1028 jobs found

Job DutiesAssign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients.Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, PCS, CPT, and HCPCS LEVEL II coding books.Correlate operation codes with diagnosis codes to ensure the most descriptive code is selected when more than one anatomical location is involved.Perform quantitative analysis and check medical record for completeness, accuracy, and compliance with regulatory requirements.Interpret documentation in record, ensuring accuracy, internal consistency and correlation of recorded data and returns record to provider/area for correction/completion.Identify and document any incident which may denote a potential compensatory event or questionable breach of quality of care delivered.Assure accurate coding of diseases, injuries, manifestations, operations, and nonsurgical procedures, both...

The Pediatric Specialists Medical Group in Trinity, FL is seeking a dedicated Medical Biller to support accurate revenue cycle performance for our pediatric practice. This onsite, full-time role handles claims submission, payment posting, denials, and eligibility verification, working closely with payers and internal teams. A qualified candidate will have pediatric billing experience, strong attention to detail, and proficiency with billing software and common office applications. #J-18808-Ljbffr

Position Summary: Medical Record Coder is responsible for timely review and completion of all discharged patient records in order to identify an appropriate selection of ICD-10-CM/CPT codes that will accurately reflect the patients stay while in the facility. Coder is further responsible for insuring that all data elements required for federal and state reporting are collected; coded data will facilitate the billing process with regards to coding and assignment of APC/MS DRG. Position Qualifications: EDUCATION: High school diploma or College degree equivalent plus certification preferred. TRAINING: Orientation and training under supervision of Director and Coding Manager until competency is observed. ABILITIES AND SKILLS: Requires eye hand coordination with good manual dexterity. EXPERIENCE: 2-3 years coding experience in an acute care facility. Must be able to look at computer CRT most of the day and must be computer knowledgeable. Must have excellent...

Summary This position is located in the Health Information Management (HIM) section at the Business Office at the Bay Pines VA Healthcare System (BPVAHCS). Medical Record Technician (Coder Inpatient) MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi­specialty clinics, and specialty centers. Responsibilities Please note, this announcement has been extended and will now close on October 29, 2026 Total Rewards of a Allied Health Professional Medical Record Technician (Coder Inpatient) primary duties include but are not limited to: Assigns codes to documented patient care encounters (inpatient facility and/or professional services) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical terminology, anatomy...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to those who...

Corporate Compliance AuditorIt's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The Corporate Compliance Auditor is responsible for assisting the Director of Compliance/Risk in planning, developing and coordinating the affiliates' quality improvement program and related performance improvement projects as related to a regulatory compliance for admissions and recertification.Qualifications:Bachelor's Degree in a relevant field or an equivalent combination of education and experienceLicensed Registered Nurse (RN) preferredMinimum of two (2) years of related experienceStrong skills in use of Microsoft office including Excel and PowerPointSkill in pain and symptom control...

It's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! Role: The Corporate Compliance Auditor is responsible for assisting the Director of Compliance/Risk in planning, developing and coordinating the affiliates' quality improvement program and related performance improvement projects as related to a regulatory compliance for admissions and recertification. Qualifications: Bachelor's Degree in a relevant field or an equivalent combination of education and experience Licensed Registered Nurse (RN) preferred Minimum of two (2) years of related experience Strong skills in use of Microsoft office including Excel and PowerPoint Skill in pain and symptom...

Supervises daily food and nutrition operations in an acute care hospital and oversees food service staff. Ensures safe, efficient patient meal service, regulatory compliance, and high patient satisfaction. Job Type: Full-time Schedule: Monday-Friday and weekends Shift: 10:30am-7:00pm Rate of Pay: $15-$16 Key Responsibilities: • Supervise food production and service activities across assigned areas • Monitor and ensure compliance with diet orders and food safety standards • Coordinate staffing and workflow to meet service demands • Communicate effectively with staff, patients, and healthcare team members • Maintain accurate operational and performance documentation • Enforce policies, procedures, and safety practices • Respond to operational issues and patient service concerns Minimum Qualifications: • High school diploma or equivalent • 3 years minimum experience in a healthcare or institutional food service environment • Supervisory experience preferred...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. This position will support risk adjustment code validation for CMS and HHS Risk Adjustment models Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified...

Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address:...

Required Skills & Experience • Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) • Strong ICD-10-CM coding experience and medical record review background • Knowledge of Risk Adjustment and HCC coding methodologies • Experience reviewing physician documentation and assigning accurate diagnosis codes • Strong understanding of medical terminology, anatomy, physiology, and disease processes • Ability to interpret complex clinical documentation with high accuracy and productivity • Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience • Medicare Advantage Risk Adjustment experience • Experience working with CMS-HCC models • CRC (Certified Risk Adjustment Coder) certification • Experience with EMRs and coding software platforms • Background in a health plan, physician practice, hospital, or revenue cycle environment • Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders...

