Top 43 Clinical documentation improvement nurse coder Jobs in Columbus

Risk Adjustment Coding Specialist
Mount Carmel —Columbus, OH
- Full-time
- Surgery
- Mid-level
- High school diploma or GED
- Relocation assistance
- Health insurance
AMBULATORY SURGERY CENTER RN (PRE-OP/OR/PACU)
Bradenton Surgical Center —Dublin, OH
- $36 - $44 an hour
- Full-time
- Nursing
- Blood sampling
- Surgery
Quick Apply
MDS Nurse
Confidential —Columbus, OH
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Denials RN Coordinator
Ensemble RCM LLC —Columbus, OH
- $62,500 - $79,800 a year
- Full-time
- Nursing
- RN License
- 5 years
- Tuition reimbursement
MDS Special Projects
LionStone Healthcare —Columbus, OH
- $80,000 - $95,000 a year
- Full-time
- Skilled nursing facility
- Mid-level
- 3 years
Quick Apply
3d
Skilled Nurse - RN in Home Health
Guardian Angel Home Care Inc. —Columbus, OH
- $80,000 - $140,000 a year
- Part-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Accounts Receivable Analyst
Deloitte —Columbus, OH
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
4d
Apheresis RN H11A
Nationwide Children's Hospital —Columbus, OH
- Part-time
- Nursing
- Patient monitoring
- RN License
Hepatology Clinic RN
Ohio Gastro —Columbus, OH
- Nursing
- Management
- Current TB test
Quick Apply
Electrophysiology Cardiac Device RN
Ohio State University Physicians —Columbus, OH
- $32.85 - $48.55 an hour
- Full-time
- Nursing
- Anatomy knowledge
- RN License
- Wellness program
- Paid holidays
2d
Contingent Licensed Nurse
ST VINCENT FAMILY SERVICES —Columbus, OH
- On call
- CPR Certification
- Nursing
- Patient monitoring
- Paid time off
- 401(k) matching
Quick Apply
Procedural & Clinical Operations RN – Office-Based Cath Lab (Part-Time)
360 Vascular Institute —Dublin, OH
- $43 - $50 an hour
- Part-time
- Background check
- Nursing
- Surgery
- 401(k) matching
Quick Apply
Infusion Nurse
LUX Infusion —Columbus, OH
- $48 - $55 an hour
- Nursing
- Patient monitoring
- RN License
Quick Apply
Critical Care Transport RN
Nationwide Children's Hospital —Columbus, OH
- From $38.91 an hour
- Part-time
- Nursing
- RN License
- PALS Certification
9d
Registered Nurse - Franklinton
Basecamp Recovery Center —Columbus, OH
- $35 an hour
- Extended hours
- CPR Certification
- Nursing
- Vital signs
- Loan repayment program
- Disability insurance
Quick Apply
Ketamine Registered Nurse
Optimum Wellness & TMS —Columbus, OH
- $90,000 a year
- Weekends as needed
- Background check
- CPR Certification
- Psychiatry
- Paid holidays
- Health insurance
Quick Apply
Registered Nurse (RN)
Forward Health —Columbus, OH
- Full-time
- Nursing
- Addiction Medicine
- RN License
Quick Apply
Registered Nurse (RN) - Full-time Night
OhioHealth Rehabilitation Hospital —Columbus, OH
- $37.90 - $51.00 an hour
- 12 hour shift
- Nursing
- RN License
- Hospital
- Dental insurance
- Tuition reimbursement
Quick Apply
Registered Nurse (RN) PRN
SUN Behavioral Columbus —Columbus, OH
- PRN
- CPR Certification
- Nursing
- RN License
Nursing RN / LPN
Caregiver —Columbus, OH
- Full-time
- Microsoft Word
- Nursing
- Microsoft Outlook
Quick Apply

I want to receive the latest job alert for clinical documentation improvement nurse coder in columbus

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

clinical documentation improvement nurse coder jobs near columbus

Registered Nurse jobs in Columbus, OH

Clinical Nurse jobs in Columbus, OH

Registered Nurse Infusion jobs in Columbus, OH

Nurse jobs in Columbus, OH

Registered Nurse Home Health jobs in Columbus, OH

Nurse Coordinator jobs in Columbus, OH

Special Projects Coordinator jobs in Columbus, OH

Cardiac Nurse jobs in Columbus, OH

Coding Specialist jobs in Columbus, OH

Nurse Practitioner jobs in Lynchburg, VA

Nurse Rn jobs in Nebraska

Psychiatric Nurse Practitioner jobs in Fort Myers Beach, FL

Registered Nurse jobs in Commack, NY

Registered Nurse jobs in Winston Salem, NC

Registered Nurse jobs in Niagara Falls, NY

Registered Behavior Technician jobs in Washington, DC

Registered Behavior Technician jobs in Tucson, AZ

Registered Nurse jobs in Edwardsville, IL

Registered Nurse jobs in Burleson, TX

Registered Nurse jobs in Rialto, CA

Risk Adjustment Coding Specialist

Mount Carmel -
Columbus, OH

Apply Now

Job Details

Full-time

Benefits

Relocation assistance
Health insurance
Dental insurance
Paid time off
Vision insurance
Professional development assistance
Retirement plan

