31 professional fee coder jobs found

Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $24.27 Maximum Offer $37.07 Now Hiring: Remote OP Facility Coder - PRN Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote OP Facility Coder to join our team. Type of Opportunity: PRN Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Varied Days and Hours (United States of America) Responsibilities: Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Some key responsibilities include Must demonstrate...

Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $21.70 Maximum Offer $33.14 Now Hiring: Remote PRN ProFee Multi specialty coder Summary: Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Type of Opportunity: PRN Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Varied Days and Hours (United States of America) Responsibilities: *Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement,...

Now Hiring: Remote IP Facility Coder with CCS Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $24.27 Maximum Offer $37.07 Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled IP Facility Coder III CCS to join our team. Type of Opportunity: Full time Job Exempt: No Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Varied Days and Hours (United States of America) Responsibilities: Presbyterian is seeking a talented IP Facility Coder III - CCS. The IP Facility Coder has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures...

Remote Ed / Claim Edit CoderNow hiring a Remote ED / Claim Edit CoderHas the knowledge and ability and will be required to code all of the following :inpatient and / or outpatient hospital records, ED records, Home Health & Hospice records and / or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9 / 10 CM and CPT-4 classification system.Ensures adherence to Hospital and Departmental Policies and ProceduresWe value our employees' differences and find strength in the diversity of our team and community.At Presbyterian, it's not just what we do that matters.It's how we do it - and it starts with our incredible team.From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.Why Join UsFull Time - Exempt :NoRev Hugh Cooper Admin CenterWork hours...

Remote Multispecialty Pro Fee Coder Location: Remote (Remote Office Santa Fe, NM 87501) Compensation: Pay Range: Minimum Offer $24.27, Maximum Offer $41.33 Employment Type: Full time Summary Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote Multispecialty Pro Fee Coder to join our team. Responsibilities Implement and ensure compliance with enterprise‑wide and department coding policies and external regulatory coding rules. Perform and manage on‑site internal audits or reviews to assess compliance/quality monitoring, serving as a resource on documentation, coding, billing, and compliance questions. Develop and present educational programs, tools, and compliance projects for PHS/PMG departments. Support enterprise‑wide corrective action plans by auditing and training coding, audit, physician, and clinician personnel identified as low performers. Review denied and appealed claims, take appropriate action to ensure accurate payment, and coordinate the...

Presbyterian is seeking a Remote Multispecialty Pro Fee Coder to ensure coding policy compliance across the enterprise and participate in audits and education programs. The role supports multiple departments and requires strong regulatory knowledge and independent decision making. The candidate should have at least three years of coding/auditing experience, relevant credentials, and excellent communication skills. Remote work with potential HQ contacts in Santa Fe, NM is offered. #J-18808-Ljbffr

Remote OP Facility Coder - PRN Location: Remote Office Santa Fe, NM 87501 Pay Range: Minimum $22.79 / Hour, Maximum $38.80 / Hour Job Type: PRN, Exempt: No, Based: Remote, Shift: Varied Days and Hours Summary Build your career. Make a difference. Presbyterian is hiring a skilled Remote OP Facility Coder to join our team. Responsibilities Code inpatient, outpatient, ED, Home Health & Hospice records, and professional fee services for PMG specialty providers using ICD-9/10 CM and CPT-4. Ensure adherence to Hospital and Departmental Policies and Procedures. Demonstrate knowledge of multiple coding areas and specialties or have extensive experience in a critical specialty. Review full medical records, assign CPT, ICD and MS-DRG codes per UHDDS and CMS guidelines. Access multiple systems to research records as needed for timely coding. Manage accounts receivable by locating missing documents, generating queries, and ensuring all encounters are coded. Maintain updated knowledge of...

Remote OP Facility Coder Location: Remote office Santa Fe, NM 87501 Compensation: Pay Range: Minimum Offer $22.79 Maximum Offer $38.80 Type: Full time Job Exempt: No Work Shift: Varied Days and Hours (United States of America) Responsibilities Code inpatient, outpatient, ED, Home Health & Hospice records and professional fee services for PMG specialty providers, using ICD‑9/10 CM and CPT‑4 classification system. Ensure adherence to Hospital and Departmental Policies and Procedures. Review patients’ current medical records, assigning appropriate CPT, ICD, and MS‑DRG codes in accordance with UHDDS guidelines and CMS, to support financial reimbursement and research. Research medical records via multiple systems to complete coding promptly. Take responsibility for accounts receivable by locating missing documents and generating appropriate queries. Maintain up‑to‑date technical knowledge of legal and regulatory information (ICD‑9/10 CM, CPT‑4, HCPCS, DRG, APC, HHRG updates)....

Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $22.79 Maximum Offer $34.80 Summary: Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures. Type of Opportunity: PRN. Job Exempt: No. Job is based: Remote Workers New Mexico. Work Shift: Varied Days and Hours (United States of America). Responsibilities: Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and...

