167 coder quality specialist jobs found

Job Title: Medical Coding and Billing Specialist Job Location: On-site in Wellington, Florida Job Purpose: We are a medical practice management consulting firm with a mission to helppractices and provider networks achieve sustainable financial and operational success.The Billing and Coding Specialist is responsible for the accurate coding, billing, claims processing, payment posting, and accounts receivable follow-up for medical services. This role ensures compliance with payer requirements, coding regulations, and company policies while maximizing reimbursement through timely claim submission, denial resolution, and effective communication with patients, providers, and insurance carriers. Key Responsibilities: Accurately review, code, and process medical claims using ICD-10-CM, CPT, and HCPCS coding standards. Ensure claims are submitted timely, accurately, and in accordance with payer guidelines and standard billing cycles. Review claims for completeness, including patient...

Medical Coding Specialist Turn accurate coding into cleaner claims, reliable data, and stronger reimbursement. Work Style: Remote Location Requirement: Must reside in an authorized state (FL, GA, MO, PA, SC, NC, TN, or TX) FTE: Full-Time (1.0 FTE) Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation and resolves coding discrepancies, ensuring the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards such as ICD, CPT, and HCPCS, and supports the billing department by providing precise coded information for claims submission. Includes auditing coded data, training staff on coding procedures, and monitoring coding productivity and quality metrics to enhance departmental performance. Key Responsibilities Reviews and analyzes medical records to...

Job Title The Coder Location Requirement Candidates must reside in one of the following states- Florida, Alabama, or Georgia. If offered the position, will be required to come onsite in Pensacola, FL for orientation. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation. Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that affect outcome. Communicate questions or concerns to the Coding Manager, HIM Services Director, or BHC's Revenue Integrity Department to ensure prompt resolution. Works with medical staff to resolve coding issues and associated problems. Reports and communicates any suspected coding inaccuracies in a timely manner. Qualifications...

Coding Auditor The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and responds...

Job Description The Coder III reviews inpatient records and accurately assigns appropriate ICD-10-CM/PCS codes according to established guidelines with a 97% accuracy rate, while maintaining coding standards for productivity. This position must preserve confidentiality of health information. This position must be able to use tact and diplomacy when communicating with employees, physicians, administration, and public, under complex or emotional situations. Responsibilities Responsibilities include: Reviews patient records and accurately assigns appropriate ICD-10-CM/PCS codes according to established guidelines. Meets Productivity Standard for Inpatient Coding: 17 charts/day. Understands appropriate assignment of MS-DRG, POA, and discharge disposition. Assists with all levels of coding including inpatient, outpatient, and psych. Works as a team member to achieve goals for the department. Assists with data integrity audits, and corrects errors as needed (invalid codes,...

Job Description The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This position does not have excessive re-bills. Responsibilities Reviews patient surgical medical records (hospital outpatient or professional fee) and accurately assigns appropriate ICD 10 CM, CPT, and HCPCS codes per official guidelines and payer-specific rules. Applies correct sequencing guidelines based on facility or professional coding conventions. Reviews medical record documentation to ensure accuracy and completeness to support assigned diagnoses, procedures, charges, and modifiers. Maintains current...

Job Description The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This position does not have excessive re-bills. Responsibilities Reviews patient surgical medical records (hospital outpatient or professional fee) and accurately assigns appropriate ICD 10 CM, CPT, and HCPCS codes per official guidelines and payer-specific rules. Applies correct sequencing guidelines based on facility or professional coding conventions. Reviews medical record documentation to ensure accuracy and completeness to support assigned diagnoses, procedures, charges, and modifiers. Maintains current...

The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This positon does not have excessive re-bills. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines.Applies sequencing guidelines to coded data according to official coding rules.Reviews medical records to ensure appropriate documentation is there to support codes/ER charges assigned.Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that affect...

The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This positon does not have excessive re-bills. Responsibilities Reviews patient surgical medical records (hospital outpatient or professional fee) and accurately assigns appropriate ICD 10 CM, CPT, and HCPCS codes per official guidelines and payer-specific rules. Applies correct sequencing guidelines based on facility or professional coding conventions. Reviews medical record documentation to ensure accuracy and completeness to support assigned diagnoses, procedures, charges, and modifiers. Maintains current knowledge of surgical...

## Risk Adjustment Coder IIIApply: Hybrid: Miami, FL: Full time: Posted 2 Days Ago: JR4418It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.**Job Summary**The Risk Adjustment Coder III is responsible for the accurate and timely assignment of medical diagnosis codes in accordance with established risk adjustment models, coding guidelines, and organizational standards. This role performs high-volume, production-based coding and chart review activities, following defined policies and procedures to ensure compliance and data accuracy. This position applies advanced coding knowledge but operates within established guidelines, with work subject to quality review and audit.**Duties & Responsibilities****Essential Duties & Responsibilities*** **Medical Coding and Documentation*** Assign ICD-10-CM diagnosis codes based on medical...

Advanced Inpatient Coder Specialist (REMOTE) - 151001 Florida:Miami | Business and Administrative | Full Time Description BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. Responsibilities : The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate assignment of...

Medical Coding Specialist Turn accurate coding into cleaner claims, reliable data, and stronger reimbursement. Work Style: Remote Location Requirement: Must reside in an authorized state (FL, GA, MO, PA, SC, NC, TN, or TX) FTE: Full-Time (1.0 FTE) Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation and resolves coding discrepancies, ensuring the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards such as ICD, CPT, and HCPCS, and supports the billing department by providing precise coded information for claims submission. Includes auditing coded data, training staff on coding procedures, and monitoring coding productivity and quality metrics to enhance departmental performance. Key Responsibilities Reviews and analyzes medical records to...

CenterWell Senior Primary Care is seeking a Medical Coding Coordinator in The Villages, FL to review records, assign ICD-10-CM, CPT, and HCPCS codes, and ensure compliant documentation. This onsite role involves collaboration with internal teams, audits, and maintaining coding quality. TPM requirements include CCS/CRC/CPC certification and EMR proficiency. The position supports a patient-centered care model and requires 40 hours weekly, with opportunities to contribute to process improvements #J-18808-Ljbffr

A regional healthcare provider in Daytona Beach is seeking a Coding Specialist I for full-time work. The role involves coding for ED, Recurring, and Ancillary accounts using ICD-10-CM and CPT-4. Candidates should possess relevant certifications and have experience in an acute care setting. Strong analytical skills, professionalism in communication, and the ability to maintain confidentiality per HIPAA laws are essential. The position offers opportunities for involvement in quality improvement initiatives. #J-18808-Ljbffr

Medical Billing - Full-Time, Imaging Center About the job Medical Billing - Full-Time, Imaging Center Bowes Imaging Center is a well-known diagnostic company serving Bradenton and Sarasota counties. We take pride in being locally owned and family-operated, with a strong focus on delivering high-quality imaging services. For nearly a decade, we have been committed to excellence in patient care. At our Bradenton location, we are currently seeking a Medical Coder and Biller to join our team. Why Choose Bowes Imaging Center: Cutting-Edge Technology: We have state-of-the-art radiology equipment, all serviced by the original manufacturers, ensuring top-notch quality. Comprehensive Training: Bowes Imaging Center provides a detailed training program to help you excel in your role. Team Environment: We foster a collaborative team environment, encouraging our employees to be active participants in the evolving medical field. Flexible Hours: Enjoy unique work hours...

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and...

Medical Coding Specialist Turn accurate coding into cleaner claims, reliable data, and stronger reimbursement. Work Style: Remote Location Requirement: Must reside in an authorized state (FL, GA, MO, PA, SC, NC, TN, or TX) FTE: Full-Time (1.0 FTE) Reviews and analyzes medical records to assign appropriate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation and resolves coding discrepancies, ensuring the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards such as ICD, CPT, and HCPCS, and supports the billing department by providing precise coded information for claims submission. Includes auditing coded data, training staff on coding procedures, and monitoring coding productivity and quality metrics to enhance departmental performance. Key Responsibilities Reviews and analyzes medical records to...

AdventHealth Coding SpecialistOur promise to you:Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.All the benefits and perks you need for you and your family:Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability InsurancePaid Time Off from Day One403-B Retirement Plan4 Weeks 100% Paid Parental LeaveCareer DevelopmentWhole Person Well-being ResourcesMental Health Resources and SupportPet BenefitsSchedule:Full timeShift:Day (United States of America)Address:601 E Rollins StCity:OrlandoState:FloridaPostal Code:32803Job...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Medical Insurance Dental Insurance Vision Insurance Life Insurance Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 601 E Rollins St City: Orlando State: Florida...

Coding AuditorConducts post-bill coding audits to assess coding accuracy, documentation alignment, and reimbursement integrity across inpatient and/or outpatient service lines.Performs coding validation activities, including DRG assignment, MCC/CC integrity review, modifier validation, and APC assignment review.Applies knowledge of IPPS, OPPS, DRG, APC, ICD-10CM/PCS, CPT/HCPCS, modifier usage, and coding guidelines during audit reviews.Identifies trends related to coding accuracy, documentation quality, service capture, and reimbursement outcomes.Provides detailed audit findings and feedback to support accuracy improvement and standardization of coding practices.Collaborate with the education team to translate audit results into targeted education and training initiatives.Supports onboarding audits and competency validation for new coders.Reinforces adherence to coding guidelines, regulatory requirements, and enterprise standards.Participates in development of coding education...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address:...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. Responsibilities The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis. Formulates physician queries and monitors bill hold reports....

Position: Inpatient Coder Client: Healthcare Provider Location: 100% Remote (PST Hours) Contract Length: 6-months, with potential for extension Start Date: ASAP Summary Medasource is partnering with a leading regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity, multi-specialty environment and is ideal for coders with strong experience handling complex inpatient cases. Key Responsibilities Perform accurate inpatient coding across a wide range of specialties, including: Cardiology, Neurology, Surgical cases, Transplants, Neonatal Intensive Care Unit (NICU), Additional complex inpatient cases Assign appropriate diagnosis and procedure codes in accordance with organizational, regulatory, and industry standards Maintain timely and accurate coding in a fast-paced, high-acuity environment Consistently meet established productivity and quality expectations Qualifications...

Location Miramar, Florida Summary Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance. Responsibilities Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews coding edits. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Research electronic medical record for any additional diagnoses documented to meet medical necessity. Codes various OP service lines for all MHS specialties that include encounters with high complexity of surgical procedures and assign anesthesia procedure codes (hospital) following specific payer requirements. Reads and interprets all provider documentation which includes all dictated, scanned, and electronically created documents, imaging, pathology reports, and labs pertaining to...