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6 profee coder jobs found

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profee coder Intermediate Level Remote
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Sage Clinical RCM
Full Time
 
ProFee Coder - Hospitalist IP
Sage Clinical RCM Remote
Responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties, supporting single-specialty or multi-specialty engagements. Core Responsibilities Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including AMA and NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Follow Link for more information and to apply Sage IP Pro fee Coder

Sep 28, 2026
CorroHealth
Full Time
 
Profee Inpatient Coding Specialist - REMOTE
CorroHealth Remote
Team Member must be able to work from home and be independent in their coding skills. Experience codding for hospitalists, nephrology and coding bedside procedures, split shared services, inpatient tests and FS modifiers EMR experience: 3M Encompass or 3M encoder Provide various components of coding services to support our clients. Calculate ProFee and/or Facility E/M levels by using an algorithm created by our company Recognize critical care cases by patient acuity. Code surgical procedures typical of an ER setting to capture additional revenue when appropriate. Apply ICD-10-CM diagnosis codes to the highest level of specificity available. Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS Interpret coding guidelines for accurate code assignment Identify the importance of documentation on code assignment and the subsequent reimbursement impact. Align conduct with...

Oct 02, 2026
Flagstaff Bone & Joint
Part Time
 
Orthopedic/Spine Surgical Coder
Flagstaff Bone & Joint Remote
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,...

Oct 15, 2026
Optum
Full Time
 
Special Investigations Unit Pre Pay Coding Consultant - 2380700
Optum Remote
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start  Caring. Connecting. Growing together. High Level Overview of the Role: Coding Consultant is responsible for investigating and resolving instances of healthcare fraud and abuse of medical providers. Coding Consultant uses information from a tip, member benefits, and medical records to document relevant findings. This position will achieve applicable targets and metrics as determined.This individual will provide mentoring,...

Oct 07, 2026
Advanced Pain Care
Full Time
 
Certified Professional Coder
Advanced Pain Care Remote (NC)
Must reside in Texas, Georgia, Mississippi, Montana, North Carolina, Oklahoma, or Wisconsin Salary: up to $40/hr. with experience Job purpose The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient’s medical history, diagnosis, tests and treatment plan. Duties and responsibilities Primarily codes from final office visit, surgical/procedural operative reports signed by providers Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims Enters patient copayment information into the EMR Reconciles charges against the schedule list to ensure no charges are missed Investigates rejected claims to see why denials were issued as...

Sep 01, 2026
APS Medical Billing
Full Time
 
Pathology Coder
APS Medical Billing Remote
APS Medical Billing, located in Toledo, Ohio, is seeking certified professional coders with experience in pathology to become part of our progressive team. This position works with clients to ensure proper documentation for charge capture and remains current with industry guidelines. Requirements Demonstrated ICD-10-CM proficiency Demonstrated understanding of the CPT guidelines for separate procedures, bundling and add-on-codes Experience in abstracting medical records for accurate CPT code assignments Experience in surgical pathology preferred Experience in reviewing, resolving and preventing coding denials Understanding and application of CMS initiatives including NCCI Edits, MIPS and NCD/LCD polices Competitive wages; benefit package (Health, Health Savings Account, Dental, Vision, Personal Health Care Advisor, EAP, Life, 401k, Paid Holidays, Vacation & Earned Time Off (ETO). APS Medical Billing is an Equal Opportunity Employer....

Oct 16, 2026
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