145 coder professional jobs found

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...

Join to apply for the Professional Billing Coder II role at Onvida Health 2 days ago Be among the first 25 applicants Join to apply for the Professional Billing Coder II role at Onvida Health Get AI-powered advice on this job and more exclusive features. Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Hourly Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $22.62 Mid = $28.28 Max = $33.93 Summary The Professional Billing Coder II is an intermediate-level coding professional responsible for independently reviewing medical documentation and assigning accurate diagnostic and...

Sage Clinical RCM, LLC supports leading healthcare organizations nationwide, is collaborative with a quality-driven culture, and an excellent opportunity to contribute to audit accuracy and coding excellence without unrealistic productivity expectations.Come join our team! Position SummaryThe Professional Billing Coder - Vascular Surgery is responsible for accurate coding of professional services related to vascular procedures.This role supports compliant billing practices and contributes to revenue integrity and audit readiness.Key Responsibilities-Assign accurate CPT, HCPCS, and ICD-10-CM codes for vascular surgery procedures-Review operative and procedural documentation for coding accuracy and completeness-Apply appropriate modifiers and NCCI edits-Ensure adherence to CMS, AMA, and payer guildelines-Maintain accuracy and productivity standards in a high-volume enviroment-Support internal audits and quality improvement initiatives Required Qualifications-Minimum 2years of...

Certified Coder-HHK-Sacaton Position Summary: Analyzes, codes, abstracts, and compiles medical records of patients to document patient condition and treatment largely for billing purposes by performing the following duties personally. Responsible for ensuring that all critical tasks are fulfilled on a timely basis. Critical Tasks: Ensures and requires that all data and information received for coding and input from providers is fully accurate, and notifies submitters if corrections are required. Accurately abstracts and codes diagnoses, treatments and procedures from health records by using appropriate classification systems, standards, and procedures. Utilizes and maintains continually updated knowledge and understanding of Current Procedural Terminology, Healthcare Common Procedure Coding, and International Statistical Classification of Diseases. Prepares fully accurate statistical reports required by legal, accrediting, licensing and regulatory authorities as well...

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

ED / Observation Coder (Full Time)Unlock your potential for professional development! We are hiring an ED / Observation Coder to join our Imaging Services Team!Located in northwest Arizona, Kingman has a mild climate with stunning Arizona sunsets! In the shadows of beautiful mountain ranges and nearby lakes, Kingman is an outdoor enthusiasts' paradise with abundant sunshine and is a great community to live, work and play!Position Purpose:All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country. The ED / Observation Coder oversees assigned departments' charging through software systems.Benefits (Full Time Employees):We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities:Exceptional Colleagues Join us and you'll be a part of a culture where we support each other and celebrate...

Lehighbar seeks an experienced Inpatient Facility Coder to join our Health Information Management team in Tucson, AZ. The coder will assign ICD-10-CM/PCS, CPT or HCPCS codes with accuracy to support compliant patient records and reimbursement. Requirements include a 2-year HIM program, 5 years acute care coding experience, and RHIT/RHIA/CCS/CCS-P/CPC/CIC/COC certifications. Proficiency with UHDDS sequencing and DRG/APC concepts is essential. #J-18808-Ljbffr

TMCH seeks an inpatient facility coder to assign ICD-10-CM/PCS, CPT and HCPCS codes with adherence to UHDDS standards and DRG/APC guidance. The role uses 3M 360, CAC and Epic to ensure accurate coding and revenue integrity. The ideal candidate has 5 years of acute care coding experience and RHIT/RHIA/CCS/CPC certifications, with understanding of MS-DRGs and APR-DRGs, and strong detail orientation. #J-18808-Ljbffr

Tucson Medical Center, located in Tucson, AZ, seeks a skilled HIM Coder III to assign ICD-10-CM/PCS, CPT, and HCPCS codes for inpatient and outpatient records, ensuring accurate documentation and compliant reimbursement. Responsibilities include using 3M 360, CAC, and Epic systems, reviewing charts, maintaining 95% coding accuracy, and supporting the coding team with timely, accurate data to optimize revenue and compliance. #J-18808-Ljbffr

Specialist - Concurrent Coding / Inpatient Coder Full-time Company Description Accounting and Finance/Healthcare Job Description Specialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258 Exp 2-5 Degree Associates Job Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as...

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Job Overview The Coder position is a staff position responsible for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Through collaboration with all members of the health‑care team, it supports a patient‑centered culture and gains knowledge and skills to further the practice of the quality of patient services provided at WMRMC. Under the direction of the Revenue Cycle Director, the coder may be required to exercise independent judgment in applying knowledge required to facilitate the processes of health information management. Responsibilities Encode diagnoses and procedures using ICD‑10‑CM, collaborate with health‑care team members, apply independent judgment in coding processes, and ensure accuracy and compliance with coding standards. Education High School Diploma or Equivalent. Required Experience 2 years clerical experience in a healthcare environment 2 years coding experience in a hospital environment Basic...

