122 coder jobs found

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Coding Specialist Inspire health. Serve with compassion. Be the difference. 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. Follows departmental...

Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers, payers, or clients when necessary Maintain HIPAA compliance and data security standards Qualifications Preferred: Experience with medical billing, coding, or claim processing Familiarity with EHR or billing software Strong...

Professional Medical Coder I Coding Full Time AM Shift 8a-5p, Mon-Fri Remote Position, Must reside in South Carolina Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an...

Medical Biller/Coder Phenomenal specialty medical practice in the Upstate looking to add an experienced medical biller/coder with CPC to their team. Incredible benefits, including half-day Fridays! Salary: $20-$23/hour What Your Future Day Will Look Like: Review documentation to determine the appropriate codes for medical services Assign codes for services provided Ensure codes meet guidelines Benefits Offered: Excellent benefits! Type: Temp - Hire To Be a Champion in This Role, You Will Need: Current CPC certificate/AAPC Medical billing/coding experience required Epic experience preferred Excellent attention to detail We know you are more than a resume and understand your next career move needs to be the right fit! If this is your first time considering Godshall as your trusted partner, welcome! Once you have applied, we ask that you give us 1-2 business days to review your experience and skills. You will then hear back from one of our...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit in South Carolina. The role requires auditing CPT/HCPCS, ICD-10, and CMS 1500/UB04 data to ensure compliant documentation and coding. The successful candidate will provide detailed audit findings, communicate with investigators and regulators, and stay current with coding guidelines. AAPC CPC certification and 3+ years of coding or auditing experience are required. #J-18808-Ljbffr

Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers, payers, or clients when necessary Maintain HIPAA compliance and data security standards Qualifications Preferred: Experience with medical billing, coding, or claim processing Familiarity with EHR or billing software Strong...

Job Opportunity At AnMed Located in the heart of Anderson, South Carolina, AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful: To provide exceptional and compassionate care to all we serve. AnMed has been named one of the Best Employers in South Carolina by Forbes, reflecting our commitment to a supportive, inclusive, and purpose-driven workplace. Whether you're just starting your career or looking to grow in a new direction, you'll find opportunities to thrive, lead, and make a meaningful impact here. Duties & Responsibilities Assigns ICD-10-CM, CPT, E/M on Emergency Room accounts. Reviews the medical record in order to select the appropriate diagnosis, secondary diagnoses and procedures. Abstracts relevant clinical information from the medical records. Participates in coding staff meetings. Assist other coders when needed. Performs other...

Coder The coder will review documentation of providers and assign CPT codes, ICD10 codes, and modifiers for provider professional services. The coder is responsible for providing coding education to providers and completing daily billing functions. Other duties as assigned by Practice Manager. Minimum Requirements Education High School Diploma or equivalent Experience Procedural and/or surgery coding experience License/Registration/Certifications Certified Coder-CPC or CCS-P Preferred Requirements Preferred Education Associate's Degree Preferred Experience 2 years billing/coding experience Preferred License/Registration/Certifications N/A Core Job Responsibilities Review provider documentation in the electronic medical record to identify incomplete documentation and communicate with provider for completion Assign appropriate ICD-10 and CPT codes Assign modifiers as appropriate Review and correct (if appropriate) provider audits Provide...

Coding Specialist Inspire health. Serve with compassion. Be the difference. Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. 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. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to...

Coding Specialist Inspire health. Serve with compassion. Be the difference. 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. Follows departmental...

Medical Physician Coder The Medical Physician Coder is responsible for reviewing provider documentation and accurately assigning diagnosis and procedure codes for physician (professional billing/PB) services. The coder ensures all coding is compliant with federal regulations, payer guidelines, and organizational policies to support accurate charge capture and clean claim submission. This role utilizes the Epic electronic health record and or E Clinical Works (eCW) and coding tools to code physician encounters and works with clearinghouse platforms such as Waystar and/or FinThrive to support claim validation and error resolution. The coder collaborates with revenue cycle and clinical teams to ensure documentation supports medical necessity and coding accuracy while maintaining established productivity and quality standards. Responsibilities: Review physician documentation and assign appropriate ICD-10-CM, CPT, and HCPCS codes for professional billing services in Epic in...

