146 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. 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...

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...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required. Hours : This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm. We offer 2-3 weeks of paid training. The hours during training will be 7am...

Join UnitedHealthcareAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required.Hours: This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm.We offer 2-3 weeks of paid training. The hours during training...

Hours This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm. We offer 2-3 weeks of paid training. The hours during training will be 7am to 3:30 pm CST, Monday - Friday. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits on cases and complete audit of medical records received to ensure proper editing is applied Review medical charts electronically Abstract and code diagnosis and procedures from the medical record Review and supply procedure and diagnosis codes for benefit coding requests Document requested information from the medical record Perform ongoing analysis of medical...

Contract duration: 3 months + Possibility of Extension Schedule: 8am to 5pm (M-F) Key Responsibilities: Review and accurately code provider, facility, and inpatient claims . Analyze itemized bills and medical records to validate coding accuracy. Audit claims for compliance with CMS and Official ICD-10 Coding Guidelines . Identify coding discrepancies and recommend appropriate corrections. Perform medical record abstraction and coding research as needed. Required Qualifications: Associate Degree OR 2+ years of health insurance industry experience. 2+ years of medical coding through medical record abstraction . Active CPC, CCS-P, RHIA, or RHIT certification. Knowledge of CMS and ICD-10 coding guidelines . Proficiency with Microsoft Word, Excel, and Outlook . Strong analytical, verbal, and written communication skills. Preferred: Associate or Bachelor’s degree in a healthcare-related field. #J-18808-Ljbffr

Inform Diagnostics, a Fulgent Genetics Company, is seeking a Billing Coder III to review documentation, assign CPT/ICD-10CM codes, and ensure accurate claims submissions across multi-specialty pathology services. You will work with the billing team, resolve complex denials, train new staff, and help maintain coding guidelines while meeting quality and production standards. Candidates should have CPC, a high school diploma, and 7–10 years of pathology coding experience, plus proficiency with #J-18808-Ljbffr

w3r Consulting in Wisconsin seeks a medical coder for a 3‑month contract with extension possibility. You will review and accurately code provider, facility and inpatient claims, and analyze itemized bills and medical records to validate coding accuracy. The role requires an Associate Degree or 2+ years in health insurance, CPC/CCS-P/RHIA/RHIT certification, CMS and ICD‑10 knowledge, and proficiency with Word, Excel and Outlook. #J-18808-Ljbffr

Current Madison College employees must apply to the internal career site by logging into Workday Job Posting Date: January 29, 2025 Application Deadline: Salary Information: Salary depends upon workload. Department: School of Health Science_OTA, MA, MC, OptTech, TM&Rad_PT Faculty Job Description: Madison College is recruiting a pool of highly motivated and qualified candidates to teach part time courses for the Medical Coding Specialist program. Applications will be accepted on a continuous basis for the 2025-2026 academic school year. If you possess the aspiration to help others succeed, this is an opportunity for you to positively impact the community and lives of our students. Madison College is a first-choice institution that offers exceptional educational opportunities to our students providing high-demand skills for professional and academic growth. Madison College's dedication to promoting equity, inclusion and diversity is reflected in our...

Froedtert Health is seeking an Outpatient Coder II to accurately code outpatient records with ICD-10, CPT, and HCPCS, ensuring proper billing and reimbursement. You will collaborate with clinical staff to ensure documentation compliance and mentor entry-level coders. Minimum 1 year of HIM outpatient coding and 1 year in an acute care environment at an academic facility is required; Epic and 3M experience are preferred. #J-18808-Ljbffr

Orthopaedic Associates of Wisconsin is seeking a Medical Coder to code physician, clinical, and surgical claims. You will review documentation via EHR/operative notes to verify CPT and ICD-10 accuracy for claims submission, translating medical records into standardized codes for precise reimbursement. The role emphasizes HIPAA compliance, ongoing payer regulation updates, and collaboration with providers to improve documentation and coding quality in a fast-paced office setting. #J-18808-Ljbffr

Discover. Achieve. Succeed. #BeHere Experience Description: Pay is expected to be between: (expressed as hourly) $23.20 - $34.34. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

UnitedHealth Group is seeking a Medical Coder for a full-time role with remote work flexibility across the United States. The position requires reviewing provider inquiries, coding diagnoses and procedures, and auditing medical records to ensure compliance. Responsibilities include abstracting codes, applying CPT/ICD-10 codes, and supporting benefit coding requests while maintaining privacy and security. Training is provided along with a comprehensive benefits package. #J-18808-Ljbffr

UnitedHealth Group is seeking a remote Medical Coder to review provider inquiries, code diagnoses and procedures, and ensure coding accuracy across CPT and ICD-10. The role emphasizes independent work, data privacy, and adherence to telecommuter policy. Hours are full-time with training and the ability to work remotely anywhere in the United States. A high school diploma and active coding credentials are required, with 1+ year of relevant experience in CPT and ICD-10 coding. #J-18808-Ljbffr

