736 professional coder jobs found

## Certified Professional Coder, Special Investigations Unit (Aetna SIU)Apply: Remote/Hybrid: KY - Work from home: MS - Work from home: PA - Work from home: MT - Work from home: NC - Work from home: Full time: Posted Today: End Date: October 3, 2026 (21 days left to apply): R1036389We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.**Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the...

UPMC Corporate Revenue Cycle is hiring a Certified Professional Coder to join our coding team to work on cardiology/cardiothoracic coding. This position will be a work-from-home position, working Monday through Friday during normal business hours. To be considered for this position, you must have three years of coding experience. We are looking for medical coders with cardiology coding experience. In this role, you will have the same responsibilities as Coder II, but also be responsible for assigning PQRS codes and assist in the development of templates and processes to obtain the appropriate documentation. Provide feedback to the physicians on coding, documentation, edit, and denial issues. Responsibilities: Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process. Refer problem accounts to appropriate coding or...

Certified Professional Coder CPC-A Join Bertrand Chaffee Hospital's Team! We are seeking a skilled and dedicated Certified Professional Coder (CPC-A) to join our Physician Coding team at Bertrand Chaffee Hospital in Springville, New York. As a valued member of our healthcare organization, you will play a crucial role in ensuring accurate and timely coding of outpatient services. About the Role: As a CPC-A , you will be responsible for reviewing and assigning appropriate ICD-10-CM and CPT codes for outpatient services, including physician notes, lab results, and other relevant documentation. You will also ensure compliance with coding regulations and standards, as well as maintain accurate and up-to-date coding records. Responsibilities: Assign accurate and complete ICD-10-CM and CPT codes for outpatient services Review medical records, physician notes, lab results, and other documentation to determine proper coding Conduct research to resolve coding discrepancies and...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The ObGyn Department at Beth Israel Deaconess Medical Center is seeking an experienced professional OB/GYN coder. This coder will help support providers and operations during the upcoming 2027 obstetric CPT coding updates, ensuring accurate billing, regulatory compliance, and provider training. The ideal candidate should have strong knowledge of OB/GYN coding guidelines and keen attention to detail to help guide teams through this important coding transition. This is a full- time, 40hr opportunity, working Monday through Friday (day shift hours only). This role allows for remote work once trained, however, applicants must live within New England. Job Description Essential Responsibilities Reviews the complete electronic and paper medical record of discharged patients. Assigns ICD-10-CM diagnosis and procedure codes from documentation in the medical record, when indicated...

Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations. Job Description Do you have at least 7 years of experience doing complex profee surgical coding? Do you thrive on the challenge of diving into and researching proper codes to...

Assigns ICD-10-CM and CPT codes for professional services using coding guidelines and principles to ensure appropriate billing processes, reimbursement follow up and analysis. Familiar with accounts receivable and collection activities. Utilizes resources available to ensure full compliance with federal Medicare and Medicaid laws and regulation provisions, and in keeping with the health center mission. POSITION QUALIFICATIONS High School or equivalent Coding Certification (CPC, CCS-P, CPC-H) or (RHIA or RHIT) Two years coding experience preferred Knowledge of medical billing for physician services preferred Required Registration/License/Certification CPC, CCS-P, CPC-H, or other related coding certification or RHIA or RHIT. Schedule-Shift-Hours Full Time - Day Shift - M-F #J-18808-Ljbffr

Certified Professional Coder (CPC-A) - Springville, NY Join Bertrand Chaffee Hospital's Team! We are seeking a skilled and dedicated Certified Professional Coder (CPC-A) to join our Physician Coding team at Bertrand Chaffee Hospital in Springville, New York. As a valued member of our healthcare organization, you will play a crucial role in ensuring accurate and timely coding of outpatient services. About the Role: As a CPC-A , you will be responsible for reviewing and assigning appropriate ICD-10-CM and CPT codes for outpatient services, including physician notes, lab results, and other relevant documentation. You will also ensure compliance with coding regulations and standards, as well as maintain accurate and up-to-date coding records. Responsibilities: • Assign accurate and complete ICD-10-CM and CPT codes for outpatient services • Review medical records, physician notes, lab results, and other documentation to determine proper coding • Conduct research to...

Professional CoderThe 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 ResponsibilitiesEffectively 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 identified coding...

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...

Certified Professional Coder CPC-A Join Bertrand Chaffee Hospital's Team! We are seeking a skilled and dedicated Certified Professional Coder (CPC-A) to join our Physician Coding team at Bertrand Chaffee Hospital in Springville, New York. As a valued member of our healthcare organization, you will play a crucial role in ensuring accurate and timely coding of outpatient services. About the Role: As a CPC-A , you will be responsible for reviewing and assigning appropriate ICD-10-CM and CPT codes for outpatient services, including physician notes, lab results, and other relevant documentation. You will also ensure compliance with coding regulations and standards, as well as maintain accurate and up-to-date coding records. Responsibilities: Assign accurate and complete ICD-10-CM and CPT codes for outpatient services Review medical records, physician notes, lab results, and other documentation to determine proper coding Conduct research to resolve coding discrepancies and...

Alteva RCM is seeking a Professional Coder to review clinical documentation and assign diagnosis and CPT codes for professional services across specialties. You will apply coding guidelines, payer-specific rules, and regulatory requirements to ensure accurate code selection and timely reimbursements. Responsibilities include researching payer edits, maintaining documentation quality, and meeting daily productivity targets while staying current with coding guidelines and credential requirements. #J-18808-Ljbffr

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...

RN or LPN Certified Professional Coder (CPC) Company Overview Managed Care Network, Inc. is an established managed care company who strives to be the best employer in the Worker’s Compensation and No-Fault marketplace by living our values and by providing a work environment that employees can be proud of. Through our company values, we promote employee growth so each person can Thrive and are appreciated for the expertise, hard work, and passion they bring to the company. We provide unique solutions quickly to solve problems and to make our customers’ jobs easier. Position Summary We are seeking a dedicated RN/LPN Certified Professional Coder (CPC) to join our team. This role blends medical coding expertise with medical record analysis. You will audit medical bills and records for accuracy, causality, and relatedness, prepare medical evidence for clients, and support litigation through affidavits and case summaries. The ideal candidate is highly organized, analytical,...

RN or LPN Certified Professional Coder (CPC) Company Overview Managed Care Network, Inc. is an established managed care company who strives to be the best employer in the Worker’s Compensation and No-Fault marketplace by living our values and by providing a work environment that employees can be proud of. Through our company values, we promote employee growth so each person can Thrive and are appreciated for the expertise, hard work, and passion they bring to the company. We provide unique solutions quickly to solve problems and to make our customers’ jobs easier. Position Summary We are seeking a dedicated RN/LPN Certified Professional Coder (CPC) to join our team. This role blends medical coding expertise with medical record analysis. You will audit medical bills and records for accuracy, causality, and relatedness, prepare medical evidence for clients, and support litigation through affidavits and case summaries. The ideal candidate is highly organized, analytical,...

## Professional Coder IApplylocations: Weymouth, MAtime type: Full timeposted on: Posted Todaytime left to apply: End Date: July 27, 2026 (30+ days left to apply)job requisition id: R-21350**If you are an existing employee of South Shore Health then please apply through the internal career site.****Requisition Number:**R-21350**Facility:**LOC0014 - 549 Columbian Street549 Columbian StreetWeymouth, MA 02190**Department Name:**SHS Physician Services Admin**Status:**Full time**Budgeted Hours:**40**Shift:**Day (United States of America)Under experienced leadership the Professional Surgical Coder I is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. Using established department policies and procedures in conjunction with the current versions of ICD-10 and CPT-4, the Professional Surgical Coder I will determine the proper diagnosis, assign...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

### *St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission* *of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.*The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information.**JOB DUTIES AND RESPONSIBILITIES:*** Codes and abstracts professional fee hospital services performed by...

