919 (CPC) Certified Professional Coder jobs

The Coding Manager will have direct oversight and responsibility of all coding activities. This position manages and oversees daily coding operations and requires expertise in CPT, HCPCS, and ICD-10 guidelines for orthopedics and ambulatory surgery centers.  The Coding Manager will have responsibility to oversee all coding activities in compliance with a pplicable laws, regulations, standards, internal policies and procedures and the Code of Business Conduct and Ethics (“Code of Conduct”).  The Coding Manager works collaboratively with members of other departments and leadership to ensure organizational goals are met. RESPONSIBILITIES Oversight of coding specialists. Assigns CPT, HCPCS, and ICD-10 guidelines in accordance with authoritative coding standards and guidelines. Review and resolve coding denials. Implement policies and procedures to promote accurate and compliant coding and reduce coding denials. Monitor and update payer specific coding...

The Director of HIM will have direct oversight and responsibility of coding, medical records, and documentation improvement.  The Director of HIM is responsible for data quality and integrity and ensuring compliance with a pplicable laws, regulations, standards, internal policies and procedures and the Code of Business Conduct and Ethics (“Code of Conduct”).  The Director of HIM works collaboratively with members of other departments and leadership to ensure organizational goals are met. Responsibilities include: Oversight of medical record documentation and coding. Collaborates with other departments and senior leadership to ensure ongoing alignment of priorities and drives measurable improvement across the HIM service line. Provides HIM expertise and direction to division leadership regarding department development, clinical integration, and operational excellence. Provide training to clinical, coding, and administrative staff on medical record...

SCOPE OF WORK: AGS Health is seeking an Profee Interventional Radiology Coding Specialist who will be responsible for coding all requested IVR medical records using the most accurate and appropriate ICD-10-CM, CPT, modifiers, and APC assignment, while meeting specified productivity and accuracy standards. The coding specialist will also be responsible for abstracting key data required from the medical information consistent with UHDDS requirements and other regulatory coding guidelines.     JOBS-TO-BE-DONE ( JTBDs): Codes all requested Profee IVR records using the most accurate and appropriate ICD-10-CM, modifiers, and APC assignment in accordance with coding guidelines. Abstracts, codes, and assigns necessary demographic and clinical data elements required. Writes appropriate, non-leading queries. Maintains quality and productivity according to client requirements. ·           KEY SELECTION CRITERIA: Candidate qualifications :...

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for INPATIENT and OUTPATIENT CODING EDUCATION ANALYSTS WORK SCHEDULE 100% FTE Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Performs daily activities related to auditing, education and training of one or more content areas ERHI has coding oversight for Serve as an expert in Inpatient coding, respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or implementation of audit/monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit activities, maintain unit records, monitor regulatory developments, and help develop Coding program policies and procedure DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding,...

Certified Nurse Coder Team Lead We are seeking an experienced individual with a CPC (certified professional coder through AAPC) Registered Nurse with Team lead experience. Salary range is $75,000-$85,000 based on experience and credentials. This is a remote position. PLEASE ONLY APPLY IF YOU ARE AN RN & CPC. MUST HOLD THESE CERTIFICATIONS OR WILL BE AUTOMATICALLY REJECTED. Preferred experience with NJ/NY MVA and Workers Comp cases/fee schedules.   Responsibilities: · Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds in accordance with the NJ and/or NY PIP regulations · Interpret medical documentation to ensure accuracy of billed services IE: CPT, HCPCs codes. Review for unbundled services, modifier usage. Perform crosswalk of billed codes to maximize client savings · Provide support/training to code review team regarding proper coding guidelines, interpretation of medical documentation and proper...

Job Description About us: PayerFusion is a healthcare administrative solutions provider that offers health insurers and self-funded employers throughout the US and worldwide with innovative, cost-effective ways to process medical claims, maintain high customer satisfaction levels, and manage healthcare expenses. The Opportunity: PayerFusion is looking for an experienced Claims Examiner-Claims Processor to join our dynamic team. The successful candidate will help streamline our claims process and improve customer satisfaction. This is a great opportunity for an individual who enjoys working in a fast-paced, team-oriented environment. Job Responsibilities: Analyze and process claims in accordance with our clients’ policies and procedures. Identify and investigate inconsistent or fraudulent claims. Liaise with healthcare providers and policyholders regarding claims processing issues. Perform regular quality audits on completed claims. Document claim process and...

