37 cpc certified professional coder jobs found in Springfield, IL

SIU Medicine seeks a skilled medical coder to assign ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes for inpatient and outpatient services after reviewing medical records documentation. The role requires knowledge of ICD-10-CM, CPT, and HCPCS coding systems and adherence to payer regulations. Responsibilities include ensuring accuracy of modifiers for E/M, assisting with claim corrections and appeal letters, and advising administrators and staff on coding standards. #J-18808-Ljbffr

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

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...

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...

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...

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...

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

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...

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...

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. This position will support risk adjustment code validation for CMS and HHS Risk Adjustment models Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified...

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

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

Coder Technical Charging Job Description Department: Medical Record Management Hours: Full time, 40 hours/week Shift: 1st shift Required: High School Diploma, CPC within 1 year of hire, Graduate of accredited LPN program Responsibilities Assign charge codes and facility charge category assignment for emergency department visits timely (defined per department standards). Contact ED nursing staff in a professional, tactful manner, if required documentation is not available on record, thru personal contact, e-mail, and/or telephone as needed. Refers charts to ED Director, if there is a question regarding the procedures, charge codes, modifiers. Develop and maintain metrics to monitor accuracy of charge code assignment, improvement of revenue capture, Ensure that emergency department charge master assigned CPT codes and supply charges are based on supporting documentation as required by federal, state compliance guidelines. Ensure that emergency department CPT charge master codes...

A medical billing company in Illinois is seeking a detail-oriented Medical Coder. Responsibilities include accurately assigning CPT, ICD-10, and HCPCS codes to medical services, ensuring compliance with regulations, and assisting in audits. The ideal candidate has a coding certification and 3+ years of experience. Join our dynamic team to help healthcare providers improve reimbursement and streamline operations. #J-18808-Ljbffr

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub. Position Summary Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits. Coding focus is provider based E&M level visits or outpatient hospital based ancillary visits Principal Accountabilities Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline. Licenses and Certification RHIA, RHIT, CCS, CCS-P, CCA, or CPC required. Experience and Skills Technical Experience: Required for CCS-P, CCA, or CPC - 1 year (2000 continuous working hours). Role Specific Responsibilities Follows all coding...

YO AI Labs seeks experienced Medical Coders to annotate medical records and ensure accurate ICD-10 and CPT coding for AI dataset development. You will assess coding levels using E&M guidelines and provide expert feedback to optimize data quality. This is a remote contractor role requiring strong coding expertise and keen attention to detail. Candidates should hold CPC certification and be proficient in ICD-10 and CPT coding, with proven ability to ensure compliance with current standards. #J-18808-Ljbffr

Sarah Bush Lincoln Health Center is seeking a Coder Technical Charging professional in the Medical Record Management department. This full-time role covers 40 hours/week on 1st shift and requires a high school diploma, CPC within 1 year of hire, and graduation from an accredited LPN program. Responsibilities include assigning charge codes and accurate CPT codes for emergency department visits, coordinating with ED nursing staff, and ensuring compliant documentation to support revenue capture and #J-18808-Ljbffr

Description At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.? Requirements The Certified Coder performs coding-focused medical review of Medicare Part A/B and DMEPOS claims for the program. Certified coders apply Medicare policies and guidelines, ensuring claims are evaluated according to National...

Commence is seeking a Remote Medical Coding Reviewer to perform coding-focused reviews of Medicare Part A/B and DMEPOS claims. You will verify ICD-10-CM, CPT, and HCPCS codes, ensure medical necessity, and document findings in the case-tracking system. Qualified candidates have 3+ years of coding experience, active AAPC/AHIMA certification, and the ability to work independently in a remote setting while maintaining HIPAA compliance. A data-driven mindset and attention to detail are essential. #J-18808-Ljbffr

Medical Coder (Remote) - Contract Opportunity Job ID: 297083 Location: Remote Facility: Hopedale Medical Complex Employment Type: Contract Duration: 13 Weeks Schedule: Day Shift Start Date: ASAP (Quick Start Available) Position Summary Hopedale Medical Complex is seeking an experienced Medical Coder to join its team on a contract basis. This remote opportunity is ideal for a coding professional with strong experience across multiple healthcare service lines and a commitment to coding accuracy, compliance, and revenue cycle integrity. The Medical Coder will be responsible for reviewing clinical documentation and assigning accurate diagnostic and procedural codes for a variety of patient encounters within a Critical Access Hospital environment. This position plays a key role in supporting compliant billing practices, reimbursement accuracy, and regulatory requirements. Key Responsibilities Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on...