56 profee coder jobs found

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 DescriptionJob DescriptionQMACS, Inc., a well-established medical billing company located in Richardson, Texas, has an opening for an experienced emergency department coder.The right candidate should be able to code both professional and facility charts; adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-10, HCPCS and ACEP coding and reporting.The ideal candidates should have the ability to work within a team environment to ensure optimal revenue attainment and complete compliance with governmental and private payor requirements.AAPC and / or AHIMA Medical Coding Certification is required.Experience is preferred.RequirementsExperience coding Emergency Department chartsKnowledge of HITECH & HIPAA compliance rules and regulations requiredAbility to work well with Microsoft Office suite of products, particularly ExcelAbility to work in and / or familiarization with a variety of EHR products is a plusKnowledge of facility AND...

Position Physician Practice E&M Auditor Educator, MCVI Administration, FT, 8A-4:30P About Baptist Health 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...

Join to apply for the Coder/Abstractor III (2025-1426) role at Valley Medical Center . 4 days ago Be among the first 25 applicants Job Title: Coder/Abstractor III Req: 2025-1426 Location: Remote Potential, Renton, WA Department: Health Information Mgmt Shift: Days Type: Full Time FTE: 1 Salary Range: Min $28.00 - Max $46.80/hr (DOE) 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 III JOB OVERVIEW: Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned. Resolves coding related edits and denials and provides ongoing feedback...

Inpatient Hospital Certified Medical Coder III - remoteAre you a detail-oriented Certified Medical Coder who takes pride in accuracy and contributing to quality patient care? We're looking for someone just like you to join our growing healthcare family at Valleywise Health.As a key member of our team, you'll play a vital role in ensuring that patient services are accurately coded and reimbursed, helping our clinical teams continue to deliver excellent care.You'll be surrounded by a supportive team, gain access to ongoing professional development, and have a direct impact on our hospital's mission to serve the community with compassion and integrity.If you're a certified medical coder who values accuracy, efficiency, and being part of a healthcare team that truly makes a difference - we want to hear from you!Why You'll Love Working With Us :Meaningful Impact :We value you! Accurate medical coding is more than just numbers - it's about ensuring the integrity of patient care,...

Certified Professional Coder, Independent Contractor Constellation Quality Health is a non‑profit health care quality consultancy and QIO‑like Entity certified by Centers for Medicare and Medicaid Services (CMS) founded by physicians in 1983. Headquartered in North Carolina’s Research Triangle, we offer an array of quality improvement, clinical review, audit, technical, and consulting services and solutions to improve care delivery, system performance, and patient outcomes. What You’ll Do The Certified Professional Coder (CPC) is responsible for reviewing and comparing provider service documentation to billed claims in order to determine compliance with clinical policies, state and federal regulations. Perform reviews in a manner consistent with contract requirements for timeliness and accuracy. Our requirement for this role: Associate or bachelor’s degree required in a human services field or five (5) years of related experience may substitute for degree. Certified...

Minimum Qualifications High school or equivalent and three years of experience. The Sr. DRG coder must be proficient in inpatient coding with the ability to audit and provide education to providers and coders. AHIMA: RHIT, RHIA, or CCS certification required. Job Summary To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options. Essential Job Functions Selects records from EPIC WQ according to priority. Adheres to internal controls and reporting structure. Identifies responsible staff and resident physicians for each procedure coded. Always protects confidentiality of patient information. Participates in section meeting and office in-services. Keeps coding knowledge and skills current through attending continuing education activities and reviewing pertinent literature. Reviews all federally insured and other patient discharge...

Minimum Qualifications A high school diploma or GED and three years of multi-specialty coding experience. The senior coder must be proficient in coding Professional services, and/or Outpatient professional and hospital technical services. Must also have experience with communicating, training, and educating providers in proficiency. Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations is a plus. Licenses, Registrations, or Certifications CCA - Certified Coding Associate American Health Information Management (AHIMA) CCS - Certified Coding Specialist American Health Information Management (AHIMA) CCS-P - Certified CCS-P Physician Based American Health Information Management (AHIMA) RHIA - Certified Reg Health Inform. Admins American Health Information Management (AHIMA) RHIT - Certified Reg Health Inform. TECH American Health Information Management (AHIMA) CIC - Certified Inpatient Coder American...

Medical Appeal & Coding Specialist Job Summary University Medical Billing ( UMB )  is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability - attributes a successful candidate will exemplify. Job Summary:   Analyze and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. Code records for use and planning by physicians, hospitals, research organizations, or insurance companies. Knowledgeable of medical and clinical terminology, disease processes, and pharmacology. Complete assignments according to established guidelines and schedules. May include contact with patients, families, doctors,...

Join to apply for the Coder/Abstractor Outpatient role at Berkshire Health Systems 3 days ago Be among the first 25 applicants Join to apply for the Coder/Abstractor Outpatient role at Berkshire Health Systems The Coder/ Abstractor codes outpatient records using commonly accepted classification systems and abstracts the information into the coding software or EMR abstracting. POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.) Experience: One year of experience in coding with ICD-10-CM, CPT-4, and HCPCS required. 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. Understanding of frequently ordered tests, required. Experience using coding software and EMR required. Understanding of billing and reimbursement systems, i.e. APC’s , required. Previous coding in a teaching facility, preferred....

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....

A non-profit health care quality organization is seeking a Certified Professional Coder (CPC) as an Independent Contractor. This remote role involves reviewing compliance of provider documentation against billed claims. Candidates should have a degree in human services or equivalent experience, as well as CPC certification with DRG coding experience. Strong communication skills and proficiency in Microsoft tools are required. The position offers a competitive salary and flexible work environment. #J-18808-Ljbffr

Certified Professional Coder, Independent Contractor Join to apply for the Certified Professional Coder, Independent Contractor role at Constellation Quality Health Constellation Quality Health is a non‑profit health care quality consultancy headquartered in the North Carolina Research Triangle. We offer a range of quality improvement, clinical review, audit, technical and consulting services to improve care delivery, system performance and patient outcomes. What You’ll Do Perform coding reviews in a manner consistent with contract requirements for timeliness and accuracy. Review and compare provider service documentation to billed claims to determine compliance with clinical policies and state and federal regulations. Qualifications Associate or bachelor’s degree in a human services field or five (5) years of related experience may substitute for degree. Certified Professional Coder (CPC) certification with at least two (2) years’ experience in DRG coding in an inpatient...

A non-profit health care consultancy is seeking an Entry-level Certified Professional Coder, Independent Contractor. The role involves conducting coding reviews to ensure compliance and accuracy of provider documentation against claims. Candidates must hold a CPC certification and have at least two years of experience in DRG coding within an inpatient facility. A competitive salary and flexible work environment are offered, supporting a commitment to quality improvement in healthcare delivery. #J-18808-Ljbffr

A leading health service organization is seeking a Senior Inpatient Medical Coder to assign proper medical coding for inpatient services and ensure high documentation standards are met. This remote position requires strong organizational skills and previous experience in acute care coding. Join us to make a significant impact on patient care and improve health outcomes through accurate coding practices. #J-18808-Ljbffr

2 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Competitive pay with eligible incentive bonuses & yearly merit increases Structured schedules for work-life balance with Paid Time off & Long-Term Sick Bank hours Full Health Benefits Package, Courtesy Care Benefits & Health Savings Account funds Student Loan Forgiveness program & tuition reimbursement Complimentary scrubs A day in the life of a Coding Auditor at HealthSource: Conduct regular coding audits for all HSO clinicians to verify that CPT, ICD-10, and HCPCS codes are assigned correctly and in compliance Detect coding discrepancies, documentation deficiencies, and billing errors Provide feedback and training to clinicians, coders, and clinical staff Assist in the preparation of reports and audits to demonstrate compliance and identify areas for financial improvement Support risk adjustment coding to ensure accurate documentation, appropriate...

Paid time off, paid holidays, tuition reimbursement, 401(k). Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Senior Medical Coder codes medical records using coding classifications to ensure data integrity and proper assignment of codes based on coding guidelines. In this role, you will be responsible for accurate record documentation to support correct code assignments, reimbursement, precise reporting of services...

EDUCATION & EXPERIENCE: Minimum Qualifications: A high school diploma or GED and three years related experience. Preferred Qualifications: Three (3) years of experience in DRG and/or PCS coding. Experience with communicating, training, and educating providers in proficiency. Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations. REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS: One of the following: CCS – Certified Coding Specialist (AHIMA) or RHIA – Registered Health Information Administrator (AHIMA) or RHIT – Registered Health Information Technician (AHIMA) JOB SUMMARY: To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options. ESSENTIAL JOB FUNCTIONS: Selects records from EPIC WQ according to priority. Reviews all federally insured and...

Join to apply for the Certified Coder Abstractor role at St. Joseph's Health 4 days ago Be among the first 25 applicants Join to apply for the Certified Coder Abstractor role at St. Joseph's Health Job Description Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and timely manner. Job Description Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate...

Overview Join to apply for the Coder/Abstractor III (2025-1049) role at Valley Medical Center . Job Title: Coder/Abstractor III Req: 2025-1049 Location: Remote Potential Department: Health Information Management Shift: Days Type: Full Time FTE: 1 Hours: As assigned City State: Renton, WA Job Description This salary range may be inclusive of several career levels at Valley Medical Center 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. Responsibilities Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned. Resolves coding related edits and denials and provides ongoing feedback and education to physicians and clinicians. Follow up on all accounts unable to code due to missing/incomplete documentation or charges. Maintain...

Job Summary Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients' health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD-10-CM (may include PCS), and HCPCS/CPT. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT) National Correct Coding Initiative (NCCI), and Kaiser Permanente...

We are seeking a Sr. Compliance Auditor Trainer who will provide on-going training and support to physicians, non-physician providers, professional fee billing staff, clinic staff, administrators, and other affected personnel on documentation and billing requirements. Using auditing and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Works in close collaboration with the clinical departments, Physicians Billing Service, and the Johns Hopkins Health System Compliance Office. The documentation audits are conducted as part of the School of Medicine's Quality Assurance Compliance Program. Prepares reports for the Senior Director, Director, and clinical departments regarding the status or results of the reviews. Summary results are presented to the Clinical Practice Association's Board of Governors, the University's Trustee Committee for Audits and Insurance and other appropriate...

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...

OverviewCoder - Full TimeLaredo Rehabilitation Hospital in Laredo, Texas is a full-service inpatient rehabilitation hospital committed to helping patients in South Texas recover and thrive after serious injuries or illnesses.Our hospital provides intensive rehabilitation programs for stroke patients, brain and spinal cord injuries, orthopedic injuries, and other complex conditions, all under the guidance of our skilled multidisciplinary team.We pride ourselves on offering personalized care - our physical, occupational, and speech therapists tailor each treatment plan to the patient's unique needs and cultural background, reflecting the community we serve.With modern facilities and a caring bilingual staff, we ensure patients and their families feel supported and informed throughout the recovery journey.Accredited by The Joint Commission and consistently rated among top rehab providers, Laredo Rehabilitation Hospital is dedicated to restoring independence and improving quality of...