86 coder professional jobs found

HIM Coder - Professional Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned. Qualifications: High School Diploma or successful completion of an equivalent High School Exam Required Successful completion of the HIM Coder Professional/HCC competency exam within 6 months of hire required...

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Health Information Management Shift/schedule: F ull Time (40 hrs/wk) GENERAL SUMMARY Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned....

Functioning within the Health System' mission, values, objectives, procedures and policies, the Coder - Professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity Education: Must be currently enrolled in a Medical Coding Program. Licensure/Certification: Will consider candidate who is actively enrolled in certification program. To retain position, if individual without a current certification is hired into a Coder - Professional position, s/he must successfully obtain certification within one year of hire. Experience: Experience in Medical Office preferred Skills: Must demonstrate proficiency with reimbursement and MS-DRG's. Basic competency with Word and Excel is also required.

Functioning within the Health System' mission, values, objectives, procedures and policies, the Coder - Professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity. Education: An Associate's degree or completion of a certified coding program is required. Licensure/Certification: Current CPC or AHIMA Certified Physician Coder is required. Will consider candidate who is actively enrolled in certification program. To retain position, if individual without a current certification is hired into a Coder - Professional position, s/he must successfully obtain certification within one year of hire. Experience: A minimum of two years of coding experience in a physician's office or hospital setting is preferred. Skills: Must be knowledgeable in grouper mechanics, medical necessity,...

Functioning within the Health System's mission, values, objectives, policies and procedures, the Data Entry Clerk enters demographics and charges into the Computer System. It is expected that all duties and responsibilities of this position will be performed in a manner that reflects the mission statement of LMHS. Education: High school graduate or equivalent is preferred with an emphasis on a business curriculum strongly preferred Licensure/Certification: N/A Experience: A minimum of one-year experience in a health care organization, including experience with word processing and computer experience (Word/Excel preferred) is required. Skills: Knowledge of business practices, policies and procedures required. Must demonstrate the ability to prioritize and organize work and the ability to work accurately, efficiently and independently. Must have basic skills in using a computer and calculator, and demonstrate the ability to examine information for accuracy and completeness,...

Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Education and Experience Required High School Diploma or G.E.D. equivalent required. Some college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences...

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Professional Fee Coder III, you will be responsible for monitoring, reviewing, and accurately applying coding principles to clinical documentation received from ambulatory areas to support reimbursement, research, and regulatory compliance. In this role, you will assign appropriate diagnosis codes, CPT codes, and modifiers based on the medical record while ensuring adherence to federal coding guidelines. You will also identify and resolve billing discrepancies to ensure timely and accurate claim submission. This position supports Cleveland Clinic's mission and vision by helping submit clean claims for the services...

GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding experience. One to two (1-2)...

Description **Medical Mutual employees must submit their applications through MySource. Note: While this role is currently remote, we are prioritizing candidates within commuting distance of our Rossford, Dublin, or Brooklyn offices to accommodate a potential future shift to a hybrid schedule. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Job Summary: Supervises staff, operations, and activities of the Risk Adjustment Retrieval and Coding Quality Department. Acts as a primary liaison between provider groups, medical coding, and chart retrieval teams to communicate appropriate documentation for Risk Adjustment coding....

A leading healthcare provider in Ohio is seeking a Medical Coder to review and analyze diagnostic information for billing purposes. The role requires a high school diploma, coding certification, and at least two years of coding experience. Knowledge of anatomy and medical terminology is essential. The position is part of the Corporate Services department, ensuring compliance with all coding guidelines and enhancing patient care continuity. This role contributes significantly to healthcare data management and research. #J-18808-Ljbffr

A regional healthcare provider in Troy, Ohio is seeking a Health Information Technician to review, analyze, and code diagnostic information from patient medical records for billing purposes. The successful candidate will ensure compliance with established coding guidelines, contributing to patient care evaluation and administrative decision-making. Required qualifications include a High School Diploma or G.E.D. with certification in health information management. This full-time role offers a day shift in the Corporate Services department. #J-18808-Ljbffr

Job Posting System Services | Miamisburg | Full-Time | First Shift Responsibilities & Requirements Responsibilities: Strong written and verbal communication skills. Proficient in data entry, personal computers, knowledge of medical terminology, anatomy and physiology and disease processes. Knowledge and experience with 3M and Epic clinical data system preferred. Consistently follow coding guidelines and uses coding references to accurately select the appropriate principal diagnosis and procedure as well as secondary diagnoses and procedures. Evaluates the quality of documentation of all accounts to identify incomplete or inconsistent documentation which affects coding, abstracting and charging and handles appropriately. Identifies and monitors charging errors to reduce loss of revenue and any other issues regarding correct coding and reimbursement. Coordinates and performs activities associated with processing and correcting rejected accounts. Demonstrates...

Profee E/M Medical Coder The Profee E/M Medical Coder is responsible for assigning ICD-10-CM diagnosis codes and E/M (Evaluation and Management) codes as appropriate and abstracts pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) or have a preferred minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful...

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...

