CrawlJobs Logo

RN Medical Coder

https://www.roberthalf.com Logo

Robert Half

Location Icon

Location:
United States , Eden Prairie

Category Icon

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided

Job Description:

We are looking for an experienced RN Medical Coder with a strong background in coding and reimbursement methodologies to join our team. This long-term contract role offers the opportunity to work remotely and contribute to the development of coding for benefit plans within the healthcare insurance industry. As part of this position, you will collaborate with certified coders and business analysts to ensure accuracy and compliance in coding practices.

Job Responsibility:

  • Analyze and identify appropriate codes for language used in benefit plans
  • Review and validate coding decisions made by peers to ensure accuracy
  • Facilitate discussions to align on coding documentation and standards
  • Assess audit results and implement necessary adjustments to maintain compliance
  • Actively participate in project meetings to provide insights and updates
  • Collaborate with team members, including certified coders and business analysts, to achieve project goals
  • Ensure coding practices align with industry standards and regulatory requirements
  • Contribute to the creation of coding documentation for benefit plans
  • Utilize Microsoft Office tools to support project tasks and communication
  • Stay updated on healthcare coding methodologies and best practices

Requirements:

  • Minimum of 3 years of experience in coding and reimbursement methodologies, including ICD-10 and HCPCS coding
  • CPC certification is required
  • Active and unrestricted Registered Nurse (RN) license
  • Proficiency in Microsoft Word, Excel, Access, and PowerPoint
  • Excellent verbal and written communication skills
  • Prior experience in managed care is preferred
  • Strong ability to review, audit, and adjust coding practices
  • Familiarity with healthcare insurance processes and benefit plan coding

Nice to have:

Prior experience in managed care is preferred

What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
January 18, 2026

Work Type:
Remote work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for RN Medical Coder

Risk Adjustment Education Specialist

This Job will report to the Risk Adjustment Manager of Coding Operations. Respon...
Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate degree or equivalent experience required
  • 5 years of experience in a hospital, a physician setting, or a Managed Care Organization as a medical coder required
  • 2 years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding) required
  • Other experience in teaching, training, or an educator/instructor role is needed
  • Must have experience in creating effective training materials and presentations (PowerPoint, Adobe, etc.)
  • Certified Professional Coder (CPC) from AAPC is required
  • Certified Risk Adjustment Coder (CRC) from AAPC is preferred
  • An RN or LVN must obtain both CPC and CRC within 12 months of hire
  • Must be proficient in Prospective, Retrospective, and Concurrent review processes
  • Must have strong clinical knowledge of disease pathology and ability to identify clinical indicators related to chronic disease
Job Responsibility
Job Responsibility
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
  • Subject matter experts for proper risk adjustment coding and CMS data validation
  • Work in conjunction with other departments, including Provider Relations, Quality, and the Medical Director, to ensure compliance with CMS risk adjustment guidelines
  • Analyze MRA data to identify patterns and development of provider and market-level interventions to coordinate an educational work plan for providers
  • Conduct provider education and training regarding risk adjustment to help ensure accurate CMS payment and improve care quality
  • This includes training venues such as provider offices, hospitals, webinars, conference calls, email correspondence, etc
  • Responsible for building positive relationships with assigned Physicians and serving as a contact for any questions or concerns that may arise
  • Identify those Practices that need initial or ongoing additional training
  • Perform other duties as necessary
  • Fulltime
Read More
Arrow Right

Payment Integrity Nurse Coder RN III

The Payment Integrity Nurse Coder RN III is responsible for investigating, revie...
Location
Location
United States , Los Angeles
Salary
Salary:
102183.00 - 163492.00 USD / Year
lacare.org Logo
L.A. Care Health Plan
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate's Degree in Nursing
  • At least 8 years of clinical RN experience
  • At least 3 years of experience in utilization management or clinical coding
  • Investigation and/or auditing experience
  • Knowledge in CPT, HCPCS, ICD-9, ICD-10, Medicare, and Medicaid rules and regulations
  • Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines
  • Working knowledge of claims coding and medical terminology
  • Solid understanding of standard claims processing systems and claims data analysis
  • Strong project leadership and management skills required
  • ability to prioritize, plan, and handle multiple tasks/demands simultaneously
Job Responsibility
Job Responsibility
  • Investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects
  • Serving as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements
  • Providing guidance related to Payment Integrity initiatives to include concept and cost avoidance development
  • Training and mentoring Payment Integrity Nurse Coder, RN staff
  • Acting as a Subject Matter Expert, serving as a resource and mentor for other staff
  • Performing Quality Audits to include validation of accuracy and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG, POA, and all relevant coding elements
  • Serving cross functionally with Utilization Management, Medical Directors, and other internal teams to assist in identification of overpayments as well as other projects
  • Serving as SME for all Payment Integrity functions to include both Retrospective Data Mining as well as Pre-Payment Cost Avoidance
  • Identifying trends and patterns with overall program and individual provider coding practices
  • Supporting the creation and execution of strategies that determine impact of opportunity and recover overpayments as well as prospective internal controls preventing future overpayments
What we offer
What we offer
  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)
  • Fulltime
Read More
Arrow Right

