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Full Time

Healthcare Compliance Audit Analyst (Must have CPC, CCS-P, or CPMA)

U.S. Urology Partners Remote

General Summary: U.S. Urology Partners, LLC (USUP) and its physician groups are committed to promoting conduct that is responsible, ethically sound, and compliance with applicable law. USUP’s Compliance Department (CD) fosters a corporate culture of ethical behavior and integrity in all matters related to compliance with the laws and regulations that govern the delivery and reimbursement of health care. An integral function of USUP’s compliance program is auditing and monitoring compliance with billing, coding, and documentation requirements of its providers. An CPC, CCS-P, or CPMA is required for this position. Compliance Audit Services: Compliance audit initiatives include physician, other providers, and facility documentation audits as well as preparation of guidance documents and tools to assist physicians and staff in appropriate billing, coding, and documentation. The audit program looks at professional fee billing,...

Full Time

Professional Medical Coder I & II

Lexington Health West Columbia, SC, USA

Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation. Minimum Qualifications Minimum Education: High School Diploma or Equivalent Minimum Years of Experience: 3 Years of Professional Coding Experience Covering Multiple Clinical and/or Surgical Specialties (Combination of Surgical, E/M, or other coding experience as approved by Director), which they Successfully Met Quality and Productivity Standards Substitutable Education & Experience (Optional): None. Required Certifications/Licensure: Active AAPC or AHIMA Coding Credential Required Training: Experience working with CPT, ICD diagnosis coding; Experience with CCI edits; Experience with Medicare LCDs and NCDs; Understanding of state and federal regulations as well as payor...

Full Time

Coding Operations Manager

Prestige Billing Services Miamisburg, OH, USA

Coding Operations Manager is responsible for overseeing the medical coding team and ensuring the accurate and efficient coding of patient records for billing, compliance, and reimbursement purposes. Oversee insurance verification department. Needs skills with operational leadership, compliance oversight, team management, and process improvement within the healthcare revenue cycle. Experience: Equivalent of an Associate’s degree and two to three years of relevant emergency department or general medical coding experience. CPC required, CEDC additionally preferred. Strong expertise in all professional medical coding, including ICD-10, CPT and HCPCS coding. Excellent organizational skills and ability to multi-task. This is a hybrid position. (Two days remote and three days in-house.) JOB RESPONSIBILITIES Oversee day-to-day operations of the medical coding team, ensuring timely and accurate coding and allocation of duties Ensure that all codes (ICD-10, CPT,...

Full Time

Professional Coder

SGMC Health Remote (WV, USA)

JOB LOCATION: Remote (Considering applicants residing in Georgia, Florida, Ohio, North Carolina, South Carolina, West Virginia, Utah, Arizona, and Missouri.) DEPARTMENT: REVENUE CYCLE MEDICAL GROUP, SGMC Health SCHEDULE: Full Time, 8 HR Day Shift, 8-5 Abstracts ICD-10 and CPT codes for Diagnosis and Procedures on professional services. Reviews and analyzes medical records verifying and coding the diagnosis, evaluation and management service, minor procedures, or other codes required for the completeness and accuracy of the record. Additionally, will code and/or review principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, any applicable supply, medication, and injectable drugs. Maintains communication with Management, Practice Manager, and Provider to ensure timely notification of identified documentation issues. Interact with other team members of the revenue cycle and provider clinics. Responsible for continuing education of...

Full Time Contract

Primary Care Physician Office Coder

Norwood Remote

CPCs and CPC-As with at least one year of experience in a Primary Care, Internal Medicine, or Family Practice Physician Office/Group are given special consideration and encouraged to apply! All applicants regardless of credential are required to have at least 1 year of relevant experience in the above specialties as a medical coder. Our requirements: Physician Office Profee coding experience with mandatory RA experience 1-2 years’ experience primary care physician office coding and charge review experience (Preventive, Chronic, Acute Visits; E/M, Time-Based, Preventive Care) Program experience with Coding & Charge Review, Risk Code Validation (non-HCC), Retrospective Certified Professional Coder (CPC), Certified Professional Coder Apprentice (CPC-A), or equivalent AAPC credential (required) Systems experience with Allscripts, eClinicalWorks (Client will train with other requirements met) Full time required, M-F between the hours of 6am-6pm EST...

