87 coder professional jobs found

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-21350 Facility: LOC0014 - 549 Columbian Street549 Columbian StreetWeymouth, MA 02190 Department Name: SHS Physician Services Admin Status: Full time Budgeted Hours: 40 Shift: Day (United States of America) Under experienced leadership the Professional Surgical Coder I is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. Using established department policies and procedures in conjunction with the current versions of ICD-10 and CPT-4, the Professional Surgical Coder I will determine the proper diagnosis, assign co-morbidities and complications, secondary diagnoses and any HAC (Hospital Acquired conditions) documented. As well as both E/M codes and procedure codes. The Professional...

POSITION SUMMARY As a Medical Biller at MASS LUNG & ALLERGY (MLA) this position performs a wide variety of duties and responsibilities in a manner that places emphasis on quality of care and customer service. The incumbent must work collaboratively with all staff in support of patient services, exhibiting flexibility and a "can-do" attitude. Patient services are the key priority in this position requiring the Medical Biller to serve as a point of contact with other internal and external departments, all with the goal of fostering an environment which promotes patient comfort and trust. The position must exemplify the core values and mission of the organization, always exercising utmost discretion, diplomacy, and tact in patient/staff interactions. 60% DUTIES AND RESPONSIBILITIES: Register and verify insurances for inpatient/outpatient hospital, pulmonary function test readings, sleep study readings and nursing home claims. Verifies completeness and accuracy of all claims...

A company is looking for a Coder, Hospital, Inpatient - Remote - FT. Key Responsibilities Reviews inpatient clinical documentation and assigns ICD-10-CM and ICD-10-PCS codes for billing and compliance Maintains quality and productivity standards while staying updated on coding principles and regulations Collaborates with clinical teams to enhance coding and documentation practices Required Qualifications, Training, and Education Associate degree in Health Information Technology or Bachelor's degree in Health Information Management required Certified Coding Specialist (CCS) certification required Previous hospital coding experience highly desirable Experience with computer and/or encoder software preferred Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification required

A company is looking for an HCC Coder to perform coding and documentation analysis in a remote setting. Key Responsibilities Analyze medical records to determine appropriate ICD-CM codes based on official guidelines Participate in coding quality assurance and maintain a coding accuracy rate of at least 95% Engage in continuous improvement efforts and training related to coding practices Required Qualifications High School diploma or equivalent Medical coding training and terminology from an accredited program Certification as a CCS, CCS-P, CPC, or CRC within one year of hire Three years of HCC and/or outpatient coding experience Thorough knowledge of ICD-CM, CPT coding, and third-party payer requirements

A company is looking for a Coder I. Key Responsibilities Applies coding principles consistent with government regulatory standards and payer specific guidelines Codes Primary Care, Radiology, and Hospitalist professional charges for assigned providers Reviews all ICD, E&M, CPT, and HCPCS codes to ensure documentation supports all services rendered Required Qualifications One (1) year or less of professional fee coding experience High school diploma or equivalent CPC, CPC-A, or CCS-P Certification GECB/IDX and Cerner experience preferred

A company is looking for an Inpatient Coder II. Key Responsibilities Assigns appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types Collaborates with Clinical Documentation Improvement (CDI) on discharge coding and documentation Meets established coding productivity and quality standards while resolving coding validation errors Required Qualifications 3 years of inpatient coding experience in an acute healthcare setting RHIA, RHIT, or CCS credential AHIMA membership Associate's degree in a related field (preferred) 4 years of inpatient coding experience in a teaching hospital (preferred)

A company is looking for a HIM Facility Outpatient Coder III - PRN. Key Responsibilities Reviews work queue assignments and prioritizes coding tasks to meet revenue cycle goals Assigns and sequences diagnosis and procedure codes according to official coding guidelines Initiates physician queries and resolves billing edits related to coding Required Qualifications Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent certification High School Diploma or GED; must pass an advanced coder competency exam with a minimum score of 95% Five (5) years of hospital-based coding experience, including complex CPT surgical coding Advanced knowledge of ICD-10-CM-PCS coding guidelines Proficiency in electronic health records and encoder systems

A company is looking for an Outpatient Coder in the HIM Revenue Cycle. Key Responsibilities Reviews and analyzes medical records to assign accurate diagnostic and procedural codes Ensures compliance with coding guidelines, regulatory requirements, and organizational policies Collaborates with healthcare providers to clarify documentation and improve coding accuracy Qualifications High school diploma or equivalent required Minimum of six (6) months of acute care outpatient coding experience required Active coding certification required (RHIA, RHIT, CCS, CCA, CPC, or CPC-H) Knowledge of ICD, CPT, and HCPCS coding standards Understanding of medical terminology, anatomy, and physiology

