19 coder medical billing spec jobs found

Job Posting Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered. Candidate must have Denials experience to be considered. This position is responsible for coding all services including major and minor surgical cases performed in both the office and hospital setting for MyMichigan Medical Group, Family Practice Center and the MyMichigan Urgent Care locations. This position monitors compliance with third party payers guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with, in addition to analytical skills to ensure all procedures are coded correctly for a timely and accurate reimbursement from all payers. This position must be able to work independently and make decisions based on their broad knowledge of current procedure terminology (CPT) and International Classification of Diseases...

ICD-10 CODER-DRG/APC SPEC HEALTH INFORMATION MANAGEMENT SERVICES FULL-TIME / 6:30 AM - 4:00 PM / 72 HOURS PER PAY THIS SHIFT IS A 9 HOUR SHIFT Responsibilities Code and abstract all inpatient visits or specialty outpatient surgery/observation visits or both based on physician documentation in the medical record. Collaborate with Clinical Documentation Specialists to ensure appropriate documentation to validate accurate diagnostic and procedural information on each inpatient record. Ensure accurate coding/abstracting and correct DRG or APC assignment while adhering to guidelines of current coding classification systems and AHIMA’s Standards for Ethical Coding. Follow up on outstanding accounts for billing. Carry out work in accordance with The Joint Commission on Accreditation of the Healthcare Organization and Premier Health Partners HIMS approved policies and procedures. Education Associate Degree in Health Information Management. Proof of completion of an ICD-10 course...

ICD-10 CODER-DRG/APC SPEC Health Information Management Services Full-time / 6:30A-4P / 72 hours per pay This shift is a 9 hour shift Under the general direction of the Coding Supervisor of Health Information Management Services, this employee is responsible for the coding and abstracting of all Inpatient visits or Specialty Outpatient Surgery/Observation visits or both based on physician documentation in the Medical Record. He/she is responsible for collaborating with the Clinical Documentation Specialists to ensure appropriate documentation to validate accurate diagnostic and procedural information on each inpatient record. Accurate coding/abstracting and correct DRG or APC assignment is expected while adhering to the guidelines of the current coding classification systems and AHIMA's Standards for Ethical Coding. He/She is also responsible for following up on outstanding accounts for billing. All work is carried out in accordance with The Joint Commission on Accreditation...

Job Summary The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD‑10, CPT, HCPCS codes and modifiers from medical record documentation. The role requires utilizing multiple resources to support code assignment, resolving coding denials and pre‑bill coding edits, and maintaining productivity and accuracy through internal audits. Level II responsibilities include evaluation and management coding, radiology, and emergency department coding. Essential Duties and Responsibilities Assign ICD‑10, CPT, HCPCS and modifier codes from documentation Review and appropriately resolve pre‑bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Maintain an accuracy rate of at least 95.5% in monthly internal audits Effectively present coding issues to internal and external stakeholders Deliver information in one‑on‑one or small group formats to peers Meet deadlines and complete assignments before monthly...

Job Description The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. Essential Duties And Responsibilities Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver information in a one-on-one or...

Job Summary The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. You must be able to utilize multiple resources to support code assignment and possess knowledge on how to resolve coding denials and pre‑bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. Essential Duties and Responsibilities Assign ICD-10, CPT, HCPCS and modifier codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed an accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver information in a one‑on‑one or...

Job Description The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. Essential Duties And Responsibilities Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver information in a...

Job Description The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. Essential Duties And Responsibilities Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver information in...

A Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs, including but not limited to Medicare Advantage Risk Adjustment. Locations Stanford Health Care - University Healthcare Alliance What you will do Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes. Inquire with clinicians the recommended HCC diagnosis for chart addendum. Collaborating with other departments to address...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position...

Job Description JOB SUMMARY The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. ESSENTIAL DUTIES AND RESPONSIBILITIES Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients...

Job Description The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. Essential Duties And Responsibilities Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver information in...

Job Description The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. Essential Duties And Responsibilities Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver information in...

Coder Ambulatory Certified Job Category: Non-Clinical Requisition Number: CODER003787 Posted: May 1, 2026 Full-Time On-site Noblesville, IN 46060, USA Job Details Description Job Responsibilities: Review, code, data entry and interpret with accuracy and complete patient data for medical office, outpatient, inpatient, handwritten chart entries, practitioner orders and other related documentation to ensure accurate information is being submitted for billing. Obtain accurate and complete patient data through the review of the medical record, discharge summary, history and physical, consultation, progress notes, and laboratory, radiology, operative and pathology reports. Maintains competence in and up-to-date knowledge of healthcare compliance requirements, practices, trends, coding rules and standards in areas of responsibility. Maintains professional affiliations and credentials as appropriate. Consistently supports the compliance and principles of...

Senior Risk Adjustment Coder The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. What you will do: Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes. Inquire with clinicians the recommended HCC diagnosis for chart addendum. Collaborating with other departments to address coding updates and support risk...

Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system. Assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code. This is a remote position; however, candidates must reside in one of the following states: Indiana, Michigan, Illinois, Kansas, Ohio, Georgia, Kentucky, Florida, Idaho, Minnesota, Tennessee, Wisconsin, Colorado, South Carolina, North Carolina, or Texas. MISSION, VALUES and SERVICE GOALS MISSION: We deliver outstanding care, inspire health, and connect with heart. VALUES: Trust. Respect. Integrity. Compassion. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Reviews and analyzes discharged patient medical records to ensure all applicable patient...

PERMA FAIR is seeking a Member Experience Clinical Coder & Medical Biller in Camden, New Jersey. This role involves reviewing and validating medical claims, ensuring coding accuracy, and maintaining compliance with medical coding standards. Candidates should have a nursing degree, an active nursing license, and at least 2 years of experience in the medical field. A competitive salary ranging from $115,000 to $150,000 is offered along with comprehensive benefits including medical insurance and a 401(K) plan. #J-18808-Ljbffr

Medical Insurance Billing and Coder (A.M./P.M.) - NWC/Long Beach Campus Long Beach - Long Beach, CA 90815 Overview Salary Range $22.00 - $25.00 Hourly Position Type Part-Time Job Shift Morning Education Level MIBC Certification Travel Percentage None Category Education Description Become an Education Leader and join our team of dedicated Professionals. North-West College is part of a stable and growing system of eleven campuses in California and Nevada which is a leader in Medical Career Training since 1966. Our everyday mission is to train students in short term programs for gainful employment. POSITION SUMMARY : Plans, teaches, directs, and supervises all student learning experiences in the classroom, skills lab, and clinical areas, following the curriculum of the school approved by the Accreditation Bureau. This is a faculty position. PERSONAL: Willingness to provide a professional role model for students Ability to work effectively with others. Demonstrates...

Associate Director, AI/ML Engineering We're on a mission to change the future of clinical research. At Perceptive, we help the biopharmaceutical industry bring medical treatments to the market, faster. Our mission is to change the world but to do this, we need people like you. What Can We Offer You? Apart from job satisfaction, we can offer you: YOURSELF: 25 days' holiday (with the option to buy more) HEALTH: Health Cash Plan, Optional private health, dental insurance, and health screens, Cycle to work scheme WEALTH: Generous pension scheme with up to 10% employer contribution, Life assurance, Season ticket loan About the role Job Purpose As Associate Director, AI/ML Engineering, you'll lead the development and integration of cutting-edge artificial intelligence and machine learning (AI/ML) solutions into our Imaging platform for clinical trials. Your role will be central to driving the digital transformation of our platform—enhancing data-driven...