65 profee coder jobs found

Job Summary The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. Essential Functions Of The Role Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional...

Coder II (Denials) - FT - Days Are you looking for a rewarding career with a top-notch health care company? We're looking for a qualified Coder II (Denials) like you to join our Texas Health family. Position highlights include: Work location: Remote work Work hours: Monday Friday generally between 7:00 am 6:00 pm HIMS Coding Department highlights: Flexible hours/scheduling once training is complete Work life balance Opportunities for advancement Qualifications: Education: H.S. Diploma or Equivalent REQUIRED and Associates's Degree Related field preferred Experience: 2 Years Professional (Profee) Coding experience. Completion of advanced level training in medical terminology, anatomy and physiology, or similar REQUIRED Licenses and Certifications: CPC - Certified Professional Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty certification such as CGSC, COSC, CCC, etc. Upon Hire Preferred...

Job TitleThis Coder II will be part of the Cath lab team therefore, experience with Cath lab coding highly preferred in addition to the CIRCC certification.Our Core Values are:We serve faithfully by doing what's right with a joyful heart.We never settle by constantly striving for better.We are in it together by supporting one another and those we serve.We make an impact by taking initiative and delivering exceptional experience.Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:Immediate eligibility for health and welfare benefits401(k) savings plan with dollar-for-dollar match up to 5%Tuition ReimbursementPTO accrual beginning Day 1Note: Benefits may vary based upon position type and/or level.The Coder II is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding.The Coder II may...

Job Summary This Coder II will be part of the Cath lab team; experience with Cath lab coding highly preferred in addition to the CIRCC certification. The Coder II is skilled in three or more types of outpatient, profee, or low acuity inpatient coding. The Coder II may code low acuity inpatients, one‑time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, the job requires proficiency for inpatient and outpatient, for multi-specialties. The Coder II uses ICD‑10‑CM, ICD‑10‑PCS, HCPCS, CPT, and other coding references, ensuring accurate coding and grouping (e.g., MS‑DRG, APR‑DRG, APC, etc.). The Coder II will abstract and enter required data. Essential Functions of the Role Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. Reviews diagnostic and procedure...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job Summary...

Cuero Regional Hospital is searching for a FT HIM Rural Health Clinic and Professional Fee Medical Coder . The Rural Health Clinic (RHC) and Professional Fee (ProFee) Medical Coder is responsible for accurately reviewing, assigning, and validating ICD-10-CM, CPT, and HCPCS Level II codes for professional medical services provided in a Rural Health Clinic. This role ensures compliance with federal regulations, payer requirements, Rural Health Clinic billing guidelines, and coding standards while optimizing reimbursement and maintaining documentation integrity. Other duties as assigned. He/She will report to the HIM Director. Qualifications: High School Diploma or GED Associate's degree in Health Information Management or related field preferred. 2 years of professional fee coding . Thorough knowledge of ICD-10-CM, CPT, HCPCS Level II, and E/M coding guidelines. Familiarity with CMS regulations, National Correct Coding Initiative (NCCI), and payer-specific...

Coder II Under general supervision of the Director, the Coder II provides consistency and efficiency in outpatient claims processing and data collection to optimize APC reimbursement and facilitate data quality in outpatient services. Reviews, audits, and reports on charge capture. Maintains patient confidentiality at all times. Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position. Analyzes IP, OP, Recurring, & SDC records and appropriately codes per coding guidelines, ICD-10-CM and CPT rules and updates, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear...

Medical Dental Coder Harlingen Annex - Harlingen, TX 78550 Description This position is vital in the health care delivery system in function with the fiscal aspect of the Clinic. Adhere to policies and procedures in conducting all clinical charges, payments, adjustments for proper billing and collections. Bills and submits claims to insurances/programs through AthenaOne EMR, follows up on claims statuses, resolves claim denials, submits appeals, post payments and adjustments, and manages collections. Great customer service and telephone etiquette, computer knowledge, professional appearance, attention to detail, able to multitask and work in a fast paced environment. Ability to work well under stress and maintain calm under pressure and work well with team members and willingness to cross-train. Functions as a member of a collaborative health care team to create and maintain a patient centered medical home. Essential Job Functions Communication: Communicates with outside...

