35 certified professional coder jobs found in Springfield

Certified Professional Coder (CPC)We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.Activities...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Coder OP McKenzie-Willamette Medical Center is your community medical provider, serving the Willamette Valley and its residents. Our 113-bed hospital offers inpatient, outpatient, diagnostic, medical, surgical and emergency care. We are a family of caregivers offering care to our larger family — our community. Position Details: Hourly Base Rate: $18.28 - $26.37 Shift: Days Hours Per Week: 40 hours Job Summary: Certified Coder required. Working knowledge of basic medical terminology, ICD-10, CPT and HCPCS codes. Preferred experience in multiple specialties including: Cardiology, Cardiology diagnostic testing, Cardiothoracic Surgery, Critical Care, General Surgery, Gastroenterology, Pulmonology, Vascular Surgery and Vascular Imaging services. Ability to assign codes to diagnoses, procedures, E&M visits, and diagnostic testing. Ability to research and analyze clinical documentation as well as produce reports from a variety of sources. Ability to work...

The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Responsibilities Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to...

Coder – Professionals are responsible for professional coding includes the assignment of ICD-CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M codes) provider audits. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Accepting remote workers in the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Department: Physician Coding Hours: Full time, 40 hours/week Shift: 1st Location: Remote or On-site. Pay: Based on experience, starting at $22.72. Compensation Estimated Compensation Range $22.72 - $35.22 Pay based on experience. Responsibilities Analyze and confirm assigned encounters for provider’s selection of EM code level utilizing EM code level selection auditing tool. Assists physicians with record documentation needs by requesting...

A healthcare company is seeking a detail-oriented Certified Medical Coder to work remotely. Responsibilities include analyzing medical records, assigning accurate codes for surgeries, and resolving billing issues. Ideal candidates will have at least 3 years of experience in a busy medical setting and must hold a current CPC or CCS certification. This full-time position offers a salary between $50,000 and $70,000, along with comprehensive benefits including health insurance and a retirement plan. #J-18808-Ljbffr

McKenzie-Willamette Medical Center is seeking a Certified Coder to join our coding team. The role requires accurate assignment of diagnoses, procedures, E/M visits, and diagnostic testing using ICD-10, CPT, and HCPCS codes. Two years of healthcare coding experience is preferred, with chart auditing experience, strong analytical skills, and the ability to research documentation to produce actionable reports. A supportive, collaborative environment and competitive compensation are offered. #J-18808-Ljbffr

Coding Auditor - Professional Department: Physician coding Hours: Full-Time (40 hours per week) Location: Remote or onsite. Must reside in one of the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Pay: Starts at \$23.87/hour, based on experience. Estimated compensation range \$23.87 - \$37.00. Responsibilities Assist coders with coding questions. Conduct collection and reporting of provider and coder audit results and education. Work with coders and providers to ensure appropriate documentation for clinic services. Report results to Coding Supervisor – Professional. Demonstrate ability to code all types of encounters. Maintain 95% accuracy in diagnoses and procedures coding. Ensure data quality and optimum reimbursement under federal and state payment systems. Identify and refer trend patterns of coding and...

Seeking an experienced Coding & Charge Capture Supervisor to lead and coordinate team activities while ensuring accuracy, compliance, and timely claim submission. The ideal candidate will have strong knowledge of governmental regulations and payer guidelines, along with the ability to collaborate effectively across Revenue Cycle departments to optimize workflows and support financial performance. Schedule: 40 hours per week Shift: Day Shift Hours ESSENTIAL DUTIES AND RESPONSIBILITIES Oversees the daily operations by monitoring workload and productivity of partners to achieve weekly and monthly goals while ensuring accuracy of work. Assists in the development of guidelines, policies, and procedures for areas of responsibility, retain compliant with governmental regulations or other reporting obligations as required by contract. Coordinates coding and quality audits to ensure compliance with governmental regulations and/or third party requirements. Report any infractions to...

Coder Auditor-Professionals are responsible for auditing coding assignments with providers and coders, training coding professional staff, and pro‑fee based coding which includes the assignment of ICD‑CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. They interact with medical staff, nursing, ancillary departments, provider offices, and outside organizations. At this time, we are only able to consider applicants who reside in the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Responsibilities Assists coders with coding questions. Conducts the collection and reporting of provider and coder audit results and education. Works with coders and providers to ensure appropriate documentation for clinic services. Reports results to Coding Supervisor - Professional. Demonstrates ability to code all...

Carle Health is seeking a licensed HIM Certified Coder to accurately code hospital inpatient, hospital outpatient, and professional fee encounters using ICD-10/ICD-PCS, CPT, and HCPCS codes. The coder reviews documentation within the EMR to ensure compliant billing in accordance with CMS and local guidelines. The role requires expertise in regulatory coding guidelines, supporting revenue optimization while maintaining compliance, and performing audits and education as needed. #J-18808-Ljbffr

Southern Illinois Healthcare in Illinois is seeking a skilled medical coder to review provider documentation and assign ICD-10-CM and CPT/HCPCS codes according to official guidelines. Responsibilities include interpreting documentation, resolving coding edits, and communicating with providers to ensure accurate claims submission. A HS diploma is required; degrees in health information are preferred. Remote work is not described. #J-18808-Ljbffr

Location John H. Stroger, Jr. Hospital Department Health Information Management Shift 7:00 AM - 3:00 PM Pay Range $37.658 hourly Job Summary Under the supervision of a Coding Supervisor, the Health Information Management (HIM) Coder abstracts relevant clinical and demographic information from the medical record to identify the care rendered to the patient for the purpose of reimbursement, research and compliance. The HIM Coder ensures that the medical record reflects accurate attending physician documentation for coding of physician and facility encounters. Assigns ICD-10-CM and PCS codes, CPT-4, and HCPCS Level II codes in accordance with coding and reimbursement guidelines for physician and facility encounters. Abstracts into a group and assigns Diagnosis Related Group (DRG) on inpatient accounts and applies Ambulatory Payment Classifications (APC) to outpatient accounts. With minimal errors, identifies principal and secondary diagnosis and procedures based upon federally...

