101 experienced professional coder jobs found

Job Description Job Description Join Our Team as a Medical Billing Specialist! Are you an experienced Medical Billing Specialist looking to make an impact in the healthcare industry? At Bridge 2 Success Group Home, located in High Point, NC, we’re dedicated to providing exceptional services, and we’re seeking a detail-oriented professional to join our team. If you have a passion for accuracy and efficiency in medical billing, we’d love to hear from you! What You’ll Do As a Medical Billing Specialist, you’ll play a vital role in ensuring the smooth operation of our billing processes. Your responsibilities will include: Submitting medical and behavioral health claims electronically using standard ICD-10 and CPT coding. Resolving claim denials, submitting appeals, and following up on outstanding balances. Verifying insurance eligibility, copays, and prior authorizations. Monitoring accounts receivable and addressing billing rejections. Ensuring compliance with NC Medicaid and...

Liberty Healthcare Management in Wilmington, NC seeks an experienced Risk Adjustment Coder to abstract medical records for ICD-10-CM coding with high accuracy. Responsibilities include identifying chart level impairments, developing chart review processes, and advising leadership on process improvements. Must stay current with ICD-10-CM codes and CMS requirements; remote work available. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

REMOTE OUTPATIENT - Wound Care CODERS NEEDED!!! NATIONWIDE WORK FROM HOME Call David at 513-206-9881 or send resumes to dlutz@acuitymri.com Full Job Description Responsible for final coding of outpatient account types for GI, Pain Clinic, Radiation Oncology, Wounds, Outpatient Specialty single and series accounts, and infusion coding. This position is responsible for accurately assigning and sequencing diagnosis codes using ICD-10-CM in accordance with advice from Coding Clinic and ICD-10-CM Official Coding Guidelines. This position is accountable for utilizing 3M coding products including encoder and groupers for Medicare reimbursement and other third‑party payors, and for internal Advocate business and quality purposes. This position is accountable for accurate abstracting of selected clinical and non‑clinical information to create a comprehensive database of information for billing purposes, internal data management, and external reporting of data. Codes diagnoses utilizing...

Job Description Job Description Job Summary: Envision Pain Management is seeking a detail-oriented and experienced Medical Billing and Coder to join our dedicated team. As a Medical Billing and Coder, you will play a critical role in ensuring accurate coding, timely billing, efficient collections, and overall seamless financial operations across our clinics. Join us in delivering next level care and support to our patients and team members! Responsibilities Verify appropriate ICD, CPT, and HCPCS codes according to Clinicians documentation. Posting of ancillary charges. Manage and process medical claims, including preparing and submitting claims to insurance companies. Follows-up with insurance companies & worker's comp to ensure claims are paid/processed timely. Reports on any trends or possible discrepancies that may cause claims not to be adjudicated correctly. Investigate and resolve any billing discrepancies or insurance-related issues, working...

Job Description Job Description Job Summary: Envision Pain Management is seeking a detail-oriented and experienced Medical Billing and Coder to join our dedicated team. As a Medical Billing and Coder, you will play a critical role in ensuring accurate coding, timely billing, efficient collections, and overall seamless financial operations across our clinics. Join us in delivering next level care and support to our patients and team members! Responsibilities Verify appropriate ICD, CPT, and HCPCS codes according to Clinicians documentation. Posting of ancillary charges. Manage and process medical claims, including preparing and submitting claims to insurance companies. Follows-up with insurance companies & worker's comp to ensure claims are paid/processed timely. Reports on any trends or possible discrepancies that may cause claims not to be adjudicated correctly. Investigate and resolve any billing discrepancies or insurance-related issues, working...

Department: 60946 Wake Forest Baptist Medical Center - Lab: Pathology Billing Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Will support: Anatomical Pathology, including HLA and Medical Genetics and Molecular Laboratory Schedule: Full-time remote, first shift, Monday - Friday. No weekends or holidays. Certification required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote opportunity: Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. (State of ILLINOIS not permitted for this opportunity). Pay Range: $26.55 - $39.85 Responsible for timely and accurate...

Responsible for timely and accurate coding of hospital based professional services (outpatient hospital or inpatient hospital; single services or complete inpatient stays) by reading and/or reviewing medical record documentation to assign and sequence diagnoses and procedure codes according to coding guidelines, and enter into the electronic system: a. Appropriate diagnoses codes, professional service codes and modifiers and/or facility service/ charge codes. b. Assign and record appropriate modifiers (i.e., GC, NO or NDU) as appropriate based on Teaching Physician rules. Maintains a current knowledge of ICD diagnosis codes, CPT physician service codes, internal codes (for unlisted or unusual CPT codes), and governmental (Medicare, Medicaid, TriCare), commercial and managed care regulations by reading relevant professional literature and by attending workshops and lectures. Accrues sufficient continuing education hours to maintain national coding certification....

REMOTE OUTPATIENT / Behavioral Health CODERS NEEDED!!! ---NATIONWIDE WORK FROM HOME Call David at 513-206-9881 and/or send resumes to: dlutz@acuitymri.com Responsible for assigning diagnosis codes and CPT codes for Office Visits, including consisting of and not limited to: epilepsy, neuro, psycho cancer, women’s wellness, transplant, and behavioral health. Responsible for reviewing all documentation in the patient record to identify all relevant diagnoses and procedures for coding accuracy. Codes diagnoses and procedures utilizing the 3M360 encoding system and has knowledge in EPIC Chart Production. Selects and assigns codes for the appropriate first listed and all additional diagnoses according to Outpatient Coding guidelines with the official ICD-10-CM coding and reporting guidelines. Assists in ensuring coding compliance with federal, state, and other regulatory agencies, research cases, government payors and other selected third-party payors. Locates and utilizes the...

Medical Biller/Coder Location:Concord, NC (On-site)Job Type:Full-Time About Walkers Group Home Walkers Group Home provides residential and community-based services for individuals with behavioral health needs.Our mission is to deliver compassionate, person-centered care while maintaining the highest standards of quality, compliance, and financial integrity.We are currently seeking a detail-oriented and organized Medical Biller/Coder to join our administrative team.This role is essential to maintaining the financial health of our organization while ensuring the delivery of efficient, compliant, and ethical healthcare billing practices.Job Summary The Medical Biller/Coder is responsible for managing the billing process for medical and behavioral health services, ensuring accurate coding and timely submission of claims to Medicaid, Medicare, and private insurance payers.The ideal candidate will have a strong understanding of medical coding systems, attention to detail, and the ability...

Brynn Marr Hospital in Jacksonville, NC seeks a Coder PRN to accurately code discharged patient records using ICD codes, maintain databases, and support health information management. The role requires attention to detail, confidentiality, and adherence to policies. RHIA/RHIT preferred with CCA/CCS/CPC credentials; one year of relevant experience is preferred. Full benefits accompany this opportunity within UHS. #J-18808-Ljbffr

Position is for: Physician Based Coding Must live in NC and be NC resident Job Summary The Certified Coder will provide coding and abstracting services necessary for compilation of accurate medical information/administrative statistical reports. This position will be responsible for applying guidelines for appropriate accurate fiscal reimbursement and complying with Federal Regulatory, Intermediary, PRO, and other reviewing organizational requirements. Physicians Update CarolinaEast Physicians is made up of over 150 physicians and mid-level providers who provide care to patients spanning four eastern North Carolina counties. We have specialties including Primary Care, Pediatrics, Rheumatology, Cardiology, Pulmonology, Neurology, Podiatry, Endocrinology, Cardiovascular Surgery, Otolaryngology, General Surgery, Oncology, Urology, Physical Medicine and Rehab, Orthopedics, Psychiatry, and Gastroenterology. About CarolinaEast Health System CarolinaEast Health System is committed to...

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our community's health and wellbeing....

Medical Coding Specialist Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina. Essential Functions Post medical charges into NextGen software in a timely manner to meet daily and monthly goals. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information and assigns codes for reimbursements Ability to navigate around CPT, ICD-10, and HCPCS. Work with providers to correct the diagnosis or procedure codes so that the claim can be processed. Identify coding or billing...

Job TitleJob DescriptionWhat We OfferHybrid work opportunity.Comprehensive benefits include medical, dental, vision, life insurance, and generous PTO.Retirement fund with matching contributions.Tuition assistance for qualifying team members.Reimbursement for AAPC or AHIMA membership fee.What You'll DoSchedule: Monday – Friday, daytime hours.Perform monthly on-site visits to your assigned clinics.Review and code work queues assigned by applying coding principles for correct coding including sequencing.Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor for timely responses.Provide provider education and regular feedback on ICD-10 and correct coding issues.Evaluate and identify front-end and back-end error trends for training needs and bring them to the attention of the coding manager.Communicate and participate in departmental meetings and initiatives involving coding and the revenue cycle enhancement process.Demonstrate a...

Join First Choice Community Health CentersNestled in the heart of North Carolina, Harnett County offers a unique blend of small-town charm and convenient access to big-city amenities. Located less than an hour from both Raleigh and Fayetteville, residents enjoy the tranquility of rural living with the benefit of nearby urban excitement. At First Choice, we're proud to offer employment opportunities in this beautiful area, giving you the chance to work in a close-knit community while staying connected to the vibrant Triangle region. With a perfect balance of peaceful + affordable living and easy access to cultural and career opportunities, Harnett County is an ideal place to call home.Position SummaryThe Medical Billing Specialist will be responsible for billing and collections for Medicare, Medicaid, Insurance, and Self Pay patients for all Medical and Dental clinics. Responsibilities of individual Billing Specialist will vary depending on assignment of responsibilities given by...

Job TitleJob DescriptionWhat We OfferHybrid work opportunity.Comprehensive benefits include medical, dental, vision, life insurance, and generous PTO.Retirement fund with matching contributions.Tuition assistance for qualifying team members.What You'll DoSchedule: Monday – Friday, daytime hours.Perform monthly on-site visits to assigned clinics in the Charlotte or Winston-Salem, NC areas.Review and code work queues assigned by applying coding principles for correct coding including sequencing.Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor for timely responses.Provide provider education and regular feedback on ICD-10 and correct coding issues.Evaluate and identify front-end and back-end error trends for training needs and bring them to the attention of the coding manager.Communicate and participate in departmental meetings and initiatives involving coding and the revenue cycle enhancement process.Demonstrate a comprehensive...

A healthcare organization in Greensboro, NC, is seeking a Coder Credentialed who accurately codes and abstracts medical information. This role requires a High School Diploma and at least 3 years of experience in medical coding. Candidates must hold relevant certification from AHIMA or AAPC. Responsibilities include timely completion of patient accounts, monitoring uncoded accounts, and interaction with clinical staff to enhance documentation accuracy. This position ensures regulatory compliance and optimal revenue cycle performance. #J-18808-Ljbffr

Coder Credentialed The Coder Credentialed accurately codes and abstracts medical information for billing and statistical purposes, and entering the information into a computerized database. Working independently under general supervision, this role ensures timely coding and completion of patient accounts to meet established department standards and/or goals. Essential Job Functions Maintains timely coding and completion of patient accounts to meet established department and regulatory standards and goals. Maintains accuracy in accordance with department and regulatory standards. Monitors uncoded accounts and performing other workflow processes to ensure optimal revenue cycle performance. Interacts with clinical staff and providers to improve documentation in order to accurately reflect severity of illness and appropriately support medical necessity and claims submission. Completes all mandated education prior to deadline. Collaborates with other team members to...

JOB SUMMARY The Dental Coding Specialist is responsible for accurately reviewing, assigning, and validating dental procedure codes (CDT codes) for patient services to ensure proper billing, insurance claim submission, and regulatory compliance. This role works closely with dental providers, billing teams, and insurance companies to maximize reimbursement and maintain accurate patient records. SPECIFIC RESPONSIBILITIES Review dental records and documentation for coding accuracy with high attention to detail Assign appropriate CDT and related codes for dental procedures and diagnoses. Audit and submit insurance dental claims. Resolve claim denials, coding discrepancies, and reimbursement issues. Ensure compliance with dental coding guidelines, payer rules and regulations. Maintain accurate patient billing and coding records. Communicate with providers, staff, and insurance carriers regarding coding questions. Stay current on coding updates, regulations, and industry best...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina,Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia,...

Overview At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. OCC Summary The Medical Records Coder II is a certified Coder. Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia,...

Revenue Cycle Support SpecialistAt Applied Medical Systems (AMS), we've spent over 45 years helping healthcare providers thrive through expert medical billing, coding, and practice management. We're looking for a Revenue Cycle Support Specialist who thrives in complexity, works well independently, and is driven to find solutions—not wait for them.What You'll DoResponsible for accurately correcting coding related edits and for billing in Epic.Responsible for abstracting operative reports in 3M and/or Epic.Ensure timely completion of patient accounts to meet established department standards and/or goals.Maintains 95% accuracy or greater in accordance with department standards.Advanced knowledge of medical coding rules and regulations to include, but not limited to, compliance, payer policy, CMS regulation and CCIAttends meetings as required.Is respectful and courteous to all people, including coworkers and clients.Able to work independently as the job is remote.Excellent written and...