82 certified professional coder jobs found

Certified Professional Coder (CPC), Independent Contractor Remote, North Carolina Who we are: Constellation Quality Health, formerly CCME, is a non‑profit health care quality organization and QIO‑like Entity certified by the Centers for Medicare & Medicaid Services (CMS) founded by physicians in 1983. Headquartered in North Carolina’s Research Triangle, we offer an array of quality improvement, clinical review, audit, technical, and consulting services and solutions to improve care delivery, system performance, and patient outcomes. What you’ll do: The Certified Professional Coder (CPC) is responsible for reviewing and comparing provider service documentation to billed claims in order to determine compliance with clinical policies, state and federal regulations. Perform reviews in a manner consistent with contract requirements for timeliness and accuracy. Our requirements for this role: Associate or bachelor’s degree required in a human services field or five (5) years of...

Contract Assignment Healthcare System (Epic Ehr) This is a remote position. We're seeking a Certified Professional Coder (CPC) with hands-on front-end Epic operational experience to support a health system's day-to-day coding workflows. This contractor will perform professional coding activities directly within Epic's end-user workflows (e.g., encounter completion, charge entry, charge review workqueues) to ensure accurate, timely, and compliant coding and charge capture. Responsibilities: Review clinical documentation and assign CPT/HCPCS, ICD-10-CM codes within Epic at the point of coding (front end), ensuring compliance with payer guidelines and health system policies. Work in Epic workqueues (e.g., Charge Review, Claim Edit, Coding WQs) to resolve edits, denials, and holds; clear daily queues to meet turnaround goals. Validate medical necessity and modifier usage; correct charge router/charge session issues before billing. Collaborate with revenue cycle, clinic...

CPC - Certified Professional Coder (medical billing) Tutor 1 week ago Be among the first 25 applicants This range is provided by Varsity Tutors, a Nerdy Company. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range: $25.00/hr - $40.00/hr The Varsity Tutors Live Learning Platform has thousands of students looking for online CPC tutors nationally. As a tutor on the Varsity Tutors Platform, you’ll have the flexibility to set your own schedule, earn competitive rates, and make a real impact on students’ learning journeys—all from the comfort of your home. Why Join Our Platform? Earn incrementally higher pay for each session with the same student—reaching up to $40/hour. Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions you conduct and invoice. Set your own hours and tutor as much as you’d like. Tutor remotely using our purpose-built Live Learning Platform—no commuting...

CPC - Certified Professional Coder (Medical Billing) Tutor Join to apply for the CPC – Certified Professional Coder (Medical Billing) Tutor role at Varsity Tutors, a Nerdy Company. Base pay range: $25.00/hr - $40.00/hr. Your actual pay will be based on your skills and experience – talk with your recruiter to learn more. The Varsity Tutors Live Learning Platform offers thousands of students seeking online CPC tutors nationwide. As a tutor on the platform, you’ll have the flexibility to set your own schedule, earn competitive rates, and make a real impact on students’ learning journeys—all from the comfort of your home. Why Join Our Platform? Earn incrementally higher pay for each session with the same student—reaching up to $40/hour. Get paid up to twice per week, ensuring fast and reliable compensation for the sessions you conduct and invoice. Set your own hours and tutor as much as you’d like. Tutor remotely using our purpose-built Live Learning Platform—no commuting...

CPC - Certified Professional Coder (medical billing) Tutor Join to apply for the CPC - Certified Professional Coder (medical billing) Tutor role at Varsity Tutors, a Nerdy Company. Base pay range $25.00/hr - $40.00/hr The Varsity Tutors Live Learning Platform has thousands of students looking for online CPC tutors nationally. As a tutor on the Varsity Tutors Platform, you’ll have the flexibility to set your own schedule, earn competitive rates, and make a real impact on students’ learning journeys—all from the comfort of your home. Why Join Our Platform? Earn incrementally higher pay for each session with the same student—reaching up to $40/hour. Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions you conduct and invoice. Set your own hours and tutor as much as you’d like. Tutor remotely using our purpose-built Live Learning Platform—no commuting required. Get matched with students best-suited to your teaching style and...

