32 profee coder jobs found

Professional Fee and Facility OBGYN Clinic & Surgery Medical CoderIKS Health takes on the chores of healthcare, reducing administrative, clinical, and operational burdens so that staff can focus on their core purpose: delivering exceptional care. Combining pragmatic technology and dedicated experts, IKS enables stronger, financially sustainable enterprises. Our Care Enablement Platform delivers data-driven value and expertise across the care journey, and IKS is a partner for clinician enterprises looking to effectively scale, improve quality and achieve cost savings through forward-thinking solutions. Founded in 2006, IKS Health's global workforce supports large health systems across the United States.Position Summary:As an experienced IKS Health coder, you will be responsible for providing coding and abstracting services for clients on inpatient, outpatient, and clinic visits for professional fee (physician services) medical records using ICD-10-CM and CPT-4 data sets for a...

UPMC Corporate Revenue Cycle is hiring a Coder I- Profee to join our Coding Department! This will be a work-from-home position working Monday through Friday during business hours. In this role, you will assign ICD and limited CPT codes. Coders review the physician documentation to determine the appropriate ICD-10 code and verify the CPT code, but in some cases assign basic CPT codes. Resolve basic coding edits. Complete the charging process. Ensure diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered-- requires knowledge of billing and coding guidelines. Utilize coding resources (CCI edits, 3M, ICD and CPT Publications) along with any other applicable specialty reference material to ensure accurate coding. Responsibilities: Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD and CPT for all records to ensure accurate reimbursement. Review coding for accuracy and completeness prior to...

UPMC Corporate Revenue Cycle is hiring a Coder II to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. In this position, you will be working on edits. We are looking for individuals with a strong understanding of Evaluation and Management codes. As a Coder II, you will review all pertinent physician, nursing and ancillary documentation in the medical record. Depending on type of service and place of service, you will determine the level of acuity, procedure performed, billable supplies and diagnosis to substantiate medical necessity. You will review and sequence all codes to to maximize reimbursement and address any potential bundling issues. Apply modifiers as needed. LMRP/CCI edit and coding denial resolution. Responsibilities: Utilize computer applications and resources essential to completing the coding process efficiently. Meet and maintain charge lag and appropriate coding productivity...

Coder ILocation: Remote Organization: Premier Orthopaedics, in partnership with Philadelphia Hand to ShoulderOverviewPremier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely. As two of the region's most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development.Position SummaryThis role is responsible for accurately reviewing medical records and assigning ICD-10 and CPT codes in compliance with all applicable policies and regulations. It manages patient demographics, clinical documentation, and billing data across practice management systems and hospital records to ensure proper coding and reimbursement. The position also supports and educates clinical staff and providers on documentation and coding standards to promote compliance, accuracy, and effective...

Become a part of our caring community 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. Where you Come In 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 of...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

Job DescriptionJob DescriptionDescription: Job Role The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Manager and support a culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity, and regulatory guidelines.Requirements: Responsibilities will include:Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines.Analysis of claims data to optimize reimbursement by ensuring that the diagnosis codes, procedure codes, and supporting documentation...

Cardiology Consultants Of Philadelphia Cardiology Consultants of Philadelphia (CCP) is a professional medical organization committed to the healing mission of Medicine and is part of a national cardiology platform, Cardiovascular Logistics (CVL). Together, we share the same mission to provide our patients with the highest quality cardiovascular care available. Join our team and be a part of an organization that is dedicated to improving patient outcomes and shaping the future of heart health. CCP specializes in providing comprehensive cardiology care and currently has over 30 locations throughout the Philadelphia region. We are currently hiring for full-time Electrophysiology Coder (CPC) to work at our Philadelphia, PA Office. Summary The Certified Professional Coder Electrophysiology is responsible for accurate, compliant, and timely coding of the electrophysiology (EP) service line for Cardiology Consultants of Philadelphia (CCP). This is a full-time position dedicated to...

Coder I Location: Remote Organization: Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder Overview Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely. As two of the region's most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development. Position Summary This role is responsible for accurately reviewing medical records and assigning ICD-10 and CPT codes in compliance with all applicable policies and regulations. It manages patient demographics, clinical documentation, and billing data across practice management systems and hospital records to ensure proper coding and reimbursement. The position also supports and educates clinical staff and providers on documentation and coding standards to promote compliance, accuracy, and...

