Professional coder associate jobs

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

Sentara Health VA

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...

CS

Full Time

Medical Billing and Coding Specialist

Care Station Medical Group/ RWJ Joint Venture Linden, NJ

Join Our Team We are seeking a detail-oriented and experienced Medical Billing and Coding Specialist to join our growing team. This role is ideal for a motivated professional who thrives in a fast-paced, team-oriented environment while maintaining the ability to work independently. This is an onsite position located in Linden, NJ. This position has the ability to go remote after six months. If you enjoy solving complex billing challenges, analyzing denial trends, and contributing to process improvements, this is a great opportunity to advance your career. What You’ll Do As a key member of our revenue cycle team, you will take ownership of complex billing processes and serve as a resource for coding and payer-related issues. Core Responsibilities: Review, code, and submit provider/practice claims with accuracy and timeliness Independently manage assigned work queues to ensure proper charge capture Investigate and resolve complex claim denials and...

Full Time

Certified Coder

Skagit Regional Health Hybrid

Join a dynamic team committed to supporting our employees and our community. Our Vision: Improving lives through compassionate and innovative healthcare. Schedule: Days - Variable, 40/hrs a week Base Wage: $37.72 to $50.59 Location: SRH Business Center, Mount Vernon, WA - Remote hybrid available Sign-On Bonus: $1,000.00 Apply online at www.skagitregionalhealth.org/careers Job Summary Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and assign Ambulatory Payment Classifications (APC) and/or Diagnosis-Related Group (DRG) codes. To ensure success...

Full Time

Facility ED Coder - 18553

Nemours Children's Health Remote (Orlando, FL)

Job Description Join our team as a Facility ED Coder! Role responsibilities include assessing documentation for each service rendered in the hospital’s place of service, in order to accurately code principal diagnoses (i.e. preponderance of care sequence), secondary conditions, procedures, and social determinant codes using American Hospital Association guidelines, Current Procedural Terminology guidelines, payer specific rules for commercial and/or Medicaid insurance, and drug administration for specified service lines impacting Florida’s enhanced ambulatory grouping. This includes excellent working knowledge of revenue charge capture and the impact to hospital billing (i.e. soft vs. hard coded charges),working knowledge of revenue codes, relevant grouper function and financial impact; assessment and entry of surgical charges (i.e. supplies, implants), and pharmacy charges (i.e. contrast, patient supplied, etc). This position is remote. Applicants must...

Full Time

Outpatient Surgical and Observation Coder - 18315

Nemours Children's Health Orlando, FL

Job Description Join our team as a Remote Outpatient Surgical and Observation Coder ! Role responsibilities include assessing documentation for each service rendered in the hospital’s place of service, in order to accurately code principal diagnoses (i.e. preponderance of care sequence), secondary conditions, procedures, and social determinant codes using American Hospital Association guidelines, Current Procedural Terminology guidelines, payer specific rules for commercial and/or Medicaid insurance, and drug administration for specified service lines impacting Florida’s enhanced ambulatory grouping. This includes excellent working knowledge of revenue charge capture and the impact to hospital billing (i.e. soft vs. hard coded charges),working knowledge of revenue codes, relevant grouper function and financial impact; assessment and entry of surgical charges (i.e. supplies, implants), and pharmacy charges (i.e. contrast, patient supplied, etc). This is...

CR

Full Time

Revenue Integrity Senior Director/Administrator

Cheyenne Regional Medical Center Hybrid (WY)

A Day in the Life of a Revenue Integrity Senior Director As the lead of the Revenue Integrity Division, the Revenue Integrity Senior Director defines and carries out the strategy for maximizing gross and net revenue captured across the health system. The Senior Director serves as the chief liaison between Revenue Cycle Administrator, Revenue Integrity Medical Director, and clinical departments. This position will also ensure the availability and interpretation of reporting and analytics necessary for the clinical and Revenue Cycle departments to drive financial improvement. This position oversees the following functions: hospital/facility coding, Clinical Documentation Improvement, revenue reconciliation, Revenue Guardian, payment validation, and avoidable write-off prevention, and reporting and analytics. Why Work at Cheyenne Regional? 403(b) with 4% employer match ANCC Magnet Hospital 21 PTO days per year (increases with tenure) Education Assistance Program...

