42 coder 2 jobs found

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

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...

Location: Passaic County, NJ 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...

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...

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...

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...

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...

Physician Billing (PB) Coding Auditor And Educator 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 Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network. Responsibilities: Comply with established corporate and...

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 Can 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...

Medical Coding & Risk Adjustment Auditor (Remote Contract) Location: Remote Duration: 6+ Month Contract Client: New Jersey-Based Healthcare Organization Position Summary We are seeking an experienced Medical Coding & Risk Adjustment Auditor to support a healthcare client's Risk Adjustment and Data Validation initiatives. This role is responsible for reviewing, interpreting, auditing, coding, and analyzing medical record documentation to ensure diagnosis accuracy, proper documentation, and Hierarchical Condition Category (HCC) abstraction. The position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation (RADV) audits, as well as ongoing Risk Adjustment activities across Medicare, Medicaid, and Commercial lines of business. Key Responsibilities Review, interpret, and translate CPT, HCPCS, ICD-9, and ICD-10 codes for HCC abstraction. Audit medical records for completeness, accuracy, and compliance with applicable...

Medical Practice Office Supervisor The Medical Practice Office Supervisor directly manages the staff in each business unit. The Supervisor coordinates recruitment of Client Service Representatives and Medical Assistants, evaluates the staff and is responsible for any necessary disciplinary actions including the proper supporting documentation. The Medical Practice Office Supervisor provides administrative and clerical support to the department director with various functional responsibilities and assists with departmental operations as required. The Medical Office Supervisor assists the department staff with issues, problems and projects as directed and responds to operational inquiries. The Supervisor develops and implements office procedures and processes that support operations. The Medical Office Supervisor directs the work activities of the clerical personnel. This position supports organizational goals by providing quality customer service, participating in performance...

Urgent Requirement - Certified Professional Coder Full-time 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...

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. 1,500 Sign on Bonus 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,...

Join to apply for the Certified Coder Abstractor role at St. Joseph's Health 4 days ago Be among the first 25 applicants Join to apply for the Certified Coder Abstractor role at St. Joseph's Health Job Description Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and timely manner. Job Description Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and...

Insight Global’s client is seeking a Certified Professional Coder to support a growing plastic and reconstructive surgery practice in Red Bank, NJ. This role is ideal for a coder who enjoys complex surgical coding, collaborating with clinical and billing teams, and helping ensure accurate, timely claim submission. The team is looking for someone who is detail-oriented, adaptable, and comfortable coding from operative reports and physician documentation. This is a great opportunity for a coder who enjoys complex surgical coding, working closely with clinical teams, and contributing to process improvement in a fast‑paced specialty practice. Day‑to‑Day Responsibilities Code surgical procedures, operative reports, office visits, and in‑office procedures using CPT and ICD‑10. Perform true scratch coding for operative reports and surgical slips rather than basic review‑only coding. Review physician documentation and identify any missing or unclear information needed for accurate...

Creative Solutions Services, LLC in Newark, NJ is looking for a Medical Coder responsible for auditing and coding medical record documentation. The ideal candidate will have a Registered Health Information Technician certification, with at least 2 years of medical coding experience. The role supports various audits for Medicare and commercial lines, requiring strong proficiency in coding guidelines, effective communication, and teamwork. #J-18808-Ljbffr

Medical Practice Office Supervisor The Medical Practice Office Supervisor directly manages the staff in each business unit. The Supervisor coordinates recruitment of Client Service Representatives and Medical Assistants, evaluates the staff and is responsible for any necessary disciplinary actions including the proper supporting documentation. The Medical Practice Office Supervisor provides administrative and clerical support to the department director with various functional responsibilities and assists with departmental operations as required. The Medical Office Supervisor assists the department staff with issues, problems and projects as directed and responds to operational inquiries. The Supervisor develops and implements office procedures and processes that support operations. The Medical Office Supervisor directs the work activities of the clerical personnel. This position supports organizational goals by providing quality customer service, participating in performance...

Advanced Reconstructive Surgery Alliance (ARSA) and its affiliates TPSC, SMM and TCOPS are the largest Plastic Surgery medical practice in the country. Our expanding team of top tier physicians, coupled with our continued medical advancements, allows us to offer patients extraordinary clinical services with a 5-star experience. We have a bold vision with a desire to revolutionize the industry, meeting patient needs while favorably transforming their lives. Common across the enterprise is not only the commitment to providing safe patient care, but to employee satisfaction and growth opportunities. It is a culture of teamwork, respect and appreciation for all employees—whether caring for patients directly or working in a support role. We are seeking an Medical Coder to join our team! This role involves coding surgical slips, operative reports, office visits, and facility claims, as well as working closely with surgeons and billing staff to ensure accurate and timely claim...

Job Title: HCC | Risk Adjustment Coder Location: Newark, NJ (100% Remote) Duration: 6 months (possible extension) Pay Rate: $30 - $35/hr. on W2 Schedule: Regular Business Hours. Important Details: Candidates can be located in any one of the five states: NJ, NY, PA, CT, and DE You will be required to travel for the pickup and return of equipment, and/or laptops that need servicing. Job Summary: Responsible for reviewing, auditing, coding, and analyzing medical records to ensure accurate diagnosis documentation and HCC abstraction. Supports Medicare, Medicaid, Commercial Risk Adjustment programs, and RADV audits while ensuring compliance with ICD-10 coding guidelines and risk adjustment regulations. Key Responsibilities Review medical records for coding accuracy, completeness, and compliance Abstract and validate HCC diagnoses using ICD-10, CPT, and HCPCS coding systems Support Medicare Advantage, Medicaid, Commercial, and ACA risk...

Working with Us Challenging. Meaningful. Life-changing. Those aren’t words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You’ll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible. Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us . Position Summary The Associate Director, Global Medical Mavacamten is...

ICD-9 and ICD-10 Inpatient/Outpatient Coding Position Position is responsible for ICD-9 and ICD-10 Inpatient/Outpatient coding of diagnosis and procedures. When reviewing documentation must be able to interact with all medical and clinical staff. Primary Position Responsibilities: Codes and abstracts inpatient/outpatient records using ICD-10 Queries medical/clinical staff for clarification of documentation Uses 3M360 computer assisted coding program for coding and tracking queries Meets daily productivity standards, along with meeting Team Goal for DNFC (Discharge Not Final Coded) Maintains current CCS certification and/ or RHIT Qualifications: Minimum Education: Required: High School Diploma or Equivalent Must have Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) Preferred: Associate’s Degree Minimum Years of Experience (Amount, Type and Variation): Required: Minimum 2-3 years coding experience Preferred:...

Job Description Day to Day Insight Global is hiring several CPC, Certified Professional Coders to join a large healthcare client in Southern NJ. This role focuses on multi-specialty professional fee coding in a high-volume, production-driven environment. Candidates will work remotely but must reside in approved states and be available for occasional onsite visits. Responsibilities  • Abstract billing for outpatient evaluation and management (E/M) codes, minor surgical procedures, and HCPCS codes (including supplies and pharmaceuticals) from provider documentation.  • Assign CPT-4 and ICD-10-CM codes with appropriate modifiers.  • Investigate coding and billing questions to determine the best approach.  • Analyze medical records to verify coding accuracy and detect potential misuse.  • Collaborate with Coding, Charge, and Audit Analysts to resolve discrepancies.  • Work across multiple Epic work queues for different specialties.  • Meet productivity expectations...

CODER II PRN REMOTECamden, NJJob ID 52970 Job Type Per DiemShift DaySpecialty Clerical / AdministrativeApplySaveAbout usAt Cooper University Health Care , our commitment to providing extraordinary health care begins with our team.Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.We have a commitment to our employees to provide competitive rates and compensation programs.Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Short DescriptionCode all diagnoses and procedures documented in the medical record for the current encounter.Enter all code information in the...