357 coder certified jobs found

Responsibilities POSITION SUMMARY: Performs the functions of all services of IP coding. Responsible and accountable for coding and DRG accuracy, timeliness of coding, and utilization of systems used to perform coding functions. Maintains relationship with Coding Manager/Supervisor, CDI team, Business Office and Case Management staff. Performs primary function of coding inpatient records, to include DRG assignment and validation. Maintains knowledge of outpatient coding and other areas to assist as needed. Utilizes the 3M Encoder to code and classify accurately all medical records according to ICD-10-CM/PCS. Responsible and accountable for maintaining performance skills. Qualifications QUALIFICATIONS: 1. Three to Five years coding experience required (Inpatient preferred) 2. Advanced training in medical coding (ICD10-CM/PCS, CPT and APC). 3. Medical terminology, anatomy and physiology required. 4. Computer skills. 5. Ability to read medical reports, interpret lab values pertinent...

Certified Medical Coder Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system Selects and accurately records all appropriate records and data on assigned chart abstraction projects Ability to meet productivity and accuracy requirements Performs other duties as assigned Qualifications High School Diploma or GED required A certification in one of the following is required: Certified...

Certified Medical Coder Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system Selects and accurately records all appropriate records and data on assigned chart abstraction projects Ability to meet productivity and accuracy requirements Performs other duties as assigned Qualifications High School Diploma or GED required A certification in one of the following is required:...

Job Type Full-time Description CPT and ICD coding Radiology Procedures Assign "Merit-based Incentive Payment System" codes (MIPs) Maintain quality assurance standards for department Report any discrepancies when reviewing radiology reports Ability to understand insurance guidelines regarding medical necessity for all payers Ability to understand compliance rules for HIPPA, CMS, AMA, WHO, and OIG Able to meet weekly/monthly deadlines with high degree of accuracy Other duties as assigned. Requirements Education: High school diploma or equivalent Certification : Medical Coding certification through AAPC, AHIMA, RHIA or RHIT required Skills: Computer literate, detailed oriented, demonstrates initiative, time management, able to multi-task, strong knowledge of medical terminology and anatomy, familiar with current insurance guidelines, understands payer coding denials, highly organized to work effectively and efficiently, goal driven, ability to...

Certified Coder IThe Certified Coder I performs functions of coding diagnosis and procedures from outpatient center/clinic records utilizing International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes. (Potential Remote)Typical Duties:Assigns codes to diagnosis and procedures of outpatient records, including clinics, Urgent Care and Emergency room, utilizing ICD and CPT codes in accordance with ICD Coding Guidelines, CPT Coding Guidelines, American Hospital Association (AHA) Coding Clinics and the JPS Outpatient Coding Policy and Procedures. These charts are typically less than one day stays and are of low to medium clinical complexity of service requiring knowledge of anatomy, physiology and basic pharmacology.Ensures codes are assigned accurately and sequenced correctly ensuring reimbursement is appropriate in accordance with government, insurance, and/or other payer regulations to include the coding of diagnoses and procedures and may include...

CERIS Certified CoderThe CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. This is a remote position.Essential Functions & Responsibilities:Receives claim and processes based on state rules and regulationsDetermines validity and compensability of the claim using CorVel proprietary programsMakes recommendations and communicates claim status to referring officeRead and comprehend all medical reportsAdhere to client and carrier guidelines and participate in claims review as neededAssists other claims professionals with more complex or problematic claims as necessaryMaintain HIPAA complianceAdditional duties as assignedKnowledge & Skills:Ability to learn rapidly to develop knowledge and understanding of claims practicesStrong organizational skillsAbility to meet or exceed performance...

The US Oncology Network is seeking a Coding Specialist to join Texas Oncology in Richardson, TX. This full-time hybrid remote role supports the Central Business Office at 3001 E President George Bush Hwy, Richardson. You will perform medical record coding, assign ICD-9 and CPT-4 codes, and ensure compliance with coding guidelines. Ideal candidates have 1 year of coding experience (3 years preferred), knowledge of ICD-9/CPT-4, and RHIT certification is a plus for Senior level. #J-18808-Ljbffr

DescriptionJOB TITLE: Billing CoderDEPARTMENT: ClinicalREPORTS TO: Chief Clinical OfficerSUPERVISES: NonePOSITION SUMMARYThe Billing Coder position is responsible for accurately coding medical records, claims, and services provided by the hospice and palliative care team. This role ensures that all services are coded according to current industry standards and compliance regulations to facilitate appropriate billing and reimbursement. The ideal candidate will have a strong understanding of medical coding, attention to detail, and experience with hospice and palliative care billing practices.DUTIES AND RESPONSIBILITIESAccurate Coding: Review patient records and documentation to assign appropriate ICD-10, CPT, and HCPCS codes for hospice and palliative care services.Billing Compliance: Ensure all coding is in compliance with current federal, state, and local regulations, as well as Medicare and Medicaid guidelines specific to hospice and palliative care.Claims Processing: Prepare and...