Are you an experienced leader in medical coding and revenue cycle operations? We are seeking a Health Information Management Director (working title: Director Professional Coding & Revenue) to oversee a team of over 140 professional coders supporting the clinical activities of University Physicians. This is an opportunity to drive efficiency, ensure compliance, and lead process improvements in a dynamic and ever-evolving healthcare environment. Why Join Us? ✔ Lead and mentor a team of coding managers and supervisors ✔ Play a key role in revenue cycle optimization and compliance ✔ Develop and enhance training materials for providers and coding staff Top Responsibilities 🔹 Oversee coding operations and ensure teams are working efficiently 🔹 Monitor workflows, schedules, and staffing for optimal performance 🔹 Collaborate with Compliance to establish and enforce policies and procedures 🔹 Identify process improvement opportunities and implement strategic solutions...

Sierra7 is hiring both inpatient and outpatient medical coders to assist the Department of Veterans Affairs. This position is variable up to 25 hours per week.   - We offer great perks to medical coding employees too! Sierra7 offers professional certification reimbursement and 401K eligibility. Don’t miss out on this opportunity! - To Be eligible for this position you must have at least 1 year of experience coding for the Department of Veterans Affairs.  - Must have a minimum of two years’ experience in inpatient or outpatient coding Job Requirements: Must be credentialed and have completed an accredited program for coding certification or health information management/health information technician program. Certification from AHIMA (RHIA, RHIT, CCS, CCS-P) or AAPC (CPC, CPC-H) is required. Minimum of two years’ experience in inpatient or outpatient coding. At least one year of experience coding for the Department of Veterans Affairs. Make a...

Job Summary Remote Medical Billing Specialists provide best-in-class billing services to our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late, underpaid or denied; work closely with providers, practice managers and staff to implement best practice protocols. Responsibilities Learn and become proficient with the premiere pediatric system in the industry- Physician’s Computer Company (PCC) Billing. Efficiently analyze insurance claims throughout the submission process, insuring claims are accurately coded in a timely fashion, and for optimum reimbursement and compliance. Ensure that all claims reach the payers, and independently resolve any issues (underpayments, denials, etc.) with the claims so they are paid fully and on time. Post payments, organize processing of patient correspondence and statements. Answer phone inquiries from patients regarding...

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking a motivated Coding Education Specialist with an emphasis in Adult Inpatient experience to join our Coding Services department.    This job can be performed 100% remotely and out of state candidates will be considered. The Coding Education Specialist will primarily be responsible for supporting and leading ongoing education to existing coding staff,...

The University Eye Center ( UEC ) of the State University of New York College of Optometry, an Article 28 Diagnostic and Treatment Center, is seeking a Certified Professional Coder. The successful candidate must be detailed oriented and be able to multitask with excellent time management, problem solving and investigative skills. Understanding of managed care, Medicare, Medicaid, commercial payers and self-pay guidelines is required. Reporting to the Director of Patient Financial Services, the Certified Professional Coder will be responsible for the review of pre and post charges in order to maximize reimbursement, minimize denials and comply with accepted coding practices. Responsibilities/Job Functions: Review provider documentation for charge accuracy and correction of diagnostic and procedural coding, coding integrity and revenue optimization prior to claims submission. Reviews and monitors statistics and key performance indicators to identify improvement...

Lead a team of 8 reports in a busy women's healthcare practice.  Friendly practice culture, excellent benefits and very competitive salary. This position is for management level candidates only and would report directly to the Chief of Operations and Chief Executive Officer

Medical Coding Auditor Are you passionate about making a difference in the health of rural communities? Community Health of Central Washington has an opening for a Medical Coding Auditor to train new and existing Providers on accurate coding. You will be responsible for reviewing and auditing medical coding for accuracy, compliance and completeness to ensure adherence to coding standards, guidelines and regulatory requirements. Qualifications: ·       HS Diploma or equivalent and 3 years of medical coding experience is required ·       Associate or Bachelor degree in related field is preferred ·       Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) is required ·       Certified Professional Medical Auditor (CPMA) with prior auditing experience is highly desirable ·       Valid Driver’s license and auto insurance is required Immunizations are required prior to start...

