4 coder certified prn jobs found

* This is a hybrid position to be located in WI with travel required. * JOB SUMMARY The Coding and Billing Compliance Analyst plays a critical role in safeguarding the accuracy, integrity, and regulatory compliance of coding and billing operations across all service lines.  This position supports the organization’s revenue cycle and compliance initiatives by conducting detailed coding and billing reviews, identifying areas of risk, and contributing to the development of corrective action plans and educational programs.  The analyst ensures adherence to federal and state billing regulations, including Medicaid/Medicare guidelines, HRSA program requirements, and Office of Inspector General (OIG) guidance specific to Federally Qualified Health Centers (FQHCs).  The Analyst collaborates with providers, billing teams, compliance officers, and revenue cycle leadership, to improve clinical documentation, optimize reimbursement, and maintain full compliance with all applicable...

Remote Outpatient Professional Medical Coder (CPC or equivalent) VA Northeast Ohio Healthcare System | Full-time W-2 | U.S. only Certified outpatient / professional-fee coder needed for a large VA tertiary teaching system. 100% remote through VA VPN. Hours are Monday–Friday, 6:00 a.m.–6:00 p.m. Eastern. Work Code outpatient professional encounters/FINs (primary care, subspecialties, diagnostics, prosthetics) ICD-10-CM, CPT with modifiers, HCPCS, and E/M Query providers through the VHA query process when documentation is unclear Productivity: 25 outpatient/prosthetic FINs per day Turnaround: within 5 calendar days of assignment Accuracy: 95% or higher Systems: Oracle Health and Solventum CRS encoder (VistA/CPRS/VIRR helpful) Required Active AAPC or AHIMA credential: CPC, CCS-P, CCS, RHIT, RHIA, COC, or CIC U.S. citizen; work performed inside the United States 2+ years continuous coding at a Level 1A VA (or equivalent large tertiary teaching...

We are a boutique private plastic surgery practice in Palm Beach County seeking an experienced 1099 Certified Professional Biller (CPB) for selective, low-volume out-of-network (OON) reconstructive claims and pre-procedure advocacy . This role is tailored for an established independent biller or freelance consultant looking to add a low-volume, high-value practice. We do not have high claim turnover; instead, we require meticulous, high-touch advocacy for specific reconstructive cases, pre-op Single-Case Agreements (SCAs), and hybrid surgical coding. Key Responsibilities: Pre-Service Single-Case Agreements (SCAs): Negotiate pre-op SCAs and Network Gap Exceptions on a case-by-case basis with commercial PPOs. Hybrid / Reconstructive Coding: Scrub and file split-billing claims (combining medically necessary CPT codes, e.g., panniculectomy 15830, with self-pay aesthetic procedures) while maintaining total compliance. Targeted Claims & Appeals:...