154 certified professional coder jobs found

Certified Professional Coder/ PIP Adjuster Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients' needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers' compensation insurance carriers; third party administrators (TPAs); and government entities we serve. Exciting opportunity with the possibility for growth! This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the team and as the department grows, there may be opportunities for future advancement into leadership roles individuals who demonstrate mastery of the...

Certified Professional Coder (CPC) Lead/Provider Liaison A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. This is Contract position with my direct client Job Description Direct Client Need- Immediate Interviews- We have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJ Duration: Contract to Hire Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational...

Certified Professional Coder (CPC) Lead/Provider LiaisonA Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.This is Contract position with my direct clientJob DescriptionDirect Client Need- Immediate Interviews- We have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJDuration: Contract to HireJob Summary:The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for...

Certified Professional Coder Job Location: Hopewell, NJ Job Duration: 6 Months (possibility of extension) Payrate: $35 - $38/ hr. on w2 Job Summary: This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends. The role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. The position also provides education and guidance on ICD-10-CM coding, DRG assignment, payment methodologies, and auditing practices. Key Responsibilities: Lead hospital billing and coding audits, both on-site and remote Identify and present billing discrepancies and coordinate improper claim payment referrals Analyze trends related to documentation, billing errors, and provider contract interpretation issues Compile audit reports,...

Urgent Requirement - Certified Professional Coder Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right...

Acentus is excited to announce an opening for the position of Certified Professional Coder Apprentice (CPC-A) on our team! In this role, you will play a crucial part in ensuring our professional medical billing and coding processes run smoothly, making a significant impact on our ability to help provide exceptional care to patients. We are looking for a friendly and organized individual who is passionate about medical billing and coding and eager to contribute to a supportive environment. The CPC-A position offers entry-level medical coding professionals real-world coding experience through participation in the Acentus structured coding training program. This program provides hands-on experience to help satisfy AAPC requirements for removing the apprenticeship designation from your CPC-A credential. Please note that this is not a fully remote position and does require employees to physically report to our office in Mt. Laurel, NJ. A semi-remote schedule is available after...

Certified Professional Coder (CPC) Lead/Provider Liaison A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. This is Contract position with my direct client Job Description Direct Client Need- Immediate Interviews- We have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJ Duration: Contract to Hire Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational...

Job Description Job Description Acentus is excited to announce an opening for the position of Certified Professional Coder Apprentice (CPC-A) on our team! In this role, you will play a crucial part in ensuring our professional medical billing and coding processes run smoothly, making a significant impact on our ability to help provide exceptional care to patients. We are looking for a friendly and organized individual who is passionate about medical billing and coding and eager to contribute to a supportive environment. The CPC-A position offers entry-level medical coding professionals real-world coding experience through participation in the Acentus structured coding training program. This program provides hands-on experience to help satisfy AAPC requirements for removing the apprenticeship designation from your CPC-A credential. Please note that this is not a fully remote position and does require employees to physically report to our office in Mt. Laurel, NJ. A semi-remote...

Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: 5 years of experience into Project Management At least 2 years of experience after CPC or CCS certification Bachelor's degree is a must Certifications AAPC Certified Professional Coder (CPC) or...

Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS)A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.Job DescriptionOne of our direct client is looking for potential candidate with the below mentioned skillsDirect Client: Immediate InterviewContract to HirePosition: Provider LiaisonMUST HAVE:5 years of experience into Project ManagementAt least 2 years of experience after CPC or CCS certificationBachelor's degree is a mustCertificationsAAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist...

Certified Professional Coder (CPC) Lead/Provider LiaisonIntegrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.This is a contract position with my direct client.Job DescriptionDirect client need- immediate interviews- we have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJ. Duration: Contract to hire.Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for Network Management...

Certified Professional CoderJob Location: Hopewell, NJJob Duration: 6 Months (possibility of extension)Payrate: $35 - $38/ hr. on w2Job Summary: This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends. The role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. The position also provides education and guidance on ICD-10-CM coding, DRG assignment, payment methodologies, and auditing practices.Key Responsibilities:Lead hospital billing and coding audits, both on-site and remoteIdentify and present billing discrepancies and coordinate improper claim payment referralsAnalyze trends related to documentation, billing errors, and provider contract interpretation issuesCompile audit reports, statistics, and...

Certified Professional Coder/ PIP AdjusterMedlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients' needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers' compensation insurance carriers; third party administrators (TPAs); and government entities we serve.Exciting opportunity with the possibility for growth!This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the team and as the department grows, there may be opportunities for future advancement into leadership roles individuals who demonstrate mastery of the...

