129 coder 1 jobs found

100 Albany Med Health System is looking for a Professional Coder to work remotely. You will review, analyze, and validate CPT and ICD-10 diagnosis codes as well as HCPCS and modifiers to ensure compliance with regulations. The ideal candidate should have a high school diploma or G.E.D. and experience in provider professional fee coding. Proficiency in Microsoft Word and Excel is also required for this position. This role demands effective communication skills and the ability to work well in a team setting. #J-18808-Ljbffr

A healthcare data platform company is seeking experienced inpatient coders to join its remote team. The position requires expertise in diagnostic coding and offers a flexible schedule along with competitive pay ranging from $32 to $42 per hour. Applicants should have a minimum of 3 years of experience, with certifications preferred. Ideal candidates will demonstrate strong attention to detail and communication skills. #J-18808-Ljbffr

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more These are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from patient medical records....

Certified Professional Coder/ PIP Adjuster Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients' needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers' compensation insurance carriers; third party administrators (TPAs); and government entities we serve. Exciting opportunity with the possibility for growth! This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the team and as the department grows, there may be opportunities for future advancement into leadership roles individuals who demonstrate mastery of the...

Urgent Requirement - Certified Professional Coder Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right...

Job Title Remote... need NY/NJ PIP experience and Certified coder from AAPC Responsibilities: Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes Assign proper CPT, HCPCs codes based on the review outcome Review CPT codes for unbundled services Review billed modifiers for accuracy of use Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customers in a professional easy to understand manner Use various resources, IE: eBooks, 3M software to support reviews Participate in conference calls as needed with customers and/or attorneys Participate in virtual and in-person testimony or trial when needed Assist with various special projects and other duties as assigned Qualifications...

Driven by a bold pursuit of science and fueled by an unwavering commitment to patients, Sun Pharma is a leading global pharmaceutical company, providing high-quality medicines trusted by healthcare professionals and patients. As part of our mission to Reach People and Touch Lives, we deliver Innovative Medicines, Generics and Consumer Healthcare products that improve the lives of millions of people. With a broadly diversified portfolio of products that span multiple therapeutic areas, we improve access to effective, affordable treatments that promote better health and well-being. Reaching People. Touching Lives. Job Summary Sun Pharma is seeking a strategic and dynamic Associate Director, Marketing (DTC & HCP) - Medical Dermatology to serve as a key leader within the U.S. Medical Dermatology Marketing organization. This position reports to the Senior Director, Marketing – Medical Dermatology and the work location is Princeton, NJ (3 days in the office per week). This role...

Position Certified Professional Coder / Bill Review Expert Location Remote Employment Details FMLA: Non-Exempt, Full-Time Schedule: M-F 8:00 AM - 4:30 PM Must Have PIP experience with a high level understanding of fee schedule guidelines in NY, NJ, FL, or MI required. CPC in good standing with AAPC required (may consider candidate with strong PIP experience, e.g., NJ/NY PIP adjuster). Responsibilities Use various resources to support reviews, such as CPT guidelines, CPT Assistant, Encoder Pro, and 3M Software. Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and/or NY-covered insureds. Interpret medical documentation to ensure accuracy of billed services (e.g., CPT, HCPC codes). Assign proper CPT and HCPC codes based on the review outcome. Review CPT codes for unbundled services. Review billed modifiers for accuracy of use. Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement. Interpret fee schedule...

Summary This position is accountable for accurately reviewing, interpreting, auditing, coding, and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review may include inpatient, outpatient treatment, and/or professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business. Responsibilities Understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction. Review medical records for completeness, accuracy, and compliance with applicable coding guidelines and regulations. Identify, compile, and code member/patient data using ICD-9/ICD-10-CM and other standard classification coding systems. Support the...

Sr. Certified Coder Clinical Document-Coding Mgmt The Sr. Certified Coder will: In accordance with established coding principals and guidelines assigns appropriate diagnosis and procedure codes to all applicable records - (concurrently/discharge) on patient units. Collaborates with coding supervisor for managing workflow and distribution of discharged records to non-senior coding staff. Responds to inquiries from fellow coders, regarding coding questions or concerns. Collaborates with clinical documentation nursing specialists to ensure quality documentation practices. Assists physicians, hospital personnel and others as needed with coding and billing inquiries. Reports discharged not final billed (DNFB) problems to coding supervisor. Requirements Knowledge of coding systems, medical terminology, anatomy and physiology required. A minimum of five (5) years of inpatient coding experience required. Strong interpersonal and decision-making skills required. Certified Coding...

Signature Performance is seeking an experienced Inpatient Professional Fee Medical Coder for a remote, nationwide role. You will assign diagnoses and procedures, review records, and ensure accurate coding to support DRG/APC-based reimbursement. Minimum 2 years of Medical Coding experience, professional fee coding, and proficiency with EHR systems are required. AHIMA or AAPC credentials are preferred. Expect high accuracy and adherence to CMS guidelines. #J-18808-Ljbffr

Medical Insurance Coder Join a dynamic medical billing team as a Medical Insurance Coder, where your expertise in coding will make a significant impact. This role requires a professional who can accurately interpret clinical documentation and apply appropriate CPT and ICD codes without relying on predefined codes. Key Responsibilities: Analyze and code medical records, including Progress Notes and Op Reports, independently. Offer expert advice to physicians regarding coding practices, ensuring optimal billing accuracy and compliance. Maintain high levels of organization, speed, and precision, managing approximately 150-200 claims daily. Facilitate proactive communication with physicians and medical staff to enhance billing processes and resolve coding queries. Qualifications: Minimum of 2 years' experience in medical coding, specifically with CPC and E-Clinical Works. Strong understanding of office, hospital, and procedural billing practices. Proven...

