53 medical coder jobs found in Springfield, IL

Springfield Clinic is seeking a professional Medical Coder to review clinical documentation and assign CPT/HCPCS and ICD-10-CM codes for in-office and hospital-based services. The role ensures documentation supports billed services and compliance with CMS guidelines, CPT coding guidance, and provider documentation standards. The ideal candidate has AHIMA or AAPC certification eligibility or current credentials, strong analytical skills, and experience with encoder tools. #J-18808-Ljbffr

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and...

Washington University in St. Louis seeks a skilled medical coder to review records and assign accurate ICD-10 and CPT codes. The role involves collaborating with physicians to clarify documentation and obtain signatures, and to prepare case reports for billing follow-up. Ideal candidates have coding experience or an associate’s degree in a related field, with strong knowledge of ICD-10 and CPT coding, and a knack for medical terminology. Comprehensive benefits and tuition support are offered. #J-18808-Ljbffr

Springfield Clinic is seeking an experienced medical coder to review clinical documentation and assign CPT, HCPCS, E/M levels, and ICD-10-CM codes for professional, facility, and hospital services. The role ensures documentation supports billed services, remains compliant with CMS/CPT guidelines, and involves collaboration with physicians to obtain necessary information. Opportunities include training colleagues and supporting coding initiatives. #J-18808-Ljbffr

Job Summary We are seeking an experienced and certified Medical Coder - Inpatient & Outpatient to join our Health Information Management/Revenue Cycle team.The Medical Coder is responsible for accurately reviewing and coding inpatient and outpatient hospital medical records in accordance with official coding guidelines, CMS requirements, payer regulations, and hospital policies.This position plays an essential role in ensuring coding accuracy, regulatory compliance, timely reimbursement, and the integrity of clinical and financial data.The successful candidate will demonstrate strong knowledge of hospital coding, medical terminology, anatomy and physiology, reimbursement methodologies, and regulatory requirements.Essential Duties and Responsibilities Review inpatient and outpatient medical records and accurately assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on assigned account type. Assign and validate appropriate MS-DRG/APR-DRG, APC, Present on Admission (POA),...

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...

Washington University in St. Louis is seeking a remote Medical Coding Specialist to review medical records and assign CPT and ICD-10 codes. Occasional campus visits may be required. The role involves collaborating with physicians, leading coders, and ensuring proper documentation for billing. The position emphasizes AHIMA/AAPC credentials, experience with ICD-10/CPT, and a focus on documentation standards. Eligible candidates enjoy WashU's comprehensive benefits and flexible work options. #J-18808-Ljbffr

Description: Investigates complex healthcare claims flagged by third-party referrals, tips, or external allegations prior to payment. This role combines advanced clinical coding expertise (ICD-10, CPT, HCPCS) with investigative scrutiny. The auditor reviews medical records to verify that documented services match the billed codes, adhere to medical necessity guidelines, and comply with state, federal, and contractual coding regulations. Key responsibilities: Allegation Triaging & Investigation: Analyze incoming third-party referrals, compliance tips, and external fraud allegations to identify specific billing patterns, suspect providers, or unbundled services. Identify potential fraud, waste, abuse, billing irregularities, and patterns of non-compliance through medical record review and claims analysis. Pre-Payment Clinical Review: Perform comprehensive clinical and technical reviews of high-dollar or highly complex medical records before a claim is finalized for payment....

CorroHealth Inc is seeking a Coding Specialist to provide CPT, HCPCS and ICD-10-CM coding across multiple specialties, either Professional Fee or Facility. The role supports our clients by delivering accurate documentation-driven codes and revenue optimization. You will work from home with independent coding skills, maintain productivity and quality benchmarks, and stay current with coding guidelines. Certification through CPC/COC or CCS/CCS-P is required, with 6 months of on-the-job experience #J-18808-Ljbffr

Logan Health is seeking a Certified Professional Coder to join our remote billing team. The role emphasizes accurate ICD-10-CM and CPT-4 coding for outpatient records, data abstraction, and support for billing and collections. Ideal candidates have at least one year of coding experience and hold a nationally recognized coding certificate (CCA/CCS/CPC or AAPC). This full-time remote role offers a competitive hourly rate and comprehensive benefits. #J-18808-Ljbffr

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington. *Now...