Join Our Team!!! Trustpoint Rehabilitation Hospital is a premier inpatient facility specializing in the treatment of stroke, brain and spinal cord injuries, orthopedic trauma, and other complex medical conditions. We are proud to be one of the few rehabilitation hospitals in the region that also provides care for pediatric patients, offering specialized services tailored to the unique needs of children and their families. Our mission is to provide compassionate, individualized care that empowers patientsof all agesto regain independence and achieve their best outcomes. About Trustpoint Rehabilitation Hospital of Lubbock Located at 4302 Princeton Street in Lubbock, TX, Trustpoint is a 93-bed inpatient rehabilitation hospital specializing in adult and pediatric care. We are proud to be ranked in the Top 10% nationally for rehabilitative care and have earned The Joint Commission's Brain Injury, Stroke, and Spinal Cord Rehabilitation Certification. We are seeking a Coder to join...

DutiesPerform retrospective audits of diagnoses, E/M levels, procedures, and documentation to identify inaccurately coded services and ensure regulatory compliance.Review medical records, analyze coding accuracy trends, prepare finding reports, and coordinate results with leadership to drive performance improvement.Use encounter audits to identify operational and regulatory issues, ensures complete data capture, and support development of compliance plans.Develop and deliver one-on-one and group training on documentation and coding requirements; updates clinical templates and recommends coding resources.Review and code medical records, validates ICD and CPT accuracy, assists providers with documentation needs, and ensures proper RVU/RWP capture.Prepare monthly progress reports, monitors coding performance, conducts special audits/projects, and communicates findings to leadership.

Summary About the Position: This is an open continuous announcement. Multiple vacancies exist and may be filled from this announcement at any of the locations listed. We accept applications on an ongoing basis; qualified applicants will be considered as vacancies become available. Salary negotiation may be available for those candidates who are new to Federal service. This is a Direct Hire Solicitation Responsibilities Perform retrospective audits of diagnoses, E/M levels, procedures, and documentation to identify inaccurately coded services and ensure regulatory compliance. Review medical records, analyze coding accuracy trends, prepare finding reports, and coordinate results with leadership to drive performance improvement. Use encounter audits to identify operational and regulatory issues, ensures complete data capture, and support development of compliance plans. Develop and deliver one-on-one and group training on documentation and coding requirements; updates clinical...

Certified Medical Coder Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system Selects and accurately records all appropriate records and data on assigned chart abstraction projects Ability to meet productivity and accuracy requirements Performs other duties as assigned Qualifications High School Diploma or GED required A certification in one of the following is required: Certified...

Medical Coder Revenue Cycle Management is looking for a full-time Medical Coder to join our team. Remote opportunity after in-person training. The Medical Coder is responsible for reviewing medical documentation and accurately assigning CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS codes depending on the encounter type. The position ensures accurate billing, compliance, and optimized reimbursement across outpatient and/or facility (inpatient) settings. Essential Functions: Assign accurate diagnosis and procedure codes based on medical record documentation using CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS. Review provider documentation to ensure coding is supported and complete for billing submission. Apply proper modifiers, sequencing, and coding conventions appropriate to the setting (inpatient or outpatient). Ensure compliance with coding regulations, organizational policies, and HIPAA standards. Meet coding productivity and quality benchmarks. Collaborate with clinical,...

Hospital Coder - Inpatient Rehabilitation - Ernest Health Ernest Health is a network of rehabilitation and long-term acute care hospitals. Ernest Health hospitals provide specialized medical and rehabilitative services to patients recovering from disabilities caused by injuries or illnesses, or from chronic or complex medical conditions. Our hospitals are located in Arizona, California, Colorado, Idaho, Indiana, Montana, New Mexico, Ohio, South Carolina, Texas, Utah, Wisconsin, and Wyoming. We're looking for professionals with a passion for coding, attention to detail, and with excellent communication skills. The Coder is an integral part of the hospital's team, working closely with Physicians and Director of Patient Outcomes (DPO). Successful candidates will enjoy working both independently and collaborating with a team of clinical professionals. Key responsibilities include: Provide expertise in the areas of coding and classification systems to healthcare providers...

The University of Texas MD Anderson Cancer Center is seeking a Senior Clinical Coding Specialist to join its Revenue Operations and Coding team. The Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. This position works remotely and collaborates closely with coding professionals, leadership, and clinical partners. The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency. UT MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The ideal candidate brings strong expertise in clinical coding practices, including CPT, ICD-10, and regulatory guidelines, along with experience...