A company is looking for a Coder II-3. Key Responsibilities Assign appropriate codes for diagnoses and procedures based on medical records Ensure compliance with coding guidelines and regulations Review and resolve coding discrepancies and queries Required Qualifications High school diploma or equivalent; additional education in health information or coding preferred Certification in medical coding (e.g., CPC, CCS, or equivalent) Experience in medical coding, preferably in a healthcare setting Knowledge of medical terminology, anatomy, and coding systems Proficiency in using coding software and electronic health records

A company is looking for a Physician Complex Coder GI Interventional Endoscopy. Key Responsibilities Analyze medical records and accurately code diagnostic and procedural information Abstract clinical diagnoses and procedure codes into electronic medical records Ensure compliance with coding rules and regulations for quality assurance of medical records Required Qualifications High school diploma/GED or equivalent specialized training in medical record keeping Certification as a CPC, CCS, CCS-P, RHIA, or RHIT in active status Three or more years of complex professional coding experience within the specialty Knowledge of ICD and CPT coding principles as recommended by AHIMA coding competencies Ability to work effectively in a remote setting using common office programs and coding software

A company is looking for a Professional Coder III - Pediatric Hospitalist. Key Responsibilities Timely and accurate coding of hospital-based professional services by reading medical record documentation Maintain current knowledge of coding guidelines and regulations through professional literature and continuing education Serve as a resource for less experienced coders and provide physician education for accurate documentation Required Qualifications Graduation from an accredited medical coding program Three years of medical coding experience in a similar environment National coding certification (CPC or CCS) is desired Experience in coding physician professional services in a teaching environment Familiarity with Medicare Teaching Physician Rules and facility fee services

A company is looking for a Certified Coder II. Key Responsibilities Processes claims based on state rules and regulations Determines validity and compensability of claims using proprietary programs Makes recommendations and communicates claim status to referring offices Required Qualifications and Education High School diploma or equivalent Current AAPC certification and CPC certification with over 2 years of experience Current or recent orthopedic billing/coding experience Experience with EncoderPro software and E/M coding/down-coding Preferred experience in Texas workers' compensation and Pain Management/Anesthesia/General Surgery coding

A company is looking for a Hospital Medicine Coder. Key Responsibilities Assign ICD-10-CM diagnosis codes and CPT-4 procedure codes to patient records Review and code a minimum of 18 charts per hour Report coding problems or irregularities to the Medical Coding Manager Required Qualifications High school diploma or equivalent CPC or RHIT certifications preferred Minimum one (1) year experience in medical coding and/or medical terminology and billing Excellent data entry and computer skills Ability to work overtime as needed

A company is looking for a Certified Coder (Remote) - Orthopedic Surgery. Key Responsibilities Review medical records to identify relevant facts for coding diagnoses and procedures Code evaluation and management using appropriate CPT and ICD-10 codes Assist coders and physicians with documentation requirements and follow-up processes Required Qualifications Must possess one of the following coding credentials: CCA, CCS, CCS-P, CPC, CPC-A, CPC-H, or specialty-specific coding credentials No specific work experience is required A diploma, certification, or degree is not required Knowledge of ICD-10 and CPT coding is preferred Associate degree in Medical Coding & Billing is preferred

A company is looking for a Medical Coder in Primary Care or Family Medicine. Key Responsibilities Assigns accurate diagnostic and procedure codes according to clinical documentation and coding guidelines Monitors assigned work queues to ensure timely coding and charging of records Generates coding queries for clarification regarding physician documentation as needed Required Qualifications High School Diploma/GED (or higher) Professional CPC coder certification from AHIMA and/or AAPC, maintained annually 3+ years of experience in a Medical Coder position, specifically in Primary Care or Family Medicine Experience in medicine specialty Profee inpatient experience

A company is looking for a Physician Coder (I, II, & Sr). Key Responsibilities Reviews medical records and codes physician services using ICD-10, CPT, and HCPCS classification systems Verifies billable physician services by reviewing documentation for adherence to federal guidelines Collaborates with the specialty team to monitor financial goals and assists with patient account follow-ups Required Qualifications, Training, and Education High school diploma or equivalent Computer/typing literacy and knowledge of Anatomy, Physiology, and Medical terminology National certification such as CPC, CCS, CCS-P, CCA, or CMC Minimum of one year coding experience for Coder I, three years for Coder II, and five years for Sr. Coder Proficiency in multi-specialty E/M coding is required, with additional requirements for surgical coding based on the level

