Clinical Medical Coder Job at Robert Half (Indianapolis)

Clinical Medical Coder

We are seeking a detail-oriented Clinical Medical Coder to join our healthcare t...

Location

United States , Indianapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
specialty training beyond high school preferred
1–2 years of related experience required
2–4 years of experience preferred
Certified Professional Coder (CPC) certification or Certified Coding Specialist – Physician-based (CCS-P) certification required
Strong knowledge of ICD, CPT, and HCPCS coding systems
Familiarity with electronic health records and medical billing systems
Excellent attention to detail and organizational skills
Strong written and verbal communication abilities
Ability to work independently and manage multiple priorities

Job Responsibility

Review patient medical records and clinical documentation to assign accurate diagnosis and procedure codes
Ensure coding compliance with payer, regulatory, and organizational guidelines
Identify and resolve coding edits, discrepancies, and documentation issues
Work closely with providers and internal departments to clarify documentation when needed
Maintain coding accuracy and productivity standards
Stay current on coding updates, regulations, and industry best practices

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Clinical Policy Clinical Coder Rn Ii

The Clinical Policy Clinical Coder RN II is responsible for analyzing, interpret...

Location

United States , Los Angeles

Salary:

102183.00 - 163492.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing
At least 8 years of experience in Clinical Nursing
At least 3 years of experience with Medi-Cal and Medicare in a managed care environment
Experience in performing and creating clinical documentation
Experience in regulatory compliance for a health plan
Experience with medical coding systems
Proficient with clinical policy through skills in literature searching and clinical research analysis based on the best available evidence
Working knowledge of clinical policies
Working knowledge of CPT/HCPC codes and claims
Ability to translate regulatory requirements into auditable tools

Job Responsibility

Translate approved clinical policies and utilization management criteria into clear, codified claims rules and system logic to support accurate claims adjudication
Develop, revise, and recommend clinical policies and internal utilization management criteria when standard clinical guidelines are insufficient to support appropriate decision-making based on codified claim rules
Assess the downstream claims impact of new or revised clinical policies prior to implementation and recommend configuration updates to mitigate operational or financial risk
Participate in validation of claims configuration changes to ensure policies are applied correctly and consistently across all lines of business
Monitor post-implementation claims activity to identify configuration issues, unintended denials, or payment discrepancies related to clinical policy application
Support remediation of claims configuration defects by identifying root causes and coordinating corrective actions with internal teams
Participate in and lead specialty and cross-functional workgroups and committees focused on healthcare services clinical policies, utilization management processes, strategic initiatives, policy governance, operational alignment, and continuous improvement efforts
Ensure timely dissemination of accurate and consistent policies and procedures across departments
Promote collaboration, engagement, and a positive work environment while supporting departmental initiatives and team-based activities
Manage assigned projects from concept through implementation, ensuring timelines, quality standards, and deliverables are met

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Medical Coder

We are looking for a detail-oriented Medical Coder to support revenue cycle oper...

Location

United States , Pittsburgh

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
At least 1 year of experience in multi-specialty medical billing, with ophthalmology or optometry exposure preferred
Working knowledge of ICD-10, CPT, and outpatient coding practices
Certification in medical billing, coding, or ophthalmology coding is preferred
Ability to review medical documentation and assign codes supported by the clinical record
Strong communication skills with the ability to work effectively with providers, staff, payers, and patients
Detail-oriented approach with the ability to manage records accurately and handle multiple billing tasks efficiently

Job Responsibility

Examine claims before release to verify coding accuracy, completeness, and compliance with payer rules
Prepare and transmit insurance claims through electronic and manual submission channels as needed
Monitor aging accounts on a routine basis and take appropriate action to support collection targets for older balances
Investigate denied or rejected claims each day, correct issues, and pursue resolution through follow-up and appeal activity
Record insurance and patient payments, apply necessary adjustments, and maintain accurate account balances
Communicate with patients regarding billing questions and outstanding balances while following established collection practices
Identify credit balances or overpayments and process appropriate research and resolution steps
Perform coding and documentation audits, review clinical and surgical records, and provide feedback when coding does not align with supporting documentation
Stay current on insurer policy updates and coding guidance, reconcile logs and supporting records, and maintain organized claim documentation

What we offer

medical, vision, dental, and life and disability insurance
401(k) plan

Fulltime

Medical Coder

We are looking for a Medical Coder to join a healthcare organization in Sacramen...