Under general supervision of the Director, the Coder II provides consistency and efficiency in outpatient claims processing and data collection to optimize APC reimbursement and facilitate data quality in outpatient services. Reviews, audits, and reports on charge capture. Maintains patient confidentiality at all times. ESSENTIAL JOB FUNCTIONS Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position. Analyzes IP, OP, Recurring, & SDC records and appropriately codes per coding guidelines, ICD-10-CM and CPT rules and updates, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous,...

HIM Coder-Non-Exempt FTMain 499 - Floresville, TX 78114OverviewPosition Type Full Time Job Shift Day Education Level High School Travel Percentage None Category Admin - ClericalDescriptionSummary Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. Codes charts under the ICD 9 CM and HCPCS System for statistical and DRG assignment purposes. Abstracts required data into hospital abstracting system. The outcome of information gathered is used to determine the hospital database and reimbursement of hospital claims.Essential Duties and Responsibilities include the following. Other duties may be assigned.Abstracts and codes diagnoses, operations, and procedures from health records by using appropriate classification systems, standards, and procedures.Prepares statistical reports required by applicable legal, accrediting, and/or licensing regulations and hospital policy.Assigns patient severity of illness index...

Job Posting Title: Research Assistant Coder ---- Hiring Department: Special Education ---- Position Open To: All Applicants ---- Weekly Scheduled Hours: 30 ---- FLSA Status: Non-Exempt from FLSA ---- Earliest Start Date: Aug 11, 2026 ---- Position Duration: Expected to Continue Until Jul 31, 2027 ---- Location: UT MAIN CAMPUS ---- Job Details: Notes This position is fully in person and 30 hours a week. Purpose To code parent-child interaction videos, support in-person assessment visits, rate assessor fidelity, and participate in team meetings. Responsibilities Code parent-child interaction videos Support in-person child assessments Participate in lab meetings Rating assessment videos for fidelity of implementation Required Qualifications Bachelor's degree and one year of related expereince Previous experience behavioral coding parent-child interactions. Experience...

Summary About the Position: This is an open continuous announcement. Multiple vacancies exist and may be filled from this announcement at any of the locations listed. We accept applications on an ongoing basis; qualified applicants will be considered as vacancies become available. Salary negotiation may be available for those candidates who are new to Federal service. This is a Direct Hire Solicitation Learn more about this agency Duties Help Perform retrospective audits of diagnoses, E/M levels, procedures, and documentation to identify inaccurately coded services and ensure regulatory compliance. Review medical records, analyze coding accuracy trends, prepare finding reports, and coordinate results with leadership to drive performance improvement. Use encounter audits to identify operational and regulatory issues, ensures complete data capture, and support development of compliance plans. Develop and deliver one-on-one and group training on...

Guidehouse is seeking a Multispecialty Coder to code for various surgical specialties and hospitalist encounters. You will apply ICD-10, CPT, and HCPCS codes with emphasis on accuracy and compliance, while maintaining productivity and timely documentation. The role requires working knowledge of coding guidelines, payer rules, and HIPAA considerations, and involves collaboration with IQC and administrative staff to resolve denials and ensure proper billing. #J-18808-Ljbffr

Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do: The Neurosurgery Medical Coder must be proficient in surgical coding for all Neurology Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and...

About Us Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women Childrens Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions. Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits,...

Fully Remote Lake Park Building Full time R180631 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Remote Medical Biller & Coder (Entry-Level Welcome) Location: Remote (Work From Home) Type: Independent Contractor (1099) Company: Rooted Talent Solutions Compensation: Based on experience and project availability About the Opportunity Rooted Talent Solutions is expanding its network of healthcare professionals and is currently accepting applications for remote medical billers and coders. Whether you have years of experience or are looking to break into the field, we welcome motivated, detail-oriented individuals ready to support healthcare providers with billing and coding needs. This role is project-based and offers flexible hours, making it ideal for professionals seeking remote, independent contractor work in the healthcare space. Key Responsibilities Process and submit medical claims accurately and efficiently Review patient charts and assign proper ICD-10, CPT, and HCPCS codes Communicate with insurance companies, providers, and team members...