Contract duration: 3 months + Possibility of Extension Schedule: 8am to 5pm (M-F) Key Responsibilities: Review and accurately code provider, facility, and inpatient claims . Analyze itemized bills and medical records to validate coding accuracy. Audit claims for compliance with CMS and Official ICD-10 Coding Guidelines . Identify coding discrepancies and recommend appropriate corrections. Perform medical record abstraction and coding research as needed. Required Qualifications: Associate Degree OR 2+ years of health insurance industry experience. 2+ years of medical coding through medical record abstraction . Active CPC, CCS-P, RHIA, or RHIT certification. Knowledge of CMS and ICD-10 coding guidelines . Proficiency with Microsoft Word, Excel, and Outlook . Strong analytical, verbal, and written communication skills. Preferred: Associate or Bachelor’s degree in a healthcare-related field. #J-18808-Ljbffr

Orlando Health is seeking Physician Coders I–Senior to join our coding team. The roles cover reviewing records, coding physician services, and ensuring accurate professional billing. Applicants are evaluated for the appropriate level based on experience, tests, and qualifications. The team emphasizes accuracy, collaboration with physicians and staff, and adherence to policy while supporting Orlando Health’s commitment to quality care across its hospitals and facilities. #J-18808-Ljbffr

WOMENS HEALTH SPECIALISTS SC in Appleton, WI is seeking a Medical Billing and Coding Specialist to manage the claim lifecycle, including accurate claim creation, follow-up, and payer correspondence. You will ensure coding reflects services, assist in process improvements, and maximize revenue recovery. The role requires CPT/ ICD coding knowledge, EPIC experience, denial management, and collaboration with staff to drive compliant, efficient billing operations. #J-18808-Ljbffr

Remote Inpatient CoderPosition Duties: Coding of inpatient records following MS DRG guidelines and coding practices associated with inpatient acute care.Minimum Required Qualifications: RHIT or CCS. 5 years coding in trauma setting. Minimum pediatric coding experience in a trauma and/or academic setting. Children's hospital coding experience.Length of Assignment: 6 months temp to hireShift/Hours per week: Days M-FSystems: EpicStart Date: 7/7/26

UnitedHealth Group is seeking a skilled medical coder with CPT and ICD-10 experience to review provider inquiries and perform code reviews for both professional and facility claims. You will abstract and code diagnoses and procedures from medical records, ensure accuracy, and perform audits to maintain compliance. This role offers full-time hours and remote work options across the U.S. #J-18808-Ljbffr

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a PROFESSIONAL FEE CODER to join our CODING team! The Professional Fee Coder accurately processes professional service charges, including verification of CPT and ICD codes through our EPIC Workques. May process technical component charges in compliance with Provider Based or RHC Billing requirements. The Professional Fee Coder will perform coding functions for either primary care or specialty focused areas. HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of coding principles normally acquired through an Associate's Degree in Health Information Management, Healthcare Business Services, or an equivalent program with emphasis in coding or a minimum of two years coding experience. Experience or certification in a...

Thank you for your interest in a career at Northcentral Technical College (NTC). NTC offers outstanding career opportunities on a modern campus with state-of-the-art technology that allows for a collaborative learning and work environment. Employees are offered an amazing Total Rewards package with competitive salaries, excellent benefits, and generous paid time off – including two paid closures for the winter holiday (Christmas – New Year) and summer (week of July 4th), for most full-time positions. Salary is commensurate based on occupational experience and qualifications. JOB SUMMARY, DESCRIPTION & QUALIFICATIONS: Job Summary The full-time faculty supports Northcentral Technical College’s Medical Coding Specialist program by delivering high-quality instruction and fostering student success. This position is responsible for teaching courses within the program, developing and maintaining course materials, and aligning instruction with program objectives and evaluation...

UnitedHealth Group is seeking a Medical Coder for a full-time role with remote work flexibility across the United States. The position requires reviewing provider inquiries, coding diagnoses and procedures, and auditing medical records to ensure compliance. Responsibilities include abstracting codes, applying CPT/ICD-10 codes, and supporting benefit coding requests while maintaining privacy and security. Training is provided along with a comprehensive benefits package. #J-18808-Ljbffr

UnitedHealth Group is seeking a remote Medical Coder to review provider inquiries, code diagnoses and procedures, and ensure coding accuracy across CPT and ICD-10. The role emphasizes independent work, data privacy, and adherence to telecommuter policy. Hours are full-time with training and the ability to work remotely anywhere in the United States. A high school diploma and active coding credentials are required, with 1+ year of relevant experience in CPT and ICD-10 coding. #J-18808-Ljbffr