154 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...

Overview Under general supervision, a Certified Professional Coder is responsible for correctly coding professional healthcare claims in order to obtain reimbursement from private insurance companies and government healthcare programs. This is NOT a remote position. Responsibilities May include any and/or all of the following: Accurately enter patient information into LifeLinc's billing software. Verify patient insurance is valid and active. Organize files and collect data to be entered. Analyze and verify data for errors. Report problems with data received or missing data. Follow-up on data that has not been received. Keep sensitive patient and company information confidential. Appropriately compose and type routine correspondence, memos, letters, etc. Performs other duties as assigned. Qualifications EDUCATION and/or EXPERIENCE High school diploma or general education degree (GED) is required Minimum of 1-year related experience,...

Certified Coder Work at Home Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state. There are a number of reasons why TOA is an employer of choice; here are a few of them: Stability - TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state! Impact - TOA's team members use our careers whether in our clinics or our business office to make a positive difference in the community by building relationships and helping patients live their best life. Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement. Total Rewards - TOA offers a comprehensive suite of benefits,...

Coding Analyst, Centralized Coding Outpatient Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. Position Summary: Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes. Confirms appropriate DRG assignment. Communicates with physicians for...

Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state. There are a number of reasons why TOA is an employer of choice; here are a few of them: Stability - TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state! Impact - TOA's team members use our careers — whether in our clinics or our business office to make a positive difference in the community by building relationships and helping patients live their best life. Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement. Total Rewards - TOA offers a comprehensive suite of benefits, including...

Covenant Medical Group is seeking a Coder Analyst Specialist to join our medical coding team in Knoxville, TN. The role analyzes documentation to assign ICD-10-CM and CPT-4 codes, abstracts data, and supports timely billing and re-billing in coordination with providers and the Billing Department. The ideal candidate has at least three years of extensive coding experience, demonstrates accuracy in CPT-4 and ICD-10 coding, and holds CPC certification (RHIT acceptable). #J-18808-Ljbffr

Physician Coder III, Remote Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY Job Summary: The Physician Coder III is responsible for coding of physician and/or mid-level provider professional services. Recognizes and completes a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follows set procedures to achieve goals. Displays professional office skills and ability to navigate a practice management system. Functions as liaison between management, the physician practices and employees working within physician practices. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent...

Medical Coding Specialist Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Perform daily feedback and education to providers, staff and patients of BMG. Assist with education of current coding staff. Performs other duties as assigned. Responsibilities: Codes diagnoses and procedures of records. Completes assigned goals. Serves as a resource to physician office staff, clinical documentation specialist, case managers, etc. Act as lead for the team, assisting in onboarding of new staff and/or education of more specialized workflows. Assist in research of new specialty areas, new treatments in medicine, etc. Work with new acquisitions on documentation improvement and medical necessity, including education. Specifications: Experience: Minimum Required: Over one year of experience in physician/professional, outpatient surgery, and/or emergency department coding. Skill and...

Job Title Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Performs other duties as assigned. Job Responsibilities Codes diagnoses and procedures of records. Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies. Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc. Completes assigned goals. Specifications Experience Minimum Required: Skill and proficiency in coding inpatient and outpatient (ancillary, emergency department, outpatient surgery, etc.) records utilizing ICD-9-CM and CPT-4 through 3 years' experience in an acute care facility. Education Minimum Required: TN - Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill...

Job Posting Job Summary Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Performs other duties as assigned. Job Responsibilities Codes diagnoses and procedures of records. Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies. Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc. Completes assigned goals. Specifications Experience Description: Minimum Required: Skill and proficiency in coding inpatient and outpatient (ancillary, emergency department, outpatient surgery, etc.) records utilizing ICD-9-CM and CPT-4 through 3 years' experience in an acute care facility. Preferred/Desired: Education Description: Minimum Required: TN - Skill in communicating clearly and effectively using standard English in...

Codes diagnoses and procedures of inpatient records and abstracts information at defined facilities for reimbursement, research, and to generate statistical data. Performs other duties as assigned. Job Responsibilities Codes diagnoses and procedures of records pertaining to inpatient records. Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies. Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc. Completes assigned goals. Minimum Required Experience Skill and proficiency in coding inpatient records utilizing ICD10 CM with one year experience in an acute care facility or RHIT/RHIA/CCS certification through AHIMA. Minimum Required Education Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill to write legibly and record...

Baptist Memorial Health Care in Memphis, TN seeks a skilled Medical Coder to assign ICD-10-CM diagnoses and procedures for inpatient records, supporting reimbursement, research, and data analytics. This role requires one year of acute care coding experience or AHIMA credentials (RHIT/RHIA/CCS), strong English communication, and the ability to review records accurately to support regulatory compliance and hospital operations. #J-18808-Ljbffr

Overview ob Summary: Codes diagnoses and procedures of inpatient records and abstracting information at defined facilities for reimbursement, research, and to generate statistical data. Performs other duties as assigned. Job Responsibilities Codes diagnoses and procedures of records pertaining to inpatient records. Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies. Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc. Completes assigned goals. Purpose of Position and Scope of Responsibility Principal Accountabilities/Responsibilities Minimum Qualifications Minimum Education Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties....

