145 cpc a certified coder representative jobs found

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 coding and ICD10 coding · CPR bills all types of...

Work Status Details: Full Time | 80.00 Hours Every Two Weeks Exempt from Overtime: Non-Exempt Shift Details: 8-4:30 M-F Department: Health Information | Reports To: Manager-Health Information The mission of Faith Health is to serve Christ by providing all people with exemplary medical services in an environment of love and care. Summary: To abstract and code patient records utilizing ICD-10 and CPT coding nomenclatures. The listing of job duties contained in this job description is not all inclusive. Duties may be added or subtracted at any time due to the needs of the organization. Responsibilities: Essential Job Duties and Responsibilities: 1. Assigns diagnoses and procedure codes to all patient records. 2. Maintains at least a 97% accuracy standard. 3. Ensures sequencing of codes is completed according to established guidelines for optimum reimbursement. 4. Reviews medical records for completeness and to abstract clinical data such as...

Avera Downtown Building-Sioux Falls Coder Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the timely and accurate assignment of diagnostic and procedural codes for inpatient charts for a variety of facilities within Avera Health. Accurate abstracting along with other reporting and editing functions is also within the scope of the Coder. The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with and be mentored by other coding professional staff to ensure accurate coding assignment. What You Will Do Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM diagnosis and PCS procedure codes for assigned patient charts across Avera's facilities. Understand the basics of ICD-10-CM and PCS codes in depth,...

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. • Always maintains utmost level of confidentiality. • Adheres to hospital policies and procedures. • Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. • Reviews the medical record and assigns the...

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 appropriate codes. Abstracts and codes pertinent medical data into multiple software programs and/or encoders.Follows official coding guidelines to review and analyze health records. Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations. Extracts pertinent data from the patient’s health record, and determines appropriate coding for reports and billing documents. Identifies codes for reporting medical services, procedures performed by physicians. Enters codes into various computer...

Inpatient Reimbursement Coding Specialist - UI Health, Health Information Management Hiring Department: Health Information Management Location: Chicago, IL USA Requisition ID: 1039220 FTE: 1 Work Schedule: 8:00AM - 4:00PM Shift: Days # of Positions: 1 Workplace Type: Remote Illinois Residency Requirement: All hires must establish residency in Illinois within 180 days of hire. Posting Close Date: 9/4/2026 Salary Range (commensurate with experience): $26.09 - 50.80 / Hourly Wage About the University of Illinois Hospital & Health Sciences System (UI Health) The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois Chicago (UIC), UI Health comprises a clinical enterprise that includes a Joint Commission-accredited tertiary care hospital and outpatient clinics, and the Mile Square Health Center network of federally qualified...

Coding Compliance Specialist Provides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities. None Conduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies. Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed. Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes; must be able to present effectively to physician groups. Review all coding-related denials to identify trends, root causes, and systemic risks; recommend preventive strategies to reduce future denials. Review Athena coding rejections and validate...

Address P.O. Box 909 Louisville, KY 40201-0909 Shift First Shift (United States of America) Job Description Summary About UofL Health: UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day. Job Description Position Summary and Purpose The Coder II is responsible for abstracting and assigning valid CPT, ICD-10, HCPCs and modifiers to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and education...

Description At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a...

Position: Medical Coder and Biller (Vascular Procedures) Location: Sacramento, CA (or Remote) Schedule: Full-Time and Part-Time positions Salary: Competitive Salary & Bonus Program Benefits: Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc. ABOUT US With a growing network of locations, California Foot & Ankle Centers (CALFAC) and the Vascular Institutes in Sacramento, Dallas, and Houston, provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular surgery and endovascular procedures. We have been serving patients for over 60 years, building a loyal patient base keeping our clinic locations busy with little to no marketing during that time. Our highly-competent doctors and medical staff all believe in giving a caring approach to each patient, as well as our utilizing the most modern technology available. Further, we conduct clinical trials and podiatric research...

Professional Coding Team Opportunity At Logan Health, we're more than just healthcare providers – we're a community. Located in the heart of Montana, we deliver exceptional care to patients while creating a supportive and collaborative work environment for our team. Join us to grow professionally, enjoy comprehensive benefits, and make a meaningful impact in a place you'll be proud to call home. Join Our Professional Coding Team! Location: Remote (see approved states list below) Schedule: Day Shift – 8 Hours | Full Time – 40 Hours Pay details: Pay for this position ranges from $23.50 per hour to $35.50 per hour depending on prior related work experience. Who you are: Our ideal candidate will have at least one year of professional coding work experience, and you must hold a nationally recognized coding certificate. What you'll be doing: This position accurately assigns appropriate ICD-10-CM and CPT-4 codes to outpatient records. It involves abstracting essential...

Coding Specialist We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job is responsible for reviewing and accurately coding either most professional services, including evaluation and management, and procedures or hospital outpatient surgeries/procedures and observation patients. Remains in conformance with applicable Medicare, Medicaid and third-party payer guidelines to ensure receipt of accurate reimbursement. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The...

Primary Location: Work from Home - KY Address: P.O. Box 909 Louisville, KY 40201-0909 Shift: First Shift (United States of America) Job Description Summary: About UofL Health: UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members-physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals-UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day. Job Description Position Summary and Purpose: The Coder II is responsible for abstracting and assigning valid CPT, ICD-10, HCPCs and modifiers to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance...

Job Description Job Description Certified Medical Biller and Coder:  Nephrology and Hypertension Specialists P.A. is seeking for the right individual with a positive attitude to join our growing practice. Qualifying candidate must be able to resolve billing issues, rejections, denials, and appeals. Works with Medicaid and any other governmental or commercial insurance carriers to resolve claim errors and responds to billing questions from internal and external sources. Reviews billing charges and other data for accuracy and potential reimbursement enhancement. Run, review, and summarize reports for billing and reimbursement. Remain up to date on billing guidelines. Works collaboratively with clinical and health information systems staff as well as with Projects & Business Technology staff regarding billing revisions in the electronic billing system. Works as part of a cross-functional team to ensure all services provided are billed in a timely and accurate manner. Handles...

Something Special Starts Here You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full with joy, purpose and lifelong health it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health. You'll find everything you're looking for at LMH Health: Join a team that cares about the community Tuition reimbursement to support continuing education Professional development and recognition Excellent benefits We're looking for you. Job Description I. JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the medical record. The Coder must...

Medical Coder I At ClareMedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the ClareMedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we're working together to help seniors live happier, healthier, fuller lives. That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees' growth and wellness and where their full potential and value are realized. At ClareMedica, we're excited about great people like you. We're even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities. Opportunity awaits – welcome to ClareMedica. We are seeking an accurate, detailed oriented Coder to join our team. You will play a key role in reviewing...

Summary/Objective Under limited supervision the Coder Inpatient reviews medical records and performs coding on all diagnoses, procedures, and DRG.The Coder Inpatient 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 Inpatient 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 appropriate codes. Abstracts...

Certified Coder - Stony Brook Children's Service, UFPC Location: St. James, NY Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM; At the Manager's discretion, this role may be eligible for remote work (after 90 days) Pay: $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities Summary: This incumbent is responsible for reviewing and analyzing physicians'...

Coding Auditor AllCare Health | Quality Department | Grants Pass, Oregon Summary of the Position The Coding Auditor is responsible for developing, implementing, and maintaining auditing practices related to medical record coding and documentation to support accurate and complete risk adjustment outcomes for Medicare members. This position reviews medical records and coding for accuracy and compliance with Centers for Medicare & Medicaid Services (CMS) Risk Adjustment Data Validation (RADV) requirements, identifies coding and documentation trends, and works collaboratively with providers and internal teams to improve documentation, coding accuracy, and risk adjustment outcomes. Essential Duties Ensures the accuracy and correlation of diagnosis codes, dates of service, medical record documentation, and other information used to support risk adjustment. Identifies, analyzes, and communicates trends related to coding accuracy and documentation quality. Develops...

Job Details Job Location: RIVER FALLS , WI 54022Position Type: Full TimeWork Where You Matter! At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter. Health Information Manager-Scheduler Position Overview The Health Information Manager (HIM)Scheduler serves as an office manager building culture and community within the branch and keeping things running smoothly to support patients, their families and the clinical care team in the field. HIM has primary responsibility and accountability for scheduling staff, maintaining patient records, managing supply inventory, answering the branch phone, planning team meetings and events, and other related clerical duties. Essential Functions and Skills Scheduling and...

Job TitleCoder IILocationAvera Downtown Building-Sioux FallsWorker TypeRegularWork ShiftDay Shift (United States of America)Pay Range$24.00 - $35.00Position HighlightsYou Belong at AveraBe part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.What You Will DoReview all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM, CPT, and HCPCS diagnosis and procedure codes for assigned patient charts across Avera's facilities. Understands ICD-10-CM, CPT and HCPC codes in depth, and be willing to update that knowledge through research or other educational opportunities.The Coder II focuses on determining the appropriate APC/EAPC and/or medical coding for a variety of outpatient patient types including but not limited to, ER, ancillaries, imaging, lab, PT, OT, SP and/or dialysis in the outpatient service line.Be willing on occasion to serve as a subject...

Job Summary The Coder I position is responsible for accurate coding, abstracting, claims filing, documentation review, and claims denial processing working from the appropriate documentation in the medical record. The coder must stay up to date on code changes and coding guidelines to assure quality and code compliance is met at all times. The coder also has additional combined responsibilities of data quality and insurance representative functions working closely with other members of the HIMS department. Essential Job Responsibilities Reviews inpatient and outpatient medical records to identify the principal diagnosis and all applicable secondary diagnoses and procedures. Uses the computerized encoding system to facilitate accurate coding according to the appropriate classification system. Sequences diagnoses and procedures by following ICD‑10‑CM, ICD‑10‑PCS, CPT/HCPCS, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines. Will be cross‑trained to assist with...

*Description* The ideal candidate for this role will have experience in Healthcare Accounts Receivable (AR) and collections, as well as proficiency in Epic. This individual will be responsible for performing advanced coding and appeals activities, investigating payer issues, ensuring the timely filing of appeals to insurance companies, and managing charge corrections. The successful candidate will demonstrate strong analytical skills, attention to detail, and the ability to resolve complex reimbursement issues effectively. REQUIRED: Certification as a Certified Procedural Coder (CPC) required or RHIT/RHIA certification. * Responsible for appealing claims denied by third-party payers. Creates appropriate letters and compiles documentation to substantiate the validity of claims. * Investigates and problem solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with physicians and other clinical staff as needed to provide documentation...

Overview Under general supervision, a Certified Professional Coder is responsible for correctly coding professional healthcare claims in order to obtain reimbursement from private insurance companies and government healthcare programs. This is NOT a remote position. Responsibilities May include any and/or all of the following: Accurately enter patient information into LifeLinc's billing software. Verify patient insurance is valid and active. Organize files and collect data to be entered. Analyze and verify data for errors. Report problems with data received or missing data. Follow-up on data that has not been received. Keep sensitive patient and company information confidential. Appropriately compose and type routine correspondence, memos, letters, etc. Performs other duties as assigned. Qualifications EDUCATION and/or EXPERIENCE High school diploma or general education degree (GED) is required Minimum of 1-year related experience,...