21 medical physician coder jobs found

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payors....

REMOTE NATIONWIDE At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start  Caring. Connecting. Growing together. The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required. Hours : This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm. We offer 2-3 weeks of paid training. The...

Remote Outpatient Professional Medical Coder (CPC or equivalent) VA Northeast Ohio Healthcare System | Full-time W-2 | U.S. only Certified outpatient / professional-fee coder needed for a large VA tertiary teaching system. 100% remote through VA VPN. Hours are Monday–Friday, 6:00 a.m.–6:00 p.m. Eastern. Work Code outpatient professional encounters/FINs (primary care, subspecialties, diagnostics, prosthetics) ICD-10-CM, CPT with modifiers, HCPCS, and E/M Query providers through the VHA query process when documentation is unclear Productivity: 25 outpatient/prosthetic FINs per day Turnaround: within 5 calendar days of assignment Accuracy: 95% or higher Systems: Oracle Health and Solventum CRS encoder (VistA/CPRS/VIRR helpful) Required Active AAPC or AHIMA credential: CPC, CCS-P, CCS, RHIT, RHIA, COC, or CIC U.S. citizen; work performed inside the United States 2+ years continuous coding at a Level 1A VA (or equivalent large tertiary teaching...

JTS is hiring a Level 3 Remote Coder (Outpatient Coders with 3+ years of experience wiiling to train to become Inpatient Coders)   ***This remote role offers a unique career growth opportunity: current outpatient coders will receive hands-on training and one-on-one mentoring to build inpatient coding expertise over a 9-month development period.  Upon successful completion, candidates transition into a permanent Inpatient Coder position — a clear, supported pathway to advance your coding career with JTS.  All candidates must possess and maintain certification through either the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC.)***   Level 3 coding candidates must have 3+ years outpatient coding experience with expertise in Same Day (Outpatient Surgery) and Observation encounters. Ancillary encounter coding may also be expected.   Encoder experience required, preferably 3M, Codify or Optum but will also...

At this time, we are prioritizing candidates with at least one year of professional coding experience due to current training capacity.   Position Summary We are seeking detail-oriented Clinical Coding Specialists at all experience levels (entry, intermediate, and senior) to join our team. This role is designed as a unified opportunity for candidates with varying levels of coding expertise. Based on experience and qualifications, candidates will be aligned to the appropriate level within our coding structure. Clinical Coding Specialists are responsible for assigning accurate, compliant diagnosis and procedure codes across inpatient and outpatient services. This role works collaboratively with Health Information Management (HIM), Revenue Cycle, and clinical teams to ensure timely, high-quality coding that supports organizational, regulatory, and reimbursement requirements. Key Responsibilities Assign compliant, complete, and accurate codes based on clinical...

Contract to Hire Ophthalmology Professional Coder Job Description We are seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder with the potential to be hired as a full-time employee. This position is remote. The ideal candidate must have at least 5 years of coding experience for physician practices, with ophthalmology specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will possess the following: ·        Minimum 5 years of coding experience ·        Extensive coding in ophthalmology specialties ·        Excellent written and verbal communication skills ·        Detail oriented and deadline driven attitude...

 Ophthalmology practice is seeking an experienced, organized Surgery Scheduler with strong medical billing and insurance knowledge. This is a full-time, onsite position in Las Vegas. Responsibilities: • Coordinate cataract, corneal, and oculoplastic surgeries from scheduling through postoperative appointments • Verify insurance eligibility, surgical benefits, deductibles, copays, and coinsurance • Obtain prior authorizations and required medical clearances • Prepare patient financial estimates and collect surgical payments • Coordinate with patients, physicians, surgery centers, and insurance companies • Maintain accurate surgery schedules, documentation, and follow-up • Assist with claim follow-up, denials, EOB review, and unresolved balances when needed Qualifications: • At least two years of surgery scheduling, medical billing, insurance verification, or related experience • Strong understanding of authorizations, CPT and ICD-10...

JOB SUMMARY: Support the Director of Health Information Management (HIM) by conducting comprehensive claim audits and reviewing hospital outpatient and professional fee (ProFee) claims for coding accuracy, revenue integrity, and billing compliance. Utilizing proprietary software, this role evaluates coding opportunities, identifies revenue cycle improvement recommendations, and assists clients in optimizing claim quality and reimbursement outcomes. The ideal candidate is an experienced outpatient facility coding professional with strong analytical skills, extensive knowledge of revenue cycle operations, and the ability to communicate complex coding concepts clearly to both clients and internal team members. This is a remote position ESSENTIAL DUTIES AND RESPONSIBILITIES:  Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of...

This is a non-remote position. We are seeking a detail-oriented, on-site Ophthalmology Coding Auditor to join our premier private practice. Under direct supervision of the Billing Manager, the Coding Auditor audits ophthalmology and optometry medical records for compliance with federal coding regulations and guidelines. Successful candidates will have extensive knowledge of auditing and education on CPT, ICD-10, and HCPCS codes and guidelines. In this role, you will work directly alongside our clinic team to review clinical documentation, surgical charts, and diagnostic reports, ensuring accurate coding, regulatory compliance, and optimal reimbursement. You will serve as our internal expert, identifying billing risk areas and providing face-to-face feedback and education to our providers and staff to support the financial health of our practice.   Key Responsibilities   Perform On-Site Audits: Conduct regular retrospective and prospective reviews of clinical...

Prior Authorization Rep II Job Summary University Medical Billing ( UMB )  is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidate will exemplify these attributes too.        We are looking for an experienced  Prior Authorization Representative  to join our team. As the Prior Authorization Rep, you will be responsible for ensuring accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic managers and financial advocates to resolve issues that...

Medical Appeals & Coding Specialist Job Summary University Medical Billing ( UMB )  is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidate will exemplify these attributes too. We are looking for an experienced  Medical Appeals & Coding Specialist   to join our team. As the Medical Appeals & Coding Specialist, you will analyze and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. Code records for use and planning by physicians, hospitals, research organizations, or insurance companies. Be knowledgeable of medical and clinical terminology,...

Claims Processing Supervisor AllCare Health | Claims Department We Are Seeking Qualified Candidates to Join Our Team! AllCare Health offers competitive wages and an excellent benefits package, including affordable healthcare, 401(k) retirement, wellness programs, and flexible scheduling options. Summary of the Position The Claims Processing Supervisor ensures that internal and external departmental performance requirements are consistently met. This role oversees the day-to-day activities of the Claims Processing team, assigns work and coordinates efficient workflows to meet contractual and operational requirements, and serves as a hands-on resource for staff regarding training, questions, and claims processing best practices. Essential Duties Provides one-on-one support and initial training for new hires and facilitates monthly mandatory training sessions for Claims Processing staff. Establishes and maintains a professional, supportive, and provider...

Coding Auditor AllCare Health | Quality Department | Grants Pass, Oregon We Are Seeking Qualified Candidates to Join Our Team! AllCare Health offers competitive wages and an excellent benefits package, including affordable healthcare, 401(k) retirement, wellness programs, and flexible scheduling options. Summary of the Position The Coding Auditor is responsible for developing, implementing, and maintaining auditing practices related to medical record coding and documentation to support accurate and complete risk adjustment outcomes for Medicare members. This position reviews medical records and coding for accuracy and compliance with Centers for Medicare & Medicaid Services (CMS) Risk Adjustment Data Validation (RADV) requirements, identifies coding and documentation trends, and works collaboratively with providers and internal teams to improve documentation, coding accuracy, and risk adjustment outcomes. Essential Duties Ensures the accuracy and...