Summary: The Medical Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for services rendered across all clinic sites. This role ensures coding accuracy, compliance with federal and payer-specific regulations, and supports timely, clean claim submission within eClinicalWorks (eCW). The Medical Coder plays a key role in minimizing denials, protecting revenue integrity, and supporting the organization's FQHC compliance and reporting requirements (including UDS and Section 330 obligations where applicable).Required Vaccines and Test: Influenza, Tdap, Hep B, MMR, Varicella, TB test, and Negative Drug Test results. Additional Vaccines may be required.Essential duties and responsibilities include, but are not limited to:Strong analytical and problem-solving skillsExcellent written and verbal communication for provider queriesAbility to work independently and manage a high-volume caseload with accuracyProficiency with Microsoft...

Family Healthcare is seeking a Medical Coder to review clinical documentation and assign ICD-10-CM, CPT, and HCPCS codes for services across all clinic sites. You will ensure coding accuracy and regulatory compliance while supporting timely claim submission within eClinicalWorks. The role emphasizes minimizing denials, protecting revenue integrity, and supporting FQHC reporting obligations including UDS and Section 330 requirements. #J-18808-Ljbffr

Summary The Medical Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for services rendered across all clinic sites. This role ensures coding accuracy, compliance with federal and payer-specific regulations, and supports timely, clean claim submission within eClinicalWorks (eCW). The Medical Coder plays a key role in minimizing denials, protecting revenue integrity, and supporting the organization’s FQHC compliance and reporting requirements (including UDS and Section 330 obligations). Required Vaccines and Test Influenza, Tdap, Hep B, MMR, Varicella, TB test, and Negative Drug Test results. Additional vaccines may be required. Essential Duties and Responsibilities Strong analytical and problem‑solving skills Excellent written and verbal communication for provider queries Ability to work independently and manage a high‑volume caseload with accuracy Proficiency with Microsoft Office (Excel for tracking/reporting) High...

MUSC Health in Charleston, South Carolina is seeking a Coder/Abstracter responsible for the precise assignment of codes for all patient services. Duties include ensuring compliance with coding guidelines and resolving coding issues. The ideal candidate should have an Associate’s degree or 5 years of coding experience, along with a coding certification. The position offers benefits like health insurance, retirement plans, and tuition reimbursement. #J-18808-Ljbffr

Insight Global is searching for Experienced PB/Pro Fee Medical Coders to support one of our largest healthcare clients in the Southeast. These individuals will work remotely in EST with flexible start times between 6AM-9AM EST. The position is specifically dedicated to the Orthopedic E/M work queue. Responsibilities include coding denials, assisting with coding audits, and collaborating with teammates on complex cases. Candidates must hold an active CPC, CCS, RHIA, or RHIT certification and be certified through HEMA or AAPC. Must Haves: At least 5 years of coding experience CPC Certification (CCS can replace this requirement) Experience with Orthopedic E/M and minor office procedures Details: Seniority level: Not Applicable Employment type: Contract Job function: Healthcare Provider Industries: Hospitals and Healthcare This job is currently active. Apply now to increase your chances of being considered. #J-18808-Ljbffr

A leading healthcare provider is seeking a Medical Records Outpatient Coder III to work remotely on a PRN basis. This role entails reviewing patient encounters to assign accurate diagnosis and procedural codes using ICD-10-CM and CPT-4 systems. Candidates must have strong CPT coding skills and at least 5 years of outpatient facility coding experience. The role offers flexibility in schedule and requires a Certified Coding Specialist certification. Join a team that values trust, dignity, and clinical excellence. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

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: PRN (as needed, non-benefit eligible) Shift: Flexible Days: Tuesday - Saturday OR Sunday - Thursday The Medical Records Outpatient Coder III will work remotely on a PRN (non-benefit eligible) basis. Responsibilities The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems. Works in conjunction with various departments for missing documentation and monitors bill hold reports. Strong utilization of medical terminology and anatomy. Assists Manager/Director with mentoring/training of...

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: PRN (as needed, non-benefit eligible) Shift: Flexible Days: Tuesday - Saturday OR Sunday - Thursday The Medical Records Inpatient Coder II will work remotely on a PRN (non-benefit eligible) basis. Responsibilities The Medical Records Coder II assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports. Assists Manager/Director with mentoring/training of Coder I team members and clinical practice students from various colleges. Performs other duties as assigned. Why BayCare? Our network consists of 16 community-based hospitals, a...

A large healthcare employer is looking for a Medical Records Inpatient Coder II to work remotely on a PRN basis. This role involves assigning diagnosis and procedural codes using ICD-10 and CPT coding systems, alongside training Coder I team members. Candidates should have 2 years of coding experience and a high school diploma, with preferred certifications in CCS or RHIT. This position is flexible and supports professional growth in a collaborative environment. #J-18808-Ljbffr