107 coder professional jobs found

A healthcare network in New Jersey is seeking a new Professional Coder for a Remote opportunity with their team, focusing on critical risk adjustment projects. About the Opportunity: Start Date: ASAP Assignment Length: 6+ months Setting: Remote (preferably Tri-State based) Responsibilities: Understanding and translating CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction Reviewing medical records for completeness, accuracy, and compliance with coding guidelines Identifying, compiling, and coding patient data using standard classification systems Supporting the collection and distribution of documentation and coding improvement tools Participating in educational activities as a subject matter expert on coding Performing other duties, as needed Qualifications: 2+ years of Medical Coding experience High School Diploma / GED RHIT, Certified Professional Coder, or Certified Coding Specialist certification Proficiency in CPT-4, HCPC,...

Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: 5 years of experience into Project Management At least 2 years of experience after CPC or CCS certification Bachelor's degree is a must Certifications: AAPC Certified Professional Coder (CPC)...

Job Type Full-time Description Required: Inpatient Neonatal, pediatric, and critical care professional fee coding experience Location: Remote Job Summary: The Professional Fee Coder (ProFee) is responsible for reviewing provider documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for physician professional services. This role supports compliant coding, timely charge capture, and clean claim submission in accordance with AMA, CMS, and payer guidelines. Responsibilities include, but are not limited to: Review provider documentation and assign ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for professional fee services. Select appropriate Evaluation and Management (E/M) levels based on current guidelines (MDM and/or time and ensure documentation supports code selection. Apply modifier and global surgery rules accurately (e.g., 25, 24, 57, 58, 59, 78, 79) and comply with NCCI edits and payer policies. Ensure medical...

Certified Professional Coder / Bill Review Expert Responsibilities Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned Assign proper codes as needed based on review outcome Use various resources, IE: eBooks, 3M software to support reviews Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customer in a professional easy to understand manner Participate in conference calls as needed with customer and/or attorneys Assist with various special projects and other duties as assigned Qualifications and Experience 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules Strong communicate skills, must be able to explain outcome of review, both written and verbally Extensive knowledge of coding /documentation requirements Thorough knowledge of CPT, HCPCs, ICD-10 CPC/AAPC...

Urgent Requirement - Certified Professional Coder Full-time Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We’ve stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from patient medical...

Overview Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Job Title Coding Specialist Job Description Responsible for outpatient and a little inpatient coding medical records according to coding guidelines to ensure accurate and timely codes for bills to be processed. Reviews medical record documentation, assigns appropriate diagnostic and procedural codes, and investigates and resolves diagnosis coding issues. Assists in the maintenance of client billing records and statistics. Principal Accountabilities: 1. Assigns codes in accordance with ICD - 10, CPT, and E/M coding guidelines to provide statistical information for research, reimbursement and analysis of quality of care. 2. Investigates and resolves coding issues. 3. Acts as a liaison between coding guidelines and codes. 4. Researches and prepares bills for reimbursement, outpatient, physician offices, and charge backs. 5. Maintains account records and researches inquiries; resolves inaccuracies; follows up on outstanding and open bills; contacts insurance companies and/or...

Job Description Job Description   Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Billing Coder to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. Needs to have ICD-10 Code experience. Responsibilities  Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures Work with doctor’s offices...

A leading healthcare staffing agency is seeking an Entry Level Medical Coder in Kearny, NJ. The position involves coding and abstracting patient encounters, ensuring accurate documentation and compliance with regulations. Candidates should possess an understanding of medical coding guidelines and demonstrate strong analytical skills. This role requires the ability to audit clinical data and assist in training junior staff, making it ideal for those looking to start their career in medical coding. #J-18808-Ljbffr

Entry Level Medical Coder • Elizabeth, NJ Last updated: 7 hours ago Job Summary Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Key Responsibilities Identify diagnostic and procedural information. Audit clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assign codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follow coding conventions. Serve as coding consultant to care providers. Identify discrepancies, potential quality of care, and...

POSITION SUMMARY: To accurately code and process medical records for Inpatient/SDC patients in a timely basis. EDUCATION: High school diploma or equivalent required. CCS Required EXPERIENCE: One to two years Hospital coding experience required with knowledge of data quality measures, DRG's, Prospective Payment Systems and APC's. 3M Encoder experience preferred. SPECIAL SKILLS: Medical terminology required. Knowledge of anatomy, physiology, ICD-9-CM and CPT-4 coding. Ability to work independently with minimal direct supervision and cooperatively within a team environment. Ability to communicate effectively (oral and in writing) and interact with customers to meet their needs. Ability to handle interruptions and adapt to changes in workload and work schedule. Ability to set priorities, make effective decisions. Ability to recognize and deal with problematic situations and to prioritize. Job Location The Valley Health System-Ridgewood Shift Day (United States of America)...

A dynamic medical staffing agency in New Jersey is looking for a Medical Insurance Coder to join their billing team. The ideal candidate will have at least 2 years of experience in medical coding, particularly with CPT and ICD codes. Responsibilities include analyzing and coding medical records, advising physicians, and managing a high volume of claims. The role offers comprehensive medical benefits, annual bonuses, and a hybrid work schedule, making it a rewarding opportunity for detail-oriented professionals. #J-18808-Ljbffr

Overview Medical Insurance Coder job at On Point Staffing Group. West Paterson, NJ. Location: Passaic County, NJ Join a dynamic medical billing team as a Medical Insurance Coder, where your expertise in coding will make a significant impact. This role requires a professional who can accurately interpret clinical documentation and apply appropriate CPT and ICD codes without relying on predefined codes. Responsibilities Analyze and code medical records, including Progress Notes and Op Reports, independently. Offer expert advice to physicians regarding coding practices, ensuring optimal billing accuracy and compliance. Maintain high levels of organization, speed, and precision, managing approximately 150-200 claims daily. Facilitate proactive communication with physicians and medical staff to enhance billing processes and resolve coding queries. Qualifications Minimum of 2 years' experience in medical coding, specifically with CPC and E-Clinical Works. Strong understanding of...

