187 clinical coder jobs found

Overview Supervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials Lead the frontline of revenue integrity-reducing denials, optimizing collections, and driving team performance. Work Style: Remote Location Requirement: Must reside in an authorized state (FL, GA, PA, NC, SC, TN, or TX) FTE: Full-Time (1.0 FTE) Manages the daily operations of the revenue cycle clinical denial coding team to ensure accurate, timely resolution of denied claims and optimization of reimbursement. Oversees workflows, assigns work, and monitors productivity and quality to drive performance and compliance. Collaborates with healthcare providers, coding teams, and insurance payers to resolve billing issues, support appeal processes, and expedite payment. Reviews financial and denial reports to identify trends, implement corrective actions, and improve overall denial management strategies. Trains and mentors staff on denial resolution, coding accuracy, and payer requirements...

Overview Manages the daily operations of the patient financial services team to ensure accurate and efficient billing and collections. Coordinates with healthcare providers and insurance companies to resolve billing issues and expedite payments. Monitors patient accounts for compliance with financial policies, trains staff on handling inquiries and payment plans, and implements process improvements to optimize revenue cycle management. Requires reviewing financial reports to identify trends and collaborating with other departments to streamline patient registration and insurance verification, all while maintaining strict confidentiality and data protection standards. Responsibilities Manage and oversee all payer denial activities to support low denial rates and optimal reimbursement. Direct daily operations of the denial management process and identify opportunities for workflow and process improvements. Establish departmental goals, measure process effectiveness and...

AdventHealth in Orlando, Florida is seeking a Clinical Coder to ensure accurate clinical documentation and coding compliance. The ideal candidate will have over 5 years of inpatient coding experience and must be proficient in coding guidelines and Medicare reimbursement methodologies. Key responsibilities include reviewing documentation, optimizing diagnostic codes, and mentoring junior staff. Competitive pay and comprehensive benefits package is offered, including health insurance from day one. #J-18808-Ljbffr

A leading health services organization is seeking a Clinical Coder to join their team. This role involves reviewing and coding inpatient clinical documentation using ICD-10 standards. The ideal candidate requires an Associate degree in Health Information Technology or a Bachelor's degree in Health Information Management, along with a Certified Coding Specialist (CCS) certification. The position offers a full-time schedule and the ability to work remotely, providing a comprehensive benefits package including health, dental, and retirement plans. #J-18808-Ljbffr

Job Type Full-time Description Join the Team at PedIM Healthcare! Delivering exceptional care, together. Who We Are PedIM Healthcare is the first private medical office of its kind in Citrus County - offering top-quality care for children, adults, and seniors all under one roof. We provide pediatric, adult internal medicine, family practice, geriatrics, women's care, medical weight-loss, sleep-medicine services and more. Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County. Why Work With Us? A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties. A values-driven environment: we listen, we help, we understand-and we care. Community-oriented and recognized: voted "best of the best" in the region. Opportunity to make a meaningful impact by supporting patients over their...

Job Description Job Description Porter is hiring a Risk Adjustment Coder to join our Team!   Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.    Position Overview We are seeking a certified coder with expertise in risk adjustment coding and...

Risk Adjustment Coder Porter is hiring a Risk Adjustment Coder to join our team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. Position Overview We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal candidate will have a strong understanding of CMS...

Job Description Job Description Medical Billing & Revenue Cycle Specialist (Interventional Cardiology) Location: Stuart, FL (On-Site) Employment Type: Full-Time Position Overview A high-volume Interventional Cardiology practice is seeking an experienced Medical Billing & Revenue Cycle Specialist to support all aspects of the end-to-end revenue cycle (RCM). Reporting to the Practice Administrator, this role is responsible for charge capture, coding validation, claims submission, denial management, A/R follow-up, and reimbursement optimization across professional services including office, hospital, and telehealth encounters. The ideal candidate will demonstrate advanced knowledge of cardiology billing guidelines, payer policies, and regulatory compliance, with hands-on experience in EMR/PM systems such as Athenahealth (AthenaOne) or similar platforms. Key Responsibilities Perform accurate charge entry and reconciliation for CPT, HCPCS, and ICD-10-CM diagnosis...

Certified Medical Coder, CPC/CCS-P/CCS HealthCare Support is seeking a Certified Medical Coder for an opportunity in The Villages, FL! Enjoy a flexible schedule ,a collaborative on?site setting , and the chance to make a real difference in healthcare! Compensation: $21 - $28 / hour (based on experience) Schedule and Position Type: Monday – Friday | Flexible 8-hr day during regular business hours Benefits Medical, Dental & Vision Insurance Matching HSA & 401k PTO & Paid Holidays The Villages Charter School Eligibility & much more! Daily Responsibilities Review and validate medical documentation against selected ICD?9/ICD?10, CPT, HCPCS, and HCC codes, correcting inaccuracies, auditing charts, and ensuring all claims meet compliance and clean?submission standard Collaborate with providers and clinical staff to resolve coding issues, deliver ongoing education, and support accurate documentation, coding quality, and workflow efficiency across daily encounters...

Job Posting Candidate to be considered must reside in the state of Florida. This is a work from home opportunity with majority being remote work. Position Summary To be fully engaged in providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement. Primary Accountabilities 1. Uphold regulatory compliance by assigning and sequencing accurate ICD 10 and CPT 4 codes to reference lab, ancillary, emergency room, endoscopy, ambulatory surgery, observation, and other outpatient records as per coding guidelines demonstrating behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. 2. Validate accuracy of codes assigned by the computer assisted coding software, recognizing inappropriate application of clinical coding rules/guidelines, and revising the codes assigned based upon expert subject matter knowledge and provider documentation. 3. Literacy and...

Job Description Job Description About Company: Founded in 1993, Intercoastal Medical Group is an association of more than 100 highly credentialed physicians encompassing many medical specialties serving Sarasota County and Manatee County, Florida with nine locations. Intercoastal is the premier provider of choice in the Sarasota / Bradenton area. Intercoastal Medical Group also prides itself on offering this area’s most current technology and resources. Extensive laboratory and diagnostic equipment and a day surgery center allow for fast and accurate diagnostic tests and procedures at conveniently located Intercoastal facilities. We are always looking for qualified and compassionate professionals to join our team of dedicated providers and staff. If you enjoy working in a fast-paced environment where you can truly make a difference in the lives of patients, then Intercoastal Medical Group is the place for you. For additional information about Intercoastal, visit...

Certified Medical Coder This is not a remote position. This position is on site. Become a part of our caring community. As Certified Medical Coder you will be accountable for timely, accurately coding and filing claims to minimize the number of claim rejections and denials. Location: CenterWell Senior Primary Care office address: Multiple locations, The Villages, FL Certified Medical Coder Role Overview: Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider. In accordance with correct coding guidelines, correct codes and notify provider as needed. Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses. Utilize CPT/HPCS to assign and sequence all codes for services rendered. Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with medical record...

Company Overview :Upward Health is an in-home, multidisciplinary medical group providing 24 / 7 whole-person care.Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help.Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients.We are able to treat a wide range of needs - everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals - because we know that health requires care for the whole person.It's no wonder 98% of patients report being fully satisfied with Upward Health!Job Title & Role Description :The Certified Medical Coder is responsible for analyzing provider documentation to accurately select ICD-10 and CPT / HCPCS codes, ensuring compliance with coding guidelines, third-party reimbursement policies, and accreditation standards.This role...

Coder IP | Health Information and Record Management | Full Time | Day Shift UF Health Central Florida – Leesburg, FL Overview The Coder InPatient is responsible for evaluating and assigning the appropriate ICD-9, ICD-10, CPT-4, and HCPCS codes, and abstracting pertinent clinical information for bill preparation. This includes work for Inpatient, Rehabilitation, and select Coder II functions as outlined in the Coding Policy and Procedure Manual. Responsibilities Evaluate patient records and assign accurate ICD-9, ICD-10, CPT-4, and HCPCS codes. Abstract and document pertinent clinical information to support accurate billing. Perform selected Coder II functions in accordance with the Coding Policy and Procedure Manual. Research and resolve coding and billing issues as they arise. Analyze medical records for completeness, consistency, and compliance with all regulatory requirements. Qualifications Post high school special training required. Credentials or equivalent through...

OverviewBayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.Position DetailsLocation: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina)Status: Full time (non-exempt)Shift: 7:00 AM to 3:30 PMDays: Monday through FridayThe Advanced Inpatient Coding Specialist is a full-time remote position.Sign on bonuses available!ResponsibilitiesThe Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems.Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis.Formulates physician queries and monitors bill...

Hospital Inpatient Coder Remote, Florida resident required As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees...

Remote Medical Coder Location: remote, Florida Compensation: $21-26/hr., commensurate with experience and qualifications Our Story : Physician Care Centers (PCC) is a growing healthcare MSO with 70+ value-based primary care clinics serving patients across Florida, Texas, Georgia, South Carolina, and Nevada. With a team of 500+ professionals, we're committed to delivering exceptional care and improving patient outcomes. The Role: We're seeking a Medical Coder to ensure accurate, compliant coding that supports revenue integrity and risk adjustment performance. Under the supervision of the Revenue Cycle Manager, you'll review provider encounters, ensure accurate E/M, CPT, and HCC capture, as well as collaborate with clinical teams and support documentation improvement. What You'll Do: Review and accurately code all provider encounters (office visits, procedures, preventive care, chronic condition management). Ensure complete and compliant documentation...

Department: Health Information Management Address: 1400 NW N River Dr. Miami, 33126 Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote but open to applicants who reside in the state of Florida] Summary HIM Inpatient Coder 2 is responsible for reviewing the clinical documentation contained in the in-patient medical records to accurately assign and sequence ICD-9 diagnostic and ICD-9 procedure codes to inpatient records for use in reimbursement and data collection. The HIM - In-patient Coder 2 is able to code complex cases usually resulting in numerous codes and long length of stay. Responsibilities Has the knowledge and experience to code complex cases using ICD-9 and/or ICD-10 code set; including, but not limited to the following services: Trauma, Transplant, Neurosurgery, Cardiovascular Surgery, Burn Unit, and any other medical record assigned to them. Ensures all accounts are coded correctly, which will provide an accurate MS-DRG or APR-DRG for...

Health Information Management Miami, FL Full-Time Job Summary HIM Inpatient Coder 1 is responsible for reviewing the clinical documentation contained in the in-patient health records to accurately assign and sequence ICD-9 diagnostic and ICD-9 procedure codes to inpatient records for use in reimbursement and data collection. Responsibilities Has the knowledge and experience to code In-patient medical records using ICD-9 and/or ICD-10 code set. Ensures all accounts are coded correctly, which will provide an accurate MS-DRG or APR-DRG for appropriate reimbursement. Ensures all accounts are coded within 4 days of the patient's discharge date, meeting productivity standards according to AHIMA Guidelines depending on record type. Verifies patient information to identify any discrepancies and ensures that all codes and any other abstracted information is applied to the appropriate patient's encounter. While reviewing the record for coding purposes, serves as a quality...

Job Title Coder Inpatient Job Description Under limited supervision the Coder Inpatient reviews medical records and performs coding on all diagnoses, procedures, and DRG. The Coder Inpatient 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 Inpatient 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 reimbursement expertise to...

Overview Summary: Review, monitor, and control charge capture and documentation. Provide on-site physician feedback for coding/documentation practices. Assist physicians with documentation and billing compliance guidelines. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture stated by physicians or other healthcare providers. Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS for insurance billing. Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines. Communicates with Special Billers and Charge Follow-up Coordinator in answering insurance billing questions. Reviews and corrects charge review edits. Reviews records to ensure proper submission of services prior to billing on selected charges. Maintains compliance standards in accordance with internal compliance policies. Reports compliance issues appropriately....

HIMS Supervisor Career Opportunity Valued for your Expertise in HIMS Management Are you an experienced Health Information Management Systems (HIMS) professional looking for a leadership role that combines expertise with a commitment to hospital efficiency? Encompass Health is currently searching for a skilled HIMS Supervisor to lead our Health Information Management team. In this pivotal position, you'll take charge of overseeing HIMS functions, ensuring strict compliance with regulatory requirements, and optimizing the efficiency of our medical records systems. As a supervisor, you'll not only establish and manage systems for collecting, maintaining, and retrieving clinical information but also contribute to fostering a workplace culture that values inclusion and diversity. Ready to take your career to new heights in a role that's close to both home and heart? Explore this exciting opportunity with us. A Glimpse into Our World At Encompass Health, you'll experience the...