146 professional coder jobs found

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. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) 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. Conduct a...

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. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) 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. Conduct a...

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...

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 Summary The 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 include: Conduct a...

St. Luke’s Hospital is a value-driven award-winning health system recognized for unmatched service and quality of patient care. The Coding Specialist III will abstract clinical data from inpatient records to facilitate reimbursement and data collection, assign ICD-9-CM and HCPCS codes in compliance with regulatory mandates, and input information in the hospital's abstracting software. Collaboration with the care team is essential. #J-18808-Ljbffr

AAPC Certified Medical CoderBelle, MO $52,089 - $67,099 a yearFull TimeJob DetailsJoin a dedicated healthcare team in the heart of the Midwest region, where your expertise in medical coding will directly support accurate billing and compliance with national standards. This role involves assigning ICD-10-CM, CPT, and HCPCS Level II codes to finalized medical documentation, ensuring claims are properly prepared according to AMA and CMS guidelines.Key Responsibilities:Assign appropriate medical codes to patient records and claims.Abstract data to determine modifiers for claim submissions.Communicate with providers to clarify documentation and request necessary addendums.Stay current with coding standards, including federal, state, and local regulations.Adhere to ethical coding standards and organizational compliance policies.Monitor provider documentation timeliness and maintain productivity standards.Maintain certification through AAPC or AHIMA and complete required continuing...

CVS Health is seeking a Certified Professional Coder (CPC) for its Special Investigations Unit to conduct medical claim reviews, ensure coding accuracy, and uphold state, federal, and company guidelines across medical, behavioral, transportation and other services. You will present findings to investigators and leadership, audit records for CPT/HCPCS codes, identify billing errors and fraud, and help drive savings while maintaining up-to-date coding knowledge. #J-18808-Ljbffr

Inpatient II CoderBJC is hiring for an Inpatient II Coder. We are looking for 2 years of Inpatient Hospital Coding experience. Must have one of the following certifications: CCS, RHIA, or RHIT. This is a remote position. Eligible remote states include Alabama, Kentucky, Oklahoma, Arkansas, Louisiana, South Carolina, Florida, Mississippi, Tennessee, Georgia, Louisiana, Texas, Indiana, North Carolina, Wisconsin, Iowa, and Ohio.BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental...

St. Luke’s Hospital is seeking a Coding Specialist to abstract clinical data from inpatient records to support reimbursement and data collection. You will assign ICD-9-CM and HCPCS codes in compliance with regulatory mandates and accurately enter information in the hospital's abstracting software. The role emphasizes teamwork with all healthcare professionals and aligning with the hospital's mission and values. #J-18808-Ljbffr

## Certified Coder (Remote) - Orthopedic SurgeryApply: Fully Remote: Remote: Full time: Posted Today: JR97378# **Location**Remote, US# **Scheduled Hours**40# **Position Summary**Reviews medical record documentation to determine appropriate billing codes and necessary documentation.# **Job Description****Primary Duties & Responsibilities:*** Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment.* Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code.* Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up.* Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required.* Assists with efforts to increase physician awareness of documentation...

Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Location Remote, US Scheduled Hours 40 Job Description Primary Duties & Responsibilities Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions Job Location/Working...

Washington University in St. Louis is seeking a medical coder/billing specialist to review records and assign CPT and ICD-10 codes, ensuring documentation supports the codes. The role engages with physicians, assists coders, helps raise documentation quality, and supports the billing process; prior formal coding certification is required or preferred per AHIMA/AAPC credentials, with no strict experience requirement. #J-18808-Ljbffr

Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time The Lead Outpatient Coder is an experienced, credentialed coding professional who serves as the point-of-contact for coders, assists manager with managerial duties, able to take lead on department projects, as well as other departments' coding questions. Responsibilities Serves as a coding resources to clinic and outpatient coders. Ensures the accuracy of clinical data collection from outpatient medical records. Codes diseases, procedures, and diagnosis using the ICD-10-CM and CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards. Completes complex coding assignments for the purpose of...

