49 certified coding specialist jobs found

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

This is a remote based position. Applicants can be located nationwide Back Medical Coder - Surgery/Anesthesia #2889 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and...

Quality Assurance Coder/Auditor The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and audience for provider education. The Quality Assurance Coder/Auditor will perform medical record reviews...

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: Benefits may vary based upon position type and/or level. Job...

Fully Remote Lake Park Building Full time R180631 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...

Quality Assurance Coder/AuditorThe Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation.The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and audience for provider education.The Quality Assurance Coder/Auditor will perform medical record reviews and...

Job Description Job Description Overview As a Certified Coder, you'll be responsible for the assignment of ICD-10 diagnoses and CPT procedure codes for physician professional services and ASC charges. This role is not a remote based position. Responsibilities Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis Reviews physician notes and charts for accuracy Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards Carefully reviews and corrects any charges posted by clinic staff while ensuring all services are accounted for and billed Identifies and optimizes revenue opportunities Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges - includes CPT-4 and ICD codes as well as...

Overview As a Certified Coder, you'll be responsible for the assignment of ICD-10 diagnoses and CPT procedure codes for physician professional services and ASC charges. Responsibilities Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis Reviews physician notes and charts for accuracy Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards Carefully reviews and corrects any charges posted by clinic staff while ensuring all services are accounted for and billed Identifies and optimizes revenue opportunities Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges - includes CPT-4 and ICD codes as well as modifiers Posts, produces and sends all charges for invoice vendors Adheres closely to...

Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced Profee Coder with at least 1 year of Primary Care coding experience to join our talented team. In this role you can anticipate high volume coding for a busy family practice clinic, including charges for HCC diagnostic, and Annual and Physical exams. Location: REMOTE, Banner provides equipment Schedule: Full time; 8am-5pm AZ time. Flexible scheduling after training completed. Ideal Candidates Minimum 1 year recent experience in E/M Family Practice coding (clearly reflected in your attached resume); Must...

Join to apply for the Professional Billing Coder II role at Onvida Health 2 days ago Be among the first 25 applicants Join to apply for the Professional Billing Coder II role at Onvida Health Get AI-powered advice on this job and more exclusive features. Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Hourly Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $22.62 Mid = $28.28 Max = $33.93 Summary The Professional Billing Coder II is an intermediate-level coding professional responsible for independently reviewing medical documentation and assigning accurate diagnostic and...

Unlock your potential for professional development! We are hiring a ED / Observation Coder (Full Time) to join our Imaging Services Team! Located in northwest Arizona, Kingman has a mild climate with stunning Arizona sunsets! In the shadows of beautiful mountain ranges and nearby lakes, Kingman is an outdoor enthusiasts' paradise with abundant sunshine and is a great community to live, work and play! Position Purpose All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country. The ED / Observation Coder oversees assigned departments’ charging through software systems. Benefits (Full Time Employees) We offer you an excellent total compensation package, including acompetitivesalary, comprehensivebenefits, andgrowthopportunities: Exceptional Colleagues Join us and you'll be a part of a culture where we support each other and celebrate what makes each of us a...

Medical Coder, Tucson, AZ We are currently looking for a Medical Coder. This position is 100% Onsite and NOT Remote. Medical Coder Responsibilities: - Make sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. - Comply with medical coding guidelines and policies. - Receive and review patients' charts and documents for verification and accuracy. - Follow up and clarifying any information that is not clear to other staff members. - Collect information made by the Physician from different sources to prepare monthly reports. - Implement strategic procedures and choosing strategies and evaluation methods that provide correct results. - Examine any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence. Medical Coder Qualifications: - A strong understanding of physiology, medical terms and anatomy. - Knowledge of federal,...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Seeking Inpatient Facility Coders SUMMARY: Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for services. ESSENTIAL FUNCTIONS: Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. For outpatient, must be able to code a minimum of four of the following independently: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts. Follows departmental and current official coding guidelines to ensure consistent...

Medical Coder, Tucson, AZ We are currently looking for a Medical Coder. This position is 100% Onsite and NOT Remote. Medical Coder Responsibilities: Make sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Comply with medical coding guidelines and policies. Receive and review patients' charts and documents for verification and accuracy. Follow up and clarifying any information that is not clear to other staff members. Collect information made by the Physician from different sources to prepare monthly reports. Implement strategic procedures and choosing strategies and evaluation methods that provide correct results. Examine any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence. Medical Coder Qualifications: A strong understanding of physiology, medical terms and anatomy. Knowledge of federal, state,...

