23 coder certified jobs found

Knowledge of ICD-10-CM and CPT coding guidelines as well as state and federal Medicare reimbursement guidelines. Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations.   Ability to read and interpret medical procedures and terminology.   Ability to develop training materials, make group presentations, and to train staff.   Ability to exercise independent judgment.   Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff.   Ability to maintain confidentiality.   Proficiency in MS Office and patient management software   Self-directed and positive attitude essential.   Represents company in a manner that ensures a positive service image and tone for the organization.     Reviews elective surgeries performed from the previous week across...

Help safeguard accuracy, integrity, and regulatory compliance across our organization. We are seeking a skilled Compliance & Coding Audit Specialist to support the Corporate Compliance Program through detailed auditing, monitoring, and provider education related to coding, billing, and clinical documentation practices. What You’ll Do Conduct ongoing coding, billing, and documentation audits to ensure compliance with hospital policies and federal and state regulations Interpret medical records and related documentation using advanced coding knowledge to assess accuracy and risk Execute compliance audit assignments with a high degree of independence, confidentiality, and professional judgment Analyze findings, prepare audit documentation, and identify trends or improvement opportunities Present audit results directly to physicians and providers, delivering clear feedback and education on documentation and coding best practices...

JOB LOCATION:   Remote (Considering applicants residing in Georgia, Florida, Ohio, North Carolina, South Carolina, West Virginia, Utah, Arizona, and Missouri.) DEPARTMENT:   REVENUE CYCLE MEDICAL GROUP, SGMC Health SCHEDULE:   Full Time, 8 HR Day Shift, 8-5 Abstracts ICD-10 and CPT codes for Diagnosis and Procedures on professional services. Reviews and analyzes medical records verifying and coding the diagnosis, evaluation and management service, minor procedures, or other codes required for the completeness and accuracy of the record. Additionally, will code and/or review principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, any applicable supply, medication, and injectable drugs. Maintains communication with Management, Practice Manager, and Provider to ensure timely notification of identified documentation issues. Interact with other team members of the revenue cycle and provider clinics. Responsible for continuing education of...

CPCs and CPC-As with at least one year of experience in a Primary Care, Internal Medicine, or Family Practice Physician Office/Group are given special consideration and encouraged to apply! All applicants regardless of credential are required to have at least 1 year of relevant experience in the above specialties as a medical coder.    Our requirements: Physician Office Profee coding experience with mandatory RA experience 1-2 years’ experience primary care physician office coding and charge review experience (Preventive, Chronic, Acute Visits; E/M, Time-Based, Preventive Care) Program experience with Coding & Charge Review, Risk Code Validation (non-HCC), Retrospective Certified Professional Coder (CPC), Certified Professional Coder Apprentice (CPC-A), or equivalent AAPC credential (required) Systems experience with Allscripts, eClinicalWorks (Client will train with other requirements met) Full time required, M-F between the hours of 6am-6pm EST...

Physician Medical Coder Job Listing   PLEASE READ JOB DESCRIPTION    Profee coder to review coding denials and correct/validate CPT, ICD-10, HCPCS and modifiers for physician services.  Our coders will review medical records, research payer policy, and NCDs to make coding corrections and resubmit corrected claims in an accurate and timely manner. We work closely with other team members and management to translate clinical documentation consistently and accurately into ICD-10 and CPT codes with proper sequencing and modifiers. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors.     Job Requirements     At least one active certification is required. Additional certifications a plus. Accepted certifications...

Supporting the Vice President & Chief Compliance Officer, the Compliance Specialist assists in carrying out the activities of the Frederick Health Compliance Program, including risk assessment, training & education, audits, policy development and internal investigations. Requirements: BA/BS required. MBA/MHA preferred. 5-10 years' experience in healthcare compliance and internal auditing. Certification preferred. Knowledge of laws, regulations, policies and procedures of governmental authorities and payers. Experience in developing and carrying out training and education of staff. Excellent oral and written communication skills. Strong organizational skills and ability to prioritize and manage multiple tasks. Ability to maintain a high level of confidentiality. The following experience & credentials are strongly preferred: Experience in healthcare revenue cycle or patient accounting (coding and/or billing) internal auditing and compliance....

Join Team Tidelands and help people live better lives through better health! Supervisor Provider Coding Specialist Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview The Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager, is responsible for overseeing daily coding workflow in the assignment of ICD-10 CM, CPT, and HCPCS codes. Accountable for quality, timeliness, completeness, and accuracy of the coding team to ensure optimal reimbursement and goal attainment. The coding supervisor performs quality reviews and provides education and training when deficiencies are identified, or new processes are implemented. Incorporates initiatives that improve compliance...

General Summary: This role focuses on the Risk Adjustment process that supports the documentation of acuity diagnoses for the Managed Care (MC) patient population and required activities for submission of records to Medicare Advantage (MA) payers under established capitated contracts. It assists with medical record reviews for HCC diagnoses, correct usage of various coding guidelines (ICD-10-CM, CPT, HCPCS) and federal and MA payor regulations, as well as clinical validation of appropriate supporting documentation.   Supervisory Responsibilities: This position has no supervisory responsibilities.   General Requirements: All duties performed will be done accurately and in a timely manner.   1.        Assumes responsibility for maintaining clinical competencies according to Gonzaba Medical Group policy. 2.        Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers. 3.        Must...

