91 physician billing coder jobs found

Job Description At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. Primary Job Responsibilities The coder independently...

Health Information Services Coder I - Physician Enterprise - Full Time - Temporary Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical offers a range of primary, specialty, and multi-specialty services, including high-risk pregnancy care, inpatient psychiatric services integrated with county mental health programs, and a growing network of outpatient clinics providing personalized patient-centered wellness care. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year. Kern Medical strives to recruit the highest quality candidates, resulting in a high performance workforce that consistently delivers quality patient care. Extra-help employment has a limited term (up to 9 months). Health Benefits coverage may be offered. Position: Health Information Services Coder I - Temporary Compensation: The...

Health Information Services Coder I/II - Physician Enterprise - Full Time Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year. Kern Medical strives to recruit the highest quality candidates, resulting in a high performance workforce that consistently delivers quality patient care. Career Opportunities within Kern Medical include many benefits such as: New Hire Premium: +6% of base rate of pay, matched up to 6% if contributed to Deferred Compensation Plan. A Comprehensive Benefits Package: includes Holidays, Vacation, Medical, Dental, Vision and Life Insurance. Job Description: Health Information Services Coder I/II - Full Time Compensation The estimated pay for this position is $23.8776 to $38.2097 per hour. The rates shown include a 6%...

Description Under direction of the Coding Supervisor and Coding Manager, performs coding audits of patient care billing documentation to ensure adherence with CPT and ICD coding guidelines and federal, state, and commercial payor billing and payment policy for all services provided by Providence Medical Foundation. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them. Required qualifications: Upon hire: National Certification from American Academy of Professional Coders. Or Upon hire: National Certified Coding Associate - American Health Information Management Association. Or Upon hire: National Certified Coding Specialist - American Health Information Management...

Certified Coder Professional Reporting to the Manager Physician Coding Services, the Certified Coder Professional will be responsible for reviewing and evaluating clinical documentation within medical records to ensure high quality and compliant coding. The Certified Coder Professional will provide training, consultation, and feedback to clinicians on their documentation and coding to ensure Emanate Health Medical Group receives appropriate reimbursement and conforms to applicable guidelines and regulations. Collaborates with Emanate Health's Compliance team and with all third party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid programs. Serves as the coding subject matter expert for the physicians. Minimum Education Requirement: Associate degree preferred; college degree preferred, knowledge of Medical Terminology, Anatomy & Physiology and Computer experience. Minimum Experience Requirement: Minimum of 2+...

Sr. Specialty Physician Coder - Interventional Radiology Position Remote Opportunity for CA Residents Only Position Type: Temporary Schedule: M-F, 20 - 30 hours/wk (Remote; Must reside in California) Assignment Length: Approximately 3-Months, possibly Longer Description: Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder is responsible for reviewing and accurately coding physician services to ensure compliant reimbursement and complete charge capture. This role is highly specialized in Interventional Radiology (IR) and requires a coder who can independently perform complex IR coding from day one. The coder will also support coding operations, identify trends and irregularities, and collaborate with leadership on compliance and process improvement initiatives. Essential Duties & Responsibilities Perform independent, high-level Interventional Radiology (IR) coding for outpatient (Profee) services Review and abstract medical...

Medical Coding Specialist Provides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties: Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials. Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately. Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff. Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment. Builds positive relationships between providers and the business by providing coding assistance as...

Specialty Physician Coder Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing. This role is responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. The Specialty Physician Coder works with the Coding Compliance Manager on discovered coding trends, irregularities, and needed action items. Job Responsibilities: Achievement of productivity standards as established by management. Achievement of quality standards as established by management. Analyze and interpret medical information in the medical record and assign and sequence the correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical...

Senior Specialty Physician Coder Interventional Our client, a healthcare company, is looking for a Senior Specialty Physician Coder Interventional for their Fountain Valley, CA location. Responsibilities: Achievement of productivity standards as established by management. Achievement of quality standards as established by management. In adherence with standard work, analyze and interpret medical information in the medical record and assign and sequence the correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient and/or outpatient medical records according to established coding guidelines, including the ability to review and natively code surgical operative and/or procedure reports. In adherence with standard work, follow established workflow for working claim denials in the Follow-Up work queues and identify opportunities for billing/coding improvements. Participate in developing, implementing, and reviewing programs for coding...

Coding Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

Coder (Hospital Billing) The Coder (Hospital Billing) reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM and ICD-10-PCS codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Responsibilities Verifies that all ICD-10-CM and ICD-10-PCS codes are correctly captured. Verifies that physician and other key information is correctly abstracted. Resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing productivity and quality accuracy rate of 95% or better. Coder III assigns codes for diagnoses, treatment, and procedures for inpatient surgeries. Determines the correct principal diagnosis, co-morbidities,...

Job Description Job Description The Certified Cardiology Coder plays a critical role in accurately translating cardiology medical records into standardized codes used for billing and documentation. This position requires expertise in cardiology procedures and coding standards to ensure compliance and data integrity. The coder works closely with clinicians and utilizes specific coding software alongside manual coding processes to support effective claims processing and reporting.   Responsibilities Assign accurate codes based on cardiology medical records Review and audit medical records for coding compliance Ensure data accuracy and adherence to coding guidelines Generate reports related to coding and billing activities Analyze patient data for completeness and coding accuracy Conduct coding audits to identify discrepancies and improve processes Collaborate with clinicians to clarify documentation and coding queries Process claims efficiently to support timely...

