14 outpatient medical coder jobs found

Job Overview The Revenue Cycle Management Specialist – CPC Required supports the accurate and efficient management of the revenue cycle for behavioral health, outpatient, surgical, or a combination of these practice settings. This position combines hands-on medical billing and revenue cycle responsibilities with coding expertise to help ensure accurate claim submission, appropriate reimbursement and compliance with coding and payer requirements. Key Responsibilities Manage full-cycle medical billing, including insurance verification, charge entry, claims submission, payment posting, denial management and patient collections. Review CPT, ICD-10-CM, HCPCS codes and modifiers for accuracy and appropriate claim submission. Identify and resolve coding-related claim errors, rejections and denials. Ensure timely and accurate claims submission to commercial payers, Medicaid and Medicare. Conduct eligibility checks and pre-authorizations as needed. Follow up on...

Description Codes outpatient charts and/or professional charts and abstracts all required data from records according to established procedures; including medical necessity for Medicare charts. Uses ICD-10 CM/PCS/CPT-4/chargemaster to code all diagnoses, operative procedures and physician procedures performed for outpatient procedures. Verifies/changes levels of care provided according to level of care guidelines. Captures all missing records and documentation, i.e. IV start/stop times, etc. Interacts with physicians and physician's offices regarding diagnoses or coding questions. Performs other work as needed to help within the department. Keeps current with coding practices and skills through in-services, seminars, workshops and current literature to increase coding knowledge. Reviews the entire medical record for identification of all documented conditions, diagnoses and procedures. Demonstrates the ability to read physicians...

OVERVIEW : The Billing & Coding Specialist works collaboratively with the billing team to support all functions of the billing department, ensuring the maximization of receivables and maintaining optimal cash flow.  This role requires advanced knowledge of OB/GYN coding and billing practices.  The Billing & Coding Specialist is responsible for maintaining compliance with office policies, procedures, and all applicable regulatory requirements.   The ideal candidate demonstrates a friendly and professional demeanor, strong interpersonal skills, and the ability to remain composed during high-pressure situations. This role requires the ability to work independently, apply critical thinking to resolve complex billing issues, and manage sensitive financial conversations with patients in a respectful and understanding manner. KEY RESPONSIBILITIES: Serve as the subject matter expert for all billing, coding, and documentation questions. Review provider...

About the role You will join a team that partners with healthcare organizations to strengthen their revenue cycle. As a coder, you’ll deliver accurate, compliant coding for clients who count on you to get it right. Many of our client sites have limited on-site coding support, so you’ll work independently, communicate clearly with providers, and own the quality of your work. This is a 100% remote, 12-month W2 contract role with flexible scheduling between 6am and 6pm in your local time zone (40 hours a week). Successful candidate could have the opportunity to extend or convert to full-time employment. You will work alongside a growing team with opportunities for cross-training.    What you’ll do Assign accurate diagnosis, procedure, and service codes using ICD-10-CM, ICD-10-PCS (where applicable), CPT, and HCPCS Level II. Review provider documentation for accuracy and completeness, and apply payer, CMS, and organizational coding guidelines. Sequence codes and...

I. JOB SUMMARY/RESPONSIBILITIES Performs review of physician and other health care provider services by QMC and QEC providers to ensure services are coded with appropriate CPT and ICD-9 codes. Conducts education, training, and continuously monitors QMC and QEC providers related to PATH guidelines, coding and documentation of professional services rendered, in accordance with government, insurer, and other regulatory agency standards.  Effective October 2014, ICD-10 codes shall be required. II. TYPICAL PHYSICAL DEMANDS: Essential: sitting, stooping/bending, finger dexterity, seeing, hearing, speaking, lifting, and carrying usual weight of 5 pounds, repetitive arm/hand motions, static gripping of an object for prolonged periods, frequent gripping of an object.  Occasional: standing, walking, kneeling, climbing stairs, squatting, twisting body, lifting weight up to 10 pounds, pushing/ pulling usual weight of 2 pounds up to 5 pounds, reaching above, at and below shoulder level....

