85 professional services coder jobs found

Coding Specialist Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assigns CPT and ICD-10 codes Monitors assigned work queues to ensure all records...

Qualifications High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health Information Management (Preferred) Work Experience 2-3 years Diagnosis and CPT coding in a clinic, business, or revenue cycle environment or any combination thereof. (Preferred) 2-3 years Broad knowledge of medical terminology and anatomy. (Preferred) Licenses and Certifications Required Certifications/Licensures: Coding Certification (CPC or CCS) Preferred Certifications/Licensures: CPMA Essential Functions CODING SKILLS Review medical records to assign ICD-10-CM, CPT, and HCPCS Level II codes and modifiers for accurate primary and multi-specialty billing. Provides analysis and education on coding trends and changes in payer policies to providers and staff. CODING REVENUE CYCLE SKILLS Review claim denials for coding issues, interpret payer guidelines, and assist insurance collectors with resolution for proper reimbursement. Prepare or...

E&M Coder - PHYS At Piedmont Healthcare, you'll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future. Responsibilities: Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic, and procedural information for the correct ICD-10, CPT and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and other departmental staff in identifying and resolving issues or errors. Develops...

AWHS Certified Medical Coder Specialist Job Description The Certified Medical Coding Specialist will review clinical documentation and diagnostic results as appropriate and validate and ensure correct procedural and diagnostic coding of professional services rendered by clinicians evaluate. The Coding Specialist will review medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-9 & ICD-10), and the American Medical Association's Current Procedural Terminology Manual (CPT). The Specialist will also provide technical guidance and training on medical coding to physicians and staff. Reports to: Billing Manager. FLSA Status: Non-Exempt. Essential Duties/Responsibilities: Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports...

Grady Health System Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job Summary The Coder II is responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem-solving skills to address coding related tasks of detailed, medium complexity. Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery, and other ancillary services. Responsible for reviewing,...

Emory Healthcare Be inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Job Description This position is accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding. FRONT END CODER: The primary focus of this position will be Advanced Surgical and Interventional Procedures. This position is accountable for the performance of charge capture, including TES edit maintenance and resolution, denial prevention, and go to contact for special projects in order to optimize the revenue...

Certified Medical Coder Join the WellStreet Urgent Care Revenue Cycle Team! WellStreet Urgent Care is seeking an experienced Certified Medical Coder to support our growing Revenue Cycle team. In this role, you will accurately assign ICD-10-CM, CPT, HCPCS, and Evaluation & Management (E&M) codes for urgent care encounters while ensuring compliance with coding guidelines, quality standards, and productivity expectations. This is an excellent opportunity for a detail-oriented coding professional with Epic experience who enjoys working in a collaborative, fast-paced healthcare environment. What You'll Do Code patient encounters for WellStreet Urgent Care Centers using internal coding software. Accurately assign ICD-10-CM, CPT, HCPCS, and E&M codes based on provider documentation. Apply current coding guidelines and regulatory requirements to ensure coding accuracy and compliance. Utilize coding encoders and other coding resources to support accurate code...

Certified Medical Coder/BillerThe Certified Medical Coder/Biller is responsible for accurately submitting claims to insurance companies, ensuring timely reimbursement for medical services provided by the healthcare facility. This role involves reviewing patient bills for accuracy and completeness, resolving any billing issues, and communicating effectively with patients, insurance companies, and healthcare providers. The ideal candidate will have strong attention to detail, excellent organizational skills, and a solid understanding of medical billing processes and insurance guidelines.Key responsibilities include:Prepare and submit accurate and timely insurance claims for services rendered.Verify patient insurance coverage and ensure correct billing to the appropriate payer.Review and process Explanation of Benefits (EOBs) and insurance payments.Ensure that all medical services are accurately coded according to current guidelines (CPT, ICD-10, HCPCS).Work closely with healthcare...

Job Title: Certified Medical Coder/Biller Location: Richmond Hill, GA | Hybrid Remote Employment Type: Full-time Reports to: Billing Manager Department: Revenue Cycle Management Job Summary: The Certified Medical Coder/Biller is responsible for accurately submitting claims to insurance companies, ensuring timely reimbursement for medical services provided by the healthcare facility. This role involves reviewing patient bills for accuracy and completeness, resolving any billing issues, and communicating effectively with patients, insurance companies, and healthcare providers. The ideal candidate will have strong attention to detail, excellent organizational skills, and a solid understanding of medical billing processes and insurance guidelines. Key Responsibilities: 1. Claims Processing: • Prepare and submit accurate and timely insurance claims for services rendered. • Verify patient insurance coverage and ensure correct billing to the appropriate...

firstPRO 360 is assisting our client, a growing medical practice in the Sandy Springs area in a search for a qualified Medical Coding Specialist. In this role, you will analyze data, evaluate information, and exercise sound judgment while coding patient services and charges into the EMR system and generating patient invoices. The ideal candidate will have strong written and verbal communication skills, as the position involves regular interaction with clients, insurance representatives, and patients.DUTIESHIPAA and OSHA compliant.Translate patient information and alphanumeric medical code entries.Electronic “clean” claims submissions to Insurance Carriers.Collect, post, and manage patient account payments.Analyzing and correcting coding errors.Ensure healthcare facilities are reimbursed for all procedures.Follow Up on accepted or denied claims.Review denied claims for denial reasons and provide resolution.Investigate insurance fraud and report if found.Collect information regarding...

STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application.E&M Coder - PHYSOverview:At Piedmont Healthcare, you'll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future.Responsibilities:Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic, and procedural information for the correct ICD-10, CPT and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for accuracy and to minimize claim denials. Assesses records and prepares...

Location: Atlanta, Georgia, United StatesCompany: Grady Health SystemPosted: 2026-08-19Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you.Job Summary The Coder III is responsible for reviewing for physician services and interpreting physician documentation, CPT and diagnosis coding, coding claim edit, and coding denial management utilizing ICD-10-CM and CPT-4/HCPCS coding systems. Codes highly complex surgical, special procedures, observation records, inpatient records, medical, diagnostic, procedural, and/or recurring records within established productivity and coding accuracy guidelines. Highly complex surgeries may require research and reference checking to ensure accuracy of problematic coding. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory...

Location: Atlanta, Georgia, United StatesCompany: Grady Health SystemPosted: 2026-08-19Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you.Job SummaryResponsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem‑solving skills to address coding related tasks of detailed, medium complexity. Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery, and other...

Location: Atlanta, Georgia, United StatesCompany: Grady Health SystemPosted: 2026-08-19Grady Health System is seeking a skilled Medical Coder who will assess physician documentation and assign CPT and ICD-10 codes across ER, inpatient, outpatient, and ambulatory services. This role emphasizes accuracy, compliance, and timely release of encounters for billing.You will review documentation in the EMR, provide feedback on discrepancies, and contribute to charge entry and denial management to optimize reimbursements. A clinical coding background is essential.#J-18808-Ljbffr

Location: Atlanta, Georgia, United StatesCompany: Sutherland GlobalPosted: 2026-08-11Sutherland Global is seeking a medical coder to analyze and interpret records, assign ICD-10 and CPT/HCPCS codes, and ensure compliant billing for inpatient and outpatient services. You will address denials and seek clarifications where documentation is unclear.The role requires CPC/CCS-P certification and 2+ years in multi-specialty medical coding, with strong attention to detail and analytical skills.#J-18808-Ljbffr

Location: Atlanta, Georgia, United StatesCompany: SutherlandPosted: 2026-08-19Multi-Specialty Profee and/or Facility Medical CoderArtificial Intelligence. Automation. Cloud Engineering. Advanced Analytics. For Enterprises, these are key factors of success. For us, they're our core expertise. We work with global iconic brands. We bring them a unique value proposition through market-leading technologies and business process excellence. At the heart of it all is Digital Engineering - the foundation that powers rapid innovation and scalable business transformation. We've created 363 unique and independent inventions, 250 of which are AI-based and rolled up under several patent grants in critical technologies. Leveraging our advanced products and platforms, we drive digital transformation at scale, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless "as-a-service" model. For each company, we provide new keys for their...