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Full Time

Experienced Medical Biller

Peak Medical Billing, LLC Ridgefield, CT, USA

About Us We are a Central Billing Office (CBO) supporting multiple multi-specialty Ambulatory Surgery Centers (ASCs) across the tri-state area. Our team manages high-volume, end-to-end facility billing and accounts receivable in a collaborative, professional office environment. Our shared values — CARE — guide how we work, lead, and treat one another. In this role, you will be expected to: Commit to Integrity ( C ) – Perform your work accurately and honestly, doing what’s right for our patients and facilities. Assume Accountability ( A ) – Take responsibility for your tasks, follow through on billing and A/R responsibilities, and own your outcomes. Respect Through Professionalism ( R ) – Maintain high standards in your work and communications with colleagues, patients, and payers. Engage as One Team ( E ) – Collaborate closely with teammates and other departments to support shared success. This is an on-site position. Candidates must live within...

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Full Time

EXPERIENCED Pro fee and outpatient Coder for coding denials

Nationwide Credit and Collection Inc Remote

Physician Medical Coder Job Listing PLEASE READ JOB DESCRIPTION Profee coder to review coding denials and correct/validate CPT, ICD-10, HCPCS and modifiers for physician services. Our coders will review medical records, research payer policy, and NCDs to make coding corrections and resubmit corrected claims in an accurate and timely manner. We work closely with other team members and management to translate clinical documentation consistently and accurately into ICD-10 and CPT codes with proper sequencing and modifiers. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors. Job Requirements At least one active certification is required. Additional certifications a plus. Accepted certifications...

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Full Time

Supervisor Provider Coding Specialist- REMOTE

Tidelands Health Remote

Join Team Tidelands and help people live better lives through better health! Supervisor Provider Coding Specialist Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview The Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager, is responsible for overseeing daily coding workflow in the assignment of ICD-10 CM, CPT, and HCPCS codes. Accountable for quality, timeliness, completeness, and accuracy of the coding team to ensure optimal reimbursement and goal attainment. The coding supervisor performs quality reviews and provides education and training when deficiencies are identified, or new processes are implemented. Incorporates initiatives that improve compliance...

Full Time

Risk Adjustment Coder

Gonzaba Medical Group San Antonio, TX, USA

General Summary: This role focuses on the Risk Adjustment process that supports the documentation of acuity diagnoses for the Managed Care (MC) patient population and required activities for submission of records to Medicare Advantage (MA) payers under established capitated contracts. It assists with medical record reviews for HCC diagnoses, correct usage of various coding guidelines (ICD-10-CM, CPT, HCPCS) and federal and MA payor regulations, as well as clinical validation of appropriate supporting documentation. Supervisory Responsibilities: This position has no supervisory responsibilities. General Requirements: All duties performed will be done accurately and in a timely manner. 1. Assumes responsibility for maintaining clinical competencies according to Gonzaba Medical Group policy. 2. Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers. 3. Must...

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Full Time

System Professional Coding Provider Review and Education Manager

Anonymous Company Hybrid

Job Title: Manager Location: System Business Office Department Name: HIM - Professional Req #: 0000207266 Status: Salaried Shift: Day Pay Range: $110,681.00 - $156,337.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The System Professional Coding Provider Review and Education Manager is responsible for onboarding, educating, and reviewing medical record documentation and coding processes of the Medical Group physicians, APNs and other billing providers across all medical centers within the RWJBH enterprise. This includes onboarding education, medical record reviews, targeted education to physician groups and individual physicians, annual and quarterly...

Full Time Contract

Mid-Level Medical Coder

PAC GROUP LLC Remote

Position: Mid-Level Medical Coder Location: Full-Time Remote Clearance: No Secret Clearance Required Starting Salary: $37.00/Hour “Candidates must hold valid credentials from either AAPC or AHIMA to be eligible to apply.” We cannot accept candidates with a CPC-A designation! Please indicate the position(s) you’re applying for. Include your full mailing address (for equipment shipment), desired start date, and AAPC and/or AHIMA certification number(s) (with expiration date). Assessment Protocol The assessment is strictly timed and must be completed within 1 hour . Once the link is opened, the timer is automatically activated. The assessment cannot be paused, reopened, or restarted . Only the initial attempt will be accepted for scoring. Candidates are provided with a 24-hour window to complete the assessment upon receipt of the email from our team. Please ensure appropriate preparation and a suitable testing environment...

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Full Time

Certified Professional Healthcare Coder

Neurosurgical and Spine Institute of Savannah SC, USA

Knowledge of ICD-10-CM and CPT coding guidelines as well as state and federal Medicare reimbursement guidelines. Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. Ability to read and interpret medical procedures and terminology. Ability to develop training materials, make group presentations, and to train staff. Ability to exercise independent judgment. Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff. Ability to maintain confidentiality. Proficiency in MS Office and patient management software Self-directed and positive attitude essential. Represents company in a manner that ensures a positive service image and tone for the organization. Reviews elective surgeries performed from the previous week across...

