questions, assists with insurance denials, and makes process improvement recommendations.
Trinity Health is a not-for-profit, faith-based healthcare system providing diverse medical services across 27 states. With 121,000 colleagues and nearly 36,500 physicians, it operates 101 hospitals and numerous care locations, emphasizing compassionate, person-centered care and significant community investment.
Review and analyze medical records to ensure coding accuracy in a timely fashion
Identify opportunities for improvement in coding models
Understand and apply coding guidelines to assign appropriate codes to diagnoses and procedures as supported by clinical documentation
SmarterDx builds clinical AI that is transforming how hospitals translate care into payment. Founded by physicians in 2020, their platform connects clinical context with revenue intelligence, helping health systems recover millions in missed revenue, improve quality scores, and appeal every denial.
Review and accurately code cases to maximize reimbursement in a timely manner.
Meet daily production goals and maintain a 95% accuracy rate.
Stay current on coding guidelines and maintain necessary credentials.
M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. They operate offices across multiple states, along with a growing international team and specialize in out-of-network surgical claims, partnering directly with their clients to ensure the maximum reimbursement for their services.
Performs CPT and ICD10 coding by abstracting from medical records, focusing on complex encounters.
Collaborates with Providers and Clinical areas to ensure accurate medical record reflection of patient services.
Trains physicians and staff on documentation, billing, and coding, while resolving Optum coding edits.
Northwestern Medicine is dedicated to providing a positive and patient-first workplace. They are a leader in the healthcare industry, offering opportunities for employees to contribute to better healthcare across the system.
Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts
Abstracts key data elements required for billing
Interacts with providers for clarification of documentation/education
UChicago Medicine has been at the forefront of medicine since 1899 and provides superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, they need employees with passion, talent and commitment… with patients and with each other.