Professional services coder jobs

Full Time

Medisys Management Hybrid (Melville, NY)

JOB SUMMARY: CERTIFIED ANESTHESIA CODER ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES • Review anesthesia records, operative reports, and medical documentation for completeness and accuracy. • Ensures accurate coding, billing compliance. • Analyzes Epic electronic medical record for assigning appropriate CPT, ICD-10-CM, HCPCS and Modifiers for anesthesia services. • Apply appropriate anesthesia modifiers such as AA, QK, QX, QY, QZ • Identify documentation deficiencies and communicate via EPIC query with providers for clarification. • Review denials, coding corrections related to anesthesia services. • Maintains confidentiality of patient information as per the MediSys Health Network policy. • Meeting productivity levels of charts,60-100 anesthesia charts per day not limited to number of transactions filed or complexity of the account. • Reviews assigned work queues. •...

Full Time

Medical Billing and Coding Specialist

Alaska Health Services Anchorage, AK

We are seeking a detail-oriented and experienced Medical Billing and Coding Specialist to join our growing team. This on-site position is ideal for a motivated professional who thrives in a fast-paced, collaborative environment while maintaining the ability to work independently. You will support multi-specialty clinics by ensuring accurate claim submission, resolving billing issues, and driving process improvements that contribute to organizational success. Key Responsibilities Review, code, and submit claims accurately and timely Manage assigned billing work queues and charge capture Investigate and resolve claim denials and rejections Analyze denial trends and recommend solutions Prepare and submit appeals with supporting documentation Utilize payer portals for claim corrections and resubmissions Collaborate with staff and providers to resolve billing issues Required Skills & Qualifications Advanced knowledge of ICD-10, CPT coding, and CMS...

Full Time

Profee Coding Specialist- Multispecialty

CorroHealth Remote

JOB SUMMARY: Coding Specialists are an important part of the Team at CorroHealth. Will be Coding Professional Fee charts in several specialties for clinics. Specialties needed: Trauma, Neurology/Neurosurgery, Interventional Radiology, Hospitalist, and Orthopedic 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 duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member. This is a remote position Must live in the US. Specialties needed: Trauma, Neurology/Neurosurgery, and Interventional Radiology Team Member must be able to work...

NK

Full Time

Cardiology and Vascular Billing Specialist

National Kidney Partners Port Richey, FL

Cardiology and Vascular Billing Specialist Location: Port Richey, FL Position Overview We are seeking a detail-oriented Cardiology and Vascular Authorization and Billing Specialist to join our team in Port Richey, FL. This role is responsible for ensuring timely insurance approvals (prior authorizations) for cardiac procedures and vein treatments, while managing accurate billing, coding (ICD-10, CPT), and reimbursement processes. The ideal candidate will prevent denials by verifying benefits, providing clinical documentation to payers, and coordinating with clinical staff for peer-to-peer reviews. Key Responsibilities Prior Authorization Acquisition: Obtain authorization for appointments, tests, and complex vascular/cardiovascular procedures by reviewing clinical documentation and understanding payor guidelines. Clinical Collaboration: Partner with physicians to gather medical necessity documentation for insurance reviews. Billing & Coding:...

Full Time

Experienced Medical Billing Specialist - Remote

PedsOne Remote

Summary The Experienced Medical Billing Specialist provides best-in-class full RCM billing services for our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late, underpaid or denied; work closely with providers, practice managers and staff to implement best practice protocols. Responsibilities Learn and become proficient with the premiere pediatric system in the industry - Physician’s Computer Company (PCC) Billing. Efficiently analyze insurance claims throughout the submission process, insuring claims are accurately coded in a timely fashion, and for optimum reimbursement and compliance. Ensure that all claims reach the payers, and independently resolve any issues (underpayments, denials, etc.) with the claims so they are paid fully and on time. Post payments, organize processing of patient correspondence and statements. Answer phone inquiries from...

Full Time

Certified Coding Specialist - Multi Specialty

Revenue Cycle Coding Strategies Remote (United States)

SCOPE/GENERAL PURPOSE OF JOB: The Coding Specialist is responsible for abstracting all E/M, CPT, HCPCS, ICD-10-CM, modifier, and units from the medical record documentation. Other responsibilities include accurately entering data into coding/billing software and/or Excel reports. Performing accurate coding using applicable guidelines and facility protocols and communicating with staff and/or providers as needed. Provide written feedback of coding results as needed in the form of comments, summary of findings, and recommendations. Ensure compliance with federal and state laws, regulations and standards related to health information and coding principles. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assign ICD-10 CM and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/or Professional fee coding) depending on the specific...

Full Time

Pro Fee and Pro Clinic Coder

Healthcare Coding & Consulting Services (HCCS) Remote

Healthcare Coding and Consulting Services (HCCS) is a family-owned, U.S.-based medical coding company currently hiring experienced, certified Pro Fee and Pro Clinic coders for fully remote, full-time positions supporting Pro Fee with specialties in Wound Care, Psychiatric, Palliative Care, Rehab and Pro Clinic with specialties in Family Medicine, Internal Medicine, and Rural Health Clinics (RHC) At HCCS, we are committed to long-term employment and career stability. We do not offer short-term, contract, or project-based work. All team members are direct-hire W-2 employees with consistent workloads and full benefits. We also do not offshore any coding services — all HCCS coders are U.S.-based, ensuring strong compliance, communication, and provider support. We intentionally match coders to specialties they are experienced in, allowing them to work confidently and consistently within familiar chart types. Our Coding and Scheduling Managers actively support coders with workflow,...

Co

Full Time

Billing and Coding Analyst - Surgical Subspecialty Clinic

County of Ventura Ventura, CA

THE POSITION: Under general direction this position is responsible for providing billing and coding support within the Ambulatory Care Clinic System. The clinic areas of specialization include ENT, plastic reconstruction, neurology, and urology. Examples Of Duties: Duties may include but are not limited to the following: Reviews electronic medical records initiated by a health care provider and ensures accuracy of diagnosis, procedure codes, and modifiers in accordance with Federal and State regulations in compliance with billing and coding guidelines. Effectively monitors assigned work queues and reviews claim errors, ensuring timely and accurate resolution of accounts. Review, Analyze and validate medical records to ensure completeness and accuracy of code selections while identifying educational opportunities. Prepares educational materials to communicate with providers when identifying gaps in clinical documentation for the selection of appropriate...

MC

Full Time

Medical Fee Schedule Specialist

Managed Care Network, Inc. Hybrid

At Managed Care Network, Inc., we’re a dynamic and growing managed care company committed to delivering exceptional service in the Workers’ Compensation and Auto Insurance industries. With a team of over 100 dedicated professionals, we’re expanding—and we want you to be part of our journey. Position Overview: The Fee Schedule Specialist is responsible for the review, analysis, and processing of medical bills for New York State Workers’ Compensation and Auto/No-Fault claims. This role ensures accurate reimbursement determination through the application of state fee schedules, Medicare methodologies, PPO contracts, and client-specific guidelines. The ideal candidate will possess strong analytical skills, attention to detail, and a working knowledge of medical coding, billing practices, and payer-side bill review operations. Candidates with CPC-A or CPB certification are strongly encouraged to apply. Key Responsibilities: • Review and analyze medical bills, records, and...

AJ

Part Time

Certified Medical coder and biller

Aaron J. Hupman, MD PC Lilburn, GA

We are seeking a part-time, in office, detail-oriented and energetic Certified Medical Coder/Biller to join our healthcare team. In this vital role, you will be responsible for accurately coding medical diagnoses, procedures, and services to ensure proper billing and reimbursement. Your expertise will help streamline the revenue cycle process, improve compliance with healthcare regulations, and support the delivery of high-quality patient care. The ideal candidate is passionate about medical coding, possesses strong organizational skills, is fast learner, and is self-motivated. Responsibilities Review medical records and documentation to assign accurate ICD-10 diagnosis codes, CPT procedure codes, and DRG classifications. Ensure all coding aligns with current guidelines and insurance requirements to facilitate timely reimbursement. Prepare and submit precise medical claims using Electronic Medical Record systems. Verify patient insurance information and...

UM

Full Time

OUTPATIENT CODING EDUCATION ANALYST

UW Medicine Remote

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an OUTPATIENT CODING EDUCATION ANALYST (REQ-0000133802). WORK SCHEDULE 100% FTE Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Performs daily activities related to auditing, education and training of one or more content areas ERHI has coding oversight for. Serve as an expert in coding , respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or implementation of audit/monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit activities, maintain unit records, monitor regulatory developments, and help develop Coding program policies and procedure. DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity,...

Full Time

Physician Coding Auditor

Ensemble Health Partners Remote (United States)

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...

12 professional services coder jobs found