5497 coder jobs found

Overview Certified Coder - Neurology Associates of Stony Brook, UFPC Location: East Setauket, NY Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay: $27.91 - $34.87 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’ documentation, CPT, and ICD-10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. Job Duties & Essential Functions: Provide a variety of complex and technical assignments relating to medical coding. Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement. Resolve discrepancies on coding related issues. Review and...

City / State Norfolk, VA Work Shift First (Days) Overview :Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator / Certified Professional Coder (CPC) Remote! Status :Full-time, permanent position (40 hours) Work hours :8am to 5pm EST, M-F Location :This position is remote for candidates that live in the following states :VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year.Job Responsibilities :Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products.Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits.Contribute to the review of reimbursement systems relating to health insurance claims...

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....

Join to apply for the Remote Ambulance Coder role at Pafford Medical Services1 day ago Be among the first 25 applicantsJoin to apply for the Remote Ambulance Coder role at Pafford Medical ServicesGet AI-powered advice on this job and more exclusive features.Job Title :Remote Ambulance CoderWork Location :Pafford Medical Services, Inc.- Oklahoma CityDivision / Department :PMBSReports To :Director of Pafford Medical Services BillingFull-TimeNonexemptJob DescriptionResponsible for charge validation and assigning appropriate ICD-10 and HCPCS codes to ambulance claims.Responsible for reviewing ambulance trip reports to determine medical necessity and to assign the appropriate level of care.Includes fulfilling assigned duties and responsibilities for the accurate submission of all ambulance transports in order to process third party claims and patient bills.Essential Duties And ResponsibilitiesResearches all information to complete accurate billing processes including assignment of...

HIMS Coder Career Opportunity Valued for your Expertise in HIMS Coding Are you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your passion and values? Join our team where we believe in careers close to home and heart. Your role is vital in ensuring accurate coding of medical records, maintaining data integrity, and supporting healthcare efficiency. Translating medical information into standardized codes, you'll contribute to quality patient care. As a HIMS Coder, responsibilities include precise coding based on ICD-10-CM and CMS 13 group codes and maintaining compliance with regulatory guidelines and company policies. If you're eager to make a meaningful impact, explore this exciting opportunity with us where your expertise meets personal values. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national...

Job Title: Professional Coding Auditor (CPC Required) Location: Dover, DE 19901 (Onsite) Salary Range: $53,000 – $80,000 (Facility Salary Range) Employment Type: Full-Time If interested, please email your resume to LKOPASZ@ALINESTAFFING.com Certified Professional Coder (CPC) Position Overview Seeking a Certified Professional Coder (CPC) with strong physician (professional) coding experience in a medical office setting. This role focuses on coding audits, documentation quality reviews, and provider education. The ideal candidate has experience coding across multiple specialties and regularly collaborates with physicians to provide documentation feedback and compliance education. Auditing experience is preferred. Certified Professional Coder (CPC) General Summary Performs data quality reviews on provider documentation to validate ICD-10-CM and CPT coding accuracy and clinical documentation integrity. Audits physician and midlevel provider records to ensure correct diagnosis and...

Job DescriptionJob DescriptionAbout Company:Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities. Guided by our core principles of excellence, integrity, and collaboration, we are dedicated to delivering high-quality staffing solutions that strengthen the delivery of patient care nationwide. Rooted in a culture of Linked Prosperity, PPDG values the success of our clients, employees, and partners alike--offering competitive compensation, comprehensive benefits, professional growth, and a cooperative workplace built on trust, respect, and service. As a proud Department of Defense Partner Employer and participant in the Military Spouse Employment Partnership (MSEP), PPDG remains committed to supporting our Nation's Finest through meaningful careers that make a lasting impact.Medical Coder - APVLocation:...

A leading healthcare company in Alabama is seeking a skilled HIMS Coder. You'll play a crucial role in the accurate coding of medical records and support healthcare efficiency. Responsibilities include coding based on ICD-10-CM and ensuring data compliance. Ideal candidates have relevant health information management certifications and are proficient in medical coding. Join a nurturing environment offering competitive benefits, growth opportunities, and a culture that values diversity and inclusion. #J-18808-Ljbffr

Catholic Health Initiatives - CHI Health Clinic [Medical Records Clerk] As a Coder at Catholic Health Initiatives, you'll: Accurately abstract information from the service documentation, assign and sequence appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems; Be responsible for working encounters in the coding work queue or task lists in a timely manner; Review and resolve coding denials; Meet or exceed organizational coding production and quality standards...Hiring Immediately >>

Details Salary: $21.85 - $29.56 per hour Department: Revenue Cycle Management Schedule: Monday - Friday, 8:00 am - 4:30 pm Hospital: Seton Family of Hospitals Location: Remote Benefits Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance Time to recharge: pro-rated paid time off (PTO) and holidays Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources Family support: parental leave, adoption assistance and family benefits Other benefits: optional legal and pet insurance, transportation savings and more Benefit options...

ResponsibilitiesThe Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement.Assign and sequence ICD-10-CM / CPT codes by applying regulatory coding guidelines.Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books.Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record.Queries physicians for diagnoses or missing / ambiguous information for accurate coding.Apply organizational documentation policies and procedures in conjunction with official coding guidelines.Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement.Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and / or clinic records in a consistent, accurate and timely manner.Ensures the final diagnosis...

Coder Troy Regional Medical Center has an opening for a Coder. Our family environment offers support in a collaborative team atmosphere. Come and check out what TRMC can do for your career! As a Coder at TRMC, your primary responsibility will be to accurately code diagnoses and procedures across all specialties, particularly in the Emergency services. This role is crucial in generating indices and statistics, ensuring proper billing and reimbursement, and, most importantly, supporting our mission to deliver the highest quality of patient care economically and efficiently. Education: A high school diploma or equivalent is required. Must have completed an accredited coding education program. Experience: At least two years of coding experience in an acute hospital environment is required. Must be proficient in ICD-10 and DRG optimization if required for assigned specialty. Must have a working knowledge of medical terminology, anatomy, and physiology. Experience with APC Claims,...

Patient Accounts Representative Desert Sage Health Centers The Patient Accounts Representative, a key position in the Revenue Cycle, manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence. The Representative will assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled timely in order to maximize revenues. Other important duties include enrollment processing, and reporting. Billing and Claims: Prepares and submits clean claims to third party payers either electronically or by paper. Maintains relationship with clearinghouse, including appropriate follow-up with support issues. Coordinate the process of patient eligibility through various third-party sources. Coordinate collection process, to include any projects from Medisoft accounts and tracking current...

Job Title Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Minimum Education: High School graduate or equivalent. Minimum Work Experience: Two years experience in billing, insurance, office procedures in a medical setting preferred. Required Skills: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Language Skills: Able to communicate effectively in English, both verbally and in writing.

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate coding software and coding resources in order to determine correct codes. Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable....

Position: Hospital Coder IV Department: Clinic Management Job Summary We are seeking a skilled and detail-oriented Certified Medical Coder specializing in clinic or professional coding to join our healthcare team. The ideal candidate will be responsible for accurately assigning appropriate medical codes to diagnoses, procedures, and services provided in a clinic or professional setting. The Certified Medical Coder plays a vital role in ensuring compliance with coding guidelines, maximizing revenue capture, and supporting efficient healthcare operations. Essential Duties and Responsibilities Review and analyze medical records, encounter forms, and documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes. Ensure coding accuracy and compliance with regulatory requirements and organizational policies. Collaborate with healthcare providers and clinical staff to clarify diagnoses or procedures for accurate code assignment. Conduct coding audits to...