161 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. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) 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. Conduct a...

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...

UPMC Corporate Revenue Cycle is hiring a Certified Professional Coder to join our coding team to work on Cardiology coding. This position will be a work-from-home position working Monday through Friday during normal business hours. To be considered for this position, you must have three years of coding experience. In this role, you will have the same responsibilities as Coder II, but also be responsible for assigning PQRS codes and assist in the development of templates and processes to obtain the appropriate documentation. Provide feedback to the physicians on coding, documentation, edit, and denial issues. Responsibilities: Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process. Refer problem accounts to appropriate coding or management personnel for resolution. Make forward progress within the training...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Overview This role is well suited for someone with a medical billing/coding background who is comfortable reviewing documentation, coding accurately, submitting high volumes of professional claims, and resolving billing issues while working both independently and collaboratively. Responsibilities Primary Responsibilities Review, manage and submit 75-100 CMS-1500 professional claims each day Assign accurate procedure and diagnosis codes Verify claim accuracy before submission Review medical records to determine appropriate ICD-10 and CPT codes Coordinate with other departments to obtain missing documentation Resolve claim rejections and make claim corrections Collaborate with revenue cycle teams to understand payer-specific billing guidelines and state insurance requirements Qualifications Key Qualifications Certificate or diploma from an accredited medical billing/coding program Professional coding certification...

Tenor Health Foundation is seeking a coder responsible for abstracting clinical and demographic data, ensuring accurate application of code assignments to all services. Candidates should have a high school diploma and knowledge of ICD-10, CPT4/HCPCS coding. Experience with medical terminology and human anatomy is required. A high degree of accuracy, strong organizational skills, and effective communication with medical staff are essential for this role. Preferred candidates will have a CCS certification or prior coding experience. #J-18808-Ljbffr

Job TitleIn this role you will be:Review patient medical records and documentation to identify diagnoses and procedures.Assign accurate and complete ICD-9-CM, CPT, and HCPCS codes based on clinical documentation and coding guidelines.Ensure coding meets all federal, state, and payer-specific requirements.Abstract and enter coded data into electronic health records and hospital information systems.Collaborate with clinical staff or coding team leads to clarify documentation as needed.Maintain productivity and accuracy standards in accordance with departmental policies.Stay current with updates to coding regulations, coding clinics, and payer guidelines.Adhere to HIPAA regulations and all hospital confidentiality and compliance standards.Other duties may be assigned.Qualifications:Education: High school graduate or equivalent, associate's or bachelor's in health information management or related field preferredExperience: Basic knowledge of ICD-10-CM, CPT, and medical terminology....

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Clinical Coder Level I HIM Impatient Specialist (Full-Time, Remote)Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?Location: Lancaster, PARemote position. ONLY candidates residing in NJ, PA and Delaware will be considered or willing to relocate to one of these three states.Hours: Full-time, Monday through Friday - flexible start and end time/ 40 hours per week.Position Summary: Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Invest in Your Future and Theirs: Beginning January 1, 2027, eligible full-time Penn State Health employees receive a 50% Penn State tuition discount for themselves and eligible dependents, including a spouse and children. The discount applies at Penn State University Park, Commonwealth Campuses, World Campus, and Penn College of Technology. Responsible to review the health record, electronic reports, and other reporting tools to identify conditions treated and the services provided to each patient. Utilize the appropriate coding systems (ICD-9-CM, CPT, HCPCS) to accurately code diagnoses, services, and procedures performed by physicians and other providers performing billable services. MINIMUM QUALIFICATION(S) High school diploma required 1 Year relevant Revenue Cycle or enrolled in an approved coding certification class. PREFERRED QUALIFICATION(S) One year of professional coding experience preferred. Certified Professional Coder or similar certification preferred. WHY PENN...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information. JOB DUTIES AND RESPONSIBILITIES: Codes and abstracts professional fee hospital services performed by...

