Perry County, Ohio, United States · Remote Solely
$70k–$80k/yr
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your car…
Skills: Outpatient Coding, Medical Record Auditing, ICD-10 CM, ICD-10-PCS, APC
Muskingum County, Ohio, United States · Remote Solely
$85k–$121k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Data Architecture, Data Governance, SQL, Tableau, Power BI
Muskingum County, Ohio, United States · Remote OK
$75k–$95k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: C, Oracle, SQL, Unix, Linux
Perry County, Ohio, United States · Remote Solely
$73k–$104k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: SQL, Python, Data Analysis, Data Visualization, Tableau
Muskingum County, Ohio, United States · Remote OK
$48k–$69k/yr
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opport…
Skills: Writing, Editing, Proofreading, Project Management, Provider Relations
Muskingum County, Ohio, United States · Remote OK
$31k–$45k/yr
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opport…
Skills: Customer Service, Help Desk Software, Microsoft Office, Problem Solving, Written Communication
Muskingum County, Ohio, United States · Remote Solely
$85k–$121k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Data Architecture, Data Governance, SQL, Tableau, Power BI
Bangalore South, Karnataka, India · Remote OK
Summary As a Test Lead (Manual Test, US Healthcare & Medicaid/Pharmacy) at Gainwell, you will be a part of an innovative healthcare technology company with a mission to serve the healthcare needs of our communities. Mos…
Skills: Manual Testing, Medicaid Pharmacy Operations, MMIS/MES Systems, PBM Functions, Pharmacy Claims Processing
Muskingum County, Ohio, United States · Remote Solely
$73k–$104k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: .NET, C#, Oracle, SQL, PLSQL
Muskingum County, Ohio, United States · Remote OK
$73k–$104k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: .NET, C#, Oracle, SQL, PLSQL
Tallahassee, Florida, United States · Remote OK
Summary As a Bilingual Call Center Representative - Remote FL at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they se…
Skills: Customer Service, Problem Solving, Written Communication, Oral Communication, Microsoft Office
Muskingum County, Ohio, United States · Remote OK
$69k–$99k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Product Ownership, Agile Methodology, Scrum Framework, Backlog Management, Stakeholder Collaboration
Oklahoma City, Oklahoma, United States · On-site
$35k–$41k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Customer Service, Call Center Operations, Multitasking, Technical Support, Data Entry
Muskingum County, Ohio, United States · Remote OK
$75k–$90k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: AWS, Azure, Application Support, .NET C#, SSRS
Muskingum County, Ohio, United States · On-site
$81k–$116k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Business Analysis, Requirements Translation, Medicaid Knowledge, Medicare Knowledge, Microsoft Excel
Muskingum County, Ohio, United States · On-site
$81k–$116k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Business Analysis, Requirements Translation, Medicaid Knowledge, Medicare Knowledge, Microsoft Excel
East Hartford, Connecticut, United States · Hybrid
$29k–$42k/yr
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opport…
Skills: Critical Thinking, Attention To Detail, Multitasking, Written Communication, Verbal Communication
Perry County, Ohio, United States · Remote OK
$75k–$95k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Java, Spring, Spring Boot, AWS, CI/CD
Perry County, Ohio, United States · On-site
$87k–$124k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Business Analysis Leadership, Requirements Elicitation, SDLC/PLC Processes, Stakeholder Management, Healthcare System Implementation
Perry County, Ohio, United States · Remote OK
$101k–$144k/yr
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll h…
Skills: Enterprise Data Warehousing, Business Intelligence, Databricks, Power BI, SQL
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
Perform coding reviews of medical records to ensure accuracy of diagnosis and procedure codes according to regulatory guidelines. Document audit findings in proprietary systems and provide mentoring and training to new coding auditors.
Requires at least 2 years of outpatient medical record coding or auditing experience and an active professional credential from AHIMA or AAPC. Proficiency in ICD-10, APC, ASC, and various Microsoft Office tools is essential.
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
We are seeking a talented individual for an Outpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review services are being provided. This involves accessing proprietary systems to audit medical records, accurately document findings and providing policy/regulatory support for determination. The candidate must have an extensive background in outpatient coding edits and has a high level of understanding in reimbursement guidelines specifically an understanding of the EAPG, ASC and APC payment systems.
This posting is intended for pipelining purposes and will remain open to accept applications on an ongoing basis.
The pay range for this position is $70,000.00 - $80,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus. Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies. Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.
Offices: United States, US
For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus. Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies. Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.
Offices: United States, US
