94 specialist certified coder jobs found

Overview The Laboratory Billing & Coding Representative is responsible for accurate and timely billing of Laboratory services. Responsible for understanding medical terminology, patient registration, insurance eligibility, payer rules, CPT/HCPCS bundling, CCI modifiers, and lab-related coding for problem resolution. Responsible for understanding and applying compliance and regulatory guidelines to resolve charge review edits, claim edits, billing-related issues, and assigned work queues. Functions as a lab-billing resource for internal and external parties. This position uses Carle electronic medical record systems and Lab Information System to review clinical encounters and laboratory results. Qualifications Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information...

Horizon Health in Paris, IL is hiring a Medical Coder responsible for coding and billing patient records using Athena and 3M Encoder. You will apply CPT guidelines, ensure accuracy, and comply with CMS rules to support timely claims. Strong certification and prior coding experience are required. This role emphasizes confidentiality, data integrity, and collaborative work with physicians and the Revenue Cycle team. #J-18808-Ljbffr

Carle Health is seeking an HIM Certified Coder in Champaign, IL, to code inpatient, outpatient and professional encounters using ICD-10-CM, CPT and HCPCS codes. You will work with clinical staff and coding software to ensure compliant billing and accurate charge capture. The role requires CIC/CCS/CCS-P/RHIT/RHIA/CPC/COC certifications, strong knowledge of coding guidelines, and the ability to collaborate across departments. #J-18808-Ljbffr

Carle Health seeks an HIM Certified Coder to accurately code hospital inpatient, outpatient and professional encounters using ICD-10/ICD-PCS, CPT, and HCPCS. The coder applies regulatory guidelines and modifiers to ensure compliant billing and resolves coding-related Edits in Carle systems. Qualified candidates hold RHIT or RHIA, plus CPC/COC/CIC/CCS-P/CCS credentials, with strong knowledge of CPT/HCPCS and coding datasets. Equal opportunity employer; E-Verify participant. #J-18808-Ljbffr

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Overview The Professional Coding Compliance Specialist provides revenue cycle support to Riverside Medical Group and its coding team by regularly auditing provider documentation and corresponding coding to ensure correct, complete and compliant practices that fully support diagnoses reported and charges submitted for services rendered, meet regulatory and payor-specific requirements, and accurately describe the patient encounter; providing feedback and education to providers and coders based on audit results, regulatory changes, and industry trends; assisting with orientation of new providers, residents/fellows, and new members of the coding team. Essential Duties Completes timely audits of assigned providers and coders for accurate, complete, and compliant ICD-10-CM and CPT/HCPCS code assignment, ensuring that documentation supports the diagnoses reported, E/M level selected, and CPT/HCPCS codes submitted for services rendered during the episodes of care reviewed...

Medical Coder II The Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements. Position Highlights: Position: Medical Coder II Location: Hybrid Warrenville, IL and remote Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, 8:00am-4:30pm What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and conventions. Conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments. Examine clinical documentation in medical records, working with physicians and clinical staff to clarify and improve documentation as needed for accurate coding. Stay up-to-date with the latest coding...

Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development . Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its...

About Us At Paramedic Services of Illinois, we are dedicated to providing compassionate and high-quality emergency medical care to our community. Our company culture is centered around the belief that every individual deserves prompt and professional medical attention delivered with empathy and respect. Position Summary The EMS Medical Coding Specialist is responsible for accurate and compliant assignment of diagnosis and procedure codes to emergency medical services encounters, including ground and air ambulance transports. This senior-level position requires expert knowledge of ICD-10-CM, HCPCS Level II coding conventions, and Medicare/Medicaid billing regulations specific to EMS transport services. The specialist ensures optimal reimbursement while maintaining strict adherence to federal and state compliance requirements. Medical Coding & Documentation Review and abstract patient care reports (PCRs) to assign accurate ICD-10-CM diagnosis codes and HCPCS transport codes...

Medical Coder IIThe Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements.Position Highlights:Position: Medical Coder IILocation: Hybrid – Warrenville, IL and remoteFull Time/Part Time: Full-time (40 hours per week)Hours: Monday-Friday, 8:00am-4:30pmWhat you will do:Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and conventions.Conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments.Examine clinical documentation in medical records, working with physicians and clinical staff to clarify and improve documentation as needed for accurate coding.Stay up-to-date with the latest coding guidelines, conventions,...

Edward Elmhurst Health in Skokie, IL is seeking an Ambulatory Risk Adjustment Coding Specialist to identify HCC codes in physician outpatient visits and ensure they are coded with highest specificity. You will verify that documentation meets CMS requirements and work with ambulatory CDS to confirm code accuracy. Responsibilities include abstracting HCCs, identifying chart-level impairments, partnering with physicians to improve documentation, onboarding new staff, keeping ICD-10-CM knowledge #J-18808-Ljbffr

Sign On Bonus: $1,500; DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...

Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development . Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of...

Medical Biller/Coding SpecialistWe are seeking a detail-oriented and organized Medical Biller/Coding Specialist to join our team. This candidate MUST have Dermatology experience.As a Medical Biller, you will be responsible for accurately preparing and submitting medical claims to insurance companies and ensuring timely reimbursement. Your attention to detail and knowledge of medical billing codes and procedures will contribute to the smooth operation of our healthcare facility.Responsibilities:Reviewing patient information and medical records to accurately code diagnoses and proceduresPreparing and submitting medical claims to insurance companiesVerifying insurance eligibility and coverage for patientsFollowing up on unpaid claims and denials, and appealing when necessaryResolving billing discrepancies and answering patient inquiries regarding their billsKeeping up-to-date with changes in medical billing codes and regulationsMaintaining patient confidentiality and adhering to HIPAA...

Certified Inpatient/Outpatient Medical Coder - RemoteJamison Professional Services, Inc. ("Jamison") is currently seeking a qualified and motivated candidate for the position of Certified Inpatient/Outpatient Medical Coder (Medical Records Technician).Candidates must hold at least one current certification from AHIMA or AAPC, including:Registered Health Information Technician - RHITCertified Coding Specialist - CCSCertified Coding Specialist–Physician Based - CCS-PRegistered Health Information Administrator - RHIACertified Professional Coder - CPCCandidates must provide documentation verifying their current certification. The Medical Records Technicians - Inpatient/Outpatient Coders will provide remote medical coding services in support of a federal healthcare client. The selected candidates will perform inpatient and outpatient medical records coding, coding validation, documentation review, provider queries, and related health information management functions. The work will...

Medical Coder II The Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is essential in maintaining financial accuracy and compliance with regulatory requirements. Position Highlights: Position: Medical Coder II Location: Hybrid – Warrenville, IL and remote Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, 8:00am-4:30pm What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records based on clinical documentation, ensuring adherence to coding guidelines and conventions. Conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments. Examine clinical documentation in medical records, working with physicians and clinical staff to clarify and improve documentation as needed for accurate coding. Stay up-to-date with the...

Medical Biller/Coding Specialist We are seeking a detail-oriented and organized Medical Biller/Coding Specialist to join our team. This candidate MUST have Dermatology experience. As a Medical Biller, you will be responsible for accurately preparing and submitting medical claims to insurance companies and ensuring timely reimbursement. Your attention to detail and knowledge of medical billing codes and procedures will contribute to the smooth operation of our healthcare facility. Responsibilities: Reviewing patient information and medical records to accurately code diagnoses and procedures Preparing and submitting medical claims to insurance companies Verifying insurance eligibility and coverage for patients Following up on unpaid claims and denials, and appealing when necessary Resolving billing discrepancies and answering patient inquiries regarding their bills Keeping up-to-date with changes in medical billing codes and regulations Maintaining patient...

Hourly Pay Range: $26.61 - $39.92. The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights Position: Medical Coder III Location: Hybrid – Skokie, IL and remote Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, 8:00am-4:30pm Responsibilities Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records, demonstrating advanced proficiency in complex coding scenarios. Lead and conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments, providing guidance and feedback to junior coders. Analyze clinical documentation in medical records and collaborate with physicians and clinical staff to clarify and enhance documentation for accurate coding. Stay current with the latest coding guidelines, conventions, and regulatory changes, sharing knowledge with the coding team. Collaborate with clinical staff to...

Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay Range: $32.00 - $52.08 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient encounters to ensure coding...

Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Medical Coder III The Medical Coder III is a senior-level position responsible for ensuring precise coding of diagnoses and procedures in compliance with established coding guidelines and regulations. This role is integral to maintaining financial accuracy and regulatory compliance within our institution. Position Highlights: Position: Medical Coder III Location: Hybrid - Skokie, IL and remote Full Time/Part Time: Full-time (40 hours per week) Hours: Monday-Friday, 8:00am-4:30pm What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records, demonstrating advanced proficiency in complex coding scenarios. Lead and conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments, providing guidance and feedback to junior coders....

OverviewThe Professional Coding Compliance Specialist provides revenue cycle support to Riverside Medical Group and its coding team by regularly auditing provider documentation and corresponding coding to ensure correct, complete and compliant practices that fully support diagnoses reported and charges submitted for services rendered, meet regulatory and payor-specific requirements, and accurately describe the patient encounter; providing feedback and education to providers and coders based on audit results, regulatory changes, and industry trends; assisting with orientation of new providers, residents/fellows, and new members of the coding team.Essential DutiesCompletes timely audits of assigned providers and coders for accurate, complete, and compliant ICD-10-CM and CPT/HCPCS code assignment, ensuring that documentation supports the diagnoses reported, E/M level selected, and CPT/HCPCS codes submitted for services rendered during the episodes of care reviewedReviews audit...

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding...

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American...

HIM Certified CoderThe HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM coder uses Carle electronic medical record systems to review clinical encounters.QualificationsCertifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information...