32 coder provider practice jobs found

Consultative Medical CoderThe Consultative Medical Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. This is a predominantly remote position, but you must live in the Las Vegas area and be able to travel to assigned clinics on an as-needed basis, which equates to approximately one week per month. You will report to the Manager, Medical Coding.Responsibilities:Cultivate relationships with clinicians to serve as the single contact for questions and issues relating to documentation and coding.Identify documentation improvement areas and partner with clinical and coding education to deliver education related to improvement opportunities.Perform Quality Assurance on post-visit reviews.Manage the special handling of Mergers & Acquisitions by performing problem list cleanup and conducting process training on documentation...

Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues. EDUCATION High school diploma/GED or equivalent working knowledge preferred. Accredited by the American Health Information Management Association (CCS-P) or the American...

Title: Medical Coding/ Education Specialist Location: Remote, preferably in Texas Compensation: $65,000 - $75,000 per year Must have Post Acute Care Experience We are seeking an accomplished Medical Coding and Education Specialist to join our healthcare team, focusing on enhancing coding accuracy and compliance within our post-acute care facilities. This role involves reviewing medical records, assessing for accurate provider cpt and ICD-10 codes, and developing educational materials. Additionally, the specialist will collaborate closely with our technology and revenue cycle teams to optimize EMR processes, streamline documentation, and reduce coding denials. Responsibilities: Conduct regular coding audits and reviews to ensure compliance with coding guidelines, regulatory requirements, and reimbursement policies. Develop and deliver educational materials, training modules, and resources on coding guidelines, regulatory updates, and documentation...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Schedule to be determined by supervisor upon hire. Location: 2716 North Tenaya Way, Las Vegas, NV 89128. Travel will be required up to 50% of the time for chart retrievals. The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM Coding...

Position SummaryEMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE **This Position is based in Las Vegas, Nevada** **Selected candidate must live in Clark County, NV or be willing to relocate before hire** As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients. UMC is home to Nevada's ONLY Nonprofit Level I Trauma Center, Verified Burn Center, and Multi-Organ Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and superiority in patient care. Position Summary: Responsible for reviewing and coding medical records and documentation for Ambulatory Professional healthcare services rendered. Ensures all diagnoses, procedures, and services provided are...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Medical Coder (2390762) Medical Coder - 2390762 Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Schedule: Monday‑Friday, 8‑hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Schedule to be determined by supervisor upon hire. Location: 2716 North Tenaya Way, Las Vegas, NV 89128. Travel will be required up to 50% of...

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...

Job DescriptionJob DescriptionMedical Records Coder / Certified - Full Time (PARTIAL REMOTE / IN OFFICE FOR MTGS)POSITION SUMMARY :Codes medical records using diagnostic coding.Ensures accurate submission of all coding data for reimbursement purposes.Ensures Regulatory Compliance and follows all Federal regulations for all payment systems.POSITION REQUIREMENTS :Minimum EducationHigh School Diploma or equivalentCertificate Required :One of the following Coding Certifications :CCS-Certified Coding SpecialistCPC-Certified Professional CoderCPC-H-Certified Professional Coder-HospitalCOC-Certified Outpatient CoderCIC-Certified Inpatient CoderCMC-Certified Medical CoderMinimum Work ExperienceAbility to read and communicate in English; Bilingual preferredGood communication and multi-tasking skillsMinimum of 2 years' experience with ICD-10 and CPT / HCPCS coding in an acute facility and / or physician's office preferredKnowledge of computer applications for codingKnowledge of medical...

Salary: $24.15 - $37.43 Hourly Location : 1800 West Charleston Blvd, Las Vegas, NV Job Type: Full Time Job Number: 26-OFCQ4 Department: CDI - 8705 Opening Date: 10/21/2026 Closing Date: 10/27/2026 5:00 PM Pacific Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE **This Position is based in Las Vegas, Nevada** **Selected candidate must live in Clark County, NV or be willing to relocate before hire** As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients. UMC is home to Nevada's ONLY Nonprofit Level I Trauma Center, Verified Burn Center, and Multi-Organ Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing...

Primary City/State: Phoenix, Arizona Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle 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 Physician Coder with ideally 6 months-1 year Coding experience to join our talented team. Requires Certified Professional Coder (CPC) in active status (this position requires more than an apprentice CPC-A) with recent and consistent coding work history . This person will cover our Radiology group within banner and will be coding CT, Ultrasounds, All Modalities. We will accept CPC-A only if candidate has a minimum of 6 months experience coding radiology. Our leaders and...

Position SummaryEMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE This Position is based in Las Vegas, Nevada Selected candidate must live in Clark County, NV or be willing to relocate before hire As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients. UMC is home to Nevada's ONLY Nonprofit Level I Trauma Center, Verified Burn Center, and Multi-Organ Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and superiority in patient care Position Summary: Responsible for researching codes and abstracting medical information to ensure that accurate, complete, and billable codes are provided for facility outpatient/Physician Clinical services for UMC....

Job Description Job Description My Next Career Path Staffing - With over 20 years’ experience in Technology Staffing, MNCP Staffing matches candidates to the culture of an organization as well as required skill sets   Position Summary: Responsible for researching codes and abstracting medical information to determine that accurate, complete and billable codes are provided for Outpatient/Physician Clinical services for UMC. Identifies and reports coding opportunities and recommendation for improvement. Monitors and reports trend and escalates discrepancies to management. Job Requirement Education/Experience: Equivalent to graduation from high school and two (2) years of outpatient (physician’s office, ambulatory surgery centers, emergency department, or multidisciplinary medical practice/group coding experience. Formal education in a related field may be substituted for experience on a year-to-year basis.   Licensing/Certification Requirements: To...

Job Description Job Description Job Summary We are seeking a detail-oriented and organized Medical Biller with at least three years experience to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accurate coding and timely submission of claims. This role requires a strong understanding of medical terminology, coding systems, and the ability to navigate medical records efficiently. The Medical Biller will play a crucial role in maintaining the financial health of our practice by ensuring that all services rendered are billed correctly and collected promptly. Full-time Tu-Fri 9:30a-6p and Sat 8a-4:30p OR Part-time Saturday Hours Sat 8a-4:30p. Responsibilities Accurately code medical procedures using ICD-10 and other relevant coding systems. Prepare and submit claims to insurance companies and government payers in a timely manner. Review patient records to ensure all necessary information is included for...

Work Shift Multiple shifts available Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full-time, permanent position (40 hours) Location: This position is remote for candidates that live in the following states: With travel to Virginia Beach 1x a year. Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products. Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits. Contribute to the review of reimbursement systems relating to health insurance claims processing and ensures adherence to policies and procedures for its various product offerings. Triage and prioritize leads/member complaints from internal sources. Assist in...

Inpatient Coder (CCS Certified) – Remote Location: Remote (work from home office) Experience: 3+ years of facility-based inpatient coding Job Summary The Inpatient Coder is a key role supporting one or more Cognizant clients, responsible for reviewing medical documentation and accurately assigning ICD-10-CM diagnosis and ICD-10-PCS procedure codes. This role works independently and as part of a team, queries physicians to clarify documentation, and supports coding quality through peer review, while meeting accuracy and productivity standards in a fast-paced remote environment. Key Responsibilities Review documentation to code diagnoses (ICD-10-CM) and procedures (ICD-10-PCS). Communicate with physicians to obtain or clarify diagnoses and/or procedures through the query process. Assign accurate codes using an electronic encoder application in accordance with practice policy and regulatory guidelines. Perform peer reviews of company Health Information Management coding...

Salary: $24.15 - $37.43 Hourly Location : 1800 West Charleston Blvd, Las Vegas, NV Job Type: Full Time Job Number: 26-OFCQ4 Department: CDI - 8705 Opening Date: 10/21/2026 Closing Date: 10/27/2026 5:00 PM Pacific Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE This Position is based in Las Vegas, Nevada Selected candidate must live in Clark County, NV or be willing to relocate before hire As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients. UMC is home to Nevada's ONLY Nonprofit Level I Trauma Center, Verified Burn Center, and Multi-Organ Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing professionalism,...

JOB SUMMARY The Billing Specialist is responsible for maximizing revenue by ensuring timely and accurate reimbursement from insurance companies and third-party administrators for services provided. Key responsibilities include submitting claims promptly, proactively following up on unpaid or aged accounts, and resolving denied or errored claims through consistent and thorough efforts. In addition, the Billing Specialist supports patients by answering claim-related questions and coordinating benefits among multiple payers. Serving as a liaison between patients and their insurance carriers, this role requires a commitment to delivering exceptional customer service to all Carson Medical Group (CMG) customers. The Billing Specialist collaborates closely with Patient Service Representatives, Cashiers, Account Representatives, and the Billing Manager to promote efficient and accurate billing operations. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES Utilizes the _C.L.E.A.R_. and...

Work Shift Multiple shifts available Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full-time, permanent position (40 hours) Location: This position is remote for candidates that live in the following states: With travel to Virginia Beach 1x a year. Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products. Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits. Contribute to the review of reimbursement systems relating to health insurance claims processing and ensures adherence to policies and procedures for its various product offerings. Triage and prioritize leads/member complaints from internal sources. Assist in the...

Become a part of our caring community 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 Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor 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 Behavioral Health coding disputes and expertise in CPT/HCPCS...

About the Role Nevada Pediatric Specialists is hiring a Medical Biller to manage claims, follow‑up, and patient account resolution in a high‑volume growing pediatric practice . This role is responsible for working accounts receivable, resolving denials, and ensuring accurate claim processing in alignment with internal workflows and payer requirements. Key Responsibilities Work A/R follow‑up (denials, rejections, unpaid claims) Review and interpret EOBs/ERAs for accurate posting and next steps Submit and track appeals and corrected claims Resolve COB issues and insurance discrepancies Communicate with insurance companies and patients regarding claims Support patient balance resolution and payment plan processes for collection management Handle billing phone calls and provide professional patient support Role requires strong understanding of EOBs, payer responses, and accurate follow‑up actions to prevent missed revenue and errors...

Benefits 401(k) Dental insurance Health insurance Paid time off Vision insurance Job description We are seeking a detail-oriented and experienced Medical Biller to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accurate coding, and facilitating timely reimbursement from insurance providers. This role requires a strong understanding of medical billing procedures, coding systems, and medical records management to support efficient revenue cycle operations. The Medical Biller will collaborate with medical staff and insurance companies to resolve billing issues and maintain compliance with healthcare regulations. Responsibilities Prepare and submit accurate claims using DRG, CPT coding, ICD-10, and ICD coding standards. Review and verify patient medical records for completeness and accuracy before billing. Ensure proper documentation of procedures, diagnoses, and treatments in EMR/EHR systems....

Job Description: Job Description CDPHP and its family of companies are mission-driven organizations that support the health and well-being of our customers and the communities we are proud to serve. CDPHP was founded in Albany in 1984 as a physician-guided not-for-profit, and currently offers health plans in 29 counties in New York state. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience. Please note that this is a hybrid position requiring both remote and on-site work. CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services, LLC. Strategic Solutions...

Salary: $28.24 - $43.78 Hourly Location : 1800 West Charleston Blvd, Las Vegas, NV Job Type: Full Time Job Number: 26-IPQ3 Department: HEALTH INFO MGMT - 8700 Opening Date: 08/18/2026 Closing Date: Continuous Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE **This Position is based in Las Vegas, Nevada** **Selected candidate must live in Clark County, NV or be willing to relocate before hire** As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients. UMC is home to Nevada's ONLY Nonprofit Level I Trauma Center, Verified Burn Center, and Multi-Organ Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing...

Become a part of our caring community 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 Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor 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 Behavioral Health coding disputes and expertise in CPT/HCPCS...