19 specialty coder jobs found

Fully Remote Lake Park Building Full time R180277 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

We are recruiting for a mission-driven Coder II - MUST Reside in Colorado to join our team! We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something we live every day, for life's journey. Our Values Respect | Belonging | Accountability | Transparency Department HB & PB Coding Services Job Summary The Coder II is a key member of the Coding/Compliance team and has shared accountability for the success of the department. The Coder II, under general supervision, reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. Performs various coding assignments under the direction of Coding Management. Provides feedback regarding documentation and coding issues. Utilizes software applications and coding references, including electronic, to perform coding related tasks. Assists with training. Essential Functions :...

University of Colorado Medicine (CU Medicine) is the region's largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. This job can be performed 100% remotely and out of state candidates will be considered. We are seeking a highly motivated ETM Coder (Coder I/II/III) to join our team. The ETM Coder will work under direct supervision for coding, medical documentation review and charge capture of professional services in accordance with CMS guidelines. The individual in this position will...

Job Summary and Responsibilities As our Coder II, you will apply your senior-level expertise to meticulously code both inpatient and outpatient professional fee services across multiple specialties, ensuring accuracy and compliance. Every day you will review documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes. You will expertly resolve edits in work queues (charge review, claim edit, follow up), analyze denials for corrected claims or appeals, and collaborate with clinic supervisors, providers, and the Revenue Management team to resolve coding issues and questions, following applicable payer rules and guidelines. To be successful in this role, you will possess at least three years of experience in multi-specialty professional fee coding, a deep understanding of payer rules and guidelines, exceptional attention to detail, and proven abilities in analytical problem-solving and effective communication to optimize revenue integrity Uses appropriate...

Coder II Professional FeeThis is a senior level professional fee coding position with at least three (3) or more years' experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines. This individual will also work with members of the Revenue Management team to address coding issues and concerns.Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:- Alabama- Arizona- Arkansas- Colorado- Florida- Georgia- Idaho- Indiana- Iowa- Kansas - Kentucky- Louisiana- Missouri- Mississippi- Nebraska- New Mexico-...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Hospital Surgery Observation Coder Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. The posted compensation range of $25.50 - $43.26/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. Job Summary and Responsibilities As our Hospital Surgery Observation Coder, you will code and abstract outpatient records for data retrieval, analysis,...

Medical Coding Specialist Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health. Location: Hybrid (Local to Charlotte, NC; Denver, CO; or New York, NY area) Position...

Job Summary and Responsibilities As our Hospital Surgery/Observation Coder, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, bringing your unique talents to our supportive team. Every day you will meticulously code and enter diagnostic and procedure codes into a designated system using the 3M encoder, navigate the EMR efficiently, and ensure all coding meets quality and productivity standards across all facilities. To be successful in this role, you will possess advanced coding expertise, a strong understanding of diagnostic and procedure codes (especially for surgery/observation), meticulous attention to detail, and the ability to meet high productivity and quality standards while working collaboratively in a fast-paced environment. Primary coding consists of Hospital OP Surgeries and/or Observation services. Accurately assigns codes from the current Coding and Indexing systems for surgical and...

Where You'll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities As our Hospital Surgery Observation Coder, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, bringing your unique talents to our supportive team. Every day you will meticulously code and enter diagnostic and procedure codes into a designated system using the 3M encoder, navigate the EMR efficiently, and ensure all coding meets quality and...

About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health. Location: Hybrid (Local to Charlotte, NC; Denver, CO; or New York, NY area) Position Overview We are...

Job Title General description of main/primary duties and responsibilities of the job, aptitude, level of complexity, span of control, autonomy, decision making and judgement. It is central and necessary to the satisfactory performance of the job. Includes the following and other duties as assigned. Under general supervision, this position will: Review vendor invoices for accuracy, completeness and proper coding in OpenInvoice. Assign correct general ledger and cost center codes according to policies. Resolve invoice issues with vendors, field personnel and internal departments. Work with the JIB Accounting team on coding related issues. Ensure timely payments to vendors and contractors. Assist with special projects, audits or process improvements within the A/P department. Perform other duties as assigned. Qualifications Education, Experience, Licensure (minimum level required) High School Diploma or equivalent. At least one (1) year of A/P coding...

Medical Coding Specialist Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi®, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health. Location: Hybrid (Local to Charlotte, NC; Denver, CO; or New York, NY area)...

Job Title General description of main/primary duties and responsibilities of the job, aptitude, level of complexity, span of control, autonomy, decision making and judgement. It is central and necessary to the satisfactory performance of the job. Includes the following and other duties as assigned. Under general supervision, this position will: Review vendor invoices for accuracy, completeness and proper coding in OpenInvoice. Assign correct general ledger and cost center codes according to policies. Resolve invoice issues with vendors, field personnel and internal departments. Work with the JIB Accounting team on coding related issues. Ensure timely payments to vendors and contractors. Assist with special projects, audits or process improvements within the A/P department. Perform other duties as assigned. Qualifications Education, Experience, Licensure (minimum level required) High School Diploma or equivalent. At least one (1) year of A/P coding experience in the Oil and Gas...

About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health. Location: Hybrid (Local to Charlotte, NC; Denver, CO; or New York, NY area) Position Overview We are seeking a...

Essential Duties & Responsibilities General description of main/primary duties and responsibilities of the job, aptitude, level of complexity, span of control, autonomy, decision making and judgement. It is central and necessary to the satisfactory performance of the job. Includes the following and other duties as assigned. Review vendor invoices for accuracy, completeness and proper coding in OpenInvoice. Assign correct general ledger and cost center codes according to policies. Resolve invoice issues with vendors, field personnel and internal departments. Work with the JIB Accounting team on coding related issues. Ensure timely payments to vendors and contractors. Assist with special projects, audits or process improvements within the A/P department. Perform other duties as assigned. Essential Duties & Responsibilities General description of main/primary duties and responsibilities of the job, aptitude, level of complexity, span of control, autonomy, decision making...

Description DESCRIPTION OF POSITION This job description is a record of the essential functions of the listed job. The job description provides the employee, CEO, Human Resources, applicants, and other agencies with a clear understanding of the job, where it fits into the organization, and the skill and work requirements in relation to other jobs. Jobs are always changing to some degree and the existence of the approved job description is not intended to limit normal change and growth. The facility will make reasonable accommodations to otherwise qualified individuals who are capable of performing the essential functions of the job with or without reasonable accommodation. POPULATION SERVED The position involves no direct patient care for a population of patients ages 18 and older. Age specific experience and/or special training and/or expertise are not required. POSITION SUMMARY The Inpatient Coder is responsible for admissions, concurrent and discharge coding; assembling of...

This is a remote based position. Applicants can be located nationwide Back Medical Billing Specialist II #2878 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are someone who has a strong understanding of medical billing processes, payer guidelines, and attention to detail. We need someone who can ensure proper claim details, billing compliance, and timely claims resolution to support the organization's financial goals. In the role of Medical Billing Specialist II, you will be responsible for accurately preparing and submitting medical claims to appropriate payers. Tell us about your experience with Medical Billing or in Revenue Cycle Operations. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you?...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The CPC will ensure correct coding and proper documentation across medical, behavioral health, transportation and other healthcare services. The role requires 3+ years of coding experience, CPC certification, and strong knowledge of CPT/HCPCS/ICD-10, CMS guidelines, and ability to communicate findings to investigators and regulators. #J-18808-Ljbffr