44 profee coder jobs found

Multi-Specialty ProFee CoderRequired Skills & Experience: 3+ years of Professional Fee (ProFee) coding experience within a physician practice, hospital, or healthcare system. Minimum 3 to 5 years of recent coding experience (within the last 5 years) across multiple specialties, including: Primary Care, Orthopedics, Neurology, Emergency Department (ED), Urology. Hands-on experience with Charge Entry processes and revenue cycle workflows. Experience coding and charging for: Drug Administration services, Therapeutic Injections, Infusion Services, Hydration Services. Active coding certification through AAPC or AHIMA required. Active RHIT, RHIA, CPC, COC, CCS-P, CCS, CEDC, or equivalent credential required. Strong knowledge of CPT, HCPCS Level II, and ICD-10-CM coding guidelines. Experience reviewing physician documentation to ensure accurate code assignment and reimbursement. Working knowledge of Evaluation & Management (E/M) coding guidelines across multiple specialties....

Required Skills & Experience Minimum of 3 years of Professional Fee (ProFee) coding experience. Active coding certification through AAPC or AHIMA. Current RHIT, RHIA, CPC, COC, CCS-P, CCS, CEDC, or equivalent coding credential. Recent hands-on Professional Fee coding experience within the last 3-5 years supporting one or more of the following specialties: Surgical Trauma Plastic & Reconstructive Surgery Orthopedic Hand Surgery Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, NCCI edits, and payer-specific coding guidelines. Demonstrated experience assigning accurate procedure, diagnosis, and E/M codes based on provider documentation. Experience reviewing operative reports and coding surgical procedures for professional fee reimbursement. Ability to interpret complex surgical documentation and apply appropriate coding and modifier usage. Experience working in a fully remote environment with strong productivity and quality standards. Proficiency...

Cardiology CoderRequired Skills & Experience: 3+ years of recent Professional Fee (ProFee) coding experience in a healthcare setting. Minimum 3 to 5 years of dedicated Cardiology coding experience within the last 5 years. Active coding certification through AAPC or AHIMA required. Active RHIT, RHIA, CPC, COC, CCS-P, CCS, CEDC, or equivalent coding credential required. Extensive experience coding for Cardiology services, including: Interventional Radiology (IVR) Cardiovascular Interventional Radiology (CVIR) Cardiac Catheterization procedures Diagnostic and interventional catheter-based procedures Strong knowledge of CPT, HCPCS, ICD-10-CM, and medical necessity guidelines. Experience reviewing operative notes, procedure reports, physician documentation, and diagnostic testing. Understanding of National Correct Coding Initiative (NCCI) edits and payer-specific coding requirements. Experience working claim edits, coding denials, and documentation clarification opportunities....

Job Description Day-to-Day Responsibilities Review and code professional fee encounters using ICD-10-CM, CPT, and HCPCS guidelines. Assign accurate E/M levels, diagnoses, and procedure codes to ensure compliant reimbursement. Abstract key patient and encounter data for billing, regulatory, and reporting purposes. Audit medical records to ensure documentation supports services billed and identify documentation gaps. Communicate with physicians and providers to obtain coding and documentation clarifications. Review and resolve coding-related claim edits, including medical necessity and NCCI/CCI edits. Collaborate with billing and Accounts Receivable teams to resolve coding and reimbursement issues. Maintain quality and productivity standards while meeting a 95% coding accuracy requirement. Work within EMR, hospital information systems, and encoder software in a fully remote environment. Stay current on coding regulations, payer requirements, and continuing education requirements....

## Coder, ProfeeApply: Ovation Healthcare - Remote EST: Full time: Posted 14 Days Ago: R2712**Welcome to Ovation Healthcare!**At Ovation Healthcare (formerly QHR Health), we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and...

Physician Coder III, RemoteErlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WYJob Summary: The Physician Coder III is responsible for coding of physician and/or mid-level provider professional services. Recognizes and completes a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follows set procedures to achieve goals. Displays professional office skills and ability to navigate a practice management system. Functions as liaison between management, the physician practices and employees working within physician practices. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED,...

The Medical Billing & Coding Specialist will review completed encounters and claims prior to submission to identify coding, billing, demographic, payer, and claim-form errors. The goal of this position is to make sure claims are clean and accurate before they are submitted, reducing denials, rework, and payment delays. The position is expected to require approximately 1–2 hours per day, with flexibility in scheduling based on clinic volume. Key Responsibilities Include: ● Review completed encounters and claims for accuracy before submission ● Verify that appropriate CPT, HCPCS, ICD-10-CM, and applicable modifiers are used ● Review claims for common billing errors and missing information ● Ensure claims are submitted using the appropriate billing methodology for Rural Health Clinic (RHC) services ● Review payer-specific requirements and identify potential claim issues before submission ● Assist with proper billing of Medicare, TennCare/Medicaid, Medicare...

Job Title Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state. There are a number of reasons why TOA is an employer of choice; here are a few of them: Stability - TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state! Impact - TOA's team members use our careers whether in our clinics or our business office to make a positive difference in the community by building relationships and helping patients live their best life. Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement. Total Rewards - TOA offers a comprehensive suite of benefits, including Medical,...

Coding Analyst, Inpatient Coder Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. Position Summary: Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes. Confirms appropriate DRG assignment. Communicates with physicians for clarification...

Coding Specialist, Outpatient Facility CoderFull Time, 80 Hours Per Pay Period, Day ShiftCovenant Health Overview:Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.Position Summary:This individual provides leadership, direction, and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff...

***Work at Home*** Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state. There are a number of reasons why TOA is an employer of choice; here are a few of them: Stability - TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state! Impact - TOA's team members use our careers — whether in our clinics or our business office to make a positive difference in the community by building relationships and helping patients live their best life. Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement. Total Rewards - TOA offers a comprehensive suite...

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate's degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: - RHIT - Certified Health Information Technician (AHIMA) - RHIA - Registered Health Information Administrator (AHIMA) - CCS - Certified Coding Specialist (AHIMA)...

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the...

Coder Analyst Specialist Full Time, Day Shift Covenant Medical Group Overview: Covenant Medical Group is the employed and managed medical practice organization of Covenant Health, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, our team delivers expertise across a broad spectrum of specialties from primary care and walk-in clinics to preventive medicine and advanced surgical and subspecialty services. We are committed to offering coordinated, patient-centered care that spans the continuum of health needs, ensuring access to exceptional providers close to home. Position Summary: Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts and enters data from the medical...

Coding Analyst, Inpatient CoderFull Time, 80 Hours Per Pay Period, Day ShiftCovenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.Position Summary: Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes. Confirms appropriate DRG assignment. Communicates with physicians for clarification of...

Medical Biller, CMG Business OfficeThis position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class categories. Serves as a resource for Medical Biller Is, seeking guidance from Supervisor when necessary. This positions also provides patient customer service and releases billing records to approved entities. This position responsible for the timely and accurate completion of assigned tasks to facilitate proper claim processing.ResponsibilitiesActs a resource for Medical Biller Is with resolving intermediate to complex account and claims issues.Provides guidance to other departmental roles (including Customer Service, Collections, Payment Posting) as it pertains to plan eligibility, claims processing details, and patient balance explanations as needed.Responsible...

Location: Memphis, Tennessee, United StatesCompany: Baptist Memorial Health Care CorporationPosted: 2026-10-23Baptist Memorial Health Care Corporation is seeking a qualified medical coder to handle outpatient coding for diagnoses and procedures, with focus on education and leadership within the coding team. You will support education of staff and providers, drive accuracy, and contribute to documentation improvement efforts.The role emphasizes coding accuracy, training responsibilities, and collaboration with clinical staff to ensure medical necessity and proper reimbursement across acute and#J-18808-Ljbffr

Outpatient Acute Care Coder - Emergency You must reside in one of these states to be eligible for this position: Arkansas California Kentucky Massachusetts Nevada New Mexico Oregon Utah Tennessee Texas Wyoming Responsible for assigning appropriate diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, ICD-10-PCS, CPT, HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Employment Type: Full Time Location: Remote Reports To: Coding Operations Manager Job Summary: The Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Will match outpatient coding area to experience (i.e. Same Day Surgery,...

Overview Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial...

Overview Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period , Day Shift Remote Position: Southeast U.S. (Eligible states: TN, KY, NC, GA, AL, VA, MS, AR, MO) Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This...

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...

Baptist Memorial Health Care Corporation is seeking a qualified medical coder to handle outpatient coding for diagnoses and procedures, with focus on education and leadership within the coding team. You will support education of staff and providers, drive accuracy, and contribute to documentation improvement efforts. The role emphasizes coding accuracy, training responsibilities, and collaboration with clinical staff to ensure medical necessity and proper reimbursement across acute and #J-18808-Ljbffr

Overview Join our dynamic healthcare team as a Medical Billing | Collection Specialist, where your expertise will drive the financial health of our organization. In this vital role, you will be responsible for managing the entire billing process, ensuring accurate coding, timely submissions, and effective collections. Your attention to detail and knowledge of medical billing procedures will help optimize revenue cycles and support quality patient care. This position offers an energetic environment where your skills directly impact operational success and patient satisfaction. Join us in making a difference by ensuring smooth financial operations that support exceptional patient care! Duties Prepare and submit accurate insurance claims using DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology) ICD 10 coding standards to ensure proper reimbursement. Follow up on unpaid or denied claims through effective medical collection strategies to maximize revenue...

At Houston Methodist, the Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to outpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant outpatient coding experience or completion of the Houston Methodist Coding Apprentice Program LICENSES AND CERTIFICATIONS Required Must have one of the following:•RHIT - Certified Health Information Technician (AHIMA)•RHIA - Registered Health Information Administrator (AHIMA)•CCS...