Qualifications

Medical claims processing
Medicare
High school diploma or GED
Health insurance knowledge
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical terminology

Full Job Description

Employment Type:
Full time

Shift:
Description:
Position Purpose:
The Risk Adjustment Coder is responsible for reviewing and abstracting medical records to ensure accurate and complete diagnosis coding for risk adjustment purposes. This includes validating documentation using MEAT (Monitor, Evaluate, Assess, Treat) and TAMPER (Treatment, Assessment, Monitoring, Plan, Evaluation, Referral) principles to support Hierarchical Condition Category (HCC) coding. The coder also ensures accurate capture of Evaluation and Management (E) services and Current Procedural Terminology (CPT) codes to reflect the full scope of patient care and provider services. This role supports compliance, revenue integrity, and clinical documentation improvement through thorough review chart and collaboration with providers.

What You Will Do:

Reviews and evaluates patient medical records to determine the level of Evaluation and Management (E/M) service, identify office non-E/M procedures, and diagnoses. Accurately assigns and sequences CPT, modifiers, and ICD-10 codes. Abstracts and validates information.
Review patient medical records to identify and assign appropriate ICD-10-CM codes that map to HCCs.
Ensure documentation meets MEAT and/or TAMPER criteria to support the presence and management of chronic conditions.
Collaborate with providers to clarify documentation and educate on risk adjustment coding best practices.
Conduct retrospective and prospective coding reviews to identify missed or undocumented HCCs.
Maintain compliance with CMS, HHS, and payer-specific risk adjustment guidelines.
Participate in internal audits and quality assurance processes to ensure coding accuracy.
Provide feedback and training to clinical staff on documentation improvement opportunities.
Stay current with updates to coding guidelines, risk adjustment models (e.g., CMS-HCC, HHS-HCC), and regulatory changes.
Train and mentor peers and new coders on risk adjustment coding standards, MEAT/TAMPER documentation, and E/CPT capture.
Responsible for compliance with Organizational Integrity through raising questions and promptly reporting actual or potential wrongdoing.
All other duties as assigned.

Minimum Qualifications:

High School Diploma or Equivalent required
Licensure / Certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification required; Certified Risk Adjustment Coder (CRC) preferred.
Active and up to date CPC certification preferred
Completes and submits Medicare Patient Assessment Forms and maintains accurate database of submission and payment.
Minimum of two years of experience in medical coding and billing required.
Understanding of various medical claims formats.
Working knowledge in medical terminology, CPT and ICD-10 coding, and subsequent ICD versions.
Expanded knowledge of Risk Adjustment and HCC coding.
Knowledge of payer contracts and reimbursement.

Position Highlights and Benefits:

Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
Retirement savings account with employer match starting on day one.
Generous paid time off programs.
Employee recognition programs.
Tuition/professional development reimbursement starting on day one.
RN to BSN tuition 100% paid at Mount Carmel’s College of Nursing.
Relocation assistance (geographic and position restrictions apply).
Employee Referral Rewards program.
Mount Carmel offers DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday. You deserve to get paid every day!
Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.

Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you’re seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Apply Now

Refine Your Search

clinical documentation improvement nurse coder jobs in columbus

Risk Adjustment Coding Specialist

AMBULATORY SURGERY CENTER RN (PRE-OP/OR/PACU)

MDS Nurse

Denials RN Coordinator

MDS Special Projects

Skilled Nurse - RN in Home Health

Accounts Receivable Analyst

Apheresis RN H11A

Hepatology Clinic RN

Electrophysiology Cardiac Device RN

Contingent Licensed Nurse

Procedural & Clinical Operations RN – Office-Based Cath Lab (Part-Time)

Infusion Nurse

Critical Care Transport RN

Registered Nurse - Franklinton

Ketamine Registered Nurse

Registered Nurse (RN)

Registered Nurse (RN) - Full-time Night

Registered Nurse (RN) PRN

Nursing RN / LPN

I want to receive the latest job alert for clinical documentation improvement nurse coder in columbus

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected