454 certified professional coder jobs found

Job TitleExperienced CPC-Certified Medical CoderJob DescriptionMUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES.We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments.Responsibilities• Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS)• Conduct utilization reviews to assess medical necessity and documentation compliance• Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases• Analyze medical records for payer disputes, recoupments, and appeals• Prepare detailed, defensible written audit reports• Provide expert review, affidavit support,...

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities: • Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) • Conduct utilization reviews to assess medical necessity and documentation compliance • Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases • Analyze medical records for payer disputes, recoupments, and appeals • Prepare detailed, defensible written audit reports • Provide expert review, affidavit support, deposition preparation, and testimony when...

Certified Medical Coder The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient's medical history, diagnosis, tests and treatment plan. Duties and responsibilities Primarily codes from final office visit, surgical/procedural operative reports signed by providers Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims Enters patient copayment information into the EMR Reconciles charges against the schedule list to ensure no charges are missed Investigates rejected claims to see why denials were issued as necessary Re-bills rejected claims in timely manner Maintains strict confidentiality and high degree of accuracy Consults classification manuals...

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities: Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to assess medical necessity and documentation compliance Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases Analyze medical records for payer disputes, recoupments, and appeals Prepare detailed, defensible written audit reports Provide expert review, affidavit support, deposition preparation, and testimony when required Interpret CMS...

Medical Coding Specialist Key Responsibilities: Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing...

Conduct comprehensive medical record reviews to ensure billing is consistent with medical records Provide detailed written summaries of medical record review findings Articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers and state regulators Review and discuss cases with Medical Directors to validate decisions Assist with investigative research related to coding questions, state and federal policies Identify potential billing errors, abuse and fraud Identify opportunities for savings related to potential prepayment review cases Maintain appropriate records, files and documentation Travel for meetings and potentially testify Requirements AAPC Coding certification — Certified Professional Coder (CPC) 3+ years of experience in medical coding or documentation auditing Strong knowledge of CPT, HCPCS, Revenue Codes, CMS 1500 and UB04 data elements Experience researching coding, state regulations and policies Working experience with...

Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing and administrative teams Regularly update knowledge...

Medical Coding SpecialistKey Responsibilities:Analyze patient charts, physician notes and discharge summariesEnsure documentation is complete and accurate before codingTranslate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses)CPT (procedures)HCPCS (supplies/services)Make sure codes correctly represent services providedFollow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company PoliciesPrevent coding errors that could lead to claim denials or auditsStay updated on coding changes and updatesWork with billing teams to submit coded claims to insurance companiesVerify claim accuracy to ensure proper reimbursementFix rejected or denied claims by reviewing and correcting codesCommunicate with healthcare providers and insurance companiesProtect sensitive patient informationFollow strict privacy and data security standardsClarify documentation with physicians when neededCollaborate with billing and administrative teamsRegularly update...

Certified Medical CoderThe certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient's medical history, diagnosis, tests and treatment plan.Duties and responsibilitiesPrimarily codes from final office visit, surgical/procedural operative reports signed by providersReviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelinesVerifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claimsEnters patient copayment information into the EMRReconciles charges against the schedule list to ensure no charges are missedInvestigates rejected claims to see why denials were issued as necessaryRe-bills rejected claims in timely mannerMaintains strict confidentiality and high degree of accuracyConsults classification manuals and relies on knowledge...

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...

Jobtailor is seeking an experienced Medical Coding Auditor to conduct comprehensive medical record reviews and ensure billing accuracy. You will craft detailed written summaries and present findings to investigators, leadership, counsel, providers, and regulators. Role requires reviewing cases with Medical Directors, researching coding policies, and potentially testifying. Travel for meetings is expected, and strong Excel skills are essential. #J-18808-Ljbffr

Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers, payers, or clients when necessary Maintain HIPAA compliance and data security standards Qualifications Preferred: Experience with medical billing, coding, or claim processing Familiarity with EHR or billing software Strong...

Uvalde Memorial Hospital in Uvalde, TX is seeking a Coder to join the Medical Records Department. You will translate diagnoses and procedures into accurate billing codes to support reimbursement and care quality. This in-person role requires attention to detail, the ability to work independently, and collaboration with providers to clarify documentation. Certification within two years is encouraged, with pathways for growth and ongoing training. #J-18808-Ljbffr

Job Details: Job Location: Uvalde, TX 78801, Position Type: Full Time, Coder – Medical Records Department Location: Uvalde Memorial Hospital – Uvalde, Texas – IN PERSON Job Type: Full-Time Code with Purpose. Support Quality Care. At Uvalde Memorial Hospital, every team member plays a key role in delivering exceptional care — even those behind the scenes. As a Coder in our UMSA Admin Department, you’ll transform medical diagnoses and procedures into accurate billing codes that drive proper reimbursement, compliance, and overall care quality. Whether you’re certified or working toward certification, your attention to detail helps ensure patients receive the care they need without unnecessary delays. In This Role, You Will: Accurately assign ICD-10-CM and CPT-4 codes to all diagnoses and procedures based on medical documentation. Collaborate with providers to clarify documentation and ensure complete, compliant records. Complete coding within four business days of service (excluding...

