20 professional services coder jobs found

Quality Assurance Auditor Job Summary University Medical Billing ( UMB ) is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidate will exemplify these attributes too. We are looking for an experienced Quality Assurance Auditor to join our team. As the Quality Assurance Auditor, you will conduct audits of medical coding to increase coding accuracy and identify opportunities for improvement and training within an organization that provides healthcare patient services. Review audit results with medical coding management and staff. Provide training on coding guidelines, medical terminology, and proper...

Team Member must be able to work from home and be independent in their coding skills. Experience codding for hospitalists, nephrology and coding bedside procedures, split shared services, inpatient tests and FS modifiers EMR experience: 3M Encompass or 3M encoder Provide various components of coding services to support our clients. Calculate ProFee and/or Facility E/M levels by using an algorithm created by our company Recognize critical care cases by patient acuity. Code surgical procedures typical of an ER setting to capture additional revenue when appropriate. Apply ICD-10-CM diagnosis codes to the highest level of specificity available. Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS Interpret coding guidelines for accurate code assignment Identify the importance of documentation on code assignment and the subsequent reimbursement impact. Align conduct with...

Outpatient Coder - Facility Clinics (FT) Remote Worker - SL Description Role Summary   Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types.  Core Responsibilities   Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers.  Ensure documentation supports coded services and identify/escalate discrepancies or gaps.  Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits).  Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.  For more information and to apply Follow this link  Outpatient Coder - Facility Clinics

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, supporting single-specialty or multi-specialty engagements. Core Responsibilities Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including AMA and NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Follow Link for more information and to apply Sage IP Pro fee Coder

GetixHealth is hiring 5+ experienced Certified Medical Coders to support a hospital-based coding project. This is a 100% remote, 1099 independent contractor opportunity offering $35.00 per hour. We are seeking experienced coders with strong hospital coding backgrounds who can work independently, maintain high accuracy and productivity standards, and contribute immediately to a fast-paced coding environment. Position Highlights: Pay: $35.00/hour Openings: 10 Work Location: 100% Remote Employment Type: 1099 Independent Contractor Contract Length: Short-term or long-term assignments available Full-Time Opportunity: Contractors may have the opportunity to convert to a full-time GetixHealth employee based on performance, business needs, and mutual interest Equipment: Contractors must provide their own computer equipment and reliable high-speed internet Candidates must have relevant professional coding experience and appropriate certification for their coding...

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 an outpatient 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 payors....

JOB SUMMARY: Support the Director of Health Information Management (HIM) by conducting comprehensive claim audits and reviewing hospital outpatient and professional fee (ProFee) claims for coding accuracy, revenue integrity, and billing compliance. Utilizing proprietary software, this role evaluates coding opportunities, identifies revenue cycle improvement recommendations, and assists clients in optimizing claim quality and reimbursement outcomes. The ideal candidate is an experienced outpatient facility coding professional with strong analytical skills, extensive knowledge of revenue cycle operations, and the ability to communicate complex coding concepts clearly to both clients and internal team members. This is a remote position ESSENTIAL DUTIES AND RESPONSIBILITIES:  Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of...

Contract to Hire Ophthalmology Professional Coder Job Description We are seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder with the potential to be hired as a full-time employee. This position is remote. The ideal candidate must have at least 5 years of coding experience for physician practices, with ophthalmology specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will possess the following: ·        Minimum 5 years of coding experience ·        Extensive coding in ophthalmology specialties ·        Excellent written and verbal communication skills ·        Detail oriented and deadline driven attitude...

About the Role Wellness Direct LLC is an established behavioral health practice based in Cedar Grove, New Jersey, seeing patients remotely nationwide. This role, however, is hybrid and based out of our Cedar Grove office — see Location & Schedule below for the on-site expectation. This is one opening, filled at either the Specialist or Lead level depending on the experience the candidate brings; the level is determined during the interview process. The role owns full-cycle revenue cycle work in TherapyNotes: claims, ERA/EOB processing, denials, coding accuracy, patient billing support, and — at the Lead level — credentialing and oversight of the billing function. Specialist vs. Lead •     Specialist — Owns the day-to-day billing, coding, and claims work. Reports to the Billing Manager. No supervisory responsibility — a fit if you want to stay hands-on rather than manage people. •     Lead — Everything above, plus end-to-end credentialing and payer enrollment,...

* This is a hybrid position to be located in WI with travel required. * JOB SUMMARY The Coding and Billing Compliance Analyst plays a critical role in safeguarding the accuracy, integrity, and regulatory compliance of coding and billing operations across all service lines.  This position supports the organization’s revenue cycle and compliance initiatives by conducting detailed coding and billing reviews, identifying areas of risk, and contributing to the development of corrective action plans and educational programs.  The analyst ensures adherence to federal and state billing regulations, including Medicaid/Medicare guidelines, HRSA program requirements, and Office of Inspector General (OIG) guidance specific to Federally Qualified Health Centers (FQHCs).  The Analyst collaborates with providers, billing teams, compliance officers, and revenue cycle leadership, to improve clinical documentation, optimize reimbursement, and maintain full compliance with all applicable...