Full Time

Director of Revenue Cycle

Planned Parenthood Association of Utah Hybrid (Salt Lake City, UT, USA)

Planned Parenthood Association of Utah is looking for a bold, mission-driven Director of Revenue Cycle who is ready to make a powerful impact on the future of reproductive healthcare in our state. This is a dynamic leadership role for someone who thrives on solving complex challenges, elevating systems, and building strong, motivated teams. You will play a pivotal role in strengthening our financial foundation—ensuring every visit, every service, and every patient experience is supported by accurate, efficient, and forward-thinking revenue cycle operations. As a key collaborator across Health Services, Finance, and administrative leadership, you’ll bring fresh ideas, innovation, and strategic insight to identify new revenue opportunities and optimize the resources that keep our mission strong. If you’re passionate about protecting access to essential healthcare and want your work to truly matter, this is your opportunity to make a lasting difference at Planned...

Full Time

Pro Fee & Pro Clinic Medical Coders

Healthcare Coding & Consulting Services (HCCS) Remote (USA)

Healthcare Coding and Consulting Services (HCCS) is hiring multiple full-time, experienced, and certified Pro Fee and Pro Clinic Coders across several outpatient specialties. These are fully remote, direct-hire W-2 positions offering long-term stability and consistent, specialty-aligned work. We currently have multiple Pro Fee and Pro Clinic openings supporting specialties such as Family Medicine, Internal Medicine, Pediatrics, Orthopedics, and other clinic-based services. One of the available positions specifically requires prior Georgia Medicare Pro Fee and Pro Clinic coding experience. We are seeking coders with strong E/M expertise who are comfortable in high-volume production environments and have recent hands-on Pro Fee and Pro Clinic coding experience. At HCCS, coders are assigned based on proven specialty expertise to ensure alignment with providers and chart types where they can perform at their highest level. Our Coding and Scheduling Managers work closely...

Full Time Xtern Program

Certified Inpatient and/or Outpatient Documentation Expert

Phoenix Behavioral Healthcare, LLC Hybrid (FL, USA)

A Certified Inpatient and Outpatient Professional Documentation Expert is responsible for ensuring the accuracy, completeness, and compliance of clinical documentation across both inpatient and outpatient settings. They collaborate with physicians, nurses, and other providers to clarify diagnoses, procedures, and treatment plans so that the medical record supports the patient’s severity of illness, risk of mortality, medical necessity, and appropriate reimbursement. Key duties include concurrent and retrospective chart review, generating and tracking provider queries, applying official coding and documentation guidelines, educating clinical staff on best practices, and monitoring documentation quality metrics to support regulatory, audit, and revenue cycle integrity.

Full Time Xtern Program

Inpatient and/or Outpatient Certified Professional Medical Auditor (CPMA)

Phoenix Behavioral Healthcare, LLC Hybrid (Jupiter, FL, USA)

The Certified Professional Medical Auditor is responsible for performing comprehensive audits of medical records, coding, and billing to ensure accuracy, compliance with federal and state regulations, and alignment with payer policies. This role helps protect the organization from financial risk, supports accurate reimbursement, and promotes high standards of documentation and clinical integrity. Key Responsibilities Perform prospective and retrospective audits of medical records, coding, and billing across assigned service lines (e.g., outpatient, inpatient, behavioral health, SUD/MH, lab). Verify that documentation supports ICD‑10‑CM, CPT, and HCPCS coding; identify under‑coding, over‑coding, unbundling, and other compliance risks. Review claims for adherence to Medicare/Medicaid, commercial payer, and regulatory guidelines; ensure compliance with NCCI edits and payer‑specific policies. Prepare clear, detailed audit reports summarizing findings,...

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Full Time

Medical Coding Appeals Analyst

Elevance Health Indianapolis, IN, USA

Medical Coding Appeals Analyst Anticipated End Date: 2025-12-31 Position Title: Medical Coding Appeals Analyst Job Description: Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria....

Full Time

OT/PT/SLP Senior Medical Billing Specialist - Must reside in FL, MD, VA, or ID ($18-$26 per hour)

Wellness Works Management Partners Remote (FL, USA)

Position: Experienced OT/PT/SLP Medical Biller (Remote W2 employee) Location: Florida, Maryland, Virginia, or Idaho residents only Start Date: January 12, 2026 Classification: Non-Exempt, Hourly Hours: Up to 40 hours per week Important Details You Must Review Carefully Before Applying: This is a fully remote position but showing as hybrid to attract people in the Florida region You must reside in one of the following states to be considered: Florida, Maryland, Virginia, Idaho You must be aware that the compensation is hourly between $18-$26 per hour. If you are seeking highest compensation - please don't apply. The role does not include traditional benefits. No paid time off, no retirement plan, no traditional benefits. We do offer health benefits via an HRA for full-time employees with up to $400 per month contribution. You must have extensive medical billing experience preferably in Speech Therapy private practice sector. This role...

