115 certified professional coder jobs found

Day Kimball Health is hiring a Certified Professional Coder for the Central Business Office ! Location: Putnam, CT | Shift: Days Shift, 40 Hours Job Summary Under the general supervision of the Director of Professional Revenue Cycle, the Certified Professional Coder performs all phases of abstracting, diagnosis coding, charge capture and posting through record analysis. Will perform quarterly chart audits to ensure documentation meets ICD-9 as well as ICD-10 guidelines. Additionally, the Certified Professional Coder will provide ICD-10 training for Providers and staff as needed and will be an integral part of the implementation team. Key Responsibilities Review medical records for completeness and compliance with coding guidelines to abstract and code clinical data, including diseases, operations, procedures, and therapies, using standard classification systems. Review and enter all charges for practice billing from medical record documentation to ensure billed services...

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...

Grow HealthyIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.Job OverviewAssigned codes to patient symptoms, diagnosis, operations, and treatments to process reimbursements, knowledge and expertise in reviewing and adjudicating coding services, procedures, and diagnoses on medical claims. Completes accuracy and timely entry of ICD-9-CM, HCPCS procedure codes, and CPT codes into the NextGen system.Minimum RequirementsA minimum...

Job Summary :Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, other regulatory agencies, third party payers and Kaiser Permanente policy.Function includes, but is not limited to working charge review work queues, other forms of charge submissions and querying providers to ensure the completeness and accuracy of coding of internal services performed.Essential Responsibilities :Responsible for reviewing primarily medical and ancillary type workques charge sessions within KP Health connect and applying coding principles for correct coding.Research, code, and / or data enter encounters that are supported by KPHC with the Charge capture tool.Review all other charge sessions submitted via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied.Query providers for clarification of incomplete or...

Job Summary :Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, other regulatory agencies, third party payers and Kaiser Permanente policy.Function includes, but is not limited to working charge review work queues, other forms of charge submissions and querying providers to ensure the completeness and accuracy of coding of internal services performed.Essential Responsibilities :Responsible for reviewing primarily medical and ancillary type workques charge sessions within KP Health connect and applying coding principles for correct coding.Research, code, and / or data enter encounters that are supported by KPHC with the Charge capture tool.Review all other charge sessions submitted via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied.Query providers for clarification of incomplete or...

Job DescriptionJob DescriptionPerforms functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents.Insures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned.EDUCATION and / or EXPERIENCEHigh school diploma or general education degree (GED) preferredCertified Professional Coder certification requiredLevel and years of experience based on departmental needsExtensive knowledge of CPT and ICD-10 codingKnowledge of government regulations as they relate to teaching physiciandocumentation and billing guidelinesUnderstanding of :the importance of compliance with all government, department, and contractual regulations regarding coding and billing; and provider requirementsTotal RewardsThe referenced base salary range represents the low and high end of University of Maryland's Faculty Physician's Inc.salary range for this position.Some...

Current Madison College employees must apply to the internal career site by logging into Workday Job Posting Date: January 29, 2025 Application Deadline: Salary Information: Salary depends upon workload. Department: School of Health Science_OTA, MA, MC, OptTech, TM&Rad_PT Faculty Madison College is recruiting a pool of highly motivated and qualified candidates to teach part time courses for the Medical Coding Specialist program. Applications will be accepted on a continuous basis for the 2025-2026 academic school year. If you possess the aspiration to help others succeed, this is an opportunity for you to positively impact the community and lives of our students. Madison College is a first-choice institution that offers exceptional educational opportunities to our students providing high-demand skills for professional and academic growth. Madison College's dedication to promoting equity, inclusion and diversity is reflected in our Mission, Vision, and Values. We...

Description Milwaukee Area Technical College (MATC) is Wisconsin's largest and most diverse technical college, offering 170+ high-quality programs that connect students to a career in as little as one to two years. The college also offers a less expensive path to a four-year degree. MATC is transforming lives, industry and our community by preparing students today for the careers of tomorrow. Together, we are meeting the needs of the community we share and are focused on students with the greatest needs. We are seeking passionate individuals to join our team who share the same passion in serving this purpose. Learn more about MATC at www.matc.edu. Two (2) part-time vacancies. Up to 19 hours per week, hours vary based on departmental needs. Successful candidates must reside in the State of Wisconsin. Under supervision of the Dean or designee, to teach classroom, online and applied courses in the Medical Coding Specialist Technical Diploma Program. Related duties include advising...

ResponsibilitiesEvaluates coding based on Coding Guidelines.Reviews records for all care settings.Identifies high volume, high risk coding, and reimbursement and quality problems.Responsible for accurate assessment, analysis and summary of findings for coding validation.Provide auditing and feedback that is incorporated into training education programs.This position offers a fully remote work opportunity.Employees in this role must reside in one of the following states to be considered for fully remote positions :Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina or Louisiana.QualificationsRequired :One year coding in healthcare settingOne of :CCA or CCS or CPCDesired :DiplomaCertified Coding Associate OR Certified Coding Specialist OR Certified Professional Coder.

Job TitleThis position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff.This position will support the implementation of changes to the CPT, CDT, HCPCS, and ICD-10 codes on an annual basis.ResponsibilitiesEssential Duties :Conduct prospective and retrospective chart reviews (i.e.baseline, routine periodic, monitoring, and focused) comparing medical and / or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer / title / grant coding requirements.Identify coding discrepancies and formulate suggestions for improvement.Communicate audit results / findings to providers and / or ancillary staff and share improvement ideas.Work with the Office of the CMO and provider leadership to identify and assist providers with coding.Report findings and recommendations to Compliance...

