331 coder 1 jobs found

Miami, FL | Full-Time Health Information Management 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...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address:...

Job Posting Overview: FTE: .20 Shift Hours: Monday Friday - 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...

Job Description Job Description Description: Position Overview The Professional Billing Coder – Surgical Speciality 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 Required...

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 a specialization in in-home health...

Position Overview The Professional Billing Coder – Surgical Speciality 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. 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 Required Qualifications Minimum 2+ years of professional billing coding experience...

Coder II Location Requirement: Candidates must reside in one of the following states- Florida, Alabama, or Georgia. If offered the position, will be required to come onsite in Pensacola, FL for orientation. The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This position does not have excessive re-bills. 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...

Coder III Location Requirement: Candidates must reside in one of the following states- Florida, Alabama, or Georgia. If offered the position, will be required to come onsite in Pensacola, FL for orientation The Coder III reviews inpatient records and accurately assigns appropriate ICD-10-CM/PCS codes according to established guidelines with a 97% accuracy rate, while maintaining coding standards for productivity. This position must preserve confidentiality of health information. This position must be able to use tact and diplomacy when communicating with employees, physicians, administration, and public, under complex or emotional situations. Responsibilities Reviews patient records and accurately assigns appropriate ICD-10-CM/PCS codes according to established guidelines. Meets productivity standard for inpatient coding: 17 charts/day. Understands appropriate assignment of MS-DRG, POA, and discharge disposition. Assists with all levels of coding including inpatient,...

Job Description Job Description Job description: Medical Biller – Pain Management Practice (Coral Springs) Job Type: Full-time Hours: Monday–Friday, 8:30 AM–5:00 PM Pay: Negotiable, based on experience Benefits: Paid time off + additional benefits available About Us: We are a busy and expanding pain management practice seeking a motivated Medical Biller to join our team. This is a great opportunity for someone who is hardworking, detail-oriented, and eager to grow within a supportive medical environment. Responsibilities: Inpatient and outpatient billing Charge entry and claims submission Working with various insurance plans Handling Workers’ Compensation and Personal Injury cases Collaborating closely with our pain management physician and clinical team Maintaining accurate records in our Electronic Health Record (EHR) system Requirements: Experience in pain management billing strongly preferred Knowledge of insurance plans, Workers’ Comp, and...

A national healthcare provider is looking for a Coder for on-site work in Panama City, Florida. Responsibilities include processing patient information and coding diagnoses using the ICD-10-CM system. Requirements include a High School Diploma, preferably an Associates Degree, and at least one year of experience in health information management. This position features a challenging work environment and offers career development opportunities. #J-18808-Ljbffr

A healthcare facility in Florida seeks a Coder for a PRN/PD schedule to ensure accurate medical records and compliance with legal standards. Responsibilities include processing medical information requests, assembling records, and coding diagnoses post-discharge. Ideal candidates should have a high school diploma and experience in health information management. Join us in a challenging and rewarding work environment! #J-18808-Ljbffr

Job No: 532862 Work Type: Full Time Location: Main Campus (Gainesville, FL) Categories: Office/Administrative/Fiscal Support, Veteran's Preference Eligible, Health Care Administration/Support Department: 29190000 - MD-NEUROLOGICAL SURGERY Job Description The Department of Neurosurgery is seeking an experienced surgical coder to perform highly specialized diagnosis and procedural coding for all operative procedures and inpatient consulting services performed by the faculty of the Department of Neurological Surgery including those performed in Gainesville and at Halifax Regional Medical Center. More About This Role Performs highly specialized diagnosis and procedural coding for all operative procedures and inpatient consulting services performed by the faculty of the Department of Neurological Surgery including those performed in Gainesville and Halifax Regional Medical Center. Requires review of operative reports and/or progress notes to determine documentation of...

Job Title 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 include: 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 and modifiers using current procedure, diagnosis, and HCPCS codes for billed services. Accurately follow coding guidelines and...

Become a vital part of Datavant, the leading platform for secure, accessible, and actionable health data. Our mission is to enhance health data collaboration for healthcare providers, health plans, researchers, and life sciences organizations. Join us in transforming individual patient requests and advancing AI in healthcare! As a member of our team, you'll contribute to meaningful change in the healthcare landscape from the comfort of your own home. This fully remote position offers flexibility while allowing you to impact the future of healthcare. Key Responsibilities: Utilize ICD-10-CM and ICD-10-PCS codes to assign diagnostic and procedural codes accurately. Abstract and sequence medical codes from patient records, ensuring compliance and precision in documentation. Oversee and provide feedback on the work of Level 1 & 2 Coders when applicable. Identify opportunities for documentation improvement and collaborate with relevant stakeholders to...