Location: Atlanta, Georgia, United StatesCompany: Grady Health SystemPosted: 2026-08-19Grady Health System in Atlanta is seeking a Coder III to review physician services, interpret documentation, and assign codes using ICD-10-CM and CPT-4/HCPCS. You will handle complex surgical, inpatient, observation, and outpatient records within productivity and accuracy guidelines.In this role, you will extract information from clinical notes and reports, determine accurate code assignments for ER, inpatient, outpatient and other services, and support denial management and claim edits with#J-18808-Ljbffr

Certified Medical Coder Join the WellStreet Urgent Care Revenue Cycle Team! WellStreet Urgent Care is seeking an experienced Certified Medical Coder to support our growing Revenue Cycle team. In this role, you will accurately assign ICD-10-CM, CPT, HCPCS, and Evaluation & Management (E&M) codes for urgent care encounters while ensuring compliance with coding guidelines, quality standards, and productivity expectations. This is an excellent opportunity for a detail-oriented coding professional with Epic experience who enjoys working in a collaborative, fast-paced healthcare environment. What You'll Do Code patient encounters for WellStreet Urgent Care Centers using internal coding software. Accurately assign ICD-10-CM, CPT, HCPCS, and E&M codes based on provider documentation. Apply current coding guidelines and regulatory requirements to ensure coding accuracy and compliance. Utilize coding encoders and other coding resources to support accurate code...

Job Information Job Number: 32909 Location: Phoebe North Campus, 2000 Palmyra Rd, Albany, Georgia 31701 Department: PPG CBO; Shift: –; Job Type: Full time; Posted Date: 2025-10-30 Job Description Summary Classify medical data from patient records to assign ICD-10-CM and CPT codes for primary and multi-specialty physician billing. Reviews clinical billing for coding and billing accuracy. Review claim denials for coding-related issues and assist CBO collectors with resolution. Demonstrate knowledge of reimbursement guidelines and changes in payer policy. Provide guidance to clinical staff and providers where necessary. Serves as a resource for clinics on coding issues and questions as needed. May supervise an individual billing team of non-certified billers and collectors. Performs research on coding changes and payer policies on an ongoing basis. Qualifications High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health...

SENTA Partners is a leading Management Services Organization (MSO) specializing in providing comprehensive support to ENT and Allergy private practices. Our mission is tohelp people Breathe better, Hear better, Livebetter. At SENTA, we focus on the operational efficiencies and financial performance of our partner practices, allowing physicians to focus on delivering exceptional patient care. We are committed to fostering a collaborative and supportive work environment where our employees can thrive and grow. Position Summary The Coder will be responsible for accurately coding medical records for services rendered at our ENT or Allergy practice. This role ensures proper coding to maximize reimbursement and maintain compliance with federal regulations. The ideal candidate will have a strong understanding of medical coding guidelines and the ability to work collaboratively with healthcare providers and administrative staff. Key Responsibilities Review and analyze patient medical...

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job Summary JOB SUMMARY The Coder II, Responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem-solving skills to address coding related tasks of detailed, medium complexity. Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery, and other ancillary services. Responsible for reviewing,...

AWHS Certified Medical Coder Specialist Job DescriptionThe Certified Medical Coding Specialist will review clinical documentation and diagnostic results as appropriate and validate and ensure correct procedural and diagnostic coding of professional services rendered by clinicians evaluate. The Coding Specialist will review medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-9 & ICD-10), and the American Medical Association's Current Procedural Terminology Manual (CPT). The Specialist will also provide technical guidance and training on medical coding to physicians and staff.Reports to: Billing Manager.FLSA Status: Non-Exempt.Essential Duties/Responsibilities:Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports patient...

Grady Health System is seeking a skilled Medical Coder who will assess physician documentation and assign CPT and ICD-10 codes across ER, inpatient, outpatient, and ambulatory services. This role emphasizes accuracy, compliance, and timely release of encounters for billing. You will review documentation in the EMR, provide feedback on discrepancies, and contribute to charge entry and denial management to optimize reimbursements. A clinical coding background is essential. #J-18808-Ljbffr

Grady Health System in Atlanta is seeking a Coder III to review physician services, interpret documentation, and assign codes using ICD-10-CM and CPT-4/HCPCS. You will handle complex surgical, inpatient, observation, and outpatient records within productivity and accuracy guidelines. In this role, you will extract information from clinical notes and reports, determine accurate code assignments for ER, inpatient, outpatient and other services, and support denial management and claim edits with #J-18808-Ljbffr