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Added 20 hours ago
Coder III Outpatient
Avera Health
Remote, United States
…reporting and editing function is also a major responsibility. The Coder III works independently to meet quality and production goals for the position. Varied amounts of time will be spent…
Added 1 day ago
Coder II, Profee
UPMC
Pittsburgh, PA
In this position, you will be working on edits. We are looking for individuals with a strong understanding of Evaluation and Management codes. As a Coder II, you will review all pertinent…
Added 1 day ago
UG
Senior Inpatient Edits/Denials
UnitedHealth Group
Eden Prairie, MN
- $24 to $43 USD / hour
3+ years of experience with Inpatient Edits/Denials coding in an acute care facility setting
Added 2 days ago
Certified Medical Coder (Contract/On-Site)
Rocky Boy Health Center
Box Elder, MT
Collaborate with Revenue Cycle and billing personnel to resolve coding discrepancies, claim edits, denials, and reimbursement issues.
Added 2 days ago
Bariatric Coder (PRN)
Healthrise
Remote, United States
…compliant claims data to support clean claims and reduce downstream denials. Provides flexible coding capacity during volume surges, coverage gaps, and backlog reduction, and escalates…
Added 2 days ago
MS
CPC Coder
Medix Staffing Solutions
Remote, United States
- $33 to $36 USD / hour
Edit and Denials Management: Monitor and resolve daily coding work queues, fix NCCI (National Correct Coding Initiative) edits, and collaborate with billing and denial management teams to…
Added 2 days ago
Urgent Care Coder (PRN)
Healthrise
Remote, United States
…compliant claims data to support clean claims and reduce downstream denials. Provides flexible coding capacity during volume surges, coverage gaps, and backlog reduction, and escalates…
Added 2 days ago
UG
Senior Inpatient Edits/Denials
UnitedHealth Group
Eden Prairie, MN
- $24 to $43 USD / hour
3+ years of experience with Inpatient Edits/Denials coding in an acute care facility setting
Added 2 days ago
Insurance Follow-Up Representative-Surgical Coder Collections
HOPCo
Royal Palm Beach, FL
As Center for Bone & Joint Surgery continues to grow, we are seeking an experienced and results-driven Certified Coder-Surgical Claims Collections to join our Revenue Cycle team. This…
Added 2 days ago
Coder Specialist - Interventional Cardiology
Ochsner Health
New Orleans, LA
Works in collaboration with team members and other departments to meet departmental monthly goals which may include one or more of the following: DNFB, Pre-AR, Denials, and Claim Edits.
Added 2 days ago
Coder II, PSD - Regional Health Services
UPMC
Erie, PA
Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement.
Added 2 days ago
Coding Specialist 2
University of Washington
Remote, United States
Reviews and resolves coding denials and coding claim edits in Epic daily as part of routine operations.
Added 2 days ago
CODING SPECIALIST 3 - CT Surgery/Transplant Surgery.
University of Washington
Remote, United States
…modifiers, missing charges, incorrect charges, medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes and CPT/HCPCS…
Added 2 days ago
EH
Billing Specialist
ECU Health Medical Center
Greenville, NC
- $17.66 to $25.74 USD / hour
…completion and appropriate management of pre and post billing edits. Generating, reviewing and transmitting claims for hospital and physician services to government and/or non-government…
Added 2 days ago
Inpatient Coder
Fusion HCR
Las Vegas, NV
…opportunities for improvement, follow up on coding-related denials, and communicate findings to appropriate stakeholders. This position is suited to a detail-oriented coder who can work…
Added 3 days ago
GI Surgery coder
Insight Global
Charlottesville, VA
Identify and resolve coding edits, denials, and documentation deficiencies
Added 3 days ago
CO
Billing Specialist
CHARTER OAK HEALTH CENTER INC
Hartford, CT
- $22 to $28 USD / hour
…accelerating cash flow, and proactively managing underpayments and denials. The Revenue Cycle Specialist minimizes revenue leakage, actively reduces Days Sales Outstanding (DSO), and…
Added 3 days ago
Coding Manager, Coding PB
HURC
Remote, United States
Evaluate the relationship between documentation, coding, billing, reimbursement, and denials.
Added 3 days ago
HS
CPC Coder
Healthcare Support Staffing
Temple Terrace, FL
- $25 USD / hour
Coding Specialists are responsible for assuring all claims are coded correctly and pass all internal edits in a timely fashion. All denied claims with coding errors are reviewed, corrected,…
Added 3 days ago
Ambulatory Payment Classification Coordinator
Houston Methodist
Nashville, TN
…medical policies, etc.), determines the causes for coding related edits or denials and partners with management to ensure timely billing and denial…
Added 3 days ago
Ambulatory Payment Classification Coordinator
Houston Methodist
New Orleans, LA
…medical policies, etc.), determines the causes for coding related edits or denials and partners with management to ensure timely billing and denial…
Added 3 days ago
Senior Medical Coding Specialist
Care Synergy
Denver, CO
Collaborate with Revenue Cycle to resolve coding-related claim edits, denials, and reimbursement concerns.
Added 4 days ago
Professional Coder
Albany Med Health System
1275 Broadway Albany, NY
The Remote Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliant with federal and state regulations and…
Added 4 days ago
Ambulatory Payment Classification Coordinator
Houston Methodist
Katy, TX
…medical policies, etc.), determines the causes for coding related edits or denials and partners with management to ensure timely billing and denial…
Added 4 days ago
Ambulatory Payment Classification Coordinator
Houston Methodist
Houston, TX
…medical policies, etc.), determines the causes for coding related edits or denials and partners with management to ensure timely billing and denial…

