32 coder professional jobs found

Job Description Job Description Certified Professional Coder / Bill Review Expert Location: Remote- Anywhere in US Responsibilities: Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes Assign proper CPT, HCPCs codes based on the review outcome Review CPT codes for unbundled services Review billed modifiers for accuracy of use Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customers in a professional easy to understand manner Use various resources, IE: eBooks, 3M software to support reviews Participate in conference calls as needed with customers and/or attorneys Participate in virtual and in-person...

Certified Professional Coder (Hybrid) Join our team at Seaview Orthopaedic & Medical Associates in Ocean, NJ and play a crucial role in ensuring accurate medical coding and billing practices. As a Certified Professional Coder, you will have the opportunity to work in a hybrid setting, combining in-person and remote work for a dynamic and flexible work environment. Seaview Orthopaedics is a leading medical practice with over 40 years of experience, specializing in orthopedic services and dedicated to providing quality care to patients across Monmouth, Middlesex, and Ocean Counties. Review and analyze medical records to assign appropriate diagnostic and procedural codes using ICD-9, ICD-10, CPT, and DRG systems. Ensure accuracy in coding to facilitate precise medical billing and reimbursement processes. Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies promptly. Maintain up-to-date knowledge of coding guidelines, healthcare...

Professional Coder I Position Fully remote. Potential temp-perm so must be local to client location. Accountable for accurately reviewing, interpreting, auditing, coding, and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review may include inpatient...

Job Type: Officer of Administration Regular/Temporary: Regular Hours Per Week: 35 Standard Work Schedule: Monday-Friday Salary Range: $66,300- $75,000 The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. Position Summary The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department. This role ensures compliance...

Senior Inpatient HIM Coder We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact effectively with the billing department...

Medical Coding Specialist Summary: Review, analyze, and code medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders. Project Details: Evaluate medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the visit Compile necessary documentation prior to coding review; when documentation is not available, performs the appropriate steps to obtain the...

Baylor Scott & White Health Job Posting 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. 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: Eligibility on day 1 for all benefits Dollar-for-dollar 401(k) match, up to 5% Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more Immediate access to...

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS)...

Overview Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding...

Physician Billing (PB) Coding Auditor And Educator Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network. A day in the life of an Physician Billing (PB) Coding Auditor and...

Hackensack Meridian Health - JobID: J20fa32feae4f42e497793f589d660346-1 [Medical Office Assistant] As a Coordinator at Hackensack Meridian Health, you'll: Coordinate daily operations and schedules to support team efficiency; Organize resources, meetings, and project activities; Communicate with staff and stakeholders to ensure alignment; Track progress, deadlines, and documentation; Resolve routine issues and escalate concerns as needed; Maintain accurate records and support overall workflow continuity...Hiring Immediately >>

Job Description Job Description ENGLEWOOD ORTHOPEDIC ASSOCIATES JOB DESCRIPTION Department: Billing Title : Medical Biller Location: Englewood Cliffs Supervision Received : Reports to Team Lead Englewood Orthopedic Associates is currently recruiting a Full-Time Medical Biller Individuals must be experienced in medical billing, and initiate & monitor prior authorizations. Candidate Qualifications and Position Responsibilities: The Medical Billing Specialist applying must have 2 or more solid years of medical billing and authorization experience. Performs ongoing prospective coding and documentation chart reviews for physician services to ensure that the coding supports the services billed. The candidate should have excellent oral and writing skills. Proven experience in insurance verification and obtaining authorizations for office and hospital procedures Preparing, reviewing, and submitting claims Researching and appealing denied claims...

Virtua Health Billing Specialist At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency...

A healthcare organization in New Brunswick is seeking a Medical Billing and Coding Specialist to manage billing activities. Responsibilities include ensuring accurate coding of claims, providing education to physicians on coding, and assisting with relevant projects. Candidates must have at least two years of experience, superior organizational skills, and a CPC certification or obtain one within the first year. The role offers a competitive salary range of $24.33 - $38.93 per hour along with a robust benefits program. #J-18808-Ljbffr

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 Job Description 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...

Senior Medical Coder The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. Medical Coding Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. Review and validate coding performed by other coders to ensure consistency and accuracy. Identify ambiguous or unclear terms and query clinical sites or data management for...

Health Information Management Service This position is in Health Information Management Service (HIMS) within the Business Office at the VANJMC located at the East Orange campus. 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.

Coder III Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiology or Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing. 3-5 years required Inpatient coding preferred High School Diploma/GED One or more of the following required: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA USD $29.00 USD $50.00

Position Summary The Billing Manager will oversee all aspects of the practice’s revenue cycle and accounts receivable, ensuring accuracy, timeliness, and compliance. This role requires strong knowledge of both cosmetic and insurance-based billing processes, plastic surgery coding, excellent communication skills, and the ability to work closely with patients, providers, insurance companies, and internal team members.  Knowledge and understanding of the Federal IDR process and the NSA (No Surprises Act) is required.  Interfacing with attorney firms specializing in physician advocacy litigation and the IDR process is a significant part of this role. Key Responsibilities Insurance & Authorization Management Verify eligibility and benefits Run prior authorizations for procedures and services Initiate pre-determinations as needed Update surgical insurance status forms Gather all supporting documents necessary for claims and approvals...

Join to apply for the Coder role at CarePoint Health System Continue with Google Continue with Google 2 months ago Be among the first 25 applicants Join to apply for the Coder role at CarePoint Health System About Us CarePoint Health is one of New Jersey's leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey and each year provides care to over 300,000 individuals. About Us CarePoint Health is one of New Jersey's leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and...

An established healthcare system is seeking a Remote Senior Inpatient Coder Specialist to join their team. This role focuses on the expert coding and reimbursement for complex inpatient acute care discharges, ensuring accuracy in ICD-10-CM and ICD-10-PCS coding. The ideal candidate will have a strong foundation in coding conventions and guidelines, with at least three years of inpatient coding experience. This innovative organization emphasizes patient-focused care and offers a supportive work environment where your expertise will significantly impact patient outcomes. If you are passionate about coding and looking for a flexible work-from-home opportunity, this position is perfect for you. #J-18808-Ljbffr

About Us CarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey and each year provides care to over 300,000 individuals. CarePoint prides itself on its patient-focused approach to care delivery, with an emphasis on preventative medicine, health education, and disease management. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs. What You'll Be Doing Remote Senior...

About Us Welcome to Hudson Regional Health Technology Transforming Care Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. Together, these hospitals form a single, integrated system with a shared vision—to deliver modern, patient-first care supported by innovation. From robotic-assisted surgery and AI-powered diagnostics to real-time monitoring and precision neurosurgery, HRH is redefining what’s possible in community healthcare. Patients across the region now have access to state-of-the‑art procedures and nationally recognized specialists, all within a connected, local network designed to put care first. Our Services We focus on the care our patients need most, delivered with precision, innovation, and a commitment to excellence. Advanced Emergency Services - 24/7 emergency departments across all four hospitals Robotic-Assisted Surgery - featuring the Da Vinci XI and ExcelsiusGPS systems Neurosurgery & Spine Care...