216 professional coder jobs found

Shawnee Health Certified Professional Coder Join Southern Illinois' leading healthcare organization, with over 360 team members who believe that in taking care of each other and our patients and clients, we create new opportunities for success and bring big dreams to life. Shawnee Health is seeking a Certified Professional Coder for our Shawnee Health Remote Billing office. This position reports directly to the Assistant Revenue Cycle Manager. Responsibilities Completes coding and posting of charges for all provider specialties and payer types utilizing the patient encounter information as directed by physicians and medical records notes. Completes coding and posting for all hospital related visits and surgeries. Have a comprehensive understanding of coding rules and regulations by CMS, AMA, ADA and Medicaid. Conducts coding audits and reports feedback back to clinicians for educational and compliance purposes. Requirements High School Diploma Certified Professional...

Overview The Professional Coding Compliance Specialist provides revenue cycle support to Riverside Medical Group and its coding team by regularly auditing provider documentation and corresponding coding to ensure correct, complete and compliant practices that fully support diagnoses reported and charges submitted for services rendered, meet regulatory and payor-specific requirements, and accurately describe the patient encounter; providing feedback and education to providers and coders based on audit results, regulatory changes, and industry trends; assisting with orientation of new providers, residents/fellows, and new members of the coding team. Essential Duties Completes timely audits of assigned providers and coders for accurate, complete, and compliant ICD-10-CM and CPT/HCPCS code assignment, ensuring that documentation supports the diagnoses reported, E/M level selected, and CPT/HCPCS codes submitted for services rendered during the episodes of care reviewed Reviews...

Job Description Job Description Description:   ABOUT US For over 55 years, we have been considered one of the innovative world leaders in the enhancement and improvement of care for foot and ankle medical conditions, sports medicine and clinical programs. Our mission is to improve the quality of life in a patient focused environment by providing the most advanced and knowledgeable foot and ankle care. WFAI has experienced phenomenal development, with expansion into 5 states and a future dedicated to continuing with that growth strategy. As our family expands, we stand by our core values, which include integrity, excellence, trust, caring, tradition and innovation.  Position Summary:  Responsible for reviewing clinical documentation to abstract and/or validate CPT and ICD-10 coding for Podiatry based coding experience, including evaluation & management (E/M) and surgical coding experience. The coder will ensure that medical records are coded in an accurate and...

At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and sports medicine needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers including physical and occupational therapists. Today we are one of Arizona's largest privately owned and most comprehensive orthopedic practices with more than 80 locally and nationally renowned providers across 30 locations, in addition to in house state of the art MRI capabilities. At OrthoArizona we are committed to best-in-class patient care, being a pioneer in research and technology, and most importantly, rewarding and recognizing our team members. As a Certified Professional Coder with OrthoArizona, you will get to: Read and understand Operative and/or Procedure notes. Apply CPT and ICD-10 codes to Operative reports. Communicate with providers regarding complex/unusual cases. Responsible for coding all daily office visits. Understand and follow...

Shawnee Health – Certified Professional CoderJoin Southern Illinois' leading healthcare organization, with over 360 team members who believe that in taking care of each other and our patients and clients, we create new opportunities for success and bring big dreams to life.Shawnee Health is seeking a Certified Professional Coder for our Shawnee Health Remote Billing office. This position reports directly to the Assistant Revenue Cycle Manager.ResponsibilitiesCompletes coding and posting of charges for all provider specialties and payer types utilizing the patient encounter information as directed by physicians and medical records notes.Completes coding and posting for all hospital related visits and surgeries.Have a comprehensive understanding of coding rules and regulations by CMS, AMA, ADA and Medicaid.Conducts coding audits and reports feedback back to clinicians for educational and compliance purposes.RequirementsHigh School DiplomaCertified Professional Coder certification...

OverviewThe Professional Coding Compliance Specialist provides revenue cycle support to Riverside Medical Group and its coding team by regularly auditing provider documentation and corresponding coding to ensure correct, complete and compliant practices that fully support diagnoses reported and charges submitted for services rendered, meet regulatory and payor-specific requirements, and accurately describe the patient encounter; providing feedback and education to providers and coders based on audit results, regulatory changes, and industry trends; assisting with orientation of new providers, residents/fellows, and new members of the coding team.Essential DutiesCompletes timely audits of assigned providers and coders for accurate, complete, and compliant ICD-10-CM and CPT/HCPCS code assignment, ensuring that documentation supports the diagnoses reported, E/M level selected, and CPT/HCPCS codes submitted for services rendered during the episodes of care reviewedReviews audit...