Senior Vascular Surgery Professional Coder New Jersey's largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary: We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural...

Certified Professional Coder (Cpc) The Certified Professional Coder (CPC) serves as liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices, timely issue resolution, and alignment with organizational policies and payer requirements. The Coding Liaison supports documentation integrity, monitors vendor performance, and acts as a subject matter expert for coding-related inquiries. This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices. Key Responsibilities Serve as the liaison to ensure coding queries issued by the vendor are addressed by providers, resolved appropriately, and returned to the vendor in accordance with established timelines. Identify documentation deficiencies and initiate provider...

Certified Professional Coder Job Location: Hopewell, NJ Job Duration: 6 Months (possibility of extension) Payrate: $35 - $38/ hr. on w2 Job Summary: This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends. The role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. The position also provides education and guidance on ICD-10-CM coding, DRG assignment, payment methodologies, and auditing practices. Key Responsibilities: Lead hospital billing and coding audits, both on-site and remote Identify and present billing discrepancies and coordinate improper claim payment referrals Analyze trends related to documentation, billing errors, and provider contract interpretation issues Compile audit reports,...

Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: 5 years of experience into Project Management At least 2 years of experience after CPC or CCS certification Bachelor's degree is a must Certifications AAPC Certified Professional Coder (CPC) or AHIMA...

Inpatient Certified Acute Care Coder We are looking for a remote Inpatient certified acute care coder for our large healthcare client. They will focus on reviewing inpatient clinical documentation and assigning accurate diagnosis and procedure codes for complex cases. This position is 100% remote and part of the client's centralized Inpatient coding team. They will need to understand admission type and source along with discharge disposition. They will need experience using EPIC and 3M daily. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age,...

Facility-Fee Emergency Department Medical Coder The Facility-Fee Emergency Department Medical Coder is responsible for the accurate review, abstraction, and assignment of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters. This role ensures coding accuracy, regulatory compliance, appropriate reimbursement, and adherence to client-specific coding guidelines, payer requirements, and industry standards. The coder will review clinical documentation, emergency department records, physician documentation, nursing notes, ancillary reports, and charging information to accurately capture facility services rendered during emergency department visits. The position requires strong knowledge of facility fee coding, emergency department leveling methodologies, and outpatient reimbursement regulations. Essential Duties and Responsibilities Review emergency department medical records to assign accurate...

Physician Coder III Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Coder III is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient...

Professional Fee Coder The Professional Fee Coder (ProFee) is responsible for reviewing provider documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for physician professional services. This role supports compliant coding, timely charge capture, and clean claim submission in accordance with AMA, CMS, and payer guidelines. Responsibilities include, but are not limited to: Review provider documentation and assign ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for professional fee services. Select appropriate Evaluation and Management (E/M) levels based on current guidelines (MDM and/or time and ensure documentation supports code selection. Apply modifier and global surgery rules accurately (e.g., 25, 24, 57, 58, 59, 78, 79) and comply with NCCI edits and payer policies. Ensure medical necessity and proper linkage of diagnoses to services; identify and resolve coding edits prior to claim submission when applicable. Query providers for...

Job Title Coder III Job Description Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiology or Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Experience Required 3-5 years required. Education Requirements High School/GED required. License/Certification Requirements One or more of the following: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA required. Salary Min ($) USD $31.00 Salary Max ($) USD $53.00

Apolis is seeking an experienced Inpatient Coder with strong AHIMA credentials and extensive inpatient coding experience in Academic/Trauma Level 1 facilities. The ideal candidate will accurately assign ICD codes, ensure coding compliance, and maintain high productivity and quality standards. This remote contract role requires reviewing documentation, querying physicians when needed, using electronic encoders, and performing coding audits to uphold 98% accuracy while meeting deadlines. #J-18808-Ljbffr

ExamWorks is seeking a Medical Coding Specialist to join our team remotely. The role involves creating and writing reports from medical records, applying guideline criteria, and ensuring coding accuracy and compliance with client agreements and regulatory standards. Ideal candidates hold CPC certification, with CPMA or Life Care Planner certifications preferred. The position requires at least one year of medical billing experience, strong data entry skills, and proficiency with Microsoft Word, #J-18808-Ljbffr

Job Description Job Description We are seeking a Medical Office Manager to become a part of our team! You will coordinate medical and health services in hospitals, clinics or similar organizations. In person position. Responsibilities: Oversee medical and health service activities and personnel Plan and coordinate health services Work collaboratively with physicians to implement appropriate healthcare programs Managing billing and coding on daily basis Maintain a clean environment to ensure patient safety Establish and enforce healthcare policies and procedures ​ Qualifications: Previous experience in healthcare or other medical fields Experience in billing and coding Experience in a managerial role Strong leadership qualities Strong organizational skills Excellent written and verbal communications skills Manage staff schedules, vacation coverage Strong computer skills Foreign language skills is a plus Company Description Very well-established...