11 profee coder jobs found in Jackson

Datavant is seeking a Profee Auditing Specialist to conduct Professional Fee coding audits fully remote. In this role, you will ensure coding accuracy, provide education, and keep up with regulatory changes while maintaining a customer-service focus. Required qualifications include over 5 years of coding/auditing experience, CPC certification, and proficiency in software like Epic and Cerner. Benefits include medical coverage and a $2,500 sign-on bonus. Pay ranges between $35 to $45 hourly depending on experience. #J-18808-Ljbffr

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

Job Title: Professional Coder II - Professional Billing - Revenue Integrity Location: Central Billing Office-Clinton Job Category: Clerical and Customer Service Organization: Rev Cycle - Professional Govt FU Job Summary: Medical Coder-Outpatient is responsible for reviewing and coding outpatient medical records and documentation for healthcare services rendered. This role ensures that all diagnoses, procedures, and services provided in an outpatient setting are accurately coded using standardized coding systems (ICD-10, CPT, HCPCS). The coder will ensure compliance with insurance requirements, governmental regulations, and industry standards to facilitate correct reimbursement and support the accurate billing process. Education & Experience Required: High school diploma/GED Certifications, Licenses, Or Registration Required: N/A Preferred Qualifications: Associate's degree in health information management or medical coding and experience in medical coding or...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by...

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry-standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana's internal standards. The Medical Coding Auditor Evaluation & Management will report to the Manager, Medical Coding. WORK STYLE: Remote/Work at home WORK HOURS: Associates will work on EST, regardless of where the associate resides. All associates must start between 6AM-9AM EST, Monday - Friday as a dedicated schedule. Work...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Non-Certified Coder NKC Health Coding and Denial team is hiring a Non-Certified Coder. This role focuses on coding procedures, posting charges, and communication with practice teams. Benefits Comprehensive benefits (Medical, Dental, Vision, Life, FSA) Employer matched retirement plan Competitive wages Paid time off for personal/vacation/sick Six paid holidays per year Educational assistance Day shift schedules Responsibilities Review procedures, HCPCS, and diagnosis coding for accuracy. Assign proper codes based upon medical record documentation. Work with denials team and central billing office to resolve claims denials and billing issues. Post charges accurately and timely. Work with providers to ensure coding accuracy. Knowledge of risk adjustment processes and coding is a plus. Requirements High school graduate or GED equivalent. Minimum 2 years of experience in physician coding and billing. Knowledge of CPT and ICD‑10 coding and medical terminology....

Franciscan Missionaries of Our Lady Health System in Jackson, MS is seeking a Coder 2 - Clinic to review and audit Network Provider medical records for coding compliance and quality. This role involves conducting quality audits, establishing interdepartmental cooperation, and ensuring proper coding related to reimbursement. Candidates should possess relevant degrees or coding certifications along with proficiency in medical terminology and coding standards. The position requires strong collaboration and communication skills. #J-18808-Ljbffr

NKC Health in Jackson, Michigan is seeking a Certified Coder to join their team. The ideal candidate will review procedures, HCPCS, and diagnosis coding for accuracy. Responsibilities include assigning proper codes based on medical records, resolving claims denials, and ensuring coding accuracy. Applicants must have a high school diploma or GED, current AAPC certification, and at least one year of coding experience. Comprehensive benefits including medical and retirement plans are offered. #J-18808-Ljbffr

Overview Meritas Health has a need for a Certified Coder to join our team. If you’re looking for a great opportunity to serve our community and be part of a growing team, join our Meritas family where there is more for you. NKC Health has a need for a Certified Coder to join our team. If you’re looking for a great opportunity to serve our community and be part of a growing team, join our NKC Health family where there is more for you. Job Responsibilities Review procedures, HCPCS, and diagnosis coding for accuracy. Assigns proper codes based upon medical record documentation. Work with denials team and central billing office to resolve claims denials and billing issues. Post charges accurately and timely. Work with providers to ensure coding accuracy. Knowledge of risk adjustment processes and coding is a plus, but not required. Qualifications High school graduate or GED equivalent Must possess a current AAPC certification Minimum 1 year of experience in physician coding and...

About Us Here at Baylor Scott & White Health we promote the well‑being of all individuals, families, and communities. Baylor Scott and White is the largest not‑for‑profit healthcare system in Texas that empowers you to live well. Core Values We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar‑for‑dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job Summary The...