9 coder i cpc jobs found

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: PRN (as needed, non-benefit eligible) Shift: Flexible Days: Tuesday - Saturday OR Sunday - Thursday The Medical Records Outpatient Coder III will work remotely on a PRN (non-benefit eligible) basis. Responsibilities The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Works in conjunction with various departments for missing documentation and monitors bill hold reports. Strong utilization of medical terminology and anatomy. Assists Manager/Director with mentoring/training of...

Dental Coding SpecialistThe Dental Coding Specialist is responsible for accurately reviewing, assigning, and validating dental procedure codes (CDT codes) for patient services to ensure proper billing, insurance claim submission, and regulatory compliance. This role works closely with dental providers, billing teams, and insurance companies to maximize reimbursement and maintain accurate patient records.Specific Responsibilities:Review dental records and documentation for coding accuracy with high attention to detailAssign appropriate CDT and related codes for dental procedures and diagnoses.Audit and submit insurance dental claims.Resolve claim denials, coding discrepancies, and reimbursement issues.Ensure compliance with dental coding guidelines, payer rules and regulations.Maintain accurate patient billing and coding records.Communicate with providers, staff, and insurance carriers regarding coding questions.Stay current on coding updates, regulations, and industry best...

Coder II, InpatientThe Coder II, Inpatient is responsible for coding inpatient accounts with a balance less than $90,000 including Rehab and accounts that fall into the Inpatient Coder I category, performs the functions of coding, DRG assignment, collection of predefined indicators and abstracting medical records with a case mix greater than 1.5, provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Remains current with recognized resources - AHA Coding Clinic and Official Coding Guidelines. Groups discharges utilizing the 3M encoder selecting the appropriate DRG for reimbursement. Communicates with physicians and clinical staff regarding coding and documentation issues.**Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.**Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and...

Coder I, InpatientThe Coder I, Inpatient is responsible for coding inpatient accounts less than $15,000 and any outpatient accounts, provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Remains current with recognized resources - AHA Coding Clinic and Official Coding Guidelines. Groups discharges utilizing the 3M encoder selecting the appropriate DRG for reimbursement. Communicates with physicians and clinical staff regarding coding and documentation issues.**Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.**Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.EOELicensure: Registered Health Information Administrator Or Registered Health...

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. What We're Looking For We're looking for experienced and credentialed inpatient 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, allowing...

JOB SUMMARY The Dental Coding Specialist is responsible for accurately reviewing, assigning, and validating dental procedure codes (CDT codes) for patient services to ensure proper billing, insurance claim submission, and regulatory compliance. This role works closely with dental providers, billing teams, and insurance companies to maximize reimbursement and maintain accurate patient records. SPECIFIC RESPONSIBILITIES: Review dental records and documentation for coding accuracy with high attention to detail Assign appropriate CDT and related codes for dental procedures and diagnoses. Audit and submit insurance dental claims. Resolve claim denials, coding discrepancies, and reimbursement issues. Ensure compliance with dental coding guidelines, payer rules and regulations. Maintain accurate patient billing and coding records. Communicate with providers, staff, and insurance carriers regarding coding questions. Stay current on coding updates, regulations,...

UNC Health's Shared Services HIM Hospital Coding team is seeking a skilled coder to review, abstract and assign CPT/HCPCS/ICD-10/ICD-10-PCS codes for professional services and inpatient cases, in compliance with regulations. You will work independently yet collaborate with clinicians and staff across UNC Health systems, handling DRG-related tasks, documentation queries, and education to minimize errors. Remote work is available with a 40-hour work week. #J-18808-Ljbffr

Physicians East, P.A. is seeking a detail-oriented billing specialist to handle charge entry and post diagnostic charges for assigned specialty areas, ensuring accurate coding in ICD-10-CM and CPT guidelines. The role requires communication with physicians and insurance staff to resolve coding issues in a fast-paced office. This full-time position is based at our Greenville Arlington Blvd. location, typically Monday–Friday, with potential overtime. #J-18808-Ljbffr

Self-Pay Billing Specialist Manage daily billing functions for assigned patient and insurance companies. Coordinate the interaction between patients and payors to facilitate timely reimbursement. Serve as a point of contact for billing problem solving. In depth knowledge of carrier Clinical Coverage Policies (CCP) and Billing Coverage Policies (BCP). SPECIFIC RESPONSIBILITIES Maintain Accounts Receivable KPI (A/R balances older than 120 days must be less than 19% of total A/R) Maintain Adjusted Collection Percentage KPI (Reimbursement/Collections equal to or above 97% of Expected) Review and resolve denied patient insurance claims Review and resolve collection accounts Patient Refunds Manage Online payment portals Assist in identifying current and/or potential billing issues specific to unpaid claims Post and balance all activity from carrier remits to include payments, contractual adjustments, and other adjustments Post and balance all payments from patients Make appropriate...