138 medical coder 1 jobs found

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Job Description Your experience matters Canyon Vista Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Coder I joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. NOTE: This is an on-site role and is not open for remote work. How you'll contribute A Coder I who excels in this role: Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

This is a remote based position. Applicants can be located nationwide Back Medical Coder - Surgery/Anesthesia #2889 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and...

Specialist - Concurrent Coding / Inpatient Coder Full-time Company Description Accounting and Finance/Healthcare Job Description Specialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258 Exp 2-5 Degree Associates Job Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as technical...

Quality Assurance Coder/Auditor The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and audience for provider education. The Quality Assurance Coder/Auditor will perform medical record reviews...

Are you a detail-oriented Certified Medical Coder who takes pride in accuracy and contributing to quality patient care? We#re looking for someone just like you to join our growing healthcare family at Valleywise Health.As a key member of our team, you#ll play a vital role in ensuring that patient services are accurately coded and reimbursed, helping our clinical teams continue to deliver excellent care.You#ll be surrounded by a supportive team, gain access to ongoing professional development, and have a direct impact on our hospital#s mission to serve the community with compassion and integrity.If you#re a certified medical coder who values accuracy, efficiency, and being part of a healthcare team that truly makes a difference - we want to hear from you! Why You#ll Love Working With Us :# Meaningful Impact :We value you! Accurate medical coding is more than just numbers - it#s about ensuring the integrity of patient care, supporting proper reimbursement, and safeguarding the...

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job...

Fully Remote Lake Park Building Full time R180631 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Job Description Job Description Job Title: Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets. No prior AI experience is required—your coding expertise and attention to detail are what matter most. Key Responsibilities Review and annotate medical records to accurately assign ICD-10 and CPT codes based on clinical documentation. Apply Evaluation & Management (E&M) guidelines to assess coding levels and validate healthcare datasets. Ensure compliance with current medical coding standards and guidelines. Analyze clinical documentation and identify coding-related ambiguities or inconsistencies. Provide...

Job Description Job Description Job Summary GeriPro Inc. is a Long Term Care billing service located in Phoenix, AZ 85022, specializing in Part B reimbursement primarily for Medicare and Medicare Advantage Plans. Full training is provided. This is a full-time, Monday-Friday, in-office position. Job Description: Create claims for billable services according to Medicare Reimbursement Guidelines Review claims for completeness Maintain communication with management Coding up to $200,000 in insurance claims every month Preferred Requirements: Experience reviewing medical records Minimum keyboarding 50 WPM, 10-key 10,000 KPH Computer savvy with ability to move between programs and multiple spreadsheet tabs with ease Accustomed to heavy screen time Analytical thinking with attention to detail Good communication skills are essential Ability to work independently while focusing on group’s monthly objectives Potential candidates include: LTC CNA’s Medical records...

Job Description Job Description We are seeking a full-time Medical Biller/Coder to join our team in Phoenix or Peoria. The ideal candidate is detail-oriented, dependable, and thrives in a fast-paced environment. Experience with vascular and wound care billing is preferred. Position Overview Responsible for overseeing the complete medical billing process, including accurate claim preparation, submission, and follow-up to ensure timely reimbursement. This role requires strong attention to detail, proficiency in resolving claim discrepancies, and expertise in managing multiple payer requirements. Key Responsibilities Scrub and submit claims using billing software. Follow up on unpaid claims within standard billing cycles. Review EOBs for accuracy and compliance. Communicate with insurers to resolve claim or payment discrepancies. Identify and bill secondary and tertiary insurance. Audit patient bills for accuracy and completeness. Research and appeal denied...

Certified Coder-HHK-Sacaton Position Summary: Analyzes, codes, abstracts, and compiles medical records of patients to document patient condition and treatment largely for billing purposes by performing the following duties personally. Responsible for ensuring that all critical tasks are fulfilled on a timely basis. Critical Tasks: Ensures and requires that all data and information received for coding and input from providers is fully accurate, and notifies submitters if corrections are required. Accurately abstracts and codes diagnoses, treatments and procedures from health records by using appropriate classification systems, standards, and procedures. Utilizes and maintains continually updated knowledge and understanding of Current Procedural Terminology, Healthcare Common Procedure Coding, and International Statistical Classification of Diseases. Prepares fully accurate statistical reports required by legal, accrediting, licensing and regulatory authorities as well as by...

Certified Coder-HHK-SacatonPosition Summary: Analyzes, codes, abstracts, and compiles medical records of patients to document patient condition and treatment largely for billing purposes by performing the following duties personally. Responsible for ensuring that all critical tasks are fulfilled on a timely basis.Critical Tasks:Ensures and requires that all data and information received for coding and input from providers is fully accurate, and notifies submitters if corrections are required.Accurately abstracts and codes diagnoses, treatments and procedures from health records by using appropriate classification systems, standards, and procedures.Utilizes and maintains continually updated knowledge and understanding of Current Procedural Terminology, Healthcare Common Procedure Coding, and International Statistical Classification of Diseases.Prepares fully accurate statistical reports required by legal, accrediting, licensing and regulatory authorities as well as by payers.Assigns...

Job TitleNAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states:AlabamaArizonaFloridaGeorgiaIdahoIndianaKansasMichiganMissouriNorth CarolinaOhioOklahomaPennsylvaniaSouth CarolinaTennesseeTexasVirginiaResponsible for two aspects of billing, collection, credit, payments, and/or reconciliations. Billing responsibilities include manual re-bills as well as electronic submission to payers. Follow-up includes telephone calls to payers and/or patients, as well as accessing payer websites, and resolving complex accounts with minimal or no assistance necessary.Billing* Demonstrates knowledge of editing and submitting claims to insurance clearing house by electronic or paper submission.* Demonstrates knowledge of when to send a claim to the auditor or coder for corrections.* Reviews and make corrections to rejected claims and resubmits to payers.* Open...

Coder position at Dignity Health Medical Group in Phoenix, AZ translates clinical documents into standardized codes for diagnoses and procedures, ensuring accurate billing and regulatory compliance. You will collaborate with providers to clarify documentation and support timely claims processing. The role requires a HS diploma or GED, 1 year of professional fee coding experience, and CPC/CPC-HA/CPCA/CBCS certifications. #J-18808-Ljbffr

Certified OB/GYN CoderBusy OB/GYN practice in Glendale is seeking a full-time Certified OB/GYN Coder to join our team. The ideal candidate will have 2-3 years of OB/GYN coding experience, experience with Athena EHR system, excellent attention to detail and the ability to work independently.ResponsibilitiesReview and accurately code OB/GYN medical records, procedures, surgeries, and office visits using ICD-10-CM, CPT, and HCPCS codesAssign appropriate diagnosis and procedure codes for obstetric and gynecologic servicesEnsure coding compliance with federal regulations, insurance requirements, and organizational policiesMaintain productivity and quality standards while meeting billing deadlinesStay current on coding updates, payer policies, and regulatory changesCollaborate with providers, billing staff, and management to improve reimbursement and compliance processesBenefits401(k) and pension planHealth insuranceDental insuranceVision insurancePaid time offLife Insurance

Quality Assurance Coder/AuditorThe Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation.The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and audience for provider education.The Quality Assurance Coder/Auditor will perform medical record reviews and...

Certified OB/GYN Coder Busy OB/GYN practice in Glendale is seeking a full-time Certified OB/GYN Coder to join our team. The ideal candidate will have 2-3 years of OB/GYN coding experience, experience with Athena EHR system, excellent attention to detail and the ability to work independently. Responsibilities Review and accurately code OB/GYN medical records, procedures, surgeries, and office visits using ICD-10-CM, CPT, and HCPCS codes Assign appropriate diagnosis and procedure codes for obstetric and gynecologic services Ensure coding compliance with federal regulations, insurance requirements, and organizational policies Maintain productivity and quality standards while meeting billing deadlines Stay current on coding updates, payer policies, and regulatory changes Collaborate with providers, billing staff, and management to improve reimbursement and compliance processes Benefits 401(k) and pension plan Health insurance Dental insurance Vision...

Job Description Job Description Overview As a Certified Coder, you'll be responsible for the assignment of ICD-10 diagnoses and CPT procedure codes for physician professional services and ASC charges. This role is not a remote based position. Responsibilities Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis Reviews physician notes and charts for accuracy Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards Carefully reviews and corrects any charges posted by clinic staff while ensuring all services are accounted for and billed Identifies and optimizes revenue opportunities Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges - includes CPT-4 and ICD codes as well as...

Overview As a Certified Coder, you'll be responsible for the assignment of ICD-10 diagnoses and CPT procedure codes for physician professional services and ASC charges. Responsibilities Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis Reviews physician notes and charts for accuracy Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards Carefully reviews and corrects any charges posted by clinic staff while ensuring all services are accounted for and billed Identifies and optimizes revenue opportunities Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges - includes CPT-4 and ICD codes as well as modifiers Posts, produces and sends all charges for invoice vendors Adheres closely to...