75 certified coder jobs found

MUST RESIDE IN TEXAS AND HAVE CODING AND AUDITING EXPERIENCE. Counter Affidavit as well as Testimony experience is preferred. We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Texas based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Counter Affidavit experience is preferred. Responsibilities Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to determine medical necessity and documentation compliance Review and prepare demand packages and audit response materials Analyze records for payer disputes and recoupments Prepare written audit findings and defensible reports Provide expert support for depositions and testimony as needed Review...

MUST RESIDE IN TEXAS AND HAVE CODING AND AUDITING EXPERIENCE. Counter Affidavit as well as Testimony experience is preferred. We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Texas based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Counter Affidavit experience is preferred. Responsibilities Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to determine medical necessity and documentation compliance Review and prepare demand packages and audit response materials Analyze records for payer disputes and recoupments Prepare written audit findings and defensible reports Provide expert support for depositions and testimony as needed Review...

Huntsville Hospital Health System is seeking a Certified Coder responsible for ensuring charges are assessed in compliance with coding regulations. The candidate must possess at least three years of medical coding experience and relevant certifications. This position may allow remote work, provided candidates maintain HIPAA standards. We are dedicated to offering a competitive benefits package, including medical, dental, vision insurance, and tuition assistance among others. Join our team and contribute to quality healthcare in Huntsville, Alabama. #J-18808-Ljbffr

Overview The Certified Coder is responsible for ensuring that charges are assessed and entered in compliance with applicable coding regulations, standards, policies and guidelines as established by CMS and the various third party payers. This requires a thorough understanding of CCI edits and payer rules regarding medical necessity and bundling of services. The Coder is also responsible for assisting with provider inquiries regarding documentation standards as well as providing pertinent feedback to providers regarding the quality of clinical documentation. Coders may work remotely from home, which requires appropriate internet connectivity and physical space to complete work while maintaining HIPAA standards. Qualifications Education required: High School graduate or GED. Education preferred: Formal coder training strongly preferred. License, certification and/or registration: Certified Professional Coder or similar certifications (CCA, CPC, CCS, etc...). Experience:...

JOB SUMMARY: The primary purpose of the position is to review both procedural and diagnostic (ICD-10) coding to ensure appropriate billing and insurance regulations are met. This position will be staffed during clinic hours and is largely remote. Occasionally in-person meetings with providers will be required. Must live within reasonable traveling distance from Hudson, WI.CORE DUTIES AND RESPONSIBILITIES:Have in-depth understanding of coding and compliance rules and regulations.Responsible for reviewing provider documentation, coding and posting charges for healthcare services; including Primary Care, Lab/Pathology, Podiatry and more.Provide coding education and engage with assigned providers.Research and communicate governmental and payer-specific rules and regulations to ensure coding compliance.Identify and communicate best practices based on provider documentation, insurance payer medical policies and CMS guidelines.Review, code and post charges for hospital outpatient and...

Summary: For further information and how to apply, contact directly:Application material may also be emailed to:HRmanager@badriver-nsn.govHRassistant@Badriver-nsn.govDarcie.powless@badriverhwc.com Summary: The Certified Medical Coder reviews, analyzes and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Job Announcement Flyer: Certified-Medical-Coder-03.17.25.pdf [pdf - 187.46 KB] Duties: Essential Duties and Responsibilities include the following.• Assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures for documented information. Assures the final diagnoses and procedures as stated by the physician are valid and complete. Abstracts all...

Coder I, Professional It's more than a career, it's a calling WI-Turville Bay Worker Type: Regular Job Highlights: This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. This is not a fully remote position. Training is in person at the Madison address above. Job Summary: Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements: Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers...

It's more than a career, it's a calling WI-Turville Bay Worker Type: Regular Job Highlights: This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary: Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. Identifies...

Coding Strategies, Inc. is seeking a Senior Coding Specialist for a remote position. The ideal candidate will have a strong multispecialty background, including surgery, Interventional Radiology, and E/M. Responsibilities include coding medical records, ensuring compliance with regulations, and maintaining coding accuracy. Applicants should have a minimum of four years of professional coding experience and be a certified coder through AAPC or AHIMA. Strong analytical and communication skills are essential for success in this role. #J-18808-Ljbffr

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a Facility Inpatient Coder to join our team! This Position Can Be Trained and Worked Fully Remote Assigns ICD-10 CM, ICD-10 PCS and CPT codes based on a review of the health care record documentation and application of professional coding standards and billing regulations. Reviews and collects various health information data elements for patient care, statistical, financial and research purposes. Maintains confidentiality of health information. HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of medical record and coding practices normally acquired through completion of an Bachelor or Associate Degree in Health Information Technology or Coding, or an equivalent program with emphasis in coding...

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a PROFESSIONAL FEE CODER to join our CODING team! The Professional Fee Coder accurately processes professional service charges, including verification of CPT and ICD codes through our EPIC Workques. May process technical component charges in compliance with Provider Based or RHC Billing requirements. The Professional Fee Coder will perform coding functions for either primary care or specialty focused areas. HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of coding principles normally acquired through an Associate's Degree in Health Information Management, Healthcare Business Services, or an equivalent program with emphasis in coding or a minimum of two years coding experience. Experience or...

Nursing Supervisor (RN) – Medical Surgical Urology/Genitourinary – Full Time Days Texas Health Dallas, 8200 Walnut Hill Lane, Dallas, Texas, 75231 Full Time – Days (7:00 AM to 7:00 PM) Medical Surgical Department Highlights 24-Bed Urology Inpatient Medical‑Surgical Unit Self‑scheduling with rotating weekend requirements Working with a multidisciplinary team Providing life‑saving care to a diverse patient population What you need Associate Degree in Nursing required; BSN preferred Current RN licensure or compact licensure recognized by the Texas Board of Nursing upon hire required BCLS – prior to providing independent patient care and maintained quarterly required ACLS – Advanced Cardiac Life Support 90‑day requirement for CPI – Crisis Prevention Intervention Training 2‑year experience as a registered nurse with previous charge nurse or similar leadership role (e.g., Charge Nurse, committee chair, preceptor) required What you will do Provides bedside leadership and clinical...

Coding Specialist I, Primary Care - 13724 Posted 7 days ago US:WI:Green Bay:2020 S Webster Ave or Remote | Professional & Technical | Full-Time Description Job Specifics Location:2020 S Webster Ave, Green Bay, WI 54301. Candidates must reside in WI or MI. FTE Status:Full-Time 1.00 FTE (40 hours/week) Work Schedule:M-F, Days, Full Time. Want to learn more:Chat with Marissa Zorzin at marissa.zorzin@emplifyhealth.org Job Description: Performs tasks associated with coding patient encounters and working collaboratively with clinic providers and other health system departments as needed for the purpose of performing coding functions. This role works specifically in Primary Care. Qualifications: Coding technical diploma or Associate degree in medical records technology, health information technology, or related degree or completion of a certified coding program through the American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) or...

Remote Medical Coder Are you looking for a challenge? We are seeking a Remote Medical Coder to support the Veteran community in the Portland, OR area. Position open to all candidates, including Locum or Traveling professionals. Position Highlights Pay: $30+ /hour Contract Type: 1 Year Contract Schedule: Monday – Friday (except Federal holidays), 40 hours per week between 8:00 am–4:30 pm Location: Portland, OR Responsibilities Schedule: Monday – Friday (except Federal holidays), 40 hours per week between 8:00 am–4:30 pm. Coders may occasionally be required for on‑site issue resolutions. Perform remote coding on all inpatient admissions and outpatient visits assigned by VA Portland Health Care System (VAPORHCS). Provide all labor, equipment, and supplies for coding medical records from VA Portland HCS. Access VA Portland's VistA/CPRS system to read and code medical records identified by Portland, and enter codes into the approved coding application. Perform services...

Terrestris Global Solutions is seeking a Remote Medical Coder to support the Veteran community in Portland, OR. This position is open to all candidates, including Locum or Traveling professionals. The role requires a minimum of 2 years experience in outpatient and/or inpatient coding, and relevant certifications are preferred. The job offers flexible scheduling and comprehensive benefits, including health insurance and 401(k) matching. #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 and implementing these updates in...

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. 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, allowing you to help shape the...

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. 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, allowing you to help shape the future...

Major Responsibilities: Accurately assign all codes (ICD-10-CM/PCS, CPT, HCPCS) for highly complex professional fee encounters (highest complexity level) or moderate to high complexity facility encounters Serve as the authoritative internal expert for professional coding guidelines or a knowledgeable resource for facility guidelines. Provide expert guidance, training, onboarding assistance, and mentorship to Coder I/II staff to enhance team performance and accuracy Provide informal code review guidance as directed by leadership, focusing purely on the accuracy of code assignment and documentation translation for complex cases....

Remote Pro Fee Cardiothoracic Surgery Coder - Pediatric Pro Fee Cardiothoracic Surgery and Cardiac Surgery Coding Minimum Required Qualifications: CPC, CCS-P; 4 Years Children's Hospital Based Pro Fee Surgery Coding. (Cardiothoracic and Cardiology Surgeries) Pediatric General Surgery exp. a plus. Lead Coding experience a plus Must perform abstracting also, from stand-alone encoder. Preferred Qualifications: Length of Assignment: 6 Months Shift / Hours Per Week: 20 per week Systems: EPIC Start Date: 6/8/2026

Discover. Achieve. Succeed. #BeHere Experience Description: Pay is expected to be between: (expressed as hourly) $23.20 - $34.34. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

? Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or; Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards...

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and...

CorroHealth Inc is offering a Remote Coding Specialist position, responsible for providing high-quality coding services across multiple specialties such as Primary Care, Pediatrics, Orthopedics, and more. Candidates must have at least 2 years of experience with professional fee charts and hold relevant coding certifications. The role requires proficiency in ICD-10-CM, CPT, and HCPCS coding, along with effective communication skills and commitment to coding ethics. Strong candidates will be organized, able to manage multiple deadlines, and meet productivity metrics established by the company. #J-18808-Ljbffr