42 revenue integrity coder jobs found

Sage Clinical RCM, LLC in Saint Petersburg, Florida, is seeking a remote coding specialist to review provider documentation and assign accurate CPT, HCPCS, and ICD-10-CM codes. The role is focused on maintaining compliance and quality metrics across various specialties. The ideal candidate will have 2-3+ years of experience in professional fee coding and possess active credentials such as CPC, CCS-P, RHIA, or RHIT. This full-time position allows for flexible work options within a collaborative remote environment. #J-18808-Ljbffr

The Medical Coding Specialist is responsible for reviewing clinical documentation to assign accurate ICD-10, CPT, and HCPCS codes. This role ensures compliant claims submission, supports the revenue cycle by minimizing claim denials, and maintains strict adherence to federal and state healthcare regulations. Supports the success of a high-performing shared services organization by helping to champion and drive the long-term Health System Shared Services vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Responsibilities: Translate diagnoses, procedures, and medical services for all Banyan services including behavioral health, psychiatry, and primary care into standardized universal codes for billing Ensure all charges are reviewed, coded, and posted within 72 hours Collaborate with the billing team to resolve coding-related claim edits, research denials, and facilitate insurance reimbursement...

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Job Description The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This position does not have excessive re-bills. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation is there to support codes/ER charges assigned. Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that...

Physician Billing & Coding Specialist I The Physician Billing & Coding Specialist I is responsible for supporting the professional billing lifecycle, including physician coding, charge review and reconciliation, billing, and A/R follow-up. This role reviews clinical documentation for accurate ICD-10, CPT, and HCPCS code assignment; ensures compliance with regulatory and payer requirements; resolves patient and third-party account issues; and serves as a liaison between providers, payers, and patients to promote timely, accurate reimbursement. Education High school diploma or equivalent required Associate's or Bachelor's degree preferred (Health Information Management, Business, or related field) Experience Minimum of two (2) years' experience in healthcare coding, billing, patient accounting, or revenue cycle operations Hospital or physician billing experience preferred Certifications (Required) CPC, CCS-P, CCSP, or equivalent coding certification...

The Medical Coding Specialist is responsible for reviewing clinical documentation to assign accurate ICD-10, CPT, and HCPCS codes. This role ensures compliant claims submission, supports the revenue cycle by minimizing claim denials, and maintains strict adherence to federal and state healthcare regulations. Supports the success of a high-performing shared services organization by helping to champion and drive the long-term Health System Shared Services vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Responsibilities: Translate diagnoses, procedures, and medical services for all Banyan services including behavioral health, psychiatry, and primary care into standardized universal codes for billing Ensure all charges are reviewed, coded, and posted within 72 hours Collaborate with the billing team to resolve coding-related claim edits, research denials, and facilitate insurance reimbursement...

Job Description Job Description Description: Position Overview The Professional Billing Coder – Vascular Surgery is responsible for accurate coding of professional services related to vascular procedures. This role supports compliant billing practices and contributes to revenue integrity and audit readiness. Requirements:   Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for vascular surgery procedures  Review operative and procedural documentation for coding accuracy and completeness  Apply appropriate modifiers and NCCI edits • Ensure adherence to CMS, AMA, and payer guidelines  Maintain accuracy and productivity standards in a high-volume environment  Support internal audits and quality improvement initiatives Required Qualifications Minimum 2+ years of professional billing coding experience   Proven experience with vascular surgery coding   Strong knowledge of CPT, ICD-10-CM, modifiers, and NCCI edits  CPC or equivalent...

Job Description Job Description Description: 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. Requirements:   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...

Job Description Job Description Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type: Part-Time (25–35 hours per week) About the Position We are seeking an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty medical practice specializing in Primary Care and Gynecology . The ideal candidate will be responsible for reviewing clinical documentation before claims are submitted to ensure accurate coding, appropriate E/M level selection, documentation compliance, and optimal reimbursement while maintaining full regulatory compliance. This position works closely with providers, clinical staff, and the billing department to improve documentation quality, reduce claim denials, maximize appropriate reimbursement, and ensure coding accuracy. Primary Responsibilities Review approximately 300 provider notes per week for coding accuracy and documentation compliance prior to claim submission....

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Certified Coder Full Time Admin - IC Clearwater, FL, US 3 days ago Requisition ID: 3213 Join Evara Health—Driven by Purpose, Powered by People. Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams. Build a career that goes beyond a job—it changes lives. About this Role: Medical Coding & Charge Review Review and validate diagnosis and procedure codes to ensure accuracy, compliance, and...

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

Job Description Job Description Description: Position Overview The Professional Billing Coder – Surgical Specialty is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment. Requirements:   Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services  Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding  Apply appropriate modifiers, bundling rules, and NCCI edits  Ensure compliance with CMS, AMA, and payer-specific billing guidelines • Identify documentation gaps and communicate clarification needs as appropriate  Meet established productivity and quality standards • Participate in internal quality reviews and audits as required Required...

Job Description Job Description Description: Role Summary   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.  Requirements: Minimum Qualifications   Credentials: CPC, CCS-P, RHIA, or RHIT (active and in good standing).  Experience: Minimum 2–3+ years professional fee coding experience....