A company is looking for a Risk Adjustment Coder. Key Responsibilities Perform code abstraction of medical records, ensuring accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes Review medical records for compliance with CMS requirements and identify improvement opportunities in documentation and coding processes Maintain current knowledge of coding standards and regulations, supporting the Medicare Risk Adjustment team in provider education Required Qualifications, Training, and Education Minimum of three recent years of experience in HCC/Risk Adjustment and/or inpatient coding Relevant certifications such as CPC, CRC, RHIT, or RHIA from AAPC or AHIMA are required Strong knowledge of clinical terminology, disease processes, anatomy, physiology, and pharmacology Understanding of claims processing procedures and state, federal, and Medicare regulations Must reside in New York, New Jersey, or Connecticut

A company is looking for a Hospital Surgery/Observation Coder. Key Responsibilities Code and abstract outpatient records for data retrieval, analysis, reimbursement, and research Utilize the 3M encoder to enter diagnostic and procedure codes into the designated coding system Meet quality and productivity coding standards while navigating an EMR across all facilities Required Qualifications High School Diploma/GED required; Associate's Degree preferred Minimum of 3 years coding experience in an acute care setting Competency in outpatient coding guidelines and APC assignment Current AHIMA or AAPC credentials required or must be certified within one year of hire Basic knowledge of Microsoft Office applications and troubleshooting computer problems

A company is looking for a Hospital Outpatient Specialty Coder. Key Responsibilities Perform charge entry by reviewing data from practice sites and investigating incomplete charges Abstract clinical information and translate medical documentation into accurate diagnoses and procedural codes Maintain knowledge of coding regulations and assist with billing functions, including claim submission and denial resolution Required Qualifications High School Diploma or GED required; Associate Degree preferred Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required Three to five years of experience in emergency room coding, infusion coding, or specialty clinic procedure coding preferred Knowledge of medical terminology required Proficient with Microsoft Office

A company is looking for a Physician Coder: Neurosurgery. Key Responsibilities Review and accurately code Neurosurgery surgical and E/M cases to maximize reimbursement Meet daily production and quality goals, maintaining an average accuracy rate of 95% Stay current on coding guidelines and communicate with leadership on coding issues Required Qualifications High School diploma required; Associate or BS degree preferred Completion of an AHIMA or AAPC-certified program with a required credential (CCS, CPC, etc.) Minimum of 3 years of physician coding experience in Neurosurgery Proficient knowledge of anatomy, medical terminology, CPT and ICD-10-CM coding Proficiency with Microsoft Office and electronic healthcare record systems

A company is looking for a Profee OBGYN Clinic & Surgery Medical Coder - Remote. Key Responsibilities Review medical records to identify relevant diagnoses and procedures Abstract information from medical records according to client guidelines Provide mentorship and training to new coders and maintain current coding knowledge Required Qualifications and Education High School diploma or equivalent Minimum of 3 years of professional fee coding experience; 5 years preferred Experience with EPIC, 3M, and 360 software Strong coding skills in Profee OBGYN Clinic & Surgery Relevant certifications such as CPC, COC, CIC, CCA, CCS, CCS-P, RHIT, or RHIA

Coding Specialist Eligible for 100% remote work from MA, RI, CT, GA, WY, NM Sign on bonus: $10,000 Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding and medical terminology commensurate with coding guidelines. Education/Training: Associates required with Bachelor's Degree preferred. Licenses/Certification: RHIA (Registered Health Information Administrator) and CCS (Certified Coding Specialist) or RHIT (Registered Health Information Technician) and CCS (Certified Coding Specialist) Required Qualifications and Skills: Minimum 2 years' experience coding inpatient records. Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate. Proficiency in technology usage, including 3M encoder. Knowledge...

A healthcare provider in Attleboro is seeking an experienced Medical Biller to ensure timely billing and coding of patient services. The ideal candidate will have 1-2 years of medical billing experience, knowledge of ICD-10 and CPT coding guidelines, and strong problem-solving skills. Responsibilities include organizing patient records, preparing claims for payers, and collaborating with team members to resolve issues. The role offers a salary range of $22.35-$33.98 per hour with the opportunity to work in a supportive environment. #J-18808-Ljbffr

A community healthcare provider in Attleboro, MA, is looking for a per diem coder to efficiently organize and code patient records. You will address billing inquiries, process claims, and ensure timely reimbursements. Preferred candidates should have 1-2 years of coding experience and familiarity with CPT and ICD-10 systems. A high school diploma is required, and coding certification is a plus. This role offers a flexible schedule within a supportive work environment. #J-18808-Ljbffr