A non-profit health care quality organization is seeking a Certified Professional Coder (CPC) as an Independent Contractor. This remote role involves reviewing compliance of provider documentation against billed claims. Candidates should have a degree in human services or equivalent experience, as well as CPC certification with DRG coding experience. Strong communication skills and proficiency in Microsoft tools are required. The position offers a competitive salary and flexible work environment. #J-18808-Ljbffr

CPC - Certified Professional Coder (medical billing) Tutor Join to apply for the CPC - Certified Professional Coder (medical billing) Tutor role at Varsity Tutors, a Nerdy Company 6 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Varsity Tutors, a Nerdy Company provided pay range This range is provided by Varsity Tutors, a Nerdy Company. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $25.00/hr - $40.00/hr Why Join Our Platform Earn incrementally higher pay for each session with the same student—reaching up to $40/hour. Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions you conduct and invoice. Set your own hours and tutor as much as you’d like. Tutor remotely using our purpose-built Live Learning Platform—no commuting required. Get matched with students best-suited to your teaching style and...

Certified Professional Coder, Independent Contractor Join to apply for the Certified Professional Coder, Independent Contractor role at Constellation Quality Health Constellation Quality Health is a non‑profit health care quality consultancy headquartered in the North Carolina Research Triangle. We offer a range of quality improvement, clinical review, audit, technical and consulting services to improve care delivery, system performance and patient outcomes. What You’ll Do Perform coding reviews in a manner consistent with contract requirements for timeliness and accuracy. Review and compare provider service documentation to billed claims to determine compliance with clinical policies and state and federal regulations. Qualifications Associate or bachelor’s degree in a human services field or five (5) years of related experience may substitute for degree. Certified Professional Coder (CPC) certification with at least two (2) years’ experience in DRG coding in an inpatient...

Job Description Job Description Description: Full Time, Remote Exempt / Salary Organization High Country Community Health (HCCH) is a federally funded Community and Migrant Health Center with medical locations in Watauga, Avery, Burke, and Surry Counties. The mission of HCCH is to provide comprehensive and culturally sensitive primary health care services that may include dental, mental and substance abuse services to the medically under-served population of Watauga, Avery, Burke, and Surry Counties and the surrounding rural communities. Supervisory Relationship: Reports to: Deputy CFO Job Summary and Responsibilities Provides thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and patient complexity of care. Utilizes knowledge of official coding guidelines, HCC standards, Risk Adjustment Factor (RAF)...

HIM FIELD CODER (Full Time, North Carolina Based) Job Summary Provides LHRS facilities with accurate pre-authorization ICD coding and reports codes to facility designated staff within a turn-around time of 5-15 minutes, business days. Provides LHRS facilities with accurate ICD codes during facility HIM staff new hires, vacation, extended leaves or vacancy. Entering codes into facility EHR within a 24 business hours following resident admit. Completes LHM home health and hospice intake coding as assigned. Entering codes into EHR within 24 business hours following notification. Perform ICD code analysis, as requested and report findings to LHM Senior Director of Coding Reimbursement. Serve as an ICD coding resource, responding to staff questions concerning ICD coding in a timely manner. Works with other departments as needed to improve documentation quality and/or to improve the processes which are related to accurate ICD code assignment. Assist with training of staff on ICD...

Job Description Job Description Description: Performs the coding of outpatient and/or inpatient and ancillary medical records as well as various Health Information Management duties. Functions of the Position (not an exhaustive list): Review medical records classified as inpatient, observation, treatment room, Emergency Department and ancillary Assign appropriate diagnosis/procedure codes using the ICD-10 and CPT-4 classification systems. Assign codes using coding books or by using the 3M/code finder computer system Follow established coding guidelines when assigning diagnosis/procedure codes to records Request diagnosis/procedural information from physician when information is not available at the time of coding Utilize approved resources for coding purposes, i.e. CMS.gov website Requirements: Education: High School diploma or equivalent Knowledge of Medical Terminology, Anatomy and Physiology, CPT and/or ICD-10 PCS, and ICD10-CM coding systems RHIT,...

Medical Coder $3,000 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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.SM Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Medical Coder you will determine and record the correct medical codes for all treatments and health services. Ensuring proper records is just one way...

Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Revenue Integrity Coder is responsible for determining charges for outpatient departments of the hospital, inpatient, split bill and hybrid clinics. Also responsible for Pardee Urgent Care charges and coding. Works collaboratively with members of Patient Financial Services, Billing Office, clinical and other departments to ensure timely revenue capture. Responsibilities: • Maintains a thorough understanding of hospital outpatient and physician billing requirements. Maintains understanding of RVU’s (Relative Value Units) which are assigned to each HCPCS or CPT code. Maintains understanding of modifiers required for professional and hospital coding. Participates in continuing education opportunities to understand charging and coding changes and updates. • Interprets usage of HCPCS and CPT...

