32 professional coder jobs found in Miami, FL

POSITION:Remote Professional Fee Surgical Coder - OphthalmologyDEPARTMENT:Health Information ManagementSTART:ASAPLOCATION:RemoteJOB DESCRIPTION:This is a Profee Surgical coding position with a focus on Ophthalmology. Candidates must have experience coding all things Ophthalmology from complex surgery, eye correction, cancer removal, etc. Ideally, this person would also have ancillary experience in diagnostic radiology, interventional radiology, and radiation oncology. The candidate must have surgical coding experience for a Level 1 trauma center and E/M.Under indirect supervision, the coder is responsible for the accurate coding of Ophthalmology encounters for a University Health System. This includes outpatient visit procedures, diagnoses, and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS), and other specialty systems as required by diagnostic category...

Job Description Job Description Job Title: Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets. No prior AI experience is required—your coding expertise and attention to detail are what matter most. Key Responsibilities Review and annotate medical records to accurately assign ICD-10 and CPT codes based on clinical documentation. Apply Evaluation & Management (E&M) guidelines to assess coding levels and validate healthcare datasets. Ensure compliance with current medical coding standards and guidelines. Analyze clinical documentation and identify coding-related ambiguities or inconsistencies. Provide...

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 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 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 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 that...

ClareMedica Health Partners is seeking an accurate, detail-oriented Medical Coder to review records and assign codes for risk-adjustment models and office procedures. You will evaluate charts, validate coding accuracy, and ensure compliance with coding guidelines. The ideal candidate holds CPC or CRC certification, with 2+ years of coding experience, strong terminology knowledge, and proficiency in EMR software and MS Office. #J-18808-Ljbffr

Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at www.mindlance.com. Job Description Business Medical Coder Location: 5775 Blue Lagoon Dr., Miami, FL 33126 Contract: 3 Months Qualifications Role Review of denial on adjudicated claim that is classified as a code edit denial. Request and review supporting documentation (medical records) when needed. Once review is complete contact provider by phone to provide rationale as to whether we will overturn (pay) the denial or if it is upheld. Qualifications CPC-A with coding experience Knowledge/experience of CPT, ICD-9, and ICD-10 coding Comfortable with making outbound calls to provider offices If you are available and interested then please reply me with your “Chronological Resume” and call me on (678)-405-3590. Additional Information Thanks & Regards, #J-18808-Ljbffr

The Medical Coding Specialist is responsible for reviewing clinical documentation to assign accurate ICD-10, CPT, and HCPCS codes. This role ensures compliant claims submission, supports the revenue cycle by minimizing claim denials, and maintains strict adherence to federal and state healthcare regulations. Supports the success of a high-performing shared services organization by helping to champion and drive the long-term Health System Shared Services vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Responsibilities: Translate diagnoses, procedures, and medical services for all Banyan services including behavioral health, psychiatry, and primary care into standardized universal codes for billing Ensure all charges are reviewed, coded, and posted within 72 hours Collaborate with the billing team to resolve coding-related claim edits, research denials, and facilitate insurance reimbursement...

Medical Record Audit / Coding Auditor Miami, Florida, United States Our client is a contracting and data management services organization dedicated to primary care physicians throughout Florida. In this role you are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity. To develop and implement policies to support the clinical coding audit function Receive, review and communicate findings on patient billing coding related complaints. Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers Prepare reports as required relative to these monitoring and...

Medical Biller The Medical Biller is responsible for ensuring all providers' encounters are coded, billed and submitted in a timely manner to insurance companies, while also monitoring and resolving any rejections or denials through company billing portals. This position is essential to ensuring clean claim submission, reducing delays in reimbursement, and supporting compliance with payer and CMS guidelines. Essential Duties and Responsibilities Review, verify and submit provider encounters for accuracy in coding and documentation. Ensure timely and clean claim submission through appropriated billing software. Correct and resubmit rejected claims with proper supporting documentation or edits. Communicate with providers and clinical teams as needed to clarify documentation or encounter issues. Work closely with internal MRA coders to resolve discrepancies in diagnosis or procedures codes. Maintain billing logs and status update to ensure all encounters are...

