103 CPC jobs found

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role ensures coding accuracy, reviews medical records, and confirms compliance with state and federal requirements. Strong documentation and communication skills are essential for presenting findings to investigators and leadership. You will audit CPT/HCPCS coding, identify potential fraud or errors, and maintain thorough records. #J-18808-Ljbffr

Inpatient Coder - CPC Employer: Trinity Health Employment Type: Full time Shift: Day Shift Location: Remote Responsibilities Review all assigned charge review errors and claim edits for hospital-based services, including surgical procedures, ensuring correct charge capture and coding with CPT, HCPCS and ICD-10 codes and proper modifiers in accordance with local policies. Analyze medical documentation to verify primary and secondary diagnoses and procedures, assign diagnostic and procedural codes using CMS guidelines. Perform charge entry and discrepancy resolution, serving as liaison between Centralized Coding/Revenue Site Operations and physicians/clinical sites/departments. Assisting in orienting and training new employees in the coding and charge capture area and cross‑training established coders in new specialties. Qualifications Associate’s degree in an allied health field or equivalent education and experience. Certified Coding Specialist credential. One to...

A healthcare organization is seeking an Inpatient Coder to work remotely. The role involves reviewing charge edits and coding with CPT, HCPCS, and ICD-10 codes. Candidates should have an Associate's degree in an allied health field and Certified Coding Specialist credential, with experience across multiple surgical specialties preferred. Strong communication skills and a solid understanding of medical coding are essential for ensuring accurate charge capture. Join a dedicated team that values diversity and equal opportunity. #J-18808-Ljbffr

Munson Healthcare is seeking a Coder Abstractor to manage the charge capture process, ensuring coding accuracy and compliance. This fully remote role requires at least two years of experience in cardiology coding along with either an associate’s degree in a healthcare-related field or equivalent professional experience. Candidates must obtain a professional coding credential within 18 months. Eligible for a sign-on bonus of $5,000. Vaccination requirements apply. #J-18808-Ljbffr

Ambulance Billing Coder Join the team that is redefining how EMS and mobile healthcare is delivered in Michigan. Medstar provides 911 service to more communities in Southeast Michigan than any other provider, and our critical care, air medical, and inter-facility partnerships continue to grow throughout the region. We are currently looking to add an experienced ambulance billing coder to the Medstar team! If you are looking for a fast-paced, strategic atmosphere to call home, Medstar may be the place for you. This position can be in office, hybrid or remote for individuals located in Michigan. Job Summary The Biller will input all claim information following the CMS coding guidelines. Provides accurate patient demographic and insurance information and inputs information into patient record. Essential Duties and Responsibilities Review patient care reports thoroughly, utilizing all available documentation in order to establish medical necessity, selection of levels of service,...

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...

A leading health provider is seeking a skilled Coder to apply diagnostic and procedural codes to patient health information. Responsibilities include assigning accurate ICD and CPT codes using compliant documentation and interpreting physician records. Candidates should have a high school diploma or equivalent and be graduates of a relevant program. This role offers competitive compensation and benefits, emphasizing support for employee wellness and development. #J-18808-Ljbffr

MyMichigan Medical Group in Midland, Michigan seeks a Coding Specialist responsible for coding all services including surgical cases and ensuring compliance with payer guidelines. This role requires a thorough understanding of CPT and ICD coding rules and involves significant interaction with physicians for accurate documentation. Ideal candidates will possess a high school diploma, coding certifications, and previous coding experience. Knowledge of medical terminology and strong organizational skills are essential. #J-18808-Ljbffr

Job Title Location 1500 S MAIN, EATON RAPIDS, MI, 48827, United States Employee Type Full Time Hours Per Pay Period Full Time 80 hours per bi-weekly pay Shift Days, Monday-Friday

Ambulance Billing Coder Join the team that is redefining how EMS and mobile healthcare is delivered in Michigan. Medstar provides 911 service to more communities in Southeast Michigan than any other provider, and our critical care, air medical, and inter-facility partnerships continue to grow throughout the region. We are currently looking to add an experienced ambulance billing coder to the Medstar team! If you are looking for a fast-paced, strategic atmosphere to call home, Medstar may be the place for you. This position can be in office, hybrid or remote for individuals located in Michigan. Job Summary The Biller will input all claim information following the CMS coding guidelines. Provides accurate patient demographic and insurance information and inputs information into patient record. Essential Duties and Responsibilities Review patient care reports thoroughly, utilizing all available documentation in order to establish medical necessity, selection of levels of...

Health Information Management Coding Specialist Outpatient The Health Information Management Coding Specialist Outpatient provides timely and accurate clinical and administration data to ensure optimal reimbursement for facility outpatient, ambulatory surgery, observation, recurring accounts to support the facility coding needs. This may include coverage on some Rehab or Skilled Care accounts. Primary patient contact is only social. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to providing Extraordinary Care for Every Generation. Responsibilities Contributes to organization success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients, and other department staff members. Adheres to...

