46 certified professional coder jobs found

Job Summary We are seeking a confident and detailoriented *Medical Biller / Coder* to manage the full billing and claims lifecycle. This role is responsible for charge entry, insurance billing, payment posting, denial management, and direct patient communication regarding balances. The ideal candidate is reliable, honest, and experienced navigating EMR systems-specifically *NextGen or Nextech*-and is comfortable advocating with insurance companies to resolve denials. Key Responsibilities * Perform *medical billing and coding basics*, including accurate charge entry * Prepare, submit, and track *insurance claims* for medical procedures and services * Manage *insurance payment processing*, posting payments and adjustments accurately * Communicate with patients regarding *outstanding balances* and collect payments * *Investigate and appeal claim denials*, confidently working with insurance companies to secure proper reimbursement * Enter charges and bills into the EMR system...

Job Overview Are you an expert Coding Specialist looking to join an outstanding organization? We at M Health Fairview are looking for a Coder 2 to join our Hospital Based ED coding team! This is a fully remote position approved for a 1.0 FTE (80 hours per pay period) on the day shift. The Coder 2 analyzes clinical documentation; assigns appropriate diagnosis, procedure, and levels of service codes; abstracts the codes and other clinical data. Performs a variety of technical functions in the outpatient coding area, codes outpatient visits, sent-in labs, consolidated funding accounts, utilizing ICD-10‑CM, CPT‑4, and HCPCs coding classification systems. Utilizes electronic coding software to code to the highest level of specificity, ensuring optimal and appropriate reimbursement for services provided. Responsibility includes resolving medical necessity edits and extracting and entering data into the medical record. This information is then used to determine reimbursement levels,...

Job Summary We are seeking a confident and detail-oriented Medical Biller / Coder to manage the full billing and claims lifecycle. This role is responsible for charge entry, insurance billing, payment posting, denial management, and direct patient communication regarding balances. The ideal candidate is reliable, honest, and experienced navigating EMR systems-specifically NextGen or Nextech-and is comfortable advocating with insurance companies to resolve denials. Key Responsibilities Perform medical billing and coding basics, including accurate charge entry Prepare, submit, and track insurance claims for medical procedures and services Manage insurance payment processing, posting payments and adjustments accurately Communicate with patients regarding outstanding balances and collect payments Investigate and appeal claim denials, confidently working with insurance companies to secure proper reimbursement Enter charges and bills into the EMR...

Job Overview Fairview is looking for a sharp, detail-driven Coder 2 to join our fully remote team and turn complex outpatient documentation into accurate, high-quality coding that truly makes a difference. In this role, you'll apply your expertise in ICD-10-CM, CPT-4, and HCPCS to code visits, labs, and consolidated funding accounts with precision, resolve medical necessity edits and documentation discrepancies, and collaborate with providers to strengthen documentation and charge capture. Your work will directly support compliance, quality reporting, and appropriate reimbursementensuring the story of patient care is told clearly and correctly. This is a full-time (1.0 FTE, 80 hours per pay period) day shift position and working one Saturday per month, offering meaningful impact, strong work-life balance, and the flexibility of working from home. Responsibilities Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards....

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. The Medical Coder performs concurrent review of FFS coding rules within Epic, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. Schedule : Monday to Friday, 8 AM- 5 PM Location : Remote Nationwide You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary...

Caring. Connecting. Growing Together. Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start your life's best work. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for...

Senior Inpatient Facility Certified Medical Coder $5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high-quality health services. As a Senior Inpatient Facility Certified Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Caring. Connecting. Growing Together. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of ICD-10 Codes, CPT and modifiers for facility services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Expert knowledge in all facility outpatient coding types: Ancillary, Emergency, Same Day Surgery, and Observation Abstract additional data elements during the chart review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and/or AHIMA Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum Query physicians when appropriate Maintain...

Senior Medical Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity....

Caring. Connecting. Growing Together. Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start your life's best work. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignments of CPT, ICD-10 Codes and modifiers for...

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. If you're looking for a better place to use your passion,...

Requisition number: 2308943 Job category: Medical & Clinical Operations $5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key...

SDS/Observations Medical Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The SDS/Observations Medical Coder position is full-time (40 hours/week) Monday to Friday. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Ambulatory Observation services while adhering to the official...