Mymlc is seeking a Lead Outpatient Coder to be a point of contact for coders and assist with managerial duties. This position involves coding procedures and ensuring compliance with regulations, along with providing feedback to improve coder quality. Candidates should have at least 2 years of outpatient coding experience and relevant certifications. The role can be remote but is preferred for candidates residing in certain states. The company offers comprehensive benefits and a commitment to community health, making it an attractive employer. #J-18808-Ljbffr

Location Remote, US Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Primary Duties & Responsibilities Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions Job Location/Working Conditions: This position is...

Jefferson City Medical Group is seeking a full-time Medical Coder to support accurate billing for providers and ancillary services. You will coordinate workflow with clinics and providers and communicate clearly within the organization and with the public to uphold the clinic's mission. Required: high school diploma or GED and at least two years in a physician coding environment; certifications CPC, CCA, or CEMC are a plus. The position offers strong benefits and growth opportunities. #J-18808-Ljbffr

Jefferson City Medical Group Full-time Position Jefferson City Medical Group is looking to fill a full-time position. Applicants in the following states will be considered for employment: Missouri, Kansas, Arizona, Texas, Florida, and Georgia. Responsibilities Job Specific Competencies: Performs all functions essential in the billing of providers and ancillary services. Organizes workflow and communication with the clinics and providers for accurate billing information. Effectively communicates within the organization and with the public consistent with the clinic philosophy, vision and mission. Appropriately uses facility communication, information systems and equipment. JCMG Core Competencies: Strives for continuous quality improvement. Participates in educational experiences designed to maintain and/or improve professional competence. Maintains high work ethic standards. Provides quality customer service to staff, patients and visitors always. Minimum...

Inpatient II Coder BJC is hiring for an Inpatient II Coder. We are looking for 2 years of Inpatient Hospital Coding experience. Must have one of the following certifications: CCS, RHIA, or RHIT. This is a remote position. Eligible remote states include Alabama, Kentucky, Oklahoma, Arkansas, Louisiana, South Carolina, Florida, Mississippi, Tennessee, Georgia, Louisiana, Texas, Indiana, North Carolina, Wisconsin, Iowa, and Ohio. BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community...

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

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) SKILLS AND ABILITIES Demonstrates the skills and...

AAPC Certified Medical Coder - Remote Join a dedicated healthcare team serving a broad regional community in the Midwest. This role is perfect for a detail-oriented medical coder who thrives in a remote work environment and is passionate about accurate and ethical coding practices. General Summary The medical coder ensures that services are billed correctly according to the American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. This position involves insurance credentialing and educating providers and staff on coding and billing standards. Routine chart audits are conducted to maintain compliance and accuracy. Essential Duties and Responsibilities Assign ICD-10-CM, CPT, and HCPCS Level II codes to finalized medical documentation to create accurate medical claims. Abstract specific data from patient records to determine appropriate claim modifiers. Query providers for clarification when documentation is unclear or incomplete,...

Job Summary Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines. Job Responsibilities and Requirements Primary Responsibilities Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital accounts. Reviews HCPCS charges and codes for appropriateness of modifiers in relation to NCCI/CCI edits. Enters accurate charge information, when appropriate. Monitors assigned work queues to ensure all records are charged in a timely manner. Generates coding queries for clarification regarding physician documentation as needed. Stays abreast of all changes in coding conventions and coding updates. Performs other duties as assigned. Education High School diploma/GED or 10 years of work experience. Experience No experience required. Physical Requirements Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking,...

Position Summary Location Remote, US Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Job...

Hannibal Regional is seeking a hybrid opportunity coder- reviewer to perform a comprehensive review of denied visits, ensuring accurate billing, proper reimbursement, and complete data capture. You will collaborate with the coding and billing departments to stay compliant with all guidelines and regulations. The ideal candidate holds a high school diploma and a current coding certification (AHIMA/AAPC or RHIT/RHIA) with coding experience, and possesses strong analytical skills to interpret #J-18808-Ljbffr