118 certified professional coder jobs found

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. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews 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. Activities include: Conduct a...

Certified Professional Coder (CPC)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.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews 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.Activities...

Job Summary :Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, other regulatory agencies, third party payers and Kaiser Permanente policy.Function includes, but is not limited to working charge review work queues, other forms of charge submissions and querying providers to ensure the completeness and accuracy of coding of internal services performed.Essential Responsibilities :Responsible for reviewing primarily medical and ancillary type workques charge sessions within KP Health connect and applying coding principles for correct coding.Research, code, and / or data enter encounters that are supported by KPHC with the Charge capture tool.Review all other charge sessions submitted via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied.Query providers for clarification of incomplete or...

Job Summary :Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, other regulatory agencies, third party payers and Kaiser Permanente policy.Function includes, but is not limited to working charge review work queues, other forms of charge submissions and querying providers to ensure the completeness and accuracy of coding of internal services performed.Essential Responsibilities :Responsible for reviewing primarily medical and ancillary type workques charge sessions within KP Health connect and applying coding principles for correct coding.Research, code, and / or data enter encounters that are supported by KPHC with the Charge capture tool.Review all other charge sessions submitted via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied.Query providers for clarification of incomplete or...

Job DescriptionJob DescriptionPerforms functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents.Insures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned.EDUCATION and / or EXPERIENCEHigh school diploma or general education degree (GED) preferredCertified Professional Coder certification requiredLevel and years of experience based on departmental needsExtensive knowledge of CPT and ICD-10 codingKnowledge of government regulations as they relate to teaching physiciandocumentation and billing guidelinesUnderstanding of :the importance of compliance with all government, department, and contractual regulations regarding coding and billing; and provider requirementsTotal RewardsThe referenced base salary range represents the low and high end of University of Maryland's Faculty Physician's Inc.salary range for this position.Some...

Why work at TidalHealth? Looking for a rewarding place to work? Choose TidalHealth. U.S. News & World Report, a global authority in hospital rankings and consumer advice, has named TidalHealth Peninsula Regional and TidalHealth Nanticoke as 2022-2023 High Performing hospitals for 11 challenging and elective health conditions; the highest award a hospital can earn for U.S. News' Best Hospitals Procedures & Conditions ratings. Located just 30 minutes from the beach, TidalHealth offers the widest array of specialty and subspecialty services such as neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage of our tuition assistance and scholarship programs to grow both personally and professionally. Trauma Registrar/Coder Position Summary The Trauma Registrar/Coder ensures that complete and accurate data is collected and maintained for trauma services and all...

Johns Hopkins Medicine remotely supports a Revenue Integrity role focused on improving charge capture and ensuring billing compliance. Under the Director of Revenue Integrity, you will contribute to a multidisciplinary team advancing the full charging process from patient care to final bill generation. The Specialist II position requires experience with healthcare billing systems, knowledge of charge masters, and coding certification. #J-18808-Ljbffr

Medical Coder - InpatientPride-Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors. Fair Chance Employment Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions...

J29, Inc. is seeking a Medical Reviewer, RN Coder for a remote, temporary position (approximately 3–6 months). The role requires active RN license in the US and CPC/CCS or equivalent certification, with extensive experience in medical coding and Medicare FFS claims. You will perform automated and complex reviews, ensure CMS rule compliance, and document findings clearly while supporting QA and ongoing training. Remote work with healthcare systems is expected. #J-18808-Ljbffr

LifeBridge Health through Practice Dynamics, Inc. (PDI) seeks a Billing/Coding Clerk to ensure accurate and timely entry or review of charges, following coding protocols and correcting claims manager edits. The role supports EMR and billing workflows across LifeBridge Health facilities. The position requires a HS Diploma or GED and 1–3 years of related experience, with CCS/CCS-P/CPC/CPC-A certifications within one year of hire. #J-18808-Ljbffr

Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Collaborates with other...

Job Description Job Description Description: Join Our Team as a Medical Billing Specialist! Are you an experienced Medical Billing Specialist with a passion for accuracy and efficiency? Do you thrive in a fast-paced, dynamic environment where your contributions truly matter? If so, we want you on our team! We’re looking for a detail-oriented, dedicated professional to manage and streamline our medical billing process. This is a full-time, in-person opportunity with competitive pay, outstanding benefits, and a supportive work culture. Bring your expertise to our team, and let's make a difference in healthcare together! What You’ll Be Doing: As a Medical Billing Specialist, you will be the backbone of our billing operations, ensuring accuracy and efficiency in every step of the process. Your key responsibilities will include: Claims Superhero: Review, process, and submit medical claims to insurance companies—both electronically and on paper—with exceptional...

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

Full Time MED-Conforming Joint Base Andrews, MD, US Salary Range: $40.42 To $45.51 Hourly About Company: Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities. Guided by our core principles of excellence, integrity, andcollaboration , we are dedicated to delivering high-quality staffing solutions that strengthen the delivery of patient care nationwide. Rooted in a culture of Linked Prosperity , PPDG values the success of our clients, employees, and partners alike-offering competitive compensation, comprehensive benefits, professional growth, and a cooperative workplace built on trust, respect, and service. As a proud Department of Defense Partner Employer and participant in the Military Spouse EmploymentPartnership (MSEP) , PPDG remains committed to supporting our Nation's...

About Us At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we’re supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently demonstrates high accuracy and productivity. Description About Us At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex...

Physician Coding and Auditing SpecialistResponsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and training initiatives.This position plays a key role in physician documentation improvement, coding compliance, audit readiness, and provider education across the organization.Hybrid Work Expectations:To ensure collaboration, provider engagement, and training effectiveness, this position follows a hybrid work model with the following expectations:Onsite Expectations:Mandatory in-office presence at least 1 day per week (Wednesday).Additional in-office days may be required for:Training sessionsProvider meetingsDepartment meetingsSome...

About the Role: Responsible for accurate and timely entry or review and release of charges received. Assure accurate coding by following coding protocols for the department. Also responsible for correcting claims manager edits. Key Responsibilities: Verifies and updates patient demographic and insurance information for accuracy. Enters patient demographics if not registered and verifies patient account information. Keys or reviews and releases charges into the billing system within 48 hours of receipt. Verifies accuracy and completion of encounter form, reviews and corrects payor rejection claim edits. Resolution of all coding edits through Claims Manager to assure clean accurate claims are submitted timely. Requirements: Education : HS Diploma/GED preferred Experience : 1-3 years of related experience Certifications/Licensure : CCS, CCS-P, CPC or CPC-A required within one year of hire Pay Range: $19.10 to $28.65 Based On Experience Benefits: Medical, dental, and vision...

Medical Coder Venesco LLC is seeking a Medical Coder to perform clinical coding activities for adverse events, medical histories, procedures, and concomitant medications for FDA-regulated clinical trials, ensuring consistency, accuracy, and regulatory compliance. Duties and Responsibilities Code adverse events using MedDRA terminology. Code medications using WHO Drug Dictionary. Develop coding conventions and coding guidelines. Review CRFs and contribute to data review activities. Perform coding reconciliation activities. Generate coding reports and quality control reviews. Support database testing and validation activities. Conduct coding-related training for study personnel. Maintain coding documentation and audit trails. Support regulatory submissions and database lock activities. Minimum Qualifications Bachelor's degree in Health Sciences, Clinical Research, Nursing, Pharmacy, or related discipline. MedDRA Certified and WHO-Drug Certified....

Medical Records Coding Specialist This position codes and abstracts same day surgery medical records of all types following a complete review of the clinical documentation, abstracts and assigns appropriate ICD-10-CM and CPT code sets and assigns the correct codes into the hospital Information System. May also code other outpatient work types as assigned by the Coding Manager, including Observation, Emergency Department, Ancillary and Recurring Accounts. Required: High School Diploma or GED required. Completion of a Coding Certificate Program is required. At least one of the following: CCS (Certified Coding Specialist), CPC, RHIA or RHIT is required. In addition, 3 years hospital coding experience preferred which includes coding of outpatient Same Day Surgery records using both ICD-10-CM and CPT-4. Demonstration of skills through completion of a hospital administered advanced coding test with a satisfactory score. Caring for you as you care for the CommUNITY Frederick Health...

This position codes and abstracts same day surgery medical records of all types following a complete review of the clinical documentation, abstracts and assigns appropriate ICD-10-CM and CPT code sets and assigns the correct codes into the hospital Information System. May also code other outpatient work types as assigned by the Coding Manager, including Observation, Emergency Department, Ancillary and Recurring Accounts. Required: High School Diploma or GED required. Completion of a Coding Certificate Program is required. At least one of the following: CCS (Certified Coding Specialist),CPC, RHIA or RHIT is required. In addition, 3 years hospital coding experience preferred which includes coding of outpatient Same Day Surgery records using both ICD-10-CM and CPT-4. Demonstration of skills through completion of a hospital administered advanced coding test with a satisfactory score. Caring for you as you care for the CommUNITY Health, Dental and Vision insurance are offered the 1st...

University of Maryland Medical System seeks an experienced inpatient coder to accurately code hospital accounts for reimbursement, research and compliance. You will analyze complex trauma and rehab cases, collaborate with CDI and senior coders, and ensure timely, compliant coding across departments. Qualifications include a minimum of three years ICD-10-CM/ICD-10-PCS coding, abtracting experience at a Level 1 Trauma/ Rehab hospital, and one of CCS/RHIT/RHIA/CIC credentials. #J-18808-Ljbffr

Senior Managing Director Ankura is a team of excellence founded on innovation and growth. Ankura's Health Care team is a recognized leader in health care and life sciences disputes, compliance, and investigations. The team combines clinical, technical, operational, financial, economic, and analytic expertise to help clients and counsel resolve complex matters involving payers, providers, pharmacies, and law firms. The Senior Managing Director will be an executive-level, self-sustaining rainmaker who originates, sells, leads, and testifies in complex healthcare commercial disputes. The role requires a credible marketplace presence with health plans, law firms, and healthcare-focused private equity or strategic stakeholders. Responsibilities: Proven, tangible business development record with the ability to produce at least $3M in revenue and a target opportunity to generate $3M to $5M+ annually Manage and deliver results for a portfolio of projects, which typically includes eight or...

LifeBridge Health, in partnership with Practice Dynamics, Inc. (PDI), is seeking a Medical Billing Clerk to support accurate patient demographics and insurance data, ensuring clean claims for timely submission. The role enters and verifies patient information, processes charges within 48 hours, and reviews payor edits. The ideal candidate has 1–3 years’ related experience and a CCS/CPC certification within a year of hire. #J-18808-Ljbffr

Medical Coding Auditor Hybrid (1 - 2 days in office per week) Baltimore, MD 21201 Compensation $66k-$92k Direct Placement Description Responsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and training initiatives. This position plays a key role in physician documentation improvement, coding compliance, audit readiness, and provider education across the organization. Core Responsibilities Conduct independent physician coding and auditing reviews to assess the adequacy of medical record documentation supporting codes selected by providers and/or coders. Perform detailed physician coding compliance audits to ensure adherence...