GI Alliance seeks an experienced Certified Professional Coder (CPC) to interpret and bill physician charges for services. This role requires accurate CPT/ICD-10 coding, data entry, and adherence to payer rules. You will review documentation, coordinate with physicians and reimbursement staff, and ensure all billable services are captured. A background in EMR systems and recent coding certification is essential to success. #J-18808-Ljbffr

Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to join our team. We are deeply rooted in the communities we serve, which means that our patients are often our family, friends, and neighbors, and it is special to be able to care for them. As one of the top healthcare systems, we are committed to your ongoing growth and development. After work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Coder Abstractor? Remote work schedule Our dynamic work environment includes many opportunities for growth and development Our efforts directly impact patient satisfaction and outcomes Our employees work in positive, supportive, and compassionate environments built on our organizational values. Skills At least 1 years recent coding experience including coding surgical cases preferred. Experienced in coding hospital inpatient and...

A leading healthcare provider in Texas is seeking an experienced Value Based Coder II to review medical records for coding opportunities, focusing on Hierarchical Condition Categories (HCC). The role involves developing provider education and ensuring compliance with coding guidelines. Candidates should have a Bachelor's degree in healthcare or equivalent experience, CPC/CCS/CRC certification, and at least 2 years of outpatient coding experience. Competitive hourly pay ranges from $25.30 to $35.74. #J-18808-Ljbffr

CERIS Certified Coder The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. This is a remote position. Essential Functions & Responsibilities: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Maintain HIPAA compliance Additional duties as assigned Knowledge & Skills: Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or exceed...

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...

Job TitleReviews medical records, codes patient charges, and processes in a timely manner, and assists various facility staff and physicians. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing, as well as a proactive professional who can identify collection trends and solve them in a timely manner.Supervision ReceivedBilling & Coding SupervisorEducation/Experience1. Certified Professional Coding Certificate. 2. Associate's degree preferred or 5 years medical coding experience. 3. Must have functional knowledge of medical terminology, anatomy, and physiology. 4. Prior experience coding with ICD-10-CM.Knowledge1. Knowledge of clinic policies and procedures. 2. Knowledge of pain management coding, and Spine procedure coding 3. Knowledge of computer systems, programs, and spreadsheet applications. 4. Knowledge of medical terminology. 5. Knowledge of collection practices. 6. Knowledge of...

GENERAL SUMMARY OF DUTIES: Reviews medical records, codes patient charges, and processes in a timely manner, and assists various facility staff and physicians. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing, as well as a proactive professional who can identify collection trends and solve them in a timely manner. SUPERVISION RECEIVED: Billing & Coding Supervisor Education/Experience Certified Professional Coding Certificate. Associate’s degree preferred or 5 years medical coding experience. Must have functional knowledge of medical terminology, anatomy, and physiology. Prior experience coding with ICD-10-CM. Knowledge Knowledge of clinic policies and procedures. Knowledge of pain management coding, and Spine procedure coding Knowledge of computer systems, programs, and spreadsheet applications. Knowledge of medical terminology. Knowledge of collection practices. Knowledge of...

Job Description Job Description Position Summary The Certified Medical Coder reviews clinical documentation and assigns medical codes in accordance with established guidelines, documentation standards, and organizational procedures. This individual contributor role supports compliant billing, accurate revenue cycle outcomes, and timely resolution of documentation issues through appropriate escalation. Qualifications Required Active professional coding certification (e.g., CPC, CCS, equivalent) Working knowledge of medical coding guidelines and documentation standards Preferred Prior experience in medical coding or revenue cycle operations Familiarity with EHR and coding systems Key Responsibilities and Expected Performance Outcomes Key Responsibilities Review assigned encounters and clinical documentation each day to support complete, accurate coding. Assign medical codes in accordance with current coding guidelines, documentation standards, and...

AltaMed is seeking a qualified medical coder to assign codes to patient symptoms, diagnoses, procedures, and treatments, ensuring accurate reimbursements in the NextGen system. Responsibilities include reviewing and adjudicating coding for medical claims, entering ICD-9-CM, HCPCS, and CPT codes, and supporting accurate billing edits. CPC certification required; CCS preferred depending on department. #J-18808-Ljbffr

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview Assigned codes to patient symptoms, diagnosis, operations, and treatments to process reimbursements, knowledge and expertise in reviewing and adjudicating coding services, procedures, and diagnoses on medical claims. Completes accuracy and timely entry of ICD-9-CM, HCPCS procedure codes, and CPT codes into the NextGen system. Minimum Requirements A...

Job Description Job Description Certified Coder | $27.00 per Hour | Monday – Friday, 8:00 AM – 5:00 PM | Hybrid | Contract What Matters Most Competitive Pay of $27.00 per hour Schedule: Monday – Friday, 8:00 AM – 5:00 PM Hybrid work schedule Contract opportunity with a leading healthcare organization Weekly Pay with direct deposit or pay card When you work through Team1Medical, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program Job Description We are seeking an experienced Certified Coder with a strong background in outpatient Neurosurgery and Evaluation & Management (E/M) coding. This position is responsible for reviewing clinical documentation and diagnostic results to accurately assign ICD-10-CM, CPT-4 codes, and modifiers for billing, reporting, research, and regulatory compliance. The ideal candidate will have experience coding Neurology services for physicians, strong...

Job Description Job Description Pride Health is hiring a Certified Coder to support our client's healthcare facility in Houston , TX . Interested? Apply Today! Job Details: Schedule: Monday–Friday, 8:00 AM - 5:00 PM Location: Houston, TX 77024 Hybrid Job Type: Local contract Contract Length: 3 months + possible extension Pay Range: $21/hr. - $24/hr. On W2 *Pay offered is based on experience, expertise, credentialing, and education. Duties: Review clinical documentation and diagnostic results to identify and accurately code diagnoses, treatments, and procedures. Assign ICD-10-CM diagnoses, CPT-4 procedure codes, and appropriate modifiers for outpatient encounters. Apply current coding principles, official coding guidelines, and APC reimbursement requirements. Perform outpatient Evaluation and Management (E/M) coding accurately. Code neurology and neurosurgery services for physicians. Requirements: Education: High School...

Job Description Job Description Certified Inpatient Coder Location: 1400 W. Trenton Edinburg TX USA 78539 Contract Duration: 6 Months Schedule: 5×8s, Day Shift Shift: 8-hour Day Shift Position Overview: Seeking an experienced Certified Inpatient Coder for a 6-month contract-to-hire opportunity. The ideal candidate will have a strong background in inpatient medical coding and hold a recognized coding certification such as CPC, CCS, or CCA. The Certified Inpatient Coder will be responsible for accurately reviewing and assigning appropriate diagnosis and procedure codes based on medical records, documentation, and applicable coding guidelines. Required Qualifications: Minimum 2 years of inpatient medical coding experience. Must possess at least one of the following coding certifications: CPC – Certified Professional Coder CCS – Certified Coding Specialist CCA – Certified Coding Associate Strong knowledge of ICD-10-CM and ICD-10-PCS coding. Knowledge...

Job Description Job Description ob Description We are seeking a seasoned Medical Billing Specialist (certified coder) for a busy practice of two Providers in Podiatry (George Dieter location opening soon!). Must have background or experience in a medical setting (private practice or hospital). The candidate should be a team player, ability to take initiative and multi task. This is a full time position, part time not available. Bilingual is preferred but not required. Please review the essential job function and you MUST meet the Position Requirements (certification must be attained within 90 days of employment). Essential Functions: The following description of job responsibilities and performance expectations is intended to reflect the major responsibilities of the job, but is not intended to describe minor duties or other responsibilities as may be assigned from time to time. Keys charge information into entry program and produces billing. Processing of insurance...

Certified Coder - AnesthesiaHot JobFully Remote • Work from Home - Richardson, TX 75082OverviewSalary Range $22.00 - $26.00 Hourly Position Type Full Time Job Shift Day Education Level High School Travel Percentage None Category Health CareDescriptionThis is a remote position which requires residence in Arizona, Texas, Tennessee, New Hampshire or North Carolina.Company OverviewNational Partners in Healthcare (NPH) is a progressive healthcare company specializing in anesthesiology. We partner with physicians and health systems to deliver high quality care, aligning synergies and best practices to achieve superior outcomes. As a leader in the industry, we believe in developing a foundation of trust, transparency, and excellence in everything we do. The success of our company has created excellent career advancement opportunities that support a healthy work/life balance.Position Summary:The Certified Coder abstracts clinical information from a variety of medical records, charts and...

Certified Coder - Outpatient Neurosurgery | ContractProtouch Staffing is seeking an experienced Certified Coder for an exciting contract opportunity with a leading healthcare organization in Houston. This position is ideal for a knowledgeable coding professional with strong outpatient Neurosurgery and E/M coding experience who is ready to bring their expertise to a collaborative revenue cycle team.If you have a strong understanding of ICD-10-CM, CPT, modifiers, outpatient coding guidelines, and physician Neurology coding, we want to hear from you!Compensation & SchedulePay: $25.50/hourSchedule: Monday-FridayHours: 8:00 AM-5:00 PM40 hours per weekHybrid work environmentContract: August 31-November 28, 2026Position SummaryThe Certified Coder is responsible for reviewing clinical documentation and diagnostic information to accurately assign appropriate ICD-10-CM and CPT codes, modifiers, and other coding data for outpatient encounters.The successful candidate will ensure coding...