23 associate coder jobs found

Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura's Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also provide investigative assistance in matters involving research...

Medical Coder and Abstractor ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. ProSidian Seeks a Medical Coder and Abstractor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on athe medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military operations...

Medical Records Coder Description: Code all outpatient and inpatient encounters for the purpose of reimbursement, research and compliance with federal regulations according to diagnosis(es), operations and procedures using the ICD-10 and CPT-4 coding system. Required Skills/Experience Demonstrates good judgment and decision-making abilities and utilizes time appropriately Ability to work with and get along with others Coding skills, typing skills, and computer skills Familiarity with medical terminology and anatomy Good interpersonal relation skills Communication skills (verbal and written) Good physical and mental health Constant reading of medical record and code book Ability to remain calm, professional and productive under stressful situations Concentration and attention to duty is a must 100% of the time Sedentary work Ability to climb stairs, do jobs that require bending, stooping, pulling, and pushing Education/Experience: Accredited...

Specialty Coder - PHYS At Piedmont Healthcare, youll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future. Responsibilities: Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical diagnostic and complex procedural information for various medical and surgical subspecialties for the correct ICD-10, CPT, Modifiers and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and other...

Qualifications High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health Information Management (Preferred) Work Experience 2-3 years Diagnosis and CPT coding in a clinic, business, or revenue cycle environment or any combination thereof. (Preferred) 2-3 years Broad knowledge of medical terminology and anatomy. (Preferred) Licenses and Certifications Required Certifications/Licensures: Coding Certification (CPC or CCS) Preferred Certifications/Licensures: CPMA Essential Functions CODING SKILLS Review medical records to assign ICD-10-CM, CPT, and HCPCS Level II codes and modifiers for accurate primary and multi-specialty billing. Provides analysis and education on coding trends and changes in payer policies to providers and staff. CODING REVENUE CYCLE SKILLS Review claim denials for coding issues, interpret payer guidelines, and assist insurance collectors with resolution for proper reimbursement. Prepare or...

Job Information Job Number: 32909 Location: Phoebe North Campus, 2000 Palmyra Rd, Albany, Georgia 31701 Department: PPG CBO; Shift: –; Job Type: Full time; Posted Date: 2025-10-30 Job Description Summary Classify medical data from patient records to assign ICD-10-CM and CPT codes for primary and multi-specialty physician billing. Reviews clinical billing for coding and billing accuracy. Review claim denials for coding-related issues and assist CBO collectors with resolution. Demonstrate knowledge of reimbursement guidelines and changes in payer policy. Provide guidance to clinical staff and providers where necessary. Serves as a resource for clinics on coding issues and questions as needed. May supervise an individual billing team of non-certified billers and collectors. Performs research on coding changes and payer policies on an ongoing basis. Qualifications High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health...

At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following:•RHIT - Certified Health Information Technician (AHIMA)•RHIA - Registered Health Information...

**Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details: Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: PRN (non-benefit eligible) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Medical Records Outpatient Coder II will work remotely on a PRN (non-benefit eligible) basis. Responsibilities: The Medical Records Coder II assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports. Assists Manager/Director with mentoring/training of Coder I team members and clinical practice students from various colleges. Performs other duties as assigned. Why BayCare? Our network consists of 16 community-based hospitals, a long-term acute...

Specialty Coder - PHYS Overview: At Piedmont Healthcare, you'll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future. Responsibilities: Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical diagnostic and complex procedural information for various medical and surgical subspecialties for the correct ICD-10, CPT, Modifiers and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and...

Lead Medical Coder and Auditor [PR0001D] Full‑time ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast‑paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. ProSidian Seeks a Lead...

Lifeguard Pediatrics – Warner Robins, GA About Us Lifeguard Pediatrics is a trusted, physician-owned pediatric clinic serving families across Middle Georgia. We are dedicated to providing comprehensive, compassionate, and community-centered care. With a growing need for developmental and behavioral health services in our region, we are expanding our care team to include in-house autism diagnostic services. Position and Responsibilities The biller and coder is responsible for the accurate and timely submission of medical claims to insurance companies and other payors. The medical biller posts payments or adjudications as appropriate. Using knowledge of billing practices and standards including third party payor requirements, the medical biller will investigate denials to process appeals and collect payment. In addition, this position is responsible for reviewing coding for outpatient services for reimbursement and research compliance. Medical Billing: Performs claim...

Lead Medical Coder and Auditor ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. ProSidian Seeks a Lead Medical Coder and Auditor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on the medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military...

DEPARTMENT: CODING FACILITY: Tift Regional Medical Center WORK TYPE: Full Time SHIFT: Daytime SUMMARY: Under the supervision of the Coding Supervisors and Manager, the Coder II assigns codes to discharge records for inpatients, outpatients and emergency room patients based on diagnoses and operative procedures. RESPONSIBILITIES: * Selection/sequencing of principal and secondary diagnosis done correctly at least 98% of the time. * Uses manual or computer encoder for appropriate coding system (ICD-9-CM or CPT) to assign code to completely describe physician documentation of diagnosis or procedure. * If diagnosis is unclear, contacts documentation specialists for query. * Ensures corrections made by physician and other medical personnel are properly recorded and complete. * Enters coded information in computer system for billing purposes. * Meets minimum standard of 98% productivity requirements. * Assists case managers in coding and reimbursement issues. *...