Certified Professional Coder (CPC)We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.Activities...

Shawnee Health - Certified Professional Coder Join Southern Illinois' leading healthcare organization, with over 360 team members who believe that in taking care of each other and our patients and clients, we create new opportunities for success and bring big dreams to life. Shawnee Health is seeking a Certified Professional Coder for our Shawnee Health Remote Billing office. This position reports directly to the Assistant Revenue Cycle Manager. Responsibilities • Completes coding and posting of charges for all provider specialties and payer types utilizing the patient encounter information as directed by physicians and medical records notes. • Completes coding and posting for all hospital related visits and surgeries. • Have a comprehensive understanding of coding rules and regulations by CMS, AMA, ADA and Medicaid. • Conducts coding audits and reports feedback back to clinicians for educational and compliance purposes. Requirements • High School Diploma • Certified...

Coder – Professionals are responsible for professional coding includes the assignment of ICD-CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M codes) provider audits. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Accepting remote workers in the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Department: Physician Coding Hours: Full time, 40 hours/week Shift: 1st Location: Remote or On-site. Pay: Based on experience, starting at $22.72. Compensation Estimated Compensation Range $22.72 - $35.22 Pay based on experience. Responsibilities Analyze and confirm assigned encounters for provider’s selection of EM code level utilizing EM code level selection auditing tool. Assists physicians with record documentation needs by requesting...

Coder Auditor-Professionals are responsible for auditing coding assignments with providers and coders, training coding professional staff, and pro‑fee based coding which includes the assignment of ICD‑CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. They interact with medical staff, nursing, ancillary departments, provider offices, and outside organizations. At this time, we are only able to consider applicants who reside in the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Responsibilities Assists coders with coding questions. Conducts the collection and reporting of provider and coder audit results and education. Works with coders and providers to ensure appropriate documentation for clinic services. Reports results to Coding Supervisor - Professional. Demonstrates ability to code all...

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub. Position Summary Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits. Coding focus is provider based E&M level visits or outpatient hospital based ancillary visits Principal Accountabilities Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline. Licenses and Certification RHIA, RHIT, CCS, CCS-P, CCA, or CPC required. Experience and Skills Technical Experience: Required for CCS-P, CCA, or CPC - 1 year (2000 continuous working hours). Role Specific Responsibilities Follows all coding...

Job Description Job Description Description:    A busy multi-specialty medical billing company is seeking an experienced and detail-oriented Medical Coder with a strong background in OB-GYN coding to join our team. Requirements: · Accurately assign ICD-10, CPT, and HCPCS codes · Review medical documentation to ensure coding accuracy and compliance · Work closely with providers and billing staff to resolve coding issues · Maintain current knowledge of coding guidelines, regulations, and payer requirements · Support revenue cycle processes through accurate and timely coding Qualifications · Active CPC or AHIMA certification required · Minimum of 5 years of OB-GYN medical coding experience required · Experience of Athenahealth required · Knowledge of EPIC and eClinicalWorks (eCW) preferred · Strong understanding of ICD-10, CPT, and HCPCS coding · Excellent attention to detail and organizational skills · Ability to work independently and as part...

Riverside Medical Group is seeking a Professional Coding Compliance Specialist to audit provider documentation and coding for accuracy, completeness, and regulatory compliance. You will review ICD-10-CM and CPT/HCPCS, discuss findings with providers, and help develop provider education materials and monthly newsletters. You will collaborate with the coding compliance team to maintain current guidelines, orient new staff, and support education programs to improve coding quality and compliance #J-18808-Ljbffr

The HIM Certified Coder position at Carle Health requires accurate coding of hospital inpatient, outpatient and professional fee encounters using ICD-10/ICD-PCS, CPT and HCPCS codes. The coder will apply coding knowledge to resolve billing edits and utilize Carle EMR systems for chart review. Certifications through AAPC and AHIMA are expected, and ongoing education is essential to maintain compliance and support revenue integrity across Carle Health’s Illinois facilities. #J-18808-Ljbffr

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association...

Overview The Laboratory Billing & Coding Representative is responsible for accurate and timely billing of Laboratory services. Responsible for understanding medical terminology, patient registration, insurance eligibility, payer rules, CPT/HCPCS bundling, CCI modifiers, and lab-related coding for problem resolution. Responsible for understanding and applying compliance and regulatory guidelines to resolve charge review edits, claim edits, billing-related issues, and assigned work queues. Functions as a lab-billing resource for internal and external parties. This position uses Carle electronic medical record systems and Lab Information System to review clinical encounters and laboratory results. Qualifications Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Paws and Claws is seeking a volunteer to help us create and implement API's to connect our various platforms and streamline how our software systems communicate. By building reliable integrations between our tools, you will help automate workflows and ensure our data flows smoothly to support our mission. Key Responsibilities: Build & Maintain Integrations: Design and implement reliable API connections between third-party platforms and internal tools. Streamline Workflows: Creatively map and structure data exchange so different software systems communicate seamlessly. Documentation: Maintain clear, basic documentation outlining how the platforms interact and how data moves between them. Qualifications & Skills: Comfortable working with REST APIs, webhooks, and JSON data formats. Creative problem-solving skills when connecting platforms that do not natively integrate. Ability to work independently and communicate technical updates clearly....

About Us: At Paramedic Services of Illinois, we are dedicated to providing compassionate and high-quality emergency medical care to our community. Our company culture is centered around the belief that every individual deserves prompt and professional medical attention delivered with empathy and respect. Position Summary: The EMS Medical Coding Specialist is responsible for accurate and compliant assignment of diagnosis and procedure codes to emergency medical services encounters, including ground and air ambulance transports. This senior-level position requires expert knowledge of ICD-10-CM, HCPCS Level II coding conventions, and Medicare/Medicaid billing regulations specific to EMS transport services. The specialist ensures optimal reimbursement while maintaining strict adherence to federal and state compliance requirements. Responsibilities: Review and abstract patient care reports (PCRs) to assign accurate ICD-10-CM diagnosis codes and HCPCS transport codes (A0426–A0436)....

Claims Coding Specialist This position is responsible for the accurate coding of claims by providers. Under supervision, this position is responsible for researching and analyzing the itemized bills and/or medical records for facility and inpatient claims validating the coding. This position audits itemized bills and/or medical records to ensure compliance with the organization's coding procedures and standards according to the CMS Coding Guidelines and Official ICD10 Coding Guidelines and recommends coding corrections. Job Requirements: Associate Degree OR 2 years of experience working in the health insurance industry 2 years medical coding through medical record abstraction National coding certification from AAPC or AHIMA to include one or more of the following: Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) PC experience and skills to include...

Edward Elmhurst Health in Skokie, IL is seeking an Ambulatory Risk Adjustment Coding Specialist to identify HCC codes in physician outpatient visits and ensure they are coded with highest specificity. You will verify that documentation meets CMS requirements and work with ambulatory CDS to confirm code accuracy. Responsibilities include abstracting HCCs, identifying chart-level impairments, partnering with physicians to improve documentation, onboarding new staff, keeping ICD-10-CM knowledge #J-18808-Ljbffr

Dermatology Biller/CoderJoin our cutting edge dermatology team!We're seeking a skilled Dermatology Biller/Coder to ensure seamless financial operations.Key Responsibilities:Accurate coding and billing.Insurance claim management.Requirements:Dermatology billing experience is required.Proficiency in coding (CPT, ICD-10).Detail-oriented.For more information please reach out to jessica.rehder@gogpac.com or 605-705-4855All qualified applicants will receive consideration without regard to race, age, color, sex (including pregnancy), religion, national origin, disability, sexual orientation, gender identity, marital status, military status, genetic information, or any other status protected by applicable laws or regulations. GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. We are extremely competitive, client-focused and realize that our value is in our ability...

Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay Range: $27.47 - $43.27 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary This position is responsible for overseeing the billing, coding guidelines and entire charge capture process for physicians including research charges for Rush University. This includes reconciliation...

Revenue Cycle Coder III-Inpatient Coding Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly...