325 professional coder jobs found

Jobtailor is seeking an experienced Medical Coding Auditor to conduct comprehensive medical record reviews and ensure billing accuracy. You will craft detailed written summaries and present findings to investigators, leadership, counsel, providers, and regulators. Role requires reviewing cases with Medical Directors, researching coding policies, and potentially testifying. Travel for meetings is expected, and strong Excel skills are essential. #J-18808-Ljbffr

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...

Professional Coder II What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year) The longer you stay, the more vacation you'll accrue! Longevity Pay (Monthly payments after two years of service) Build your future with our awesome retirement/pension plan! We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as... Free...

Medical Coding SpecialistKey Responsibilities:Analyze patient charts, physician notes and discharge summariesEnsure documentation is complete and accurate before codingTranslate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses)CPT (procedures)HCPCS (supplies/services)Make sure codes correctly represent services providedFollow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company PoliciesPrevent coding errors that could lead to claim denials or auditsStay updated on coding changes and updatesWork with billing teams to submit coded claims to insurance companiesVerify claim accuracy to ensure proper reimbursementFix rejected or denied claims by reviewing and correcting codesCommunicate with healthcare providers and insurance companiesProtect sensitive patient informationFollow strict privacy and data security standardsClarify documentation with physicians when neededCollaborate with billing and administrative teamsRegularly update...

Conduct comprehensive medical record reviews to ensure billing is consistent with medical records Provide detailed written summaries of medical record review findings Articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers and state regulators Review and discuss cases with Medical Directors to validate decisions Assist with investigative research related to coding questions, state and federal policies Identify potential billing errors, abuse and fraud Identify opportunities for savings related to potential prepayment review cases Maintain appropriate records, files and documentation Travel for meetings and potentially testify Requirements AAPC Coding certification — Certified Professional Coder (CPC) 3+ years of experience in medical coding or documentation auditing Strong knowledge of CPT, HCPCS, Revenue Codes, CMS 1500 and UB04 data elements Experience researching coding, state regulations and policies Working experience with...

Certified Medical CoderThe certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient's medical history, diagnosis, tests and treatment plan.Duties and responsibilitiesPrimarily codes from final office visit, surgical/procedural operative reports signed by providersReviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelinesVerifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claimsEnters patient copayment information into the EMRReconciles charges against the schedule list to ensure no charges are missedInvestigates rejected claims to see why denials were issued as necessaryRe-bills rejected claims in timely mannerMaintains strict confidentiality and high degree of accuracyConsults classification manuals and relies on knowledge...

What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in. UTHealth is hiring for a Professional Coder I to join their team of professionals in Revenue Cycle - Charging Code and Capture. The Certified Coder will be responsible for coding Emergency Medicine and resolving edits. Cardio, Emergency, and Gastro coding experience and familiarity with Epic are a plus! Department: Revenue Cycle Status: Full-time Location: Remote (2 weeks onsite for training @ 1851 Crosspoint Ave, 77054) Must live in Texas and can attend required onsite trainings and meetings. We do not provide lodging or mileage reimbursement for onsite trainings or meetings Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization...

Job TitleExperienced CPC-Certified Medical CoderJob DescriptionMUST 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,...

Professional Coder IIWhat we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in.Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:100% paid medical premiums for our full-time employeesGenerous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)The longer you stay, the more vacation you'll accrue!Longevity Pay (Monthly payments after two years of service)Build your future with our awesome retirement/pension plan!We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...Free financial and legal...

Description ***Must reside in Texas, Georgia, Mississippi, Montana, North Carolina, Oklahoma, or Wisconsin*** Job purpose The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient’s medical history, diagnosis, tests and treatment plan. Duties and responsibilities Primarily codes from final office visit, surgical/procedural operative reports signed by providers Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims Enters patient copayment information into the EMR Reconciles charges against the schedule list to ensure no charges are missed Investigates rejected claims to see why denials were issued as necessary Re-bills rejected claims in timely...

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...

Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing and administrative teams Regularly update knowledge...

Key Responsibilities (List the top five to seven essential responsibilities in priority order.): Abstracts relevant clinical and demographic information from the medical record to assign current ICD-10 and CPT codes in accordance with coding and reimbursement guidelines. Identifies eligible HCCs (Hierarchal Condition Coding) when appropriate in relation to -provided guidelines, with minimal error, based on provider documentation Follows coding processes and procedures along with updating them as directed by manager. Performs the minimum number of validations consistent with established departmental goals . Provides clear communication, with the ability to Identify and report quality concerns and errors. Able to query providers when appropriate. Requests documentation / diagnosis from provider when information is not recorded. Determines and records the required medical information and additions to the Problem List in the EHR in accordance to established guidelines. Works with...

Job Description Certified Medical Coder Location: Houston, TX 77024 Work Arrangement: Hybrid Duration: 13 Weeks Position Overview We are seeking an experienced Certified Medical Coder with strong expertise in outpatient Neurosurgery and Evaluation & Management (E/M) coding . The ideal candidate will have a solid understanding of physician-service coding, ICD-10-CM, CPT-4, and appropriate use of modifiers. Key Responsibilities Perform accurate and timely coding for outpatient Neurosurgery physician services . Code outpatient Evaluation & Management (E/M) services. Apply ICD-10-CM diagnosis codes accurately. Assign appropriate CPT-4 procedure codes. Apply modifiers appropriately based on documentation and coding guidelines. Review clinical documentation to determine appropriate codes and ensure coding accuracy. Ensure compliance with applicable coding guidelines and payer requirements. Work effectively in a hybrid environment while maintaining...

DaMar Staffing is seeking an experienced Certified Medical Coder for a 13-week hybrid assignment in Houston, TX. The role focuses on outpatient Neurosurgery and Evaluation & Management coding, with emphasis on ICD-10-CM, CPT-4, and modifiers. The ideal candidate will review documentation to ensure accurate codes, maintain compliance with payer requirements, and thrive in a hybrid work environment. Experience with EPIC is a plus. #J-18808-Ljbffr

Location: Abilene, Texas, United StatesCompany: Hendrick Health SystemPosted: Location: Abilene, Texas, United StatesCompany: Hendrick Medical CenterPosted: Coding SpecialistAssign ICD-10-CM; PCS; and/or CPT codes to records of discharged patients; depending on the type of visit. Assign appropriate DRG to IP visits.Job RequirementsMinimum Education: High school or equivalentMinimum Work Experience: 1 yearRequired Licenses/Certifications: Certified coding specialist must have any of the following certifications:CPCCOCCICCOC-PCPC-ACCSRequired Skills; Knowledge; and AbilitiesCompile and analyze reportsCompile statisticsCompose letters/memorandumsCoordinate meetingsGenerate reportsInput data into computer programsMaintain filing systemsMaintain logsMaintains manualsResearch information

GeBBS Healthcare Solutions , a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Profee Coder - Internal Med (per diem) . We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Schedule & Availability: Availability up to 15–20 hours per week required Pay for this role is around $25.50/hr at production for edits and $26.16/hr at production for Coding. Hours scheduled based on business needs (not guaranteed weekly) Coverage needs include planned PTO and fluctuating volumes Opportunity to pick up additional “call-in” hours on a first-come, first-served basis Must be available Monday–Friday between 6:00 AM – 6:00 PM PST Key Responsibilities: Perform Profee Internal Medicine coding for outpatient/clinic encounters Ensure accurate assignment of CPT, modifiers, and ICD-10 codes Meet productivity and quality...

AAPC is seeking a detail-oriented Medical Billing Specialist with strong coding and insurance processes. You will handle claims, coding, cost estimates, and appeals while working closely with patients and payers. Experience with Epic, Meditech or PrognoCis is beneficial. The ideal candidate will have CPC/CCS certifications, 2+ years in medical billing, and excellent communication skills to ensure timely reimbursements and regulatory compliance. #J-18808-Ljbffr

Job Description Job Description Doctor's office is accepting applications for a Medical Biller / Coder. You must have experience in this field. The job requires you enter charges for medical billing and double check your work. Printing reports and balancing at the end of the workday is required. You are required to study and understand the procedures we bill out. Excellent communicator and attention to details are a good quality to have for this job. Our office is open Monday to Friday, 8:00am to 5:00pm. Paid holidays and 2-week vacation within your first year of employment. Pay depends on experience and knowledge. \nCompany Description Medical Doctor's Office Company Description Medical Doctor's Office

Aya Healthcare, Inc. is seeking an Inpatient Coder for an assignment in Edinburg, TX. The role requires 1 year of inpatient coding experience and uses the Cerner charting system. The assignment offers a full-time schedule with day shifts and a 26-week length. Pay ranges from $1,254 to $1,446 weekly, with benefits and housing support provided. Start date is 09/28/2026, and openings are for 1 position at a corporate office facility. #J-18808-Ljbffr

Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched appropriately to the codes and if not,...

Become a part of our caring community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities: You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will...

Prominence Health, a value-based care organization, seeks a Coder of Risk Adjustment to perform accurate post‑review coding and documentation analysis onsite. You will support HEDIS data collection, prepare charts for health assessments, and guide coding and documentation requirements for providers. Based in McAllen, TX, this role requires knowledge of CMS HCC risk adjustment, careful chart review, and the ability to work independently while maintaining high accuracy and compliance with UHS #J-18808-Ljbffr

Location: McAllen, Texas, United StatesCompany: DHR HealthPosted: DHR Health in McAllen, TX is seeking a mid-level Medical Biller/Coder to assign and sequence ICD-10-CM, CPT/HCPCS codes, and apply billing modifiers. You will participate in staff meetings and contribute to ongoing coding education.Strong knowledge of medical terminology and CPT/NCCI guidelines is required, with experience using 3M encoder. Responsibilities include coding various outpatient services, querying physicians for clarifications, and maintaining high quality and productivity standards#J-18808-Ljbffr