Top 2509 Medicare Coder Jobs

Certified Coder
Toney HealthCare Consulting, LLC —Remote
- From $50 an hour
- Full-time
- Remote
- 5 years
- HIPAA
- Analysis skills
- Health insurance
Quick Apply
Coder I - Professional
SSM Health —Missouri
- Full-time
- Remote
- High school diploma or GED
- Children
- Entry level
- Paid parental leave
- Health insurance
Medical Coder Educator
Humana —Raleigh, NC
- $59,300 - $80,900 a year
- Full-time
- Remote
- Public speaking
- Mid-level
- Driver's License
- Paid parental leave
- Paid holidays
Medical Coder
Optum —Eden Prairie, MN
- $18 - $32 an hour
- Full-time
- Remote
- Pass drug screening
- Mid-level
- Windows
Medical Billing Manager
Saratoga Schenectady Gastroenterology Associates —Scotia, NY
- $85,000 - $115,000 a year
- Full-time
- HIPAA
- Recruiting
- Contracts
- Health savings account
- Health insurance
Quick Apply
Medical Billing Manager
Saratoga Schenectady Gastroenterology Associates —Malta, NY
- $85,000 - $115,000 a year
- Full-time
- HIPAA
- Recruiting
- Contracts
- Health savings account
- Health insurance
Quick Apply
Medical Billing Manager
Saratoga Schenectady Gastroenterology Associates —Niskayuna, NY
- $85,000 - $115,000 a year
- Full-time
- HIPAA
- Recruiting
- Contracts
- Health savings account
- Health insurance
Quick Apply
RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR
UnitedHealth Group —San Juan, PR
- Full-time
- RN License
- Pass drug screening
- Research
Coder Auditor/Senior CDI Specialist
HAMASPIK CHOICE INC —Spring Valley, NY
- $83,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
Quick Apply
Medicare Risk Adjustment Coder (Hybrid)
Genuine Health Group —Coral Gables, FL
- From $65,000 a year
- Full-time
- Hybrid work
- Bilingual
- Background check
- Spanish
- Paid holidays
- Health insurance
Quick Apply
6d
Medical Billing Manager
Saratoga Schenectady Gastroenterology Associates —Schenectady, NY
- $85,000 - $115,000 a year
- Full-time
- HIPAA
- Recruiting
- Contracts
- Health savings account
- Health insurance
Quick Apply
Ambulatory Coding Education & Audit Specialist
CaroMont Health —Gastonia, NC
- Full-time
- Word processing
- Primary Care
- Research
Revenue Cycle Liaison
Compassion Health Care —Yanceyville, NC
- From $49,200 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Computer literacy
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Coder Auditor/Senior CDI Specialist
HAMASPIK CHOICE INC —Brooklyn, NY
- $83,000 - $90,000 a year
- Full-time
- Writing skills
- Mid-level
Quick Apply
10d
Certified Coding Specialist
Altitude Sport & Spine —Idaho Falls, ID
- $23.59 - $28.40 an hour
- Part-time
- Hybrid work
- Private practice
- Ability to walk for extended periods
- HIPAA
- Health insurance
- 401(k)
Quick Apply
Coding Quality Specialist
St. Joseph's Health —New Jersey
- $28.55 - $44.25 an hour
- Full-time
- 5 years
- Mid-level
- Children
- 403(b) matching
- Paid holidays
Audit and Coding Specialist
Community Reach Center —Westminster, CO
- $65,000 - $75,000 a year
- Monday to Friday
- Spanish
- Mid-level
- Bachelor's degree
- Wellness program
- Paid holidays
Quick Apply
Professional Fee Coder - Analyst II (F/T) - (Sign-On Bonus eligible)
University of California San Francisco —Emeryville, CA
- Full-time
- Anatomy knowledge
- Mid-level
- Office
Coder Lead, Professional
SSM Health —Wisconsin
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Paid parental leave
- Health insurance
5d
Nurse Practitioner
Conviva Senior Primary Care —San Antonio, TX
- $123,800 - $170,300 a year
- Full-time
- Spanish
- Nursing
- English
- Paid parental leave
- Paid holidays
1d

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Certified Coder

Toney HealthCare Consulting, LLC -
Remote

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Job Details

Full-time | Contract
From $50 an hour

Benefits

Health insurance

Qualifications

Medicare
CMS
HIPAA
Certified Professional Coder
Medicare regulations
Attention to detail
Clinical information systems
Organizational skills
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid
Typing
Productivity software
Documentation review
Stakeholder relationship building
Stakeholder management

Full Job Description

Overview

The Certified Medical Coder supports strategic growth initiatives by conducting comprehensive coding audits, data validation, and financial risk analysis during mergers, acquisitions, and divestitures. This position ensures the integrity of clinical coding, risk adjustment data, and claims accuracy to inform valuation, identify compliance risks, and quantify revenue impacts.

Essential functions:

Coding and Validation

Review medical claims, encounter data, and/or clinical records to ensure accurate coding of ICD-10-CM diagnoses and CPT/HCPCS procedures and services
Validate provider-submitted codes against documentation and payer policies
Identify and correct coding discrepancies, errors, or unsupported services
Apply payer-specific edits, policies, and coding guidelines
Conduct coding audits to assess accuracy of:
ICD-10-CM diagnoses
CPT/HCPCS procedures
Risk adjustment (HCC) coding
Evaluate the organizations:
Coding practices and controls
Documentation sufficiency
Audit history and compliance posture
Identify exposure areas such as:
Overcoding / upcoding risk
Undercoding leading to revenue leakage
Unsupported diagnoses (RADV risk)

Competencies:

Strong attention to detail and accuracy
Strong communication and stakeholder engagement skills
Strong analytical and critical-thinking abilities
Excellent written and verbal communication skills
Strong organizational skills and ability to manage multiple priorities
Ability to interpret clinical documentation
Knowledge of regulatory and compliance requirements
Effective written and verbal communication
Proficient in Microsoft office suite

Required education and experience:

Certified coding credential:
CPC, CCS, or CCS-P required
5+ years of experience in:
Health plan / payer coding
Payment integrity
Coding audit or chart review
Strong knowledge of:
ICD-10-CM, CPT, HCPCS
CMS risk adjustment (HCC models)
Commercial, Medicaid, Medicare and Medicare Advantage plans
Demonstrated use and proficiency with EMR platforms and Microsoft Office applications

Physical Requirements/Work environment:

Remote with periodic travel as required <5%
Must have a home office, mobile phone, and computer with security requirements met
Prolonged periods of sitting at a desk and working on a computer
Ability to speak, hear, and comprehend both written and verbal communications
Internet Speed Minimum of 100 Mbps download and 10–20 Mbps upload
Typing/data entry of 40-55 WPM

Other duties:
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without advanced notice.

Pay: From $50.00 per hour

Experience:

Health plan / payer coding: 5 years (Required)
Coding audit or chart review: 5 years (Required)
payment integrity: 5 years (Required)

License/Certification:

certified coding credential (Required)

Work Location: Remote

Quick Apply

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RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR

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Professional Fee Coder - Analyst II (F/T) - (Sign-On Bonus eligible)

Coder Lead, Professional

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