SENIOR CUSTOMER RELATIONS REPRESENTATIVE (MEDICAL/DENTAL BILLING CODER) Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/5255314) Apply  SENIOR CUSTOMER RELATIONS REPRESENTATIVE (MEDICAL/DENTAL BILLING CODER) Salary $58,016.19 - $62,944.72 Annually Location Ohio 45202, OH Job Type Full-time Classified Job Number 26-02660 Department Health Opening Date 03/02/2026 Closing Date 3/31/2026 11:59 PM Eastern Description Benefits Questions General Statement of Duties This experienced employee represents the City of Cincinnati to customers and (deals with patients, billikng and coding. The individual is responsible for processing, generating, maintaining medical/dental billing; verifying patient information and demographics. In addition this role is charged with the important tasks of maintaining and obtaining required paperwork for processing medical/dental claims from health center services. Employee...

Administrative/Clerical Minimum High School diploma or equivalency certificate Minimum of one year physician coding experience in conjunction with formal education in coding, (CPC, AHIM, RMC, CPC, CCS-P); or AB, AS from accredited college in Healthcare, which includes coding, medical terminology, and medical systems), medical terminology and/or anatomy; and/or a minimum of three years demonstrated coding "from physician documentation" experience. A minimum of three years previous healthcare billing, collections experience, and/or managed care experience. Knowledgeable about third party billing regulations and CPT/ICD coding. Demonstrate accurate and timely data entry skills. Familiar with various computer applications (ex: Microsoft Word, Excel, and billing software systems). Knowledge of spreadsheet applications preferred. Proven record of dependability Strong people, communication and decision making skills. Must pass a basic CPT and ICD coding test prior to hire, if...

Kettering Health Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. Kettering Physician Network Our elite medical group employs more than 700 providers, including physicians and advanced practice providers, throughout the Greater Dayton and Cincinnati areas. Our patients have access to a multidisciplinary professional team to meet all their healthcare needs. From primary care to brain and spine surgery, we provide an extensive range of specialties and expertise, in over 200 locations and ten counties. Working collaboratively across specialties, we offer patients a team-based model of...

Certified Risk Adjustment Coder The Certified Risk Adjustment Coder is responsible for reviewing the ambulatory records for the appropriate risk adjustment components. The Risk Adjustment Coder will identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes. The Risk Adjustment Coder will leverage the MEAT (Monitor, Evaluate, Assess, Treat) criteria for accurate documentation by providers. When appropriate, the Risk Adjustment Coder will query providers to clarify the HCC codes placed, inquire on additional documentation to support the HCC code placed, or discuss overall opportunities within the record. The Risk Adjustment Coder will supplement the educational offerings of the MSO by providing right-time feedback to providers when documenting or coding the risk adjustment on patient records. The Risk Adjustment Coder will contribute to overarching educational efforts of the MSO regarding Risk Adjustment....

Job Title: Medical Coder Allmed Benefits: Vision Insurance, Health Insurance, Dental Insurance and 401(k) Pay Rate: $18/hr (Paid Weekly) Location: 2750 Front Street, Cuyahoga Falls, Ohio 44221 Schedule: Full-time, 8-hour shifts with flexible start time Dress Code: Business Casual Interview Process: In-person interview preferred Contract: 03/01/2026 to 09/01/2026 Position Summary The Medical Coder is responsible for reviewing and assigning accurate CPT and ICD-10 codes to medical claims and encounters. This role ensures proper coding compliance, supports accurate reimbursement, and maintains adherence to regulatory and documentation standards. What This Role Accomplishes This position plays a critical role in revenue cycle operations by reviewing CPT and ICD-10 codes on claims to ensure accuracy, compliance, and appropriate reimbursement. Team Environment The Medical Coder will work as part of a collaborative team of 14 members, including:...

Job Description Job Description Description: What is the specific title of the position? Medical Coder Work hours? 8 hours flexible start time Position background ? Medical Coder What does this position accomplish for the business? Reviewing CPT and ICD codes on claims Please describe the team the candidate will be working with 14 team members - 10 coders 2 support staff What are the top 5-10 responsibilities for this position (please be detailed as to what the candidate is expected to do or complete on a daily basis)?Knowledge CPT coding - ICD 10 Coding - be able to review and code an encounter - Knowledge of Anatomy- Be able to code an OP report - Knowledge of Excel - knowledge of Word / What does the ideal candidate background look like? Medical Coder - What skills/attributes are required? Experience Medical Coder at least 5 years experience. What skills/attributes are preferred? Can code a medical OP report Does this position require a professional license or...

Toledo Clinic's Cardiology Department is seeking a full-time Coder/Medical Biller to work full-time (M-F, 8-5). Previous experience as a Coder in a medical office preferred. General Summary: Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors. Principal Duties & Responsibilities: Example of Essential Duties: Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation. Demographic registration/updates for all patients 3) Enters charges into claim entry in eCW 4) Monitors, submits, correct all claim activity 5) Create workflow processes to ensure accuracy and accountability Other Essential Duties May Include (but are not limited to): 6) Assists patients and/or insurance companies with billing and authorization questions. 7) Coordinate with providers to ensure all...

Incentives System Services | Miamisburg | Full-Time | First Shift Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. Preferred Qualifications Certified Coding Specialist (CCS) credential Responsibilities & Requirements JOB SUMMARY Responsible for coding and abstracting all outpatient patient records using ICD-10 and CPT/HCPCS coding rules, federal guideline and KHN guidelines. Supports hospital's accounts receivable goals through timely processing of records and physician record completion activities. Impacts delivery of quality patient care and enhanced clinical...

Non-certified Coder At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse place of employment. Using established policies and procedures; the Non-certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Non-certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series,...