159 clinical coder coding jobs found

Overview Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families...

WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics - Centrum Health and Premier Medical - as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. JOB SUMMARY The Biller Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including...

Job Posting FTE: 1.0 Schedule: Monday Friday, 8:00 AM 5:00 PM Work Location: Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TX Job Summary: Under general supervision, reviews, analyzes, and assigns final diagnoses and procedures as documented by the practicing provider, ensuring compliance with all policies and guidelines. Accurately codes office and hospital procedures to ensure proper reimbursement. Ensures the accurate completion of electronic health records through the assignment of ICD, CDM, HCPCS, and CPT codes. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture as stated by physicians or other healthcare providers. Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS standards for insurance billing. Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations. Communicate with Special...

Job Description Job Description Description: Position Overview The Professional Billing Coder – Cardiothoracic / Special Surgical is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment. Requirements: Key Responsibilities • Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services • Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding • Apply appropriate modifiers, bundling rules, and NCCI edits • Ensure compliance with CMS, AMA, and payer-specific billing guidelines • Identify documentation gaps and communicate clarification needs as appropriate • Meet established productivity and quality standards • Participate in internal quality reviews and audits as required...

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...

Medical Oncology Coding Specialist Location: Remote Facility: Ascension Sacred Heart Medical Oncology - Airport Department/Specialty: Medical Oncology Schedule: Day | PRN Salary: $23.60 - $31.92 per hour Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter. Benefits that help you thrive Retirement: 403(b) plan Well-being support: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources Benefit options and eligibility vary by position, scheduled hours and location. Benefits are...

A healthcare provider in Yulee, Florida, is seeking a Medical Coder responsible for reviewing clinical documentation and coding procedures according to compliance standards. The ideal candidate will have a minimum of 3 years of physician coding experience, strong communication skills, and proficiency in medical management systems. Certification as a Certified Professional Coder is required at the time of hire. This role demands accuracy and independent judgment while handling coding duties in a fast-paced environment. #J-18808-Ljbffr

Job Requirements ** 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 ACCOUNTABILITES 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...

Position Title DMEI(Nuro-surgery Coder) R060115 Department Revenue Integrity Job Description Reviews and evaluates hospital outpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) codes. Performs coding and/or code validation across OUH. Applies all appropriate coding guidelines and criteria for code selections. Essential Responsibilities Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position. Using ICD-10-CM and/or HCPCS/CPT, primarily assigns, validates, and/or edits codes for the following patient types: Same day surgery (SDC) Observation (OBV) Wound Care Outpatient Cardiac Cath As needed, may also assign, validate, and/or edit codes for the following patient types: Emergency department (ED)...

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...

Overview FTE: 1.0 Work Schedule: Monday – Friday, 8:00 AM to 5:00 PM Location: Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TX Additional Details: The new hire will be required to attend in-person onboarding and hospital orientation. Responsibilities Summary: The Coder III is responsible for evaluating and assigning the appropriate ICD-9, ICD-10, CPT-4, and HCPCS codes , as well as abstracting pertinent clinical information for bill preparation for the following patient types: Inpatient, Rehabilitation , and performing select Coder II functions as outlined in the coding policy and procedure manual. This role is also responsible for: Researching and resolving coding/billing issues. Analyzing medical records for completeness, consistency, and compliance with all regulatory requirements. Qualifications Education: Post-High School Special Training Licensure/Certification/Registration: AAPC or AHIMA Medical Coding Certification Experience...

BayCare 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 Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: PRN (non-benefit eligible, as needed) Shift: Flexible Days: Sunday - Thursday OR Tuesday - Saturday The Advanced Inpatient Coding Specialist is a PRN (non-benefit eligible) remote position. Responsibilities The 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...

BayCare 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 Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: Full time (non-exempt) Shift: 8:00am - 4:30pm Days: Monday through Friday This Specialty Coder II opportunity is a full-time remote position. This team member must reside in the state of Florida, George, North Carolina, or South Carolina. Sign on bonuses available! Responsibilities The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems. The Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers. Mentors and training of other Specialty Coders. Serves...

IP Coder We are seeking an IP coder, 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 clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records. Responsible for assigning 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 assign appropriate codes. Abstracts...

Risk Adjustment Nurse/Coder AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA) in Doral, FL! Full-time permanent position (40 hours) Standard working hours: 8am to 4:30pm EST, M-F This is a hybrid position, 2 days onsite in AvMed Doral Office, 3470 NW 82nd Ave Suite 1100, Doral, FL 33122, and 3 days remote. Job Profile Summary The Risk Adjustment Clinical Coder/Nurse performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories...

Coder Physician Under limited supervision the Coder Physician reviews medical records and performs coding on all diagnoses, procedures, DRG/APC, and charge codes. The Coder Physician 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 Physician 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 assign...

Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7:30 AM to 4 PM (Remote but open to applicants who reside in the state of Florida) Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine. Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do. Summary HIM Outpatient Coder 2 is responsible...

The Miccosukee Tribe of Indians of Florida Clinic is seeking a Medical Biller & Coder is responsible for accurately translating medical services, diagnoses, and procedures into standardized codes and submitting claims to insurance companies, government programs, and other payers. This role supports timely reimbursement, regulatory compliance, and effective communication with providers, payers, and patients. Duties and Responsibilities Review medical records, provider notes, and clinical documentation to assign accurate ICD-10, CPT, and HCPCS codes Prepare, submit, and track insurance claims Verify patient insurance coverage, eligibility, and benefits Identify, research, and resolve claim denials, rejections, and payment discrepancies Post payments, adjustments, and refunds accurately in the billing system Communicate with insurance companies, healthcare providers, and patients regarding billing issues Ensure compliance with HIPAA, CMS, and other federal, state, and...

Risk Adjustment Coder 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 risk adjustment and quality initiatives, exceptional...

Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed responsibilities: Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators. Reviews appropriate inpatient coding work queues daily to address coding...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed responsibilities: Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators. Reviews appropriate inpatient coding work queues daily to address coding...

Coder Inpatient The Coder Inpatient is responsible for evaluating and assigning ICD-9, ICD-10, CPT-4, and HCPCS codes, as well as abstracting pertinent clinical information for bill preparation. This role includes coding for Inpatient, Rehabilitation, and select Coder II functions as outlined in the Coding Policy and Procedure Manual. FTE: 1.0 Schedule: Monday Friday, 8:00 AM 5:00 PM Key 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. Education Post high school special training required. Licensure/Certification/Registration Credentials or equivalent through AHIMA (American...