159 professional coder jobs found

FlexStaff is seeking a Certified Professional Coder for our client—a medical administration practice—located in Westchester, NY . Qualifications Current CPC (AAPC) or CCS (AHIMA) certification required 2+ years of professional experience, preferably with anesthesia and/or surgical coding Strong knowledge of anatomy, physiology, medical terminology, and coding guidelines Experience with EPIC preferred Position Summary You will review clinical documentation and accurately assign CPT and ICD-10 codes for anesthesia services. Schedule Hybrid: 3 days onsite / 2 days remote Hours: Monday–Thursday: 8:30 AM–4:30 PM Friday: 8:00 AM–4:00 PM 1-hour paid lunch Key Responsibilities Review handwritten and electronic anesthesia records to determine procedures and diagnoses Assign accurate CPT and ICD-10 codes in accordance with current guidelines Post charges and ensure compliance with payer and regulatory requirements Reconcile posted charges against...

Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: 5 years of experience into Project Management At least 2 years of experience after CPC or CCS certification Bachelor's degree is a must Certifications AAPC Certified Professional Coder (CPC) or...

Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS)A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.Job DescriptionOne of our direct client is looking for potential candidate with the below mentioned skillsDirect Client: Immediate InterviewContract to HirePosition: Provider LiaisonMUST HAVE:5 years of experience into Project ManagementAt least 2 years of experience after CPC or CCS certificationBachelor's degree is a mustCertificationsAAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist...

Remote Outpatient Professional Medical Coder (CPC or equivalent) VA Northeast Ohio Healthcare System | Full-time W-2 | U.S. only Certified outpatient / professional-fee coder needed for a large VA tertiary teaching system. 100% remote through VA VPN. Hours are Monday–Friday, 6:00 a.m.–6:00 p.m. Eastern. Work Code outpatient professional encounters/FINs (primary care, subspecialties, diagnostics, prosthetics) ICD-10-CM, CPT with modifiers, HCPCS, and E/M Query providers through the VHA query process when documentation is unclear Productivity: 25 outpatient/prosthetic FINs per day Turnaround: within 5 calendar days of assignment Accuracy: 95% or higher Systems: Oracle Health and Solventum CRS encoder (VistA/CPRS/VIRR helpful) Required Active AAPC or AHIMA credential: CPC, CCS-P, CCS, RHIT, RHIA, COC, or CIC U.S. citizen; work performed inside the United States 2+ years continuous coding at a Level 1A VA (or equivalent large tertiary teaching...

Thank you for considering Progyny! Progyny is seeking a Claims Audit Extern to join our team. This role will primarily support claims audits, quality assurance reviews, and other related audit activities. In this role, you’ll gain hands-on experience in healthcare claims auditing while working with provider clinics and cross-functional teams to support coding accuracy, compliance, and continuous improvement. What you'll do... Participate in claims audits and quality assurance reviews, including selecting and preparing patient claim samples, evaluating claims and provider documentation, validating CPT/HCPCS and ICD-10-CM coding, modifiers, billing accuracy, and adherence to applicable coding and documentation guidelines. Document audit findings and prepare audit reports, including workpapers, Executive Summaries/Management Response Forms, and other required audit documentation. Provide education to provider clinics and applicable stakeholders regarding audit...

Sacbar is hiring certified medical coders for a remote, contract role with the potential for permanent employment based on performance. You will review inpatient records, assign codes, and ensure compliance while maintaining productivity from a home office. Active AHIMA CCS or AAPC CIC certification is required, with strong ICD-10-CM/PCS and DRG knowledge. Excellent communication, attention to detail, and independence are essential for success in this remote position. #J-18808-Ljbffr

Dayton Children's Hospital in Ohio is seeking an Inpatient Coder under supervision to support reimbursement through accurate coding of inpatient, observation, and outpatient surgery records. You will interpret electronic medical documentation to assign diagnostic and procedural codes for clean claim submission. The role requires knowledge of clinical terminology, anatomy and physiology, and experience with EPIC and 3M encoder. #J-18808-Ljbffr

Compliance Coding Auditor Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year. All queries arising from the audit process are...

