341 certified professional coder i jobs found

Certified Medical Coder I (Professional Review Specialist I) Job Category: Bill Review Requisition Number: CERTI011475 Full-Time Locations Showing 1 location Description The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. Essential Functions & Responsibilities Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned Knowledge & Skills Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an...

Job Description Job Description The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in...

OVERVIEW Join us in shaping the future of healthcare as an allied health professional at Redeemer Health. We offer a dynamic environment equipped with state-of-the‑art facilities and a culture that prioritizes safety. With our workforce spanning southeastern Pennsylvania and New Jersey, we celebrate diversity and inclusivity. We're committed to your long‑term success, providing competitive benefits, as well as resources like educational assistance and a unique onboarding program that sets you up for long‑term success while introducing you to our mission and celebrated service orientation. Join us, and let's make a difference together. SUMMARY OF JOB The Senior Coding Specialist assigns diagnostic and procedural codes consistent with ICD-9-CM and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and in its publication, Coding Clinic and AMA’s publication CPT Assistant....

Clinic Coder I Certified Medical Coder responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for clinic/professional services, ensuring compliance, supporting revenue capture, and maintaining documentation integrity. Review and analyze medical records and documentation; assign correct ICD-10-CM, CPT, HCPCS codes; ensure regulatory compliance; collaborate with providers; conduct coding audits; provide coding guidance; stay current on coding regulations; resolve coding-related denials; maintain confidentiality. Minimum 1 year clinic/professional coding experience; proficiency in ICD-10-CM, CPT, HCPCS; strong knowledge of medical terminology, anatomy, physiology; strong analytical and communication skills; ability to work independently; familiarity with EHR systems and coding software. CPC or related certification; experience with coding audits and compliance; knowledge of Medicare, Medicaid, payer regulations; experience in clinic or professional billing...

Overview Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records to abstract relevant data into the on-line computer system and assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code. Responsibilities Review and analyze discharged patient medical records to ensure all applicable data is available for coding and abstracting, following established coding principles and guidelines (AHA, AHIMA, CMS) for outpatient and inpatient records. Obtain accurate and complete patient data through review of the medical record, discharge summary, history and physical, consultation, progress notes, laboratory, radiology, operative and pathology reports. Code all procedures on inpatient records (all payors) and outpatient surgical records according to ICD-9-CM Codes, CPT-4 or Physician E&M levels (as applicable)....

Certified Coder Specialist (FT) Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. Codes charts under the ICD-10-CM and ICD-10-PCS (HCPCS) System for statistical and DRG assignment purposes. Abstracts required data into hospital abstracting system. The outcome of information gathered is used to determine the hospital database and reimbursement of hospital claims. Responsible for timely review of patient records in order to identify an appropriate selection of codes which will accurately reflect the reason for admission, extent of care received, and level of severity of illness. The evaluation is to assure individual performance, departmental goals and organizational goals are aligned. It is designed to support communication between the manager and the employee. Employee perception of their own performance is very important. To maximize the benefit of this process, both the manager and the employee...

Health Information Management (HIM) Coder The Health Information Management (HIM) Coder is responsible for ensuring accuracy, integrity, and security of patient health information while supporting compliant coding and revenue cycle operations. The coder assigns inpatient and outpatient diagnosis and procedure codes in accordance with the annual updated ICD-10-CM Official Guidelines for Coding and Reporting, as published by CMS and NCHA, as well as applicable internal policies and state regulations. By maintaining precise and timely medical record coding and safeguarding protected health information, the HIM Coder contributes to regulatory compliance, accurate reimbursement, and high-quality experience for patients and providers. As a HIM Coder, you ensure the accuracy, integrity, and security of patient health information by assigning compliant inpatient and outpatient diagnosis and procedure codes in accordance with ICD-10-CM Official Guidelines, internal policies, and...

Citizens Medical Center is a not-for-profit hospital known for compassionate patient care, clinical expertise, and bringing advanced medical services to the South Texas region since 1956. Today, Citizens is a 338-bed acute care hospital with over 1,000 dedicated employees. Citizens offers a generous benefit package that includes retirement plans upon hire, and an excellent medical plan with optional insurance plans to choose from. If you are interested in pursuing a career with an award-winning hospital, welcome home. 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 Assigns...

Job Description Your experience matters Canyon Vista Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Coder I joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. NOTE: This is an on-site role and is not open for remote work. How you'll contribute A Coder I who excels in this role: Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavantes bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this...

Memorial Physician Practices in Sierra Vista, Arizona is seeking a Coder I to manage diagnostic coding with a focus on improving community health. This on-site position requires precise coding skills and offers no guaranteed hours, responding to needs as they arise. The ideal candidate will possess a High School Diploma or equivalent and hold a Certified Coder certification. Multiple comprehensive benefits including medical coverage, PTO, and professional development opportunities are provided to enriching your career. #J-18808-Ljbffr

Overview Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes Accurately...

BayCare is hiring a Medical Records Coder II (Radiology) – Hybrid in Clearwater, FL! Join one of Tampa Bay’s largest employers and make an impact in healthcare. Position Highlights Status: Full-time (Non-Exempt) Schedule: Mon–Fri, 8:00 AM–4:30 PM Work Arrangement: Hybrid – 80% remote, 20% onsite (Florida residents only) What You’ll Do Assign diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, and CPT-4 Monitor bill hold reports Mentor Coder I team members and assist with training Qualifications High School diploma required; Associate’s in Health Information Management preferred 2+ years coding experience (Radiology highly preferred) CCS or RHIT certification preferred Why BayCare? 401k match + annual contribution Team award bonus and community discounts Location: Clearwater, FL | Hybrid Equal Opportunity Employer Veterans/Disabled Get notified about new Medical Coder jobs in Clearwater, FL . #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavantes bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for...

Health Services Medical Biller/Coder Administration/Billing Program (Classification 757) SEIU Represented Full-Time (37.5 hours/week) position Position open until filled First review of applications will be on April 20, 2026. Any applications received after April 20 will be reviewed and considered as needed, and this posting may close at any time after that date. Linn County requires on-site work. Remote work is not available. Job Summary A person employed in this classification must possess the capability to perform the following duties to be considered for and remain in this position. The duties are essential functions requiring the critical skills and expertise needed to meet job objectives. Additional specific details of these essential functions may be provided by the specific office or department job announcement, if applicable. Strong working knowledge of CPT, ICD-10, HCPCS, modifiers, coding and documentation guidelines. Reviews and verifies documentation supporting...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (https://jobs.mayoclinic.org/benefits/) - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical: Multiple plan options. Dental: Delta Dental or reimbursement account for flexible coverage. Vision: Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for...

THE ORGANIZATION At UNC Health Blue Ridge, we live our mission by enhancing the lives of every patient and resident we serve. We believe our people are our greatest asset and strive to provide an environment where they can thrive. You’ll love working with us because: We are a teaching hospital We work together to ensure our patients receive outstanding, holistic care Your expertise and ideas are valued Your health and well-being matter And much more “I love working at UNC Health Blue Ridge because I know I am seen and valued. I know this is where I belong and that allows me to give my very best to my patients and their families .” THE POSITION Join our dedicated healthcare team as a Coder, where you will be responsible for the review of clinical documentation and diagnostic results for coding and abstracting all outpatient types while utilizing the appropriate ICD-10-CM and CPT-4 classification systems for reimbursement and external...

Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical: Multiple plan options. Dental: Delta Dental or reimbursement account for flexible coverage. Vision: Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. The HB IP Coder reviews, interprets, and...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...