Job Description Job Description Description: The Certified Medical Coder is responsible for coordinating, verifying and coding appropriate ICD-10, CPT, and HCPCS codes for all surgical procedures within our orthopedic practice in a timely manner. Essential Job Responsibilities: Codes surgical procedures performed and diagnosis on charge. Verifies and completes charge information in database and produces billing. Provides additional information and reports to physicians and staff on appropriate codes. Appends modifiers when appropriate. Performance Requirements: Knowledge: Knowledge of medical practices and surgical procedures - specifically in orthopedics Knowledge of computerized billing, EMR/EPM system. Athena Healthcare experience a plus! Knowledge of traditional insurance plans, HMO/PPO’s, Medicare, Medicaid, and Worker’s Comp. Knowledge medical terminology and anatomy of the body. Skills: Proficient skills in computer programs including...

Medical Biller and CollectionsPlantation, Florida, United StatesAt LUX Infusion, we're reimagining infusion care to be more human, supportive, and connected. Inspired by lux —meaning light - we guide patients, providers, and partners through complex therapies with clarity, compassion, and confidence.As a clinician-led, U.S.-based organization, we put people first - helping patients feel seen and supported through faster therapy starts, dedicated care coordination, and meaningful collaboration. Our commitment to inclusion, diversity, equity, and advancement (IDEA) is central to our culture, ensuring every team member feels valued and empowered to make a difference.Schedule: Monday–Friday, 8:30 AM–5:00 PM EST (Schedule subject to change based on business needs)Location: Hybrid — following successful completion of onsite training, this role will work from one of the designated locations on Mondays, Wednesdays, and Fridays, with remote work on Tuesdays and Thursdays (Work location...

NTT DATA, Inc. is seeking a Clinical Reviewer Specialist to perform medical necessity reviews for member and provider appeals in a fully remote capacity available to Florida residents. The role emphasizes adherence to NCQA standards, Medicaid regulations, and state/federal requirements while delivering high-quality determinations. The ideal candidate will have at least 3 years of experience in appeals processing or related reviews, strong analytical skills, and the ability to communicate #J-18808-Ljbffr

Banner Health is seeking a motivated Physician Coder with radiology experience to join our remote Coding Ambulatory team. The role covers Radiology coding for CT, Ultrasounds and other modalities, requires CPC in active status and offers flexible hours and support from a nationwide coding community. You will work remotely with resources and training provided; prior coding history in radiology preferred. Banner Health provides benefits and a collaborative, growth-focused environment for coders #J-18808-Ljbffr

Mount Sinai Medical Center is seeking an Experienced Inpatient Coding Specialist for a fully remote Florida-based role. You will code and abstract inpatient records using ICD-10-CM/PCS, validate codes, and maintain a 95% accuracy rate while handling EPIC work queues and audits. The position requires RHIA/RHIT or CCS, an associate degree in HIM or coding, and 2 years of ICD-10-CM/PCS experience. Strong knowledge of Epic and 3M tools is essential. #J-18808-Ljbffr

Job Description Job Description Job Overview We are seeking a detail-oriented and knowledgeable Medical Biller to join our healthcare team. The ideal candidate will play a crucial role in the billing process, ensuring accurate coding and timely submission of claims. This position requires a strong understanding of medical terminology, coding systems, and insurance processes. The Medical Biller will work closely with healthcare providers, patients, and insurance companies to facilitate the billing cycle. Responsibilities Review patient records to ensure accurate coding of diagnoses and procedures using ICD-10, ICD-9, and DRG systems. Prepare and submit medical claims to insurance companies for reimbursement. Follow up on unpaid claims and resolve any discrepancies or issues that arise during the billing process. Maintain detailed records of all billing activities and communications with patients and insurance providers. Collaborate with medical office staff to gather...

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 Description:   Role Summary  Responsible for reviewing inpatient coding to validate accuracy, compliance, and documentation support. This role identifies risks, ensures consistency in DRG assignment, and provides actionable feedback to improve coding quality.  Core Responsibilities   Perform retrospective and/or concurrent audits of inpatient coding.  Validate ICD-10-CM/PCS code assignment and MS-DRG/APR-DRG accuracy.  Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies.   Identify trends, risks, and opportunities for coding improvement.  Provide clear, actionable audit feedback and education to client & internal coding staff.  Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.  Requirements:   Minimum Qualifications   Credentials: CCS, RHIA, or RHIT (active).  Experience: Minimum 3+ years of...

Job Description Job Description Description: Role Summary Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types. Requirements:   Core Responsibilities   Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Minimum Qualifications   Credentials:  CPC, CCS, RHIA, or RHIT (active).  Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types. Skills & Knowledge: Strong knowledge of?CPT, HCPCS, ICD-10-CM,...