Overview Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We help clients maximize their reimbursement and educate them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Our billing specialists receive ongoing training specific to medical specialty, and we continually update knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future – we provide the venue for individuals who have the desire and drive to grow. Career paths are supported with career development, leadership opportunities, and a productive integration of personal and professional life. With over 200 professionals across our family of Yeo & Yeo companies, you join a diverse team working to positively impact our clients and communities. Position Summary...

A leading consulting firm in Saginaw, Michigan is seeking a Certified Professional Coder Consultant to review medical records and ensure coding accuracy. This role involves educating clients and staff on documentation practices and performing audits. You will be expected to travel within the state for on-site assessments. The ideal candidate should have an Associates Degree, CPC certification, and strong communication skills. The firm offers competitive salaries and comprehensive benefits, supporting career development and a balanced work-life environment. #J-18808-Ljbffr

All CDC recommended vaccines are required vaccinations at Oaklawn. Seasonally, and upon determination of Senior leadership, the Influenza Vaccine may be mandatory; in those years, compliance is required. For all vaccines, Religious Exemptions and Medical Contraindications are available. Coder Abstractor - Health Information Services Job Summary: Under limited supervision, codes and abstracts patient records using the appropriate coding/abstracting system. Communicates with Medical Staff and hospital staff to improve the documentation to support the coding process. Essential Functions: Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives. Code outpatient (for example day surgery, observation, emergency room, outpatient service, diagnostic) records using the appropriate coding system for diagnoses (ICD-10) and procedures (CPT & PCS) Maintain coding...

Job Posting Job Information Job Opening ID 9550 Date Opened 05/07/2024 Job Type Contract Language Skills English Location Lansing Industry Health Care Salary 49/hr Remote Job Job Description This is a remote position. Job Details: - Assign diagnosis and procedure codes to reflect the condition(s) and treatment provided to the patient based on the documentation within the record for both inpatient and outpatient stays. The code assignment is utilized to determine reimbursement for the facility and physician, quality measures, hospital statistics, and medical research. Skills and Experience REQ: - Knowledge of the contents of the medical record - Demonstrates working knowledge of ICD-10-CM, ICD-10 PCS and CPT 4. Passing Score of 80% or higher on the coding test to be considered. - Working knowledge of Ambulatory Payment Classifications (APC) and Diagnostic Related Groups (DRG) - Previous outpatient and/or inpatient coding experience 1 year minimum - Must be a member of...

Job Opportunity Job ID:51909 Positions Location: Lansing, MI Job Description General Purpose of Job: Advanced Description: Positions Location: Lansing, MI Job Description General Purpose of Job : Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes Optum CAC in accordance with established workflow. Follows...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

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. 1,500 Sign on Bonus We're looking for experienced and credentialed outpatient 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,...

Medical Coder & Biller MaxAI is Stripe for healthcare billing the infrastructure that makes medical practices actually get paid. We're early-stage, growing fast, and the people joining now aren't just shaping this company they're helping fix a broken industry. We want billers and coders who think like owners, not processors. We're looking for a detail-oriented Medical Coder & Biller to manage the full billing cycle for our dermatology clients. You'll handle claims start to finish coding, submission, follow-up, and collections with precision and care. Every detail matters, and your accuracy will keep revenue flowing smoothly. What You'll Do Review patient records and code dermatology procedures (ICD-10, CPT, modifiers). Submit clean claims and minimize rejection and denial rates. Verify insurance eligibility and benefits before submission. Work denials identify root causes, appeal when appropriate, and prevent repeat issues Manage A/R and follow up on unpaid...

**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 and...

Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings. Job Description A Day in the Life Analyzes each medical record to determine which items will be coded and abstracted. Accurately codes and abstracts inpatient medical records, per work assignment, meeting expected productivity standards. Assigns ICD10-CM diagnosis and ICD10-PCS procedure codes per established national, departmental guidelines and AHIMA Code of Ethics. Communicates with Clinical Documentation Integrity Specialists to request clarification and/or additional record information...

A healthcare data platform company is seeking experienced inpatient coders for a remote position. Responsibilities include assigning diagnostic codes, maintaining documentation accuracy, and overseeing junior coders. Candidates should have at least 3 years of inpatient coding experience and preferred certifications such as CCS, RHIT, or RHIA. The role offers flexible scheduling and supportive training initiatives. #J-18808-Ljbffr

The Department of Pathology at the University of Michigan seeks a detail-oriented Medical Coder – Outpatient (Non-Certified) to perform coding and billing for pathology services, including complex prior authorizations for Molecular Testing. This role requires strong medical terminology knowledge and the ability to adapt to departmental needs. You will collaborate with pathologists and staff, ensure accurate ICD-10-CM, CPT, and HCPCS coding, maintain HIPAA compliance, and support billing #J-18808-Ljbffr

A healthcare data platform company is seeking experienced inpatient coders to join their remote team. Ideal candidates need a minimum of 3 years of coding experience and strong medical terminology knowledge. Responsibilities include assigning diagnostic codes and ensuring high accuracy. The position also offers flexible scheduling and comprehensive benefits including health insurance and educational stipends. #J-18808-Ljbffr