17 profee coder jobs found

Estimated Pay Range: $23.16 - $34.74 / hour, based on location, education, & experience. Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced ProFee Coder with at least 1 year of Urology coding experience to join our talented team. Preferred experience in Surgical Urology and Gynecology Oncology coding, knowledge and experience with academic coding/guidelines. Ideal Candidate Minimum 1 year recent experience in E/M Urology coding (clearly reflected in your attached resume); Surgical Urology experience preferred; Must be currently certified through...

A leading healthcare provider is seeking a ProFee Coder with at least 1 year of Urology coding experience. This is a fully remote position allowing flexible hours between 5am-7pm. Ideal candidates should have AAPC/AHIMA certification and experience in surgical coding. The role involves evaluating medical records, ensuring compliance with coding guidelines, and working independently. Join a supportive team environment focused on continuous improvement. #J-18808-Ljbffr

Join to apply for the HIM-OUTPATIENT CODER role at LifeBridge Health Join to apply for the HIM-OUTPATIENT CODER role at LifeBridge Health Get AI-powered advice on this job and more exclusive features. FULL-TIME REMOTE OPPORTUNITY Summary HIM OUTPATIENT CODER FULL-TIME REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 tion : District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of facility outpatient records. Assists with coding and leveling ERs as needed. Assists with coding and charging infusion cases as needed. Meets departmental accuracy and production standards. Reviews medical records to determine the providers diagnoses/procedures for outpatient records (ER, Infusion, other outpatient) and assigns ICD-10CM/PCS codes or CPT codes to those diagnoses/procedures. Abstracts predetermined information from ER and outpatient...

Specialty Scope For This Coder II Position Specialty scope for this coder II position to include but not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs,...

Baylor Scott & White Health Job Posting Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Eligibility on day 1 for all benefits Dollar-for-dollar 401(k) match, up to 5% Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more Immediate access to...

The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. Medical Coding Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. Review and validate coding performed by other coders to ensure consistency and accuracy. Identify ambiguous or unclear terms and query clinical sites or data management for clarification. Maintain coding...

Internal Expert For Value-Based Reimbursement And Medical Policy Models Pay Range: $30hr - $35hr Acts as an internal expert to ensure that value-based reimbursement and medical policy models are developed and implemented. Provides advanced knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive...

Certified Medical Coder Location: Remote Type: Contract to hire Pay Rate: $21.00/hour Job Summary: We are looking for a Certified Medical Coder to join our remote team in a term-to-perm role. This is a great opportunity for someone with a solid foundation in medical coding who is ready to take the next step in their career. You'll play a key role in ensuring coding accuracy and compliance with industry standards. Key Responsibilities: Assign diagnosis codes and procedure codes to patient records Ensure accurate and timely coding for all patient encounters Maintain compliance with HIPAA regulations and other coding standards Collaborate with healthcare professionals to clarify coding requirements Participate in ongoing training and development to stay current with coding changes Qualifications: Certified Medical Coder (CMC) or equivalent certification Proven experience in medical coding Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems Excellent attention...

Behavioral Health Coding Auditor (Consultant) This is a remote position. We are seeking a Certified Medical Coder with deep Behavioral Health expertise to audit current coding practices and outcomes for a healthcare payer organization. The consultant will assess provider-facing coding (CPT, HCPCS, ICD-10) in the Behavioral Health domain, identify issues, and recommend rule definitions and process improvements to optimize accuracy and reimbursement. Experience configuring payer platformsespecially HealthEdge HealthRules or Optum equivalentsis a strong plus. What You'll Do Perform retrospective and prospective audits of Behavioral Health claims and encounters (CPT/HCPCS/ICD-10). Evaluate accuracy, completeness, and adherence to payer and Medicaid guidelines with emphasis on Rhode Island Medicaid policy requirements. Analyze denial trends, under/overpayments, edits, and provider coding patterns; quantify impact and root causes. Draft clear, actionable coding rule definitions...

Senior Medical Coding Specialist (Remote) Join to apply for the Senior Medical Coding Specialist (Remote) role at CareFirst BlueCross BlueShield Acts as an internal expert to ensure that as value-based reimbursement and medical policy models are developed and implemented. Provides expert knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT, HCPCS, and ICD 10 codes in claims submissions. Responsibilities and Qualifications Utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge to build the effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. Consults on proper coding rules in value-based contracts to ensure appropriate quality measure capture and proper use of CPT, HCPCS, and ICD10 codes. Serves as a...