Full Time

Physician Coding Auditor

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. Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule. Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable...

Da

Inpatient Medical Coder - PRN - Up to $1,000 Sign on Bonus

Datavant Highland Beach, MD

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

EH

DRG Validation Coding Auditor

Ensemble Health Partners Blue Ash, OH

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for...

UB

Coder I

Uintah Basin Healthcare Roosevelt, UT

Job Description Job Description THIS IS NOT A REMOTE POSITION Job Summary Accountable for the conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses/procedures in accordance with coding guidelines. Ensures that records are coded in an accurate and timely manner. Duties and Responsibilities Demonstrates Competency in the Following Areas: Ensures that records are coded within three days of discharge, excluding weekends and holidays. Reviews the chart thoroughly to ascertain all diagnoses/procedures. Contact the responsible physician in a professional, tactful manner if the diagnosis is not available on the chart. Refers chart to the director if there is a question regarding the diagnoses/codes. Utilizes computerized coding/abstracting equipment. Codes all diagnoses/procedures in accordance with ICD-10-CM coding principles and the Coding Manual. Meets...

MM

Coder I

My Michigan Health Midland, MI

Job Posting Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered. Candidate must have Denials experience to be considered. This position is responsible for coding all services including major and minor surgical cases performed in both the office and hospital setting for MyMichigan Medical Group, Family Practice Center and the MyMichigan Urgent Care locations. This position monitors compliance with third party payers guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with, in addition to analytical skills to ensure all procedures are coded correctly for a timely and accurate reimbursement from all payers. This position must be able to work independently and make decisions based on their broad knowledge of current procedure terminology (CPT) and International Classification of Diseases...

UH

Clinic Coder Certified, PT with Benefits

Unity Health Searcy, AR

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...

MM

Coder I

MyMichigan Health Midland, MI

Summary Candidates must have a primary address located within the state of Michigan or be willing to move to Michigan to be considered. This position is responsible for coding all services, including major and minor surgical cases performed in both the office and hospital settings for MyMichigan Medical Group, Family Practice Center, and MyMichigan Urgent Care locations. The role monitors compliance with third‑party payer guidelines to ensure maximum allowed reimbursement and requires broad knowledge of current payer rules and analytical skills to code procedures correctly for timely, accurate reimbursement. The coder works independently and makes decisions based on knowledge of CPT and ICD coding rules and regulations. Responsibilities Code visits and services performed in the office and hospital setting within 48 hours of receipt. (25%) Use Epic coding edits, CPT Assistant, and CMS coding guidelines to correct ICD, CPT, HCPCS codes, modifiers, and place of service for clean...

UH

Clinic Coder Certified, PT with Benefits

Unity Health Searcy, AR

Medical Coding Specialist Education: High school education with skill in using office machines (computer, copy machine, calculator, microfilming equipment, etc.) Coding certification from an accredited school. 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. 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 Coding as set forth by the...

OR

Certified Professional Coder

Odessa Regional Medical Center Odessa, TX

Certified Professional Coder Job Category: Finance and Accounting Full-Time On-site Odessa, TX 79761, USA Description Key Responsibilities: Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data...

LH

Lead Ambulatory Surgery Facility Coder - Remote

LCMC Health Harahan, LA

Overview Lead Ambulatory Surgery Facility Coder - Remote Join to apply for the Lead Ambulatory Surgery Facility Coder - Remote role at LCMC Health. The Coder Lead will code all patient types as needed: inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, including newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Responsibilities Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of...

