706 coder certified jobs found

Unio Health Partners is seeking a Remote RCM Revenue Integrity Specialist - Coder Certified. You will ensure accurate billing, coding, and reimbursement, reviewing claims, detecting discrepancies, and implementing solutions to optimize revenue while remaining compliant. This is a PST-hours role within authorized US states. The position emphasizes cross-team communication with payors and staff to meet departmental needs effectively and efficiently. #J-18808-Ljbffr

Position: RCM Revenue Integrity Specialist - Coder Certified Location: Remote Remote Status: Remote Job Id: 900 # of Openings: 3 Company Description Unio Health Partners (UHP) is a highly differentiated physician practice management platform with the goal of transforming care delivery across the Western United States. UHP partners with leading physician practices, creating a cohesive, quality-oriented clinical culture and facilitating best practice sharing across the platform. Our affiliated practices gain access to a broader suite of services, providing a meaningful benefit to both physicians and patients. UHP's best-in-class clinical program covers three sub-specialties (urology, gastroenterology, and radiation oncology) and offers numerous ancillary services, including pathology lab, in-office dispensing, and chronic care management. We are led by a highly accomplished management team and provide a full suite of management services to its affiliated practices. UHP is...

Solaris Health Holdings in the United States is seeking a Radiation Oncology Coder Certified to code all cases with high accuracy, ensuring maximum reimbursement and adherence to coding guidelines. The role works with the Coding Supervisor to resolve denials, communicates with claims staff, and stays current on CPT, ICD, HCPCS, and regulatory requirements. Candidates should bring proven experience in radiation oncology coding, strong analytical skills, and the ability to work both independently #J-18808-Ljbffr

Responsibilities Review and code patient records for both inpatients and outpatients Assign appropriate ICD-10-CM and ICD-10-PCS codes Verify CPT-4 codes, DRGs, and APCs Requirements 1-3 years acute care coding experience Knowledge of anatomy and physiology Medical terminology proficiency Pathology of disease understanding Experience with ICD-10-CM coding Experience with ICD-10-PCS coding Experience with CPT-4 coding Associate degree in Health Information Technology Certifications: RHIA, RHIT, CCS, or CCA Core Competencies Demonstrates expertise in coding patient records with a strong understanding of ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems. Proficient in medical terminology, anatomy, and physiology, with a focus on acute care coding. #J-18808-Ljbffr

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and...

Job Type Full-time Description NO WEEKENDS, NO EVENINGS, NO HOLIDAYSWe offer competitive pay as well as PTO, Holiday pay, and comprehensive benefits package!Benefits: • Health insurance • Dental insurance • Vision insurance • Life Insurance • Pet Insurance • Health savings account • Paid sick time • Paid time off • Paid holidays • Profit sharing • Retirement plan GENERAL SUMMARY The Radiation Oncology Coder Certified is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement. The Coder Certified will ensure quality and productivity standards are met. The Coder Certified will ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. They work with the Coding Supervisor to escalate coding issues and prevent untimely claim submission and denials. Requirements ESSENTIAL JOB...

Certified Medical Coder I (Professional Review Specialist I) The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. Essential Functions & Responsibilities: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned Knowledge & Skills: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C...

Certified Coder – Stony Brook Children’s Service, UFPC Location: St. James, NY Schedule: Full Time Remote Work: At the Manager's discretion, this role may be eligible for remote work after 90 days. Pay: $27.91 – $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Salaries vary depending on experience, education and current market for the position. SUMMARY This incumbent is responsible for reviewing and analyzing physicians’ documentation, CPT, and ICD‑10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third‑party reimbursement policies, regulations, and accreditation guidelines. Job Duties & Essential Functions Provide a variety of complex and technical assignments relating to medical coding. Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and...

Req Number 191502 FlexStaff is seeking a Certified Professional Coder with anesthesia and/or surgical coding experience for a client-a medical administration practice-located in Westchester, NY. Qualifications Current CPC (AAPC) or CCS (AHIMA) certification required 2+ years of professional anesthesia and/or surgical coding experience Strong knowledge of anatomy, physiology, medical terminology, and coding guidelines Experience with EPIC preferred Position Summary You will review clinical documentation and accurately assign CPT and ICD-10 codes for anesthesia services. Schedule Hybrid: 3 days onsite / 2 days remote Hours: Monday-Thursday: 8:30 AM-4:30 PM Friday: 8:00 AM-4:00 PM 1-hour paid lunch Key Responsibilities Review handwritten and electronic anesthesia records to determine procedures and diagnoses Assign accurate CPT and ICD-10 codes in accordance with current guidelines Post...