Clinical Documentation Specialist RN

Improves the overall quality and completeness of clinical documentation by perfo...
Location
Location
United States
Salary
Salary:
38.20 - 57.30 USD / Hour
aurorahealthcare.org Logo
Advocate Aurora Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Graduate from an accredited school of nursing
  • BSN
  • 5 years relevant clinical experience
  • Current nursing license in the State of Illinois
  • Ability to prioritize work
  • Excellent communication skills
  • Good problem solving skills
  • Critical thinking skills
  • Basic Computer skills
  • Effective problem-solver with good interpersonal communication skills, verbal and written
Job Responsibility
Job Responsibility
  • Improves the overall quality and completeness of clinical documentation by performing chart reviews using clinical documentation guidelines based on accepted standards, evidenced based practice, and current regulatory requirements
  • Communicates with appropriate healthcare team members to ensure accurate and complete documentation is in the medical record
  • Conducts follow-up reviews of clinical documentation to ensure points of clarification and agreed upon documentation have been recorded in the patient’s chart
  • Identifies the most appropriate principal diagnosis and complications including date to accurately reflect clinical acuity and risk of mortality in compliance with government regulations
  • Reviews clinical issues with coding staff to assign a working DRG, follows up with physicians if appropriate
  • Provide daily clinical evaluation of the medical record including physician and clinical documentation, lab results, diagnostic information and treatment plan
  • Confers with physicians, face to face or via clinical documentation inquiry forms, regarding missing, unclear or conflicting medical record documentation to clarify the information, obtain needed documentation, present opportunities, and educate for appropriate identification of severity of illness
  • Responsible for the day-to-day evaluation of documentation by the Medical Staff and healthcare team in accordance with the hospital’s designated clinical documentation policies and procedures
  • Gather and analyze information pertinent to documentation findings and outcomes
  • Educates all internal customers on clinical documentation opportunities, coding and reimbursement issues, as well as performance improvement strategies
What we offer
What we offer
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
  • Fulltime
Read More
Arrow Right
New

Inventory analyst

Randstad Inhouse, Pharma Specialty is looking for an Inventory Analyst on behalf...
Location
Location
Italy , Pomezia
Salary
Salary:
34000.00 - 40000.00 EUR / Year
https://www.randstad.com Logo
Randstad
Expiration Date
April 25, 2026
Flip Icon
Requirements
Requirements
  • Master’s Degree in Economics, Engineering, or equivalent field
  • Strong analytical skills with the ability to interpret and clearly communicate complex data
  • Excellent written and verbal communication skills in English
  • Proficiency in Microsoft Office tools and familiarity with ERP systems (Microsoft Excel, JDE, SAP, Access)
Job Responsibility
Job Responsibility
  • Support daily cycle count processes and ensure timely execution
  • Perform ad hoc analysis to support commercial needs
  • Collaborate with Local and EMEA Supply Chain teams to maintain high performance and avoid business disruptions
  • Manage critical activities such as outstanding orders and customer requests
  • Build and maintain effective relationships with cross-functional teams
Read More
Arrow Right
New

SEN Teacher

This is your chance to join a truly inspirational specialist provision devoted t...
Location
Location
United Kingdom , Tadworth
Salary
Salary:
31988.00 - 47322.00 GBP / Year
https://www.randstad.com Logo
Randstad
Expiration Date
March 10, 2026
Flip Icon
Requirements
Requirements
  • Teaching qualification and QTS
  • GSCE Maths and English
  • The ability to work with learners that have various learning difficulties
  • A willingness to learn and build relationships with learners
  • Flexibility in their approach to education
Job Responsibility
Job Responsibility
  • Teach KS1 & 2 learners
  • Work closely with the team to support and teach classes of 3-7 pupils
  • Help to engage the children in their education
  • Deliver thought provoking and child led lessons
What we offer
What we offer
  • Fully funded training and qualifications
  • On site parking
  • Extensive grounds
  • Free hot lunch from the on site cafeteria
  • Team days and events
  • Supportive management
  • Brilliant career progression opportunities
  • A unique teaching approach
  • Fulltime
Read More
Arrow Right
New