Job Description Job Description Description:   Position Overview The Professional Billing Coder – Cardiothoracic / Special Surgical is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment. Requirements:   Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services  Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding  Apply appropriate modifiers, bundling rules, and NCCI edits • Ensure compliance with CMS, AMA, and payer-specific billing guidelines  Identify documentation gaps and communicate clarification needs as appropriate  Meet established productivity and quality standards  Participate in internal quality reviews and audits as required...

Job Description Job Description oin Evara Health—Driven by Purpose, Powered by People.  At Evara Health, we believe healthcare is about more than treating patients—it’s about transforming lives and strengthening the communities we serve. As a nonprofit community health center with 17 locations and mobile health units across Pinellas County, we provide high-quality, accessible care while creating meaningful opportunities for our employees to make a difference every day. Recognized as a USA TODAY Top Workplace, Evara Health is proud to foster a mission-driven culture where people are valued, collaboration matters, and employees can grow while doing work that has a real impact. If you’re looking for more than just a job—and want to be part of a team committed to improving lives and serving our community—we invite you to explore a career with Evara Health. Build a career that goes beyond a job—it changes lives.    About This Role: The Certified Coder is responsible...

Location Requirement: Candidates must reside in one of the following states- Florida, Alabama, or Georgia. If offered the position, will be required to come onsite in Pensacola, FL for orientation. The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the tests was performed and meets all state federal local and payer guidance. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation. Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that affect outcome. Communicate questions or concerns to the Coding Manager, HIM Services...

Job Description Job Description Description: NO WEEKENDS, NO EVENINGS, NO HOLIDAYS We offer competitive pay as well as PTO, Holiday pay, and comprehensive benefits package! Benefits: · Health insurance · Dental insurance · Vision insurance · Life Insurance · Pet Insurance · Health savings account · Paid sick time · Paid time off · Paid holidays · Profit sharing · Retirement plan GENERAL SUMMARY The Radiation Oncology Coder Certified is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement. The Coder Certified will ensure quality and productivity standards are met. The Coder Certified will ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. They work with the Coding Supervisor to escalate coding issues and prevent untimely claim submission and...

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

Baptist Health Care is seeking a Coder II to review outpatient records and assign ICD-10-CM or CPT-4 codes accurately, adhering to guidelines and contributing to a 97% accuracy rate. The role requires RHIA/RHIT/CCS/CCA or CPC certifications, with responsibilities spanning code assignment, documentation validation, and collaboration with the Revenue Integrity team. Remote work with potential ER charge duties may apply. #J-18808-Ljbffr

The Florida Department of Health - Sarasota, is seeking a Medical Coding Specialist to translate clinical documentation into accurate ICD-10, CPT, and HCPCS codes for services including family planning, obstetric care, STI care, HIV/AIDS and hepatitis treatment. This in-office, full-time role supports compliant reporting, revenue integrity, and data quality. You will track referrals, collaborate with multidisciplinary teams, and participate in trainings within 60 days of employment to ensure #J-18808-Ljbffr

Sage Clinical RCM, LLC is seeking a Professional Billing Coder for Vascular Surgery in the United States. This role involves accurate coding of professional services, ensuring adherence to billing practices and guidelines, while contributing to revenue integrity. Candidates must have over 2 years of coding experience, particularly in vascular surgery, and a relevant certification is preferred. Join us to support leading healthcare organizations in a collaborative and quality-driven culture with flexible work hours. #J-18808-Ljbffr

BayCare is seeking an experienced Specialty Coder III to perform advanced outpatient coding for short-stay encounters. This 100% remote position requires CCS certification and five years of outpatient coding experience. You will review records, assign ICD-10-CM and CPT-4 codes, and mentor junior staff. Based in Florida, Georgia, South Carolina, or North Carolina, you will collaborate with clinicians and departments to resolve documentation gaps, support revenue integrity, and maintain EHR #J-18808-Ljbffr

Medical Records Coder III Outpatient (REMOTE) - 164139 Clearwater:BayCare Sys Office West | Business and Administrative | Full Time Description BayCare is seeking an experienced Specialty Coder III to perform advanced outpatient coding for short-stay encounters. In this role, you will review medical records and accurately assign diagnosis and procedure codes using ICD-10-CM and CPT-4 coding systems. You will serve as a coding subject matter expert, collaborating with clinical and operational teams to resolve documentation questions, improve coding accuracy, and support revenue cycle integrity. This position also plays an important mentoring role by assisting with the training and development of Coder I and Coder II team members, as well as clinical practice students. The ideal candidate has extensive outpatient coding experience, strong analytical skills, and a thorough understanding of medical terminology, anatomy, and coding guidelines. Location: BayCare System Office West...

Sage Clinical RCM, LLC is seeking a Professional Billing Coder for Vascular Surgery in the United States. This role involves accurate coding of professional services, ensuring adherence to billing practices and guidelines, while contributing to revenue integrity. Candidates must have over 2 years of coding experience, particularly in vascular surgery, and a relevant certification is preferred. Join us to support leading healthcare organizations in a collaborative and quality-driven culture with flexible work hours. #J-18808-Ljbffr