664 coder professional jobs found

Certified Medical Coder, Springville NY Per Diem. Bertrand Chaffee Hospital is searching for a Per Diem Certified Professional Coder to join our team. All candidates must have substantial experience and require limited training. Per Diem staff will work a flexible schedule that meets performance expectations. Compensation $23.49 - $25.32 based on experience. Our Certified Medical Coders (CPC or CPC-A) provide quality review and analysis of a wide range of patient medical records ensuring accuracy of coding and maintaining records in accordance with accepted medical and legal standards. Code cases utilizing ICD-10 CM classification systems. Code outpatient and specialty services in an accurate and productive manner according to Federal, State, American Health Information Management Association (AHIMA) and hospital guidelines.Must be willing to work outside of traditional scope of activities when necessary to support department or hospital functions and when qualified to do so....

Senior Professional Coder The Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. Essential Duties and Responsibilities Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Ensuring...

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...

Coding Specialist The Coding Specialist is responsible for the accurate and timely review, abstraction, and assignment of diagnosis and procedure codes for outpatient and/or inpatient medical records. This position ensures compliance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and applicable payer guidelines while supporting optimal reimbursement, data integrity, quality reporting, and regulatory requirements. The employee must maintain effective communication and good working relationships with the revenue cycle personnel, other departments, Medical Staff and the public, in conjunction with organization policies. Essential duties and responsibilities include the following. Other duties may be assigned: Review medical records and clinical documentation to assign accurate diagnosis and procedure codes. Abstract pertinent patient, physician, and clinical information into applicable information systems. Apply ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines according to official...

Job Description FlexStaff is seeking a Certified Professional Coder with anesthesia and/or surgical coding experience for a client-a medical administration practice-located in Westchester, NY . Qualifications Current CPC (AAPC) or CCS (AHIMA) certification required 2+ years of professional anesthesia and/or surgical coding experience Strong knowledge of anatomy, physiology, medical terminology, and coding guidelines Experience with EPIC preferred Position Summary You will review clinical documentation and accurately assign CPT and ICD-10 codes for anesthesia services. Schedule Hybrid: 3 days onsite / 2 days remote Hours: Monday-Thursday: 8:30 AM-4:30 PM Friday: 8:00 AM-4:00 PM 1-hour paid lunch Key Responsibilities Review handwritten and electronic anesthesia records to determine procedures and diagnoses Assign accurate CPT and ICD-10 codes in accordance with current guidelines Post charges and...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office applications...

- Performs timely and accurate coding of the visit; ensuring diagnosis to the highest specificity, accurate E/M level and capture of all procedures/modifiers. - Reviews the medical record to ensure consistency and accuracy as well as compliance with established third-party reimbursement agencies. - Participates in regular education with all Physicians, APPs and other team members. - Maintains current status, in good standing, with coding certificate. Remain updated and fluent with AAPC and other coding bulletins, newsletters and guidelines. Be prepared coding new and upcoming procedures. - Assists patients in implementing solutions to reduce back-end billing errors. - Maintains patient confidentiality at all times. Complies with all HIPAA and privacy standards. - Complies with organizational policies regarding ethical business practices. - Performs other duties as assigned or requested. Equal Opportunity Employer/Protected Veterans/Individuals with...

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...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a RCM Specialist / Certified Professional Coder (CPC) based in United States. This role provides an opportunity to support accessible, patient-centered healthcare by ensuring accurate and efficient revenue cycle operations. The RCM Specialist will manage claims, resolve billing challenges, and help maintain smooth financial processes that support high-quality care delivery. Working in a fast-paced remote environment, this position requires strong attention to detail, problem-solving skills, and excellent communication abilities. The role combines medical billing expertise with compassionate interactions across patients, providers, payers, and internal teams. You will contribute to improving operational efficiency by identifying trends, reducing claim issues, and supporting compliance standards. This is an ideal opportunity for a certified coding...

St. Luke's Health Network, Inc. is seeking a part-time Remote Professional Fee Coder to code and abstract professional fee hospital services from medical records in accordance with ICD-9/ICD-10, CPT-4, and HCPCS guidelines. You will maintain a high coding accuracy rate and stay current with coding updates. The role involves data entry into specialty databases and delivering educational sessions for medical staff to ensure compliance and high-quality documentation. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder to perform medical claim reviews for the Special Investigations Unit. You will audit medical records for CPT/HCPCS/ICD-10 compliance, prepare written findings, and communicate results to investigators and leadership. You will research CMS guidelines, identify billing irregularities, and maintain proper documentation. The role requires 3+ years of coding/auditing experience, CPC certification, and proficiency with Excel and Word. #J-18808-Ljbffr

About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical record utilizing knowledge of...

RCM Specialist / Certified Professional Coder (CPC) Remote - United States Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives. We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible. We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven...

Certified Medical Coder I (Professional Review Specialist I) The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. Essential Functions & Responsibilities: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned Knowledge & Skills: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C...