PS2 Practice Management is recruiting on behalf of the employer BASIC FUNCTION : University of Pittsburgh Physicians (UPP) is seeking an experienced plastic surgery coder to serve as the primary liaison between our plastic surgeons and the revenue cycle management (RCM) team. This pivotal role will ensure accurate coding, identify billing opportunities, and provide expert guidance and training to surgeons. The ideal candidate will have 5-10 years of experience specifically in plastic surgery billing and coding and may manage a small team of coders pending physician caseload. ESSENTIAL DUTIES: Physician Liaison Act as the primary point of contact for plastic surgeons, addressing all coding and billing inquiries. Collaborate closely with physicians to ensure accurate documentation and compliant coding practices. Proactively identify areas for coding improvement and communicate opportunities for optimized reimbursement. Revenue Cycle Support and...

As a full-time ProFee Interventional Radiology Coder, you will be responsible for the review, interpretation and coding of medical records for assigned specialty. Duties Include: Assign appropriate diagnosis, procedure, modifier and other codes, such as quality codes, based on clinical documentation, utilizing correct coding conventions and established policies and procedures for assigned specialty. Meet or exceed departmental productivity and quality standards. Research and resolve client coding and documentation questions utilizing appropriate resources. Resolve pre-billing coding related edits for assigned clients. Interact with the client to resolve documentation insufficiencies prior to code assignment, when appropriate, for assigned clients. This is a full-time position with benefits. KEY SELECTION CRITERIA: Candidate qualifications :   Certified through AHIMA or AAPC (CCS, CIRCC or CPC) Minimum 2 years coding leadership position....

AGS Health is seeking an Inpatient Coding Specialist who will be responsible for coding all requested inpatient medical records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment, while meeting specified productivity and accuracy standards. The coding specialist will also be responsible for abstracting key data required from the medical information consistent with UHDDS requirements and other regulatory coding guidelines. JOBS-TO-BE-DONE ( JTBDs): Codes all requested Inpatient records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment in accordance with coding guidelines. Abstracts, codes and assigns necessary demographic and clinical data elements required.    Writes appropriate, non-leading queries. Maintains quality and productivity according to client requirements.   KEY SELECTION CRITERIA: Candidate qualifications :  Certified through AHIMA or AAPC (CCS, CPC, or CIC) Minimum 2 years...

Vista Community Clinic is a private, non-profit, multi-specialty outpatient clinic providing care in a comprehensive, high quality setting. Located in San Diego, Orange and Riverside counties, we work to advance community health and hope by providing access to premier health services. Join a team of dedicated, motivated, enthusiastic team players who make a difference in the community. Our competitive compensation and benefits program includes health, dental, vision, company-paid life, flexible spending accounts and a 403(B) plan, for eligible employees. VCC is an equal opportunity employer. Accurately review, interpret, audit, code and analyze medical records for diagnosis accuracy, clear documentation, and Hierarchical Coding Condition (HCC) abstraction according to ICD-10 CM coding guidelines and risk adjustment model regulations. Coordinate and collaborate with operational and clinical leadership to assist in identification of clinical best practices. Implement process...

We are a very busy psychiatric practice looking for a full-time medical billing professional to join our team. This position is an in office position. ·         Salary range depends on experience ·         Willing to take CPC-A or CPC ·         Applicants should be comfortable posting payments according to insurance fee schedule as well as patient payments. ·         Submit medical claims to insurance carriers accurately and timely ·         Verify and review patients’ insurance benefits ·         Work independently on assigned tasks ·         Follow up on unpaid claims and denials ·         Speak to patients regarding balances both in person and on the phone ·         Work aged accounts monthly ·         Send appeals as needed ·         Identify incorrectly paid claims ·         Heavy phone volume ·         Credentialing and Recredentialing ·         Feel comfortable asking questions ·         Applicants should be...

Professional Fee Coder Educator Job Summary The Professional Fee Coding Educator (CE) is responsible for providing education and training for physicians, staff, and other providers on professional fee coding and clinical documentation standards. The CE will conduct coding quality reviews, analyze findings, and provide follow-up education to coding staff and providers; will outline and annotate applicable laws and coding compliance mandates applicable to the coding being reviewed and provide written and verbal teaching, training, or policies to affected parties. The CE must be facile and knowledgeable of all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on several factors including your work...

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado.   We are seeking a motivated Education Specialist to join our Audit, Compliance & Education team.    This job can be performed 100% remotely and out of state candidates will be considered.   The Medical Coding & Regulatory Education Specialist will primarily focus on the content creation of educational materials related to coding and documentation...