28 billing certified coder jobs found

Description FULLY REMOTE POSITION Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better.  Summary: Accurately codes and abstracts outpatient medical records for reimbursement and statistical purposes using established coding guidelines. Reviews coding and amends coding edits to assure compliance with all applicable regulations. Responsibilities: Codes all outpatient medical records in a timely and...

Job Description Job Description Description: Single Pathway Same Day Surgery Coder Remote | Full-Time Preferred (Part-Time Considered – Minimum 20 Hours/Week) GeBBS Healthcare Solutions is seeking an experienced Single Pathway Same Day Surgery Coder with expertise in Orthopedic Surgery coding. This position is responsible for accurately assigning both professional and facility codes from a single medical record review , ensuring complete, compliant coding and charge capture for outpatient same day surgical procedures. If you're an experienced outpatient surgery coder with a strong orthopedic background who enjoys working independently in a remote environment, we'd love to hear from you. Position Responsibilities Review outpatient same day surgery medical records and supporting documentation. Assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, modifiers, and applicable facility coding elements for both professional and facility...

Certified Professional Coder - Professional Review Specialist II The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a hybrid role. Training is onsite Full Time, then Hybrid once trained. Essential Functions & Responsibilities: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned Knowledge & Skills: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C...

Description Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State's largest private employer with over 104,000 employees - including members of Northwell Health Physician Partners - who are working to change health care for the better. Summary: Accurately codes and abstracts outpatient medical records for reimbursement and statistical purposes using established coding guidelines. Reviews coding and amends coding edits to assure compliance with all applicable regulations. Responsibilities: Codes all outpatient medical records in a timely and accurate manner according to...

Job Description Job Description Great Employment opportunity for a Certified Professional Coder or Professional Specialist Location: East Hartford, CT; Hybrid Interview: Virtual, 2 rounds. Coding test Hourly pay rate up to $27/hour We are seeking a highly skilled and detail-oriented Certified Professional Coder to join our healthcare coding team. In this vital role, you will be responsible for accurately translating medical diagnoses, procedures, and services into standardized codes used for billing, reimbursement, and statistical purposes. The ideal candidate will possess comprehensive knowledge of medical coding guidelines, anatomy, physiology, and medical terminology, ensuring compliance with industry standards and payer requirements. This position offers an excellent opportunity to contribute to efficient revenue cycle management while supporting high-quality patient care documentation. The Professional Review Specialist analyzes medical services and...

Current Saint Francis Employees - Please click HERE to login and apply. Full Time Days Job Summary: The Coding Auditor performs coding audits to assure compliance with Corporate Compliance Plan standards. This role develops, coordinates, and implements clinic wide education for coding and billing issues while serving as a resource to physicians, office staff, management and patients for coding and billing issues. Additionally, this role coordinates successful response to regulatory bodies and insurance companies for medical record reviews and audits. Minimum Education: High School Diploma or GED. Bachelor's degree in Healthcare Administration or Business Administration, preferred. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA). Work Experience: Minimum 3 years of hospital or physician auditing...

Outpatient Coder 2 Certified / PB Coding Work where every moment matters. Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what they do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and...

Coding Specialist Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a hybrid role. Training is onsite Full Time, then Hybrid once trained. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office...

W ork where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical...

Coding Specialist Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. Job Summary: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical reporting, research, regulatory compliance and reimbursement. Job Responsibilities: Coding: Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes. Analyzes medical records, interprets documentation and assigns proper International Classification of Diseases, Tenth Edition Clinical Modification (ICD‑10‑CM), Current...

Amazing Outpatient Surgery Organization is Looking to Hire an Outpatient Medical Coder (Surgical Coding)! This Jobot Consulting Job is hosted by: Joshua Tacke Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $32 - $35 per hour A bit about us: We are an award winning outpatient surgery group with a locations throughout the Tri-State Area. This is a fantastic temp-to-perm opportunity in the Revenue Cycle Department - you'll be working HYBRID out of any office in Long Island, Manhattan, Jersey, or Staten. Do you have 3+ years of medical coding experience in an outpatient setting (ideally surgery)? Are you CPC certified? Are you open to a temp-to-perm role, with an opportunity to work with a great Rev Cycle/Billing Leader? If interested reach out to me TODAY: joshua@jobot.com 347-424-4699 Why join us? 401k with 4% Employer Match! Strong Career Growth and Development with Established RCM Leader....

Fair Haven Community Health Care For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care. Remote in Connecticut, must be able to commute onsite. Medical Billing Coder Job purpose...

Job Purpose Remote in Connecticut, must be able to commute onsite. Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that impact billing and collection. Duties and Responsibilities Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials Prepares and submits clean claims to various insurance companies either electronically or by paper. Handle the follow-up of outstanding A/R all-payers, including self-pay and/or the resolution of denials. Answers question from patients, FHCHC staff and insurance companies. Identifies and resolves patient billing complaints. Prepares reviews and send patient statements and manage correspondence. Handle all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability. Take call...

Yale University in New Haven, CT, is seeking a Medical Billing Auditor to conduct audits for the Yale Medicine Administration. This role involves evaluating medical billing across 18 clinical departments and training personnel on billing activities. The position is currently remote, with expectations to obtain CPC certification soon if not already held. Candidates should possess a Bachelor's degree in a relevant field and have at least five years of experience in a related area. The salary range for this role spans from $68,000 to $120,500, based on candidate qualifications and experience. Join our commitment to compliance and accuracy in medical billing! #J-18808-Ljbffr

Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical reporting,...

Certified Professional Coder- Medical Biller Certified Professional Coder- Medical Biller 2 days ago Be among the first 25 applicants Women's Health Connecticut provided pay range This range is provided by Women's Health Connecticut. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr Direct message the job poster from Women's Health Connecticut Talent Acquisition Specialist II at Women's Health Connecticut Women’s Health Connecticut is seeking to hire a Full-time, Certified Professional Coder (CPC)- Medical Biller at our corporate business office in Rocky Hill, CT. Position : Certified Professional Coder (CPC)- Medical Biller Location : Women's Health CT- HQ Working arrangement : Hybrid, 2-3 days per week in-office Employment Type : Full-time, 40 hours per week Schedule : Monday- Friday Reports to : Director of Revenue Cycle Management Position Summary: The CPC-Medical Biller is responsible for...

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...

Location Detail: 9 Farm Springs Rd Farmington (10566) Shift Detail: 100% remote Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes...

Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional , facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following: • Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or...

Work where every *moment *matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional,facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following: · Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director. ·...

Coding & Documentation Compliance Auditor Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following: Conducts audits in accordance with the approved Revenue Compliance Work...

Location Detail: 100 Pearl Street Hartford (10484) Shift Detail: Monday-Friday 8:00am-4:30pm Work Location Type: In Person Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. Responsibilities Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director. Maintains organized files to support audit observations and drafts related audit reports in accordance with agreed upon standards in a timely manner. Collaborates with business owner to develop agreed-upon action plans to address findings identified during an audit. Communicates audit results and corrective action plans to audit stakeholders. Monitors progress of corrective actions and provides status reports to leadership. Independently validates...