113 billing coder jobs found

If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.Please log into to search for positions and apply.Professional Billing Coder II (Remote)101 Truman Medical CenterJob LocationUniversity Health 4 (UH4)Kansas City, MissouriDepartmentCorporate Professional BillingPosition TypeFull timeWork Schedule7 :00AM - 3 :30PMHours Per WeekJob DescriptionThe Coder II position is responsible for accurate coding of professional services from medical record documentation.Reviews, codes and assigns correct ICD-10-CM diagnosis codes, procedure codes, and E / M level codes for professional services across multiple specialties according to AMA / CMS coding guidelines.This is a fully remote position following the initial probation period.The coder may be asked to come on site for special assignments or training as needed after this period.Minimum RequirementsAssociates degree or equivalent in education...

A medical practice specializing in oncology is seeking a full-time remote Billing Coder/Abstractor. The role involves accurately coding patient records using ICD-10 and CPT systems to ensure compliance and reimbursement. Key responsibilities include identifying data errors, entering codes into the EMR, and liaising with medical staff regarding coding issues. Applicants should have a high school diploma, coding experience, and knowledge of industry standards. Competitive pay and comprehensive benefits are offered. #J-18808-Ljbffr

Join to apply for the Billing Coder/Abstractor role at New England Cancer Specialists . Job Description NECS is currently seeking a full‑time remote Monday‑Friday Billing Coder/Abstractor to join our professional billing team. The Coder / Abstractor accurately assigns diagnosis and procedure codes to patient records using ICD‑10‑CM and CPT systems, for the purpose of reimbursement and compliance with federal regulations according to diagnosis(es) and procedure(s). The role involves analyzing and reviewing records for completeness, coordinating follow‑up on deficient/delinquent new patient records, abstracting data for accurate coding and diagnosis, inputting ICD‑10 codes from documentation into the EMR (Onco), and working closely with the Billing Office and New Patient Teams to ensure correct diagnosis coding in the EMR. NECS is a private medical practice composed of 18 oncologists and hematologists serving the region from four different locations in Maine and New Hampshire....

Overview Summary :Review, monitor, and control charge capture and documentation.Provide on-site physician feedback for coding / documentation practices.Assist physicians with documentation and billing compliance guidelines.Responsibilities Responsibilities :Review clinical documentation and code to the highest level of specificity for accurate charge capture stated by physicians or other healthcare providers.Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS for insurance billing.Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.Communicates with Special Billers and Charge Follow-up Coordinator in answering insurance billing questions.Reviews and corrects charge review edits.Reviews records to ensure proper submission of services prior to billing on selected charges.Maintains compliance standards in accordance with internal compliance policies.Reports compliance issues...

OverviewFTE:1.0Schedule:Monday - Friday, 8:00 AM - 5:00 PMWork Location:Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TXJob Summary:Under general supervision, reviews, analyzes, and assigns final diagnoses and procedures as documented by the practicing provider, ensuring compliance with all policies and guidelines.Accurately codes office and hospital procedures to ensure proper reimbursement.Ensures the accurate completion of electronic health records through the assignment of ICD, CDM, HCPCS, and CPT codes.ResponsibilitiesResponsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture as stated by physicians or other healthcare providers. Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS standards for insurance billing. Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations. Communicate with Special Billers...

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, obtains them. Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met. Evaluates claims for conflict of interest and criteria appropriateness. Works within established timeframes set by program parameters. Provides strong customer service skills and works closely...

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, obtains them. Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met. Evaluates claims for conflict of interest and criteria appropriateness. Works within established timeframes set by program parameters. Provides strong customer service skills and works closely...

A healthcare staffing agency in Raleigh is looking for an Entry-Level Medical Coder to join their administrative team. This role offers a great entry point into the healthcare field, focusing on accurately coding medical procedures for billing and insurance claims. Ideal candidates will have a high school diploma, strong communication skills, and a commitment to confidentiality. The position allows for hybrid work after training and provides a supportive, team-oriented environment with opportunities for advancement in a growing organization. #J-18808-Ljbffr

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for validating / reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office / clinic settings.Adheres to all coding and compliance guidelines.Maintains knowledge of coding / billing updates and payer specific coding guidelines for multi-specialty medical practice(s).Communicates with providers and team members regarding coding issues.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Validates / reviews codes for assigned provider(s) / Division(s) based on medical record documentation.Adheres to all coding and compliance guidelines.Responsible for resolving all assigned pre-billing editsCommunicates billing related issues and participates in meetings to improve overall billing processProvides feedback to providers in order to...