Location Central Georgia Cancer Care Pay Range $19.66 - $34.59 Responsibilities Responsible for ensuring all surgical and hospital claims processed through EMR and Centricity are correct and compliant. Ensure proper documentation is on file. Ensure all physicians in assigned area of responsibility are complaint with dictations, and documentation with patient’s treatment. To ensure all assigned charts are coded and billed out daily. Assigns medical codes for general surgery procedures for medical records and billing purposes. As part of your duties, you look at medical records and information and assign codes for each procedure and diagnosis for each patient. Ensure that all billable charges are entered into billing system. Work with site to ensure that all required documentation is obtained for review process. Escalate any trend and documentation issues to manager for discussion. Qualifications High school diploma or GED is required. A minimum of five (3) years of medical coding...

American Oncology Network is seeking a skilled medical coder to ensure accurate billing for surgical and hospital claims. You will review EMR/Centricity documentation, assign codes for procedures and diagnoses, and guarantee proper charge entry and compliance across the coding workflow. The role requires 3+ years of oncology coding experience, ICD-10 coding proficiency, and familiarity with CPT coding updates. #J-18808-Ljbffr

Sarah Bush Lincoln Health Center is seeking a Coder to assign ICD-CM, CPT, and HCPCS codes, modifiers, and E/M codes. The role interacts with medical staff and outside organizations on coding audits and documentation needs. It supports professional encounters across clinic, hospitalist, and other services with emphasis on accuracy and compliance. Responsibilities include auditing EM codes, educating staff, resolving denials, and maintaining data quality while contributing to optimal #J-18808-Ljbffr

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification...

Providers Care Billing LLC is a growing medical billing and revenue cycle management company dedicated to helping healthcare providers improve reimbursement, streamline operations, and stay compliant. We are currently looking for a detail-oriented Medical Coder to join our dynamic team. Job Summary As a Medical Coder, you will be responsible for accurately assigning CPT, ICD-10, and HCPCS codes to medical services and diagnoses based on patient records. Your accuracy and understanding of coding guidelines will ensure timely and correct reimbursement for our healthcare clients. Key Responsibilities Review and analyze medical documentation to assign accurate diagnosis and procedure codes. Ensure coding complies with federal regulations and insurance guidelines (CMS, HIPAA). Work with providers to clarify documentation and resolve discrepancies. Assist in claims audits, rejections, and denials as needed. Maintain updated knowledge of medical coding standards and guidelines....

DaMar Staffing seeks an experienced and certified Medical Coder - Inpatient & Outpatient to join our Health Information Management/Revenue Cycle team in Springfield, IL. You will review and code inpatient and outpatient hospital records in line with official guidelines and CMS requirements to ensure accurate reimbursement. The ideal candidate has ICD-10-CM/PCS, CPT/HCPCS proficiency, and current coding certification, with 3+ years hospital coding. #J-18808-Ljbffr

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. (65%) 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 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

POSITION: Medical Coder II Specialist; Certified Coder DEPARTMENT: Pathology REPORTS TO: Medical Records Manager WORK SETTING: In-office training with the possibility of working remote/hybrid. NATURE AND SCOPE: This position is responsible for evaluating medical records to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual and the American Pathology Foundation. Work Location: After successful training on site for 6 months; Hybrid remote in Springfield, OR 97477 ESSENTIAL FUNCTIONS: Evaluates pathology reports and applies billing codes for ICD-10 and CPT charges according to CMS and department guidelines to ensure efficient and accurate billing. Auditing of medical records in pathology department including understanding and editing of pathology reports, including bone marrow, molecular, fine needle aspiration, autopsy, and various consultation reports. Ability to enter and format data into pathology medical records including...

McKenzie-Willamette medical Center is seeking a qualified medical coder to abstract clinical information from diverse medical records and assign ICD-10 and CPT-4 codes in accordance with established procedures. Responsibilities include working with coding databases to confirm DRG assignments and performing duties under general supervision, reporting to the Director of Health Information Management. A high school diploma or equivalent with coding credentials is required. #J-18808-Ljbffr

An established industry player is seeking a dedicated Medical Coder II Specialist to join their team. This role involves evaluating and coding medical records to ensure compliance with industry standards while also participating in quality improvement initiatives. The ideal candidate will possess advanced knowledge of coding systems, strong communication skills, and a commitment to maintaining high standards of accuracy. With the potential for a hybrid work environment after training, this position offers a great opportunity to contribute to patient care and the efficiency of healthcare operations. If you're passionate about healthcare and coding, this is the perfect role for you. #J-18808-Ljbffr

Sarah Bush Lincoln is seeking a Coder Technical Charging to manage emergency department charge coding and documentation. The role involves assigning CPT/charge codes, interfacing with ED staff, and ensuring compliant, accurate billing across the department. Qualifications include a High School Diploma, CPC within 1 year of hire, and graduation from an accredited LPN program. This is a full-time on-site/remote Illinois position with compensation based on experience. #J-18808-Ljbffr