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities: Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to assess medical necessity and documentation compliance Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases Analyze medical records for payer disputes, recoupments, and appeals Prepare detailed, defensible written audit reports Provide expert review, affidavit support, deposition preparation, and testimony when required Interpret CMS...

HIM Professional Physician Practice CoderMission Statement: We provide quality healthcare with compassion.Vision: Exceptional people, delivering exceptional care, for a healthier community.Values: We commit to accountability, respect, integrity, innovation, safety, and excellence always.About Rome HealthRome Health is a trusted healthcare provider with a long-standing commitment to serving our community with compassion, quality, and integrity. As one of Newsweek's Greatest Midsize Workplaces in Health Care (2026) with deep roots in the region and a strong history of clinical excellence, we provide reliable, patient-centered care across a wide range of services. Our culture is built on teamwork, respect, and accountability, and many employees build long, meaningful careers here-reflecting the stability and supportive environment we offer. We are equally committed to the future, investing in employee growth, development, and career advancement.The DepartmentThe Health Information...

Certified Professional Coder Join Bertrand Chaffee Hospital's Team! We are seeking a skilled and dedicated Certified Professional Coder (CPC-A) to join our Physician Coding team at Bertrand Chaffee Hospital in Springville, New York. As a valued member of our healthcare organization, you will play a crucial role in ensuring accurate and timely coding of outpatient services. (Hybrid/Remote) About the Role: As a Certified Professional Coder , you will be responsible for reviewing and assigning appropriate ICD-10-CM and CPT codes for outpatient services, including physician notes, lab results, and other relevant documentation. You will also ensure compliance with coding regulations and standards, as well as maintain accurate and up-to-date coding records. Responsibilities: Assign accurate and complete ICD-10-CM and CPT codes for outpatient services Review medical records, physician notes, lab results, and other documentation to determine proper coding Conduct research to resolve coding...

The Coding Lead at the University of Rochester will oversee professional fee coding, ensuring accuracy in CPT, ICD, and E/M coding across multiple specialties. You will guide staff, resolve coding denials, and maintain productivity within the revenue cycle team. Located at 220 Hutchison Rd, Rochester, NY, this full-time role emphasizes leadership, quality, and customer service in a hospital-affiliated coding department. #J-18808-Ljbffr

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a PROFESSIONAL FEE CODER to join our CODING team! The Professional Fee Coder accurately processes professional service charges, including verification of CPT and ICD codes through our EPIC Workques. May process technical component charges in compliance with Provider Based or RHC Billing requirements. The Professional Fee Coder will perform coding functions for either primary care or specialty focused areas. HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of coding principles normally acquired through an Associate's Degree in Health Information Management, Healthcare Business Services, or an equivalent program with emphasis in coding or a minimum of two years coding experience. Experience or certification in a...

Job Description Join our team as a day shift, full time, Professional Surgical Coder at INTEGRIS Health in Oklahoma City, OK. Get to Know Your Team INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives. Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more. Take the first step toward growing your career by joining us. Responsibilities The Professional Surgical Coder performs advanced specialty professional coding for complex surgical encounters and serves as a subject matter expert to support coding accuracy, reimbursement integrity, and regulatory compliance. Codes complex specialty surgical encounters and interprets operative reports and clinical documentation to assign accurate procedure codes....

Aspirus Health in Wausau, WI is seeking a PROFESSIONAL FEE CODER to join our CODING team. The role accurately processes professional service charges, verifies CPT and ICD codes via EPIC Workques, and may handle technical component charges per Provider Based or RHC guidelines. It supports coding for either primary care or specialty areas. Hours: Full Time 1.0 FTE, 80 Hours Biweekly. Requires HIM-related degree or two years coding experience, and certification within 18 months of hire. #J-18808-Ljbffr