49 document coder jobs found

Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family. About the role: The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing effective Risk Adjustment processes. You will report into the Manager, Risk Adjustment. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be...

Medical Coder/Biller - Pediatric Specialist (Part-Time) We are a healthcare technology company focused on revolutionizing primary care billing through AI innovation. We operate a pediatric clinic in Florida and are building cutting‑edge solutions to streamline medical billing processes. Position Overview We're seeking an experienced Medical Coder/Biller with strong pediatric billing expertise to join our team part‑time. This is a unique hybrid role where you'll provide immediate billing support for our pediatric clinic while contributing your expertise to help us develop an AI‑powered billing system for primary care practices. Location: Florida (Remote/Hybrid options available) Schedule: Part‑time, approximately 20 hours per week Compensation: $25–40 per hour, depending on experience Primary Responsibilities Immediate Billing Operations (60–70% of role) Process and submit claims for pediatric services with high accuracy Code pediatric encounters using CPT, ICD‑10, and...

You’ll become part of the “PPC family”. We are always looking for the best talent to join our team. We know that skilled employees are critical to our success and to our commitment to deliver outstanding quality care. Compassion, Respect, Friendliness, Teamwork and Excellence are not just words, but what we are committed to delivering each and every day. We are seeking individuals who share our passion for excellence. We have offices in Fort Myers, Cape Coral, Estero and Lehigh Acres with opportunities in both clinical and non-clinical positions. If you desire to become part of our team, please apply online for consideration. Position: Certified Medical Coder Location: Fort Myers, FL Job Id: 2428 # of Openings: 1 Physicians’ Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh Acres. We are currently seeking an in-house HCC Risk Adjustment Coder for our Compliance and...

Coder IP | Health Information and Record Management | Full Time | Day Shift UF Health Central Florida – Leesburg, FL Overview The Coder InPatient is responsible for evaluating and assigning the appropriate ICD-9, ICD-10, CPT-4, and HCPCS codes, and abstracting pertinent clinical information for bill preparation. This includes work for Inpatient, Rehabilitation, and select Coder II functions as outlined in the Coding Policy and Procedure Manual. Responsibilities Evaluate patient records and assign accurate ICD-9, ICD-10, CPT-4, and HCPCS codes. Abstract and document pertinent clinical information to support accurate billing. Perform selected Coder II functions in accordance with the Coding Policy and Procedure Manual. Research and resolve coding and billing issues as they arise. Analyze medical records for completeness, consistency, and compliance with all regulatory requirements. Qualifications Post high school special training required. Credentials or equivalent through...

Physicians' Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh Acres. We are currently seeking an in-house HCC Risk Adjustment Coder for our Compliance and Coding department located in Fort Myers. This is not a remote coding position, must reside in Lee County Florida . Schedule is Monday through Friday, Day Shift. Are you a coding enthusiast who enjoys solving documentation puzzles and ensuring medical services are accurately translated into codes? Our medical practice is looking for a Certified Medical Coder whom is detailed- oriented , organized and passionate about compliance and accuracy. In this role, you will help bridge the gap between clinical care and reimbursement by ensuring medical records are coded correctly and claims are submitted cleanly. Sample of Responsibilities: Review provider documentation and assign accurate ICD-10 CM , CPT and HCPCS...

Coder I - Billing & Audit - FT - Days - MSS - Hybrid Eligible 2 days ago Be among the first 25 applicants Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Reviews medical record documentation to determine...

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...

Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7:30 AM to 4 PM (Remote but open to applicants who reside in the state of Florida) Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine. Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do. Summary HIM Outpatient Coder 2 is responsible...

POSITION: Remote Professional Fee Surgical Coder - Ophthalmology DEPARTMENT: Health Information Management START: ASAP LOCATION: Remote JOB DESCRIPTION: This is a Profee Surgical coding position with a focus on Ophthalmology. Candidates must have experience coding all things Ophthalmology from complex surgery, eye correction, cancer removal, etc. Ideally, this person would also have ancillary experience in diagnostic radiology, interventional radiology, and radiation oncology. The candidate must have surgical coding experience for a Level 1 trauma center and E/M. Under indirect supervision, the coder is responsible for the accurate coding of Ophthalmology encounters for a University Health System. This includes outpatient visit procedures, diagnoses, and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS), and other specialty systems as required by diagnostic...

Medical Billing Specialist—Behavioral Health – Exact Billing Solutions (EBS)  Lauderdale Lakes, FL Who We Are  Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.  EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations.  Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and...

Clinical Technical Supervisor The Clinical Technical Supervisor is responsible for the technical and scientific oversight of the laboratory's daily operations to ensure accurate, reliable, and timely patient test results in accordance with COLA, CLIA, and all applicable federal and state regulations. This position provides direct supervision of testing personnel, ensures compliance with quality assurance and quality control policies, and supports the laboratory's mission to deliver high-quality, patient-centered diagnostic services. The supervisor will also perform occasional bench work as needed or when short-staffed. Essential Duties and Responsibilities Technical Oversight & Quality Assurance Provide day-to-day technical supervision of all laboratory testing in compliance with COLA and CLIA requirements. Ensure that testing systems are properly functioning and providing accurate and timely results. Oversee verification, calibration, and maintenance of laboratory...

Medical Billing Specialist-Behavioral Health - Exact Billing Solutions (EBS) Lauderdale Lakes, FL Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies. EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations. Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and...

Medical Billing Specialist—Behavioral Health – Exact Billing Solutions (EBS)  Lauderdale Lakes, FL Who We Are  Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.  EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations.  Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and...

Overview FTE: 1.0 Hours: Monday - Friday, 8:00 AM - 5:00 PM Location: Remote (eligible only within FL, GA, MO, PA, SC, TN, and TX) Position Summary This role is responsible for reviewing, analyzing, and assigning final diagnoses and procedures as documented by the practicing provider, following all compliance policies and guidelines. The position ensures accurate coding of office and hospital procedures to guarantee proper reimbursement. Key Responsibilities Providing physician education to ensure proper completion of Electronic Health Records (EHR). Ensuring correct assignment of ICD-10-CM, HCPCS, and CPT codes. Delivering education verbally, in writing, and through hands‑on training as needed. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interact with providers to provide feedback and education using verbal, written, and hands‑on communication methods. Assign and sequence appropriate codes and...

Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Remote WI Location: Remote, WI Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $21.50 - $34.50 Job Summary Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and PCS diagnostic and procedural codes used for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring. Using professional coding training, critical thinking, and clinical acumen, accurately assigns ICD-10-CM and ICD-10-PCS codes to conditions and procedures documented within the inpatient electronic medical record. Applies Official Coding Guidelines,...

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world‑class health care in America’s heartland. Facility: Remote WI Location: Remote, WI Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $19.00 - $30.50 Department Details Our Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures. The position requires strong problem‑solving skills, effective communication with medical professionals to improve documentation accuracy and the ability to work independently. We offer flexible hours and the ability to work remotely. Pay starts at $19.00/hr with additional credit given for work experience relative to this role. Job Summary Serve as a resource for providers in understanding covered indications and the...

Certified Medical Coder CCC is seeking a self-motivated Certified Medical Coder, who is detail oriented. The Certified Medical Coder is responsible for accurate selection of ICD-10, CPT, modifier(s) and HCPCS codes, based on the medical record documentation for office, outpatient, and inpatient medical services. This is a high-volume position. What You Will Be Doing: Reviews clinical documentation to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes for coding and billing. Accurately codes conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA. Reviews provider medical records to identify opportunities for improvement in coding and documentation. Works closely with the A/R Denial Team to review coding related denials from payers and recommend the appropriate action to resolve claims issues. Assists with coding...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and...

Job Description Job Description Medical Billing Specialist—Behavioral Health – Exact Billing Solutions (EBS) Lauderdale Lakes, FL Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies. EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations. Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational...

St. Johns County residents enjoy a healthy quality of life with many perks including one of the top rated public school systems in the State of Florida, miles of beach shoreline, peaceful estuary scenery of the St. Johns River, long established agriculture and equestrian scene, and the nation’s oldest city, historic St. Augustine. In 2019 St. Johns County was ranked the 10th fastest growing county in the United States showcasing that there is truly something for everyone in St. Johns County!  St. Johns County Board of County Commissioners is seeking an EMS Billing Technician for our well-established Fire Rescue Department whose headquarters are located in beautiful St. Augustine, Florida The St. Johns County Fire Rescue Administrative Division is responsible for the support of the operations and management of Fire Rescue Budgets, Finance, Policy Management, EMS Billing and Project Management. Employees work in a team-oriented environment in a variety of situations with...

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...

Sage Clinical RCM, LLC is seeking an experienced Outpatient Coding Auditor with a strong background in surgical coding. This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements. The ideal candidate has hands‑on experience auditing complex outpatient surgical cases and providing clear, constructive feedback to coding staff. Key Responsibilities Perform audits of outpatient surgical encounters, including operative reports and related documentation Validate accurate assignment of CPT, ICD‑10‑CM, modifiers, and applicable APCs Ensure compliance with CMS, payer, and official coding guidelines Identify trends, risks, and educational opportunities based on audit findings Provide written audit feedback and coding education to support quality improvement Collaborate with coding leadership and quality teams to address identified issues Maintain...

Job Description Job Description Description: Sage Clinical RCM, LLC is seeking an experienced Outpatient Coding Auditor with a strong background in surgical coding. This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements. The ideal candidate has hands-on experience auditing complex outpatient surgical cases and providing clear, constructive feedback to coding staff. Key Responsibilities Perform audits of outpatient surgical encounters, including operative reports and related documentation Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs Ensure compliance with CMS, payer, and official coding guidelines Identify trends, risks, and educational opportunities based on audit findings Provide written audit feedback and coding education to support quality improvement Collaborate with coding leadership and...

Summary This position is located in the Health Information Management (HIM) section of the Business Office at the North Florida/South Georgia VA Healthcare System. MRTs (Coders) classify medical data from patient health records in hospital and physician‑based settings, including physician offices, group practices, multispecialty clinics, and specialty centers. The role may be performed remotely per the duties section. Qualifications Applicants pending completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. United States Citizenship; non‑citizens only if no qualified citizens are available. English Language Proficiency. One year of credible experience in medical terminology, anatomy, physiology, pathophysiology, medical coding, and health record structure. OR an associate’s degree with a health information technology major or related major with at least 12 semester hours in...