30 certified professional coder representative jobs found

Certified Coder - Stony Brook Children's Service, UFPC Location: St. James, NY Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM; At the Manager's discretion, this role may be eligible for remote work (after 90 days) Pay: $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities Summary: This incumbent is responsible for reviewing and analyzing physicians'...

ELLIS HOSPITAL POSITION DESCRIPTION TITLE: Accounts Receivable Representative/ Coder II DEPARTMENT: Physician Revenue Cycle REPORTS TO: Manager Patient Financial Services SECTION I BASIC FUNCTION: The Accounts Receivable Representative/ Coder will be responsible for achieving accurate and timely accounting for professional accounts receivable as set by policies and procedures. Responsible for reviewing and posting charges, payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. In addition to AR responsibilities this position will be responsible for coding review, resolving coding edits and denials with the focus on ensuring that the account is resolved in a timely and appropriate manner. SECTION II EDUCATION AND EXPERIENCE REQUIREMENTS: Education: High School Diploma or Equivalent...

Position Summary In this role, the successful candidate analyzes medical records, extracts clinical, pathological, therapeutic and epidemiologic data for Inpatient and/or Outpatient records in accordance with established ICD-10-CM/PCS and CPT coding principles and guidelines. Health Information Coders analyze, abstract, and code in order for the hospital to submit a bill for services rendered and various departments and clinics associated with patient care; perform other related duties as required. Medical coding is a critical aspect of HIM. Professionals assign standardized codes to diagnoses and procedures, which are used for billing, insurance claims, and statistical analysis. They use coding systems such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology). The selected candidate will work on site in Greenport, NY for all shifts. Job Duties & Essential Functions Abstracts and codes medical information from Inpatient...

Overview Certified Coder - University Associates in Obstetrics & Gynecology, UFPC Location: Stony Brook, NY At the manager’s discretion, this role may be eligible for remote work; (2-3 days per week on a rotating schedule after the first 90 days) this position is only available to New York State residents. Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay: $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible...

Overview Certified Coder - Stony Brook Internists, UFPC Location: Stony Brook, NY; At the Manager's discretion, this role may be eligible for remote work (after 90 days) Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay: $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities SUMMARY: This incumbent is responsible for reviewing and analyzing...

As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within Dermatology. Use your expertise that will provision the business objectives across the product life cycle. We deliver strategic and operational support by establishing, developing, maintaining scientific exchange with medical specialists, health care professionals, and payers, aligned with our strategic objectives. We provide clinical and health economic information that enhances the value and appropriate use of Regeneron products. You will work on clinical research sites and investigators, and support of research activities as directed by the Global Medical Functional head.Responsibilities of this role are to ensure accurate exchange and distribution of clinical and scientific information relevant to in-line and pipeline products in a timely, ethical and customer-focused mannerTerritory: New Jersey, Brooklyn, QueensA typical day may include•Engaging in scientific...

Location: New York, United StatesSalary: $176,100.00 - $287,300.00Company: Regeneron PharmaceuticalsPosted: 2026-07-23As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within Dermatology. Use your expertise that will provision the business objectives across the product life cycle. We deliver strategic and operational support by establishing, developing, maintaining scientific exchange with medical specialists, health care professionals, and payers, aligned with our strategic objectives. We provide clinical and health economic information that enhances the value and appropriate use of Regeneron products. You will work on clinical research sites and investigators, and support of research activities as directed by the Global Medical Functional head.Responsibilities of this role are to ensure accurate exchange and distribution of clinical and scientific information relevant to in-line and pipeline products in a timely, ethical...