Healthrise

Bariatric Coder (PRN)

Remote, United States

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Job details

Posting language: English
Posted: Nov 6, 2026

Original job description

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Description

Performs day-to-day professional-fee coding for bariatric surgery partner organizations on a PRN (as-needed) basis. Translates bariatric clinic, operative, and follow-up documentation into accurate, compliant claims data to support clean claims and reduce downstream denials. Provides flexible coding capacity during volume surges, coverage gaps, and backlog reduction, and escalates documentation and coding issues to project leadership as needed.

Duties and Responsibilities Coding Operations

Reviews bariatric surgery clinic, operative, and follow-up documentation and assigns accurate CPT, HCPCS, ICD-10-CM, and applicable modifier codes.
Codes common bariatric procedures, including sleeve gastrectomy, Roux-en-Y and other gastric bypass, duodenal switch and SADI-S, and adjustable gastric band placement, removal, replacement, and adjustment.
Codes revisional and conversion procedures (such as sleeve-to-bypass or band-to-sleeve) and reoperations, and identifies when unlisted codes are appropriate and what documentation supports them.
Determines when related services are separately reportable or bundled, including hiatal hernia repair, intraoperative endoscopy, and cholecystectomy.
Assigns evaluation and management (E/M) levels for pre-operative consultations, post-operative visits, and surgical and nutrition follow-up based on current AMA guidelines for medical decision making or total time.
Assigns diagnosis codes that support medical necessity, including obesity class, BMI Z-codes, obesity-related comorbidities (such as type 2 diabetes, hypertension, sleep apnea, and GERD), bariatric surgery status, and post-operative complications.
Applies modifiers appropriately, including -22, -25, -51, -58, -59/X modifiers, -62, -78, -79, -80/-82, and laterality modifiers, with documentation to support them.
Applies global surgical package rules, distinguishing routine post-operative care from unrelated or complication-related services.
Codes related services as applicable, including medical nutrition therapy, pre-operative psychological evaluations, and supervised weight management visits.
Meets established productivity and accuracy benchmarks, to be defined with the client.
Queries providers when documentation is unclear, incomplete, or conflicting (for example, missing BMI, comorbidities, or procedure detail), and tracks query responses to resolution.

Compliance and Knowledge

Applies NCCI edits, CMS and AMA guidelines, and payer-specific bariatric coverage policies to ensure compliant coding.
Verifies that documentation supports payer requirements for bariatric surgery, such as BMI thresholds, comorbidity documentation, supervised diet history, psychological clearance, and prior authorization.
Stays current on annual code set updates (ICD-10-CM in October; CPT and HCPCS in January).
Maintains the confidentiality and security of PHI in accordance with HIPAA and client requirements.
Knows, understands, incorporates, and demonstrates the Healthrise Core Values.

PRN Engagement

Accepts and completes assignments within agreed turnaround times, communicating availability and capacity clearly to project leadership.
Ramps quickly on client-specific coding policies, EHR workflows, and billing models for each assignment.

Quality and Process Improvement

Participates in quality audits, feedback sessions, and ongoing education, and incorporates feedback into daily work.
Identifies and escalates trends in denials (such as medical necessity, missing pre-authorization, modifier errors, and global period violations), documentation gaps, or coding issues to project leadership.
Documents all actions and query outcomes in the client’s coding and billing systems.
Performs other duties as assigned.

Requirements

Required

Active professional coding credential in good standing, such as CPC, CCS, or CCS-P.
Minimum of two (2) years of recent, hands-on bariatric, general surgery, or surgical professional-fee coding experience.
Experience with major EHR and encoder platforms (Epic, athenahealth, eClinicalWorks, Cerner/Oracle Health, 3M, Optum, or equivalent).
Working knowledge of CPT, HCPCS Level II, ICD-10-CM, E/M guidelines, modifiers, NCCI edits, and bariatric procedure coding, including sleeve, bypass, band, and revisional procedures.
Strong understanding of global surgical package rules and surgical modifiers.
Located in and authorized to work in the United States.
Reliable high-speed internet and a secure workspace that meets HIPAA requirements.
Excellent written and verbal communication and organizational skills.
Attention to detail, accuracy, and time management.

Preferred

Certified General Surgery Coder (CGSC) or other surgical specialty credential.
Experience coding bariatric revisions, conversions, and complication management.
Familiarity with Medicare NCD 100.1 and commercial payer bariatric coverage criteria, including prior authorization documentation and denial management.
Prior PRN, contract, or project-based coding experience.
Demonstrated accuracy rate of 95% or higher.
Completion of regulatory/mandatory certifications.

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