Tennessee Orthopaedic Alliance seeks a Certified Coder to support primary health care delivery and patient care management by ensuring charges align with documentation and coding policies. Responsibilities include abstracting records, coding diagnoses and procedures, and using the practice management system. CPC or CCS-P certification and 1+ year experience required; strong medical terminology knowledge is essential. #J-18808-Ljbffr

Overview Make a Difference. Grow in Your Career. Thrive with Us. About the Role At Mindpath Health , we’re on a mission to make mental health care more accessible and more human. As a national leader in mental health services, we empower our clinicians, support our teams, and prioritize care that helps people truly thrive. The Certified Professional Coder (CPC) is responsible for performing professional coding services for theRCM Team, while following AMA and CMS medical coding guidelines . The primary function of thisposition is to utilize CPT, ICD-10-CM, HCPCS and coding guidelines to ensure accurate coding asrelates to medical documentation. A Certified Professional Coder will provide research and assist inresolving rejections, denials, and any coding/carrier related inquiries. This role reviews, analyzes, andcodes diagnostic and procedural information that determines Medicare, Medicaid, and private insurancepayments. The Certified Professional Coder must work to remain up to...

Compliance Program AssistantAssists in the MedStar Family Choice compliance program related to program integrity. Conducts provider audits to identify and address improper billing practices. We recruit, retain, and advance associates with diverse backgrounds skills and talents equitably at all levels.Primary Duties and ResponsibilitiesAnalyzes current payment policies and makes recommendations to improve program integrity and organizational processes.Assists with and tracks responses to external government inquiries investigations data requests subpoenas and fair hearings. Responds to government requests for claims data/information.Prepares written audit reports and communicates the results to management. Initiates corrective action plans or continuous improvement plans identified through audits.Coordinates monthly exclusion data base checks review and report findings.Completes assigned routine and selected audits all within assigned time frames. Ensures timely completion of risk...

Rendr is hiring a Medical Coding Specialist to improve coding documentation quality across primary care and specialty services in New York City. You will assign ICD-10-CM and CPT codes, query physicians for clarity, and stay current with coding guidelines. You will ensure HIPAA compliance, support policy development, and contribute to quality improvement initiatives with the RCM team. Experience with ICD-10-CM and CPT/HCPCS is required. #J-18808-Ljbffr

MetroPlus is seeking a Clinical Coder to join its Special Investigations Unit in New York City. The candidate will review medical records and claims for compliance, conduct audits, and participate in investigations of suspected fraud. A Bachelor's degree in Nursing and AAPC Coding certification are required, along with 5+ years of relevant experience. Strong analytical skills and attention to detail are essential for success in this role. The position allows for hybrid work arrangements, promoting both collaboration and work-life balance. #J-18808-Ljbffr

University Medical Center of Southern Nevada (UMC) in Las Vegas, NV, is an academic medical center with Nevada’s only Level I Trauma Center, a verified Burn Center, and a transplant program. It earned Magnet recognition for nursing excellence and patient care. The hospital seeks a skilled inpatient coder with CCS/RHIA/RHIT credentials, proficient in CPT/HCPCS/ICD coding and related reimbursement rules to support accurate medical records and revenue cycle processes. #J-18808-Ljbffr

LifeBridge Health through Practice Dynamics, Inc. (PDI) seeks a Billing/Coding Clerk to ensure accurate and timely entry or review of charges, following coding protocols and correcting claims manager edits. The role supports EMR and billing workflows across LifeBridge Health facilities. The position requires a HS Diploma or GED and 1–3 years of related experience, with CCS/CCS-P/CPC/CPC-A certifications within one year of hire. #J-18808-Ljbffr