60 contract coder jobs found

Job Description Job Description Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through pre and post payment medical records review and appeal records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines, coverage policies and regulatory and contract requirements. Qualifications: Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) required. Prior experience in Medicaid claims role and/or post payment medical coding auditor role preferred. Knowledge of Medicaid rules, claims processing, medical terminology and coding principles and practices. Knowledge of auditing, investigation, and research. Knowledge of word...

Location: Tampa, Florida, United StatesSalary: $29.00 - $33.00/hrCompany: TEKsystemsPosted: Location: Tampa, Florida, United StatesSalary: $29.00 - $33.00/hrCompany: TEKsystemsPosted: Location: Tampa, Florida, United StatesSalary: $29.00 - $33.00/hrCompany: TEKsystemsPosted: Location: Tampa, Florida, United StatesSalary: $29.00 - $33.00/hrCompany: TEKsystemsPosted: Location: Tampa, Florida, United StatesSalary: $29.00 - $33.00/hrCompany: TEKsystemsPosted: Location: Tampa, Florida, United StatesSalary: $29.00 - $33.00/hrCompany: TEKsystemsPosted: Location: Tampa, Florida, United StatesSalary: $29.00 - $33.00/hrCompany: TEKsystemsPosted: Location: Tampa, Florida, United StatesSalary: $29.00 - $33.00/hrCompany: TEKsystemsPosted: Location: Tampa, Florida, United StatesSalary: $29.00 - $33.00/hrCompany: TEKsystemsPosted: DescriptionThe Coding Specialist - Outpatient Surgery Coder is responsible for accurately assigning and sequencing ICD-10, CPT, and HCPCS codes for outpatient surgery,...

Pro Clinic Coder Opportunities Healthcare Coding and Consulting Services (HCCS) is a family-owned, U.S.-based medical coding company currently hiring experienced, certified Pro Clinic coders for fully remote, full-time positions supporting specialties in Rural Health Clinics (RHC), Family Medicine, Internal Medicine, Orthopedic, Behavioral Health, and Oncology. At HCCS, we are committed to long-term employment and career stability. We do not offer short-term, contract, or project-based work. All team members are direct-hire W-2 employees with consistent workloads and full benefits. We also do not offshore any coding services all HCCS coders are U.S.-based, ensuring strong compliance, communication, and provider support. We intentionally match coders to specialties they are experienced in, allowing them to work confidently and consistently within familiar chart types. Our Coding and Scheduling Managers actively support coders with workflow, quality, and productivity, creating a...

Job Description Job Description Senior Clinical Coder (Inpatient Facility Coding) – Remote $80,000–$90,000 | Contract-to-Hire | 100% Remote Are you an experienced Inpatient Facility Clinical Coder with strong DRG validation expertise? We're seeking a Senior Clinical Coder to join a collaborative clinical operations team supporting complex medical claims reviews and coding accuracy. This is a fully remote opportunity with long-term potential for permanent employment. Position Details Contract-to-Hire (average conversion: 6–9 months) 100% Remote Salary: $80,000–$90,000 annually (based on approved work state and geographic location) Full-time What You'll Do Perform retrospective reviews of inpatient and outpatient medical claims Validate DRGs and ensure accurate reimbursement Apply ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines Review claims for coding accuracy, compliance, and payment integrity Prepare coding determinations and...

Overview Certified Medical Coder required (AHIMA, AAPC, or PMI). Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud Investigative...

Pro Clinic Coder OpportunitiesHealthcare Coding and Consulting Services (HCCS) is a family-owned, U.S.-based medical coding company currently hiring experienced, certified Pro Clinic coders for fully remote, full-time positions supporting specialties in Rural Health Clinics (RHC), Family Medicine, Internal Medicine, Orthopedic, Behavioral Health, and Oncology.At HCCS, we are committed to long-term employment and career stability. We do not offer short-term, contract, or project-based work. All team members are direct-hire W-2 employees with consistent workloads and full benefits. We also do not offshore any coding services — all HCCS coders are U.S.-based, ensuring strong compliance, communication, and provider support.We intentionally match coders to specialties they are experienced in, allowing them to work confidently and consistently within familiar chart types. Our Coding and Scheduling Managers actively support coders with workflow, quality, and productivity, creating a...

A national recruiting company is seeking a Business Medical Coder in Miami. The role involves reviewing coded claims, requesting medical documentation, and communicating with providers about claim denials. Applicants should have coding experience, specifically CPC-A certification along with knowledge of CPT, ICD-9, and ICD-10. This contract position lasts for 3 months and requires comfort in making outbound calls to provider offices. #J-18808-Ljbffr

Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at www.mindlance.com. Job Description Business Medical Coder Location: 5775 Blue Lagoon Dr., Miami, FL 33126 Contract: 3 Months Qualifications Role Review of denial on adjudicated claim that is classified as a code edit denial. Request and review supporting documentation (medical records) when needed. Once review is complete contact provider by phone to provide rationale as to whether we will overturn (pay) the denial or if it is upheld. Qualifications CPC-A with coding experience Knowledge/experience of CPT, ICD-9, and ICD-10 coding Comfortable with making outbound calls to provider offices If you are available and interested then please reply me with your “Chronological Resume” and call me on (678)-405-3590. Additional Information Thanks & Regards, #J-18808-Ljbffr

Inpatient Rehab Coder “ Contract-to-Hire Remote $32“$37/hr 1 Opening Start ASAP About the Role:Our Client is seeking an experienced Inpatient Rehab Coder to join their team. This role supports highly complex rehabilitation patients with extensive comorbidities, multi-traumas, and large documentation volumes (90“100pages). Training is 1:1. Responsibilities:Code Inpatient Rehab (IRF) encounters, including IRF-PAI, IGC assignment, and IRF-PPS/CMG guidelines Manually abstract codes (no CAC) using Meditech Expanse and 3M/Solventum Review extensive multi-disciplinary notes (OT/PT/ST) Maintain productivity (4“5 charts/day) and 95% accuracy Schedule:Training:9“5 PM EST After training:flexible EST hours; 40 hrs/week; weekend option if consistent Contract Details:Contract-to-Hire Remote; equipment provided (dual monitors, computer, accessories) Open to candidates in...

Job Description Job Description Porter is hiring a Risk Adjustment Coder to join our Team!   Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.    Position Overview We are seeking a certified coder with expertise in risk adjustment...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Certified Coder Full Time Admin - IC Clearwater, FL, US 3 days ago Requisition ID: 3213 Join Evara Health—Driven by Purpose, Powered by People. Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams. Build a career that goes beyond a job—it changes lives. About this Role: Medical Coding & Charge Review Review and validate diagnosis and procedure codes to ensure accuracy, compliance, and...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Certified Coder Full-time Regular Tallahassee, Tallahassee, FL, US Salary Range: $20.00 To $25.00 Annually Certified Coder On-site, Billing Office, Tallahassee, FL | Full-Time | Monday–Friday 8:00am–5:00pm (EST), with one rotating 9:00am–6:00pm lock-up shift per week | Work location in person Join a Team That Values Accuracy and Accountability Southern Vitreoretinal Associates (SVA) is seeking a Certified Coder to join our Central Billing Office. This role is ideal for an experienced medical coder who is highly detail-oriented, organized, self-motivated, and comfortable working independently. The Certified Coder plays an important role in ensuring that physician services are accurately coded, charges are processed timely, and claims are submitted correctly and compliantly. This position requires someone who can take...

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: 900 HOPE WAY City: ALTAMONTE SPRINGS State: Florida Postal...

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

Join Our Caring CommunityBecome a part of our caring community and help us put health first. The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues.As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while collaborating with STARS...

Summary MRTs are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients. health records and assign alphanumeric codes for each diagnosis and procedure. Learn more about this agency Duties Help ** *THIS IS AN ON SITE POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Duties of the Medical Records Technician (Coder) In/Outpatient include, but not limited to: Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare...

Medical Biller Under limited supervision the Medical Biller reviews and verifies medical bills and invoices with accounts receivable ledger and patients. Ensures record accuracy, follow up, and makes necessary revisions. The Medical Biller processes changes in system to support accurate and efficient billing processes. The Medical Biller will be charged with maintaining the confidentiality of patient records and procedures. Essential Job Functions Analyzes, investigates, and resolves account issues, including resubmitting and updating line and claim document information. Accesses available resources to locate missing or incorrect information. Updates medical claims with corrected billing information and releases claims for transmission to the payer. Investigates and documents actions taken to resolve medical billing discrepancies and unusual charges and credits. Works high priority Third-Party Liability/MVA/WC cases according to department policies and procedures. Conducts...

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 Description Job Description Job Description A certified professional biller/coder (CPC) Salary 15-25 base on expertise and experience Responsibilities: ·        Overseeing the medical coding for all healthcare activities ·        Ensure that medical coding used is in compliance with all medical coding laws and regulations ·        Ensure that the coding used is for reimbursable expenses when necessary ·        Provide regular coding, Home Health coding, or hospital coding as appropriate ·        Communicating with patients regarding rejected claims or procedures ·         Interact with doctors, nurses, and office staff ·        Able to work during regular business hours and rarely work overtime or weekends as necessary ·        Responsible for entering charges in as accurate a manner as possible, which means coordinating with the doctor’s office to obtain any missing information (i.e., insurance cards, authorizations, op reports, etc.) Knowledge of correct CPT...

Medical Biller: Senior Billing Manager A well-established and growing Medical Billing company based in Downtown Orlando is currently looking for an experienced account manager to join its growing team. Job Description The Senior Biller Manager would directly report to the Director of Operations. The Senior Biller Manager would be responsible for managing client accounts to coordinate their overall functions of billing, maximizing cash flow while improving patient, physician, and other customer relations. Requires strong leadership and business office skills, including project management, critical thinking and analytical skills. This is a full-time and in-person position only. Qualifications Preferred 4+ years' experience in a medical office reimbursement department Preferred a minimum of 3 years' supervisory or management experience over staff. Experience with EMR Management software Strong background in Accounts Receivable Experience in CPT and ICD10 codes, HCFA...

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

Summary/Objective Under limited supervision the Coder Physician reviews medical records and performs coding on all diagnoses, procedures, DRG/APC, and charge codes. The Coder Physician uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder Physician will be charged with maintaining the confidentiality of patient records and procedures. Essential Job Functions Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee, and clinical medical records. Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals and DRG/APC reimbursement expertise to assign...

Job TitleMedical Billing and Coding SpecialistJob DescriptionEssential Job FunctionsAnalyzes, investigates, and resolves account issues, including resubmitting and updating line and claim document information.Accesses available resources to locate missing or incorrect information. Updates medical claims with corrected billing information and releases claims for transmission to the payer.Investigates and documents actions taken to resolve medical billing discrepancies and unusual charges and credits.Works high priority Third-Party Liability/MVA/WC cases according to department policies and procedures.Conducts research to make the determination of related paid claims for subrogation cases, which includes identification and validation of TPL/MVA/WC claims cost avoidance.Receives and responds to incoming correspondence and calls pertaining to TPL/MVA/WC verification, billing, and collections inquiries from various sources.Evaluates case status based on established criteria and takes...

Job Description Job Description Job Title: Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets. No prior AI experience is required—your coding expertise and attention to detail are what matter most. Key Responsibilities Review and annotate medical records to accurately assign ICD-10 and CPT codes based on clinical documentation. Apply Evaluation & Management (E&M) guidelines to assess coding levels and validate healthcare datasets. Ensure compliance with current medical coding standards and guidelines. Analyze clinical documentation and identify coding-related ambiguities or inconsistencies. Provide...