1L

Lead Ambulatory Surgery Facility Coder - Remote

100 LCMC Health Harahan, LA

Coder Lead The Coder Lead will code all patient types as needed; inpatient, same‑day surgery, ancillary, ambulatory, and provider‑based clinics. Responsibilities Mentor, train, and assist with cross‑training coding staff, including newly hired staff. Assign appropriate CPT/HCPCS and ICD‑10‑CM‑PCS diagnosis codes and procedures for hospital and physician services for inpatient and outpatient records. Navigate the patient health record and other computer systems to determine accurate diagnosis and procedure codes, MS‑DRGs, and APCs. Code complex outpatient or inpatient cases utilizing encoder software, Computer Assisted Coding (CAC), and reference tools. Validate charges by comparing them with health record documentation; use the retrospective edit tool to address possible coding or documentation issues. Communicate effectively with clinical staff, physicians, office staff, and the Clinical Documentation Improvement Specialist regarding documentation issues or needs. Identify...

Hu

Medical Coder

Humana Tazewell, VA

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education, based on business needs Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and...

Hu

Medical Coder

Humana Shelbyville, TN

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education, based on business needs Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and...

SR

Certified Coder - 8994

Skagit Regional Health Mount Vernon, WA

Certified Coder Location: Mount Vernon, WA | Position Type: Per Diem | Wage: $37.72 - $50.59 per hour Description: Department: Health Information Management, Skagit Valley Hospital, Exempt: No, Schedule: DAYS Sign-On Bonus: $1,000.00 Job Summary: Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and assign Ambulatory Payment Classifications (APC) and/or Diagnosis-Related Group (DRG) codes. Essential Functions: Accurately applies ICD-10, HCPCS, CPT, APC or DRG codes for both routing and complete procedures as well as maintains or exceeds the standard level of quality and...

SR

Certified Coder - 8943

Skagit Regional Health Mount Vernon, WA

Certified Coder Location: US:WA:Mount Vernon | Administrative Non-Clinical Support | Full Time 0.6 FTE or More Base Wage: $37.72 to $50.59 per hour Sign-On Bonus: $1,000.00 Job Summary Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and assign Ambulatory Payment Classifications (APC) and/or Diagnosis-Related Group (DRG) codes. To ensure success you need to make judicious decisions on which codes to assign in each instance, and function to a high level of accuracy. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or...

CR

Coder Certified

Coffee Regional Medical Center Douglas, GA

Certified Coder Specialist (FT) Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. Codes charts under the ICD-10-CM and ICD-10-PCS (HCPCS) System for statistical and DRG assignment purposes. Abstracts required data into hospital abstracting system. The outcome of information gathered is used to determine the hospital database and reimbursement of hospital claims. Responsible for timely review of patient records in order to identify an appropriate selection of codes which will accurately reflect the reason for admission, extent of care received, and level of severity of illness. The evaluation is to assure individual performance, departmental goals and organizational goals are aligned. It is designed to support communication between the manager and the employee. Employee perception of their own performance is very important. To maximize the benefit of this process, both the manager and the employee...

Om

Certified Professional Coder

Odessa medical group Odessa, TX

Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing and administrative teams Regularly update knowledge of coding...

CS

Medical Biller - Acute Care

CornerStone Staffing TX

INPATIENT MEDICAL CODER &OpenCurlyDoubleQuote; ACUTE CARE Location Sherman, TX Onsite COMPENSATION & SCHEDULE Starting at $40.00/hour(DOE) Monday- Friday:8am - 5pm W2 employment ROLE IMPACT:The Inpatient Medical Coder ensures accurate translation of complex acute care documentation into compliant diagnosis and procedure codes. This role directly impacts reimbursement, regulatory compliance, and overall revenue cycle performance. Success is measured by coding accuracy, proper MS-DRG assignment, audit readiness, and effective collaboration with clinical and Health Information Management (HIM) teams. Key Responsibilities Review inpatient medical records to assign accurate diagnosis and procedure codes Apply ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) and ICD-10-PCS (Procedure Coding System) standards in alignment with official coding guidelines Ensure accurate MS-DRG (Medicare Severity Diagnosis-Related Group) assignment to...

1664 professional coder associate jobs found