101 certified coder jobs found in Springfield, IL

Job DescriptionThis position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelinesJob RelationshipsReports to the Coding Unit ManagerPrincipal ResponsibilitiesResponsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services.Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record.Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities, complications,...

This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines Job Relationships Reports to the Coding Unit Manager Principal Responsibilities Responsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services. Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record. Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities, complications, therapeutic...

Carle Health seeks an HIM Certified Coder to accurately code hospital inpatient, outpatient and professional encounters using ICD-10/ICD-PCS, CPT, and HCPCS. The coder applies regulatory guidelines and modifiers to ensure compliant billing and resolves coding-related Edits in Carle systems. Qualified candidates hold RHIT or RHIA, plus CPC/COC/CIC/CCS-P/CCS credentials, with strong knowledge of CPT/HCPCS and coding datasets. Equal opportunity employer; E-Verify participant. #J-18808-Ljbffr

Carle Health is seeking a HIM Certified Coder responsible for coding hospital encounters accurately using ICD10, CPT, or HCPCs codes. The position requires coding expertise, excellent communication, and ability to ensure compliant billing. The coder will develop methodologies for coding processes and represent coding and billing staff during audits. Candidates must hold a high school diploma or equivalent, alongside relevant coding certifications. The role offers competitive pay rates ranging from $23.58 to $39.38 per hour. #J-18808-Ljbffr

Certified CoderAt Quincy Medical Group, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do.With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.About the RoleAs a Certified Coder at Quincy Medical Group, you will play a critical role in supporting accurate and compliant coding practices across the organization. Working closely with providers, clinical staff, and revenue cycle teams, you will review medical documentation, assign appropriate diagnosis and procedure codes, and help ensure timely and accurate reimbursement. This...

Springfield Clinic is seeking a professional coder to review clinical documentation and apply CPT/HCPCS and ICD-10-CM codes for services rendered in office and hospital settings. The role ensures documentation supports billed services, remains compliant with regulatory guidelines, and maintains accurate coding across professional and facility encounters. Responsibilities include reviewing medical records, verifying codes, and communicating with physicians to obtain missing information. #J-18808-Ljbffr

Busy OB/GYN practice in Glendale is seeking a full-time Certified OB/GYN Coder to join our team. The ideal candidate will have 2-3 years of OB/GYN coding experience, experience with Athena EHR system, excellent attention to detail and the ability to work independently. Responsibilities Review and accurately code OB/GYN medical records, procedures, surgeries, and office visits using ICD-10-CM, CPT, and HCPCS codes Assign appropriate diagnosis and procedure codes for obstetric and gynecologic services Ensure coding compliance with federal regulations, insurance requirements, and organizational policies Maintain productivity and quality standards while meeting billing deadlines Stay current on coding updates, payer policies, and regulatory changes Collaborate with providers, billing staff, and management to improve reimbursement and compliance processes Benefits 401(k) and pension plan Health insurance Dental insurance Vision insurance Paid time off Life Insurance...

Position Summary Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Primary Duties & Responsibilities Appeal claims denied by third‑party payers. Create appropriate letters and compile documentation to substantiate the validity of claims. Investigate and problem‑solve reimbursement issues in collaboration with other coding staff and faculty. Work directly with physicians and other clinical staff as needed to provide documentation feedback and to develop appeals. Research payer policies and processes. Review clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient’s conditions and treatment. Work with coders and IBC staff on medical terminology and policy interpretation as required. Code evaluation and management services to the appropriate CPT...

Carle Inclusion Connection Group in Champaign, IL, is seeking a HIM Certified Coder responsible for accurate and timely coding of hospital encounters. Candidates must possess certifications such as CIC, CCS, or similar, along with a High School Diploma. The role requires knowledge of ICD-10-CM, CPT, and HCPC codes, and demands strong communication and collaborative skills. This position offers a compensation range of $23.58 to $39.38 per hour, with a comprehensive benefits package. #J-18808-Ljbffr

Carle Health is seeking an HIM Certified Coder to accurately code hospital inpatient, outpatient and professional encounters using ICD10/ICD-PCS, CPT, or HCPCS codes. The role uses coding software and requires knowledge of CMS guidelines and regulatory coding practices. From this position, you will contribute to compliant billing, review coding edits, and support revenue optimization while maintaining coding accuracy across departments. #J-18808-Ljbffr

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. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) 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. Conduct a...

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. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) 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. Conduct a...

BJC HealthCare in Missouri invites applicants for the Professional Coder I position. You will independently assign diagnosis and professional codes for E/M encounters, while adhering to coding guidelines and regulatory requirements. Remote role with eligibility in listed states; you will collaborate with providers and leadership to ensure accurate medical records and compliant billing. #J-18808-Ljbffr

BJC HealthCare in Missouri invites applicants for the Professional Coder I position. You will independently assign diagnosis and professional codes for E/M encounters, while adhering to coding guidelines and regulatory requirements. Remote role with eligibility in listed states; you will collaborate with providers and leadership to ensure accurate medical records and compliant billing. #J-18808-Ljbffr

Family Centers Health Care in St. Louis is seeking a Medical Coding Specialist to ensure accurate coding for healthcare claims. The role entails analyzing documentation, assigning appropriate codes, and ensuring compliance with legal guidelines. Ideal candidates should possess a High School Diploma, CPC certification, and at least 2 years of medical coding experience. The organization values professionalism, attention to detail, and a commitment to confidentiality in handling patient information. #J-18808-Ljbffr

Washington University is seeking a Remote Coder Certified to review medical records, assign CPT and ICD codes, and ensure documentation supports coding decisions. The role involves collaboration with physicians to review documentation, resolve coding issues, and secure signatures for dates of service. Preferred qualifications include an associate degree in medical coding and familiarity with ICD-10 and CPT coding. #J-18808-Ljbffr

Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Carle Health. The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient, and/or professional fee encounters using appropriate ICD-10/ICD-PCS, CPT, or HCPCS codes, along with coding software such as computer-assisted coding and encoders. This ensures compliant billing of Carle claims. The HIM Certified Coder must understand and apply all regulatory coding guidelines, including National and Local Coverage Determinations, and CPT modifiers. They are also responsible for applying coding knowledge to resolve billing edits related to coding. The coder uses Carle electronic medical record systems to review clinical encounters. Responsibilities Accurately code all records according to the appropriate coding classification system (ICD-10, CPT, HCPCS, and modifiers). The assigned codes should accurately reflect the diagnoses and procedures...

HIM Certified CoderThe 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 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 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.Qualifications:Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)Certified Professional Coder (CPC) - American Academy of...

Overview 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. Qualifications Certifications: Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association...

Carle Health in Champaign, Illinois, is seeking a HIM Certified Coder responsible for accurate and timely coding of hospital encounters. The ideal candidate will possess certifications and a strong knowledge of coding rules. The role requires expertise in CPT, HCPCS, and ICD-10 coding with a focus on compliance. This position offers a compensation range of $23.58 - $39.38 per hour and benefits. #J-18808-Ljbffr

Overview 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. Qualifications Certifications: Certified Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC); Certified Coding Specialist – Physician-Based (CCS‑P) – American Health Information Management Association (AHIMA); Certified Coding...

Overview 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. Qualifications Registered Health Information Technician (RHIT) – American Health Information Management Association (AHIMA) Registered Health Information Administrator (RHIA) – American Health Information Management Association (AHIMA) Certified...

Overview 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. For Carle, 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. This role also includes resolving billing edits related to coding and reviewing clinical encounters using Carle electronic medical record systems. Qualifications Certifications: Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC); Certified Coding Specialist...

Overview: 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 to ensure compliant billing of Carle claims. Responsibilities Accurately code 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 the patient. Provide interdepartmental coding assistance, as needed, to determine accurate coding assignment. Develop methodology to provide a coding process that is compliant with regulatory agencies, including the utilization of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant, etc. Facilitate optimization of revenue while maintaining...