Coder 2 jobs | Healthcare Careers

Full Time

Prestige Billing Services Miamisburg, OH, USA

Coding Operations Manager is responsible for overseeing the medical coding team and ensuring the accurate and efficient coding of patient records for billing, compliance, and reimbursement purposes. Oversee insurance verification department. Needs skills with operational leadership, compliance oversight, team management, and process improvement within the healthcare revenue cycle. Experience: Equivalent of an Associate’s degree and two to three years of relevant emergency department or general medical coding experience. CPC required, CEDC additionally preferred. Strong expertise in all professional medical coding, including ICD-10, CPT and HCPCS coding. Excellent organizational skills and ability to multi-task. This is a hybrid position. (Two days remote and three days in-house.) JOB RESPONSIBILITIES Oversee day-to-day operations of the medical coding team, ensuring timely and accurate coding and allocation of duties Ensure that all codes (ICD-10, CPT,...

Co

Full Time

Medical Coder II/III

Codametrix Remote

Overview Reporting to the Manager, Medical Coding & Audit, as a Medical Coder II or III, this role will be a key member of the team responsible for ensuring that CodaMetrix meets—and exceeds—our customers’ coding quality expectations. The Medical Coder II or III will be responsible for leveraging their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the quality and efficiency of coding operations by collaborating closely with cross-functional teams, including Machine Learning, Product, and Customer Implementations. They will also review and validate model-generated codes, annotate and label data to support model training, identify patterns in coding errors, and provide clear explanations and insights to both internal teams and external clients. This role requires a proven ability to communicate highly complex coding issues...

AU

Full Time

Sr. Manager, Payment Policy & Reimbursement

American Urological Association Hybrid

Senior Manager, Payment Policy & Reimbursement — American Urological Association (AUA) Location: Linthicum, MD (AUA Headquarters) — regular visits to Washington, D.C. required. Are you a hands-on coding and reimbursement expert who also leads with influence, curiosity, and political savvy? Join the American Urological Association (AUA) — a 100+ year-old leader in urologic education, research, and policy — and lead national payment strategy and coding advocacy for the specialty. Why this role matters The Senior Manager, Payment Policy & Reimbursement will shape how urologic care is valued and paid for nationally. You’ll represent the AUA before the AMA’s RUC and CPT processes, CMS, Congress and other federal agencies; design and advocate for urology-specific payment models (MIPS, APMs, Medicare FFS, value-based demonstrations); and lead a small team working at the intersection of coding, policy, and practice. Your work will directly affect access to...

Full Time Xtern Program

Inpatient and/or Outpatient Certified Professional Medical Auditor (CPMA)

Phoenix Behavioral Healthcare, LLC Hybrid (Jupiter, FL, USA)

The Certified Professional Medical Auditor is responsible for performing comprehensive audits of medical records, coding, and billing to ensure accuracy, compliance with federal and state regulations, and alignment with payer policies. This role helps protect the organization from financial risk, supports accurate reimbursement, and promotes high standards of documentation and clinical integrity. Key Responsibilities Perform prospective and retrospective audits of medical records, coding, and billing across assigned service lines (e.g., outpatient, inpatient, behavioral health, SUD/MH, lab). Verify that documentation supports ICD‑10‑CM, CPT, and HCPCS coding; identify under‑coding, over‑coding, unbundling, and other compliance risks. Review claims for adherence to Medicare/Medicaid, commercial payer, and regulatory guidelines; ensure compliance with NCCI edits and payer‑specific policies. Prepare clear, detailed audit reports summarizing findings,...

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