Job Summary The Coder I position is responsible for accurate coding, abstracting, claims filing, documentation review, and claims denial processing working from the appropriate documentation in the medical record. The coder must stay up to date on code changes and coding guidelines to assure quality and code compliance is met at all times. The coder also has additional combined responsibilities of data quality and insurance representative functions working closely with other members of the HIMS department. Essential Job Responsibilities Reviews inpatient and outpatient medical records to identify the principal diagnosis and all applicable secondary diagnoses and procedures. Uses the computerized encoding system to facilitate accurate coding according to the appropriate classification system. Sequences diagnoses and procedures by following ICD‑10‑CM, ICD‑10‑PCS, CPT/HCPCS, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines. Will be cross‑trained to assist with...

## Risk Adjustment CoderApplyremote type: Hybridlocations: Jupiter, FLtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR4147It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.**Job Summary**The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations.**Duties & Responsibilities****Essential Duties & Responsibilities*** Review medical record information to identify all appropriate coding...

Job Description Job Description A certified professional biller/coder (CPC) Salary 15-25 base on expertise and experience Responsibilities Overseeing the medical coding for all healthcare activities Ensure that medical coding used is in compliance with all medical coding laws and regulations Ensure that the coding used is for reimbursable expenses when necessary Provide regular coding, Home Health coding, or hospital coding as appropriate Communicating with patients regarding rejected claims or procedures Interact with doctors, nurses, and office staff Able to work during regular business hours and rarely work overtime or weekends as necessary Responsible for entering charges in as accurate a manner as possible, which means coordinating with the doctor’s office to obtain any missing information (i.e., insurance cards, authorizations, op reports, etc.) Knowledge of correct CPT coding and ICD10 coding CPR bills all types of insurance such as Medicare, Medicaid, HMOs,...

As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within Dermatology. Use your expertise to provision the business objectives across the product life cycle. We deliver strategic and operational support by establishing, developing, and maintaining scientific exchange with medical specialists, health‑care professionals, and payers, aligned with our strategic objectives. We provide clinical and health‑economic information that enhances the value and appropriate use of Regeneron products. You will work on clinical research sites and investigators, and support research activities as directed by the Global Medical Functional head. Territory: New Jersey, Brooklyn, Queens Responsibilities Engaging in scientific discussions with medical and scientific specialists, including healthcare professionals and population health decision makers consistent with Medical Affairs objectives. Demonstrates deep scientific expertise about...

As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based professional within Dermatology. Use your expertise that will provision the business objectives across the product life cycle. We deliver strategic and operational support by establishing, developing, maintaining scientific exchange with medical specialists, health care professionals, and payers, aligned with our strategic objectives. We provide clinical and health economic information that enhances the value and appropriate use of Regeneron products. You will work on clinical research sites and investigators, and support of research activities as directed by the Global Medical Functional head. Responsibilities of this role are to ensure accurate exchange and distribution of clinical and scientific information relevant to in-line and pipeline products in a timely, ethical and customer-focused manner Territory: New Jersey, Brooklyn, Queens A typical day may include •Engaging in...

Overview Certified Surgical Coder - Stony Brook CPMP Patient Accounts Location: Stony Brook, NY - At the manager’s discretion, this role may be eligible for remote work; this position is only available to New York State Schedule: Full time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay Starting at: $33.65 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities SUMMARY: This incumbent is responsible for...

Join Our Coding Team! Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care through connection, service and innovation. Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence. Logan Health is a growing health system located in Northwest Montana. We are looking for a Certified Facility Coder to join our team remotely! This position is on an as needed basis and may include 1 to 2 shifts per week depending on need. This position will assist with vacation coverage and gaps in staffing. Location: Remote (See Approved States) Shift: Day Shift - 8 Hours | PRN status Pay details: Pay for this position ranges from $23.50 per hour to $31.73 per hour depending on prior related experience. What you bring: You'll bring a strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT-4 coding guidelines and practices, along with at least two years of coding experience in an acute care (hospital/facility) setting. You must also hold a...

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. Responsible for the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of a Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR...