Presbyterian Healthcare Services is hiring a Remote Multispecialty Pro Fee Coder. This full-time position supports the Coding and Documentation Quality Assurance (CDQA) team from a remote work location in New Mexico. The role requires adapting to changing priorities and staying current with ICD-9/ICD-10, CPT-4, HCPCS, and APC updates while ensuring accurate coding and compliant documentation. The successful candidate will work with management and departments across Presbyterian to audit, #J-18808-Ljbffr

Location: Remote Office, Santa Fe, NM 87501 Compensation: Minimum Offer $21.70 - Maximum Offer $33.14 Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled IP Facility Coder CCS to join our team. Type of Opportunity: PRN. Job Exempt: No. Job is based: Remote Workers New Mexico. Work Shift: Varied Days and Hours (United States of America). Responsibilities The IP Facility Coder has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Must demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty deemed a critical business need by PHS Coding Leadership....

Location Address: Remote Office, Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $21.70 | Maximum Offer $33.14 | Now Hiring: Remote IP Facility CCS Coder Summary Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures. Type of Opportunity: Full time. Job Exempt: No. Job is based: Remote Workers New Mexico. Work Shift: Varied Days and Hours (United States of America). Responsibilities Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in...

Signature Performance is seeking an Inpatient Professional Fee, Profee Medical Coder for a remote-based role. You will review medical records to assign accurate E/M codes, DRGs, and APCs, ensuring compliance with CMS and payer requirements. The role demands 2+ years of professional coding experience and AHIMA/AAPC credentials. Join Signature Performance to support federal government agencies, payers, and providers with high-quality coding accuracy and timely submissions. #J-18808-Ljbffr

Job Type Part-time Description CIBOLA GENERAL HOSPITAL 1016 E. Roosevelt Avenue Grants, New Mexico 87020 Phone: 505-287-4446 Fax: 505-287-5309 Title: Coder II Department: HIM Reports To: Director of HIM Direct Reports: N/A Date: 12/2022 Compensation: Exempt Status: Non-Exempt Range Summary: Accurate assignment of ICD-10-CM/PCS, CPT-4 codes, HCPCS and Modifiers to the highest level of specificity as supported by documentation in the medical record in compliance with governmental regulations and hospital policies. Review of the quality of data and documentation and facilitate improvement. Responsible for reviewing medical records/assigned charges as necessary, for accuracy. Essential Functions: Understands and is able to apply inpatient, emergency room, observation, day surgery and clinic/outpatient coding guidelines depending upon the patient type being coded. This position is able to fill in when other coders...

Join The Indian Health Service Make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Medical Records Technician Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $24.27 Maximum Offer $41.33 Now Hiring: Remote IP Facility Coder with CCS Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled IP Facility Coder with CCS to join our team. Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Days (United States of America) Responsibilities Presbyterian is seeking a talented IP Facility Coder with CCS With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments...

UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE , full-time, day shift opening located in Albuquerque, New Mexico. **Sign-On Bonus - $4,000** Minimum $56,173 - Midpoint $70,217* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical diagnoses and clinical procedures ensuring that accurate medical billing...

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. We're looking for experienced and credentialed outpatient 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 you to help shape the...

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...

Presbyterian Healthcare Services is seeking a Remote OP Facility Coder to handle inpatient and outpatient coding for hospital, ED, Home Health, Hospice and professional services. You will review records, assign CPT/ICD/MS-DRG codes and respond to coding queries, ensuring compliance with regulations. The ideal candidate has 3–5 years of coding experience, inpatient experience preferred, and holds HCS-D, CCS, CCS-P, CPC-H or RHIT/RHIA credentials. #J-18808-Ljbffr

Presbyterian Healthcare Services is seeking a Remote IP Facility Coder with CCS to join our Coding and Documentation Quality Assurance (CDQA) team. This role supports enterprise coding policies, regulatory rules, and audits to ensure accurate claims and compliant documentation. The position requires a high school diploma or GED, CCS or CPC or RHIT/RHIA certification, and at least three years of coding/auditing experience, with strong communication and computer skills. #J-18808-Ljbffr

Presbyterian System Services is seeking a skilled Remote OP Facility Coder to join our team on a PRN basis. The role involves coding inpatient, outpatient, ED, Home Health and Hospice records, along with professional services, using ICD-9/10 CM and CPT-4. Responsibilities include reviewing records, assigning CPT/ICD/MS-DRG codes per UHDDS and CMS guidelines, researching records across systems, and ensuring timely and accurate coding to support AR and denials management. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role ensures compliance with CPT/HCPCS, ICD-10 and CMS guidelines through comprehensive record reviews across medical, behavioral, transportation and other healthcare providers. The CPC reviews documentation, investigates billing patterns, and supports investigators and state regulators. #J-18808-Ljbffr