Description General summary of duties:  Responsible for coding, billing, denials, accounts receivable and payer policy updates Supervision received:  Reports to Revenue Cycle Manager Education:  CPC certification required Pay:  $53,000 - $65,000 DOE Location: Flagstaff office (Remote considered)   Responsibilities include: Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines. Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding. Interact with and provide support to the practice to answer questions and resolve claim denials. Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare,...

Summary: Florida residency required Applies expert knowledge of ICD‑10‑CM, CPT, and HCPCS coding to accurately code inpatient and outpatient encounters in compliance with AMA and CMS guidelines. Reviews clinical documentation for medical necessity, resolves coding and billing issues, supports charge capture and denial prevention, and collaborates with providers to ensure accurate, compliant reimbursement. Position Responsibilities Knowledge of medical coding rules, regulations and compliance allowing to better handle issues such as medical necessity, claims denials, bundling issues and charge capture. Knowledge of medical terminoogy, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes and identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record. Knowledge of official coding conventions and rules established by the...

Healthcare Coding and Consulting Services (HCCS) is a family-owned, U.S.-based medical coding company currently hiring experienced, certified Pro Clinic coders for fully remote, full-time positions supporting specialties in Rural Health Clinics (RHC), Family Medicine, Internal Medicine, Orthopedic, Behavioral Health, and Oncology . At HCCS, we are committed to long-term employment and career stability. We do not offer short-term, contract, or project-based work. All team members are direct-hire W-2 employees with consistent workloads and full benefits. We also do not offshore any coding services — all HCCS coders are U.S.-based, ensuring strong compliance, communication, and provider support. We intentionally match coders to specialties they are experienced in, allowing them to work confidently and consistently within familiar chart types. Our Coding and Scheduling Managers actively support coders with workflow, quality, and productivity, creating a collaborative...

*This role is in person in Paris, IL not Remote* Position Summary:  The Hospital (HB) Billing Lead serves as the department's senior technical resource, providing day-to-day workflow coordination, technical guidance, and functional leadership for Hospital (HB) Billing operations. Working under the direction of the Central Business Office Supervisor, the Lead supports daily billing activities by coordinating workflow, monitoring claim quality, assisting with staff development, resolving routine operational issues, and serving as the primary technical resource for Hospital (HB) Billing team. While this position does not typically have direct supervisory responsibility, the Lead provides functional leadership through coaching, mentoring, technical expertise, and promotion of departmental best practices. The Hospital (HB) Billing Lead maintains advanced knowledge of Hospital (HB) Billing operations supporting Critical Access Hospital (CAH), Hospital Outpatient (HOP),...

*This role is in person in Paris, IL not Remote* Position Summary:  The Central Business Office (CBO) Supervisor serves as the operational leader of the organization's billing and accounts receivable functions, providing day-to-day leadership and oversight of departmental operations across all assigned care settings. This position is accountable for ensuring the department consistently achieves established performance, quality, compliance, productivity, reimbursement, and customer service expectations while supporting the organization's overall Revenue Cycle strategy. Working under the direction of the Central Business Office Manager, the Supervisor translates departmental goals and strategic priorities into daily operational execution by coordinating workflow, monitoring productivity and quality, resolving operational issues, developing staff, and ensuring departmental performance standards are consistently achieved. The Supervisor serves as the primary frontline...

Multiple ED, SDS and IP Coding Assignments Available & Data Quality Auditors Needed Description: Coders and Auditors with 3-5+ years of facility coding experience are needed to provide coverage to Pena4’s clients. Responsibilities : Pena4 M edical Coders are responsible for accurately assigning ICD-10-CM/PCS diagnosis and CPT procedure codes for inpatient and outpatient hospital services. This role ensures coded data is complete, compliant, and supports appropriate reimbursement, quality reporting, and regulatory requirements. Coders must meet or exceed determined productivity and quality standards for respectively assigned client engagements in order to ensure the highest level of coding.  Summary: Position Type: 1099 Independent Consultant 100% Remote Assignments Schedule/Shift varies per assignment. See current assignment details below.   Credentials: CPC, CCS, RHIA, RHIT (preferred) 3-5+ years of Facility Coding Will be required to complete ED,...