175 professional fee coder jobs found

Professional Fee Coder The Professional Fee (ProFee) Coder is responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties and client environments. Coders may support single-specialty or multi-specialty engagements depending on client needs and experience. Core Responsibilities (Sage Standards) Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes Ensure documentation supports coded services and identify discrepancies Apply appropriate modifiers, NCCI edits, and payer-specific coding rules Ensure compliance with CMS, AMA, and payer guidelines Maintain 95% coding accuracy and meet established productivity standards Identify documentation gaps and escalate for clarification when needed Participate in quality reviews, audits, and ongoing coding education Minimum...

Certified Medical Coder I (Professional Review Specialist I) The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. Essential Functions & Responsibilities: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned Knowledge & Skills: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): 220 Hutchison Rd, Rochester, New York, United States of America, 14620 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URC 210 H Compensation Range: $27.24 - $38.14 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited...

Medical Coding Specialist (NY HELPS) - FT - Day Shift HOURLY RANGE: $26.57 - $34.83 NY HELPS: This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means NO EXAMINATION IS REQUIRED, but all candidates must meet the minimum qualifications of the title for which they apply. At a future date (within one year of permanent appointment), it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, WITHOUT HAVING TO TAKE A CIVIL SERVICE TEST. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified. DISTINGUISHING FEATURES OF THE CLASS: The work involves performing the...

*Candidate Must come onsite one week for training in Doral, FL Our Client is seeking an experienced ASC ProFee Coder to support a newly opened surgery center with a growing case volume and current backlog. This is a contract-to-hire opportunity with immediate interviews. Schedule Monday–Friday, 8:00 AM–5:00 PM EST Flexibility for appointments as needed Coding Scope ASC Professional Fee & Facility coding Specialties include: Anesthesiology General Surgery ENT Orthopedics Ophthalmology Gynecology Urgent Care Cardiology No GI coding required Systems Epic IMO EncoderPro Onsite Requirement One-time onsite visit in Doral, FL (5 days) for equipment pickup and orientation Client covers hotel and gas; candidate responsible for transportation Requirements Must reside in Florida Must have experience coding for an Ambulatory Surgical Center Ability to fully abstract from paper charts/books if needed AAPC or AHIMA certification required Strong communication skills for a remote environment...

Albany Medical Center is looking for a Professional Coder in Saratoga Springs, NY. This remote position involves reviewing, analyzing, and validating CPT and ICD-10 codes to ensure compliance with regulations. Candidates should have coding credentials and experience in professional fee coding. Key responsibilities include accurate coding, compliance assurance, and interaction with healthcare providers. A High School Diploma and relevant coding certifications are mandatory. Strong skills in communication and Microsoft applications are essential for the role. #J-18808-Ljbffr

A leading healthcare recruitment agency is seeking an experienced ASC ProFee Coder to support a newly opened surgery center in Florida. This contract-to-hire opportunity requires ASC Professional Fee coding for various specialties and mandates a one-time onsite visit in Doral, FL for training. Candidates must have relevant experience and AAPC or AHIMA certification, with strong communication skills being essential. The position offers a pay rate of up to $32/hr and the chance for virtual interviews immediately. #J-18808-Ljbffr

Minimum to Midpoint Pay Rate: $20.50 - $27.85/ hour This is a remote position. Incumbents, who reside in Florida only, may work remotely. There may be occasional situations that require work to be performed on-site at an assigned Lee Health location. Summary Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments. Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary...

Need assistance? Please call 703-706-8619 Location Remote - United States Job Category OPS Employee Type Non-Exempt Required Degree High school Description The Full- Time Outpatient Medical Coder is responsible for performing remote coding on all outpatient visits and surgical procedures by the Veteran Affairs Health Care System (VAHCS). The medical coder will access the Veteran Affairs VistA/CPRS system to read and code medical records identified by the Veteran Affairs and enter codes into the approved encoder or other package. The Medical Coder is required to comply with all HIPAA provisions for a Business Associate, and all provisions in this Performance Work Statement. This is a Full Time Outpatient Medical Coding position that is classified as an SCA role which means an hourly rate + $5.36 per hour for Health and Welfare Benefits Requirements Responsible for being qualified and competent to perform coding activities. There shall be no reimbursement charge for mileage,...

A leading healthcare management company is seeking a Professional Fee Surgical Coder to join their team. The ideal candidate will have expertise in Orthopedics, Vascular, and Transplant coding, along with a valid coding credential. Responsibilities include ensuring accurate coding for surgical procedures and collaborating with healthcare providers. This position offers a competitive pay range of $19.00 - $33.50 per hour and a comprehensive benefits package, including free CEUs and growth opportunities. #J-18808-Ljbffr

Full-Time Remote Pro Fee Coder Positions This range is provided by Omega Healthcare Management Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $25.00/hr - $31.00/hr Direct message the job poster from Omega Healthcare Management Services Qualifications Experienced pro fee coder with a minimum of 5 years of experience in coding for an academic trauma level 1 facility: Radiology (all modalities) Internal Medicine (all specialties including HemOnc, General Medicine, Endocrinology, Cardiology, Pulmonary, etc.), as well as outpatient office services, including E/M and in‑office procedures. Pediatrics's (all specialties) (outpatient office services, including E/M and in‑office procedures) Strong multi‑specialty outpatient clinic E/M & pro fee coding experience in hospital‑based clinic and free standing clinic settings. Epic experience required. Seniority level Mid‑Senior level Employment type...

Infinx is hiring a ProFee Coder/Edits & Rejection Specialist to support the RW Onshore team. You will code professional fee services, review edits and denials, and ensure compliant, accurate billing to optimize revenue cycle performance. Ideal candidates have CCS/CCS-P/CPC credentials, 3+ years in medical coding (surgical and E/M), and strong knowledge of ICD-10; experience with Epic and MS Office is preferred. This remote role offers flexible hours and growth opportunities. #J-18808-Ljbffr

Signature Performance is seeking an Inpatient Professional Fee (Profee) Medical Coder for a remote, nationwide role in the United States. The candidate will review medical records, assign diagnoses and procedures, and ensure accurate coding under CMS and payer guidelines. Minimum 2 years of Professional Fee Coding experience is required, with AHIMA or AAPC certifications preferred. Ideal candidates are team players with strong problem-solving skills, able to manage multiple projects, and #J-18808-Ljbffr

CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix’s autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care. Overview Reporting to the Manager, Medical Coding & Audit, as a Medical Coder II or III, this role will be a key member of the team responsible for ensuring that CodaMetrix meets—and exceeds—our customers’ coding quality expectations. The Medical Coder II or III will be responsible for leveraging their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the quality and efficiency of...

Remote Pro-Fee Neuro/Vascular Medical Coder Join to apply for the Remote Pro-Fee Neuro/Vascular Medical Coder role at HIMpros . Job Title: Profee Neuro/Vascular Medical Coder Position Overview We are seeking an experienced Professional Neuro/Vascular Coder to join our team in a fully remote capacity. The ideal candidate will have a strong background in coding complex neurovascular procedures, ensuring accuracy and compliance with official coding guidelines, payer requirements, and organizational standards. Key Responsibilities Review and analyze clinical documentation for neurovascular procedures, including interventional radiology, neurosurgery, and vascular neurology cases. Assign accurate ICD-10-CM, CPT, and HCPCS codes in accordance with official guidelines and facility policies. Perform charge capture and validate coding for correct reimbursement and compliance. Collaborate with physicians, clinical staff, and revenue cycle team members to clarify documentation and...

Job Opportunity At Hospital For Special Surgery How you move is why we're here. Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise....

About Sprinter Health At Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can’t get to a doctor’s office. For many, the ER becomes their first touchpoint with the healthcare system—driving over $300B in avoidable costs every year. By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we’ve supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway. About the Role As a Medical Coder, you will be responsible for reviewing and abstracting professional medical records to ensure accurate code assignment....

Job Description - Experienced Inpatient Medical Record Coder (2502642) Experienced Inpatient Medical Record Coder Overview At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Responsibilities Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance. Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services. Follow all HIPAA regulations and uphold a higher standard around privacy requirements. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote...

Position Summary At Stony Brook Medicine, the Position Summary At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Duties of a Coder may include the following, but are not limited to: Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance. Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services. Follows all HIPAA regulations and upholds a higher standard around privacy requirements. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote...

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers....

About the Role The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. A Day in the Life · Averages 10 front-end holds per hour · Maintains a minimum of 90% coding accuracy. · Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment. · Reviews medical records and all applicable documentation to determine appropriate...

Medical Billing Specialist We are unable to offer a work visa sponsorship for this position. You must be authorized to work in the U.S. to apply. Posting Details Posting Number: S15474P Working Title: Medical Billing Specialist Department: UHC-Business Services About the University of Georgia: Chartered by the state of Georgia in 1785, the University of Georgia is the birthplace of public higher education in America and is the state’s flagship university ( https://www.uga.edu/ ). The proof is in our more than 240 years of academic and professional achievements and our continual commitment to higher education. UGA is currently ranked among the top 20 public universities in U.S. News & World Report. The University’s main campus is located in Athens, approximately 65 miles northeast of Atlanta, with extended campuses in Atlanta, Griffin, Gwinnett, and Tifton. UGA employs approximately 3,100 faculty and more than 7,700 full-time staff. The University’s enrollment exceeds 41,000...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Job Description Job Description Purpose: The Medical Biller position is primarily responsible for ensuring that all billing functions are completed with accuracy, timeliness and confidentiality. This includes overseeing the input of patient data and maintaining the Patient Management system. Including all other assigned duties by the Chief Financial Officer. Job Duties: · Carries out the mission of the organization · Assures all patients experience a welcoming greeting and helpful conclusion to each encounter · Adhere to all guidelines set forth in the finance policies · Adheres to standard procedures at The Chautauqua Center · Maintain good working relationship with staff and medical personnel · Attend meetings as directed · Availability to work variable hours including evening or Saturdays as needed Medical Biller/Coder · Reviewing medical procedures as documented and entering Charges as directed · Obtain proper documentation for insurance verification/billing ·...