Job Description:This salary range may be inclusive of several career levels at Valley MedicalCenter and will be narrowed during the interview process based on several factors, including (but not limited to) the candidate's experience, qualifications, location, and internal equity.JOB DESCRIPTION The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions.Position descriptions are reviewed and revised to meet the changing needs of the organization.TITLE:Coder / Abstractor II Hospital Coding JOB Overview:Responsible for coding and abstracting based on documentation and following strict coding guidelines within established productivity standards for all accounts assigned.Responsible for following up on all accounts unable to code due to missing/incomplete documentation or charges.Responsible for attending meetings and inservices to enhance...

Join to apply for the Coder/Abstractor II (2025-0627) role at Valley Medical Center 3 days ago Be among the first 25 applicants Join to apply for the Coder/Abstractor II (2025-0627) role at Valley Medical Center Job Title: Coder/Abstractor II Req: 2025-0627 Location: VMC Main Campus Department: Health Information Mgmt Shift: Days Type: Full Time FTE: 1 Hours: City State: Renton, WA Category Administrative/Clerical Salary Range: Min $26.42- Max $44.15/hrly. DOE Job Description: VALLEY MEDICAL CENTER Job Description Health Information Management The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Coder/Abstractor II JOB OVERVIEW: Responsible for coding and abstracting based on documentation and following...

ResponsibilitiesThe Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement.Assign and sequence ICD-10-CM / CPT codes by applying regulatory coding guidelines.Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books.Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record.Queries physicians for diagnoses or missing / ambiguous information for accurate coding.Apply organizational documentation policies and procedures in conjunction with official coding guidelines.Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement.Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and / or clinic records in a consistent, accurate and timely manner.Ensures the final diagnosis...

A leading healthcare provider in Michigan is seeking a skilled Coder Abstractor responsible for the charge capture process within the organization. The ideal candidate will verify medical records, assign proper diagnostic codes, and ensure data entry accuracy. Strong attention to detail and a solid understanding of medical coding guidelines are essential. Join a dedicated team providing exceptional care and support within a vibrant community. #J-18808-Ljbffr

ResponsibilitiesThe Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement.Assign and sequence ICD-10-CM / CPT codes by applying regulatory coding guidelines.Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books.Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record.Queries physicians for diagnoses or missing / ambiguous information for accurate coding.Apply organizational documentation policies and procedures in conjunction with official coding guidelines.Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement.Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and / or clinic records in a consistent, accurate and timely manner.Ensures the final diagnosis...

City / State Norfolk, VA Work Shift First (Days) Overview :Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator / Certified Professional Coder (CPC) Remote! Status :Full-time, permanent position (40 hours) Work hours :8am to 5pm EST, M-F Location :This position is remote for candidates that live in the following states :VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year.Job Responsibilities :Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products.Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits.Contribute to the review of reimbursement systems relating to health insurance claims...

Join to apply for the Remote Ambulance Coder role at Pafford Medical Services1 day ago Be among the first 25 applicantsJoin to apply for the Remote Ambulance Coder role at Pafford Medical ServicesGet AI-powered advice on this job and more exclusive features.Job Title :Remote Ambulance CoderWork Location :Pafford Medical Services, Inc.- Oklahoma CityDivision / Department :PMBSReports To :Director of Pafford Medical Services BillingFull-TimeNonexemptJob DescriptionResponsible for charge validation and assigning appropriate ICD-10 and HCPCS codes to ambulance claims.Responsible for reviewing ambulance trip reports to determine medical necessity and to assign the appropriate level of care.Includes fulfilling assigned duties and responsibilities for the accurate submission of all ambulance transports in order to process third party claims and patient bills.Essential Duties And ResponsibilitiesResearches all information to complete accurate billing processes including assignment of...

Overview Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families...

remote typeRemotelocationsGreenville, SCtime typeFull timeposted onPosted 13 Days Agojob requisition idR-102143Crossroads Treatment Centers is an equal opportunity employer.We celebrate diversity and are committed to creating an inclusive environment for all employees.Crossroads is a leading addiction treatment provider of outpatient medication-assisted treatment (MAT).We treat patients with opioid use disorder (OUD) using medications such as methadone andsuboxone / buprenorphine.We pride ourselves in supporting our patients medical and personal recoveries from substance use disorder.Starting our fight against the opioid addiction crisis in 2005, Crossroads has remained physician led and patient focused as weve grown to 100clinics across nine states.As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.Day in the Life of a Medical CoderAssign ICD-10-CM and CPT / HCPCS codes with modifiers for services...

Job DescriptionJob DescriptionSUMMARYThe Certified Risk Adjustment Coder is responsible for accurately abstracting provider services into ICD-10 codes from medical documentation.This role adheres to the coding ethics of organizations such as the American Academy of Procedural Coders (AAPC), American Health Information Management Association (AHIMA), and the National Alliance of Medical Auditing Specialists (NAMAS), as well as payer guidelines.The coder conducts concurrent, prospective, and retrospective reviews of medical record documentation to ensure the accurate and complete capture of the clinical picture, severity of illness, and complexity of patients.Additional duties include provider communication and education to support the closure of both risk adjustment and quality care gaps, as well as providing ongoing feedback to physicians regarding coding guidelines and requirements.ESSENTIAL JOB FUNCTIONSPerform coding quality audits of medical records to ensure ICD-10 codes are...

Reviews claims in assigned work queues in Cerner Revenue Cycle including CMG Review and Ambulatory Edit failure work items.Analyzes coding edits, reviews timeline notes, reviews clinical documentation, including provider orders, progress notes, surgical and test results thoroughly to interpret and ensure documentation supports the posted charges.Determines appropriate action needed to resolve coding edits / issues and ensure clean claim submission.Performs coding functions, including Current Procedure Terminology (CPT), International Classification of Diseases, tenth revision, Clinical Modification (ICD-10-CM), documentation review, and claim denial review.Applies appropriate modifiers.Ensures charges / coding are in alignment with the American Medical Association (AMA),Medicare, and Commercial coding guidelines on all claims reviewed.Credits / updates charges and coding as needed.Ensures queues are worked timely and efficiently.Maintains Productivity and accuracy...

City / StateNorfolk, VAWork ShiftFirst (Days)Overview :Claims Resolution Coder- RemoteResponsible for reviewing medical documentation to assign modifiers to insurance claims with issues identified by the National Correct Coding Initiative (NCCI), Medicare Outpatient Code Editor (OCE),or other third party payer specific claims processing guidelines.Works with Coding, Billing and Reimbursement staff to resolve edits.Is additionally responsible for trending errors, supporting identification of root causes, and effective communication with coding and training staff to improve coding accuracy and clean claims processing.Researches regulations to ensure accuracy of CPT codes and documentation.Associates degree in Health Information Technology or Medical Billing preferred.2 years direct application of coding, medical billing or reimbursement in health care setting, hospital or physician office required.CPC or CCS coding certification required at time of hire.Thorough knowledge of lab,...

DEFINITION / PRIMARY FUNCTIONThe Senior Coder / Abstractor (remote) codes inpatient records and / or outpatient records using commonly accepted classificationsystems and abstracts the information into the coding software or EMR abstracting.POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.)Experience :Two years of experience in coding with ICD-10-CM, ICD-10-PCS required.Experience in outpatient coding, or willingness to learn outpatient coding including CPT-4 and HCPCS required.Experience using coding software and EMR required.Previous coding in a teaching facility preferred.Education and Training :High School Graduate, advance education in medical terminology, anatomy and physiology, and pathophysiology are all required.Completion of a medical coding program required.License, Certification & Registration :CCSHRR - Certified Professional Coder-Hospital.Other Requirements :Ability to code all inpatient record types i.e.med / surg, behavioral...

POSITION DESCRIPTION :The Compliance Auditor / Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services.Provides professional expertise and education in CPT, ICD and HCC coding.The Compliance Auditor / Educator is responsible for professional development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA departments and offices for coding and documentation regulations.This role is also responsible for responding to compliance-related coding and documentation issues via the event reporting system and managing them to proper resolution.Performs medical record integrity audits and conducts one-on-one meetings with Providers for corrective educational guidance.ESSENTIAL JOB FUNCTIONS :Develops and leads audit projects for medical record integrity, service line or issues-related audits, identifies...