Sr. Cancer Center Specialty Certified Coder Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Codes for cancer center encounters and maintains required quality and productivity standards while remaining compliant with third party, state and federal regulations. Reviews and resolves medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes and processes any errors associated with the revenue cycle process. Assists in the design and implementation of workflow...

Overview Title: Sr. Specialty Physician Coder – Interventional Radiology Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork. Position Summary Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge...

Title: Sr. Specialty Physician Coder - Interventional Radiology Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare.Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability.Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork. Position Summary Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and...

Health Info Coder II Hourly pay: $52.79/hr Worksite: Leading medical institution (Los Angeles, CA 90024 - Hybrid, must be onsite during the first month for training, then the position will be primarily remote) W2 Employment, Group Medical, Dental, Vision, Retirement Savings Program, PSL 40 hours/week, 2 Month Assignment (With possibility of extension) A leading medical institution is seeking a Health Info Coder with at least two years of experience in medical coding, billing, and abstracting. Health Info Coder Responsibilities: Charge Capture. Analysis and Evaluation of Claims. EHR/RX Validation. Governance and Compliance. Denials. Maintain professional standards following the AHIMA/AAPC professional code of ethics. Perform transactional reviews in compliance with all regulatory bodies, e.g. Centers for Medicare and Medicaid Services. Health Info Coder Qualifications: 2+ years of experience in medical coding, billing, and abstracting One of the...

Job Description Job Description Description: We are seeking a detail-oriented and knowledgeable Medical Biller to join our medical practice. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding and submission of claims, and maintaining medical records. This role is crucial in facilitating the financial operations of our medical office while ensuring compliance with healthcare regulations. Requirements: Responsibilities Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues Follow up on claims using...

JOB SUMMARY The Health Information Coder III PD is a senior-level inpatient coder with advanced knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems. The skill set extends to advanced knowledge and comprehension of code sequences into Diagnoses-Related Groups. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services. This is a per diem position with no set schedule. OTHER FUNCTIONS AND RESPONSIBILITIES Demonstrate understanding of DRG coding mission within UCSF Health. Demonstrate understanding of DRG coding, AR, and data submission information flow. Ability to solve problems and troubleshoot computer issues. Perform data searches. Maintain patient confidentiality and IT...

Position Overview Under the general direction of the Revenue Manager/Associate Director, this senior coder role oversees a large range of coding combinations (approximately 1,500–5,000), applies specialized coding knowledge to manage ICD‑10 and CPT procedural codes, and guides a centralized coding team as a subject matter expert to improve accuracy and efficiency of professional fee coding. Responsibilities Lead as a subject matter expert, presenting information to the team. Audit and oversee team members’ accuracy and production. Ensure compliance with all federal, state, and local carrier guidelines. Provide education and training to coding staff and physicians. Perform high‑production coding to meet UCSF goals for accuracy and charge lag. Conduct in‑depth reviews of physician documentation and prepare documentation audits. Create coding analysis reports and online presentations with findings and recommendations. Determine methods and procedures for new assignments and...

Certified Coder Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? Competitive pay which matches your abilities and experience Health coverage for you and your family Generous number of vacation days per year A robust wellness plan and health club discounts Continuing education assistance to grow and further your talents 403(B) plan with company matching We're looking for someone to join our team as a Certified...

Join to apply for the Compliance Coding Auditor , ATM role at Advanced Medical Management, Inc. Your actual pay will be based on your skills and experience. Talk with your recruiter to learn more. Base pay range: $75,000 to $80,000 per year. Role Overview As a member of AMM’s Compliance and Ethics team, the Compliance Coding Auditor is an important driver of our mission. They are responsible for supporting the Company’s Compliance & Ethics Program (the Program) auditing, tracking, and monitoring initiatives. Robust auditing, testing, and monitoring capabilities are essential to fulfilling the expectations of AMM’s key stakeholders, including patients, families, and government agencies. The Program is led by AMM’s Chief Compliance & Ethics Officer, who reports to the CEO and the Board, and oversees the AMM Compliance Committee. This role requires sound, risk‑aware judgment, productive collaboration across the Company, and demonstrated success in performing audits to...

Coding Compliance Auditor The Coding Compliance Auditor is a member of the Compliance Office and contributes to the Community Health System's mission to better the lives of all those we serve. As a Coding Compliance Auditor, you will be responsible for conducting coding and documentation audits to ensure accurate code assignment, appropriate billing, integrity of the medical record, and compliance with federal and state healthcare program requirements. The role requires a highly confident coder who can audit both facility coding and professional fees for partners, as well as audit other coders and physicians. Education Associate's Degree in Business, Information Systems, Nursing, Health Care, or a related field required Bachelor's Degree in Business, Information Systems, Nursing, Health Care, or a related field preferred Experience Experience performing medical record and billing audits/reviews, including clinical documentation, medical terminology, codes (CPT,...

Responsibilities Provide coding, auditing, and training support for revenue operations under the direction of Revenue Manager and Associate Director. Educate physicians and clinical staff on documentation to ensure compliance with coding guidelines. Conduct in‑depth reviews of physician documentation and present findings with recommendations for physician education. Assign codes based on chart review and resolve coding issues related to denials. Identify areas for improvement in coding processes. Required Qualifications One year of coding experience or five more years of equivalent experience. Bachelor’s degree in a related field or equivalent training. Certified Professional Coder (CCA, CCS, or equivalent) with active AAPC or AHIMA certification and required continuing education credits. Experience with CPT, ICD‑10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations, and payer billing requirements. Working knowledge of the healthcare...