This role ensures accurate, compliant inpatient coding by developing and maintaining rules, policies, and procedures aligned with national billing and coding standards. It supports claims payment, reimbursement, system configuration, and health data analytics to improve cost efficiency and compliance. The position also reviews coding in provider contracts, recommends reimbursement standards, and participates in developing coding guidelines. Requirements Education: High school diploma required; Associate’s degree preferred. Credentials: CCS required. Experience: Minimum 5 years of inpatient coding experience. Skills: Experience with encoder and EMR systems; strong organizational, communication, and interpersonal skills; denials management experience preferred. Other: Ability to manage multiple projects and work efficiently in a fast-paced environment. Essential Functions Ensure accurate assignment of diagnoses and procedures in compliance with state and federal...

A healthcare organization is seeking a detail-oriented individual to perform medical record reviews and ensure proper ICD-10 CM/CPT coding. With a minimum of a High School diploma required, candidates should possess strong data entry skills and familiarity with medical terminology. The role includes coding major surgeries, abstractions for statistical requests, and maintaining compliance with relevant guidelines. Pay ranges from $21.32 to $34.39 per hour, depending on experience and qualifications. #J-18808-Ljbffr

Summary This position is in the Health Information Management Service (HIMS) within the Business Office at the VA New Jersey Healthcare System located at either the East Orange or Lyons Campus. New Jersey Healthcare System is a Level 2 facility and ranks among a complex system in the Department of Veteran Affairs serving the New York/New Jersey VISN 2 Network. Learn more about this agency Duties Help Total Rewards of a Allied Health Professional VA New Jersey Healthcare System MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural...

Position Summary Position is responsible for ICD-9 and ICD-10 Inpatient/Outpatient coding of diagnosis and procedures. When reviewing documentation must be able to interact with all medical and clinical staff. Primary Position Responsibilities Codes and abstracts inpatient/outpatient records using ICD-10 Queries medical/clinical staff for clarification of documentation Uses 3M360 computer assisted coding program for coding and tracking queries Meets daily productivity standards, along with meeting Team Goal for DNFC (Discharge Not Final Coded) Maintains current CCS certification and/ or RHIT Qualifications Minimum Education: High School Diploma or Equivalent Must have Certified Coding Specialist (CCS) and/or Registered Health Information Technician (RHIT) Preferred: Associate’s Degree Minimum Years of Experience: Minimum 2-3 years coding experience Preferred: Minimum 2-3 years of hospital coding experience License, Registry or Certification: Certified Coding...

A healthcare organization in New Jersey seeks an experienced coding specialist to handle ICD-9 and ICD-10 inpatient and outpatient coding. Responsibilities include extracting codes from medical records, interacting with clinical staff, and meeting productivity standards. Ideal candidates have 2-3 years of coding experience, possess CCS or RHIT certification, and demonstrate proficiency in coding systems. Competitive benefits such as medical, dental, and tuition reimbursement are included. #J-18808-Ljbffr

A leading healthcare company is seeking a part-time Medical Biller based in Shrewsbury, New Jersey. The ideal candidate will oversee patient account billing, ensuring accuracy in submitting claims, processing payments, and managing accounts receivable. This role demands a high school diploma and a minimum of 3 years of relevant medical billing experience. Excellent communication and organizational skills are essential, along with proficiency in CPT codes and Medicare knowledge. Competitive pay and comprehensive benefits offered. #J-18808-Ljbffr

Job Title Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and complications. Accurately sequences diagnoses & procedures, maintains 95% accuracy. Assigns ICD-10 and CPT Codes. Performs charge reconciliation to ensure all submitted charges are posted accurately to ensure proper compliance and proper reimbursement. Demonstrates a consistent level of performance; strives to maintain a steady level of productivity. Appropriately holds accounts when more information is required for accurate code assignment. Contacts appropriate staff (CDI/Leadership/Medical Staff) as needed. Regularly reviews coding literature, keeps current on new or revised coding guidelines, shares information with colleagues, determined by colleagues' feedback and supervisor observation Completes all assignments as directed by management in a conscientious and reliable manner. Expresses interest in and pursues continuing education both...

Medical Records Coder To accurately code and process medical records for Inpatient/SDC patients in a timely basis. High school diploma or equivalent required. CCS Required. One to two years hospital coding experience required with knowledge of data quality measures, DRG's, Prospective Payment Systems and APC's. 3M Encoder experience preferred. Medical terminology required. Knowledge of anatomy, physiology, ICD-9-CM and CPT-4 coding. Ability to work independently with minimal direct supervision and cooperatively within a team environment. Ability to communicate effectively (oral and in writing) and interact with customers to meet their needs. Ability to handle interruptions and adapt to changes in workload and work schedule. Ability to set priorities, make effective decisions. Ability to recognize and deal with problematic situations and to prioritize. Job Location: The Valley Health System-Ridgewood Shift: Day (United States of America) Benefits: Medical/Prescription,...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and...

A leading health data exchange company is seeking experienced inpatient coders to join their fully remote team. The ideal candidate will possess attention to detail and a strong understanding of medical terminology. Responsibilities include coding using various ICD codes and ensuring accuracy in medical records. We offer competitive salaries and excellent employee benefits including health insurance and a flexible work schedule. #J-18808-Ljbffr