Summary This position is under the HIM Department of the Phoenix Indian Medical Center in Phoenix, Arizona. The incumbent serves as the Lead Medical Records Technician (Coder) performing a full range of coding, assigning ICD-10-CM, CPT/HCPCS codes; abstracting records; chart analysis; peer review. Incumbent will report directly to the Supervisory Health System Specialist (Coding Supervisor). A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021). Responsibilities Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Medical Records Technician Total Compensation | Pay (ihs.gov) Distributes and balances the workload among employees in accordance with established work flow or job specialization, assures timely accomplishment of the assigned workload, and assures that each employee has enough work to keep busy. Assigns the appropriate ICD-10 codes for all diagnoses and surgical procedures as required and...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service,...

White Mountain Regional Medical Center is seeking a Coder to be responsible for converting diagnoses and treatment procedures into codes using ICD-10-CM principles. This full-time position supports a patient-centered culture and requires collaboration with the healthcare team. The ideal candidate must have 2 years of clerical and coding experience in a hospital, a high school diploma, and relevant certifications like CCA or CCS. Successful completion of certification is expected within ninety days of hire. #J-18808-Ljbffr

The CORE Institute in Phoenix, Arizona, is seeking a skilled Medical Coder to ensure accurate coding based on patient records. Candidates should have a High School Diploma, AAPC/AHIMA certification, and 2-3 years of coding experience. This role involves reviewing documentation, assigning medical codes, and collaborating with healthcare professionals to maintain accuracy and compliance. Attention to detail and effective communication skills are vital for success in this position. #J-18808-Ljbffr

Job Overview The Coder position is a staff position responsible for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Through collaboration with all members of the health‑care team, it supports a patient‑centered culture and gains knowledge and skills to further the practice of the quality of patient services provided at WMRMC. Under the direction of the Revenue Cycle Director, the coder may be required to exercise independent judgment in applying knowledge required to facilitate the processes of health information management. Responsibilities Encode diagnoses and procedures using ICD‑10‑CM, collaborate with health‑care team members, apply independent judgment in coding processes, and ensure accuracy and compliance with coding standards. Education High School Diploma or Equivalent. Required Experience 2 years clerical experience in a healthcare environment 2 years coding experience in a hospital environment Basic...

TTF Search and Staffing is recruiting an onsite Outpatient Coder for a well‑respected healthcare organization in Central Phoenix. This is a full‑time, Monday‑Friday position offering a competitive salary range with the possibility of working remotely after training. Qualified candidates will have 3+ years’ experience coding in an outpatient setting. Candidates must also have a CPC or CCS certification from AAPC. TTF is an equal opportunity employer. #J-18808-Ljbffr

Surgery HIM CoderWe are seeking a highly detail-oriented and experienced Surgery HIM Coder to join our Health Information Management team. This position is responsible for reviewing, analyzing, and accurately assigning ICD-10-CM, CPT, and HCPCS codes for surgical procedures based on clinical documentation in the patient medical record. The Surgery Coder ensures coding compliance with federal regulations and internal policies to optimize reimbursement and ensure data integrity.This is a remote position with a 4 day on-site work rotation, every 6-7 weeks.Essential Job DutiesReview operative reports, physician documentation, and other clinical records to assign accurate and complete ICD-10-CM, CPT, and HCPCS codes.Abstract relevant information from medical records into the health information system.Ensure compliance with all coding guidelines (AAPC, AHIMA, CMS, and payer-specific).Query physicians when documentation is unclear, conflicting, or incomplete.Meet productivity and accuracy...

Primary City/State: Virtual - Arizona Category: Health Information Shift: Day Department: Coding Outpatient Coder I Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area. Job Summary Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes through review of inpatient or outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance. Essential Functions Inpatient: * Assigns and sequences ICD-10-CM and ICD-10-PCS diagnostic and procedural codes for inpatient accounts within...

Midwestern University in Glendale, AZ seeks a Certified Coding Specialist to ensure compliant coding across MWU clinics and to educate staff on documentation, coding, and billing practices. The role requires CPC certification, 3–5 years in medical coding, and strong knowledge of ICD-10, CPT, HCPCS, and payer guidelines. Collaboration with the Patient Accounts team is essential for maintaining revenue and regulatory compliance. #J-18808-Ljbffr