170 coder lll jobs found

Job Description Job Description   Job Description A certified professional biller/coder (CPC) Salary 15-25 base on expertise and experience Responsibilities: · Overseeing the medical coding for all healthcare activities · Ensure that medical coding used is in compliance with all medical coding laws and regulations · Ensure that the coding used is for reimbursable expenses when necessary · Provide regular coding, Home Health coding, or hospital coding as appropriate · Communicating with patients regarding rejected claims or procedures · Interact with doctors, nurses, and office staff · Able to work during regular business hours and rarely work overtime or weekends as necessary · Responsible for entering charges in as accurate a manner as possible, which means coordinating with the doctor’s office to obtain any missing information (i.e., insurance cards, authorizations, op reports, etc.) Knowledge of correct CPT coding and ICD10 coding · CPR bills all types of...

Professional Coder Opportunity Insight Global is seeking a professional coder to join a large regional health system in North Florida. This role focuses on pro-fee coding for adult cardiology, with responsibilities centered around coding work queues for cardiac procedures, diagnostic testing, and E&M services, including face-to-face encounters. The coder will support all cardiology and cardiac specialtyrelated services, working 100% within Epic. The position offers flexibility in workload selection, allowing the coder to choose between reviewing the most recent or older dates of service.

Job Description Job Description Description: Sage Clinical RCM, LLC is seeking an experienced Outpatient Coding Auditor with a strong background in surgical coding. This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements. The ideal candidate has hands-on experience auditing complex outpatient surgical cases and providing clear, constructive feedback to coding staff. Key Responsibilities Perform audits of outpatient surgical encounters, including operative reports and related documentation Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs Ensure compliance with CMS, payer, and official coding guidelines Identify trends, risks, and educational opportunities based on audit findings Provide written audit feedback and coding education to support quality improvement Collaborate with coding leadership and...

Job Description Job Description Description: Position Overview The Professional Billing Coder – Cardiothoracic / Special Surgical is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment. Requirements: Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding Apply appropriate modifiers, bundling rules, and NCCI edits • Ensure compliance with CMS, AMA, and payer-specific billing guidelines Identify documentation gaps and communicate clarification needs as appropriate Meet established productivity and quality standards Participate in internal quality reviews and audits as required...

Job Description Job Description Description: Role Summary Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types. Core Responsibilities Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Requirements: Minimum Qualifications Credentials: CPC, CCS, RHIA, or RHIT (active). Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types. Skills & Knowledge: Strong knowledge of CPT, HCPCS, ICD-10-CM,...

Coding Auditor The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and responds...

Job Description Job Description Description: Position Overview The Professional Billing Coder – Surgical Specialty is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment. Requirements: Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding Apply appropriate modifiers, bundling rules, and NCCI edits Ensure compliance with CMS, AMA, and payer-specific billing guidelines • Identify documentation gaps and communicate clarification needs as appropriate Meet established productivity and quality standards • Participate in internal quality reviews and audits as required Required...

Job Description Job Description Description: Role Summary Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types. Requirements: Core Responsibilities Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Minimum Qualifications Credentials: CPC, CCS, RHIA, or RHIT (active). Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types. Skills & Knowledge: Strong knowledge of?CPT, HCPCS, ICD-10-CM, modifiers, and...

Job Description Job Description Description: Role Summary Responsible for reviewing inpatient coding to validate accuracy, compliance, and documentation support. This role identifies risks, ensures consistency in DRG assignment, and provides actionable feedback to improve coding quality. Core Responsibilities Perform retrospective and/or concurrent audits of inpatient coding. Validate ICD-10-CM/PCS code assignment and MS-DRG/APR-DRG accuracy. Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies. Identify trends, risks, and opportunities for coding improvement. Provide clear, actionable audit feedback and education to client & internal coding staff. Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Requirements: Minimum Qualifications Credentials: CCS, RHIA, or RHIT (active). Experience: Minimum 3+ years of...

Job Description Job Description Medical Billing Specialist—Behavioral Health – Exact Billing Solutions (EBS) Lauderdale Lakes, FL Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies. EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations. Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational...

Medical Clinic Biller/Coder Northwest Florida Community Hospital is seeking a detail-oriented and experienced Medical Clinic Biller/Coder to join our team. This position is responsible for accurate coding, billing, and claims processing for clinic services to ensure timely reimbursement and compliance with federal regulations and payer requirements. The ideal candidate will have strong knowledge of medical terminology, coding systems, and insurance billing procedures. Responsible for all activities in the Clinic accounts receivable function. Manages billing and collection activities such as sending follow-up inquiries, negotiating with past due accounts, and referring accounts to collection agencies. Codes and sequences all diagnoses and procedures using established ICD-10-CM coding rules for each patient encounter; coding will be subject to accuracy and productivity rates as determined by department manager. Maintains accurate records. Audits methods and procedures of accounts...

## Medical Billing & Coding Specialist, Daytona Beach CampusApplylocations: Daytona Beach, FLtime type: Full timeposted on: Posted Todayjob requisition id: R311734# Job Description**The Opportunity:**Embry-Riddle Aeronautical University (ERAU) is seeking a Medical Billing and Coding Specialist within the Health Services Department at our Daytona Beach Campus. This position is in alignment with the mission, vision, and strategic priorities of Embry-Riddle Aeronautical University (ERAU) and the Division of Student Affairs, provides high-quality, student-centered service that supports student well-being, persistence, and success.Health Services embraces a holistic approach to student health, integrating prevention, education, wellness, and clinical care to foster a healthy and thriving campus community. Through compassionate service, proactive outreach, and innovative health initiatives, the department supports students in achieving their personal and academic goals.The Medical...

Trauma Surgical Profee Coder Do you want to join an organization that invests in you as a Trauma Surgical Profee Coder? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Candidates with Trauma/Surgical Profee experience are strongly preferred. As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. What you will do in this role: Reviews and codes clinical notes and operative...

Certified Medical Coder Are you a skilled and detail-oriented Certified Medical Coder seeking an exciting opportunity to join Quest National Services, a thriving medical billing company? We are looking for a dedicated individual to join our dynamic team at our Downtown Orlando office. If you have a passion for accuracy, teamwork, and growth opportunities, we want to hear from you! Job Description Utilize your expertise as a Certified Medical Coder to accurately assign appropriate medical codes to diagnoses, procedures, and services, ensuring compliance with all relevant coding guidelines and regulations. Review medical documentation and superbills to extract essential information required for proper coding. Work collaboratively with medical providers and billing specialists at Quest National Services to clarify coding questions, resolve discrepancies, and optimize claim accuracy. Stay updated with the latest coding guidelines, industry changes, and regulations to maintain...

Physician Billing Coder | Revenue Cycle - Team 2 - Cardiology | Days | Full-Time | CERTIFIED | REMOTE FTE: 1.0 Schedule: Monday - Friday, 8:00 AM - 5:00 PM Work Location: Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TX Job Summary Under general supervision, reviews, analyzes, and assigns final diagnoses and procedures as documented by the practicing provider, ensuring compliance with all policies and guidelines. Accurately codes office and hospital procedures to ensure proper reimbursement. Ensures the accurate completion of electronic health records through the assignment of ICD, CDM, HCPCS, and CPT codes. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture as stated by physicians or other healthcare providers. Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS standards for insurance billing. Accurately follow coding guidelines and legal...

Company Overview :Upward Health is an in-home, multidisciplinary medical group providing 24 / 7 whole-person care.Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help.Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients.We are able to treat a wide range of needs - everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals - because we know that health requires care for the whole person.It's no wonder 98% of patients report being fully satisfied with Upward Health!Job Title & Role Description :The Certified Medical Coder is responsible for analyzing provider documentation to accurately select ICD-10 and CPT / HCPCS codes, ensuring compliance with coding guidelines, third-party reimbursement policies, and accreditation standards.This role...

Job Description Job Description Company Description A well-established and growing Medical Billing company based in Downtown Orlando and is currently looking for an experienced account manager to join its growing team.   Job Description The Senior Biller Manager would directly report to the Director of Operations. The Senior Biller Manager would be responsible for managing client accounts to coordinate their overall functions of billing, maximizing cash flow while improving patient, physician, and other customer relations. Requires  STRONG  leadership and business office skills, including project management, critical thinking and analytical skills.   This is a full-time and In-person position only Qualifications Preferred 4+ years’ experience in a medical office reimbursement department ·         Preferred a minimum of 3 years’ supervisory or management experience over staff. ·         Experience with EMR Management software ·         Strong background in Accounts...

