173 clinical coder coding jobs found

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....

Overview FTE: .20 Shift Hours: VARIABLE Work Location: Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TX Position Summary: Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes , delivered verbally, physically, and in written form. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interact with providers to provide feedback and education using verbal, written, and in-person communication. Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS coding for...

A leading healthcare provider is seeking a remote Coder to review and analyze clinical documentation for accurate coding and reimbursement. The ideal candidate will have a minimum of 3 years experience in medical billing and coding, with a strong understanding of ICD-10, CDM, HCPCS, and CPT codes. Responsibilities include ensuring compliance with federal regulations, providing education to physicians, and managing coding-related tasks. This position offers the opportunity for remote work across multiple states including Florida and will require a Certified Professional Coder certification at the time of hire. #J-18808-Ljbffr

Job Posting The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the tests was performed and meets all state federal local and payer guidance. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation. Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that affect outcome. Communicate questions or concerns to the Coding Manager, HIM Services Director, or BHC's Revenue Integrity Department to ensure prompt resolution. Works with medical staff to resolve coding issues and associated problems. Reports and communicates any...

About this position 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 full life span—from children to...

Medical Biller & Coder We are seeking an experienced, detail-oriented, and highly motivated Certified Medical Biller and Coder to join our growing healthcare team. In this role, you will manage the full revenue cycle, ensuring accurate coding, timely claim submission, proactive denial resolution, and maximum reimbursement. The ideal candidate will possess strong analytical skills, extensive billing and coding knowledge, and the confidence to effectively communicate with insurance carriers and patients. Key Responsibilities Review clinical documentation and accurately assign ICD-10-CM, CPT, and HCPCS codes. Enter charges for daily patient encounters while ensuring coding accuracy and compliance. Prepare, review, scrub, and submit electronic and paper claims to commercial insurance carriers, Medicare, and Medicaid. Ensure claims are complete and compliant prior to submission. Investigate denied or underpaid claims and identify root causes. Research payer policies and...

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...

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...

Job Description Job Description Position Summary The Medical Coder and Biller is responsible for accurately reviewing clinical documentation, assigning appropriate diagnosis and procedure codes, submitting claims to insurance carriers, posting payments, following up on denied claims, and ensuring compliance with federal, state, and payer-specific regulations. This role plays a critical part in maintaining the financial health of the organization by ensuring timely and accurate reimbursement for services rendered. Essential Duties and Responsibilities Medical Coding Review medical records and provider documentation for completeness and accuracy. Assign appropriate ICD-10-CM, CPT, and HCPCS codes. Ensure coding complies with payer guidelines and regulatory requirements. Query providers for clarification when documentation is insufficient. Monitor coding updates and regulatory changes. Medical Billing Prepare and submit electronic and paper claims to...

Hcc Risk Adjustment Coder Physicians' Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh Acres. We are currently seeking an in-house Hcc Risk Adjustment Coder for our Compliance and Coding department located in Fort Myers. This is not a remote coding position, must reside in Lee County Florida. Schedule is Monday through Friday, Day Shift. Are you a coding enthusiast who enjoys solving documentation puzzles and ensuring medical services are accurately translated into codes? Our medical practice is looking for a Certified Medical Coder whom is detailed-oriented, organized and passionate about compliance and accuracy. In this role, you will help bridge the gap between clinical care and reimbursement by ensuring medical records are coded correctly and claims are submitted cleanly. Sample Of Responsibilities: Review provider documentation and assign accurate ICD-10...

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...

Nflsurgeons is seeking a detail-oriented Medical Coding Specialist to enhance our revenue cycle department. The successful candidate will review clinical documentation, assign correct ICD-10, CPT, and HCPCS codes, and maintain compliance with federal regulations. This full-time role, based in Florida, requires strong coding experience in orthopedic specialties and comes with a hybrid work arrangement. Join us to ensure accurate coding critical for reimbursement and patient care! #J-18808-Ljbffr

Overview North Florida Surgeons is a leading healthcare provider committed to delivering exceptional patient care and service. We have over 300 medical providers and physician extenders and are currently seeking a detail-oriented and motivated Medical Coding Specialist to support our revenue cycle department. This role is essential in ensuring accurate coding for services rendered, which directly impacts reimbursement and compliance. The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate ICD‑10, CPT, and HCPCS codes for billing and reimbursement. This position works closely with providers, billing staff, and insurance companies to ensure coding accuracy and compliance with federal regulations. Key Responsibilities Review medical records and documentation to assign accurate diagnosis and procedure codes Responsible for coding office visits and surgeries Collaborate between clinical, billing and patient services departments to ensure...

Physician Billing Coder I | Revenue Cycle - Team 2 - Cardiology | Days | Full-Time | CERTIFIED | REMOTE 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. FTE & Schedule FTE: 1.0 Schedule: Monday - Friday, 8:00 AM - 5:00 PM Work Location: Remote - only within approved states: FL, GA, MO, PA, SC, TN, and TX 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...

Physician Billing Coder (Surgical) | Revenue Cycle Admin | Days| PRN Pool | CERTIFIED | REMOTE University of Florida Jacksonville Physicians, Inc. is seeking an experienced Physician Billing Coder for a remote position. This role requires strong coding expertise and a commitment to maintaining compliance with all regulations. Overview FTE: 0.20 Shift Hours: Monday - Friday - VARIABLE Work Location: Remote (within approved states: FL, GA, MO, PA, SC, TN, and TX) Position Summary Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form....

A healthcare organization in Jacksonville is seeking an experienced Physician Billing Coder for a remote position. This role requires strong coding expertise, with at least 5 years of medical coding experience and a Certified Professional Coder (CPC) certification. Responsibilities include reviewing clinical documentation, ensuring compliance with regulations, and providing physician education. The position is full-time and primarily focuses on accurate coding for reimbursements. Join a dedicated team committed to excellence in healthcare billing. #J-18808-Ljbffr

A healthcare organization is seeking a Physician Billing Coder for a remote position. This role involves reviewing clinical documentation, ensuring compliance, and accurately coding procedures for reimbursement. Candidates should have at least 3 years of physician coding experience and be certified as a Professional Coder (CPC). The position offers full-time hours from Monday to Friday with the possibility of remote work from authorized states. #J-18808-Ljbffr

Overview North Florida Surgeons is a leading healthcare provider committed to delivering exceptional patient care and service. We have over 300 medical providers and physician extenders and are currently seeking a detail-oriented and motivated Medical Coding Specialist to support our revenue cycle department. This role is essential in ensuring accurate coding for services rendered, which directly impacts reimbursement and compliance. The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate ICD-10, CPT, and HCPCS codes for billing and reimbursement. This position works closely with providers, billing staff, and insurance companies to ensure coding accuracy and compliance with federal regulations. Key Responsibilities Review medical records and documentation to assign accurate diagnosis and procedure codes Responsible for coding office visits and surgeries Collaborate between clinical, billing and patient services departments to ensure...

Overview FTE: 1.0 Hours: Monday - Friday, 8:00 AM - 5:00 PM Location: Remote (eligible only within FL, GA, MO, PA, SC, TN, and TX) Position Summary This role is responsible for reviewing, analyzing, and assigning final diagnoses and procedures as documented by the practicing provider, following all compliance policies and guidelines. The position ensures accurate coding of office and hospital procedures to guarantee proper reimbursement. Key Responsibilities Providing physician education to ensure proper completion of Electronic Health Records (EHR). Ensuring correct assignment of ICD-10-CM, HCPCS, and CPT codes. Delivering education verbally, in writing, and through hands‑on training as needed. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interact with providers to provide feedback and education using verbal, written, and hands‑on communication methods. Assign and sequence appropriate codes...

A healthcare organization is seeking a Physician Billing Coder I to ensure accurate assignment of diagnoses and procedures for reimbursement. This full-time remote role requires 3 years of experience in medical billing and physician coding, along with a Certified Professional Coder (CPC) certification. Responsibilities include reviewing clinical documentation, assigning codes, and ensuring compliance with regulations. The job offers flexibility while maintaining impact in a crucial area of healthcare administration. #J-18808-Ljbffr

Job Title Coders, Bill Reviewers, And Payment Integrity Reviewers Job Description Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures...