629 certified coder jobs found

Certified Coder At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation's largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers. At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing...

Job Summary: The Certified coder I is responsible for properly reviewing provider documentation and can perform all coding functions. Possesses a solid understanding of the professional billing workflow and assists with general billing duties as necessary to include claim edits, claims processing, claim rejections, data entry, and queries and communicates with physicians on documentation issues related to code assignment and provides feedback to physicians and the physician billing entity on variances between hospital and physician CPT coding as needed. Helps identify and resolve incorrect claims issues and is responsible for drafting letters to coordinate appeals as well as other areas related to billing as assigned by the manager. Qualifications: Education High School Diploma/G.E.D. (required) Licenses and Certifications CPC - Certified Professional Coder - AAPC - American Academy of Professional Coders (required) Work Experience Minimum two (2)...

Certified Coder, Acute Hospital Ed, Cancer & Edits Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Adventist Health is seeking a Certified Coder, Acute Hospital ED, Cancer & Edits for a full-time role with 8-hour day shifts. We are looking for a qualified and dedicated individual who can work full-remote. Reviews acute hospital outpatient emergency department (ED), medical oncology, adult outpatient rehab including cardiac rehab patient records including charge capture/entry to identify the diagnosis and procedure codes performed during...

Certified Coder, Acute Hospital Ed, Cancer & EditsLocated in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.Job Summary: Adventist Health is seeking a Certified Coder, Acute Hospital ED, Cancer & Edits for a full-time role with 8-hour day shifts. We are looking for a qualified and dedicated individual who can work full-remote.Reviews acute hospital outpatient emergency department (ED), medical oncology, adult outpatient rehab including cardiac rehab patient records including charge capture/entry to identify the diagnosis and procedure codes performed during the...

Job Summary: The Certified coder I is responsible for properly reviewing provider documentation and can perform all coding functions. Possesses a solid understanding of the professional billing workflow and assists with general billing duties as necessary to include claim edits, claims processing, claim rejections, data entry, and queries and communicates with physicians on documentation issues related to code assignment and provides feedback to physicians and the physician billing entity on variances between hospital and physician CPT coding as needed. Helps identify and resolve incorrect claims issues and is responsible for drafting letters to coordinate appeals as well as other areas related to billing as assigned by the manager. Qualifications: Education High School Diploma/G.E.D. (required) Licenses and Certifications CPC - Certified Professional Coder - AAPC - American Academy of Professional Coders (required) Work Experience Minimum two (2) years Related experience or...

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Codes for cancer center encounters and maintains required quality and productivity standards while remaining compliant with third party, state and federal regulations. Reviews and resolves medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes and processes any errors associated with the revenue cycle process. Assists in the design and implementation of workflow changes to reduce coding and billing...

American Vision Partners (AVP) is seeking a Certified Coder to assign ICD-10 diagnoses and CPT codes for physician services and ASC charges. The role focuses on accurate coding, charge review and reimbursement optimization within ophthalmology practices. Applicants should have CPC or CCS certification, 5+ years of medical billing/coding, and experience with NextGen. AVP offers comprehensive benefits and professional growth opportunities. #J-18808-Ljbffr

Job Title Location 2450 Sister Mary Columba Dr, Red Bluff, CA, 96080, United States Base Pay $25.75 - $33.99 / Hour Employee Type FT Non-Exempt Manage Others No Minimum Experience 1 Year Contact Information Name Kristen Gray Phone 530-528-4430 Email kgray@redoaksmedical.com Description

Job TitleLocation 2450 Sister Mary Columba Dr, Red Bluff, CA, 96080, United StatesBase Pay $25.75 - $33.99 / HourEmployee Type FT Non-ExemptManage Others NoMinimum Experience 1 YearContact InformationName Kristen GrayPhone 530-528-4430Email kgray@redoaksmedical.comDescription

Certified CoderAt American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation's largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers. At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing...

Alignment Health is seeking a remote MRA Coding Auditor to support QA audits of internal Coding Analysts and vendors, ensuring 95% HCC accuracy in data submissions to CMS. You will partner with Risk Adjustment Management on data validation, chart reviews, and process improvements. The role requires 3+ years in Medicare Risk Adjustment coding, CCS/CCS-P/CPC/CRC certification, and experience with Epic/Allscripts/EZCap. Strong communication and analytical skills are essential. #J-18808-Ljbffr

Job Details: Job Location: Main Office - Santa Barbara, CA, Position Type: Full Time, Salary Range: $31.17 - $45.20Hourly, Job Category: Financial Analytics, Central Coast Salary Range: $31.17 - $45.20 Job Summary The Risk Adjustment Coder Specialist ensures accurate medical diagnosis data submission to CMS for CenCal Health Medicare Advantage D-SNP line of business. This role optimizes diagnosis documentation, identifies barriers to appropriate risk adjustment, oversees outsourced vendor coding for CMS compliance, and partners with provider outreach teams to educate providers on accurate and comprehensive medical coding. Duties & Responsibilities Perform reviews of records to identify, validate, and ensure accurate capture of diagnosis codes aligned with CMS-HCC, HHS-HCC, ICD-10-CM and applicable risk adjustment requirements. Oversee vendor coding activities, including monitoring work quality, reviewing vendor coded records, validating findings, resolving...

SUMMARY: Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 1. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets. 2. Selection and sequencing of diagnoses and procedures must meet the...