Bertrand Chaffee Hospital is seeking a Per Diem Certified Professional Coder to join our team in Springville, NY. The role focuses on accurate ICD-10-CM coding for outpatient and specialty services, with a flexible schedule aligned to performance expectations. Compensation ranges from $23.49 to $25.32 per hour based on experience. The coder will review medical records for accuracy, adhere to AHIMA and hospital guidelines, and may perform duties outside the traditional scope when necessary to #J-18808-Ljbffr

Benefits include: Monday - Friday (No weekends and no holidays) Health, dental, and vision full coverage for individual Short term/long term disability options Vacation (annual) + PTO (accrued weekly) 16 paid holidays in the calendar year 401K - 5% matching Parental, medical, education, bereavement leaves and so much more! BASIC FUNCTION: Incumbent reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments. Ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. GENERAL RESPONSIBILITIES: Abstracts all necessary information and sequences and assigns codes (ICD-10, CPT, and HCPCS), which most accurately describe each documented diagnosis, surgical procedure and special therapy/procedure according to established guidelines, and to identify secondary complications and co-morbid conditions. Determines the final diagnoses and...

Certified Medical Coder Medical Health Associates (MHA) is seeking an experienced Certified Medical Coder to join our team supporting a network of outpatient pediatric physician offices. This position is responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, ensuring compliance with coding regulations, and helping optimize reimbursement while maintaining the highest standards of accuracy and integrity. Essential Responsibilities Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for outpatient pediatric services. Ensure coding complies with payer guidelines, federal regulations, and organizational policies. Identify and resolve coding discrepancies by working collaboratively with providers and clinical staff. Review claims for coding accuracy prior to submission. Assist with denial management and coding-related appeals as needed. Stay current with coding updates, payer requirements, and regulatory...

## Certified Risk Adjustment CoderApplylocations: Hialeah, FLtime type: Full timeposted on: Posted Todayjob requisition id: JR102682**As Mount Sinai grows, so does our legacy in high-quality health care.**Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.**Culture of Caring: The Sinai Way**Our hardworking,...

Mount Sinai Medical Center of Florida, Inc. is seeking a Certified Risk Adjustment Coder to ensure accurate coding and documentation standards. The role involves reviewing medical records, providing feedback to physicians, and maintaining coding credentials. The ideal candidate will have at least five years of experience in coding and billing, with a strong knowledge of ICD-10-CM and CPT. Benefits include health insurance, paid time off, and tuition reimbursement. #J-18808-Ljbffr

Baptist Health is seeking a Certified Professional Coder to perform medical record reviews and coding to support risk adjustment and Medicare compliance. The role involves identifying documentation gaps, communicating with providers, and ensuring accurate ICD-10-CM coding across multiple facilities. At least 2 years in a hospital or clinic setting and CRC/ CPC certification are required. #J-18808-Ljbffr

BayCare Health System is looking for an Advanced Inpatient Coding Specialist to work remotely from Florida, Georgia, North Carolina, or South Carolina. This full-time position requires expertise in coding with 5 years of Acute Care experience and 3 years of Inpatient Coding. Responsibilities include analyzing complex medical documentation, assigning codes, and mentoring fellow coders. BayCare offers a comprehensive benefits package including health, dental, vision, tuition reimbursement, and community discounts. #J-18808-Ljbffr

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...

Lead Certified Coder, Acute Inpatient (Remote) United States Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including inpatient encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Job Requirements: Education and...

SB CLINICAL PRACTICE MANAGEMENT PLAN INC is seeking a Certified Surgical Coder to analyze and review physician documentation. This full-time position is based in Stony Brook, NY, and may allow for remote work at the manager’s discretion. The job includes assigning CPT, Modifiers, and ICD-10 codes while ensuring compliance with established guidelines. A successful candidate must have a high school diploma or GED, CCS or CPC certification, and at least one year of coding experience. The starting pay is $33.65 per hour. This job fosters a collaborative work environment ensuring equal opportunity for all applicants. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU) to ensure coding accuracy and compliant documentation across medical, behavioral, transportation, and other healthcare providers. You will audit records, articulate findings to investigators and leadership, stay current with CPT/HCPCS/ICD-10 guidelines, and contribute to fraud detection and cost savings while working full-time with a 40-hour week. #J-18808-Ljbffr

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...

SwiftCruit is seeking an Outpatient Coder for a fully remote position focusing on accurate coding for various health services. This role supports reimbursement goals and involves coding for all types of services including emergency and outpatient services. Qualified candidates should have a high school diploma or GED, with a preference for an Associate's degree, and 2+ years of coding experience. Important certifications include CCS and CPC. #J-18808-Ljbffr

Community Memorial Hamilton, NY 13346, USA Pay and Shift Range $23 USD to $26 USD. The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons. Description Performs timely and accurate coding of the visit; ensuring diagnosis to the highest specificity, accurate E/M level and capture of all procedures/modifiers. Reviews the medical record to ensure consistency and accuracy as well as compliance with established third-party reimbursement agencies. Participates in regular education with all Physicians, APPs and other team members. Maintains current status, in good standing, with coding certificate. Remains updated and fluent with AAPC and other coding bulletins, newsletters and guidelines. Be prepared coding new and upcoming procedures. Assists patients in implementing solutions to reduce back-end billing errors. Maintains patient confidentiality...