37 coder provider practice jobs found

Responsibilities • Review provider medical coding of services rendered for medical claim submission • Review and respond to medical coding inquiries submitted by providers and staff • Work directly with providers to resolve specific medical coding issues • Analyze data for errors and report data problems • Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input • Work with clinical and non-clinical groups to identify undesirable coding trends • Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee • Abide by HIPAA and Coding Compliance standards • Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment • Accomplish other tasks as assigned Qualifications • 2+ years coding • 2+ years medical billing...

Optima Medical is an Arizona-based medical group consisting of 30 locations and 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities “Live Better, Live Longer” through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in‑house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and dedicated professionals aboard. We are currently seeking a Medical Coding Specialist to join our team! This role will transition to a fully remote position after your first 60 days. To be eligible, you’ll need to complete your initial 60 days onsite at our Scottsdale office and remain in good...

Responsibilities Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted by providers and staff Work directly with providers to resolve specific medical coding issues Analyze data for errors and report data problems Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input Work with clinical and non-clinical groups to identify undesirable coding trends Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee Abide by HIPAA and Coding Compliance standards Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment Accomplish other tasks as assigned Qualifications 2+ years coding 2+ years medical billing experience...

Responsibilities Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted by providers and staff Work directly with providers to resolve specific medical coding issues Analyze data for errors and report data problems Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input Work with clinical and non-clinical groups to identify undesirable coding trends Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalation of issues that may impact this immediately to the Compliance Committee Abide by HIPAA and Coding Compliance standards Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment Accomplish other tasks as assigned Qualifications 2+ years coding 2+ years medical billing experience (preferred but not required)...

Are you a certified primary care medical coder who is passionate about improving the accuracy and integrity of patient records? Valleywise Health wants you to join our mission‑driven team focused on providing exceptional patient care through precise and compliant documentation. In this critical role, you will collaborate with providers, coders, and clinical teams to ensure the outpatient medical record tells the full story of the patient’s encounter. You will work under the direction of the Clinical Documentation Improvement Supervisor and utilize a hybrid work environment to improve overall quality and completeness of clinical documentation within the patient electronic medical record using concurrent and/or retrospective review processes. You will work collaboratively with CDI nurses to ensure that the clinical information within the medical record is accurately coded and supported with the provider’s documentation, including accurate documentation to support the capture of...

A leading healthcare provider is seeking a motivated Profee Coder | Physician Practice Senior Coder to join their team. This full-time remote position requires 5+ years of Surgical Cardiology coding experience and valid certification as a Professional Coder. Responsibilities include analyzing medical records, coding diagnoses and procedures accurately, and ensuring compliance with regulatory standards. The ideal candidate will also have strong critical thinking skills and attention to detail. Flexible scheduling is available post-training. #J-18808-Ljbffr

**Department Name:**Coding Ambulatory**Work Shift:**Day**Job Category:**Revenue Cycle**Estimated Pay Range:**$26.40 - $44.00 / hour, based on location, education, & experience.In accordance with State Pay Transparency Rules.Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care.We are looking for a motivated, experienced **Profee Coder | Physician Practice Senior Coder with 5+ years of Cardiology Complex Coding experience** (ideally Surgical Cardiology) to join our talented team. This position does require **Certified Professional Coder (CPC) in active status** (this position requires more than an apprentice CPC-A) **with recent/consistent coding work history of 3 years or...

Summary This position is located in the Health Information Management (HIM) section at the Southern Arizona VA Health Care System (SAVAHS). 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. Responsibilities Duties include, but are not limited to: Outpatient MRTs (Coder) at this level perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Outpatient duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD-10-CM codes for diagnoses, CPT/HCPCS codes for surgeries, procedures and evaluation and management services. They independently review and abstract clinical data from the record for documentation of diagnoses and...

Medical Records Technician (Coder Outpatient) This position is located in the Health Information Management (HIM) section at the Southern Arizona VA Health Care System (SAVAHS). 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. Duties include, but are not limited to: Outpatient MRTs (Coder) at this level perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Outpatient duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD-10-CM codes for diagnoses, CPT/HCPCS codes for surgeries, procedures and evaluation and management services. They independently review and abstract clinical data from the record for...

