9184 cpc certified professional coder jobs found

Certified Professional Coder (CPC) Lead/Provider Liaison A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. This is Contract position with my direct client Job Description Direct Client Need- Immediate Interviews- We have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJ Duration: Contract to Hire Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational...

Certified Professional Coder (CPC) Lead/Provider Liaison A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. This is Contract position with my direct client Job Description Direct Client Need- Immediate Interviews- We have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJ Duration: Contract to Hire Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational...

Work Shift Multiple shifts available Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full-time, permanent position (40 hours) Location: This position is remote for candidates that live in the following states: With travel to Virginia Beach 1x a year. Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products. Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits. Contribute to the review of reimbursement systems relating to health insurance claims processing and ensures adherence to policies and procedures for its various product offerings. Triage and prioritize leads/member complaints from internal sources. Assist in...

Job Summary: The Certified Professional Coder (CPC) is responsible for accurate review, abstraction, coding, and charge validation of professional and facility services for a large multi-site pain management practice and Ambulatory Surgery Center (ASC). This position ensures all services are coded in compliance with federal and state regulations, payer guidelines, National Correct Coding Initiative (NCCI) edits, and organizational policies. The CPC will review provider documentation to accurately assign CPT®, HCPCS, and ICD-10-CM codes for office visits, interventional pain procedures, ASC procedures, fluoroscopy, ultrasound guidance, and related ancillary services. The coder serves as a resource for physicians, advanced practice providers, clinical staff, and revenue cycle teams regarding documentation and coding requirements. Essential Functions: Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Coding &...

Work Shift Multiple shifts available Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full-time, permanent position (40 hours) Location: This position is remote for candidates that live in the following states: With travel to Virginia Beach 1x a year. Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products. Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits. Contribute to the review of reimbursement systems relating to health insurance claims processing and ensures adherence to policies and procedures for its various product offerings. Triage and prioritize leads/member complaints from internal sources. Assist in the...

Work Shift Multiple shifts available Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full-time, permanent position (40 hours) Location: This position is remote for candidates that live in the following states: With travel to Virginia Beach 1x a year. Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products. Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits. Contribute to the review of reimbursement systems relating to health insurance claims processing and ensures adherence to policies and procedures for its various product offerings. Triage and prioritize leads/member complaints from internal sources. Assist in the...

OnPoint Medical Group in Colorado is seeking a Certified Professional Coder (CPC) to join our growing practice. This full-time role requires onsite training in Highlands Ranch, CO, with potential to work remotely once training is complete for Colorado residents. You will translate medical diagnoses and procedures into ICD-10-CM, CPT, and HCPCS codes, ensure compliant billing, and collaborate with clinicians to resolve documentation gaps. AAPC CPC credential is required. #J-18808-Ljbffr

City/State Norfolk, VA Work Shift Multiple shifts available Overview: Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full-time, permanent position (40 hours) Work hours:8am to 5pm EST, M-F Location: This position is remote for candidates that live in the following states:VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year. Job Responsibilities Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products. Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits. Contribute to the review of reimbursement systems relating to health insurance...

Our Mission: Hospital-Quality Care, Everywhere. The healthcare industry still relies on faxes and phone tags to coordinate critical care for patients at home. We think patients and the clinicians who serve them deserve better than a system stuck in 1995. Verse Medical is building the modern software infrastructure to make it happen. We're a well-funded Series C company (backed by General Catalyst, SignalFire, and Sapphire Ventures) on a mission to heal a fragmented system. Our platform connects the dots between providers, payors, and patients, ensuring people get the high-quality care they need, reliably and right where they live. We’re growing fast and looking for people who are driven by this mission to join us! Our Values: The Principles That Guide Us Our values are the operating system for how we work together and with our partners. They aren't just words on a wall; they are the principles we bring to every decision, every day. We are transparent, upfront and direct. We operate...

Certified Professional Coder (CPC), DME This isn't just a job; it's a chance to build something that matters. As a Certified Professional Coder (CPC), DME, you'll be shaping the future of at-home care. You'll be a key part of the team, working to make sure every order we fill is coded and documented correctly the first time, so patients get their equipment without delay and payors have no reason to say no. Within your first year, you will have the opportunity to: Own the code set. You will be the final word on HCPCS Level II, modifier, and ICD-10-CM selection across our catalog, from CPAP and oxygen to hospital beds, enteral nutrition, mobility, and incontinence supplies. Get us audit-ready and keep us there. You will run internal chart audits, lead our responses to payor and DME MAC documentation requests, and make sure our files hold up as volume grows. Cut coding-driven denials measurably. Working with our RCM team, you will trace denials and write-offs back...

Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS)A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.Job DescriptionOne of our direct client is looking for potential candidate with the below mentioned skillsDirect Client: Immediate InterviewContract to HirePosition: Provider LiaisonMUST HAVE:5 years of experience into Project ManagementAt least 2 years of experience after CPC or CCS certificationBachelor's degree is a mustCertificationsAAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist...

Certified Professional Coder (CPC) Lead/Provider LiaisonA Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.This is Contract position with my direct clientJob DescriptionDirect Client Need- Immediate Interviews- We have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJDuration: Contract to HireJob Summary:The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for...

To ensure accurate claims processing, the full-time remote Certified Professional Coder (CPC) will review patient medical records, assign appropriate ICD-10-CM or CPT-4 codes, and apply coding guidelines while collaborating with medical staff to resolve coding issues. Key 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 Communicates questions or concerns to the Coding Manager, HIM Services Director, or Revenue Integrity Department for prompt resolution Required qualifications High School Diploma or Equivalent Required 1-3 years coding experience or formal coding education Required Certified Coding Specialist (CCS_AHIMA) or Certified Coding Associate (CCA_AHIMA) or Certified Professional Coder (CPC_AAPC) or Certified Outpatient Coding (COC_AAPC) Required

Certified Professional Coder (CPC) Lead/Provider LiaisonA Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.This is Contract position with my direct clientJob DescriptionDirect Client Need- Immediate Interviews- We have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJDuration: Contract to HireJob Summary:The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for...

Job Description Job Description Job Summary Very busy Orthopaedic Specialty practice seeking a full-time detail-oriented and highly organized Medical Coder/Charge Entry Clerk to join our team. This is not a remote position . Responsibilities to include but not limited to: Entry of all office based charges Review documentation and extract all applicable CPT, ICD-10, HCPS codes Knowledge of modifiers and correct coding guidelines Ensure all codes are accurate, active and billable Requesting addendums to documentation if necessary Assist office staff with billing/coding questions Compliance with all governmental and regulatory agencies Self-Pay collections process Knowledge of appeal process Payment Entry and balancing of daily payments/charges Position requires a Certified Medical Coder or minimum of 2 years prior medical charge entry and claims follow up experience. Hourly rate will be determined by current certifications and/or previous years charge entry...

Logan Health is seeking an experienced Certified Professional Coder to join a remote coding team. The role involves assigning ICD-10-CM and CPT-4 codes for outpatient records, abstracting data for reporting and reimbursement, and handling billing for client databases. The ideal candidate has at least one year of coding experience and a recognized coding certificate. Eligible states list includes Montana, among others, with a day shift schedule and full-time hours. #J-18808-Ljbffr

Logan Health is seeking an experienced Certified Professional Coder to join a remote coding team. The role involves assigning ICD-10-CM and CPT-4 codes for outpatient records, abstracting data for reporting and reimbursement, and handling billing for client databases. The ideal candidate has at least one year of coding experience and a recognized coding certificate. Eligible states list includes Montana, among others, with a day shift schedule and full-time hours. #J-18808-Ljbffr

City/State Norfolk, VA Work Shift Multiple shifts available Overview:Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status:Full-time, permanent position (40 hours) Work hours:8am to 5pm EST, M-F Location:This position is remote for candidates that live in the following states:VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year.Job Responsibilities:Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products.Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits.Contribute to the review of reimbursement systems relating to health insurance claims...

Acentus is excited to announce an opening for the position of Certified Professional Coder Apprentice (CPC-A) on our team! In this role, you will play a crucial part in ensuring our professional medical billing and coding processes run smoothly, making a significant impact on our ability to help provide exceptional care to patients. We are looking for a friendly and organized individual who is passionate about medical billing and coding and eager to contribute to a supportive environment. The CPC-A position offers entry-level medical coding professionals real-world coding experience through participation in the Acentus structured coding training program. This program provides hands-on experience to help satisfy AAPC requirements for removing the apprenticeship designation from your CPC-A credential. Please note that this is not a fully remote position and does require employees to physically report to our office in Mt. Laurel, NJ. A semi-remote schedule is available after...

City / State Norfolk, VA Work Shift First (Days) Overview :Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator / Certified Professional Coder (CPC) Remote! Status :Full-time, permanent position (40 hours) Work hours :8am to 5pm EST, M-F Location :This position is remote for candidates that live in the following states :VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year.Job Responsibilities :Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products.Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits.Contribute to the review of reimbursement systems relating to health insurance claims...