Miami, FL | Full-Time Health Information Management Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote but open to applicants who reside in the state of Florida] Summary HIM Outpatient Coder 1 is responsible for coding and abstracting outpatient medical records, including Emergency Room visits, Clinic visits and Recurrent visits. The Coder 1 is responsible for reviewing the clinical documentation contained in the patient health record to accurately assign and sequence ICD-9 and CPT codes for use in reimbursement and data collection. Able to transition to ICD-10-CM. Responsibilities Codes outpatient diagnostics/outpatient clinics/recurring visits/emergency room visits using ICD-9 or CPT codes as appropriate. Maintains a yearly average accuracy rate of 94% during internal and/or external Coding audits. Verifies patient information to identify any discrepancies...

Medical CoderDoral, Florida, United StatesNeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient's medical records after a...

Risk Adjustment Coder IIIIt's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.Job SummaryThe Risk Adjustment Coder III is responsible for the accurate and timely assignment of medical diagnosis codes in accordance with established risk adjustment models, coding guidelines, and organizational standards. This role performs high-volume, production-based coding and chart review activities, following defined policies and procedures to ensure compliance and data accuracy. This position applies advanced coding knowledge but operates within established guidelines, with work subject to quality review and audit.Duties & ResponsibilitiesEssential Duties & ResponsibilitiesMedical Coding and DocumentationAssign ICD-10-CM diagnosis codes based on medical records, clinical documentation, and encounter data in accordance with established...

Remote Ip CdI Department: Health Information ManagementUnder indirect supervision, is responsible for accurate coding of Inpatient accounts for an Academic Level I Trauma facility. Will code Inpatient procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Required to work with Cerner/Clin Trac, 3M 360 CAC. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM, Centers for Medicare and Medicaid Services (CMS), and Individual State Health Planning and Development and organizational/institutional coding guidelines.Required Skills:Accurately assign and sequence ICD-10 diagnostic and ICD-10 procedure codes to inpatient records for use in reimbursement and data collection.Minimum of 5 years IP Trauma Level I facility coding experience required.Ensure all accounts are coded correctly and promptly, which will provide an accurate MS-DRG or...

Certified Medical CoderWe are looking for experienced Certified Medical Coders, specializing in payer-side healthcare operations. If you have a robust background in medical coding, claims, benefits, and healthcare reimbursement, and thrive in a fast-paced environment, we want to hear from you. This role offers the opportunity to work with a dedicated team to ensure accuracy and compliance in coding practices, contributing to the efficiency of healthcare claims and benefits administration.ResponsibilitiesPerform and review medical coding activities, including CPT, HCPCS, ICD-10-CM, and related methodologies.Review medical claims and supporting documentation for coding accuracy and compliance.Apply payer-specific coding, reimbursement, and claims-processing guidelines.Identify and resolve coding discrepancies, inconsistencies, and potential billing issues.Interpret medical records, provider documentation, and benefit plans.Collaborate with claims, clinical, benefits, and operations...

Medical Coder I At ClareMedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the ClareMedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we're working together to help seniors live happier, healthier, fuller lives. That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees' growth and wellness and where their full potential and value are realized. At ClareMedica, we're excited about great people like you. We're even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities. Opportunity awaits – welcome to ClareMedica. We are seeking an accurate, detailed oriented Coder to join our team. You will play a key role in reviewing...

At Houston Methodist, the Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to outpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate's degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant outpatient coding experience or completion of the Houston Methodist Coding Apprentice Program LICENSES AND CERTIFICATIONS Required Must have one of the following:-RHIT - Certified Health Information Technician (AHIMA)-RHIA - Registered Health Information Administrator (AHIMA)-CCS...

Medical Necessity Coder Thorough working knowledge of current ICD CM coding system, CPT procedures, Medical necessity, Medical Terminology, Anatomy, Physiology, and Prospective Payment system (DRG's). Screen all services for Medicare and Medicaid patients to comply with the Center for Medicare and Medicaid Services (CMS) guidelines in order to determine coverage, eligibility and ensure beneficiary notification when service(s) may not be covered. Ability to work and serve as a reference to internal and external customers. Estimated pay range for this position is $20.02 - $25.43 / hour depending on experience. Qualifications Degrees: High School,Cert,GED,Trn,Exper. Additional Qualifications: Required completion of an accredited Certified Coding Specialist program or Associate Degree in Health Information Management Science with two years outpatient coding experience. CPC or CCS preferred. ART or R. R. A. eligible. Thorough working knowledge of medical terminology, anatomy,...

DaMar Staffing in the United States seeks an experienced Certified Medical Coder specializing in payer-side healthcare operations. The role focuses on accurate coding, claims review, and compliance to support reimbursement processes. Responsibilities include CPT/HCPCS/ICD-10-CM coding, claims review, applying payer guidelines, collaborating with claims and benefits teams, and staying current with coding changes and regulations. #J-18808-Ljbffr

Cano Health is seeking a Risk Adjustment Coder III to assign ICD-10-CM diagnoses from clinical records in line with established risk adjustment models. You will perform high-volume coding and chart reviews, ensuring data accuracy and regulatory compliance. The role requires CPC/CCS certification, 5 years of coding experience with risk adjustment, and proficiency with ICD-10-CM guidelines. Collaboration with clinical teams and ongoing education are essential. #J-18808-Ljbffr

Cano Health seeks a Risk Adjustment Coder III to assign ICD-10-CM codes from medical records, ensuring accuracy with HIPAA-compliant documentation. You will perform detailed chart reviews, apply CMS-HCC guidelines, and participate in audits to uphold data quality. Collaboration with clinical teams is essential. Qualified candidates have 5+ years in medical coding, CPC/CCS certification, and strong attention to detail. #J-18808-Ljbffr

About Us We are a fast-growing, innovative medical billing company committed to transforming the healthcare revenue cycle through technology, transparency, and top-tier customer service. Our team is passionate about simplifying the complexities of medical billing so healthcare providers can focus on what matters most—patient care. Benefits 401(k) matching Competitive salary Dental insurance Health insurance Paid time off About Us We are a fast-growing, innovative medical billing company committed to transforming the healthcare revenue cycle through technology, transparency, and top-tier customer service. Our team is passionate about simplifying the complexities of medical billing so healthcare providers can focus on what matters most—patient care. We're seeking a highly motivated and experienced Charge Posting (Coder) Supervisor to join our leadership team and help us continue delivering exceptional results to our clients across the country. Job Overview As the Medical...

Mount Sinai Medical Center in Florida seeks an experienced Inpatient Coding Specialist to code and abstract inpatient charts using ICD-10-CM and ICD-10-PCS. The role requires 95% accuracy, remote Florida-based work, and familiarity with Epic and 3M 360 Encompass. Responsibilities include selecting diagnoses/procedures, validating DRGs, maintaining coding guidelines, and pursuing ongoing coding education. Florida residency is required for this remote position, with strong attention to detail and #J-18808-Ljbffr

ProMD Medical Billing in Miami, FL is seeking a charged posting supervisor to lead a team of certified coders. You will review encounters, enforce coding guidelines, and drive efficiency across commercial, Medicaid, and Medicare submissions. Join a fast-growing company focused on technology-driven, transparent revenue cycle improvements and client-focused outcomes. Leadership and coding accuracy are essential in a high-volume environment. #J-18808-Ljbffr

A national recruiting company is seeking a Business Medical Coder in Miami. The role involves reviewing coded claims, requesting medical documentation, and communicating with providers about claim denials. Applicants should have coding experience, specifically CPC-A certification along with knowledge of CPT, ICD-9, and ICD-10. This contract position lasts for 3 months and requires comfort in making outbound calls to provider offices. #J-18808-Ljbffr

Every day is a good day to prepare for a healthy tomorrow. Providing children and their families with equitable access to quality pediatric care to build a foundation for a lifetime of optimal health and wellness is what drives our team to deliver its best every day. It’s our purpose. Offering focused care from tots to teens, our pediatric primary care providers and teams partner with families to foster good health and strong, thriving communities. Second-to-none medical staff and top-tier administrative professionals keep our practices running smoothly and make each patient experience the best we can offer. Working in partnership with patients, families, and communities who put their trust in us for their care, we hold ourselves accountable to ensure equitable access to care, advocate to create impactful change, and continually learn and progress to create better outcomes and brighter futures. Together, we’re paving the way for kids to develop into healthy young...