1531 coder professional 3 jobs found

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking a motivated Coding Education Specialist with an emphasis in Surgery experience to join our Coding Services department.    This job can be performed 100% remotely and out of state candidates will be considered. The Coding Education Specialist will primarily be responsible for supporting and leading ongoing education to existing coding staff,...

Position Summary    The Medical Coding Manager provides operational leadership for coding activities across assigned specialties and service lines. This role ensures coding accuracy, productivity, and compliance with applicable regulatory and payer requirements, while partnering with billing, clinical, and compliance teams to support clean claim submission, reduce denials, and protect revenue integrity.   Key Responsibilities    Team Leadership & Development     Lead, coach, and develop coding staff (in-house and outsourced resources) to support accuracy, consistency, and accountability Support recruiting, onboarding, training, and competency validation for new and existing team members Establish clear performance expectations and conduct regular evaluations aligned to quality and productivity standards Address performance gaps through structured coaching and corrective action plans as needed   Operational Oversight...

Key Responsibilities Oversee and support remote billing team members to ensure productivity, accuracy, and timely claim submission Review and verify medical documentation for completeness and billing accuracy Enter and maintain patient demographic and insurance information in the EMR/billing system Generate, submit, and track insurance claims Follow up on unpaid, rejected, or denied claims to ensure maximum reimbursement Post insurance and patient payments and reconcile accounts Resolve billing discrepancies and respond to patient inquiries regarding balances and statements Serve as a primary point of contact for assigned clients, addressing questions related to billing performance, processes, and EMR workflows Provide support to Spanish-speaking patients regarding billing questions Maintain strict compliance with HIPAA and all healthcare privacy regulations Qualifications & Requirements Fluent in English and Spanish (required) High school...

JOB PURPOSE: Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel on coding guidelines, and ensuring the accuracy and timeliness of clinical documentation. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting performance results to leadership, and supporting HCC/RAF optimization strategies. The role will also oversee the training of Medical Practice Assistants, Physician and IDT disciplines in ICD-9/ICD-10 guidelines. JOB RESPONSIBILITIES: Responsible to deliver accurate and timely billing of insurance claims and patient statements for all...

Healthcare Coding and Consulting Services (HCCS)   is a   family‑owned, U.S.-based medical coding company   currently hiring   experienced, certified Pro Clinic coders   for   fully remote, full‑time positions   supporting   Family Medicine, Internal Medicine,  Orthopedic   and   Rural Health Clinics (RHC) . At HCCS, we are committed to   long‑term employment and career stability . We   do not offer short‑term, contract, or project‑based work . All team members are   direct‑hire W‑2 employees   with consistent workloads and full benefits. We also   do not offshore   any coding services —   all HCCS coders are U.S.-based , ensuring strong compliance, communication, and provider support. We intentionally   match coders to specialties they are experienced in , allowing them to work confidently and consistently within familiar chart types. Our Coding and Scheduling Managers actively support coders with workflow, quality, and productivity, creating a...

As a Medical Biller, you will play a pivotal role in the healthcare system by ensuring accurate billing and coding for medical services. Your expertise in medical terminology and coding systems will be essential as you navigate through patient records and insurance claims. You’ll work closely with healthcare providers and insurance companies to facilitate smooth billing processes, making a significant impact on the financial health of the organization. What you’ll do Process and submit medical claims to insurance companies using appropriate coding systems, including ICD-9, ICD-10, and CPT coding. Review patient records to ensure accuracy in billing and coding, addressing any discrepancies promptly. Manage accounts receivable by following up on unpaid claims and conducting medical collections as necessary. Utilize Electronic Medical Records (EMR) and Electronic Health Records (EHR) systems to maintain accurate patient information and billing records. Communicate...

About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. To review all of our open positions, please visit our careers page at: https://medkoder.com/careers/ Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule.   Description: Physician Coder: Neurosurgery is responsible for reviewing and accurately coding all professional services including...

“Immediate opening – transition period available with current biller” Full-Time About Us We are a busy, multi-provider medical practice seeking an experienced Medical Biller/Coder to take ownership of our billing operations. This is a key role responsible for ensuring accurate coding, timely reimbursement, and effective denial management. We are looking for a highly skilled, self-directed professional who can confidently manage the full revenue cycle with minimal supervision in a Family Practice Setting. All qualified candidates must have a minimum of one year medical billing and A/R experience in a Family Practice setting .  Knowledge of Medi-Cal and Medicare a plus, as well as, OB- Comprehensive Perinatal Services Program (CPSP), Family Pact, Child Health and Disability Prevention Program (CHDP), and other FFS product lines within Medi-Medi.  CPC certification is strongly desired. Key Responsibilities Perform accurate CPT,...

Accountable for conversion of outpatient diagnoses and treatment procedures into codes using an international classification of diseases, and HCPCS codes based on documentation in the patient’s record, are coded accurately and in a timely manner. Complies with government, insurance regulations and with medical coding guidelines and polices that all records are coded accurately and in a timely manner. CORE FUNCTIONS 1. Reviews and validates all diagnoses/procedures stated by physician and other healthcare providers. Ensures that records are coded within 48 business hours of discharge. Notifies director whenever work is more than 48 hours behind work deadline. Meets productivity standard of assigning codes to a minimum of 25 charts per hour. 2. Partners with charting physician if diagnosis is not transcribed to assure all required documentation is presented to meet compliance accuracy in coding and severity of illness is charted and coded. 3. Codes diagnoses and...

The Provider Education Auditor works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Responsibilities: Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete Identifies inconsistencies in medical reports and works with healthcare...

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the...

Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare.  As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the direction of the DRG Operations Department leaders, the DRG Reviewer will conduct reviews of inpatient claims for both coding accuracy as well as perform screening referrals for clinical support of coded diagnoses. Responsibilities: Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate the reported ICD-10-CM/PCS codes to ensure proper DRG assignment for accurate billing. Demonstrates the ability to perform a comprehensive initial review as outlined in the standard operating procedures and departmental guides. Collaborates with physician reviewers, as needed. Ability to prioritize and organize workload and complete tasks independently....

Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation. Minimum Qualifications Minimum Education:   High School Diploma or Equivalent Minimum Years of Experience:   3 Years of Professional Coding Experience Covering Multiple Clinical and/or Surgical Specialties (Combination of Surgical, E/M, or other coding experience as approved by Director), which they Successfully Met Quality and Productivity Standards Substitutable Education & Experience (Optional):   None. Required Certifications/Licensure:   Active AAPC or AHIMA Coding Credential Required Training:   Experience working with CPT, ICD diagnosis coding; Experience with CCI edits; Experience with Medicare LCDs and NCDs; Understanding of state and federal regulations as well as payor...