We are seeking a Sr. Compliance Auditor Trainer who will provide on-going training and support to physicians, non-physician providers, professional fee billing staff, clinic staff, administrators, and other affected personnel on documentation and billing requirements. Using auditing and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Works in close collaboration with the clinical departments, Physicians Billing Service, and the Johns Hopkins Health System Compliance Office. The documentation audits are conducted as part of the School of Medicine's Quality Assurance Compliance Program. Prepares reports for the Senior Director, Director, and clinical departments regarding the status or results of the reviews. Summary results are presented to the Clinical Practice Association's Board of Governors, the University's Trustee Committee for Audits and Insurance and other appropriate...

Associate Director, Congress and Medical Education Strategy & Execution The Associate Director, Congress and Medical Education Strategy & Execution is responsible for executing and contributing to the global medical strategy and tactical implementation for congresses and medical education, and supporting Otsuka's non-promotional scientific communication initiatives across the diverse Rare Disease portfolio. This role leads scientific engagement through impactful congress planning & execution, educational programs, and evidence-based content that support Otsuka's mission to improve patient outcomes through deep scientific understanding and collaborative partnerships. The Associate Director partners closely with global and regional cross-functional stakeholders including Global Medical Affairs, Clinical Development, Global Integrated Evidence & Innovation (GIE&I) and Commercial, to ensure scientific alignment, operational excellence and consistency in Otsuka's...

Job Title: Financial Analyst/ Medical Biller (Entry-Level) Location: WRNMMC – Bethesda, MD Contract: Walter Reed Contractor Employment: Full‑time position, Start Date: Open. Five days in the office / No telework. Salary: $22.42 per hour + $4.93 health & welfare allowance = $27.35 per hour. Clearance Requirement: Must be able to pass a NACI background check. Educational Preference: High School Diploma, Associate Degree, or higher; BA preferred. Experience: Minimum 2–3 years of experience with standard office financial and administrative functions, especially in the medical field. Veterans are encouraged to apply. Job Description A financial or accounting analyst studies a company’s financial data to give advice on guiding business investments and overall financial strategy. Duties include predicting returns on investment, writing financial reports, and collecting industry research to inform decision‑making. Responsibilities Process Medical Accounts Receivables...

Job Description Job Description Job Title: Financial Analyst/ Medical Biller (Entry-Level) Walter Reed National Military Medical Center (Hybrid) Location: WRNMMC - Bethesda, MD Contract: Walter Reed Contractor Period of Performance: Full-time position Start Date: Open Additional: THIS POSITION IS FIVE (5) DAYS IN THE OFFICE/ NO TELEWORK Salary: $22.42 per hour + $4.93 health & welfare allowance= $27.35 per hour Clearance Requirement: Must be able to pass a NACI background check/ still checking for background clearance requirements. Preference: Must have a High School Diploma, Associate Degree, or higher/ preferred BA Degree, and must have a minimum of 2–3 years of experience with standard office financial and administrative functions, especially in the medical field. **** Veterans are encouraged to apply**** Note: The Ravens Group, Inc. requests that all interested parties complete the attached...

Job Summary Supports the Corporate Compliance Specialist, coordinates and conducts internal compliance audits to help ensure compliance with applicable statutory and regulatory requirements and organizational policies and procedures. Identify and resolve operational issues with improvement in the work process. Tracks and trends external audits related to Recovery Audit Contractor (RAC), Certified Error Rate Testing (CERT), Target Probe and Education (TPE), Fraud Waste Abuse (FWA) and other audit request. The Compliance Audit Coordinator position provides guidance, support, and oversight to the organization ensuring effective management of the audit response process for all payers; coordinates with subject matter experts to manage the appeals of the adverse audit determinations as well as the clinical responses provided by Frederick Health; evaluates data associated with audit activities, tracks and measures the effectiveness to responses received. The Compliance Audit...

RESP & QUALIFICATIONS Purpose: Acts as an internal expert to ensure that value‑based reimbursement and medical policy models are developed and implemented. Provides expert knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT, HCPCS, and ICD 10 codes in claims submissions. ESSENTIAL FUNCTIONS Consults on proper coding rules in value‑based contracts to ensure appropriate quality measure capture and proper use of CPT, HCPCS, and ICD 10 codes. Provides expertise on the financial and incentive impacts and strategizes solutions to maximize quality payments and risk adjustment. Serves as a technical resource and coding subject‑matter expert for contract pricing issues. Conducts complex analyses to assure payments are compliant and identifies improvement opportunities for operational efficiency. Provides problem‑solving expertise on systems issues when a code is not accepted and troubleshoots...