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- ...Adjustment Data Validation (RADV) medical record review (MRR) work performed under the contract. This role ensures compliance with CMS RADV guidelines, coding standards, and risk adjustment policies while maintaining the highest quality and accuracy in medical record...SuggestedContract workPart timeWork at officeRemote workFlexible hours
J29, Inc.
Millersville, MD5 days ago - ...Seeking a Certified Coding Specialist III, this fully remote position requires expertise in coding and verifying inpatient encounters... ...codes, while also providing guidance to coding staff to ensure compliance with established guidelines and accuracy in billing. Key responsibilities...SuggestedRemote work
Virtual Vocations Inc
United States2 days ago - ...To ensure adherence to federal coding regulations, the full-time Coding Compliance Audit & Education Specialist will conduct audits of medical records, provide education to healthcare providers, and prepare detailed audit reports while collaborating with various stakeholders...SuggestedFull timeRemote work
Virtual Vocations Inc
United States1 day ago - ...per month. Job Description Summary: Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes. Ensures accuracy and compliance with coding guidelines and regulations. Job Description: Essential Functions: Analyzes medical records...SuggestedWork at officeRemote workFlexible hoursDay shift
Talentify.io
Columbus, OH2 days ago $31.03 - $36.03 per hour
...years of risk adjustment and/or hierarchical condition category coding experience.Strong knowledge of diagnosis code validation,... ...resolve complex medical record diagnosis questions and determine compliance with coding guidelines accepted by the federal government.Develop...SuggestedTemporary workWork experience placementRemote workCynet Systems
United States2 days ago$70k - $85k
...Risk Adjustment Coding Specialist II (CST/EST) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 16... ...auditing Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed...SuggestedFull timeWork at officeRemote workHome office- ...Risk Adjustment Coding Specialist We are looking for a full-time risk adjustment coding specialist to join our growing Population Health team. This position is located in Boise Idaho. This is a day shift, benefited position with the ability to work from home once training...SuggestedFull timeLocal areaWork from homeDay shift
- ...Clinical Outpatient Coding Specialist This position is open to remote candidates who reside in one of the following states only:... .... Due to business operations, tax registration, and employment compliance requirements, we are only able to hire individuals who currently...SuggestedApprenticeshipWork at officeRemote work
- ...- 6-month increments. Occ Summary Implement and maintain compliance programs in accordance with the Office of Inspector General's work... ...priorities and goals for future clinic needs. Identify coding and billing risk areas, conduct focused reviews, and implement...SuggestedWork at officeRemote workRelocation package
- Metropolitan Transportation Authority (MTA) is seeking a Senior Code Specialist 1 for its Construction & Development division at 2 Broadway, New York. The role focuses on ensuring compliance with state building and energy codes across project lifecycles, with potential...SuggestedRemote workAfternoon shift
- ...Solventum is seeking an Autonomous Coding Quality and Optimization Analyst to evaluate autonomous coding performance, identify opportunities... ...to improve automation outcomes, and ensure coding quality, compliance, and customer value as Solventum scales AI-enabled coding...SuggestedRemote job
- Mass General Brigham Incorporated is seeking a Coding Quality Assurance professional to monitor, assess, and improve coding processes... ...accuracy. You will enhance adherence to coding guidelines and ensure compliance with AMA, CMS, and other regulatory bodies. Responsibilities...SuggestedRemote job
- ...Brigham Incorporated is seeking a qualified medical coder to assign ICD-10 diagnosis and CPT/HCPCS procedure codes from medical records. You will ensure compliance with AMA, CMS, and other regulatory guidelines and maintain high accuracy to support proper reimbursement....SuggestedRemote job
- ...Outpatient Coding Specialist Under direct supervision, assigns accurate ICD-10 diagnoses and CPT-4 procedure codes derived from medical... ...for the purpose of appropriate reimbursement, research, and compliance with federal and state regulations. This role is essential for...SuggestedRemote jobWork experience placementWork at office
- Mass General Brigham Incorporated in Somerville, MA, is seeking a Coding Specialist II to ensure accurate ICD-10 and CPT/HCPCS coding for patient encounters. This fully remote role supports coding compliance, documentation accuracy, and quality assurance across medical...SuggestedRemote jobHourly payWeekly pay
- Community Health Systems seeks a Remote Physician Pro Fee Coding Specialist for Hospital Medicine NICU and ICU coding. You will review... ...sequencing and modifiers, ensuring government and payer policy compliance. Responsibilities include audits, collaborating with physicians...Remote job
- ...Medical Coding Specialist Under direct supervision, assigns accurate ICD-10 diagnoses, CPT-4 procedure coding and appropriate modifiers... ...for the purpose of appropriate reimbursement, research, and compliance with federal and state regulations. This role is essential for...Remote jobWork at office
- ...Coding Specialist The US Oncology Network is looking for a Coding Specialist to join our team at Texas Oncology! This full time hybrid... ...reports as assigned. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards....Full timeLive inWork at officeRemote workMonday to Friday
$25.38 per hour
...Coding Integrity Specialist We're not just filling positions, we're building careers. At Emplify Health, we care for our teams, while... ...-oriented and analytical individual to support coding quality, compliance, and education across our organization. This role plays a key...Full timeRemote workShift work- JOB DESCRIPTION Job Summary Provides senior level support for coding activities. Monitors adherence to Molina's compliance program, minimizing risks related to coding and billing practices, and protecting the business from liability related to fraudulent/abusive practices...Remote jobWork at office
- Boston Children's Hospital is seeking a remote Senior Coding Supervisor to lead Physician Organization Shared Services' professional billing coding operations, ensuring accuracy and compliance. The ideal candidate will hold CPC or CCS-P, have 5 years in coding leadership...Remote job
- Job Description Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural... ...ability to optimize reimbursement. The coding function also ensure compliance with established coding guidelines, third party reimbursement...Remote work
- ...Coding Certified Specialist Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and... ...ability to optimize reimbursement. The coding function also ensure compliance with established coding guidelines, third party reimbursement...Remote jobFull time
$140k - $220k
...Code Enforcement Attorney Attorney - Remote Flexibility / Lucrative Comp Package! This Jobot Job is hosted by: Martyn Sayer Are... ..., and internal legal teams on enforcement strategies and compliance issues Draft pleadings, motions, legal memoranda, and other...Temporary workLocal areaRemote workWork from homeHome officeJobot
Sacramento, CA2 days ago$25.45 - $41.8 per hour
...Outpatient Health Information Coding and Reimbursement Specialist Assigns diagnosis and procedural codes to hospital outpatient medical... ...using the automated encoder, book and other coding compliance and reimbursement resources as needed. Demonstrates complete understanding...Hourly payRemote workMonday to Friday- ...Title: Coding Quality Auditor and Specialist, HB Coding Duration: Full Time Employment Location: 100% Remote (occasional onsite... ...and adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures,...Full timeImmediate startRemote work
Medasource
Orlando, FL5 days ago - ...United StatesCompany: HumanaPosted: Humana Inc. is seeking a Senior Medical Coding Outpatient Auditor to lead coding-focused audit activities, validate coding accuracy, and ensure compliance with outpatient coding and reimbursement guidelines. You will report to the Manager...Remote work
Humana
New York, NY4 days ago - ...Hospitals. What you will be doing in this role: The Physician Compliance Auditor is responsible for reviewing and auditing claims,... ...and charges to ensure compliance with applicable documentation, coding, and billing requirements. Works closely with providers and staff...Remote job
- ...Join TriHealth as a Coding Educator! TriHealth is a place where skilled professionals shape meaningful changes, and this role puts... ...guide physicians and coding specialists in accurate documentation, compliance, and charge capture while supporting system-wide initiatives...Full timeWork at officeRemote workWork from homeDay shift
TriHealth
United States2 days ago $100k - $115k
...Immediate opening for a hybrid perm, full-time HIM Operations & Coding Manager . Location: Long Island/Queens NY areas. Salary: $100-... ..., productivity, quality, vendor performance, and regulatory compliance while supporting organizational revenue cycle goals. The Manager...Permanent employmentFull timeImmediate startWork from homeVisa sponsorshipWork visaEngage Partners Inc.
Queens, NY3 days ago
