Professional coder associate jobs

Associate Fraud and Abuse Investigator / Certified Professional Coder (CPC) - Remote

Sentara Health VA, USA

City / State Norfolk, VA Work Shift First (Days) Overview :Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator / Certified Professional Coder (CPC) Remote! Status :Full-time, permanent position (40 hours) Work hours :8am to 5pm EST, M-F Location :This position is remote for candidates that live in the following states :VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year.Job Responsibilities :Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products.Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits.Contribute to the review of reimbursement systems relating to health insurance claims...

Full Time

Physician Coder: Neurosurgery

MedKoder Remote

About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. To review all of our open positions, please visit our careers page at: https://medkoder.com/careers/ Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule. Description: Physician Coder: Neurosurgery is responsible for reviewing and accurately coding all professional services including...

Full Time

Observation Coder III

University of Utah Health Remote (Salt Lake City, UT, USA)

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for providing care to patients. Corporate Overview: The University of Utah is a...

University of Missouri School of Medicine / University Physicians

Full Time

Medical Coding Specialist positions (certified and non-certified) – Dual posting

University of Missouri School of Medicine / University Physicians Hybrid (💻 Remote work options available)

Are you a detail-driven coding professional who thrives on accuracy, compliance, and making an impact behind the scenes of patient care? If so, we want to hear from you! We are currently hiring Medical Coding Specialists – (certified or non-certified) to join our dynamic and collaborative team supporting University Physicians. This is your opportunity to work in a mission-driven environment where your expertise directly supports quality care and operational excellence. 💼 What You’ll Do Review complex clinical documentation and diagnostic results to accurately assign: ICD-10-CM (diagnoses) CPT codes (procedures) Modifiers for services Ensure maximum reimbursement and regulatory compliance Assist with audits to identify coding issues, denials, and reimbursement opportunities Serve as a liaison between departments and third-party payers Support providers, residents, and staff with documentation and coding guidance Help...

Full Time

Outpatient/Provider Coder III

University of Utah Health Remote

Overview Top candidates will have experience with Oncology Coding. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for...

Full Time

Coding Operations Manager

Prestige Billing Services Miamisburg, OH, USA

Coding Operations Manager is responsible for overseeing the medical coding team and ensuring the accurate and efficient coding of patient records for billing, compliance, and reimbursement purposes. Oversee insurance verification department. Needs skills with operational leadership, compliance oversight, team management, and process improvement within the healthcare revenue cycle. Experience: Equivalent of an Associate’s degree and two to three years of relevant emergency department or general medical coding experience. CPC required, CEDC additionally preferred. Strong expertise in all professional medical coding, including ICD-10, CPT and HCPCS coding. Excellent organizational skills and ability to multi-task. This is a hybrid position. (Two days remote and three days in-house.) JOB RESPONSIBILITIES Oversee day-to-day operations of the medical coding team, ensuring timely and accurate coding and allocation of duties Ensure that all codes (ICD-10, CPT,...

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Full Time

Provider Coding Specialist- REMOTE

Tidelands Health Remote

Provider Coding Specialist Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview Under the supervision of the Coding Supervisor, the Provider Coding Specialist is responsible for analyzing and assigning ICD-10-CM diagnostic codes, CPT, and HCPCS codes to professional surgical patient accounts, based on the medical information provided and consistent with regulatory guidance and best practices in the industry and Organization policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify documentation to ensure accurate code assignment. Organizes and prioritizes...

AC

Full Time

System Professional Coding Provider Review and Education Manager

Anonymous Company Hybrid

Job Title: Manager Location: System Business Office Department Name: HIM - Professional Req #: 0000207266 Status: Salaried Shift: Day Pay Range: $110,681.00 - $156,337.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The System Professional Coding Provider Review and Education Manager is responsible for onboarding, educating, and reviewing medical record documentation and coding processes of the Medical Group physicians, APNs and other billing providers across all medical centers within the RWJBH enterprise. This includes onboarding education, medical record reviews, targeted education to physician groups and individual physicians, annual and quarterly...

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Medical Coder — Precision Coding & Compliance

Planned Parenthood of Metropolitan New Jersey Mulberry, NC, USA

A healthcare organization is seeking a Medical Coder in Mulberry, Georgia. The ideal candidate will have an Associate degree and at least 3 years of certified medical coding experience. Responsibilities include translating clinical documentation into standardized codes, ensuring compliance with regulations, and collaborating with clinical staff. This position offers competitive compensation ranging from $33.09 to $40.62 per hour and benefits such as health insurance and paid time off. #J-18808-Ljbffr

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Medical Coder

Planned Parenthood of Metropolitan New Jersey Mulberry, NC, USA

General Responsibilities Reporting to the Director of Revenue Cycle, the Medical Coder translates clinical documentation into standardized codes for billing, reporting, and quality initiatives. This role supports coding audits, revenue cycle workflows, and regulatory compliance. Key responsibilities include verifying clinical information with medical staff, resolving documentation gaps, and collaborating with billing staff to ensure accurate claims submission. The medical coder ensures appropriate codes are assigned to all procedures and diagnoses. Essential Functions Assigns and sequences of ICD-10-CM, CPT & HCPCS codes accurately in compliance with government and insurance regulations. Ensures codes reflect patient diagnoses and procedures as documented by clinicians, meeting payer, OSHA, and HIPAA requirements. Reviews and abstracts clinical documentation from outpatient encounters to assign accurate ICD-10-CM, CPT/HCPCS codes, and modifiers. Clarify and resolve coding...

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Senior Coder

Northwell Health New Hyde Park, NY, USA

Job Description Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all...

UH

Clinic Coder Certified, FT

Unity Health Searcy, AR, USA

Job Description Job Description 1. Education: High school education with skill in using office machines (computer, copy machine, calculator, microfilming equipment, etc.) Coding certification from an accredited school. 2. Training and Experience: Minimum of 1 year experience coding health records; must be capable of following verbal or written instructions. . Will participate in ongoing education through workshops, in-service programs, and updates from AFMC. Medical Billing and ICD-9 and CPT coding experience preferred. ● Must be computer literate. ● Excellent customer service/interpersonal communication skills. ● Detail oriented. 3. Job Knowledge: Must be familiar with medical terminology, able to follow basic coding guidelines with the ability to identify proper diagnostic and procedural phrases utilized by healthcare provider. Should have knowledge of anatomy and physiology of human body in order to obtain proper ICD-9 and CPT codes. Abides by the Standards of Ethical...

MC

Medical Billing Supervisor (Hybrid)

Mendocino Community Health Clinic Ukiah, CA, USA

Job Description Job Description Description: At Mendocino Community Health Centers (MCHC), you'll join a team that values Compassion, Integrity, and Service. We offer opportunities for professional growth, a collaborative culture, and the chance to be part of something bigger by improving lives through healthcare MCHC is seeking a Medical Billing Supervisor to support billing department operations and partner with the Billing Manager to improve revenue cycle performance. This role assists with staff training, process improvement and ensuring compliant, efficient billing practices. Essential Duties & Responsibilities Support Billing Manager with reporting, analysis, and process improvements. Collaborate with internal departments to resolve revenue cycle issues and improve workflows. Assists in training staff in compliant and efficient billing practices, including coding, documentation, and system use. Respond to billing inquiries from patients and staff in a...

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Certified Medical Coder

Affinia Healthcare St. Louis, MO, USA

Job Description Job Description Position Summary: Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered. Complete appropriate paperwork/documentation/system entry regarding claim and encounter information. Support and participate in process and quality improvement initiatives. Assist with clinician billing and documentation training. Education: Requires an associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Coding certificate with AHIMA approval status. RHIA, RHIT, CCS or CCS-P certification status required. Experience: Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred. Lab coding experience required. Skills and Abilities : Strong written and verbal communication skills, strong analytical skills, organizational and time management skills . Knowledge and experience in a...

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Medical Coder

Community Health Association Of Mountain/plains States (champs) Montrose, CO, USA

Medical Coder Axis Health is seeking a Medical Coder who will handle the responsibility of reviewing clinical documentation and diagnostic results to extract data, review and re-assign as appropriate, provider-assigned primary care, dental, outpatient behavioral health, substance use and psychiatric CPT, HCPCS, and ICD10 codes. This position resolves error reports associated with the billing process, identifies and reports error patterns, and when necessary assists in the design and implementation of work flow changes to reduce billing errors. This position audits charts for proper documentation and coding. This position will also take on additional duties as assigned. Axis Health is the leading provider of behavioral health and integrated (primary, dental, and behavioral health) care on the Western Slope of Colorado. As a therapist in their clinic, you'll have access to a wide range of resources for your patients. We have recovery groups, Medication Assisted Treatment (MAT),...

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Coder II - Inpatient

Avera Health Sioux Falls, SD, USA

Coder Location: Avera Downtown Building-Sioux Falls Worker Type: Regular Work Shift: Primarily days with possible weekends/evenings/holidays (United States of America) Pay Range: $25.50 - $38.00 Position Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the timely and accurate assignment of diagnostic and procedural codes for inpatient charts for a variety of facilities within Avera Health. Accurate abstracting along with other reporting and editing functions is also within the scope of the Coder. The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with and be mentored by other coding professional staff to ensure accurate coding assignment. What You Will Do Review all aspects of a patient's clinical documentation in order...

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Coder

JTDMH Saint Marys, OH, USA

Job Description Job Description Hours of Job Full Time - 1st Shift, working 8 hours per day between the hours of 6 a.m. and 6 p.m. Flexibility to start/stop hours, with a potential for remote work. No weekends or holidays required Fully remote option available, must live in Ohio Duties and Responsibilities Coder will assign ICD10 and CPT codes for hospital based visits. Evaluate medical record documentation and assign appropriate diagnoses (ICD10) and procedure codes (ICD10 and CPT) in accordance with nationally recognized coding guidelines and appropriate reimbursement requirements. Consult with medical providers to clarify missing or inadequate documentation and to determine appropriate diagnostic and procedure codes. Meet established internal quality and productivity standards. Work independently under supervision. Requirements Must demonstrate a level of knowledge and understanding of ICD10 and CPT coding principles/ Must be able to work effectively...

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Coder II- Remote/CCS, CCA, RHIT, RHIA

Baptist Health Care Pensacola, FL, USA

Coder II Location Requirement: Candidates must reside in one of the following states- Florida, Alabama, or Georgia. If offered the position, will be required to come onsite in Pensacola, FL for orientation. The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This position does not have excessive re-bills. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate...

US

Coder III

UK St. Claire Morehead, KY, USA

The Coder III is responsible for accurate inpatient and outpatient coding, analysis, and screening records for billing, research, and special studies. Responsible for the timely and accurate coding of administrative and clinical data through the accurate assignment of ICD-10 and/or CPT codes and APC and DRG Assignment and modifiers. Duties/Responsibilities: Ensures the correct ICD-10-CM, ICD-10-PCS, APC, and DRG Assignment and/or CPT code and modifiers to each diagnosis and procedure are substantiated by documentation contained in the medical record. Follows departmental and official ICD-10-CM, ICD-10, -PCS APC Assignment and/or CPT coding guidelines to ensure consistent and accurate diagnostic and procedural data coding. Assists with and requests diagnoses from medical staff when not recorded in medical records or if information is incomplete. Corrects edits with the patient accounts staff to ensure timely billing of accounts and resolution of potential errors....

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Medical Record Technician (Coder-Outpatient and Inpatient)

US Department of Veterans Affairs Martinsburg, WV, USA

Medical Record Technician (Coder-Outpatient and Inpatient) This position is located in the Health Information Management (HIM) section at the Martinsburg VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation. Assigns codes to documented patient care encounters covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex...

VA

Medical Record Technician (Coder-Outpatient and Inpatient)

Veterans Affairs, Veterans Health Administration Martinsburg, WV, USA

Summary This position is located in the Health Information Management (HIM) section at the Martinsburg VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. Responsibilities This position is located in the Health Information Management (HIM) section at the Martinsburg VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. To...

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Coder - Outpatient

Highmark Health Philadelphia, PA, USA

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in...

HH

Coder - Outpatient

Highmark Health Philadelphia, PA, USA

Coder - Outpatient page is loaded## Coder - Outpatientremote type: Remotelocations: PA, Working at Home - Pennsylvaniatime type: Full timeposted on: Posted Todayjob requisition id: J270926## **Company :**Allegheny Health Network## **Job Description :****GENERAL OVERVIEW:**This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.**ESSENTIAL RESPONSIBILITIES*** Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%)* Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)* Ensures efficient management of medical information and cash flow as it pertains to...

HH

Coder - Outpatient

Highmark Health Saint Paul, MN, USA

Overview Company : Allegheny Health Network Job Description : General Overview This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

1582 professional coder associate jobs found