64 professional services coder jobs found

Medical Biller And Coder For Radiology Department We are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Radiology Department to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accuracy in medical coding, and facilitating timely payments from insurance companies and patients. This role requires expertise in both hospital (inpatient) and outpatient coding, as well as a strong understanding of medical terminology, billing, and revenue cycle management (including collections). Responsibilities Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS for both inpatient hospital and outpatient clinic settings. Review patient records to ensure all necessary information is included for billing purposes. Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement. Follow up on unpaid...

Job Description Job Description Join Our Team as a General Coder! Are you a medical coder looking to advance your career in a supportive and dynamic environment? We are seeking a detail-oriented and dedicated General Coder to join our organization. This role offers hybrid remote work opportunities, providing flexibility and balance. INCENTIVES & GROWTH OPPORTUNITIES * $1,500 sign-on bonus (paid in two installments) * Consistent Monday Friday schedule-no weekends or holidays * Strong team culture and supportive leadership What Youll Do Review patient documents and accurately assign CPT, CPT Category II, ICD-10-CM codes, and quality reporting measures like HEDIS. Verify records for billing, reimbursement, and regulatory compliance, while effectively communicating with providers to ensure accurate documentation. Serve as a valuable resource for resolving insurance denials and answering coding-related questions from A/R management, residents, and providers....

General Summary Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patient’s medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Remote Position Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patient’s medical record for...

Yeo & Yeo Medical Billing & Consulting Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future we provide...

Certified Coder Huron Gastro, P.C. is an adult medical gastroenterology practice specializing in the diagnosis, treatment, and management of disorders that affect the esophagus, stomach, small intestine, large intestine (colon), rectum, liver, gallbladder, bile ducts, and pancreas. Our practice includes 25 physicians who are board-certified in gastroenterology by the American Board of Internal Medicine, 9 Advances Practice Providers, and an outstanding staff of clinical and administrative personnel. Huron Gastro has been a leader in the field for over 5 decades, with expertise in every leading-edge technology that is currently available for the practice of gastrointestinal medicine. Huron Gastro is committed to high quality, efficient, compassionate, cost-conscious care. We value our culture which holds high the values of dignity and respect, and we focus much time and effort on continuing education for our health care professionals. We currently have an opportunity for a...

Position Summary This role is responsible for accurately and appropriately coding ambulance claims, including claim submission, follow‑up on denied claims, and ensuring compliance with relevant billing regulations to facilitate timely reimbursement for services. Essential Job Functions Examines patient care reports to gather essential information for insurance documentation. Contacts facilities, hospitals, or patients to acquire missing information and physician certification statements. Collects data such as insurance company names, policyholder details, policy numbers, and services provided to accurately complete claim and/or billing records. 4. Communicates with insurance companies to verify coverage, determine payor schedules, and gather benefit details. Assigns relevant codes based on documented information in the patient care report and determines the appropriate level of ambulance service. Allocates charges for services supported by documentation in the patient care...

Coder - Hospital Outpatient Services - Revenue Cycle Mid Service * Days - 40hrs/wk Requisition #: req11650 Shift: Days FTE status: 1 On-call: No Weekends: No One year ambulatory surgery/OBV experience required. General Summary: Under the direction of the Coding Supervisor and Manager, the Coder for Hospital Services is responsible for accurately coding outpatient conditions and procedures. The Coder reviews clinical documentation and diagnostic results in order to extract data for billing, internal and external reporting, and research, ensuring all codes are appropriately applied per the ICD-10-CM Official Guidelines for Coding and Reporting. When applicable, the Coder is responsible for accurately and completely capturing charges for hospital services provided by reviewing clinical documentation. This data is utilized for revenue processing, internal and external reporting, research and regulatory compliance as documented in the CPT guidelines. Knowledge, Skills...

Coding Specialist Responsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures. Essential Functions and Responsibilities as Assigned: Responsible for outpatient coding and charge validation (charge entry) in multiple specialties and EMRs Responsible for coding inpatient encounters (inclusive of < 30 days of LOS and >30 days of LOS, Rehab, Long-term Acute Care) Reviews, identifies, and assigns ICD-10-CM, CPT-4 with charge validation or ICD-10-CM and ICD-10-PCS codes. Applies (charge entry) appropriate soft codes for evaluation and management level(s), observation hours, injections, infusions, and other procedures as necessary. Validates CPT -4 codes (charges) captured by McLaren departments...

Job Summary The inpatient senior coder will thoroughly review inpatient record accounts to assign correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes per industry coding guidelines, utilizing the 3M computer assisted coding software application. Abstracts coded data from the Epic electronic medical record according to the established standard of work, while maintaining established quality accuracy and productivity standards. Works collaboratively with leadership, financial and clinical teams to ensure Diagnostic Related Groups (DRG) or All Patient Refined Diagnostic Related Groups (APR-DRG) accuracy. The outpatient senior coder will review multiple service lines of outpatient services (ambulatory surgery, observation, interventional radiology/cardiology, emergency) record accounts to assign correct ICD-10-CM diagnosis codes, CPT procedure codes, add modifiers, review claim edits, etc. per the industry coding guidelines, utilizing the 3M computer assisted coding...

Employment OpportunitiesProvides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments.Essential Functions:Knows, understands, incorporates, and demonstrates the Trinity Health Mission,...