Full Time

Business Office Manager

Alaska Heart & Vascular Institute Anchorage, AK, USA

JOB TITLE: Business Office Manager DEPTARMENT: Business Office GENERAL SUMMARY OF DUTIES: An exempt position. Responsible for managing, directing and supervising the reimbursement/coding activities on all services furnished by the physicians/providers of Alaska Heart Institute. Ensures accurate patient billing and efficient account collection to maximize cash flow. SUPERVISON RECEIVED: Reports to Chief Revenue Officer SUPERVISION EXERCISED: Supervises billing office staff which consists of charge posting, payment posting, Insurance/ Medicare research, collections, patient/insurance refunds and bank deposits. ESSENTIAL FUNCTIONS: Develops departmental objectives and organizes the work of the department. Reviews work of billing office personnel. Responsible for managing human resources of the billing department staff. Hires, orients, evaluates performance goals and objectives, recommends merit increases, promotions, and disciplinary actions for...

Full Time

Professional Coding Provider Educator & Reviewer

RWJBarnabas Health Oceanport, NJ, USA

Professional Coding Provider Educator & Reviewer RWJBarnabas Health Oceanport, NJ Full-Time Day Pay Range: $75,597.00 - $106,780.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Professional Coding Provider Educator/Reviewer is responsible for preparing educational materials and delivering instruction to Medical Group physicians, Advance Practice Providers, and staff across all RWJBH medical centers, as directed by the System Professional Provider Education Coding Manager and Coding Leadership. Education may be provided in response to compliance reviews, physician onboarding, proactive training, or coding and regulatory updates. This role also conducts...

Contract

Multi-Specialty Professional Coder - Contractor

AAPC Remote

AAPC is seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder. This position is a fully remote contract role. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical 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 multiple specialties including: all primary care specialties, anesthesia, general surgery, dermatology, and orthopedics. Excellent written and verbal communication skills Detail oriented and deadline driven attitude Sound knowledge of medical terminology Strong computer skills (Excel, Word, and internet) Ability to multitask and keep a sense of urgency Excellent customer service skills Strong time management, organization skills, and work ethic Job Duties:...

Xtern Program

Cardiovascular Coding Xtern - In Office

Heart Center of North Texas, PA Fort Worth, TX, USA

This position is IN OFFICE ONLY & is UNPAID for someone needing to complete their EXTERN REQUIREMENTS. The Medical Coding Xtern is responsible for accurately reviewing clinical documentation and assigning appropriate ICD-10, CPT, and modifier codes in accordance with federal, state, and payer-specific regulations. This role ensures proper coding to support accurate billing, timely reimbursement, and compliance with CMS, Medicare, commercial payer policies, and internal coding standards. The position requires a strong working knowledge of medical terminology, cardiology-related procedures, and coding guidelines, as well as attention to detail and commitment to confidentiality. The Medical Coding Specialist collaborates closely with clinical staff, billing personnel, and management to prevent denials, resolve coding issues, and optimize revenue cycle performance. Essential Duties and Responsibilities · Review and interpret clinical documentation to assign accurate...

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Certified Medical Coder

Ann Grogan & Associates, Inc. FL, USA

Certified Medical Coder Job Title: Certified Medical Coder (AAPC) - On-Site, Downtown Orlando Are you a skilled and detail-oriented Certified Medical Coder seeking an exciting opportunity to join Quest National Services, a thriving medical billing company? We are looking for a dedicated individual to join our dynamic team at our Downtown Orlando office. If you have a passion for accuracy, teamwork, and growth opportunities, we want to hear from you! Job Description Utilize your expertise as a Certified Medical Coder to accurately assign appropriate medical codes to diagnoses, procedures, and services, ensuring compliance with all relevant coding guidelines and regulations. Review medical documentation and superbills to extract essential information required for proper coding. Work collaboratively with medical providers and billing specialists at Quest National Services to clarify coding questions, resolve discrepancies, and optimize claim accuracy. Stay updated with...

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HIM Coder Inpatient (C)

Capital Health Services West Windsor Township, NJ, USA

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. Pay Range: $28.70 - $41.70 Scheduled Weekly Hours: 40 Position Overview Assigns codes accurately to diagnoses and procedures within the medical record to comply with federal and state regulations. Sequences codes accurately...

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