US Heart and Vascular in Houston, TX seeks a Professional Fee Medical Coder, Level 3 to review documentation and assign CPT/ICD-10-CM codes for inpatient and outpatient encounters. The role emphasizes complex surgical coding, E/M encounters, and adherence to regulatory guidelines. The coder will work with various EMR platforms, participate in physician queries, and ensure accurate charge entry and billing abstracts while maintaining ongoing education and compliance. #J-18808-Ljbffr

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

UPMC Corporate Revenue Cycle is hiring a Coder II to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. In this position, you will be working on coding for the UPMC Cancer Centers. As a Coder II, you will review all pertinent physician, nursing and ancillary documentation in the medical record. Depending on type of service and place of service, you will determine the level of acuity, procedure performed, billable supplies and diagnosis to substantiate medical necessity. You will review and sequence all codes to to maximize reimbursement and address any potential bundling issues. Apply modifiers as needed. LMRP/CCI edit and coding denial resolution Responsibilities: Utilize computer applications and resources essential to completing the coding process efficiently. Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff....

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. POSITION TITLE: HCC Auditor ROLE TYPE: Full Time (32+hours) / Part Time (25-30 hours) EMPLOYMENT TYPE: Non-Exempt JOB SUMMARY: The HCC Auditor is responsible for completing quality assurance reviews on internal or...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

Universal Health Services, Inc. is seeking a remote coder with CPC certification to provide accurate cardiology and orthopedics coding services across IPM markets. You will work with multiple EHR systems, ensuring timely documentation and signoff while supporting the revenue cycle efforts. The role requires 3–5 years in healthcare billing/coding, strong CPT-4 and ICD-10 knowledge, and the ability to educate providers on documentation standards. AAPC CPC certification is essential. #J-18808-Ljbffr

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Healthcare Coding Specialist One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. EEO Statement All UHS subsidiaries are committed to...

Job Description Job Description JOB LOCATION:  Wilkes-Barre General Hospital Bring Your Coding Expertise to a Team Where Accuracy Makes an Impact We’re looking for a detail-driven Medical Coder who understands that accurate coding is about more than numbers it supports quality patient care, regulatory compliance, and the financial health of our hospitals. In this role, you’ll work across inpatient, outpatient, and emergency services, applying your knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG, and APC coding to ensure each patient encounter is accurately captured. If you’re organized, analytical, committed to getting the details right, and ready to bring your expertise to a growing healthcare organization, Tenor Health wants to hear from you. CCS certification is preferred, but experienced coders are encouraged to apply. POSITION PURPOSE The coder is responsible for abstracting all clinical and demographic data and accurately applying code assignment to...

Millennium Physician Group in Indiana seeks a Risk Adjustment Coding Specialist I. This hybrid role reviews records for underlying diagnoses, collaborates with clinicians, and ensures compliant documentation and coding across patient care encounters. The ideal candidate has 1+ year healthcare experience, CPC/CDEO or AHIMA credentials, and is detail-driven with strong communication skills. Travel is minimal and the team emphasizes accuracy and confidentiality. #J-18808-Ljbffr

In this role you will be: Review patient medical records and documentation to identify diagnoses and procedures. Assign accurate and complete ICD-9-CM, CPT, and HCPCS codes based on clinical documentation and coding guidelines. Ensure coding meets all federal, state, and payer-specific requirements. Abstract and enter coded data into electronic health records and hospital information systems. Collaborate with clinical staff or coding team leads to clarify documentation as needed. Maintain productivity and accuracy standards in accordance with departmental policies. Stay current with updates to coding regulations, coding clinics, and payer guidelines. Adhere to HIPAA regulations and all hospital confidentiality and compliance standards. OTHER DUTIES Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities,...

Invest in Your Future and Theirs: Beginning January 1, 2027, eligible full-time Penn State Health employees receive a 50% Penn State tuition discount for themselves and eligible dependents, including a spouse and children. The discount applies at Penn State University Park, Commonwealth Campuses, World Campus, and Penn College of Technology. Penn State Health - Penn State Health Corporation Location: US:PA: Hershey Work Type: Full Time FTE: 1.00 Shift: Day Hours: 8 Recruiter Contact: Garrett C. Kieffer at gkieffer@pennstatehealth.psu.edu SUMMARY OF POSITION: Responsible to review the health record, electronic reports, and other reporting tools to identify conditions treated and the services provided to each patient. Utilize the appropriate coding systems (ICD-9-CM, CPT, HCPCS) to accurately code diagnoses, services, and procedures performed by physicians and other providers performing billable services. MINIMUM QUALIFICATION(S) : • High school...