A healthcare organization in Tallahassee, Florida is seeking a Supervisor for Medical Referrals. In this role, you will schedule and pre-register patients for exams with specialists, gather necessary information, and assist in improving consumer experiences. The ideal candidate has a Bachelor's Degree, 4-6 years of experience in healthcare, and is certified as a Medical Coder. Strong communication and time management skills are essential. This position offers competitive pay and benefits including health insurance from day one. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Supervisor, Medical Referrals schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Supervisor, Medical Referrals gathers and communicates all relative information and preparation instructions to patient and referring providers. Required Qualifications Bachelor's Degree 4 - 6 years in a physician office, health care, or managed care environment Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-H, or CPMA from AAPC; or CCA, CCSP, CCS from AHIMA) Strong experience in ICD-9, ICD-10 and CPT coding Prior management or supervisory experience Highly proficient with Microsoft Office products Valid driver's license and/or dependable transportation necessary Strong written and verbal communication skills;...

Job Description Job Description Hybrid-Sunrise, Florida Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud...

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. Sample of Responsibilities: Perform prospective reviews and clinical documentation improvement opportunities Assist healthcare providers in identifying and resolving issues related to incomplete or missing clinical documentation The individual will conduct chart reviews to abstract data not submitted by providers Initiate opportunities to improve documentation Assists other team members as needed to meet the goals of the department. Maintain strictest confidentiality and adhere to all HIPAA guidelines and regulations. Position...

Coder II - ProFee Trauma Surgery Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments. Includes inpatient E/M coding and clinic E/M coding as well as trauma surgery coding and bedside procedure coding. Experience required in at least E/M coding or trauma surgery coding. Facility Specific: Responsible for coding SDS, Observation, and as needed ED, Diagnostic, and Ancillary records. Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic,...

Full-Time Outpatient Facility Surgery (SDS) Coder Healthcare Coding and Consulting Services (HCCS) is currently hiring an experienced and certified Full-Time Outpatient Facility Surgery (SDS) Coder for immediate openings. These remote positions are ideal for coders seeking long-term, stable opportunities with a company that values accuracy, professionalism, and career growth. As an SDS coder with HCCS, you'll be responsible for accurately coding same-day surgery encounters, mastering client systems, and consistently meeting productivity and quality standards. We assign coders to chart types and facilities that align with their experience, ensuring you're supported and set up for success. Position Requirements: AHIMA/AAPC certification is required (CCA and CPC-A not accepted or considered) Minimum 3 years of CPT and/or ICD-10-PCS acute care hospital coding experience At least 6 months of recent SDS facility coding experience Ability to maintain minimum standards of...

Broward Health Physician Group Shift: Shift 1 FTE: 1.000000 Summary Oversees staff training, onboarding of employees, and billing duties of office. Manages all aspects of the day-to-day duties to ensure a cost-effective operation, optimal communication with all stakeholders, and efficient functioning of the staff, in an effort to ensure quality patient care and service. Education Essential: Associate Experience Essential: Two Years Visit us online at www.BrowardHealth.org or contact Talent Acquisition HR-004-026 Bonus exclusions may apply in accordance with policy. Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law. At...

Position Summary Orlando Health Physician Associates One of the largest primary care providers (PCP) groups in Central Florida, Orlando Health Physician Associates comprises the PCP network of the Orlando Health Medical Group. More than 225 providers deliver care in family medicine, internal medicine, pediatrics, obstetrics and gynecology, and podiatry. Our PCPs provide care for every age, through every stage, from childhood development to pregnancy and childbirth services to chronic disease management and aging concerns. As part of Orlando Health, our providers also can refer and coordinate care throughout the system's integrated network of healthcare services. With numerous convenient locations across Central Florida, Orlando Health Physician Associates offers patients easy access to quality primary care, including same-day, next-day and virtual appointments. Orlando Health Physician Associates is part of the Orlando Health system of care, which includes award-winning...

Health Information Management (HIM) Section This position is located in the Health Information Management (HIM) section of the Business Office at the Orlando VA Healthcare System. MRTs (Coders) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multispecialty clinics, and specialty centers. Please read the duties section of this announcement for further information on remote work status.