Location

United States , Sacramento

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 2 years of medical coding experience in a healthcare setting that requires careful attention to detail, or in an outpatient setting
Working knowledge of ICD-10, CPT, and evaluation and management coding principles
Background in outpatient coding with the ability to review provider documentation and assign codes accurately
Certified coding credential or comparable formal coding qualification
Familiarity with electronic health record and coding applications such as Epic, EncoderPro, or similar tools
Strong analytical ability and careful attention to detail when interpreting clinical information
Effective written and verbal communication skills for provider queries and collaboration across teams

Job Responsibility

Examine clinical records and determine the correct diagnosis and procedure codes for charge capture within required turnaround times
Apply ICD-10, CPT, and evaluation and management coding standards to physician and provider documentation with a strong focus on accuracy and compliance
Sequence diagnoses and procedures appropriately to support ethical billing practices and proper reimbursement outcomes
Investigate complex, uncommon, or unclear cases to identify the most accurate coding approach using current industry guidance and reference tools
Recognize services that require billing modifiers, including special reporting situations, and ensure they are reflected correctly on coded encounters
Communicate with physicians and other providers to resolve incomplete, conflicting, or ambiguous documentation before finalizing codes
Monitor accounts with missing documentation and follow through to help move encounters toward accurate coding and billing completion
Support claims follow-up activities by addressing coding edits, denials, audit requests, and other reimbursement-related inquiries
Contribute to compliance reviews, internal audits, and ongoing education efforts while staying current on regulatory and payer guideline updates

What we offer

Medical insurance
Vision insurance
Dental insurance
Life and disability insurance
401(k) plan

Medical Coder

We are looking for an experienced Medical Coder to support a hospital-based team...

Location

United States , Metairie

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience with hospital facility coding in a medical setting
Strong working knowledge of ICD-10 and CPT code sets
Background coding patient admissions along with inpatient and outpatient hospital encounters
Certified coding credential or equivalent coding certification
Ability to work accurately through a high volume of encounters while meeting deadlines
Solid understanding of coding compliance standards and documentation review practices

Job Responsibility

Review hospital encounters and assign accurate diagnostic and procedural codes for timely claim submission and record integrity
Apply ICD-10 and CPT coding standards to inpatient, outpatient, and admission-related documentation with close attention to compliance requirements
Evaluate clinical records for completeness and follow up on missing or unclear details needed to support correct code selection
Manage a backlog of encounters efficiently while maintaining consistent coding quality and productivity
Collaborate with clinical and administrative staff to clarify documentation and resolve coding discrepancies
Support hospital coding operations by identifying and addressing issues that may affect reimbursement or reporting accuracy

What we offer

medical, vision, dental, life and disability insurance
enrollment in company 401(k) plan

Senior Clinical Coder

Fixed Term | 12 Months (Maternity Leave). Are you an enthusiastic Clinical Coder...

Location

United Kingdom , Sheffield

Salary:

31049.00 - 37796.00 GBP / Year

Sheffield Children's NHS Foundation Trust

Expiration Date

Until further notice

Requirements

Accredited Clinical Coder (ACC) qualification
Substantial experience of clinical coding in an acute NHS trust setting
Experience and knowledge of coding a wide range of specialties and all levels of complexity
Experience in paediatric coding
Experience of applying complex coding rules and conventions
Excellent knowledge of coding theory
High level of understanding of medical terminology and physiology and anatomy
Ability to make judgements in complex coding cases
A good understanding of PbR and HRGs
Ability to read sensitive and destressing information

Job Responsibility

Produce accurate, complete and timely clinical coding for inpatient and day-case activity in line with national standards (OPCS-4, ICD-10)
Analyse and interpret complex clinical documentation to assign the correct diagnostic and procedural codes
Liaise with clinical teams to clarify information and ensure accurate representation of patient care
Maintain high coding quality by following Trust policies, national coding standards, and Clinical Classifications Service guidance
Participate in regular coder meetings, training sessions and audits to support continuous improvement
Support and mentorship to junior coders

What we offer

A supportive team and a positive, inclusive working environment
Opportunities to enhance your coding skills across a range of paediatric specialties
Excellent benefits to support your wellbeing, with generous annual leave and pension schemes, health and wellbeing programmes, and exclusive discounts

Fulltime

Clinical Coder

An exciting opportunity has arisen and we are looking to recruit a Clinical Code...

Location

United Kingdom , Barnsley

Salary:

28392.00 - 31157.00 GBP / Year

Barnsley Hospital NHS Foundation Trust

Expiration Date

Until further notice

Requirements

UK ACC qualification (ideal but not essential)
Passed an individual audit to the same standard as the DSPT Audit
Experience coding across a wide range of specialities within an Acute NHS Trust
Sound knowledge of medical terminology, human anatomy and physiology
Competency in the use of ICD-10 and OPCS-4 classifications
Proficient in the use of digital systems
Thorough understanding of national clinical coding standards and conventions
Significant experience of cross-specialty coding (for non-ACC qualified candidates)
Willingness to commit to training and development to become qualified
Ability to make analytical judgement to translate complex cases for coding

Job Responsibility

Provide a vital and dynamic role in supporting delivery of the clinical coding service
Work with clinicians and clinical staff
Be directly accountable for improving coding quality, depth, ensuring the ongoing accuracy of clinical coding
Meet Trust's deadlines associated with clinical coding

What we offer

Hybrid working pattern (some coders currently working from home 2 days a week)
Flexible working with varied working patterns to suit individual personal commitments
Healthy work/life balance

Fulltime

Coding Specialist

In this pivotal role, you will be instrumental in maintaining the highest standa...

Location

United States , Sacramento

Salary:

38.29 - 42.54 USD / Hour

Aquent

Expiration Date

Until further notice

Requirements

High School Diploma or GED
Successful completion of a Coder Proficiency Exam (pre-hire)
Certifications: One of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS)
Expertise in ICD-10-CM/PCS coding conventions for inpatient medical records
In-depth knowledge of diagnosis/procedure grouping schemes, including MS-DRGs and APR-DRGs
Strong understanding of professional coding ethics and standards, and the ability to apply professional data set standards
Familiarity with health information systems and industry-standard coding and auditing software
Knowledge of regulatory body requirements and coding compliance issues
Demonstrated ability to review, analyze, and abstract complex information from medical documentation
Exceptional critical thinking, problem-solving, and decision-making skills

Job Responsibility

Review medical record documentation and accurately assign appropriate diagnostic and procedural codes (ICD-10-CM/PCS) for inpatient services
Determine the correct payment groups, such as Medicare Severity-Diagnosis Related Group (MS-DRG) or All Patient Refined Diagnosis Related Group (APR-DRG), ensuring accurate reimbursement
Verify patient discharge disposition, assign correct sources of admission, and apply appropriate present on admission (POA) indicators for regulatory reporting
Ensure all assigned codes accurately reflect the documented reason for the visit and support the care provided
Abstract required data elements per facility specifications and maintain compliance with federal, state, and third-party regulations, as well as professional coding guidelines and ethics
Collaborate effectively with clinical documentation specialists and medical staff to clarify documentation, obtain missing information, and ensure comprehensive medical records
Monitor accounts for timely and compliant processing through the revenue cycle, contributing to the organization’s financial integrity
Consistently meet and exceed established quality and productivity standards for coding and abstracting
Stay abreast of current requirements from relevant regulatory bodies, coding compliance initiatives, quality indicators, and patient safety indicators to ensure clean claims and optimal reimbursement
Utilize industry-standard coding and auditing tools and reference materials with high competency and accuracy

What we offer

subsidized health, vision, and dental plans
paid sick leave
retirement plans with a match
free online training through Aquent Gymnasium

Fulltime

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Clinical Medical Coder

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