The Health Care Agency is a comprehensive healthcare system serving our diverse community of Ventura County through Ventura County Medical Center (VCMC), Santa Paula Hospital, primary and specialty care clinics, Ambulatory Care, Public Health, and Behavioral Health. Join our team and use your coding expertise to support accurate documentation, appropriate reimbursement, regulatory compliance, and quality patient care. Are you a detail‑oriented coding professional who takes pride in accuracy and continuous learning? The Health Care Agency is seeking a Coder‑Certified to perform outpatient facility and physician professional fee (Pro‑Fee) coding across hospital and ambulatory care settings. THE POSITION: Under general direction, the Coder‑Certified reviews and analyzes medical documentation, assigns appropriate diagnosis and procedure codes, applies coding and billing guidelines, and collaborates with physicians and other healthcare professionals to support accurate and compliant...

Coder-Certified The Health Care Agency is a comprehensive healthcare system serving our diverse community of Ventura County through Ventura County Medical Center (VCMC), Santa Paula Hospital, primary and specialty care clinics, Ambulatory Care, Public Health, and Behavioral Health. Join our team and use your coding expertise to support accurate documentation, appropriate reimbursement, regulatory compliance, and quality patient care. Are you a detail-oriented coding professional who takes pride in accuracy and continuous learning? The Health Care Agency is seeking a Coder-Certified to perform outpatient facility and physician professional fee (Pro-Fee) coding across hospital and ambulatory care settings. Under general direction, the Coder-Certified reviews and analyzes medical documentation, assigns appropriate diagnosis and procedure codes, applies coding and billing guidelines, and collaborates with physicians and other healthcare professionals to support accurate and compliant...

Salary : $83,674.74 - $127,725.91 Annually Location : Ventura, CA Job Type: Full-Time Regular Job Number: 0103HCA-26AA (VM) Department: Health Care Agency Division: Ventura County Medical Center and/or Santa Paula Hospital Opening Date: 10/07/2026 Closing Date: Continuous Description How to Submit a Successful Application video: THE DEPARTMENT: The Health Care Agency is a comprehensive healthcare system serving our diverse community of Ventura County through Ventura County Medical Center (VCMC), Santa Paula Hospital, primary and specialty care clinics, Ambulatory Care, Public Health, and Behavioral Health. Join our team and use your coding expertise to support accurate documentation, appropriate reimbursement, regulatory compliance, and quality patient care. Are you a detail-oriented coding professional who takes pride in accuracy and continuous learning? The Health Care Agency is seeking a Coder-Certified to perform outpatient facility and...

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Serves as a subject matter expert in hospital and professional coding and interacts with other teams and departments across the organization such as patient financial services, revenue integrity (charge description master) team, provider teams and/or compliance on a routine basis. Performs coding for cardiac/IVR procedures and maintains required quality and productivity standards while remaining compliant with third party, state and federal regulations. Reviews and resolves medical...

Job Posting Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Reviews SDS and OBV records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including same day surgery and observation encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Job Requirements: Education and Work Experience: High School...

Summary SUMMARY: Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 1. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets. 2. Selection and sequencing of diagnoses and procedures...

Alignment Health is seeking a remote MRA Coding Auditor to support QA audits of internal Coding Analysts and vendors, ensuring 95% HCC accuracy in data submissions to CMS. You will partner with Risk Adjustment Management on data validation, chart reviews, and process improvements. The role requires 3+ years in Medicare Risk Adjustment coding, CCS/CCS-P/CPC/CRC certification, and experience with Epic/Allscripts/EZCap. Strong communication and analytical skills are essential.

Job Details POSITION: Remote Inpatient Coder DEPARTMENT: Health Information Management START: 7/6/26 or ASAP END: 12/31/2026 with extension possibility LOCATION: Remote SALARY/PAY: Weekly pay at a very competitive hourly rate JOB DESCRIPTION : The remote Inpatient Coder is responsible for assigning diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems and monitors bill hold reports. Serves as a liaison to Clinical documentation Specialists for ICD-10 inpatient encounters for accurate code and MSDRG assignments. Communicate with the Workforce Manager when necessary. Performs other duties as assigned. Extensive knowledge of 3M encoder, EPIC electronic health record is required. Must have a minimum 4yrs recent acute care inpatient coding experience. Comfortable with hitting a 95% accuracy or better and hitting productivity standards. Knowledge of medical/surgical terminology. Minimum Required Qualifications Must have a High School Diploma or...

Summary Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required. DUTIES & ESSENTIAL JOB FUNCTIONS: Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets. Selection and sequencing of diagnoses and procedures must meet the definitions of required data sets. Utilizes up-to-date versions of CPT and ICD-10-CM resources and remains current on changes in coding and billing standards. Strives for the optimal payment to which the facility is legally entitled, remembering that it is unethical...

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including inpatient encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Job Requirements: Education and Work Experience: High School Education/GED or...

Job DescriptionJob DescriptionMUST ATTEND ORIENTATION IN PERSON IN ARCATA, CALIFORNIASUMMARY :The primary function of this position is to review ICD, CPT and HCPCS coding for data and reimbursement.The coding function is a primary source for data and information used in health care today, and promotes quality client care, captures accurate reporting numbers and optimizes reimbursement.The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.Other duties may be assigned.Level IPerforms comprehensive review of the health record, evaluates the record for documentation, consistency, accuracy and correlation of recorded data.Ensures the final diagnosis as stated by the provider is valid, complete and accurately reflects the care and treatment rendered.Consults with provider when conflicting or ambiguous documentation is...