42 coder provider practice jobs found

Overview The Laboratory Billing & Coding Representative is responsible for accurate and timely billing of Laboratory services. Responsible for understanding medical terminology, patient registration, insurance eligibility, payer rules, CPT/HCPCS bundling, CCI modifiers, and lab-related coding for problem resolution. Responsible for understanding and applying compliance and regulatory guidelines to resolve charge review edits, claim edits, billing-related issues, and assigned work queues. Functions as a lab-billing resource for internal and external parties. This position uses Carle electronic medical record systems and Lab Information System to review clinical encounters and laboratory results. Qualifications Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information...

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

Love Where You Work!Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community.If you’re ready for a rewarding new career, join Team Bronson and be part of the experience.LocationBHG Bronson Healthcare GroupTitleHCC Risk Professional Coder Full-Time (80 hours per pay period)The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and complex surgical cases (e.g. Neurosurgery, Cardiothoracic Surgery). Employees providing direct patient care must demonstrate competencies specific to the...

Love Where You Work!Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community.If you’re ready for a rewarding new career, join Team Bronson and be part of the experience.LocationBHG Bronson Healthcare GroupTitleHCC Risk Professional Coder Full-Time (80 hours per pay period)The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and complex surgical cases (e.g. Neurosurgery, Cardiothoracic Surgery). Employees providing direct patient care must demonstrate competencies specific to the...

OverviewThe Professional Coding Compliance Specialist provides revenue cycle support to Riverside Medical Group and its coding team by regularly auditing provider documentation and corresponding coding to ensure correct, complete and compliant practices that fully support diagnoses reported and charges submitted for services rendered, meet regulatory and payor-specific requirements, and accurately describe the patient encounter; providing feedback and education to providers and coders based on audit results, regulatory changes, and industry trends; assisting with orientation of new providers, residents/fellows, and new members of the coding team.Essential DutiesCompletes timely audits of assigned providers and coders for accurate, complete, and compliant ICD-10-CM and CPT/HCPCS code assignment, ensuring that documentation supports the diagnoses reported, E/M level selected, and CPT/HCPCS codes submitted for services rendered during the episodes of care reviewedReviews audit...

Overview The Professional Coding Compliance Specialist provides revenue cycle support to Riverside Medical Group and its coding team by regularly auditing provider documentation and corresponding coding to ensure correct, complete and compliant practices that fully support diagnoses reported and charges submitted for services rendered, meet regulatory and payor-specific requirements, and accurately describe the patient encounter; providing feedback and education to providers and coders based on audit results, regulatory changes, and industry trends; assisting with orientation of new providers, residents/fellows, and new members of the coding team. Essential Duties Completes timely audits of assigned providers and coders for accurate, complete, and compliant ICD-10-CM and CPT/HCPCS code assignment, ensuring that documentation supports the diagnoses reported, E/M level selected, and CPT/HCPCS codes submitted for services rendered during the episodes of care reviewed...

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American...

OVERVIEW Seeking an experienced Coding & Charge Capture Supervisor to lead and coordinate team activities while ensuring accuracy, compliance, and timely claim submission. The ideal candidate will have strong knowledge of governmental regulations and payer guidelines, along with the ability to collaborate effectively across Revenue Cycle departments to optimize workflows and support financial performance. Schedule: 40 hours per week Shift: Day Shift Hours ESSENTIAL DUTIES AND RESPONSIBILITIES Oversees the daily operations by monitoring workload and productivity of partners to achieve weekly and monthly goals while ensuring accuracy of work. Assists in the development of guidelines, policies, and procedures for areas of responsibility, retain compliant with governmental regulations or other reporting obligations as required by contract. Coordinates coding and quality audits to ensure compliance with governmental regulations and/or third party...

Seeking an experienced Coding & Charge Capture Supervisor to lead and coordinate team activities while ensuring accuracy, compliance, and timely claim submission. The ideal candidate will have strong knowledge of governmental regulations and payer guidelines, along with the ability to collaborate effectively across Revenue Cycle departments to optimize workflows and support financial performance. Schedule: 40 hours per week Shift: Day Shift Hours ESSENTIAL DUTIES AND RESPONSIBILITIES Oversees the daily operations by monitoring workload and productivity of partners to achieve weekly and monthly goals while ensuring accuracy of work. Assists in the development of guidelines, policies, and procedures for areas of responsibility, retain compliant with governmental regulations or other reporting obligations as required by contract. Coordinates coding and quality audits to ensure compliance with governmental regulations and/or third party requirements. Report any infractions to...

