iMedX is accepting applications for experienced inpatient facility coders. Facility coders worked on behalf of facilities and have extensive experience with DRG-based reimbursement for inpatient coding. This position does not apply to those pro-fee coders who have expertise in coding for physicians attending to patients in inpatient care. Full-time, part-time, and independent contractor status will be considered. Applicants must have a minimum of 3 years of broad-based acute care inpatient coding experience and have the requisite credentials to demonstrate compliance with this requirement. This is a remote (work-from-home) position. Purpose: The Medical Coding Specialist abstracts clinical information from health records and assigns accurate and complete codes in accordance with Official Guidelines for Coding and Reporting and iMedX standards as appropriate. Organizational Structure: The Coding Specialist reports to the Coding Manager. Key Responsibilities: - Abstracts relevant clinical information from the health records. - Identifies the principal and secondary diagnoses based on the Official Guidelines for Coding and Reporting (OGCR) - Assigns ICD-10-CM codes to the principal and secondary diagnoses. - Identifies ICD-10-PCS codes for procedures based on OGCR. - Possesses thorough understanding of the impact of DRG-based reimbursement on inpatient coding. - Able to identify instances where a physician query is necessary for accurate code assignment and demonstrates ability to compose required objective queries - Has sufficient knowledge regarding Clinical Documentation Improvement (CDI) strategies to effectively communicate with Facility CDI staff in promotion of their initiatives. - Exhibits familiarity with facility data systems such as EPIC, Cerner, MediTech and CPSI. - Exhibits working knowledge and familiarity with encoders such as 3M and TruCODE. - Meets or exceeds the iMedX coding quality standards. - Understands and adheres to all requirements related to coding compliance. - Performs coding in an efficient and productive manner, utilizing good time management and professional work habits. Meets productivity standards for position. - Refers coding questions to the Coding Manager in a timely manner for feedback and coding guideline development. - Continually enhances coding skills. Participates in team meetings and educational conferences to ensure coding practice remains current. - Maintains confidentiality and safeguards the privacy of protected health information (PHI). - Promotes the Company’s values. - Performs other job related duties as may be assigned or required. Education: High school diploma or GED equivalent. Completion of a formal coding program. Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or other AHIMA or AAPC approved coding credential preferred. Experience: Minimum of three years’ coding work experience and working knowledge of the ICD coding system; medical terminology; anatomy and physiology; and health record content. Exhibits a sense of urgency towards work, possesses intermediate level computer skills, attention to detail, excellent customer service and written and verbal communication skills.

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs. About the Opportunity As part of the Complex Payment Solutions Team, you will, as a DRG Reviewer, be a key contributor responsible for conducting thorough DRG payment validation reviews, including clinical and coding assessments, of medical records and related documentation in accordance with contract-specific review criteria. This position requires an in-depth understanding of clinical guidelines, coding protocols, and regulatory requirements to ensure accurate payment determinations. In this role, you will meticulously document findings, provide detailed clinical, policy, and regulatory support and collaborate with relevant stakeholders to ensure compliance with payment standards. Your expertise will be critical in ensuring that payment decisions are supported by accurate and complete documentation, ultimately contributing to the integrity and efficiency of the payment process. What you’ll do - Audit patient medical records using clinical, coding, and payer guidelines to ensure accurate reimbursement. - Provide clear, evidence-based rationale for code recommendations or reconsiderations to providers or payers. - Collaborate with team leaders to ensure thorough review of DRG denials. - Conduct audits in alignment with organizational quality and timeliness standards. - Use proprietary auditing systems proficiently to make consistent determinations and generate audit letters. - Recommend improvements to the audit system to enhance efficiency. - Ensure compliance with HIPAA regulations for protected health information. - Perform other duties as assigned. What you bring (Role Requirements) Education Requirements: - An associate or bachelor’s degree in nursing (active/unrestricted license); or in health information management is required. - Work experience may be considered in lieu of formal education at leadership discretion. Certification (at least one of the following is required): - RHIA - Registered Health Information Administrator - RHIT- Registered Health Information Technician - CCDS - Certified Clinical Documentation Specialist - CDIP - Clinical Documentation Improvement Practitioner - CCS - Certified Coding Specialist - CIC - Certified Inpatient Coder Qualifications: - Inpatient claims auditing, quality assurance or recovery auditing experience of 2 years or more required, and/or Inpatient Clinical Documentation Integrity experience of 2 years or more required - Strong focus on quality and attention to detail. - Deep curiosity and analytical skills to understand root causes of events and behaviors. - Proven ability to apply critical judgment in clinical and coding determinations. - In-depth knowledge of clinical criteria and documentation requirements to support code assignments. - Expert in DRG methodologies (e.g., MS & APR). - Expertise in ICD-10-CM/PCS coding, UHDDS definitions, Official Coding Guidelines, and AHA’s Coding Clinic Guidelines. - Ability to work independently and efficiently with minimal supervision. What We Offer: - Work from anywhere in the US! Machinify is digital-first. - Top Medical/Dental/Vision offerings - FSA/HSA - Tuition reimbursement - Competitive salary, 401(k) with company match - PTO - Additional health and wellness benefits and perks - Flexible and trusting environment where you’ll feel empowered to do your best work The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc. We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range. Salary is one component of the total compensation package, which includes meaningful equity, excellent healthcare, flexible time off, and other benefits and perks. Pay range: $90,000 - $115,000, plus quarterly bonus. Equal Employment Opportunity at Machinify We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/

