73 coder provider practice jobs found

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...

**Department Name:**Coding Ambulatory**Work Shift:**Day**Job Category:**Revenue Cycle**Estimated Pay Range:**$25.54 - $38.30 / hourBanner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.Additional Job DescriptionInnovation and highly trained staff. Banner Health recently earned Great Place To Work(R) Certification(TM). This recognition reflects our investment in workplace excellence and the happiness,...

**Department Name:**Coding Ambulatory**Work Shift:**Day**Job Category:**Revenue Cycle**Estimated Pay Range:**$25.54 - $38.30 / hourBanner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.Additional Job DescriptionInnovation and highly trained staff. Banner Health recently earned Great Place To Work(R) Certification(TM). This recognition reflects our investment in workplace excellence and the happiness,...

Job Title: Coder/Abstractor II Professional Coding Req: 2026-0469 Location: Patient Financial Services Shift: Days Type: Full Time FTE: 1 Hours: 7:00a-4:30p City State: Renton, WA Category: Administrative/Clerical Salary Range: Min $26.42 - Max $44.15/hrly. DOE 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. Prerequisites High school graduate required. Associate's or bachelor's degree preferred. CPC-A or CPC required. Demonstrated ability to use and understand ICD-10, CPT-4 and HCPCS coding methodologies. Three years healthcare experience in a hospital or physician group practice or other ambulatory care setting preferred. Knowledge of anatomy, physiology, and medical terminology. Ability to...

Dynamic and growing dermatology practice is seeking an energetic and highly motivated Medical Biller/Coder to join our team.This role is essential to maintaining the financial health of our practice and ensuring accurate, timely billing and reimbursement.Key Responsibilities:Verify and submit claims to insurance companies for reimbursement AR follow up Working rejected, denied and non-covered claims Completing appeals Completing large insurance payer projects Working with Insurance Provider Representatives to initiate and complete all major insurance projects Analyze large groups of claims by insurance payer to identify trends and develop solutions for future submissions Review and analyze medical records and patient information to ensure accurate coding and billing Verify appropriate coding has been utilized including ICD-10, ICD-9, HCPCS, and CPT coding Communicate with healthcare providers, insurance companies, and patients regarding billing inquiries or disputes Maintain...

Job DescriptionJob DescriptionMedical Records Coder / Certified - Full Time (PARTIAL REMOTE / IN OFFICE FOR MTGS)POSITION SUMMARY :Codes medical records using diagnostic coding.Ensures accurate submission of all coding data for reimbursement purposes.Ensures Regulatory Compliance and follows all Federal regulations for all payment systems.POSITION REQUIREMENTS :Minimum EducationHigh School Diploma or equivalentCertificate Required :One of the following Coding Certifications :CCS-Certified Coding SpecialistCPC-Certified Professional CoderCPC-H-Certified Professional Coder-HospitalCOC-Certified Outpatient CoderCIC-Certified Inpatient CoderCMC-Certified Medical CoderMinimum Work ExperienceAbility to read and communicate in English; Bilingual preferredGood communication and multi-tasking skillsMinimum of 2 years' experience with ICD-10 and CPT / HCPCS coding in an acute facility and / or physician's office preferredKnowledge of computer applications for codingKnowledge of medical...

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...

Professional Coding Auditor And Educator - Remote This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing.In addition, this role focuses on performing the following Health Information Management duties:Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information.An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a hands on environment.The majority of time is spent in the delivery of support services or activities, typically under supervision.An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education.Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation or...

Job Overview Are you an experienced inpatient coder looking to work fully remotely, with a team that values accuracy, continuous learning, and work-life balance? Fairview is hiring-you'll work Monday through Friday, handling 80 hours per pay period.What You'll Do Review and code inpatient clinical records using ICD-10-CM and ICD-10-PCS in alignment with coding guidelines, MS-DRG / APR-DRG reimbursement rules, and Fairview protocols.Validate computer-assisted coding (CAC) output and ensure thorough, accurate coding.Analyze clinical documentation and drill down on severity of illness (SOI), risk of mortality (ROM), HAC, and POA indicators.Collaborate with CDI (Clinical Documentation Integrity) staff to drive provider education and documentation quality.Assist in provider queries to improve documentation specificity.Partner with revenue cycle teams to support prompt claim submissions and optimize financial performance.Required Qualifications (must be met to be considered) :Certificate...

GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide.As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers--with new clients and provider networks added every month as our organization scales.In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management.Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory.This position...

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery.Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and treatments to primary care for the entire family.The primary site of inpatient care services is at the University of Toledo Medical Center, but many of our physicians' practice at hospitals and medical offices throughout the region.University of Toledo Physicians offers competitive pay and benefits including:403B, Pension, health and tuition waiver at UT.POSITION SUMMARYThe Certified Coder is responsible for coding ICD diagnosis and CPT facility and professional codes.Assignment may include outpatient clinic visits, diagnostic procedures, outpatient surgeries, observation and inpatient encounters, and emergency room charges for the...

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for validating / reviewing front end coding edits 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.Utilizes appropriate coding software and coding resources in order to determine correct codes.Responsible for resolving all assigned pre-billing edits.Communicates billing...

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 Title :Gastroenterology ProFee Coder (E / M & Surgical) Company Description Vee Healthtek, Inc.delivers cutting-edge solutions that transform healthcare organizations.We offer a comprehensive suite of services that leverage our industry expertise to provide the best value to our clients.Through close collaboration and a deep understanding of market trends, we create customized strategies that deliver tangible outcomes.Our technology-driven services empower organizations to thrive in the evolving healthcare landscape, resulting in improved workflows, increased cost efficiency, and streamlined business processes.Learn more at www.veehealthtek.com.Job Summary The Gastroenterology ProFee Coder is responsible for accurate assignment of diagnosis, procedure, and Evaluation & Management (E / M) codes for physician professional services within a gastroenterology practice or health system.This role focuses exclusively on professional fee coding , ensuring compliance with CPT,...

Job Summary and Responsibilities As a Medical Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. Employees will comply with all laws, rules, and regulations relating to the position. The employee has a duty to report any suspected violations of the law to his/her immediate supervisor, compliance officer, or CEO. Employees will follow the coding guidelines...

About Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130medical providers, who care for more than 200,000 patients statewide.Our mission is to improve the quality of life throughout Arizona by helping communities Live Better, Live Longer through personalized healthcare, with a focus on preventing the nation's top leading causes of death.We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services.We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.This position requires an initial 60-day training period at our corporate office in Scottsdale, Arizona.Upon successful completion of training, the position will transition to a fully remote role.Job Responsibilities :Audit Medical Records...

Overview The Coding Senior will apply ICD‑10‑CM/PCS and CPT diagnostic and procedural codes, determine MS‑DRG and APR‑DRG assignments for inpatient records across multiple specialties, and apply ICD‑10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties. The role may include coding specialist functions. Responsibilities Navigate patient health records and other computer systems to accurately determine diagnosis and procedure codes, MS‑DRGs, APCs, and required modifiers. Validate charges by comparing them with health record documentation. Communicate effectively with clinical staff, physicians, office staff, and Clinical Documentation Improvement Specialists regarding documentation issues or needs related to inpatient, outpatient, or ambulatory coding. Identify concerns and notify appropriate leadership for resolution. Provide resolution to moderate to complex problems. Track issues that require follow‑up to facilitate timely coding. Consistently...

* Maintains an expert level of knowledge of CPT, ICD-10 and HCPCS coding principles, modifier usage, medical terminology, HIPAA compliance, governmental regulations and third-party payer requirements pertaining to billing, coding and documentation.* Codes highly complex services in orthopedic specialty, maintaining departmental standards for productivity and accuracy.* Works under minimal supervision using specialized expertise in the subject matter.* Ensures all services documented in the patient’s medical record are coded with appropriate diagnoses and procedure codes. When services are not documented appropriately, seeks to attain proper documentation in a timely manner based upon established protocols.* Researches and resolves coding related system edits, payer rejections, and insurance denials.* Acts as a knowledge resource to clinical staff in billing code matters. Provides feedback to providers on how to improve documentation and charge capture to ensure revenue...

Overview New Jersey’s largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural work. The position also supports prior...

The Senior / Super Coder serves as a high-performing coding professional responsible for the accurate and timely assignment of ICD-10-CM/PCS, CPT, and HCPCS codes for all hospital services including inpatient, outpatient, emergency, surgery, and RHC encounters. This position functions as the department’s top-tier coder and provides advanced coding expertise, mentorship, and support to the Coding Team Leader, enabling her to focus on quality assurance, compliance, and education. The Senior Coder must maintain exceptional accuracy, productivity, and compliance with official coding guidelines, payer requirements, and FMH policy. Key Responsibilities Independently review and abstract complex clinical documentation for accurate code assignment. Assign appropriate ICD-10-CM/PCS, CPT, and HCPCS codes using the 3M encoder across multiple service lines. Resolve coding edits, medical necessity issues, and payer rejections efficiently. Collaborate with providers and the Coding Team...

DescriptionThe Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures.Works with coding databases and confirms DRG assignments.Familiar with standard concepts practices and procedures within a particular field.Relies on instructions and pre-established guidelines to perform the functions of the job.This position relies on guidelines and some experience and judgment to complete job and works under general supervision.ResponsibilitiesCoding/Abstracting Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues.Handles all requests in a timely fashion.Quality/Performance Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patients medical...

Job Summary and Responsibilities As a Medical Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. Core Coding & Data Integrity: Applies expert-level knowledge to accurately assign and sequence ICD-10-CM, CPT, and HCPCS codes to outpatient medical records and encounters. Ensures coding decisions are fully substantiated by medical record documentation and...

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).**Job Summary**This is a Coder III–level position. The Coder III is responsible for researching, reviewing, interpreting, and processing Interventional Radiology (IR), Vascular, and Neurosurgery coding and billing charges. This role supports all coding functions for the IR, Vascular, and Neurosurgery departments and will communicate regularly via email and messaging with clinic staff to ensure compliant, accurate, and appropriate coding practices.**Job Responsibilities*** Preform charge capture, apply diagnoses and modifiers and demonstrate...

Job Summary The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits and conducting audits for physician education. Ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, providing guidance to faculty and staff on the...