Physician Billing (PB) Coding Auditor And EducatorOur team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network.A day in the life of an Physician Billing (PB) Coding Auditor and Educator at...

In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments – and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems such as Cerner, MediTech,...

## Senior Coder - OutpatientApply: Remote: AL, Working at Home - Alabama: Full time: Posted Today: J287245## **Company :**Allegheny Health Network## **Job Description :****GENERAL OVERVIEW:**This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.**ESSENTIAL RESPONSIBILITIES*** Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)* Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)* Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)* Keeps informed of the changes/updates in ICD-10...

Job AnnouncementPosition InformationPosition TitleMedical Coding Specialist Instructor- Part-TimeCampusElizabethDepartmentCenter for Economic & Workforce DevelopmentFull-time, Part-time, AdjunctPart TimeExempt or Non-ExemptNon-ExemptRegular,Temporary, or GrantTemporaryGeneral DescriptionProvide classroom instruction to non-credit students on Medical Coding. Prepares the student for employment as a Medical Coder and to pass the Certified Professional Coding ( CPC ), American Association of Professional Coders exam. In conjunction with staff members, perform instruction, and reporting requirements as specified by director. This is part-time position. Reports to the Director. Off-campus work within Union County may be required.Characteristics, Duties, and Responsibilities Provide Medical Coding instruction to students including anatomy and physiology and medical terminology. Communicate class content to the students so that learning occurs, skills are developed, and students are...

Medical Billing SpecialistDay Shift (United States of America)Hours:Monday - Thursday 8am-5pm & Friday 8am-3pmMary Free Bed SummaryWe have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients Ask for Mary, they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership, to clinicians and care providers.Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and...

The Certified Professional Coder (CPC) serves as liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices, timely issue resolution, and alignment with organizational policies and payer requirements. The Coding Liaison supports documentation integrity, monitors vendor performance, and acts as a subject matter expert for coding-related inquiries. This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT®, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices. Key Responsibilities Serve as the liaison to ensure coding queries issued by the vendor are addressed by providers, resolved appropriately, and returned to the vendor in accordance with established timelines. Identify documentation deficiencies and initiate provider queries when clarification is needed Apply...

Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. Responsible for the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. Minimum Qualifications EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of a Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Graduate of a Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience. Certification inONEof the following: Registered Health Information Administrator (RHIA) OR...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Responsible for providing accurate, reliable and effective education to physicians and extenders regarding outpatient procedural and diagnosis coding. This position performs individual and group documentation reviews, identifies opportunities for improvement, assists with implementation of physician lead CME documentation and coding courses and coordinates with physician...

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...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. CERTIFIED CODER/ABSTRACTOR - HEALTH INFORMATION MGT - FT-REMOTE Full Time Non-Management Jefferson Regional Main Hospital, Pine Bluff, AR, US What You Should Know About the Certified Coder/Abstractor: Typical Hours: Monday- Friday from 8:00 a.m.- 4:30 p.m. This position is based within Jefferson Regional Health Information Management Job Summary: The Certified Coder/ Abstractor is responsible for analyzing patient records and assigning appropriate diagnosis and procedure codes, ensuring accuracy and compliance with coding guidelines and industry best practices. Certified Coder Abstractor Qualifications: High School diploma or equivalent required. Technical Diploma or Associate Degree in Healthcare, Healthcare Information Management or Administration, or other related field preferred. One or more of the following: Certified...

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer.As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces.SummaryThe Hospital Outpatient Coder reviews, analyzes, and assigns codes for diagnoses and procedures information that uses International Classification of Diseases, Tenth Revision, Clinic Modification ("ICD-10-CM"), Tenth Revision, Current Procedural Terminology ("CPT"), and Healthcare Common Procedure Coding ("HCPCS") coding. The Hospital Outpatient Coder promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. In addition, this...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. CERTIFIED CODER/ABSTRACTOR - HEALTH INFORMATION MGT - FT-REMOTE Full Time Non-Management Jefferson Regional Main Hospital, Pine Bluff, AR, US What You Should Know About the Certified Coder/Abstractor: Typical Hours: Monday- Friday from 8:00 a.m.- 4:30 p.m. This position is based within Jefferson Regional Health Information Management Job Summary: The Certified Coder/ Abstractor is responsible for analyzing patient records and assigning appropriate diagnosis and procedure codes, ensuring accuracy and compliance with coding guidelines and industry best practices. Certified Coder Abstractor Qualifications: High School diploma or equivalent required. Technical Diploma or Associate Degree in Healthcare, Healthcare Information Management or Administration, or other related field preferred. One or more of the following: Certified...

Overview About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region....

## Clinic Coder - Clinic Coding Services - FT - DayApplylocations: Remote - Kansastime type: Full timeposted on: Posted Yesterdayjob requisition id: req23640Position Status:Full timeShift:First Shift (Days - Less than 12 hours per shift) (United States of America)Hours per week:40Job Information Exemption Status: Non-Exempt A Brief Overview Reviews medical record documentation and assigns accurate ICD-9-CM/ICD-10-CM and CPT codes for services provided by physicians and other qualified healthcare professionals. Position may qualify as hybrid or fully remote. If within 60 miles of Topeka Campus may be required to appear on site in the event of a system-wide downtime. Both hybrid and fully remote will be required to fulfill all organizational mandated requirements (i.e. influenza vaccines). Experience Qualifications* 2 years Coding experience. PreferredSkills and Abilities* Knowledge of medical terminology. (Preferred proficiency)* Knowledge of reimbursement processes...