149 coder provider practice jobs found

Medical Coder and Auditor - Family Care Practice Full-Time Monday - Friday Flexible Schedule $25.00 - $39.00 per hour (depending on experience) Medical Coder and Auditor Benefits: Annual performance review, performance-based merit increase Health, dental and vision benefits available with coverage effective the first of the month following date of hire Full complement of voluntary benefits $1,000 annual employer HSA contribution for employees enrolled in CNYFC high deductible health plan Free office visits with NP or PA employees who are patients of the practice and enrolled in CNYFC high deductible health plan Waiver program for health benefits ($3,000 annually) 401K after six months with up to 7% combined employer match and annual discretionary profit-sharing contribution Generous paid time-off that increases with years of service 8 paid holidays per year Closed on major holidays Free onsite parking Free lunch daily CNY Family Care's...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $59,066.00 - $88,599.00 The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71Hospital Coder, Albany Health Information Management The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $59,066.00 - $88,599.00 Job Description Summary The Inpatient Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services. This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position. Job Description Qualifications Inpatient Coding Experience 2+ years Preferred High School Diploma/G.E.D. - required Prior experience in hospital/inpatient medical coding - preferred Prior experience with 3M 360 and EPIC system -...

At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and employer of choice! Will you join us, to help achieve our higher purpose? What Makes Us Unique We are an empowered primary care...

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries physician for...

To support the Yale Medicine Administration, the full-time remote Compliance Auditor will coordinate and conduct medical billing audits across 18 clinical departments, ensuring compliance with coding and documentation standards while providing training and feedback to staff. Key responsibilities Complete audits of departmental compliance chart reviews and participate in third-party audits Assess provider documentation for ICD-10 and CPT-4 coding accuracy and compliance with regulations Conduct training sessions for physicians and departmental personnel on medical billing compliance Required qualifications CPC certification required, with the expectation to obtain it within 6 months to 1 year if not currently held Bachelor's degree in Health Care Management, Finance, Business, Nursing, or a related field Five years of experience in a multi-specialty group practice, academic plan, or hospital setting Demonstrated knowledge of ICD-10 and CPT-4 coding and billing practices Ability...

Certified Medical Coder Medical Health Associates (MHA) is seeking an experienced Certified Medical Coder to join our team supporting a network of outpatient pediatric physician offices. This position is responsible for reviewing clinical documentation, assigning accurate diagnosis and procedure codes, ensuring compliance with coding regulations, and helping optimize reimbursement while maintaining the highest standards of accuracy and integrity. Essential Responsibilities Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for outpatient pediatric services. Ensure coding complies with payer guidelines, federal regulations, and organizational policies. Identify and resolve coding discrepancies by working collaboratively with providers and clinical staff. Review claims for coding accuracy prior to submission. Assist with denial management and coding-related appeals as needed. Stay current with coding updates, payer requirements, and...

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Description Medical Coder and Auditor - Family Care Practice Full-Time Monday - Friday Flexible Schedule $25.00 - $39.00 per hour (depending on experience) Medical Coder and Auditor Benefits: Annual performance review, performance-based merit increase Health, dental and vision benefits available with coverage effective the first of the month following date of hire Full complement of voluntary benefits $1,000 annual employer HSA contribution for employees enrolled in CNYFC high deductible health plan Free office visits with NP or PA employees who are patients of the practice and enrolled in CNYFC high deductible health plan Waiver program for health benefits ($3,000...

Coder EXC Orchard Park NY - Orchard Park, NY 14127 Overview Salary Range $19.80 - $35.64 Hourly Position Type Full Time Job Shift Day Education Level High School Travel Percentage None Description **We offer flexibility with hybrid work options based on your preference.** Job Summary The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance with federal regulations and payer policies. This position is responsible for reviewing operative reports for all procedures performed by Excelsior Orthopaedic Physicians for completeness and to abstract and code clinical data, using standard classification systems. Duties and Responsibilities Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic...

Certified Medical Coder EXC Remote Work - Amherst, NY 14226 Overview Salary Range $21.00 - $35.64 Hourly Position Type Full Time Job Shift Day Education Level High School Travel Percentage None Description Join Our Growing Coding Team – Where Orthopaedics Meets Opportunity! Why Join Our Coding Team? We know Coders are looking for more than just a job - you want growth, support, and the tools to succeed. What Sets Us Apart: Company-issued laptop for streamlined documentation Collaborative environment Opportunity to work fully remote after training Opportunity to become a part of organization that is team-focused! Retirement Benefits: Guaranteed 3% company contribution to your 401(k) Discretionary profit-sharing contribution annually (after 1 year of service and meeting eligibility requirements) Job Summary The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance...

Department/Unit:Health Information ServicesWork Shift:Day (United States of America)Salary Range:$55,895.80 - $83,843.71The Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a fully remote position.**Essential Duties and Responsibilities*** Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, Uniform Hospital Discharge...

About UsCallen-Lorde is the global leader in LGBTQ+ healthcare. Since the days of Stonewall, we have been transforming lives in LGBTQ+ communities through excellent comprehensive care, provided free of judgment and regardless of ability to pay. In addition, we are continuously pioneering research, advocacy and education to drive positive change around the world, because we believe healthcare is a human right.Our MissionCallen-Lorde Community Health Center provides sensitive, quality health care and related services targeted to New York's lesbian, gay, bisexual, and transgender communities — in all their diversity — regardless of ability to pay. To further this mission, Callen-Lorde promotes health education and wellness, and advocates for LGBTQ+ health issues.About the RoleCallen-Lorde Community Health Center is seeking a detail-oriented and experienced Medical Biller & Coder to join our Patient Accounts team. This vital role combines the dynamic functions of accounts...

Role Summary Responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties, supporting single-specialty or multi-specialty engagements. Core Responsibilities Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including AMA and NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Requirements Minimum Qualifications Credentials: CPC, CCS-P, RHIA, or RHIT (active and in good standing). Experience: Minimum 2-3+ years professional fee coding experience. Experience in hospital-based or physician practice environments preferred. Skills...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $64,972.00 - $97,458.00 The Senior Hospital Coder is responsible for performing detailed inpatient coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. This is a...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): 905 Elmgrove Rd, Rochester, New York, United States of America, 14624 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation Range: $60,431.00 - $84,603.00 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $59,066.00 - $88,599.00 The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital...

Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest...

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Description Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper documentation and assignment of ICD-10-CDM, HCPCS and CPT codes. Reports to the Coding Operations Manager. Will support Meeting House Lane Medical Practice, PC and SB Administrative Services. Responsibilities: Audits records to ensure proper submission of services prior to billing on pre-determined selected charges. Receives hospital information to properly bill provider...

Requisition number: 2365267 Job category: Medical & Clinical Operations 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder is responsible for the accurate assignment of ICD-10-CM, CPT, and HCPCS codes based on provider documentation, in accordance with official coding guidelines, regulatory requirements, and organizational policies. This role supports compliance, data integrity, and optimal reimbursement...

The Medical Coding Auditor is responsible for conducting prospective and retrospective compliance reviews of documentation supporting codes reported by providers or facility coding to ensure accuracy in billing, maximize charge capture, and comply with Federal, State, payer, and institutional requirements. This role involves analyzing medical records, ensuring the accuracy of ICD-10-CM diagnosis coding and CPT/HCPCS coding, and compliance with regulations. The specialist communicates results, makes recommendations, and provides training and education to staff on appropriate documentation, coding, and billing practices. Essential Job Responsibilities Conduct coding and auditing of technical and professional components of services and procedures to ensure accuracy. Perform audits of new physicians on coding and documentation requirements for E/M services and procedures. Track coding issues by provider and present necessary education and training to improve coding. Demonstrate...

Job Description Job Schedule This role offers a hybrid schedule. You will need to visit two centers twice a week: one day at the Ocoee center and one day at the East Colonial center. These onsite visits are mandatory and non-negotiable. The remaining days of the week will be remote work. Job Summary The Medicare Coder Specialist facilitates modifications to clinical documentation through pre‑visit and post‑visit interaction with providers and other members of the healthcare team. She or he promotes capture of clinical severity (later translated into coded data) to support the level of service rendered to relevant patient populations, enhance evidence‑based medicine, promote continuity of care, and improve capturing chronic conditions. Responsible for coding all medical services procedures CPT and HCPCS codes, pharmaceuticals supplies, patients’ ICD‑10 diagnoses, signs, and symptoms when applicable, ensuring that all assigned ICD‑10‑CM codes are supported by proper clinical...

Position Summary MUST RESIDE IN ONE OF THESE STATES TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, KY, LA, MA, MI, NV, NM, NC, OH, PA, SC, TN, TX, VA, and WA. Position Summary: This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. Orlando Health is committed to providing you with benefits that go beyond the expected, with career‑growing FREE education programs and well‑being services to support you...

Position Overview MetroPlusHealth seeks a Clinical Certified Coder to support the Special Investigations Unit in detecting, preventing, and investigating suspected fraud, waste, and abuse. The role reports to the Director of the Special Investigations Unit. Scope of Role & Responsibilities Review medical records and claims to determine accuracy and compliance with regulations. Conduct high‑risk claim audits to detect potential fraud, waste, and abuse. Collaborate with the SIU team to evaluate suspected fraudulent activities such as over‑utilization, upcoding, and non‑medically necessary services. Create detailed reports with findings, rationale, sources, and corrective action recommendations. Assist in provider calls to discuss findings and rationale. Present findings to leadership and stakeholders to facilitate FWA proceedings. Prepare documentation for audits, recoupments, compliance/legal reviews, and regulatory inquiries. Maintain thorough documentation of...