At Logan Health, we're more than just a healthcare provider - we're a community. Nestled in the heart of Montana, we are committed to delivering exceptional care to our patients while fostering a supportive and collaborative work environment for our team. As a member of Logan Health, you'll be part of a dynamic team that values compassion, innovation, and excellence. We offer opportunities for growth, comprehensive benefits, and a chance to make a meaningful impact in the lives of those we serve. Come join us and experience the Logan Health difference, where your passion meets purpose in a place, you'll be proud to call home. Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care through connection, service and innovation. Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence. Help ensure the accuracy behind exceptional patient care! Location: Remote (See Approved States) Schedule: Day Shift - 8 Hours | Full Time - 40...

Job Title Coder Outpatient Job Description Summary/Objective Under limited supervision the Coder Outpatient reviews medical records and performs coding on all diagnoses, procedures, APC and charge codes. The Coder Outpatient uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. The Coder Outpatient will be charged with maintaining the confidentiality of patient records and procedures. Essential Job Functions Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records. Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals and DRG/APC...

Certified Surgical Coder - Stony Brook CPMP Patient Accounts Location: Stony Brook, NY - At the manager's discretion, this role may be eligible for remote work; this position is only available to New York State Schedule: Full time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay Starting at: $33.65 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities SUMMARY: This incumbent is responsible for...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a RCM Specialist / Certified Professional Coder (CPC) based in United States. This role provides an opportunity to support accessible, patient-centered healthcare by ensuring accurate and efficient revenue cycle operations. The RCM Specialist will manage claims, resolve billing challenges, and help maintain smooth financial processes that support high-quality care delivery. Working in a fast-paced remote environment, this position requires strong attention to detail, problem-solving skills, and excellent communication abilities. The role combines medical billing expertise with compassionate interactions across patients, providers, payers, and internal teams. You will contribute to improving operational efficiency by identifying trends, reducing claim issues, and supporting compliance standards. This is an ideal opportunity for a certified coding...

RCM Specialist / Certified Professional Coder (CPC) Remote - United States Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives. We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible. We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven...

Pathology Medical Coder – National Remote UnitedHealth Group (Optum) is hiring a Pathology Medical Coder for a fully remote national position. The role directly supports health outcomes by translating pathology reports into CPT‑4 and ICD‑10 codes and collaborating with billing and accounts receivable teams. Primary Responsibilities Perform various clerical functions as requested by supervisor or group lead. Apply CPT‑4 and ICD‑10 codes by translating dictated pathology reports in a timely and accurate manner. Respond to accounts receivable when coding discrepancies must be reviewed due to payer denials. Communicate regularly with superiors, peers, billing representatives, and other stakeholders to ensure proper flow of information. Understand and follow all department and company SOPs. Perform special projects as assigned by manager. Required Qualifications High School Diploma/GED (or higher). Active unrestricted AAPC CPC license. At least 2 years of experience in medical coding....

Position Summary We are seeking a highly analytical and detail-oriented Certified Professional Coder (CPC) to join our team. This role is highly focused on Denial Management and Revenue Integrity. The ideal candidate is not just a coder but a problem solver who can investigate the root cause of unpaid claims, correct coding errors, and successfully appeal denials. While this role focuses on coding, candidates with a strong background in hard coding (coding directly from operative reports/medical records without relying solely on encoders) and end-toend medical billing will be given top priority. Key Responsibilities Denial Management & Coding Analyze and resolve complex claim denials resulting from coding errors (CCI edits, medical necessity, bundling issues, and modifier usage). Review medical records and "hard code" accurately from documentation to support appeals, ensuring the highest level of specificity for ICD-10-CM, CPT, and HCPCS levels. Draft and submit...

Work From Home Work From Home Work From Home, Indiana 46544 The Coder III Specialist- Professional Specialty Services- Procedural reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on office visit and/or minor surgical procedures. This position abstracts key data elements necessary for billing and data analysis. WHO WE ARE With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Data Analysis- Professional Coding Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT repetitive or non-invasive procedure codes, modifiers, hierarchical condition...

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