Baptist is seeking an inpatient coder to document and code diagnoses and procedures using ICD-10-CM, supporting accurate reimbursements and regulatory reporting in a hospital setting. The role involves abstracting data from records, collaborating with physicians and staff, and ensuring timely completion of coding goals. Strong English communication and AHIMA terminology familiarity are essential. #J-18808-Ljbffr

Emergency Department Coder Required Skills & Experience - 3+ years of ED coding experience AAPC or AHIMA credential Fracture coding experience Thorough working knowledge of ICD-10-CM and CPT coding systems, and federal/state regulations regarding reimbursement. Thorough working knowledge of the hospital information system, electronic medical record systems, and encoder. Working knowledge of standards for chart completion. Job Description This role, under general direction, is responsible for coding and abstracting of diagnoses and charging for procedures from emergency department medical records for optimal and timely reimbursement and quality reporting. Key responsibilities: Assigns ICD-10-CM codes, and CPT/HCPCS codes for emergency department medical record accounts, including but not limited to diagnoses, facility level evaluation & management (E/M) charges, infusion/injection charges, and additional bedside procedure charges. Abstracts key data...

Outpatient CoderThe Outpatient Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for outpatient services, including emergency department visits, outpatient surgeries, observation stays, interventional radiology, wound care, and ancillary procedures. This role ensures compliance with coding guidelines, regulatory requirements, and corporate billing policies, while contributing to accurate reimbursement and data integrity. The Outpatient Coder reviews medical records and applies appropriate codes within hospital coding systems.Essential FunctionsReviews and assigns appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient records, ensuring compliance with coding and billing regulations.Codes spinal procedures, cardiac caths, interventional radiology, ortho procedures and EGD/Colonoscopies, along with OBS and wound care.Codes a variety of outpatient encounters, including observation stays, outpatient surgeries, interventional radiology, cardiac...

At Houston Methodist, the Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to outpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant outpatient coding experience or completion of the Houston Methodist Coding Apprentice Program LICENSES AND CERTIFICATIONS Required Must have one of the following:•RHIT - Certified Health Information Technician (AHIMA)•RHIA - Registered Health Information Administrator (AHIMA)•CCS...

OneOncology is seeking a Senior Medical Coding Specialist to ensure accurate CPT/ICD-10/HCPCS coding across oncology services. You will audit documentation, answer coding questions, and coach junior coders within a remote RCM team, while supporting compliance and ongoing education. Requires CPC or CCS-P certification and 4+ years in physician practice/hospital coding, with oncology experience and strong communication skills to drive coding accuracy and efficiency. #J-18808-Ljbffr

Coder Wfh Do you have the career opportunities as a Coder WFH you want with your current employer? Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Job Summary and Qualifications The Coder WFH with Physician Services reviews and codes designated office/hospital notes for one or multiple practices and resolves complex coding scenarios. The Coder WFH provides feedback and documentation advice to the physician non physician practitioner, and practice management and works with AR to resolve coding related denials. ***While this role is Work from Home, candidates must be in the Kansas or Missouri area to round with the practice and meet as needed.*** Duties Include But Not Limited To: Receives and reviews charge documents from the clinic and/or hospital. Ensures charge information provided is correct and...

Professional Fee Coding Specialist Required Skills & Experience 3+ years of professional fee coding experience. Active coding certification through AAPC or AHIMA. Active RHIT, RHIA, CPC, COC, CCS-P, CCS, CEDC, or equivalent coding credential. Experience coding clinic visits/professional services. Strong experience with Evaluation & Management (E/M) coding, diagnosis coding, injections, and procedure coding. Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and coding compliance guidelines. Experience with Cerner EMR. Experience working remotely. Proficiency in Microsoft Outlook, Excel, and Teams. Strong communication, organization, and multitasking skills. Nice to Have Skills & Experience Emergency Department (ED) coding experience. Multi-specialty Pro-Fee coding background. Experience with regulatory reporting and data abstraction. Prior hospital or health system coding experience. Experience partnering with AR/billing teams on claim resolution....

Houston Methodist is seeking an Inpatient Coder to accurately assign ICD-10-CM/PCS codes for inpatient encounters based on documentation in the electronic medical record, ensuring compliance with coding guidelines. The role is non-exempt and requires RHIT/RHIA/CCS certification with at least one year of inpatient coding experience or completion of the Houston Methodist Coding Apprentice/Transition Program. Proficiency in DRG/APC systems and EPIC/EHR is preferred. #J-18808-Ljbffr

Possess a thorough working knowledge of the revenue cycle management process including; ICD-9, ICD-10, CPT-4, and HCPS Billing.Responsibilities include ensuring that reimbursement is maximized through accurate and appropriate coding.Accountable for staying abreast of government policies and procedures as it relates to coding to ensure that company conforms to applicable guidelines and regulations.Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.MinimumHigh School Diploma or GEDCertified Medical CoderStrong understanding of industry / technical terms and processesExceptional customer service skillsStrong analytical and problem-solving skillsStrong attention to detailExcellent oral / written communication skillsDesiredBachelor's Degree2years medical coding experience- Abstract clinical information from medical records to document, assign, and sequence ICD-9 and / or CPT-4 and HCPS coding where appropriateAudit, review, and correct...

## Compliance AuditorApplylocations: MHC Nashville, TNtime type: Full timeposted on: Posted Todayjob requisition id: JR102201Ranked one of Tennessee’s top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals.Mental Health Cooperative, Inc. (MHC) was formed in 1993 to serve individuals with severe and persistent mental illness. Since then, we have expanded our services to children and adolescents with severe emotional disorders across Middle and East Tennessee.Our sole purpose is to support and treat those challenged with serious mental illness and poverty. Although based out of Nashville, we serve several communities across middle and East Tennessee with satellite offices in Antioch, Gallatin, Dickson, Columbia, Cleveland, Murfreesboro, Clarksville, Cookeville, Chattanooga, and Memphis.If you are interested in joining a team that is caring, collaborative, innovative...