Job Description Job Description Description: Job Title: Certified Medical Coder/Biller Location: Richmond Hill, GA | Hybrid Remote Employment Type: Full-time Reports to: Billing Manager Department: Revenue Cycle Management Job Summary: The Certified Medical Coder/Biller is responsible for accurately submitting claims to insurance companies, ensuring timely reimbursement for medical services provided by the healthcare facility. This role involves reviewing patient bills for accuracy and completeness, resolving any billing issues, and communicating effectively with patients, insurance companies, and healthcare providers. The ideal candidate will have strong attention to detail, excellent organizational skills, and a solid understanding of medical billing processes and insurance guidelines. Key Responsibilities: 1. Claims Processing: · Prepare and submit accurate and timely insurance claims for services rendered. · Verify patient insurance coverage...

Certified Medical Coder/Biller The Certified Medical Coder/Biller is responsible for accurately submitting claims to insurance companies, ensuring timely reimbursement for medical services provided by the healthcare facility. This role involves reviewing patient bills for accuracy and completeness, resolving any billing issues, and communicating effectively with patients, insurance companies, and healthcare providers. The ideal candidate will have strong attention to detail, excellent organizational skills, and a solid understanding of medical billing processes and insurance guidelines. Key responsibilities include: Prepare and submit accurate and timely insurance claims for services rendered. Verify patient insurance coverage and ensure correct billing to the appropriate payer. Review and process Explanation of Benefits (EOBs) and insurance payments. Ensure that all medical services are accurately coded according to current guidelines (CPT, ICD-10, HCPCS). Work closely with...

Description Certified Medical Coder/Biller Location Richmond Hill, GA | Hybrid Remote Employment Type Full-time Reports to Billing Manager Department Revenue Cycle Management Job Summary The Certified Medical Coder/Biller is responsible for accurately submitting claims to insurance companies, ensuring timely reimbursement for medical services provided by the healthcare facility. This role involves reviewing patient bills for accuracy and completeness, resolving any billing issues, and communicating effectively with patients, insurance companies, and healthcare providers. The ideal candidate will have strong attention to detail, excellent organizational skills, and a solid understanding of medical billing processes and insurance guidelines. Key Responsibilities Claims Processing: Prepare and submit accurate and timely insurance claims for services rendered. Verify patient insurance coverage and ensure correct billing to the appropriate payer. Review and process Explanation...

A healthcare organization in Valdosta, Georgia, seeks a Medical Coder to analyze and assign ICD-10 and CPT codes for inpatient and outpatient medical records. The role involves using a 3M encoder, maintaining accuracy, and working closely with healthcare professionals. Candidates should preferably have an associate's degree in health information technology and coding certification. Benefits include a 401(k) plan with employer match, paid time off, and tuition reimbursement. #J-18808-Ljbffr

Certified Medical Coder/Biller The Certified Medical Coder/Biller is responsible for accurately submitting claims to insurance companies, ensuring timely reimbursement for medical services provided by the healthcare facility. This role involves reviewing patient bills for accuracy and completeness, resolving any billing issues, and communicating effectively with patients, insurance companies, and healthcare providers. The ideal candidate will have strong attention to detail, excellent organizational skills, and a solid understanding of medical billing processes and insurance guidelines. Key responsibilities include: Prepare and submit accurate and timely insurance claims for services rendered. Verify patient insurance coverage and ensure correct billing to the appropriate payer. Review and process Explanation of Benefits (EOBs) and insurance payments. Ensure that all medical services are accurately coded according to current guidelines (CPT, ICD-10, HCPCS). Work closely with...

JOB LOCATION: Main Campus DEPARTMENT: MEDICAL RECORDS SCHEDULE: Full Time, 8 HR Day Shift, Mon-Fri 8/5 Position Summary Analyzes inpatient and outpatient medical records to assign ICD-10 and CPT codes to diagnoses and procedures. Abstracts pertinent information into the hospital information system. Primarily codes all inpatient visits and as needed codes outpatient visits including Emergency, Outpatient Surgery, Observations, and various clinics. Uses 3M encoder and grouper, verifies codes in books, and maintains a daily productivity log. The coder may interact with physicians and other health professionals to confirm documentation in the medical record. Maintains a minimum 98% accuracy and 95% productivity rate. Responsibilities Assign accurate ICD-10 and CPT codes to inpatient and outpatient records. Abstract pertinent information into the hospital information system. Use 3M encoder and grouper, verify codes against code books. Maintain a daily productivity log. Interact...

Are you looking for a career in healthcare and have experience with Hospital or Surgical Coding? Randstad is seeking a highly skilled and detail-oriented Hospital/Surgical Medical Coder to join our client's healthcare practice. The ideal candidate will possess an expertise in hospital-based or surgical/procedure coding (ICD-10-CM/PCS, CPT, HCPCS) and have demonstrated proficiency using EMR/epic. In this role, you will be responsible for reviewing physician's notes to assign accurate codes for diagnoses and procedures, ensuring compliance with federal and state regulations, and managing coding work queues directly within EPIC to facilitate timely billing and reimbursement. Education & Certification: High School Diploma or GED required; Associate's Degree in Health Information Management preferred or..... Certification: CCS or CPC preferred MUST HAVE a minimum of 2 years experience with Hospital/Surgical Coding ENT Coding perferred Note: This position could be...

Hospice Medical Coder We are seeking a certified Billing and Coder to fill our Hospice Medical Coder role. The primary responsibility of the Coder is to ensure accurate coding and billing practices in compliance with relevant regulations and guidelines. This position will be working in the local office nearest you daily. This is a full-time, salary-based 8-hr position (8:00AM-5:00PM) (Monday-Friday). We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care. Why Choose a Career at Your Health? Providing high quality care for our patients is the center of what...

Description WHAT IT'S LIKE AT SGMC HEALTH Purpose . No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place. Excellence . We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service. Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment. Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides. WHY YOU WILL LOVE SGMC HEALTH SGMC has great benefit options, depending on the role that you are going into- including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities...