93 professional coder jobs found

OU Health is seeking a detail-oriented Professional Coding Specialist II to streamline charge review coding workflow. This role includes complex professional coding across multiple settings and ensures compliant reimbursement. Candidates must have at least 3 years of coding experience and hold a CPC or CCS-P certification. The position offers competitive compensation and generous benefits, supporting quality patient care while providing flexible remote/hybrid options. #J-18808-Ljbffr

OU Health is seeking a detail-oriented Professional Coding Specialist II to streamline charge review coding workflow. This role includes complex professional coding across multiple settings and ensures compliant reimbursement. Candidates must have at least 3 years of coding experience and hold a CPC or CCS-P certification. The position offers competitive compensation and generous benefits, supporting quality patient care while providing flexible remote/hybrid options. #J-18808-Ljbffr

Position Summary Applies CPT-4 and HCPCS codes to medical records for the cardiovascular lab and interventional radiology departments based on physicians’ documentation. Adheres to strict federal coding rules and guidelines, achieving 95% coding accuracy while meeting billing deadlines. Essential Responsibilities Code surgical procedures performed by cardiologists and interventional radiologists. Verify supplies used during procedures. Use encoders and other reference materials effectively. Maintain appropriate non‑leading queries to physicians. Abstract services from physician documentation and procedure logs. Reconcile monthly surgical logs. Manage multiple job tasks daily (WQs, emails, surgical logs, census, etc.). Prepare Excel analysis, including V‑Lookups and pivot tables. Gather and compile data systematically, document assumptions, and validate accuracy to resolve inconsistencies. Evaluate and implement charge requests with appropriate CPT/HCPCS codes, revenue codes, and...

Medical Coding Specialist I/II - Profee Pediatrics/Multi Specialty Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Medical Coding Specialist I/II to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. Resolve payer denials and respond to inquiries from revenue cycle teams, processing charge corrections as appropriate. Qualifications High School Diploma or equivalent and medical coding education Required or...

At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

ThedaCare Coder (Clinic - III) The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team members to department standards. Mentors and observes team members in department responsibilities. Upholds and demonstrates department expectations and accuracy in regards to coding responsibilities including payer denials and claim edits. Job Description: Schedule: Full time, benefit eligible 40 hrs/week Business hours (i.e 8:00am-5:00pm) Remote Position Preferred skill set and experience strong in surgical coding; Urology primarily to...

R1 RCM Holdco Inc. is seeking a medical coder responsible for applying CPT-4 and HCPCS codes accurately for cardiovascular and interventional radiology procedures. The role demands advanced coding knowledge, strong Excel proficiency, and effective collaboration with clinical and finance teams. The ideal candidate has 4–6 years of experience in medical coding, a high school diploma, and relevant certifications. This position offers a salary ranging from $48,131 to $81,225 annually, along with eligibility for an annual bonus and a competitive benefits package. #J-18808-Ljbffr

600 Advocate Health, Inc. is seeking an experienced coder for inpatient operations in Milwaukee, Wisconsin. The role involves reviewing complex documentation and ensuring compliance with coding standards. Candidates need at least 7 years of acute care coding experience, a coding certification from AAPC or AHIMA, and a strong understanding of the relevant coding guidelines. Key responsibilities include coding diagnosis and procedure codes, participating in audits, and collaborating with clinical teams to improve coding accuracy. #J-18808-Ljbffr

Department 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details/Additional Information This role will comply with all departmental scheduling policies and expectations. Will support Inpatient Community Core - WI/IL division Schedule Monday - Friday 1st shift 40 hours a 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 $28.55 - $42.85 Major Responsibilities This role will have all responsibilities of coder I, II and III in addition to: reviews complex...

6AM City, LLC is looking for an experienced insurance biller and collector to manage billing for a diverse range of accounts, including major medical, workers comp, and personal injury. The role requires strong proficiency in coding and electronic billing systems, as well as experience in collecting on existing accounts receivable. The ideal candidate will join a professional team dedicated to providing comprehensive healthcare services. Interested candidates should call Dr. A. Kent Rice at 281-630-2500. #J-18808-Ljbffr

R1 RCM Holdco Inc. is seeking a medical coder responsible for applying CPT-4 and HCPCS codes accurately for cardiovascular and interventional radiology procedures. The role demands advanced coding knowledge, strong Excel proficiency, and effective collaboration with clinical and finance teams. The ideal candidate has 4–6 years of experience in medical coding, a high school diploma, and relevant certifications. This position offers a salary ranging from $48,131 to $81,225 annually, along with eligibility for an annual bonus and a competitive benefits package. #J-18808-Ljbffr

Remote Inpatient Coder Position Duties: Coding of inpatient records following MS DRG guidelines and coding practices associated with inpatient acute care. Minimum Required Qualifications: RHIT or CCS. 5 years coding in trauma setting. Minimum pediatric coding experience in a trauma and/or academic setting. Children's hospital coding experience. Length of Assignment: 6 months temp to hire Shift/Hours per week: Days M-F Systems: Epic Start Date: 7/7/26

JOB SUMMARY: The primary purpose of the position is to review both procedural and diagnostic (ICD-10) coding to ensure appropriate billing and insurance regulations are met. This position will be staffed during clinic hours and is largely remote. Occasionally in-person meetings with providers will be required. Must live within reasonable traveling distance from Hudson, WI.CORE DUTIES AND RESPONSIBILITIES:Have in-depth understanding of coding and compliance rules and regulations.Responsible for reviewing provider documentation, coding and posting charges for healthcare services; including Primary Care, Lab/Pathology, Podiatry and more.Provide coding education and engage with assigned providers.Research and communicate governmental and payer-specific rules and regulations to ensure coding compliance.Identify and communicate best practices based on provider documentation, insurance payer medical policies and CMS guidelines.Review, code and post charges for hospital outpatient and...

Suvida Healthcare in Wisconsin is looking for a Risk Adjustment Coder to improve documentation and coding accuracy for Medicare-eligible seniors. The role involves coordinating chart reviews and working closely with the primary care team. The ideal candidate must have experience in ICD-10 coding and outpatient primary care coding, alongside excellent educator skills to assist providers in documentation practices. Join us to make a meaningful impact! #J-18808-Ljbffr

HUDSON PHYSICIANS SC is seeking a Coding Specialist to ensure compliance with billing regulations through accurate coding and documentation. The position is largely remote, requiring occasional in-person meetings with providers. Applicants need certification as a Professional Coder or Certified Coding Specialist and must have at least 2 years of clinical coding experience. Successful candidates will have strong communication skills, the ability to work independently, and proficiency in coding for various healthcare services. #J-18808-Ljbffr

Suvida Healthcare in Wisconsin is looking for a Risk Adjustment Coder to improve documentation and coding accuracy for Medicare-eligible seniors. The role involves coordinating chart reviews and working closely with the primary care team. The ideal candidate must have experience in ICD-10 coding and outpatient primary care coding, alongside excellent educator skills to assist providers in documentation practices. Join us to make a meaningful impact! #J-18808-Ljbffr

Job Opportunity at SSM Health St. Mary's Hospital - Madison It's more than a career, it's a calling. Worker Type: Regular Job Highlights: Monday to Friday, 8:00 to 4:30 (flexible), full-time (.9/36 hours). This is a new role supporting imaging and procedure lab charges and charge reconciliation. The individual will help define and build the role. The position supports St. Mary's and the WI region as needed. Job Summary Supports assigned department(s) as a subject matter expert for achieving operational efficiency, compliance, and exceptional patient care. Serves as a liaison between and resource for clinical and Revenue/Financial departments with strong understanding of both components. Job Responsibilities and Requirements PRIMARY RESPONSIBILITIES Serves as a resource and subject matter expert to the department for workflows, documentation, coding, charging, and software applications. Manages all work queues using subject matter expertise to investigate/correct...

Medical Coding Specialist II - Profee Radiology Middleton, WI, United States (Remote) Job Description Work Schedule: This is a full-time, 1.0 FTE position that is 100% remote. This will have flexible shifts scheduled Monday - Friday and will be discussed in the interview. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We’ve included a link below to view the full list of approved remote work states. We are seeking a Medical Coding Specialist II to: Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local...

A leading AI development company is seeking proficient programmers to work remotely and contribute to advanced AI systems. You will take on dynamic coding tasks, write high-quality code, and evaluate AI-generated outputs. Ideal candidates should have fluency in English, experience with Kotlin and other programming languages, and a bachelor's degree (in progress is acceptable). Enjoy competitive pay, flexibility in projects, and a significant impact on future AI technologies. #J-18808-Ljbffr

Humana seeks a Risk Adjustment Coder to conduct quality assurance coding of medical records, ensuring compliance with CMS standards. The role involves mapping conditions to Hierarchical Condition Categories (HCCs) using ICD-10 diagnosis codes. Required qualifications include certification from AAPC or AHIMA and the ability to work 40 hours weekly, with a focus on maintaining coding standards. Benefits include health insurance, a 401(k) plan, and paid time off. #J-18808-Ljbffr

Humana Inc is seeking an IPA Consultative Coder to collaborate with multi-disciplinary teams in delivering quality care. The role involves educating providers on coding best practices, conducting documentation audits, and supporting coding accuracy within assigned clinics. Qualified candidates will have at least 3 years of risk adjustment medical coding experience and relevant certifications like CCS, CRC, or CPC. This is a hybrid position requiring occasional travel within the assigned market. #J-18808-Ljbffr

At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based on documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. FLSA STATUS Non-exempt...

Become a part of our caring community. Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will perform quarterly...

Become a part of our caring community The 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 Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...