Southern Illinois Healthcare in Illinois is seeking a skilled medical coder to review provider documentation and assign ICD-10-CM and CPT/HCPCS codes according to official guidelines. Responsibilities include interpreting documentation, resolving coding edits, and communicating with providers to ensure accurate claims submission. A HS diploma is required; degrees in health information are preferred. Remote work is not described. #J-18808-Ljbffr

## Medical Auditor (Billing and Coding)Applylocations: Hybridtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR101418At OrthoVirginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment.With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive.Join us and become part of a trusted network committed to excellence in orthopedic care.**Medical Auditor (Billing & Coding)****Previous coding experience required Hybrid - must be...

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub. Position Summary Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits. Coding focus is provider based E&M level visits or outpatient hospital based ancillary visits Principal Accountabilities Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline. Licenses and Certification RHIA, RHIT, CCS, CCS-P, CCA, or CPC required. Experience and Skills Technical Experience: Required for CCS-P, CCA, or CPC - 1 year (2000 continuous working hours). Role Specific Responsibilities Follows all coding...

Job description Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties: Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to...

The Women's Group of Northwestern is an independent practice located on the Magnificent Mile with a satellite office in Northbrook.Our staff of 18 providers (MD's, Physician's Assistants and Nurse Practitioners) deliver the highest level of patient care and patient satisfaction.If you are an experienced Certified Medical Coder & Surgical Scheduler, we would love to meet you! (MUST HOLD A CERTIFIED CODER LICENSE) Our team of staff members work together to give our best to our patients and to each other.Our leaders are committed to ensuring that you are successful in everything you do and want you to understand how much we value you.We offer a highly competitive salary, excellent benefits including 3 weeks of PTO per year, a 401K with profit sharing, and an environment that respects you as a professional.If you have experience providing stellar customer service in a medical setting, excellent prior performance and attendance, and experience with Epic/Epic Op-Time or Athena, we...

Location: Springfield, Illinois, United States Location: Chicago, IL USA Company: University of Illinois Salary: The budgeted salary range for the position is $100,000 to $125,000. Westrive to provide a competitive salary, considering factors such as availablemarket data, internal equity, candidate experience and qualifications, andbudget constraints. The final salary offer will be determined through athorough assessment of these elements About the University of Illinois ChicagoUIC is among the nation's preeminent urban public research universities, a Carnegie RU/VH research institution, and the largest university in Chicago. UIC serves over 34,000 students, comprising one of the most diverse student bodies in the nation and is designated as a Minority Serving Institution (MSI), an Asian American and Native American Pacific Islander Serving Institution (AANAPSI) and a Hispanic Serving Institution (HSI). Through its 16 colleges, UIC produces nationally and internationally recognized...

Job Description Job Description Job Title: Medical Biller and Coder - Hybrid 1099 (Home Visits / Geriatrics) Employment Type: Contract / 1099 Workplace Type: Hybrid Location: Schaumbur, IL (Hybrid) Pay Rate: $35.00 – $42.00 / hour Hours: Part-Time (18–22 hours/week, capped at 25 hrs/week) About Us: Home Doctors for You is an established home visiting physician serving homebound patients and complex geriatric patients across Chicagoland and the surrounding area. Our clinical team completes 500–600 patient encounters per month. We are seeking an experienced, independent Certified Medical Biller & Coder (1099 Contract) to handle daily chart review, coding, superbill creation, clearinghouse management, and denial resolution. Position Overview: • Status: Independent Contractor (1099) • Hours: Part-Time, roughly 18–22 hours per week (capped at 25 hours/week) • Schedule: Flexible daytime hours, Monday through Friday • Pay:...

Certified CoderAt Quincy Medical Group, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do. With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.About the RoleAs a Certified Coder at Quincy Medical Group, you will play a critical role in supporting accurate and compliant coding practices across the organization. Working closely with providers, clinical staff, and revenue cycle teams, you will review medical documentation, assign appropriate diagnosis and procedure codes, and help ensure timely and accurate reimbursement. This...

ARRT Radiology / Medical Imaging Supervisor MLR is looking for a qualified Medical Imaging Supervisor to lead a dynamic radiology team at a well-established hospital in Illinois. Why Choose Us? Assume a pivotal leadership position in a dynamic and innovative healthcare setting. Utilize state-of-the-art imaging equipment and techniques. Take advantage of continuous training and career advancement opportunities within our extensive healthcare network. Enjoy a competitive salary, comprehensive health benefits, retirement plans, and generous paid time off. Key Responsibilities: Oversee daily operations of the medical imaging department, ensuring efficient workflow and high-quality patient care. Supervise and mentor a team of technologists, promoting a culture of excellence and continuous improvement. Maintain compliance with regulatory standards and hospital policies. Collaborate with radiologists, physicians, and healthcare staff to provide...

ARRT Radiology / Medical Imaging Supervisor MLR is looking for a qualified Medical Imaging Supervisor to lead a dynamic radiology team at a well-established hospital in Illinois. Assume a pivotal leadership position in a dynamic and innovative healthcare setting. Utilize state-of-the-art imaging equipment and techniques. Take advantage of continuous training and career advancement opportunities within our extensive healthcare network. Enjoy a competitive salary, comprehensive health benefits, retirement plans, and generous paid time off. Oversee daily operations of the medical imaging department, ensuring efficient workflow and high-quality patient care. Supervise and mentor a team of technologists, promoting a culture of excellence and continuous improvement. Maintain compliance with regulatory standards and hospital policies. Collaborate with radiologists, physicians, and healthcare staff to provide comprehensive diagnostic services. Manage departmental...

Job Details Job Location: Central Avenue - Phoenix, AZ 85012 Position Type: Full Time Education Level: High School Diploma/GED Travel Percentage: In-Office Job Shift: Day Shift Job Category: Accounting/Finance 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. 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...

Medical Coder (Remote) - Contract Opportunity Job ID: 297083 Location: Remote Facility: Hopedale Medical Complex Employment Type: Contract Duration: 13 Weeks Schedule: Day Shift Start Date: ASAP (Quick Start Available) Position Summary Hopedale Medical Complex is seeking an experienced Medical Coder to join its team on a contract basis. This remote opportunity is ideal for a coding professional with strong experience across multiple healthcare service lines and a commitment to coding accuracy, compliance, and revenue cycle integrity. The Medical Coder will be responsible for reviewing clinical documentation and assigning accurate diagnostic and procedural codes for a variety of patient encounters within a Critical Access Hospital environment. This position plays a key role in supporting compliant billing practices, reimbursement accuracy, and regulatory requirements. Key Responsibilities Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on...

Location John H. Stroger, Jr. Hospital Department Health Information Management Shift 7:00 AM - 3:00 PM Pay Range $37.658 hourly Job Summary Under the supervision of a Coding Supervisor, the Health Information Management (HIM) Coder abstracts relevant clinical and demographic information from the medical record to identify the care rendered to the patient for the purpose of reimbursement, research and compliance. The HIM Coder ensures that the medical record reflects accurate attending physician documentation for coding of physician and facility encounters. Assigns ICD-10-CM and PCS codes, CPT-4, and HCPCS Level II codes in accordance with coding and reimbursement guidelines for physician and facility encounters. Abstracts into a group and assigns Diagnosis Related Group (DRG) on inpatient accounts and applies Ambulatory Payment Classifications (APC) to outpatient accounts. With minimal errors, identifies principal and secondary diagnosis and procedures based upon federally...

Horizon HealthHorizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you—our family, friends, and neighbors.Position Summary:Codes and/or bills the patient's medical record using pertinent information according to departmental and Horizon Health policy and procedures. Uses the healthcare coding systems to accurately assign codes to patient accounts and may require entering billing entries.Essential Functions:Data entry for the facility software using the electronic health record and...