26 cpc certified professional coder jobs found

Job Description Job Description Certified Professional Coder / Bill Review Expert Location: Remote- Anywhere in US Responsibilities: Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes Assign proper CPT, HCPCs codes based on the review outcome Review CPT codes for unbundled services Review billed modifiers for accuracy of use Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customers in a professional easy to understand manner Use various resources, IE: eBooks, 3M software to support reviews Participate in conference calls as needed with customers and/or attorneys Participate in virtual and in-person...

Senior Inpatient HIM Coder We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact effectively with the billing department...

Medical Coding Specialist Summary: Review, analyze, and code medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders. Project Details: Evaluate medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the visit Compile necessary documentation prior to coding review; when documentation is not available, performs the appropriate steps to obtain the...

Senior Medical Coder The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. Medical Coding Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. Review and validate coding performed by other coders to ensure consistency and accuracy. Identify ambiguous or unclear terms and query clinical sites or data management for...

Surgical Coder & Billing Specialist FT Days Englewood Health, a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jersey. We are dedicated to fostering a supportive and inclusive work environment where every team member can bring their skills, creative ideas, positive approaches, and a commitment to excellence. Join our dynamic team and contribute to our mission of transforming the lives of the patients and communities we serve. Job Summary: Billing and Coding Specialist interacts daily with internal and external clients, including surgeons, physicians and advanced practitioners; provides primary diagnosis and procedural coding for surgeries and other procedures to ensure maximum reimbursement; reconciles all surgical cases performed; focuses on physicians' chart abstraction, serving as an on-site liaison to providers for clarification of documentation...

Medical Records Technician (Coder-Inpatient), GS-08 This position is in Health Information Management Service (HIMS) within the Business Office at the VANJMC located at the East Orange campus. MRTs (Coder) 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. Duties include but are not limited to: Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the VAMC. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Selects and assigns codes from the current version of several coding systems to include...

Remote Senior Inpatient Coder Specialist Remote Senior Inpatient Coder Specialist is the coding and reimbursement expert for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex inpatient acute care discharges. This person possesses a strong foundation in coding conventions, instructions, Official Guidelines for Coding and Reporting, and Coding Clinics. Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Thoroughly reviews the provider notes within the health record and clinical documentation. Efficiently review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features. Review Discharge Planning and nursing documentation to validate and correct when necessary. Collaborate with CDI on discharges regarding the final MS or APR DRG and comorbidity diagnoses. Educates CDI on regulatory guidelines, Coding Clinics, and conventions to report appropriate...

Virtua Health Billing Specialist At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency...

Coding Specialist Code all diagnoses and procedures documented in the medical record for the current encounter. Enter all code information in the HealthQuest system for facility coding in a timely manner. Adhere to compliance regulations set by government, state, & the Cooper Health System to ensure guidelines are met. Applicant must have demonstrated proficiency in coding multiple outpatient services including, but not limited to: Observation, Multi-specialty Oncology, Same Day Surgery, Endoscopy, Emergency Department, etc. Knowledge of NCCI, OCE and LCDs mandatory HS diploma or equivalent Health Information Management / Coding / Billing One or more of the following: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA Communication Ability to communicate with patients, visitors and coworkers Sound knowledge of anatomy, physiology and medical terminology Demonstrated competency of the use...

Coder III Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiology or Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing. 3-5 years required Inpatient coding preferred High School Diploma/GED One or more of the following required: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA USD $29.00 USD $50.00

Job Details Description Position Summary: Review and code patient records for both inpatients and outpatients. Assign appropriate ICD-10-CM and ICD-10-PCS codes. Verify CPT-4 codes, DRGs, and APCs. Experience Preferred: 1-3 years acute care coding Education Preferred: Associates in Health Information Technology License and Credentials Required: RHIA, or RHIT, or CCS, or CCA Skills Required: Knowledge of anatomy and physiology, medical terminology, pathology of disease, ICD-10 CM, ICD-10-PCS, CPT-4 Bi-Weekly Hours: 80 Work Schedule: 8:30am - 5pm M-F The minimum starting rate for this position is $21.44 When determining a team members base rate, several factors may be considered as applicable (e.g., years of recent relevant experience, education, credentials, and internal equity). At Deborah, healthcare is still about caringfor patients and team members. That is why we offer an outstanding benefits package, which includes healthcare coverage for team members in regularly budgeted...

Health Information Management Service This position is in Health Information Management Service (HIMS) within the Business Office at the VANJMC located at the East Orange campus. MRTs (Coder) 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.

Position Summary The Billing Manager will oversee all aspects of the practice’s revenue cycle and accounts receivable, ensuring accuracy, timeliness, and compliance. This role requires strong knowledge of both cosmetic and insurance-based billing processes, plastic surgery coding, excellent communication skills, and the ability to work closely with patients, providers, insurance companies, and internal team members.  Knowledge and understanding of the Federal IDR process and the NSA (No Surprises Act) is required.  Interfacing with attorney firms specializing in physician advocacy litigation and the IDR process is a significant part of this role. Key Responsibilities Insurance & Authorization Management Verify eligibility and benefits Run prior authorizations for procedures and services Initiate pre-determinations as needed Update surgical insurance status forms Gather all supporting documents necessary for claims and approvals...

Join to apply for the Coder role at CarePoint Health System Continue with Google Continue with Google 2 months ago Be among the first 25 applicants Join to apply for the Coder role at CarePoint Health System About Us CarePoint Health is one of New Jersey's leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey and each year provides care to over 300,000 individuals. About Us CarePoint Health is one of New Jersey's leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and...

An established healthcare system is seeking a Remote Senior Inpatient Coder Specialist to join their team. This role focuses on the expert coding and reimbursement for complex inpatient acute care discharges, ensuring accuracy in ICD-10-CM and ICD-10-PCS coding. The ideal candidate will have a strong foundation in coding conventions and guidelines, with at least three years of inpatient coding experience. This innovative organization emphasizes patient-focused care and offers a supportive work environment where your expertise will significantly impact patient outcomes. If you are passionate about coding and looking for a flexible work-from-home opportunity, this position is perfect for you. #J-18808-Ljbffr

About Us CarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey and each year provides care to over 300,000 individuals. CarePoint prides itself on its patient-focused approach to care delivery, with an emphasis on preventative medicine, health education, and disease management. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs. What You'll Be Doing Remote Senior...

Job Type: Officer of Administration Regular/Temporary: Regular Hours Per Week: 35 Standard Work Schedule: Monday-Friday Salary Range: $66,300- $75,000 The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. Position Summary The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department. This role ensures compliance...

Professional Coder I Position Fully remote. Potential temp-perm so must be local to client location. Accountable for accurately reviewing, interpreting, auditing, coding, and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review may include inpatient...

About Us Welcome to Hudson Regional Health Technology Transforming Care Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. Together, these hospitals form a single, integrated system with a shared vision—to deliver modern, patient-first care supported by innovation. From robotic-assisted surgery and AI-powered diagnostics to real-time monitoring and precision neurosurgery, HRH is redefining what’s possible in community healthcare. Patients across the region now have access to state-of-the‑art procedures and nationally recognized specialists, all within a connected, local network designed to put care first. Our Services We focus on the care our patients need most, delivered with precision, innovation, and a commitment to excellence. Advanced Emergency Services - 24/7 emergency departments across all four hospitals Robotic-Assisted Surgery - featuring the Da Vinci XI and ExcelsiusGPS systems Neurosurgery & Spine Care...

A leading healthcare provider is seeking a Remote Senior Inpatient Coder Specialist to handle coding and reimbursement for complex inpatient discharges. This role requires at least 3 years of inpatient coding experience and credentials like RHIA, RHIT, or CCS. Candidates should have a solid understanding of ICD-10 coding and experience in reviewing clinical documentation. The position offers competitive compensation and supports professional growth along with comprehensive benefits. #J-18808-Ljbffr

Physician Billing (PB) Coding Auditor And Educator Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network. A day in the life of an Physician Billing (PB) Coding Auditor and...

Job Description Job Description ENGLEWOOD ORTHOPEDIC ASSOCIATES JOB DESCRIPTION Department: Billing Title : Medical Biller Location: Englewood Cliffs Supervision Received : Reports to Team Lead Englewood Orthopedic Associates is currently recruiting a Full-Time Medical Biller Individuals must be experienced in medical billing, and initiate & monitor prior authorizations. Candidate Qualifications and Position Responsibilities: The Medical Billing Specialist applying must have 2 or more solid years of medical billing and authorization experience. Performs ongoing prospective coding and documentation chart reviews for physician services to ensure that the coding supports the services billed. The candidate should have excellent oral and writing skills. Proven experience in insurance verification and obtaining authorizations for office and hospital procedures Preparing, reviewing, and submitting claims Researching and appealing denied claims...

Prime Healthcare - JobID: 209486 [Billing Clerk / Invoice Creator] As a Biller at Prime Healthcare, you'll: Be responsible to bill all insurance companies, workers' compensation carriers, as well as HMO/PPO carriers; Audit patient accounts to ensure procedures and charges are coded accurate and correct billing errors; Identify stop loss claims, implants and missing codes; Maintain proficiency in Medical Terminology...Hiring Immediately >>