Job Description Job Description Description: Job Role The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Manager and support a culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity, and regulatory guidelines. Requirements: Responsibilities will include: Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines. Analysis of claims data to optimize reimbursement by ensuring that the diagnosis codes, procedure codes, and supporting...

Salary: $53,008.00 - $80,646.00 Annually Location : Dauphin County, PA Job Type: Civil Service Permanent Full-Time Job Number: CS-2026-60656-39650 Department: Department of Human Services Division: HS Div Third Prty Liab Opening Date: 10/20/2026 Closing Date: 11/3/2026 11:59 PM Eastern Job Code: 39650 Position Number: 00074958 Union: Non-Union Bargaining Unit: A5 Pay Group: ST06 Bureau / Division Code: 00211793 Bureau / Division: Bureau of Program Integrity / Division of Third Party Liability Worksite Address: Commonwealth Tower Worksite Address: 303 Walnut Street, 7th Floor City: Harrisburg, Pennsylvania Zip Code: 17101 Contact Name: Ricki Paden Contact Email: ripaden@pa.gov THE POSITION Are you prepared to lead a team whose work safeguards public resources and supports critical statewide programs? The Medical Assistance Program Technician Supervisor role with the Department of Human Services places you at the...

UPMC Corporate Revenue Cycle is hiring a Coder III to join our Coding Department! This position will be a work-from-home position, working Monday through Friday during business hours. In this role. you will monitor and respond to accounts on Pre-Bill edit and error reports. You will assist with training other coders as requested. The Coder III will perform PHC4 coding corrections; provide feedback to coders who made errors as well as monitor the Daily Cirius Error report to ensure that there are zero accounts exceeding the expected completion timeframe. Additionally, you will review and respond to the Pre-Bill Edit report issues to ensure timely billing. As the Coder III, you will assist with special projects as requested. We are seeking experienced Coders with a strong background in Interventional Radiology (IR) and Interventional Cardiology (IC) CPT coding. Qualified applicants should possess a minimum of three years of CPT coding experience. If you are ready to take the...

UPMC Corporate Revenue Cycle is hiring a Coder II to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. In this role, you will be responsible for coding diagnosis & procedure codes ICD10 & CPT codes and charging for injection, infusion, hydration, and observation hours. We are looking for coders with prior same-day surgery, interventional radiology, and interventional cardiology coding experience to join the team. If you are ready to take the next step in your coding career, look no further! Responsibilities: Review coding for accuracy and completeness prior to submission to the billing system utilizing CCI edits. Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD-10-CM, CPT, and DSM IV codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Utilize the ACEP acuity level guidelines...

Department: 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Will support : A mix of inpatient community and academic coding. Includes service lines such as cardiology, neurology, and oncology. Schedule : Full-time, Monday-Friday 40hrs with a standard schedule of Monday through Friday, 8 hours per day, totaling 40 hours each week. Certification required : Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote opportunity: Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range: $33.05 - $49.60 Major...

Job Summary Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with...

Number of Positions In Requisition 1 Job Details Sr. Coder Professional Billing Job Description REMOTE Professional Billing Sr. Certified Coding Medical Records : Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures. Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement. Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices. Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards. Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements. Required Qualifications Certification: Must hold a certification from recognized...

St.Luke's is proud of the skills, experience and compassion of its employees.The employees of St.Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Physician Coder dodes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives.Must assure data quality through quarterly reviews.Performs data entry of physician services statistics into specialty-specific databases.Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information.JOB DUTIES AND RESPONSIBILITIES :Codes and abstracts professional fee hospital services performed by SLPGphysiciansfrom...

Number of Positions In Requisition 1 Job Details Compliance Auditor Job Description JOB SUMMARY Under general supervision, performs risk-based audits of clinical documentation, coding, and billing records to ensure that documentation supports services billed and complies with applicable regulatory and organizational requirements. This position independently validates documentation and coding compliance, identifies areas of compliance risk, and supports internal audit activities and external audit readiness across hospital-and provider-based settings. This role is outcome-driven and requires the ability to independently manage audit workload, documentation, and deadlines. ESSENTIAL FUNCTIONS • Performs risk-based audits of clinical documentation, physician, technical, and specialty billing and payment records by analyzing medical records, coding records, and health system bills to validate that documentation supports services billed and complies with applicable...

Compliance AuditorUnder general supervision, performs risk-based audits of clinical documentation, coding, and billing records to ensure that documentation supports services billed and complies with applicable regulatory and organizational requirements. This position independently validates documentation and coding compliance, identifies areas of compliance risk, and supports internal audit activities and external audit readiness across hospital-and provider-based settings. This role is outcome-driven and requires the ability to independently manage audit workload, documentation, and deadlines.• Performs risk-based audits of clinical documentation, physician, technical, and specialty billing and payment records by analyzing medical records, coding records, and health system bills to validate that documentation supports services billed and complies with applicable regulations and guidelines.• Evaluates the accuracy and appropriateness of coding, billing, and documentation practices,...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify...

Salary: $46,827.00 - $70,592.00 Annually Location : Somerset County, PA Job Type: Civil Service Permanent Full-Time Job Number: CS-2026-61026-39010 Department: Department of Corrections Division: CR LAU Med Opening Date: 10/22/2026 Closing Date: 11/20/2026 11:59 PM Eastern Job Code: 39010 Position Number: 00232530 Union: AFSCME Bargaining Unit: A2 Pay Group: ST05 Bureau / Division Code: 00114430 Bureau / Division: State Correctional Institution at Laurel Highlands Worksite Address: 5706 Glades Pike City: Somerset, Pennsylvania Zip Code: 15501 Contact Name: Corleen Schmucker Contact Phone: 717.562.5736 Contact Email: cschmucker@pa.gov THE POSITION As the Medical Records Supervisor for SCI Laurel Highlands, you will join a dedicated Department of Corrections team that values careful attention to detail. This role gives you the chance to lead others and ensure that important medical information is handled correctly....

Salary $53,008.00 - $80,646.00 Annually Location Dauphin County, PA Job Type Civil Service Permanent Full-Time Job Number CS-2026-60656-39650 Department Department of Human Services Division HS Div Third Prty Liab Opening Date 10/20/2026 Closing Date 11/3/2026 11:59 PM Eastern Job Code 39650 Position Number 00074958 Union Non-Union Bargaining Unit A5 Pay Group ST06 Bureau / Division Code 00211793 Bureau / Division Bureau of Program Integrity / Division of Third Party Liability Worksite Address Commonwealth Tower Worksite Address 303 Walnut Street, 7th Floor City Harrisburg, Pennsylvania Zip Code 17101 Contact Name Ricki Paden Contact Email ripaden@pa.gov THE POSITION Are you prepared to lead a team whose work safeguards public resources and supports critical statewide programs? The Medical Assistance Program Technician Supervisor role with the Department of Human Services places you at the forefront of complex claim...

THE POSITION Are you prepared to lead a team whose work safeguards public resources and supports critical statewide programs? The Medical Assistance Program Technician Supervisor role with the Department of Human Services places you at the forefront of complex claim analysis and staff development. In this position, you will guide a skilled team responsible for reviewing financial and medical data that influence major recovery efforts. Step into a leadership role where your judgment, communication, and oversight make a measurable impact. DESCRIPTION OF WORK This position oversees the work of Medical Assistance Program Technicians who complete careful reviews of cash, medical, and estate-related claims. The role supports accurate recovery efforts and ensures that staff receive proper guidance and training. As a Medical Assistance Program Technician Supervisor, you will perform the following duties: Staff Leadership: Lead hiring, training, and guidance for technicians...

Job Description Job Description Medical Billing Specialist – Insurance Claims & A/R Harrisburg Area, PA | Full-Time | Onsite | $18–$22/hour We are hiring one full-time Medical Billing Specialist for an established healthcare organization in the Harrisburg area. This position is ideal for someone with experience in medical billing, insurance claims, insurance verification, patient accounts, or healthcare revenue cycle who enjoys resolving billing issues and working as part of a small, supportive team. This is a 100% onsite position . Remote or hybrid work is not guaranteed. The organization is willing to train the right person on company-specific procedures and systems, but candidates must already have a working foundation in medical billing and insurance. What You’ll Do Prepare, review, and submit medical insurance claims Verify patient demographics and insurance information Determine and verify primary and secondary insurance...