Certified Home Health Coder & QA Specialist Become a part of the Hope At Home Family! We currently have a position available for a Certified Home Health Coder & QA Specialist. Position Summary: Certified Home Health Coder & QA Specialist is required to have PDGM, Oasis D1 experience, and Kinnser software knowledge. Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of skilled service visits. The position is also responsible for reviewing OASIS and abstracting visit data for billing and data collection purposes. Responsibilities: Codes records using ICD-10-CM and coding guidelines. Reviews OASIS. Observes and reports unusual patterns in data collection and/or lack of adequate documentation for code assignments. Review documentation and provide ICD-10 coding recommendations based on current coding and Oasis guidelines. Performs other related duties as requested by the Home Health Supervision Must be...

Job Title Reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties. Employment Type: Full time Shift: Day Shift Hours | Schedule: Remote...

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. Position Summary: Applies CPT-4 and HCPCS codes to medical records for the cardiovascular lab and interventional radiology departments based on documentation provided by physicians. Adheres to strict federal coding rules and guidelines in selecting codes that appropriately reflect the services that were provided. Balances need for (95% accuracy) coding accuracy against timely account completion for billing deadlines. Essential Responsibilities: Coding of surgical procedures performed by cardiologists, and interventional radiologists...

Your experience matters UP Health System-Bell is a part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well‑being so you can provide exceptional care to others. By joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding Guidelines to select the appropriate diagnosis code. Uses available research and reference tools to understand the disease process and diagnosis. Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous...

Job Posting Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered. Candidate must have Denials experience to be considered. This position is responsible for coding all services including major and minor surgical cases performed in both the office and hospital setting for MyMichigan Medical Group, Family Practice Center and the MyMichigan Urgent Care locations. This position monitors compliance with third party payers guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with, in addition to analytical skills to ensure all procedures are coded correctly for a timely and accurate reimbursement from all payers. This position must be able to work independently and make decisions based on their broad knowledge of current procedure terminology (CPT) and International Classification of Diseases...

Summary Candidates must have a primary address located within the state of Michigan or be willing to move to Michigan to be considered. This position is responsible for coding all services, including major and minor surgical cases performed in both the office and hospital settings for MyMichigan Medical Group, Family Practice Center, and MyMichigan Urgent Care locations. The role monitors compliance with third‑party payer guidelines to ensure maximum allowed reimbursement and requires broad knowledge of current payer rules and analytical skills to code procedures correctly for timely, accurate reimbursement. The coder works independently and makes decisions based on knowledge of CPT and ICD coding rules and regulations. Responsibilities Code visits and services performed in the office and hospital setting within 48 hours of receipt. (25%) Use Epic coding edits, CPT Assistant, and CMS coding guidelines to correct ICD, CPT, HCPCS codes, modifiers, and place of service for clean...

Health Information Management Professional Contributes to organizational success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients and other staff members of departments encountered. Adhere to coding rules for coding professional services for multiple specialties (such; neurosurgery, pediatric surgery, rehab, orthopedic, cardiology, etc.), urgent care, occupational health, family practice and other to ensure quality coding based upon documentation within the patient record. Follows policies, procedures and guidelines to assure consistent coding quality. At the same time utilizes analytical skills when reviewing charts, interpreting documentation and applying codes, sufficing edits, etc. Assures coding is completed timely and all work queues are maintained at a reasonable completion rate/turnaround timeframe. This includes the willingness to help others,...

Employment Type: Full time Shift: Day Shift Description: Analyzes physician/provider documentation contained in assigned Emergency Department (ED) and Outpatient Observation health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Accesses charge work queues and systems to assign ER and Observation charges if performed by HIM. May also require calculation of Observation hours if performed by HIM. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of Internal Classification of Diseases, Clinical Modification diagnosis and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers. Utilizes coding guidelines established by: The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS...

Coder III Full-time Company Description Healthcare Job Description Coder III 3-5 years experience preferred Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and Inpatient health records (electronic, paper and hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) diagnosis and procedure codes, Current Procedural...

Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings. Job Description A Day In The Life The Coder Abstractor is responsible for charge capture process for professional charges within the Munson system, including but not limited to: verifying and/or analyzing medical record and/or encounter form documentation to determine the principle and all secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS) and Munson; performing...

Job Summary The inpatient senior coder will thoroughly review inpatient record accounts to assign correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes per industry coding guidelines, utilizing the 3M computer assisted coding software application. Abstracts coded data from the Epic electronic medical record according to the established standard of work, while maintaining established quality accuracy and productivity standards. Works collaboratively with leadership, financial and clinical teams to ensure Diagnostic Related Groups (DRG) or All Patient Refined Diagnostic Related Groups (APR-DRG) accuracy.The outpatient senior coder will review multiple service lines of outpatient services (ambulatory surgery, observation, interventional radiology/cardiology, emergency) record accounts to assign correct ICD-10-CM diagnosis codes, CPT procedure codes, add modifiers, review claim edits, etc. per the industry coding guidelines, utilizing the 3M computer assisted coding...

University of Michigan Health-West is looking for a Coder to join their Hospital Outpatient Services team. In this role, you will review clinical documentation to accurately code outpatient conditions and procedures while ensuring compliance with ICD-10-CM guidelines. The ideal candidate should have a minimum of one year of relevant coding experience and hold a professional HIM coding certificate. Responsibilities include maintaining coding accuracy and timely data entry of service codes. #J-18808-Ljbffr

Your experience matters UP Health System-Bell is a part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well‑being so you can provide exceptional care to others. By joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding Guidelines to select the appropriate diagnosis code. Uses available research and reference tools to understand the disease process and diagnosis. Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous...

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...