Sen teaching assistant

An Outstanding school near you is looking for a positive, dedicated Teaching Ass...
Location
Location
United Kingdom , Tadworth
Salary
Salary:
20500.00 - 23700.00 GBP / Year
https://www.randstad.com Logo
Randstad
Expiration Date
March 14, 2026
Flip Icon
Requirements
Requirements
  • The ability to work with learners that have various learning difficulties
  • A willingness to learn and build relationships with learners
  • The ability to work as an individual and as a part of the team
  • Flexibility in their approach to education
  • Experience working in SEND settings is desirable but not essential
  • GSCE Maths and English
Job Responsibility
Job Responsibility
  • Providing teaching assistance to the teacher defined according to weekly/daily/seasonal planning of the teacher
  • Working 1:1 with students
  • Providing group and/or individual activities, planned by the teacher
  • Working individually with learners/students to develop work
  • Supporting the general well being of learners within the structure of the school
  • Monitoring and evaluate students learning under the guidance of the teacher
  • Assisting teachers in the use of relevant management strategies to ensure a purposeful environment for teaching and learning to take place
  • Supporting all learners in their planned structured work in all curriculum areas
What we offer
What we offer
  • Fully funded training and qualifications
  • On site parking
  • Extensive grounds
  • Free hot lunch from the onsite cafeteria
  • Team days and events
  • Supportive management
  • Brilliant career progression opportunities
  • A unique teaching approach
  • Paid Summer holidays
  • Brilliant salary and benefits package
  • Fulltime
!
Read More
Arrow Right
New

SEN TA (Teaching Assistant)

A specialist school providing day support for children and young people with Aut...
Location
Location
United Kingdom , Tadworth
Salary
Salary:
20344.00 - 23877.00 GBP / Year
https://www.randstad.com Logo
Randstad
Expiration Date
March 10, 2026
Flip Icon
Requirements
Requirements
  • Be able to work with learners that have various learning difficulties
  • Be confident to support the lead in groups, in different educational subjects
  • Eligibility to work in the UK
  • Own transport (desirable but not essential)
  • NVQ level 2 in Teaching and learning is desirable but not essential
  • GCSE Maths and English or equivalent
Job Responsibility
Job Responsibility
  • Assist students during class making sure they are on track
  • Liaise with the class teacher to ensure a smooth running class
  • Enabling learners to access the curriculum
  • Support the pastoral needs of the learners
  • Be an active part in setting the learning environment
  • Supporting learners on a 1:1 base and part of a small group in a range of activities throughout the day
  • Using your interests to engage learners in learning
What we offer
What we offer
  • Working with children and seeing their ongoing development
  • Opportunities for career progression/ fully funded qualifications
  • On-site parking/free school meals
  • Team Teach training available (free of charge)
  • Fulltime
Read More
Arrow Right
New

Teaching assistant (ta)

This is your chance to join a truly inspirational specialist provision devoted t...
Location
Location
United Kingdom , Tadworth
Salary
Salary:
20555.00 - 23899.00 GBP / Year
https://www.randstad.com Logo
Randstad
Expiration Date
March 10, 2026
Flip Icon
Requirements
Requirements
  • The ability to work with learners that have various learning difficulties
  • A willingness to learn and build relationships with learners
  • The ability to work as an individual and as a part of the team
  • Flexibility in their approach to education
  • GSCE Maths and English
Job Responsibility
Job Responsibility
  • Providing teaching assistance to the teacher defined according to weekly/daily/seasonal planning of the teacher
  • Working 1:1 with students
  • Providing group and/or individual activities, planned by the teacher
  • Working individually with learners/students to develop work
  • Supporting the general well being of learners within the structure of the school
  • Monitoring and evaluate students learning under the guidance of the teacher
  • Assisting teachers in the use of relevant management strategies to ensure a purposeful environment for teaching and learning to take place
  • Supporting all learners in their planned structured work in all curriculum areas
What we offer
What we offer
  • Fully funded training and qualifications
  • On site parking
  • Extensive grounds
  • Free hot lunch from the on site cafeteria
  • Team days and events
  • Supportive management
  • Brilliant career progression opportunities
  • A unique teaching approach
Read More
Arrow Right