Are you an experienced Medical Coder seeking a career growth? Are you a Certified Auditor interested in a new work opportunity? If so, then we want to connect with you! MAHEC is now accepting candidates for Medical Auditor. This integral role supports MAHEC's mission of educating the next generation of healthcare professionals by completing internal quality assessment reviews on Care Provider coding and effectively builds relationships with MAHEC Care Providers to educate and foster complete, accurate, timely, and consistent coding. The Auditor/Provider Educator is responsible for documentation to ensure compliance with national coding guidelines and MAHEC policies. We welcome experienced Medical Coders interested in becoming a Certified Professional Medical Auditor, and MAHEC offers an employer-sponsored pathway to CPMA certification if hired for the position! This is a hybrid work opportunity, with roughly 50-60% onsite work to support in-person collaboration and...

Coder Lead The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday General Duties Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers....

Medical Records Coder II (Inpatient) PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke's reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance. *Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments. The...

Medical Records Coder II-Commitment Bonus At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. Duties and responsibilities of this level: Review medical record documentation and accurately assign codes for the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS, CPT-4, and HCPCS Level II. Sequenced diagnoses and procedures using coding guidelines. 80% of the time spent Maintain competency in ICD-10-CM, ICD-10-PCS, CPT-4, and HCPCS Level II, and...

Medical Coder Specialist At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. Occ Summary The Medical Coder Specialist will have frequent and daily interactions with internal and external clients, including but not limited to physicians and Non-physician Surgical Providers. Responsibilities include primary diagnosis and procedural coding for the designated major surgical specialty areas and other major...

REMOTE OUTPATIENT / Behavioral Health CODERS NEEDED!!! ---NATIONWIDE WORK FROM HOME Call David at 513-206-9881 and/or send resumes to: dlutz@acuitymri.com Responsible for assigning diagnosis codes and CPT codes for Office Visits, including consisting of and not limited to: epilepsy, neuro, psycho cancer, women’s wellness, transplant, and behavioral health. Responsible for reviewing all documentation in the patient record to identify all relevant diagnoses and procedures for coding accuracy. Codes diagnoses and procedures utilizing the 3M360 encoding system and has knowledge in EPIC Chart Production. Selects and assigns codes for the appropriate first listed and all additional diagnoses according to Outpatient Coding guidelines with the official ICD-10-CM coding and reporting guidelines. Assists in ensuring coding compliance with federal, state, and other regulatory agencies, research cases, government payors and other selected third-party payors. Locates and utilizes the...

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

REMOTE OUTPATIENT CODERS NEEDED!!! --- NATIONWIDE WORK FROM HOME Call David at 513-206-9881 or email resumes to dlutz@acuitymri.com We have multiple openings for a REMOTE outpatient ancillary coder with one of the top Healthcare Companies in the country. There is an immediate need for permanent FACILITY OUTPATIENT ANCILLARY CODERS with strong prior experience, and they are willing to offer a very competitive rate: Salary range: $24-$27 an hour depending on credentials and experience! Fully REMOTE and Flexible work schedule! Full benefits package included Direct-hire Perm with a large healthcare system! We are seeking Certified Facility outpatient Coders with a minimum of 1 year experience in a hospital setting. Seeking knowledge in the following areas: Labs, radiology, sleep labs, and additional ancillary services. Requirements CCS or RHIT or RHIA or CPC 1 year of FACILITY outpatient coding experience (not profit/physician) Call David for more information: 513-206-9881...

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. 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: Eligibility on day 1 for all benefits Dollar‑for‑dollar 401(k) match, up to 5% Debt‑free tuition assistance, offering access to many no‑cost and low‑cost degrees, certificates and more Immediate access to time off benefits At Baylor...

A prominent healthcare provider in Raleigh, NC, is seeking a Coder 2 to ensure precise coding of diagnoses and procedures. This role requires a minimum of 2 years experience in medical coding and proficiency in ICD-10 and CPT coding standards. The ideal candidate will possess relevant coding certifications such as CCS, CPC, or RHIT. Competitive pay based on experience, with a range from $26.66 to $40.00. Join us in enhancing healthcare delivery with your coding expertise. #J-18808-Ljbffr

Overview The Inpatient Coder Sr serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation issues. Reviews SMART accounts on a daily basis as assigned. Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA. Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Licensure Registered Health...