229 coder professional jobs found

# **We value your privacy**Certified Professional Coder page is loaded## Certified Professional Coderremote type: In Personlocations: Commerce, CA 90040time type: Full timeposted on: Posted Todayjob requisition id: JR7642**Grow Healthy**If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.**Job Overview**Assigned codes to patient symptoms, diagnosis, operations, and treatments to process reimbursements; knowledge and...

Professional Coder The 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 insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 DX codes. This position is remote. Essential Duties And Responsibilities Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes. Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. Ensure established productivity and quality standards are met. Review denials, research and respond appropriately and timely. Perform audits as determined by management. Assist with all levels of application testing for...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview Assigned codes to patient symptoms, diagnosis, operations, and treatments to process reimbursements; knowledge and expertise in reviewing and adjudicating coding services procedures and diagnoses on medical claims. Completes accuracy and timely entry of ICD-9-CM, HCPCS procedure codes and CPT codes into the NextGen system. Minimum...

Job Description Under the general direction of the Supervisor, the Medical Coding Specialist will abstract medical services provided by the healthcare system and its affiliates. The incumbent will identify all billable services-including IP Professional, Outpatient Professional and Facility, Hospital Service Departments, Freestanding, and Ancillary Services-and assign CPT-4, ICD-10, and HCPCS codes for billing purposes to government agencies, insurance companies, and patients. You will be responsible for the accuracy of procedure and diagnosis coding relative to documentation and standards, while ensuring compliance with all federal, state, and carrier-specific rules and regulations. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment...

This is a casual position which is subject to renewal on 10/24/2025. JOB SUMMARY: Under the general direction of the Supervisor, Professional Billing & Coding and Director, Professional Billing & Coding, this position operates from within the Revenue Cycle Center to address coding issues related to professional billing claims. The incumbent is responsible for reviewing provider charges to ensure accuracy, reduce claim errors & denials while maintaining compliance with CCI & other payer specific coding Edits (McKesson). The incumbent is responsible for reviewing professional surgical coding performed by departmental Professional Services Coders to ensure accuracy. The incumbent will be responsible for identifying trends of incorrect coding & compiling examples. They will develop training guidelines & presentations of coding recommendations based on these identified trends & will meet with physician providers to train & educate. The incumbent...

Job Brief 1 Opening Pay Range: CODER III - $37.92 to $60.68 Job Summary: Assures the accurate coding of diagnosis and procedure codes within assigned services. Conducts education, training, and continuously monitors coding and documentation of professional services rendered in accordance with government, insurer, and other regulatory agency standards. Assists with clinical and financial assessments and/or reporting for medical staff and other hospital personnel as it pertains to coding, grouping and clinical abstracting of data in accordance with established policies and procedures. Licensure and Certification: Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist - Physician based (CCS-P) CPC-A accepted if work experience is met. Education: High School Diploma or GED required. Associate's degree in Health Information Management or related field preferred. Experience: 3-5 years of experience in a professional...

At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. 1. Education: High School Graduate or equivalent preferred. College coursework a...

Medical Billing Specialist Job Objective: A brief overview of the position. Reviews E&M and simple visit charges submitted by providers in assigned work queue(s) to validate Level of Service, place of service, new verses established, and modifier review to ensure valid creation of claim. Reviews and enters manual charges submitted by providers for external services. Reviews and resolves simple NCCI, LCD and MUE edits. Reports to Billing Manager Supervises None Ages of Patients None Blood Borne Pathogens Minimal/No Potential Qualifications Education Required: High School Diploma or GED Preferred: Currently enrolled in a coding certification program or holding an Apprentice Certificate in coding- CPC or CCS Preferred: General College Studies Preferred: One year coding certificate or courses in Medical Terminology, Anatomy and Physiology and extensive training or experience in coding Licensure/Certification Required: Within 18 months complete a coding...

Medical Coder Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Medical Coders are responsible for review and submission of 64 encounters per day or 8 per hour related to evaluation & management, procedures, testing, monitoring and hospital services daily. Must be comfortable with discussing coding and guidelines with providers in a collaborative and professional manner. This position will assist with work que evaluation and update of pending encounter status and service lines. Will work with leadership on projects for coding as needed to assist with workflows. Medical coding of...

Description Leidos, a global technology leader, is seeking a Combat Coder for our Sentinel program, supporting the United States Air Force in geographically distributed intelligence operations. Combat Coders directly support mission objectives by integrating data sources and interfaces quickly while being embedded with the user base. As a Combat Coder you will engage directly with our customers to build and modify all aspects of full-stack applications. Your contributions will move directly to production systems and get immediate feedback. You will be working with a small elite team of developers that focus on getting things done to support the mission. Join Leidos in our mission to enhance global security and efficiency through technology and innovation. Be part of a team that champions Integrity, Inclusion, Innovation, Agility, Collaboration, and Commitment. If you're ready to drive critical software deliveries, apply now to join Leidos as a Combat Coder for the...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Job Description Job Description At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly ("PACE") in collaboration with our leading healthcare partners, including Kaiser Permanente. Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations. Habitat Health is growing, and we're looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit...

This is a full-time, benefit eligible position that is partial remote. Must be local in San Diego or willing to relocate and willing to work weekends. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics,...

Immediate need for a talented Hospital medical Coder-ICD-10/CPT - (CA, OR, WA,HI) . This is a 06 months contract opportunity with long-term potential and is located in CA, OR, WA,HI ( Remote ). Please review the job description below and contact me ASAP if you are interested. Job ID: 26-01371 Pay Range: $30 - $33/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Review outpatient medical records and accurately assign ICD-10-CM and CPT codes Apply coding guidelines, edits, and compliance standards Communicate with physicians to clarify diagnoses, procedures, and sequencing Follow all CMS, AHA Coding Clinic, and organizational coding guidelines Key Requirements and Technology Experience: 2 years of hospital coding experience within the last 5 years At least 1 year of full-time certified coding experience Strong understanding of E/M coding Ability to...

Payment Integrity Nurse Coder RN III The Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance related to Payment Integrity initiatives to include concept and cost avoidance development. This position trains and mentors Payment Integrity Nurse Coder, RN staff. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff. Duties: Performs Quality Audits to include validation of accuracy and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG, POA, and all relevant...

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action...

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...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

Job Description Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us, and discover why U.S. News & World Report has named us one of America's Best Hospitals! What you will be doing in this role: Working under the general direction of a coding supervisor, the Facility Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. Correctly identifies the principal diagnosis, comorbidities/complications, present on admission indicators, and determines sequencing of codes to calculate the...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you...

Contract Inpatient Facility Coder This is a remote role. We are seeking a highly motivated and dedicated coding professional to join our team as a contract inpatient facility coder. The ideal candidate must have at least 5 years of coding experience with facility inpatient services. The position requires one to be resourceful, organized, independent, and extremely driven. The ideal candidate will possess the following: Minimum 5 years of coding experience Extensive coding in all aspects of inpatient coding High level of proficiency in anatomy, physiology, disease process, and pharmacology Excellent written and verbal communication skills Detail oriented and deadline driven attitude Sound knowledge of medical terminology Strong computer skills (Excel, Word, and internet) Ability to think critically Ability to multitask and keep a sense of urgency Excellent customer service skills Strong time management, organization skills, and work ethic Job Duties: Accurately...

Coding Educator (Temp-To-Hire, 13 Weeks) Location: Within Sutter Health Footprint (Hybrid Mostly Remote With Local Travel) Type: Contingent / Temp-To-Hire Overview Sutter Health Is Seeking Experienced Professional Fee (Pro Fee)Focused Coding Educators To Support Large-Scale Chart Review, Coding Accuracy Validation, Physician Education, And Document... Key Responsibilities Include: Supporting large-scale chart review Validating coding accuracy Providing physician education Ensuring documentation accuracy Qualifications: Experience in professional fee coding Strong understanding of coding regulations and guidelines Excellent communication and teaching skills Additional Information: Job Id And Other Requisition Information Can Be Found At The Bottom Of This Post.

Coding Specialist Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. Pay Range: $28.70 - $41.70 Scheduled Weekly Hours: 40 Position Overview Assigns codes accurately to diagnoses and procedures within the medical record to comply with federal and state regulations. Sequences...

A leading healthcare provider in California is seeking a Coder 1 for Risk Adjustment. This role involves reviewing clinical documentation for accuracy in support of Hierarchical Condition Category diagnoses and communicating with providers to ensure quality documentation. The ideal candidate requires a Bachelor's degree, certification as a Risk Adjustment Coder, and at least two years of clinical experience. Strong skills in medical terminology and effective communication are essential for success in this position. #J-18808-Ljbffr