17 profee coder jobs found

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 external scientific exchange. Job Description Key Responsibilities...

Outpatient Coder 2 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift: Day (United States of America) Job Summary: The Outpatient Coder 2 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in outpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate. Abstracts demographic and...

Medical Coder Specialist At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization: Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. Occ Summary The Medical Coder Specialist will have frequent and daily interactions with internal and external clients, including but not limited to physicians and Non-physician Surgical Providers. Responsibilities include primary diagnosis and procedural coding for the designated major surgical specialty areas and other major...

Coding Specialist Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides accurate and timely assignment of appropriate diagnostic and procedural codes on the medical records for the purpose of collecting and indexing quality health information for routine patient types (outpatient diagnostic, outpatient physician practice/clinic, inpatient physician services and/or emergency room encounters). Experience 3 years of experience in hospital and/or physician practice outpatient coding Preferred Qualifications No preferred qualifications Education High school diploma or equivalent...

Department: 38513 Carolinas Medical Center - LCH: Pharmacy Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Variable Pay Range: $62.15 - $93.25 Essential Functions Makes decisions regarding employment, promotion, discipline, and termination of pharmacy team members in collaboration with Pharmacy Leadership. Evaluates pharmacy teammate job performances on an annual basis. Ensures that the pharmacy department adheres to all regulatory bodies including, but not limited to the DEA, the FDA and applicable state Board of Pharmacy. Oversees pharmacy staffing and scheduling to ensure safe patient care. Coordinates and integrates interdepartmental and intradepartmental services and participates in various committees. Ensures that policies and procedures promoting safe and effective use of medications are followed. Assists in the planning of new and/or revised pharmacy services based on new innovations, technology and/or...

Experienced Multi-Specialty Surgery Coder The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours: Monday - Friday, working 40 hours a week Location: Fully Remote - U.S You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide coding and abstraction of physician or professional records Provide communications to Coordinator, Supervisors and Managers Complete RAI's, denials, charge hold reports, and coding edits Assist on special coding projects as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear...

Certified Professional Coder, Independent Contractor Constellation Quality Health is a non‑profit health care quality consultancy and QIO‑like Entity certified by Centers for Medicare and Medicaid Services (CMS) founded by physicians in 1983. Headquartered in North Carolina’s Research Triangle, we offer an array of quality improvement, clinical review, audit, technical, and consulting services and solutions to improve care delivery, system performance, and patient outcomes. What You’ll Do The Certified Professional Coder (CPC) is responsible for reviewing and comparing provider service documentation to billed claims in order to determine compliance with clinical policies, state and federal regulations. Perform reviews in a manner consistent with contract requirements for timeliness and accuracy. Our requirement for this role: Associate or bachelor’s degree required in a human services field or five (5) years of related experience may substitute for degree. Certified...

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...

Department 38513 Carolinas Medical Center - LCH: Pharmacy Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details/Additional Information Variable Pay Range $62.15 - $93.25 Essential Functions Makes decisions regarding employment, promotion, discipline, and termination of pharmacy team members in collaboration with Pharmacy Leadership. Evaluates pharmacy teammate job performances on an annual basis. Ensures that the pharmacy department adheres to all regulatory bodies including, but not limited to the DEA, the FDA and applicable state Board of Pharmacy. Oversees pharmacy staffing and scheduling to ensure safe patient care. Coordinates and integrates interdepartmental and intradepartmental services and participates in various committees. Ensures that policies and procedures promoting safe and effective use of medications are followed. Assists in the planning of new and/or revised pharmacy services based on new innovations, technology and/or regulatory...

