(CPC) Certified Professional Coder technical jobs

Full Time

Medisys Management Hybrid (Melville, NY)

JOB SUMMARY: CERTIFIED ANESTHESIA CODER ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES • Review anesthesia records, operative reports, and medical documentation for completeness and accuracy. • Ensures accurate coding, billing compliance. • Analyzes Epic electronic medical record for assigning appropriate CPT, ICD-10-CM, HCPCS and Modifiers for anesthesia services. • Apply appropriate anesthesia modifiers such as AA, QK, QX, QY, QZ • Identify documentation deficiencies and communicate via EPIC query with providers for clarification. • Review denials, coding corrections related to anesthesia services. • Maintains confidentiality of patient information as per the MediSys Health Network policy. • Meeting productivity levels of charts,60-100 anesthesia charts per day not limited to number of transactions filed or complexity of the account. • Reviews assigned work queues. •...

NK

Full Time

Cardiology and Vascular Billing Specialist

National Kidney Partners Port Richey, FL

Cardiology and Vascular Billing Specialist Location: Port Richey, FL Position Overview We are seeking a detail-oriented Cardiology and Vascular Authorization and Billing Specialist to join our team in Port Richey, FL. This role is responsible for ensuring timely insurance approvals (prior authorizations) for cardiac procedures and vein treatments, while managing accurate billing, coding (ICD-10, CPT), and reimbursement processes. The ideal candidate will prevent denials by verifying benefits, providing clinical documentation to payers, and coordinating with clinical staff for peer-to-peer reviews. Key Responsibilities Prior Authorization Acquisition: Obtain authorization for appointments, tests, and complex vascular/cardiovascular procedures by reviewing clinical documentation and understanding payor guidelines. Clinical Collaboration: Partner with physicians to gather medical necessity documentation for insurance reviews. Billing & Coding:...

CS

Full Time

Medical Billing and Coding Specialist

Care Station Medical Group/ RWJ Joint Venture Linden, NJ

Join Our Team We are seeking a detail-oriented and experienced Medical Billing and Coding Specialist to join our growing team. This role is ideal for a motivated professional who thrives in a fast-paced, team-oriented environment while maintaining the ability to work independently. This is an onsite position located in Linden, NJ. This position has the ability to go remote after six months. If you enjoy solving complex billing challenges, analyzing denial trends, and contributing to process improvements, this is a great opportunity to advance your career. What You’ll Do As a key member of our revenue cycle team, you will take ownership of complex billing processes and serve as a resource for coding and payer-related issues. Core Responsibilities: Review, code, and submit provider/practice claims with accuracy and timeliness Independently manage assigned work queues to ensure proper charge capture Investigate and resolve complex claim denials and...

Full Time

Certified Coding Specialist - Multi Specialty

Revenue Cycle Coding Strategies Remote (United States)

SCOPE/GENERAL PURPOSE OF JOB: The Coding Specialist is responsible for abstracting all E/M, CPT, HCPCS, ICD-10-CM, modifier, and units from the medical record documentation. Other responsibilities include accurately entering data into coding/billing software and/or Excel reports. Performing accurate coding using applicable guidelines and facility protocols and communicating with staff and/or providers as needed. Provide written feedback of coding results as needed in the form of comments, summary of findings, and recommendations. Ensure compliance with federal and state laws, regulations and standards related to health information and coding principles. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assign ICD-10 CM and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/or Professional fee coding) depending on the specific...

Full Time

Profee Coder

UASI Remote (Remote, OR)

Join the winning team and work with the best! We are excited to announce that in 2022, 2023 and 2024, UASI was awarded the Top Workplace award by the Cincinnati Enquirer. Our 40+ years in business and long-term partnerships with our valued clients contribute to our stability and the long tenure of our team. We are currently seeking experienced professional coding specialists to perform accurate code assignments while working remotely from a home office. The ideal candidate will be flexible, detail-oriented, have the ability to work independently, quality conscious and be able to adapt well to change. Additional qualifications include: AHIMA or AAPC certification. A minimum of three years recent experience coding inpatient or outpatient pro-fee records is required. Experience coding for a variety of multi-specialties is required. Technical competency with remote-based connectivity including virtual private networks, multi-factor authentication via smartphone, and...

Full Time

CODING, BILLING & CLINICAL DOCUMENTATION IMPROVEMENT SPECIALIST

Compass Healthcare Consulting Remote

Remote | Work from Home | Healthcare Consulting Help Healthcare Organizations Improve Documentation, Compliance, and Reimbursement Integrity About Compass At Compass, as professional fee auditors, we do more than review charts. We partner with healthcare organizations to improve documentation quality, coding accuracy, compliance, provider performance, and financial outcomes. Our clients rely on us for expert guidance, practical recommendations, and meaningful education that creates lasting results. The Opportunity Are you a detail-oriented coding and documentation professional who is passionate about improving coding accuracy, strengthening clinical documentation, and helping healthcare organizations achieve operational and financial success? If so, we invite you to consider our growing consulting team. As a Coding, Billing & Clinical Documentation Improvement...

Full Time

Coding Auditor

University of Utah Health Remote

The position audits and reports on the accuracy of procedural billing, payment consideration and accuracy in reimbursement based on the correct interpretation and application of codes, modifiers and payment rules. The incumbent reviews and audits physician and institutional billing from multiple departments and entities across the organization, and assists in training departmental personnel in correct coding and documentation. This position is not responsible for providing patient care. Responsibilities Essential Functions Performs audits and reports on the accuracy of procedure coding, facility E&M coding, ICD-10 coding and billing. Reviews insurance payments for reimbursement accuracy, which is based on correct interpretation of clinical data and application of codes, modifiers and payment rules. Reviews and audits institutional coding and billing from multiple departments and entities across the organization. Assists in training personnel in...

Full Time

Coding Educator

SSM Health Remote

Bring your coding expertise to SSM Health in a role where education, quality, and compliance come together. As a Coding Educator, you’ll partner with providers and coders, lead training initiatives, and influence documentation and coding practices that support accuracy, consistency, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Drives optimal clinical and financial outcomes through thorough assessment of provider documentation and coding competency, identification of improvement opportunities. Develops and delivers training and education of all coding processes. Stays abreast of regulatory changes and works with leadership to ensure compliance and revenue integrity. Act as subject matter expert for providers and coders while providing guidance and clarification on issues which present in their daily account processing. Establishes and coordinates internal quality review processes and corresponding training for providers and coders....

Full Time

Medical Coding & Appeals Specialist (HYBRID)

Washington University in St. Louis Hybrid (St. Louis, MO)

Champion Accurate Coding. Win Appeals. Make an Impact. Primarily Remote | Monthly Onsite Love the challenge of proving you’re right? This role is for coders who don’t just assign codes — they defend them. You’ll be part of a team that ensures providers are paid accurately for the care they deliver. When a payer says no, you build the case that turns it into yes. Your coding expertise, clinical insight, and persistence directly impact reimbursement and provider success. What makes this role exciting You’ll advocate for correct payment, not just code charts Your work directly reverses denials and underpayments You’ll collaborate with physicians, payers, and fellow coding experts Every appeal you win is a tangible victory What you’ll do Review medical records to validate accurate ICD‑10, CPT, and HCPCS coding Identify documentation or coding issues that impact reimbursement Build, submit, and follow payer...

Uo

Full Time

Remote Inpatient Coder

U of M Health Sparrow Health System Remote (MI)

Job Description General Purpose of Job : Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine – Sparrow policies and procedures and maintains required quality and productivity standards. Essential Duties : This job...

10 technical jobs found