Req Number 191502 FlexStaff is seeking a Certified Professional Coder with anesthesia and/or surgical coding experience for a client-a medical administration practice-located in Westchester, NY. Qualifications Current CPC (AAPC) or CCS (AHIMA) certification required 2+ years of professional anesthesia and/or surgical coding experience Strong knowledge of anatomy, physiology, medical terminology, and coding guidelines Experience with EPIC preferred Position Summary You will review clinical documentation and accurately assign CPT and ICD-10 codes for anesthesia services. Schedule Hybrid: 3 days onsite / 2 days remote Hours: Monday-Thursday: 8:30 AM-4:30 PM Friday: 8:00 AM-4:00 PM 1-hour paid lunch Key Responsibilities Review handwritten and electronic anesthesia records to determine procedures and diagnoses Assign accurate CPT and ICD-10 codes in accordance with current guidelines Post...

Benefits include: Monday - Friday (No weekends and no holidays) Health, dental, and vision full coverage for individual Short term/long term disability options Vacation (annual) + PTO (accrued weekly) 16 paid holidays in the calendar year 401K - 5% matching Parental, medical, education, bereavement leaves and so much more! BASIC FUNCTION: Incumbent reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments. Ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. GENERAL RESPONSIBILITIES: Abstracts all necessary information and sequences and assigns codes (ICD-10, CPT, and HCPCS), which most accurately describe each documented diagnosis, surgical procedure and special therapy/procedure according to established guidelines, and to identify secondary complications and co-morbid conditions. Determines the final diagnoses and...

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...

Community Memorial Hamilton, NY 13346, USA Pay and Shift Range $23 USD to $26 USD. The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons. Description Performs timely and accurate coding of the visit; ensuring diagnosis to the highest specificity, accurate E/M level and capture of all procedures/modifiers. Reviews the medical record to ensure consistency and accuracy as well as compliance with established third-party reimbursement agencies. Participates in regular education with all Physicians, APPs and other team members. Maintains current status, in good standing, with coding certificate. Remains updated and fluent with AAPC and other coding bulletins, newsletters and guidelines. Be prepared coding new and upcoming procedures. Assists patients in implementing solutions to reduce back-end billing errors. Maintains patient confidentiality...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). You will ensure coding compliance, review medical records, and verify adherence to state, federal, and company policies. Strong communication with investigators and regulators is essential. Responsibilities include auditing records for CPT/HCPCS alignment, researching guidelines, and identifying potential billing issues or fraud. #J-18808-Ljbffr

Performs timely and accurate coding of the visit; ensuring diagnosis to the highest specificity, accurate E/M level and capture of all procedures/modifiers. Reviews the medical record to ensure consistency and accuracy as well as compliance with established third-party reimbursement agencies. Participates in regular education with all Physicians, APPs and other team members. Maintains current status, in good standing, with coding certificate. Remain updated and fluent with AAPC and other coding bulletins, newsletters and guidelines. Be prepared coding new and upcoming procedures. Assists patients in implementing solutions to reduce back-end billing errors. Maintains patient confidentiality at all times. Complies with all HIPAA and privacy standards. Complies with organizational policies regarding ethical business practices. Performs other duties as assigned or requested. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. The role focuses on ensuring coding accuracy and compliant documentation across medical records, with emphasis on CPT/HCPCS, ICD-10, and CMS guidelines. Responsibilities include audits, detailed reporting, and presenting findings to investigators and leadership while staying current with coding changes. #J-18808-Ljbffr

Work From Home Work From Home Work From Home, Indiana 46544 The Coder III Specialist- Professional Specialty Services- Procedural reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on office visit and/or minor surgical procedures. This position abstracts key data elements necessary for billing and data analysis. WHO WE ARE With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Data Analysis- Professional Coding Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT repetitive or non-invasive procedure codes, modifiers, hierarchical condition...

OU Health is seeking a Professional Coding Specialist II in Oklahoma. This role involves coding encounters, resolving denials, and ensuring compliance across multiple medical specialties. Ideal candidates will have at least 3 years of coding experience, as well as CPC or CCS-P certification. The position offers flexible remote or hybrid options, competitive compensation, and a supportive work environment. Join OU Health to play an essential role in maintaining quality patient care and enhancing organizational efficiency. #J-18808-Ljbffr

Professional Fee Coder The Professional Fee (ProFee) Coder is responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties and client environments. Coders may support single-specialty or multi-specialty engagements depending on client needs and experience. Core Responsibilities (Sage Standards) Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes Ensure documentation supports coded services and identify discrepancies Apply appropriate modifiers, NCCI edits, and payer-specific coding rules Ensure compliance with CMS, AMA, and payer guidelines Maintain 95% coding accuracy and meet established productivity standards Identify documentation gaps and escalate for clarification when needed Participate in quality reviews, audits, and ongoing coding education Minimum...