A leading healthcare provider in Durham, NC, is seeking a full-time Coding Specialist to maintain coding compliance and support patient assessments. The ideal candidate must have a CPC certification and at least one year of E&M coding experience. Responsibilities include abstracting and coding patient encounters, ensuring proper documentation, and collaborating with healthcare providers. This position offers a competitive benefits package and requires working in a fast-paced environment. #J-18808-Ljbffr

A non-profit health care quality organization is seeking a Certified Professional Coder (CPC) as an Independent Contractor. This remote role involves reviewing compliance of provider documentation against billed claims. Candidates should have a degree in human services or equivalent experience, as well as CPC certification with DRG coding experience. Strong communication skills and proficiency in Microsoft tools are required. The position offers a competitive salary and flexible work environment. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

Certified Professional Coder, Independent Contractor Join to apply for the Certified Professional Coder, Independent Contractor role at Constellation Quality Health Constellation Quality Health is a non‑profit health care quality consultancy headquartered in the North Carolina Research Triangle. We offer a range of quality improvement, clinical review, audit, technical and consulting services to improve care delivery, system performance and patient outcomes. What You’ll Do Perform coding reviews in a manner consistent with contract requirements for timeliness and accuracy. Review and compare provider service documentation to billed claims to determine compliance with clinical policies and state and federal regulations. Qualifications Associate or bachelor’s degree in a human services field or five (5) years of related experience may substitute for degree. Certified Professional Coder (CPC) certification with at least two (2) years’ experience in DRG coding in an inpatient...

A non-profit health care consultancy is seeking an Entry-level Certified Professional Coder, Independent Contractor. The role involves conducting coding reviews to ensure compliance and accuracy of provider documentation against claims. Candidates must hold a CPC certification and have at least two years of experience in DRG coding within an inpatient facility. A competitive salary and flexible work environment are offered, supporting a commitment to quality improvement in healthcare delivery. #J-18808-Ljbffr

Medical Coder Drive accuracy. Support care teams. Advance hospice outcomes. We are seeking a dedicated medical coder to join our team, reporting directly to the billing manager. In this role, you will conduct precise and compliant coding activities aligned with company policies, ensuring accurate hospice diagnosis coding and supporting our branches with exceptional service. Key responsibilities: Review diagnosis lists to identify actual or potential coding errors. Recognize and accurately code diagnoses documented within medical records beyond standard diagnosis lists. Provide expert guidance to branches for correcting coding errors using standardized coding guidelines. Collaborate effectively with other coders to achieve team goals. Adhere strictly to company policies, coding guidelines, coding clinic advisories, and hospice billing regulations. Maintain the highest professionalism and discretion in all actions. Demonstrate excellent communication skills via...

Employer Industry: Healthcare Services Why consider this job opportunity: - Salary of $21.00/hour - Opportunity for career advancement and growth within the organization - Flexible remote work arrangement - Supportive and collaborative work environment - Chance to ensure coding accuracy and compliance in medical records What to Expect (Job Responsibilities): - Abstract and code clinical data from medical records - Audit medical records to ensure compliance with internal coding procedures and external standards - Accurately enter and validate coded data in designated systems - Research proper coding practices and document findings - Review denial reports and recommend appropriate billing corrections What is Required (Qualifications): - At least 2 years of recent medical coding experience - Must have an active medical coding certification from AAPC or AHIMA (e.g., CPC, CCS) - Familiarity with ICD-10-CM, CPT, and HCPCS coding systems - Strong attention to detail and accuracy - High...

Billing & Collection Specialist - RemoteAt GenesisCare we want to hear from people who are as passionate as we are about innovation and working together to drive better life outcomes for patients around the world.Role Summary :This role is responsible for collecting payments from various insurance companies.Collections activities include denial research, submission of appeals, and follow up on no-response and partial paid claims.This includes identifying consistent payer related payment delays and communicating patterns to management.This position will be responsible for making sure the corrected claims are sent out in a timely manner.Coordinators will also support registration and insurance changes.Your Key Responsibilities :Prepare and re-submit medical billing claims to insurance carriers either electronically or by hard copy billingSecures needed medical documentation required or requested by insurance carriersInvestigate, analyze, and resolve the reason for denials of...