Job TitleRemote... need NY/NJ PIP experience and Certified coder from AAPCResponsibilities:Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insuredsInterpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codesAssign proper CPT, HCPCs codes based on the review outcomeReview CPT codes for unbundled servicesReview billed modifiers for accuracy of useCrosswalk CPT codes per regulatory requirements to ensure correct reimbursementInterpret fee schedule guidelines and apply those guidelines in daily reviewsDocument review outcomes for customers in a professional easy to understand mannerUse various resources, IE: eBooks, 3M software to support reviewsParticipate in conference calls as needed with customers and/or attorneysParticipate in virtual and in-person testimony or trial when neededAssist with various special projects and other duties as assignedQualifications and Experience:3-5 years...

Urgent Requirement - Certified Professional Coder Full-time Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We’ve stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right...

Urgent Requirement - Certified Professional CoderIntegrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We...

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Coder III is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into...

Capital Health is a regional leader in progressive, quality patient care, providing services through two hospitals, an outpatient center, satellite ED, and an extensive primary and specialty care network. The Medical Group employs over 600 physicians and other providers who deliver primary, specialty, and hospital‑based care to patients throughout the region. Pay Range: $25.49 - $33.16 per hour (full‑time equivalent 1.0 FTE). Scheduled Weekly Hours: 40 hours. Position Overview This is a full‑time, remote physician coding position open to candidates residing in New Jersey, Pennsylvania, or Alabama. The role requires accurate assignment of CPT, HCPCS, and ICD‑10‑CM codes for professional claims from Capital Health Medical Group for both hospital and outpatient procedures. Essential Functions Review procedure documentation to assign accurate CPT‑4 procedure codes and appropriate modifiers for OR and procedure room cases. Validate provider‑selected ICD‑10‑CM diagnosis codes....

Medical Coding Team LeadThe Medical Coding Team Lead supports the day-to-day operations of the Medical Coding Department by serving as a resource to coding staff and partnering closely with Coding Managers to ensure operational efficiency, coding quality, productivity, and compliance. This position provides technical guidance, assists with workflow coordination, monitors work queues and performance metrics, resolves routine operational issues, and supports training and quality initiatives. The Team Lead serves as a liaison between coding staff and management, helping to maintain consistent operations while promoting a collaborative and high-performing work environment.Essential Duties and Responsibilities:Provide day-to-day operational support to Coding Managers without assuming direct supervisory responsibility; to include workflow coordination in alignment with operational priorities.Monitor coding work queues, assign or redistribute workloads as directed, and escalate issues...

Revu Healthcare is building a talent pool of experienced Inpatient Coding Associates for project-based work as a 1099 independent contractor. Coders are added to a roster and contacted as matching project work becomes available. There is no guaranteed weekly hours, and on-call availability is required when active on a project. This role suits professionals with strong inpatient coding experience who prefer flexible, project-based engagements and are comfortable with standby periods between #J-18808-Ljbffr

Princeton Surgical Associates seeks a skilled Medical Coder to join our billing and coding team. You will review clinical documentation and assign ICD-10, CPT, and HCPCS codes for diagnoses and procedures, ensuring accuracy and payer compliance. The ideal candidate has hands-on in-office medical billing experience in a physician practice, with 1-2 years in coding and CPT/ICD-10/HCPCS knowledge. Surgical coding experience is preferred. EMR familiarity (Epic, Athena, NextGen) is a plus. #J-18808-Ljbffr

Hackensack Meridian Health is seeking an Outpatient Coder I to accurately abstract data per ICD-10-CM, CPT and HCPCS guidelines across the network. You will enter required patient information into the EMR and query physicians when documentation is missing or unclear. The role requires at least 1 year of coding for professional services, solid anatomy knowledge, and strong communication skills to coordinate with clinicians and ensure coding accuracy and timely reimbursements. #J-18808-Ljbffr

Coding Specialist In accordance with established coding principals and guidelines assigns appropriate diagnosis and procedure codes to all applicable records - (concurrently/discharge) on patient units. Collaborates with coding supervisor for managing workflow and distribution of discharged records to non-senior coding staff. Responds to inquiries from fellow coders, regarding coding questions or concerns. Collaborates with clinical documentation nursing specialists to ensure quality documentation practices. Assists physicians, hospital personnel and others as needed with coding and billing inquiries. Reports discharged not final billed (DNFB) problems to coding supervisor.

Overview Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Outpatient Coder I is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient...