27 coder provider practice jobs found

Job Summary Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply...

Coder Location: Remote Organization: Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder Overview Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely . As two of the region's most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development. Position Summary This role is responsible for accurately reviewing medical records and assigning ICD-10 and CPT codes in compliance with all applicable policies and regulations. It manages patient demographics, clinical documentation, and billing data across practice management systems and hospital records to ensure proper coding and reimbursement. The position also supports and educates clinical staff and providers on documentation and coding standards to promote compliance,...

Job Summary Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders translate diagnostic and procedural phrases used by healthcare providers into coded form, producing procedure codes that enable claims to be submitted to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties Review medical records for hospital and professional inpatient or outpatient services to identify principal diagnosis, secondary diagnoses, and procedures that explain the reason for service, admission, and patient severity while complying with standard provider coding regulations. Conduct detailed reviews of...

Professional Coding Auditor And Educator - Remote This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing.In addition, this role focuses on performing the following Health Information Management duties:Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information.An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a hands on environment.The majority of time is spent in the delivery of support services or activities, typically under supervision.An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education.Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation or...

Job Details Coder Certified Job Description PRIMARY FUNCTION: Abstract clinical information from Electronic Medical Record surgical reports and outpatient medical records, and assign appropriate ICD-10 and CPT codes. Educating physicians on compliance and correct coding and processing charges, review coding related denials. ESSENTIAL FUNCTIONS: Interacts with co-workers, visitors, and other staff consistent with the Jefferson iSCORE values Educates new faculty members on the coding basics, as well as all university/department compliance policies Completes all accounts receivable and claims manager edits. Assists patients with billing and insurance related questions. Conducts internal chart audits to ensure compliance with CPT-4 and ICD-10 coding guidelines and determines where additional physician documentation and/or signatures are required. Ensures billing compliance with third party payor requirements and regulations. EDUCATIONAL/TRAINING...

Responsibilities Remote Opportunity Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. To learn more about IPM visit Physician Services - Independence Physician Management - UHS. POSITION OVERVIEW Coder Certification Required . The Coder provides coding services and support to assigned IPM Markets/Billing Entities, as required, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies...

UPMC Hillman Cancer Center at the Divine Providence Campus in Williamsport is currently hiring a full-time Medical Oncology Coder . This position offers a consistent day shift schedule from 8:00 AM to 4:30 PM, totaling 40 hours per week . The ideal candidate will hold a Certified Professional Coder (CPC) credential and have at least 1 year of experience in physician coding using Physician CPT and ICD-9 . This is a great opportunity to join a dedicated oncology team and contribute to accurate, compliant coding that supports high-quality patient care. This is a hybrid position. The initial phase of employment will require on-site work at UPMC Hillman Cancer Center in Williamsport, PA for several months. After this period, mandatory attendance for monthly meetings and other required on-site sessions will continue. Ideally, the candidate will work minimum one day per week in the office at UPMC Hillman Cancer Center, with the remaining time remote. Responsibilities:...

PRN (As Needed) Monday - Friday Varied Day/Evening Shifts Weekend and holiday rotation Includes cross-training in post-surgical, inpatient rehab, and outpatient settings General Summary Provides occupational therapy services at an entry to intermediate skills level to individual patients according to the principles and practices of occupational therapy. Directs patient participation in selected tasks to restore, reinforce and enhance performance; facilitates the learning of those skills and functions essential for adaptation and productivity. Duties and Responsibilities Essential Functions: Evaluates patient using evidence based evaluation techniques. Plans individualized occupational therapy program with a variety of sensorimotor, educational, recreational and social activities based on the individual's physical capacity, intelligence level, and interests/goals. Provides instructions in therapeutic procedures to be continued by the patient....

Clinical Care Occupational Therapist PRN (As Needed) Monday - Friday Varied Day/Evening Shifts Weekend and holiday rotation Includes cross-training in post-surgical, inpatient rehab, and outpatient settings General Summary Provides occupational therapy services at an entry to intermediate skills level to individual patients according to the principles and practices of occupational therapy. Directs patient participation in selected tasks to restore, reinforce and enhance performance; facilitates the learning of those skills and functions essential for adaptation and productivity. Duties and Responsibilities Essential Functions: Evaluates patient using evidence based evaluation techniques. Plans individualized occupational therapy program with a variety of sensorimotor, educational, recreational and social activities based on the individual's physical capacity, intelligence level, and interests/goals. Provides instructions in therapeutic procedures to be continued by...

Description This is not a remote position. Evaluates medical records, provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes for both inpatient and outpatient services in accordance with nationally recognized coding guidelines. Meets quality standards of having 95% of principal diagnoses and procedures correctly coded. Serves as a liaison between clinicians and the coding staff. Collaborates with all members of the revenue cycle to ensure data quality and optimum reimbursement allowable under the federal and state payment systems. Supervises the coding department in relation to the following: distribution of work assignments, dissemination of current coding guidelines and modern technology information, and provides relevant coding education to the coders, clinicians, and revenue cycle staff. Minimum Requirements Knowledge and understanding of ICD10 and CPT coding principles as recommended by the American Health Information...

Description At the Orthopedic Institute of PA, our mission since 1971 has been to create an amazingly positive, memorable experience for every patient, family, and team member. We treat each other with crazy courtesy and exceptional empathy and work together to perfect processes to achieve our mission. You'll join a culture of excellence and teamwork, focusing on investing in our team and local communities. OIP offers a great work environment, professional development, challenging careers, and competitive compensation. POSITION SUMMARY Certified Professional Coder (CPC or CPC-A) to provide quality review and analysis of a wide range of patient medical records, ensure coding accuracy, and maintain records by accepted medical and legal standards. Responsible for reviewing medical records to ensure proper billing of the medical history, comparison of physician‑chosen CPT and ICD‑10 codes to the physicians' documentation to substantiate the level of coding, physician services to...

Join Datavant, a pioneering data platform company dedicated to transforming healthcare through innovative data exchange solutions. Our mission is to ensure that every healthcare decision is informed by the right data, securely and efficiently. We operate the largest and most diverse health data network in the U.S., enabling our partners in life sciences, government, and healthcare to leverage data effectively for improved health outcomes. By joining Datavant, you become part of a values-driven team committed to tackling some of healthcare’s toughest challenges using technology-driven strategies. We are particularly interested in candidates with expertise in Cath coding, Endo, Observation coding, and OP Surgery. Familiarity with Cerner/3M systems is an additional advantage. Key Responsibilities: Review medical records to assign accurate codes for diagnoses and procedures. Ensure proper sequencing of codes in accordance with medical documentation. Assign appropriate...

Datavant is a leading data platform company specializing in health data exchange, dedicated to empowering healthcare decisions with timely and accurate data. We harness the power of the largest health data network in the U.S. to ensure data is secure and effectively used to enhance health outcomes. Joining Datavant means becoming a vital part of a high-performing, values-driven team that is addressing complex healthcare challenges with innovative solutions. Our team members come from diverse professional, educational, and personal backgrounds to pursue our ambitious vision for healthcare. We are actively seeking skilled and credentialed outpatient coders to enhance our team. The ideal candidate will demonstrate exceptional attention to detail and possess a profound understanding of medical terminology. This remote position offers flexibility, allowing you to contribute significantly to the future of healthcare from your own home! What You Will Do: Review medical records...

Join Datavant, the leader in health data exchange, where we believe every healthcare decision should be backed by the best data available. Our mission is to make health data secure, accessible, and usable for better health decisions. By joining us, you'll be part of a high-performing, values-driven team dedicated to addressing healthcare's most complex challenges with innovative solutions. We are currently seeking experienced and skilled outpatient coders to enhance our team. The ideal candidate is detail-oriented, knowledgeable in medical terminology, and passionate about shaping the future of healthcare from the comfort of their own home due to this fully remote position with a flexible schedule! We especially encourage applications from outpatient coders with expertise in Cath coding, Endo, Observation coding, and OP Surgery. Familiarity with Cerner/3M software is a plus. Key Responsibilities: Review medical records and assign accurate codes for diagnoses and...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred....

Growing Team!!! Join Our Team Are you passionate about supporting mental and behavioral health services while advancing your career in medical billing? As we continue to expand our services in 2026, Lenape Valley Foundation (LVF), a leading nonprofit organization dedicated to improving mental health and wellness across Bucks County, is seeking an experienced Billing Specialist to join our growing team. This is your opportunity to contribute to a mission-driven organization that impacts thousands of lives every day. At LVF, you're not just part of a team-you're part of a community committed to compassion, excellence, and growth. This position is onsite for first 90 days for training and integration with a potential for a hybrid schedule once training is complete. What We Offer NEW!! DailyPay- gives you the flexibility to access your earnings immediately- on your own schedule! Enhanced rate for experience in Behavioral Health Billing Paid training and supervision...

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. The Utilization Management RN Coder will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department's/company's guidance. They will have a working knowledge encoder use and selecting appropriate, supportable appeal arguments from evidence-based, peer reviewed medical...

Employment Type: Full time Shift: Day Shift Description: Reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/ clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties. Remote Position...

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. The Utilization Management RN Coder will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department's/company's guidance. They will have a working knowledge encoder use and selecting appropriate, supportable appeal arguments from evidence-based, peer-reviewed medical...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

Join Datavant, the trusted data collaboration platform for healthcare. Our mission is to make health data secure, accessible, and actionable. We provide vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. From assisting with individual patient requests to advancing AI in healthcare, our team is dedicated to shaping the future of health data. By becoming a Datavanter, you will be part of a dynamic and collaborative team committed to transformative change in the healthcare landscape. What We’re Looking For We are seeking experienced and certified inpatient coders to join our team. The ideal candidate will have exceptional attention to detail and a solid understanding of medical terminology. This fully remote position offers a flexible schedule, allowing you to influence the future of healthcare from wherever you work best! Key Responsibilities: Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS...

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...

Join Datavant, a leading data platform company committed to transforming healthcare through innovative data exchange solutions. Our mission is to ensure that every healthcare decision is informed by the right data, securely and efficiently. We operate the largest and most diverse health data network in the U.S., enabling our partners in life sciences, government, and healthcare to leverage data effectively for better health outcomes. Joining Datavant means becoming part of a high-performing, values-driven team dedicated to addressing some of healthcare's toughest challenges with technology-driven strategies. We are currently seeking experienced and credentialed outpatient coders who are detail-oriented and knowledgeable in medical terminology. This role offers the flexibility of a fully remote work environment, allowing you to make a significant impact from wherever you are! We prefer candidates who specialize in Cath coding, Endo, Observation coding, and OP Surgery....