About Private Health Management Private Health Management (PHM), a clinically sophisticated healthcare navigation firm, specializes in assisting clients to obtain the best care and outcomes when facing serious and complex medical conditions. Individuals and businesses who make health a priority rely on PHM to achieve the best of what's possible in medicine. We believe everyone should benefit from the latest science-backed insights, have access to the best diagnostics, specialists, and treatments, and receive independent guidance to make informed health decisions with confidence. About the role As a Medical Records Specialist at PHM you’ll work closely with your teammates collecting, processing, and maintaining medical records for our client cases and evolving our processes for consistent improvement. You’ll work directly with physicians’ offices and hospitals to help them understand the why behind the urgency and necessity of delivering the records. You’ll thrive at PHM if you’re adaptable, tech-savvy, and energized by change. We're constantly asking how we can do the job more efficiently and productively through process and technology improvements. You use this can-do spirit in combination with a detail-oriented attitude, excellent communication skills, and experience working in a medical or healthcare setting to materially improve our records process and enable a high functioning team. What You’ll Accomplish - Work directly with doctors/facilities via phone on all assigned case tasks - Create thorough case folders by collecting, separating, labeling and uploading records - Partner with peers to evolve our collection techniques and processes for greater efficacy and efficiency How You’ll Spend Your Days - Coordinate and oversee the collection and administration of medical records and related information from doctors’ offices, hospitals, and facilities - Think creatively to prevent and mitigate case delays and influence external entities to secure medical records and files - Compile, process and maintain medical records efficiently and consistent with medical administrative, ethical, legal and regulatory requirements - Collaborate consistently with clinical staff to facilitate and expedite cases - Develop and maintain relationships with medical record facilities - Expertly navigate proprietary and generic technology solutions - Ensure all casework and processes follow HIPAA compliant protocols with all parties encountered throughout the process What you bring to the table: - Ability to work Pacific Time Zone hours until 5pm. - 2+ years of experience in a healthcare setting. Medical records experience a plus, but not required. - Strong adaptability — you stay calm, flexible, and solution-oriented in a rapidly evolving environment. - A self-starter mindset — proactive, curious, and comfortable working independently. - High technological fluency — you learn new systems fast and leverage tech to get results. - Excellent communication and customer service skills with clients, team members, and medical partners. - Knowledge of medical terminology and meticulous attention to detail. Read what current Team Members say about working at PHM! Compensation: The hourly rate for this position is $25-26.44 per hour, which equals an approximate annual salary equivalent of $50,000-$55,000 annually. This base salary is only a part of a total compensation package that also includes: health/dental/vision benefits, 401k with match, PTO, PHM for PHM (our services for you and your dependents) and other benefits. Individual pay may vary from the target range as a number of factors including market forces, experience, location, disparities in market data and other relevant business considerations may all factor into final compensation. Location This is a remote role requiring that you live in and physically perform all work in the United States. The hours for this role, regardless of location, are 8 or 8:30 to 5pm Pacific Time Zone, Monday through Friday. Next steps Private Health Management is a remote company with employees around the United States. We’re committed to providing a thoughtful, transparent interview experience and meaningful opportunities to get to know our company, mission, and wonderful teammates through fully remote interviews. If your application is selected for interviews, you’ll hear from a member of our recruiting team to schedule an interview with our AI Interviewer, Ezra. Future interviews may include: the hiring manager, peers, and often an executive from the department. PHM uses AI-enabled tools at certain points in the recruiting process to help identify and evaluate top talent; however, all hiring decisions are made by human reviewers. Have a quick question about the role? Email careers@privatehealth.com or simply apply here. Anticipated Pay Range $50,000—$55,000 USD

Role Description Baptist Health is looking for a Physician Coder II to work with our Baptist Health Medical Group. This will be a Full-time role working home-based (remote). The Physician Coder II will accurately and efficiently access a wide range of specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. Responsibilities - Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. - Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with ICD-10, CPT, HCPCS. - Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government. - Submits to their Senior Coder any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up. - Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals. - Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials). - Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager. - Utilizes resource material available in department to support accurate coding practices. - Maintains patient confidentiality. - Demonstrates good communication skills both verbal and written. - Maintains 90% accuracy rate. - Attends departmental and other meetings as scheduled. Qualifications - High school diploma or equivalent. - Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required. - Thorough knowledge of CPT, ICD coding as evidenced by results of coding skills test of 80% or better. - One of the following national certifications: - Certified Professional Coder (CPC) through the American Academy of Professional Coders - Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) - Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA) - Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA) - Certified Medical Coder (CMC) through Practice Management Institute - Three (3) years certified coding experience in professional or physician practice coding. - Proficiency in multi-specialty E/M coding along with minor bedside procedure coding is preferred. - Knowledge of surgical coding is desired. Benefits - Medical, Dental, Vision - 403(b) Retirement Savings Plan - Health Savings Account (HSA) - Flexible Spending Account (FSA) - Paid Time Off (up to 5 weeks to start) - Life Insurance - Extended Leave Plan (ELP) - Family Care (childcare, elder care, pet care) - Paid Parental Leave - Pet Insurance - Car Insurance - Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt - ALL benefits start on day one!