133 certified coding specialist jobs found

Coding Operations Specialist II Behind every award is a story, and ours is written every day by more than 900 dedicated employees and hundreds of compassionate volunteers who walk alongside patients and families when they need us most. At Community Hospice & Palliative Care, we're honored to be recognized with the Hospice Honors Elite award, a testament not just to our clinical excellence, but to the compassion we bring to every bedside, every home, every conversation. Every day, we serve approximately 1,500 patients living with advanced illness, wherever they call home, be it a private residence, a long-term care or assisted living facility, a hospital, or in one of our nine inpatient care centers. We're here to improve quality of life, to ease pain and lift burdens, and to be the Compassionate Guide that families need when time matters most. And most importantly, as the only non-profit hospice provider in the region, we never turn anyone away due to an inability to pay....

CenterWell Senior Primary Care is seeking a Medical Coding Coordinator 1 to extract clinical data from medical records and assign CPT, HCPCS, and ICD codes. This role includes DRG verification and routine database tasks, with responsibilities performed under close supervision and within established guidelines. The position is not remote and requires high school completion plus CPC/CCS/CRC credentials and at least two years of coding experience. #J-18808-Ljbffr

Coder I - ProFeeAbstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments and HCC codes.Professional Fee: Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary Records.Educational RequirementsHigh School Diploma or Equivalent RequiredExperience Requirements1 Year Outpatient Coding PreferredAdditional Requirements1 Year of Outpatient (Acute Care Hospital or Physician) Coding or completion of coding courseCertifications/Registration RequirementsCPC (Certified Professional Coder) Required or COC...

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...

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Certified Coder with HCA FL Endocrine Institute you can be a part of an organization that is devoted to giving back! ****This is an on site position in the Tampa Bay Area Hours 8:00 AM- 4PM **** Job Summary and Qualifications What you will do in this role: Receives and reviews charge documents from the clinic and/or hospital. Ensures charge information provided is correct and accurate. Abstracts CPT-4, HCPCS II and ICD-9-CM from medical records Keeps supervisor apprised of matters regarding charge entry. Charge entry into billing system in a timely manner. Works in conjunction with A/R team on follow up and resolution of coding related denials and rejections Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-9/ICDD-10 materials, the Federal...

Coding SpecialistLocation: Miramar, FloridaAt Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.SummaryReviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance.ResponsibilitiesEnhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and...

Coding Auditor The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and responds...

Job Description Location Requirement: Candidates must reside in Florida, Alabama, or Georgia. If offered the position, they will be required to come onsite in Pensacola, FL for orientation. The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the tests were performed and meets all state, federal, local, and payer guidance. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation. Maintains knowledge of coding and diagnostic procedures, staying current with federal legislative changes that affect outcomes. Communicates questions or concerns to the Coding Manager, HIM Services Director, or BHC’s Revenue Integrity...

Job Description The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment. Informs manager of any activities which do not meet federal or state coding and billing requirements. Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and responds...

Job DescriptionThe Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This position does not have excessive re-bills.ResponsibilitiesReviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation is there to support codes/ER charges assigned. Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that affect...

At the University of Florida, we are a people of purpose. We're committed to challenging convention and ourselves. We see things not as they are, but as they could be. And we strive for a greater impact: one measured in people helped... Classification Minimum Requirements: High school diploma or equivalent and five years of experience in professional medical coding, with experience in two or three clinical specialties. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Certified Professional Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required. Job Description: The Department of Surgery is seeking a full-time Clinical Coder III position to assure that all clinical evaluation and management procedure services are captured, coded, and billed accurately and timely. Candidates are required to be certified by one of the following institutions: Certified...

A major healthcare provider is seeking a Medical Records Outpatient Coder III to work remotely on a full-time basis. This role requires strong experience in ICD-10-CM and CPT-4 coding, as well as mentoring responsibilities for junior coders. The ideal candidate will have at least 5 years of outpatient coding experience and must hold a Certified Coding Specialist (CCS) certification. Excellent benefits including health, dental, and tuition reimbursement are offered. #J-18808-Ljbffr

Medical Coder Certified Medical Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings. Works from the appropriate documentation in the medical record. Classification systems include ICD-10, CPT, HCPCS, as well as other specialty systems as required by diagnostic category. This position plays a critical role in ensuring compliance with established coding guidelines and regulations to guarantee proper reimbursement. Qualifications Required: High School Diploma or GED Certification Certified Professional Coder - CPC Certified Coding Specialist Physician - CCS-P Work Experience and Additional Information Minimum of two (2) years in practical coding experience is required. Coders are held to high standards; best practice is to achieve a greater than 95% accuracy rate during coding assessments. Primary Location Tampa Work Locations USF Faculty Office Building 13220 USF Laurel...

Medical Coder Educator Serves as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Analyze and report review findings indicating documentation gaps reimbursement and data internation, inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an internal coding expert resource. Qualifications Required: High School Diploma or GED...

Overview Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families...

Medical Records Coder III Outpatient (REMOTE) - 164139 Clearwater:BayCare Sys Office West | Business and Administrative | Full Time Description BayCare is seeking an experienced Specialty Coder III to perform advanced outpatient coding for short-stay encounters. In this role, you will review medical records and accurately assign diagnosis and procedure codes using ICD-10-CM and CPT-4 coding systems. You will serve as a coding subject matter expert, collaborating with clinical and operational teams to resolve documentation questions, improve coding accuracy, and support revenue cycle integrity. This position also plays an important mentoring role by assisting with the training and development of Coder I and Coder II team members, as well as clinical practice students. The ideal candidate has extensive outpatient coding experience, strong analytical skills, and a thorough understanding of medical terminology, anatomy, and coding guidelines. Location: BayCare System Office West...

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 integrity? If so, we cannot wait to meet you. About The Position Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical...

Physician Coding Education SpecialistPerforms, develops, and implements coding related efficiency processes to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Education Specialist is responsible for analyzing physician coding trends and providing educations that will contribute to effective productivities.Responsibilities Essential Functions:Responsible for internal auditing and analyzing professional coding for all service lines.Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting.Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices.Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of...

Sage Clinical RCM, LLC is seeking a Professional Fee Coder to ensure accurate coding for physician services across various specialties. This role involves reviewing provider documentation and adhering to coding guidelines to maintain high standards of compliance and accuracy. The ideal candidate will have experience in coding and a relevant certification, demonstrating knowledge of CPT, HCPCS, and ICD-10-CM. This position offers a fully remote work environment with the opportunity for career advancement. #J-18808-Ljbffr

Job Description The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This positon does not have excessive re-bills. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation is there to support codes/ER charges assigned. Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes...

Physician Coding Roles This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your...

Job Description The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and...

Job Description Location Requirement: Candidates must reside in Florida, Alabama, or Georgia. If offered the position, they will be required to come onsite in Pensacola, FL for orientation. The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the tests were performed and meets all state, federal, local, and payer guidance. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation. Maintains knowledge of coding and diagnostic procedures, staying current with federal legislative changes that affect outcomes. Communicates questions or concerns to the Coding Manager, HIM Services Director, or BHC’s Revenue Integrity...

University of Florida is seeking a full-time Clinical Coder III to ensure accurate coding and timely billing for all procedures. Remote work is offered with potential on-site training based on experience. Certification in CPC or CCS-P is required, with five years of professional medical coding experience in multiple specialties. Responsibilities include coding non-operative and operative procedures, verifying data, and reviewing reports to ensure correct charge submission. #J-18808-Ljbffr