Inpatient Coding Specialist Find your purpose as an Inpatient Coding Specialist at CentraCare. This position is responsible for analyzing and auditing documentation to ensure it meets requirements for assignment of codes from the appropriate classification system. Professional will work closely with provider and clinical documentation integrity staff to consistently and accurately translate medical record documentation and educate as necessary. Assists with performing quality audits, denial management, data collection, monitoring, and reporting documentation patterns and trends. This role will help guarantee that CentraCare is reimbursed for the services provided. Safeguards patient privacy and confidentiality. Schedule: Full-time 80 hours every 2 weeks Mon-Fri Days Fully Remote Pay and Benefits: Starting pay is 25.20 per hour. Exact wage determined by years of related experience. Pay range: 25.20-37.81 per hour. Full time benefits: medical, dental, PTO, retirement, employee...

Risk Adjustment PB Coder Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. The Risk Adjustment PB Coder reviews, analyzes, validates and assigns codes from Mayo Clinic's patient medical record for physician services in the outpatient or inpatient setting to include, but not limited to medical diagnosis, diagnostic, procedural services and E/M visits level coding information for various practices. A Risk Adjustment Coder is responsible for reviewing physician and other provider's medical record notes and visit documentation to select or validate appropriate...

A leading healthcare organization is seeking a Risk Adjustment PB Coder for a fully remote position. The role involves reviewing and coding medical records for diagnosis and procedure services, requiring an Associate's Degree and relevant coding experience. Candidates must have coding credentials such as RHIA, RHIT, CCS, or CPC. This position supports risk adjustment methodologies that impact healthcare billing. Competitive compensation between $30.86 and $41.66 per hour based on experience. Full-time hours are Monday to Friday, 8:00 a.m. to 5:00 p.m. #J-18808-Ljbffr

A leading healthcare organization is seeking a full-time coding professional to work remotely. This position involves coding assignments for various surgery specialties, including General Surgery and Cardiovascular. The ideal candidate must have a High School Diploma and professional coder certification, along with over 3 years of outpatient coding experience. You will have the flexibility to work from anywhere within the U.S. while ensuring coding quality and adherence to guidelines. Competitive hourly pay ranging from $20.00 to $35.72 is offered. #J-18808-Ljbffr

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. ***** FT and PRN Openings *** Up to $5,000 Sign On Bonus ***** What We're Looking For We're looking for experienced and credentialed inpatient 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...

A healthcare organization based in Eden Prairie, MN, seeks a professional coder for a full-time role emphasizing remote work. Responsibilities include the assignment of CPT and ICD-10 codes and utilization of coding guidelines. Candidates should possess a high school diploma or higher, with professional coding certification and over three years of relevant coding experience. The hourly pay ranges from $20.00 to $35.72 and offers a comprehensive benefits package. #J-18808-Ljbffr

A healthcare organization is seeking a Senior Inpatient Facility Certified Medical Coder to work remotely from anywhere in the U.S. Responsibilities include coding inpatient services, maintaining coding quality standards, and providing documentation feedback. This position requires at least 3 years of coding experience and relevant certifications. Offers a comprehensive benefits package, including competitive pay ranging from $23.41 to $41.83 per hour depending on experience and qualifications. #J-18808-Ljbffr

A healthcare data solution provider is seeking experienced inpatient coders to join their remote team. The ideal candidate will have over three years of inpatient coding experience and possess strong knowledge of medical terminology. Responsibilities include coding diagnosis and procedures, overseeing coders' work, and ensuring coding accuracy. The role offers flexibility and a supportive work environment focused on transformative healthcare changes, with a competitive pay range of $32–$42 per hour. #J-18808-Ljbffr

A global healthcare organization is seeking a full-time SDS/Observations Medical Coder. This role offers flexibility to telecommute within the U.S. Responsibilities include assigning CPT and ICD-10 Codes for outpatient services, analyzing coding edits, and maintaining coding knowledge. Candidates must hold relevant medical coding credentials and have at least 2 years of coding experience. Join a workplace that values diversity and community impact while enjoying a supportive environment and competitive compensation. #J-18808-Ljbffr

Requisition number: 2309329 Job category: Medical & Clinical Operations Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify...

Requisition number: 2309328 Job category: Medical & Clinical Operations Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these...