308 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...

Full Time, 80 Hours Per Pay Period Department: Health Information Position Posted On: 10/11/2024 Requirements Education: Associate Degree in Health Information Technology with RHIT certification within six (6) months of hire/equivalent certification (AAPC) preferred; or a minimum of one (1) year hospital coding experience with Certified Coding Specialist credentials/equivalent certification (AAPC) within one (1) year of hire accepted. Training And Experience Preference of prior experience in the field of H.I., plus on the job training with preferred experience in the use of Encoders. Job Knowledge: The Certified Coder should be familiar with medical terminology, abbreviations, techniques, and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and the metric system to identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record. S/he should also have knowledge of the...

HIM Certified Coder - Inpatient CCSCommunity Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn't do it without you.The HIM Certified Coder will be responsible for coding and abstracting for physician billing using software and coding books based on current work assignment.Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a strong attention to detail.High School Diploma or GED required.Two (2) years of...

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...

Coding Specialist OpportunityAt LCMH, we pride ourselves on being more than just a healthcare facility; we are a cornerstone of our charming small town. As a critical access hospital, we provide essential medical services to our community with a personal touch that larger hospitals often can't offer.Why Work With Us?Community-Centered Care: Our hospital is deeply integrated into the fabric of our town. You'll have the opportunity to build meaningful relationships with patients and their families, making a real difference in their lives.Supportive Environment: We foster a collaborative and supportive work environment where every team member is valued. Our staff is like family, and we work together to ensure the best outcomes for our patients.Professional Growth: We are committed to the professional development of our employees. You'll have access to ongoing training and education opportunities to help you grow in your career.Work-Life Balance: Enjoy the benefits of living and...

Coding Specialist Opportunity At LCMH, we pride ourselves on being more than just a healthcare facility; we are a cornerstone of our charming small town. As a critical access hospital, we provide essential medical services to our community with a personal touch that larger hospitals often can't offer. Why Work With Us? Community-Centered Care: Our hospital is deeply integrated into the fabric of our town. You'll have the opportunity to build meaningful relationships with patients and their families, making a real difference in their lives. Supportive Environment: We foster a collaborative and supportive work environment where every team member is valued. Our staff is like family, and we work together to ensure the best outcomes for our patients. Professional Growth: We are committed to the professional development of our employees. You'll have access to ongoing training and education opportunities to help you grow in your career. Work-Life Balance: Enjoy the benefits...

Jefferson City Medical Group is looking to fill a Full-time position. RESPONSIBILITIES Job Specific Competencies: Performs all functions essential in the billing of providers and ancillary services. Organizes workflow and communication with the clinics and providers for accurate billing information. Effectively communicates within the organization and with the public consistent with the clinic philosophy, vision and mission. Appropriately uses facility communication, information systems and equipment. JCMG Core Competencies: Strives for continuous quality improvement. Participates in educational experiences designed to maintain and/or improve professional competence. Maintains high work ethic standards. Provides quality customer service to staff, patients and visitors always. MINIMUM QUALIFICATIONS Education: High school diploma or GED Experience: Minimum two years in a Physician Coding environment Certification/License: Certified Professional Coder (CPC) Certified...

Job Description Job Description Job Summary The Coding Specialist reviews superbills and the corresponding medical record documentation and assigns appropriate CPT, HCPCS, modifiers, and ICD 10 codes and post charges in order to achieve maximum reimbursement in accordance with OSNI protocols and procedures along with CMS and private payer guidelines. The core responsibilities will include: daily charge posting after assignment of appropriate billing and diagnostic codes, review of first level rejected claims in practice management, use of hospital portals to obtain operative reports and patient demographics, scanning of completed work into SRS . Additional responsibilities include querying physicians and ancillary medical staff when medical record requires clarification, ensuring medical record is amended by provider when appropriate and participating in internal provider coding review sessions. Qualifications: High school diploma or an equivalent combination of...

Medical CoderPhelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri. No matter where you start with us, we're committed to taking our team to the top. If you're ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family.General SummaryThe coder is responsible for ensuring appropriate levels of service being billed according to the American Medical Association (AMA) and Center for Medicare and Medicaid Services (CMS) guidelines, insurance credentialing, and provider/staff education in relation to coding and billing guidelines. Maintain routine chart audits for providers.Essential Duties and ResponsibilitiesAssigns ICD-10-CM, CPT, and HCPCS Level II codes to completed and signed medical documentation creating an appropriate assigned medical claim.Abstracts specified data and information from patient records in order to determine appropriate modifiers...

Location: St. Louis, MO 63110 Scheduled Hours: 40 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 Responsible for appealing claims denied by third-party payers. Creates appropriate letters and compiles documentation to substantiate the validity of claims. Investigates and problem solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with physicians and other clinical staff as needed to provide documentation feedback and to develop appeals. Researches 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. Works with coders and IBC staff with medical terminology and policy interpretation...

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

Job Responsibilities Review, code, data entry and interpret with accuracy and complete patient data for medical office, outpatient, inpatient, handwritten chart entries, practitioner orders and other related documentation to ensure accurate information is being submitted for billing. Obtain accurate and complete patient data through the review of the medical record, discharge summary, history and physical, consultation, progress notes, and laboratory, radiology, operative and pathology reports. Maintains competence in and up-to-date knowledge of healthcare compliance requirements, practices, trends, coding rules and standards in areas of responsibility. Maintains professional affiliations and credentials as appropriate. Consistently supports the compliance and principles of responsibility by maintaining confidentiality, protecting the assets for the organization, acting with integrity, reporting observed fraud and abuse and complies with applicable state, federal and local...

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