Specialist - Concurrent Coding / Inpatient CoderFull-timeCompany DescriptionAccounting and Finance/HealthcareJob DescriptionSpecialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258Exp 2-5Degree AssociatesJob Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as technical resource, resolves...

Certified CoderHeadquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers' commitment to high-quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow.IMS Care Center is currently searching for a professional, compassionate and knowledgeable individual to fill the position of Certified Coder for our Cardiology Clinic in Avondale. The Certified Coder will be accountable for processing medical claim information through data-entry in the Practice Management System and researching and correcting data entry errors using various electronic healthcare systems. This position uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information by following the...

Job Summary and Responsibilities As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. Applies coding principals consistent with government regulatory standards, payer specific guidelines, and company policy. Codes complex office, surgical and hospital professional charge for assigned providers. Reviews all ICD, E&M, CPT, and HCPCS codes to ensure...

Atlas Healthcare Partners Job PostingAtlas Healthcare Partners exists to form strategic partnerships with health systems across the nation to develop, manage and operate Ambulatory Surgery Centers (ASCs) in their markets. As a key player in this rapidly growing healthcare segment, we are committed to providing exceptional care and outstanding customer service to every patient, every physician, every time. Our daily focus revolves around our core values of Integrity, Culture, Teamwork, Respect, and Results.In addition to fostering a workplace that encourages professional growth and advancement, we provide industry-leading health and dental benefits, paired with a matching retirement package. We look forward to you being a vital part of our journey in shaping the future of healthcare.Position SummaryEvaluates medical records, provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines.Essential...

Fully Remote Lake Park Building Full time R180277 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Surgery HIM Coder We are seeking a highly detail-oriented and experienced Surgery HIM Coder to join our Health Information Management team. This position is responsible for reviewing, analyzing, and accurately assigning ICD-10-CM, CPT, and HCPCS codes for surgical procedures based on clinical documentation in the patient medical record. The Surgery Coder ensures coding compliance with federal regulations and internal policies to optimize reimbursement and ensure data integrity. This is a remote position with a 4 day on-site work rotation, every 6-7 weeks. Essential Job Duties Review operative reports, physician documentation, and other clinical records to assign accurate and complete ICD-10-CM, CPT, and HCPCS codes. Abstract relevant information from medical records into the health information system. Ensure compliance with all coding guidelines (AAPC, AHIMA, CMS, and payer-specific). Query physicians when documentation is unclear, conflicting, or incomplete....

Job Description Job Description We are seeking a full-time Medical Biller/Coder to join our team in Phoenix or Peoria. The ideal candidate is detail-oriented, dependable, and thrives in a fast-paced environment. Experience with vascular and wound care billing is preferred. Position Overview Responsible for overseeing the complete medical billing process, including accurate claim preparation, submission, and follow-up to ensure timely reimbursement. This role requires strong attention to detail, proficiency in resolving claim discrepancies, and expertise in managing multiple payer requirements. Key Responsibilities Scrub and submit claims using billing software. Follow up on unpaid claims within standard billing cycles. Review EOBs for accuracy and compliance. Communicate with insurers to resolve claim or payment discrepancies. Identify and bill secondary and tertiary insurance. Audit patient bills for accuracy and completeness. Research and appeal denied...

Why Work for MGRMC? Why should you want to work for MGRMC? You want a positive work environment and a dedicated group of co‑workers! As one of the largest employers in Graham County, MGRMC has both the stability that comes with success and the values you can be proud to represent. MGRMC offers a stable career option in a rural area having opened our doors in 1973. Your journey with us began the moment you made the choice to seek a career with MGRMC. Whether you are just beginning your career or your career pathway that has spanned 30 years, MGRMC may offer you a rewarding career option. Position Summary Under the general supervision of the Coding Manager, review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS, and/or CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate...

Position Summary Under the general supervision of the Coding Manager, The Outpatient Coder is responsible for accurately coding data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives for Hackensack Meridian Health (HMH). Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate. This position must be proficient in Profee coding, and regulations. Required Qualifications Must be at least 18 years of age. Proof of highest level of education completed but not less than high school education or equivalent. 3 yrs of Profee coding. An AAPC or AHIMA certification to include CAH-BS, CCS, CPC, or CIC. At least 2 years of active coding experience in: Facility Outpatient Coding,...

Join The Indian Health Service Make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

USA Government Jobs - - Responsibilities: Review outpatient and observation records for completeness, accuracy, and coding; Perform quantitative and qualitative analysis of medical records; Ensure final diagnoses reflect care and are supported by documentation; Ensure documentation corrections are completed within required timeframes; Support coding, billing, quality reporting, and performance measurement