Duke University's Duke Health is seeking a Medical Records Coder II to code complex records using ICD-10-CM and CPT-4, coordinate a coding team, and ensure accurate DRG/APC assignments. The role supports hospital and professional charges through precise coding. Required RHIA/RHIT/CCS/CPC/HCS-D certifications or equivalent, with high school diploma; some roles require 2+ years coding experience. This is a 100% remote position with requirements for residency in listed states. #J-18808-Ljbffr

W3R Consulting is seeking a detail-oriented Medical Coder to accurately code provider claims, review itemized bills and medical records for facility and inpatient claims, and ensure compliance with CMS Coding Guidelines and ICD-10 guidelines. Under supervision, you will audit documents, recommend coding corrections, and maintain documentation that supports coding procedures and standards. CPC/CCS/P/RHIA/RHIT certifications are preferred, with an Associate or Bachelor degree as a potential path. #J-18808-Ljbffr

Southern Illinois Healthcare seeks a Medical Coder to review provider documentation and assign accurate ICD-10-CM and CPT/HCPCS codes following official guidelines. The role focuses on provider-based E/M visits and outpatient hospital coding to ensure compliant, timely claims. Follows policies and SOPs, uses encoding software and references, resolves coding edits, and communicates issues to the Coding Lead. #J-18808-Ljbffr

Southern Illinois Healthcare is seeking a qualified medical coder to review provider documentation and assign CPT/HCPCS and ICD-10-CM codes according to official guidelines. Focus areas include provider-based E/M visits and outpatient hospital visits. The role requires relevant RHIA/RHIT/CCS/CCS-P/CCA/CPC certifications and at least 1 year of CCS-P/CCA/CPC experience, with ongoing CEU maintenance and participation in performance improvement initiatives. #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

Pena4 Inc. is seeking an Inpatient Medical Coder (CCS certified) for a 100% remote, full-time role. The coder will manage IP/OP accounts, ensure accurate ICD-10-CM/PCS coding, CPT/HCPCS usage, and DRG assignments with guidance from hospital systems. Requirements include at least 5 years IP PCS coding experience and a CCS certificate. A coding assessment test is required for consideration. Start date is immediate. #J-18808-Ljbffr

The Women's Group of Northwestern is an independent practice located on the Magnificent Mile with a satellite office in Northbrook.Our staff of 18 providers (MD's, Physician's Assistants and Nurse Practitioners) deliver the highest level of patient care and patient satisfaction.If you are an experienced Certified Medical Coder & Surgical Scheduler, we would love to meet you! (MUST HOLD A CERTIFIED CODER LICENSE) Our team of staff members work together to give our best to our patients and to each other.Our leaders are committed to ensuring that you are successful in everything you do and want you to understand how much we value you.We offer a highly competitive salary, excellent benefits including 3 weeks of PTO per year, a 401K with profit sharing, and an environment that respects you as a professional.If you have experience providing stellar customer service in a medical setting, excellent prior performance and attendance, and experience with Epic/Epic Op-Time or Athena, we...

## Coder - ProfessionalApply: On-Site or Remote: Remote Office - IL: Full time: Posted Today: JR105181**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coder - Professional**Job Description**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, TexasDepartment: Physician CodingHours: Full time, 40 hours/weekShift: 1stLocation: Remote or On-siteRequired: High School Diploma, CCA, CCS, CPC, RHIT, or RHIA upon hire; CPC...

Description: BASIC FUNCTION This position is responsible for the accurate coding of claims by providers. Under supervision, this position is responsible for researching and analyzing the itemized bills and/or medical records for facility and inpatient claims validating the coding. This position audits itemized bills and/or medical records to ensure compliance with the organization's coding procedures and standards according to the CMS Coding Guidelines and Official ICD10 Coding Guidelines and recommends coding corrections. JOB REQUIREMENTS Associate Degree OR 2 years of experience working in the health insurance industry; 2 years medical coding through medical record abstraction; National coding certification from AAPC or AHIMA to include one or more of the following:Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT); PC experience and skills...

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 complex outpatient hospital based (Observation, Emergency Department, Wound, Ambulatory Surgery) or provider based complex procedural services (surgery, procedures, wound). 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 Required: o RHIA, RHIT, or CCS (hospital) o RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based) Experience and Skills Hospital & Provider Based: o RHIA, RHIT, CCS – None. Provider Based: o CCS-P, CCA, or CPC – 3 years procedural coding required. Physical Activities...

* Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment.* Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code.* Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up.* Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required.* Assists with efforts to increase physician awareness of documentation requirements.* Prepares case reports and initiates follow-up for billing process.* Performs other duties as assigned.* Previous coding experience or experience equivalent to an associate's degree in a related field.* Knowledge of ICD-10 and CPT coding.* Up to 22 days of vacation, 10 recognized holidays, and sick time.* Competitive health insurance packages...

Fully Remote Lake Park Building Full time R183439 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

* Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment.* Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code.* Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up.* Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required.* Assists with efforts to increase physician awareness of documentation requirements.* Prepares case reports and initiates follow-up for billing process.* Performs other duties as assigned.* Previous coding experience or experience equivalent to an associate's degree in a related field.* Knowledge of ICD-10 and CPT coding.* Up to 22 days of vacation, 10 recognized holidays, and sick time.* Competitive health insurance packages...