Job Location: Uvalde, TX 78801 Job Shift: Day Job Type: Full-Time Clinics Coding Manager – Health Information Management (HIM) At Uvalde Memorial Hospital, accurate health information plays a vital role in delivering quality care and ensuring the integrity of our healthcare operations. We are looking for an experienced Ambulatory Coding Manager who is passionate about leadership, compliance, and supporting the vital work behind the scenes of patient care. In this role, you will lead and support our coding team, ensuring medical records are coded accurately, efficiently, and in compliance with industry standards and regulations. You will work closely with physicians, billing teams, and hospital leadership to maintain coding quality, improve processes, and strengthen revenue cycle performance. This is more than a job — it’s an opportunity to guide a talented team, strengthen healthcare documentation practices, and help ensure our hospital continues providing exceptional care to the...

Description JOB SUMMARY The Physician Coder I performs evaluation/management coding for clinic, inpatient, and outpatient encounters as well as coding for in-office ancillary services and minor procedures. Assigns and sequences all codes for services rendered. Collaborates with coders, billers, clinical staff, managers, and healthcare professionals to ensure accurate coding assignment and to resolve any coding-related claim denials. JOB DUTIES AND RESPONSIBILITIES: Job Specific: Physician Coder I Duties: Assigns codes to diagnoses, hospital visits, office visits, and in-office ancillary services and minor procedures using correct CPT®, HCPCS Level II, and ICD-10-CM codes. (EF) Ensures that assigned codes are accurate and sequenced correctly in accordance with coding guidelines, as well as insurance and government regulations. (EF) Examines patient medical record to ensure coding accurately reflects the documented medical care provided. (EF) Demonstrates...

Join UMC Physicians: Where Employee Satisfaction Soars at 96% UMC Physicians is seeking an experienced full-time Family/Internal Medicine Professional Coder to join our team of multi-specialty coders. Under general supervision, the coder reviews and analyzes provider documentation to ensure final diagnoses and procedures are complete, valid, and accurately documented. The Coder assigns ICD-10-CM, CPT, and HCPCS Level II codes for clinic and hospital professional services, ensuring compliance with federal regulations, payer guidelines, and organizational policies. This role is responsible for accurate coding and timely claim submission to support appropriate reimbursement while maintaining the highest standards of coding quality, compliance, and integrity. The coder collaborates with providers, clinic staff, coworkers, and revenue cycle teams to promote complete documentation, resolve coding and billing issues, and support accurate and timely insurance claim processing. The ideal...

Join UMC Health System in Lubbock, Texas as a Coder for the Centralized Billing and Coding department. This full-time position involves reviewing and analyzing provider documentation to ensure accurate coding, compliance with regulations, and timely claim submissions. The ideal candidate will have strong coding expertise, a detail-oriented mindset, and a commitment to delivering exceptional service. Comprehensive benefits, including medical insurance and a 401K with company match, are offered. #J-18808-Ljbffr

Palms Behavioral Health is hiring a Medical Records Coder to assign ICD-10-CM/PCS and CPT codes, review patient records, and ensure accurate coding for billing and reporting. This onsite position requires strong terminology knowledge and the ability to resolve discrepancies in charts. The role involves maintaining confidentiality, collaborating with physicians to obtain missing information, and processing reports to support accurate reimbursement and regulatory compliance. #J-18808-Ljbffr

US:TX:Edinburg | HEALTH INFORMATION MANAGEMENT | Full Time Posted 3 days ago Description DHR Health - US:TX:Edinburg - Days Summary: MISSION STATEMENT: Our Mission is to improve the well‑being of those we serve with a commitment to excellence: every patient, every encounter, every time. VISION: Our Vision is to create a world‑class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence. POSITION SUMMARY: Under general supervision, analyzes patient medical records to assure that documentation by providers conforms to legal and procedural requirements. Assigns specified codes to medical diagnoses and/or clinical procedures. Interacts with physicians and other providers regarding billing and documentation policies and procedures. Audits medical charts and records for compliance with federal coding regulations and guidelines. Provides a second...

Job Description Job Description Doctor's office is accepting applications for a Medical Biller / Coder. You must have experience in this field. The job requires you enter charges for medical billing and double check your work. Printing reports and balancing at the end of the workday is required. You are required to study and understand the procedures we bill out. Excellent communicator and attention to details are a good quality to have for this job. Our office is open Monday to Friday, 8:00am to 5:00pm. Paid holidays and 2-week vacation within your first year of employment. Pay depends on experience and knowledge. \nCompany Description Medical Doctor's Office Company Description Pain Management Facility

Coder Lll - FT Days - Coding DHR Health - US:TX:McAllen - Days Summary: POSITION SUMMARY: The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the...

Job Description Job Description Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched...

Become a part of our caring community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities: You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will...