Location : Remote Reports To:  Director of Revenue Cycle Employment Type:  Full-Time   Position Summary The RCM Account Manager is responsible for managing all aspects of the revenue cycle for a cardiovascular-focused Ambulatory Surgery Center (ASC), including  medical coding, billing, claims management, payment posting, and collections . This role ensures compliant, timely, and accurate reimbursement for cardiology and peripheral vascular procedures while providing high-touch service to internal stakeholders and physician partners. Key Responsibilities Coding & Charge Capture Accurately code cardiovascular procedures (e.g., peripheral interventions, pacemakers, stents) using CPT, HCPCS, and ICD-10 guidelines. Ensure documentation compliance with CMS and payer-specific policies. Stay current with cardiology-specific coding updates and NCCI edits. Billing & Claims Management Submit clean claims to Medicare, commercial payers, and...

Position: Mid-Level Medical Coder Location: Full-Time Remote Clearance: No Secret Clearance Required Starting Salary: $37.00/Hour   “Candidates must hold valid credentials from either AAPC or AHIMA to be eligible to apply.” We cannot accept candidates with a CPC-A designation! Please indicate the position(s) you’re applying for. Include your  full mailing address (for equipment shipment), desired start date, and AAPC and/or AHIMA certification number(s) (with expiration date). Assessment Protocol The assessment is  strictly timed  and must be completed within  1 hour . Once the link is opened, the timer is automatically activated. The assessment  cannot be paused, reopened, or restarted .  Only the initial attempt  will be accepted for scoring. Candidates are provided with a  24-hour window  to complete the assessment upon receipt of the email from our team. Please ensure appropriate preparation and a suitable testing environment...

Whether you are looking to expand your current knowledge or looking to share your extensive skills with us, this could be the start of something amazing. We are a small, close knit team that works together to accomplish tasks daily. Qualifications: Knowledge in Surgery Billing and Coding Coding Certification- CASCC or COC preferred Experience with Microsoft 365 products Minimum 3 years experience in surgical billing Knowledge in all aspects of RCM Insurance credentialling- preferred Job Requirements: Coding and Charge Capture Insurance Claims Billing Resolution of rejections Coding reviews of denials Appeal assistance Coding reviews of documentation in question by the coding team Management of payor chart audits Insurance overpayment reviews Issuance of disputes as needed Ability to assist in aging follow on unpaid claims Address physician documentation matters Month end closing Utilization of reports Knowledge of and adherence to...

Healthcare Coding and Consulting Services (HCCS) is hiring  multiple full-time, experienced, and certified Pro Fee and Pro Clinic Coders  across several outpatient specialties. These are fully remote, direct-hire W-2 positions offering long-term stability and consistent, specialty-aligned work. We currently have multiple Pro Fee and Pro Clinic openings supporting specialties such as  Family Medicine, Internal Medicine, Pediatrics, Orthopedics, and other clinic-based services.   One of the available positions specifically requires prior Georgia Medicare Pro Fee and Pro Clinic coding experience. We are seeking coders with strong E/M expertise who are comfortable in high-volume production environments and have recent hands-on Pro Fee and Pro Clinic coding experience. At HCCS, coders are assigned based on proven specialty expertise to ensure alignment with providers and chart types where they can perform at their highest level. Our Coding and Scheduling Managers work closely...

Medical Coding Appeals Analyst Anticipated End Date: 2025-12-31 Position Title: Medical Coding Appeals Analyst Job Description: Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria....

Professional Coding Provider Educator & Reviewer RWJBarnabas Health Oceanport, NJ Full-Time Day Pay Range: $75,597.00 - $106,780.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Professional Coding Provider Educator/Reviewer is responsible for preparing educational materials and delivering instruction to Medical Group physicians, Advance Practice Providers, and staff across all RWJBH medical centers, as directed by the System Professional Provider Education Coding Manager and Coding Leadership. Education may be provided in response to compliance reviews, physician onboarding, proactive training, or coding and regulatory updates. This role also conducts...

Position:   Experienced OT/PT/SLP   Medical Biller (Remote W2 employee) Location:   Florida, Maryland, Virginia, or Idaho residents only Start Date:   January 12, 2026 Classification:   Non-Exempt, Hourly Hours:   Up to 40 hours per week Important Details You Must Review Carefully Before Applying: This is a fully remote position but showing as hybrid to attract people in the Florida region You must reside in one of the following states to be considered: Florida, Maryland, Virginia, Idaho You must be aware that the compensation is hourly between $18-$26 per hour. If you are seeking highest compensation - please don't apply. The role does not include traditional benefits. No paid time off, no retirement plan, no traditional benefits. We do offer health benefits via an HRA for full-time employees with up to $400 per month contribution. You must have extensive medical billing experience preferably in Speech Therapy private practice sector. This role...