15 multi specialty professional coder jobs found

Coding Auditor The Coding Auditor is responsible for performing comprehensive coding audits to ensure accuracy, compliance, and consistency across all professional services at VMG. This role supports service-line transitions, vendor oversight, and quality validation. Each Coding Auditor will be aligned to a Coding Educator to ensure coordinated education and quality improvement efforts. Education High school diploma or equivalent required. Experience Minimum of 5 years of professional coding experience Certified Professional Coder (CPC) – AAPC required or equivalent Multi-specialty experience in professional coding Strong presentation and communication skills CPC-H (Hospital Outpatient) preferred CPMA (Certified Professional Medical Auditor) preferred Skills Advanced knowledge of coding guidelines. Strong understanding of professional fee coding, reimbursement methodologies, and revenue cycle operations. Demonstrated expertise in conducting...

Job TitleRequired Skills & Experience• High school diploma or GED • CPC Certification (AAPC) OR CPC-A Certification • Knowledge of medical terminology • Microsoft proficiency • Multispecialty coding experienceJob DescriptionDay to Day Insight Global is hiring several CPC, Certified Professional Coders to join a large healthcare client in Southern NJ. This role focuses on multi-specialty professional fee coding in a high-volume, production-driven environment. Candidates will work remotely but must reside in approved states and be available for occasional onsite visits.Responsibilities • Abstract billing for outpatient evaluation and management (E/M) codes, minor surgical procedures, and HCPCS codes (including supplies and pharmaceuticals) from provider documentation. • Assign CPT-4 and ICD-10-CM codes with appropriate modifiers. • Investigate coding and billing questions to determine the best approach. • Analyze medical records to verify coding accuracy and detect potential...

Overview 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. This is remote position. Responsibilities A day in the life of a Physician Billing (PB) Coding...

Job Description Atlantic Health System is seeking a HIM Inpatient Coder. Remote. This incredible opportunity is a part time position of approximately 22.5hrs a week. • Codes inpatient records capturing all diagnosis, POA indicators, and procedures and validates key UHDDS elements as well as abstracts pertinent information from patient records, to accurately reflect the patient's encounter. • Reviews CDI concurrent review notes and works with the CDI Team to ensure optimal code capture on all cases. Ensures optimal reimbursement in compliance with CMS policies and procedures and Official Coding Guidelines • Implements AHS physician query process when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous or unclear for coding purposes • Completes coding of all discharges/encounters ensuring the minimum productivity requirement of 10/day is met as well as a 95% accuracy rating. Assignments include Inpatient acute care,...

Job Description Day to Day Insight Global is hiring several CPC, Certified Professional Coders to join a large healthcare client in Southern NJ. This role focuses on multi-specialty professional fee coding in a high-volume, production-driven environment. Candidates will work remotely but must reside in approved states and be available for occasional onsite visits. Responsibilities  • Abstract billing for outpatient evaluation and management (E/M) codes, minor surgical procedures, and HCPCS codes (including supplies and pharmaceuticals) from provider documentation.  • Assign CPT-4 and ICD-10-CM codes with appropriate modifiers.  • Investigate coding and billing questions to determine the best approach.  • Analyze medical records to verify coding accuracy and detect potential misuse.  • Collaborate with Coding, Charge, and Audit Analysts to resolve discrepancies.  • Work across multiple Epic work queues for different specialties.  • Meet productivity expectations...

CODER II PRN REMOTECamden, NJJob ID 52970 Job Type Per DiemShift DaySpecialty Clerical / AdministrativeApplySaveAbout usAt Cooper University Health Care , our commitment to providing extraordinary health care begins with our team.Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.We have a commitment to our employees to provide competitive rates and compensation programs.Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Short DescriptionCode all diagnoses and procedures documented in the medical record for the current encounter.Enter all code information in the...

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Job Purpose The Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results. Duties and Responsibilities Perform coding audits and compliance audits for providers, including physicians and mid‑level providers. Prepare reports of audits and present audits to internal and external parties as needed Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance Provide physician education when necessary. This could include, but is not limited to, audit findings or edit and denial trending. Complete coding audits for our copartners’ coding WQ Work with any offsite auditors Evaluate and report on the overall quality of physician documentation that supports selected codes most...

Job Description Job Description     Certified Professional Coder/ PIP Adjuster   Medlogix, LLC  delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.   About this role: Exciting opportunity with the possibility for growth! This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the team and as the department...

Coding AuditorThe Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results.Duties and ResponsibilitiesPerform coding audits and compliance audits for providers, including physicians and mid-level providers. Prepare reports of audits and present audits to internal and external parties as neededComplete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidanceProvide physician education when necessary. This could include, but is not limited to, audit findings or edit and denial trending.Complete coding audits for our copartners' coding WQWork with any offsite auditorsEvaluate and report on the overall quality of physician documentation that supports selected codes most specifically but...

Coding Auditor The Coding Auditor will be responsible for inpatient and outpatient coding and auditing for various specialties. This role will also be responsible for preparing and presenting audit results. Duties and Responsibilities Perform coding audits and compliance audits for providers, including physicians and mid-level providers. Prepare reports of audits and present audits to internal and external parties as needed Complete accurate application of appropriate coding and documentation guidelines, including but not limited to, E&M and surgery documentation guidelines, CCI guidelines, CPT/HCPCS coding guidelines, and specialty association guidance Provide physician education when necessary. This could include, but is not limited to, audit findings or edit and denial trending. Complete coding audits for our copartners' coding WQ Work with any offsite auditors Evaluate and report on the overall quality of physician documentation that supports selected...

Job description Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties: Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to...

Certified Professional Coder/ PIP AdjusterMedlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients' needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers' compensation insurance carriers; third party administrators (TPAs); and government entities we serve.Exciting opportunity with the possibility for growth!This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the team and as the department grows, there may be opportunities for future advancement into leadership roles individuals who demonstrate mastery of the...

Job TitleRemote... need NY/NJ PIP experience and Certified coder from AAPCResponsibilities:Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insuredsInterpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codesAssign proper CPT, HCPCs codes based on the review outcomeReview CPT codes for unbundled servicesReview billed modifiers for accuracy of useCrosswalk CPT codes per regulatory requirements to ensure correct reimbursementInterpret fee schedule guidelines and apply those guidelines in daily reviewsDocument review outcomes for customers in a professional easy to understand mannerUse various resources, IE: eBooks, 3M software to support reviewsParticipate in conference calls as needed with customers and/or attorneysParticipate in virtual and in-person testimony or trial when neededAssist with various special projects and other duties as assignedQualifications and Experience:3-5 years...

About UsAt Cooper University Health Care , our commitment to providing extraordinary health care begins with our team.Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.We have a commitment to our employees to provide competitive rates and compensation programs.Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Short DescriptionCode 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,...