Position Summary TheMedical Coder/Audit Specialist position is an exempt salaried position thatensures that AAAI's coding, documentation, and billing practices are accurate,compliant, and aligned with payer regulations. This role reduces risk exposure,strengthens revenue capture, manages payer portals, and supports providersthrough education and proactive auditing. This position supports timelysubmission of insurance claims to a wide variety of payers and functions as anintermediary between healthcare providers, clients, patients and healthinsurance companies. Must be certified from an accredited organization such as AAPC (CPC) (CCS) is required in coding and / or billing. Reports To: Medical PracticeAdministrator Principal Duties andResponsibilities 1.Revenue Protection & Growth Accurate Coding = Correct Reimbursement: Ensures all CPT/ICD-10 codes and HCPCS are properly supported, reducing underpayments. Audit-Driven Optimization: Identifies missed...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Senior auditor responsible for clinical or physician compliance topics. Assigned the most complex clinical/documentation/coding/billing reviews. Provides guidance to other auditors within AHN on audit approach and analysis. Responsible for creating and overseeing orientation of auditors. Leads all hospital or physician audits/investigations, auditing support and responses related to external audit activity. ESSENTIAL RESPONSIBILITIES: Establishes and implements orientation for all members of the AHN audit compliance team. Evaluates the progress of team members including review of reports and audit activities. Works with senior management responsible for AHN-wide case management/physician programs to develop processes that meet Medicare and 3rd party payor requirements. Provides guidance to staff auditors on audit topics and reports. (20%) Conducts educational sessions for...

Healthcare Coder Essential Functions For This Position: Ensures that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Complies with all medical coding guidelines. Follows up and clarifies any information that is not clear with the rendering provider. Conducts ad-hoc audits to ensure fidelity to coding guidelines. Relevant expert for Southwest Network on accurate and efficient coding practices. Analyze medical records and identify documentation deficiencies. Nonessential Functions: Follows policies and procedures and adheres to the requirements of the Corporate Compliance Program. Ensures confidentiality of verbal and written information in accordance with HIPAA standards and Southwest Network policy, and adheres to the legal, ethical, and professional guidelines adopted by Southwest Network. Other duties as assigned. Education and/or Experience, Licensure and Certification: Associate degree in medical coding or successful...

Revenue Cycle Medical Coder - Central Ave Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person's health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes. HOPE ~ HEALTH ~ HEALING Terros Health made the list!! Most Admired Companies of 2020, 2022 & 2023 as awarded by AZ Big Media. The Revenue Cycle Medical Coder position is responsible for supporting the Revenue Cycle Management (RCM) Department with claims coding and billing review, best practices, coding recommendations and policy setting, and staff training and education. This position reports to the Director, Revenue Cycle. Ensuring that procedural and...

Job Description Job Description This position is fully in office Mon- Fri 7:00 am - 5:00 pm (Flexible Hours)  Transitioning to Hybrid after training.  Address:  1929 W Lone Cactus Dr, Suite 4, Phoenix, AZ 85027 Pathology Billing Services is owned by one of the largest groups of pathology providers in the state of Arizona. The physicians practice at many hospitals and healthcare systems in Arizona. At Pathology Billing Services we provide the group with their medical billing and coding needs. Pathology Billing Services is excellent for individuals with various ranges of experience in Medical Billing and Coding. Those who possess attention to detail, dependability, teamwork, and are ready to learn and accept a challenge, would be good candidates. As a Certified Medical Coder you would be working in a multitask environment with Pathology patient accounts.  It is the responsibility of the coder to accurately abstract and assign CPT/ICD-10 codes based on the finalized...

Job Description Job Description Hi, we're Oscar. We're hiring an Associate, SIU Coding Auditor to join our SIU. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate, Special Investigations Unit Coding Auditor executes on Oscar's anti-fraud initiatives by supporting operational and financial targets while adhering to legal and regulatory obligations. You will help execute on audit strategy by ensuring team productivity is met while ensuring quality remains high. The associate networks across all partners, and recommends enhancements to processes, policies, and procedures to support a best in class Fraud Waste and Abuse program. We ask that you have attention to detail, innovation, and ability to shift priorities to align...

About Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130medical providers, who care for more than 200,000 patients statewide.Our mission is to improve the quality of life throughout Arizona by helping communities Live Better, Live Longer through personalized healthcare, with a focus on preventing the nation's top leading causes of death.We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services.We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.This position requires an initial 60-day training period at our corporate office in Scottsdale, Arizona.Upon successful completion of training, the position will transition to a fully remote role.Job Responsibilities :Audit Medical Records...

Join our team as an Outpatient Coding Auditor in a fully remote position! We are searching for dedicated individuals nationwide who are passionate about maintaining high standards in coding practices. About You Share your experience with Outpatient Coding Auditing. Emphasize your ability as a team player and self-motivator. Demonstrate your skills in managing multiple projects while utilizing problem-solving abilities. What makes you truly unique? We want to know! If you are committed, team-oriented, and value professionalism, trust, honesty, and integrity, we are eager to connect with you. About The Position Possess advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4), and Healthcare Common Procedure Coding System (HCPCS). Have practical knowledge of reimbursement systems such as Prospective Payment System (PPS), Diagnostic Related...

Certified Professional Coder (AR & Denials) - Phoenix, AZ Direct Hire | $27-$32/hr | Monday-Friday, 8AM-5PM Confidential Employer - Third?Party Recruiter Posting Potential Remote Flexibility for Experienced Candidates About the Role We are seeking an experienced Certified Professional Coder to support Accounts Receivable (AR) and Denials Management for a specialty medical group based in Phoenix, AZ. This is a direct?hire opportunity offering stability, growth, and the potential for remote work for top?tier candidates. The ideal candidate brings strong coding accuracy, experience working denials end?to?end, and comfort working with specialty practices- Neurology experience is a major plus . Familiarity with Athena (Athenahealth) is also preferred. Key Responsibilities Perform accurate coding using ICD?10?CM, CPT, and HCPCS Audit and scrub claims to ensure high clean?claim rates Investigate and resolve payer denials; submit...

Become a part of our caring community and help us put health first Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor - DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes and expertise in...

Estimated Pay Range $25.54 - $38.30 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Department & Position Overview Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Position Title: Orthopedic Physician Complex Coder Location: Remote (Banner provides equipment) Schedule: Full time; flexible scheduling after training completed Company Overview Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. Ideal Candidates Minimum 3 years recent experience in Surgical Orthopedic Profee coding (clearly reflected in your attached resume). COC Certification a plus. Must be currently certified through...

Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure The Coding Auditor, Senior performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. Specific approaches to job duties vary depending on the department. Estimated Hiring Range $81,000.00 - $99,000.00 Bonus Target Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Perform and lead a variety of coding-related audits for providers and other entities. Review medical records to verify that complete and accurate...

Medical Coder-Aleca Home Health As our company expands, we are actively seeking seasoned Medical Coders. If you're prepared to elevate your career and reap the rewards of an unparalleled compensation package, we extend a warm invitation for you to join us on our journey of growth here at Aleca Home Health! Why Choose Aleca Home Health? Comprehensive Benefits: Access to comprehensive benefit coverage plans to ensure your health and well-being are prioritized. Generous PTO: Enjoy ample paid time off to recharge and pursue personal endeavors, fostering a healthy work-life balance. Tuition Reimbursement: Invest in your professional development with our tuition reimbursement program, empowering you to advance your skills and knowledge. IT Equipment: Equip yourself with the necessary tools for success with state-of-the-art IT equipment provided by Aleca Home Health. Collaborative, Supportive Team: Join a team of passionate professionals dedicated to our core values,...

Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers’ commitment to high-quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow. IMS Care Center is currently searching for a professional, compassionate and knowledgeable individual to fill the position of Certified Coder for our Neurology Clinic in Phoenix. The Certified Coder will be accountable for processing medical claim information through data-entry in the Practice Management System and researching and correcting data entry errors using various electronic healthcare systems. This position uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information by following the Organization's and...