9 certified professional coder jobs found

Craft Health Technologies is seeking an experienced certified medical auditor to provide independent quality review of a sample of our production coding audits. You will compare clinical documentation with the audit’s coding conclusions, determine the correct result, and provide clear, evidence-based feedback. The purpose of the role is to provide external validation, monitor accuracy, and identify opportunities to improve the quality and consistency of our audits. This is a part-time, hourly independent-contractor engagement with flexible scheduling.    Responsibilities   Review a defined sample of completed coding reviews and the corresponding medical records. Independently determine the appropriate CPT, ICD-10-CM, E/M level, and modifiers, as applicable. Assess whether coding conclusions are supported by the clinical documentation and current guidelines. Identify overcoding, undercoding, unsupported conclusions, missed documentation,...

About the Role Wellness Direct LLC is an established behavioral health practice based in Cedar Grove, New Jersey, seeing patients remotely nationwide. This role, however, is hybrid and based out of our Cedar Grove office — see Location & Schedule below for the on-site expectation. This is one opening, filled at either the Specialist or Lead level depending on the experience the candidate brings; the level is determined during the interview process. The role owns full-cycle revenue cycle work in TherapyNotes: claims, ERA/EOB processing, denials, coding accuracy, patient billing support, and — at the Lead level — credentialing and oversight of the billing function. Specialist vs. Lead •     Specialist — Owns the day-to-day billing, coding, and claims work. Reports to the Billing Manager. No supervisory responsibility — a fit if you want to stay hands-on rather than manage people. •     Lead — Everything above, plus end-to-end credentialing and payer enrollment,...

Overview Exponent is hiring medical billers, coders, prior-authorization and insurance-verification specialists, and pharmacy technicians as subject matter experts for a healthcare technology client. You will evaluate revenue-cycle and authorization workflows in a simulated environment and document where the environment differs from real-world practice. This is a remote, part-time, contract engagement. No protected health information is involved. Responsibilities Complete assigned workflows in a simulated environment: eligibility and benefits verification, authorization submission and appeals, claim generation and scrubbing, remittance review, charge entry, coding and abstracting, and fax routing Identify steps that fail, behave differently from the production system, or are missing Document findings in structured forms and short written notes Attend a remote onboarding session and periodic check-ins Qualifications 5+ years in revenue cycle, coding, prior...

We are a boutique private plastic surgery practice in Palm Beach County seeking an experienced 1099 Certified Professional Biller (CPB) for selective, low-volume out-of-network (OON) reconstructive claims and pre-procedure advocacy . This role is tailored for an established independent biller or freelance consultant looking to add a low-volume, high-value practice. We do not have high claim turnover; instead, we require meticulous, high-touch advocacy for specific reconstructive cases, pre-op Single-Case Agreements (SCAs), and hybrid surgical coding. Key Responsibilities: Pre-Service Single-Case Agreements (SCAs): Negotiate pre-op SCAs and Network Gap Exceptions on a case-by-case basis with commercial PPOs. Hybrid / Reconstructive Coding: Scrub and file split-billing claims (combining medically necessary CPT codes, e.g., panniculectomy 15830, with self-pay aesthetic procedures) while maintaining total compliance. Targeted Claims & Appeals:...

Professional coding for OTO and urology. MUST know EM, surgical and cosmetic Surgical cases can be complicated 3 years of experience required MUST BE CERTIFIED Athena experience a huge plus!

Contract to Hire Ophthalmology Professional Coder Job Description We are seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder with the potential to be hired as a full-time employee. This position is remote. The ideal candidate must have at least 5 years of coding experience for physician practices, with ophthalmology specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will possess the following: ·        Minimum 5 years of coding experience ·        Extensive coding in ophthalmology specialties ·        Excellent written and verbal communication skills ·        Detail oriented and deadline driven attitude...