Job Description Job Description Responsible for current knowledge of all CPT-4 codes and modifiers, ICD-10 coding as well as any regulatory compliance issues as it pertains to billing of Physicians' services Responsible for the accurate, timely posting of all charges to ensure reimbursement for services performed by the physicians. Requirements are as follows: - 2yrs experience -Knowledge of and proficiency in the ICD-10-CM, CPT-4 and HCPCS coding classification system, medical terminology, anatomy and physiology Aptitudes: -Ability to achieve cognitive, organization and emotional maturity to deal effectively with multiple tasks, stresses, deadlines, difficult situations and/or customers. - Highly motivated and well-organized with attention to detail -Works well with co-workers and in a team environment -Takes initiative to solve problems and complete projects -Positive attitude -Reliable and dependable work ethic  

Coding Specialist Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. For physician billing, collaborates with billing department to ensure all bills are satisfied. For hospital, routes to billing charge...

Nurse Supervisor, SNF Jackson Memorial Perdue Medical Center is a long-term-care facility located on a beautiful 11-acre campus in South Dade. The medical center is a licensed, 163-bed skilled nursing and rehabilitation facility. We provide care for a diverse cultural population of younger and older adults. Nurse Supervisor, SNF oversees a team of staff in the absence of the Nurse Manager or department Director and acts independently to provide crisis management, interpret policy, make timely decisions that directly impact patient care, ensures effective communication and collaboration among departments. Key responsibilities are administrative in nature and include assigning coverage and on-call schedules, patient assignments to nurses on the team, overseeing the key operational functions of the center including the development of standard operating procedures, data collection/management, staff education and orientation. This role will promote professional habits through work...

Health Information Management Miami, FL Full-Time Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote but open to applicants who reside in the state of Florida] Summary HIM Outpatient Coder 1 is responsible for coding and abstracting outpatient medical records, including Emergency Room visits, Clinic visits and Recurrent visits. The Coder 1 is responsible for reviewing the clinical documentation contained in the patient health record to accurately assign and sequence ICD-9 and CPT codes for use in reimbursement and data collection. Able to transition to ICD-10-CM. Responsibilities Codes outpatient diagnostics/outpatient clinics/recurring visits/emergency room visits using ICD-9 or CPT codes as appropriate. Maintains a yearly average accuracy rate of 94% during internal and/or external Coding audits. Verifies patient information to identify any discrepancies and ensures that all codes and any other abstracted information is...

Job Description Under limited supervision the Coder Physician reviews medical records and performs coding on all diagnoses, procedures, DRG/APC, and charge codes. The Coder Physician uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. The Coder Physician will be charged with maintaining the confidentiality of patient records and procedures. Essential Job Functions Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee, and clinical medical records. Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals and DRG/APC reimbursement expertise to assign...

Outpatient Coder 3 The University of Miami/UHealth Department Health Information Management has an exciting opportunity for a full-time Outpatient Coder 3 to work in Miami, FL. Under the general direction of the Outpatient Coding Manager, the Outpatient Coder 3 reviews documentation in the electronic medical record (EMR) and assigns and sequences ICD-10-CM diagnosis codes and CPT procedure codes in accordance with national coding guidelines. The primary focus of this role is to capture all encounter specific diagnoses and procedure codes for accurate reimbursement, data collection, and research purposes. Core Job Functions Review, analyze, and interpret the entire electronic medical record (EMR) to identify all diagnoses and procedures documented during a patient's admission. Guidelines and knowledge of anatomy and physiology, medical terminology, and disease processes. Reviews documentation and reaches out to physicians for additional information when information for proper...

Job Description Job Description Benefits: Bonus based on performance Competitive salary Dental insurance Health insurance Paid time off Vision insurance edical Biller & Coder Florida Internal Medicine Associates (FIMA) FIMA is seeking an experienced and certified Medical Biller and Coder to join our growing private practice. This is a vital role within our organization, directly supporting the financial strength, compliance, and operational excellence of our practice. The ideal candidate is highly detail-oriented, self-motivated, and experienced in managing the full revenue cycle from precise coding and claims submission to payment posting, denial resolution, and compliance oversight. Key Responsibilities Medical Coding & Documentation Review Accurately review provider documentation and assign appropriate CPT, ICD-10, and HCPCS codes for diagnoses, procedures, and services Ensure all coding aligns with payer regulations and documentation...