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SGMC Health
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...

Jan 23, 2026
Norwood
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!   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 What can you expect from your Norwood experience?  Personalized recruiter relationships Industry Subject Matter Experts A...

Jan 22, 2026
PM
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...

Jan 22, 2026
NC
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...

Jan 15, 2026
TH
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...

Jan 14, 2026
Gonzaba Medical Group
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...

Jan 09, 2026
AC
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...

Jan 08, 2026
PAC GROUP LLC
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...

Dec 30, 2025
Na
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...

Dec 12, 2025
Planned Parenthood Association of Utah
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...

Dec 10, 2025
Healthcare Coding & Consulting Services (HCCS)
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...

Dec 08, 2025
Phoenix Behavioral Healthcare, LLC
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.

Nov 23, 2025
Phoenix Behavioral Healthcare, LLC
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,...

Nov 23, 2025
EH
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....

Nov 19, 2025
Wellness Works Management Partners
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...

Nov 18, 2025
Alaska Heart & Vascular Institute
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...

Nov 14, 2025
RWJBarnabas Health
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...

Nov 07, 2025
AAPC
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:...

Oct 09, 2023
AT
Medical Biller and EVV
Advanced Technologies Home Care AL, USA
Join Our Fun and Winning Team! SEEKING EXPERIENCED HOME CARE/HOME HEALTH CARE BILLER. PLEASE DO NOT APPLY UNLESS YOU HAVE AT LEAST 1 YEAR EXPERIENCE. We offer our At Home Care family: Medical, Vision, Dental and Life insurance Direct Deposit Top pay wage scale Paid Time off and holiday pay Paid Travel Job Purpose The Medical Biller, under routine supervision, performs all duties related to preparing and submitting medical insurance claims. This position reviews and adjusts accounts to ensure appropriate claim billing, including interacting with third parties and participants, processes, research, corrects accounts, posts payments, and adjustments, and interprets Explanation of Benefits (EOB) documentation. Job Description Prepares and submits clean claims to various insurance companies either electronically through EMOMED or the payer portal. Aides in the use of the Electronic Visit Verification (EVV) system Processes medical claims by a billing clearinghouse or by...

Jan 23, 2026
BH
APRN/Supervisor of Medical Support Staff
Bridges Healthcare, Inc. Milford, CT, USA
Bridges Healthcare, Inc. has an immediate opening for a full-time APRN/Supervisor of Medical Support Staff for our Adult Outpatient, or combination of Adult Outpatient/Child Programs. $123,000 - $125,000 commensurate of experience Full-time/35 hour work week Benefits for the positions include: Competitive pay commensurate with experience Medical and Dental with significant employer contribution to the premiums and HSA (if chosen as your plan) 403(b) with a generous employer contribution Employer-Paid Life Insurance Paid Vacation with 22 days to start, paid personal days, paid sick time, paid winter holiday break days, plus 11 paid holidays Purpose and Position Overview Supervise medical Support staff and in collaboration with other health care providers, provide behavioral health services to Bridges clients. Duties and Responsibilities Perform medical psychiatric evaluations. Prescribe medication. Respond to medical referral line requests. Serve as medical consultant...

Jan 23, 2026
BH
APRN Supervisor - Behavioral Health Medical Team Lead
Bridges Healthcare, Inc. Milford, CT, USA
A community healthcare provider in Connecticut is seeking a full-time APRN/Supervisor of Medical Support Staff. In this role, you will supervise medical support staff and collaborate with healthcare providers to deliver behavioral health services. Candidates need a Master of Science degree in nursing, Connecticut licensure as an APRN, and DEA license. Competitive salary of $123,000 - $125,000 plus comprehensive benefits including medical, dental, and 403(b) contributions. #J-18808-Ljbffr

Jan 23, 2026
SL
Certified Professional Coder
St. Luke's Hospital TX, USA
Location : Address2325 DOUGHERTY FERRY RD Job Posting Weare dedicated to providingexceptional care to every patient, every time. St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke’s Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades. Position Summary Responsible for overseeing medical coding for St. Luke’s Medical Group practices, and ensuring compliance with federal and state regulations. Assign and sequence codes for medical services rendered in assigned practices. Conduct audits and coding reviews to ensure documentation is accurate and precise across all practices,...

Jan 23, 2026
PH
Ambulatory Coder Professional Billing, PRN, Days, - Remote
Prisma Health Greenville, SC, USA
Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Job Description Essential Functions Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% Responsible for resolving all assigned pre-billing edits. 15% Utilizes appropriate coding software and coding resources in order to determine correct codes. 15% Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10%...

Jan 23, 2026
PH
Professional Billing Quality Coding Auditor, FT, Days, - Remote
Prisma Health Greenville, SC, USA
Inspire health. Serve with compassion. Be the difference. Job Summary The Professional Billing Quality Coding Auditor will support the Medical Group Coding and Education department by performing routine reviews of coders to ensure accurate coding. This position will also perform specialty reviews as identified by Coding and Education leadership. Prepares a summary of findings and presents reports to leadership on a monthly basis. Will assist with training coders on identified opportunities for improvement. Will also assist in preventing coding denials when applicable. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Performs multi-specialty reviews for the Medical Group validating the CPT, ICD-10, modifiers and HCPCS codes using official coding guidelines and CMS guidelines and prepares a summary of findings. Performs review of all coders within the...

Jan 23, 2026
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