1994 aapc jobs found

UASI is seeking experienced professional coding specialists to perform accurate code assignments while working remotely from home. The ideal candidate will have at least three years of recent coding experience and the necessary certifications like AHIMA or AAPC. Responsibilities include assigning coding for various records while maintaining a high coding quality of 95% or greater. UASI offers a dynamic work environment, career growth opportunities, and competitive salaries. #J-18808-Ljbffr

Seeking a detail-oriented Inpatient Coder (AHIMA/AAPC Certified) to work remotely in a full-time capacity, where the specialist will utilize coding expertise to ensure accurate coding of inpatient records while meeting productivity targets and maintaining high-quality standards. Key responsibilities: Code inpatient records using ICD-10-CM and ICD-10-PCS diagnosis and procedure codes Maintain a coding quality of 95% or greater while meeting client productivity targets Adapt to changes in coding practices and regulations while working independently in a remote environment Required qualifications: AHIMA or AAPC certification (CPC, CIC, COC) Minimum of two years of recent inpatient coding experience in an acute care setting Knowledge of MS DRG Coding Classification Systems Technical competency with remote-based connectivity and office software Ability to maintain a committed regular schedule with reliable attendance

Job Description We are seeking a knowledgeable and experienced AAPC/AHIMA-certified Professional Coder to support Quality Assurance (QA) activities for HEDIS measure charts. The ideal candidate will have strong expertise in HEDIS measures, chart review, and quality validation, along with the ability to independently interpret NCQA guidelines. Key Responsibilities Perform Quality Assurance (QA) on HEDIS measure charts and abstraction results Review and validate accuracy, completeness, and compliance of HEDIS data Analyze HEDIS measurement specifications and ensure adherence to NCQA guidelines Conduct detailed chart reviews to identify gaps, inconsistencies, and coding errors Interpret and apply HEDIS technical specifications during QA validation Perform independent research on HEDIS requirements using the NCQA manual Collaborate with internal teams to resolve discrepancies and improve data quality Provide feedback and recommendations to enhance QA processes and outcomes...

Join a dedicated healthcare team serving a broad regional community in the Midwest. This role is perfect for a detail-oriented medical coder who thrives in a remote work environment and is passionate about accurate and ethical coding practices. General Summary The medical coder ensures that services are billed correctly according to the American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. This position involves insurance credentialing and educating providers and staff on coding and billing standards. Routine chart audits are conducted to maintain compliance and accuracy. Essential Duties and Responsibilities Assign ICD-10-CM, CPT, and HCPCS Level II codes to finalized medical documentation to create accurate medical claims. Abstract specific data from patient records to determine appropriate claim modifiers. Query providers for clarification when documentation is unclear or incomplete, requesting addendums as needed. Stay current with...

We are seeking a knowledgeable and experienced AAPC/AHIMA-certified Professional Coder to support Quality Assurance (QA) activities for HEDIS measure charts. The ideal candidate will have strong expertise in HEDIS measures, chart review, and quality validation, along with the ability to independently interpret NCQA guidelines. ________________________________________ Key Responsibilities: • Perform Quality Assurance (QA) on HEDIS measure charts and abstraction results • Review and validate accuracy, completeness, and compliance of HEDIS data • Analyze HEDIS measurement specifications and ensure adherence to NCQA guidelines • Conduct detailed chart reviews to identify gaps, inconsistencies, and coding errors • Interpret and apply HEDIS technical specifications during QA validation • Perform independent research on HEDIS requirements using the NCQA manual • Collaborate with internal teams to resolve discrepancies and improve data quality • Provide feedback and...

Join a dedicated healthcare team serving the heart of the Midwest region. This role is perfect for a detail-oriented medical coder who thrives in a remote work environment and values accuracy and compliance. General Summary The medical coder ensures accurate billing by assigning appropriate ICD-10-CM, CPT, and HCPCS Level II codes in accordance with American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. This position involves insurance credentialing and educating providers and staff on coding and billing standards. Routine chart audits and timely documentation review are essential components of this role. Essential Duties and Responsibilities Assign ICD-10-CM, CPT, and HCPCS Level II codes to finalized medical documentation to create accurate medical claims. Abstract relevant data from patient records to determine appropriate claim modifiers. Communicate with providers to clarify unclear or incomplete documentation and...

Join a dedicated healthcare team serving a broad regional community in the Midwest. This role is perfect for a detail-oriented medical coder who thrives in a remote work environment and is passionate about accurate and ethical coding practices. General Summary The medical coder ensures that services are billed correctly according to the American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. This position involves insurance credentialing and educating providers and staff on coding and billing standards. Routine chart audits are conducted to maintain compliance and accuracy. Essential Duties and Responsibilities Assign ICD-10-CM, CPT, and HCPCS Level II codes to finalized medical documentation to create accurate medical claims. Abstract specific data from patient records to determine appropriate claim modifiers. Query providers for clarification when documentation is unclear or incomplete, requesting addendums as needed....

Join a dedicated healthcare team in the heart of the Midwest region, where your expertise in medical coding will directly support accurate billing and compliance with national standards. This role involves assigning ICD-10-CM, CPT, and HCPCS Level II codes to finalized medical documentation, ensuring claims are properly prepared according to AMA and CMS guidelines. Key Responsibilities: Assign appropriate medical codes to patient records and claims. Abstract data to determine modifiers for claim submissions. Communicate with providers to clarify documentation and request necessary addendums. Stay current with coding standards, including federal, state, and local regulations. Adhere to ethical coding standards and organizational compliance policies. Monitor provider documentation timeliness and maintain productivity standards. Maintain certification through AAPC or AHIMA and complete required continuing education units. Education: High school diploma or...

Riverside Health System in Newport News, Virginia is seeking a qualified Medical Coding Specialist to assign ICD-10-CM and CPT codes for a variety of records. You will review charts, query for clarification, and ensure billing readiness across payer requirements. The ideal candidate has 1 year ICD-10-CM/CPT coding experience and CPC or COC certification upon hire. Remote work eligibility is available for several states, including VA, with collaboration across the coding team. #J-18808-Ljbffr

A healthcare company is looking for an experienced Medical Coding Specialist. The role involves accurate code assignments for outpatient services and requires certifications and at least three years of coding experience. Candidates should be detail-oriented, flexible, and capable of remote work. The company is recognized as a top workplace and offers a supportive environment for professional development and growth. Competitive pay and a commitment to quality are key aspects of this position. #J-18808-Ljbffr

A women-owned small business in Alabama seeks a skilled remote medical coder. Applicants must have completed an accredited coding certification program and maintain their credentials. This role requires transforming healthcare documentation into specific coding for billing. Candidates must also pass a National Agency Check and Background for clearance. Join a supportive team committed to excellence and empowerment. #J-18808-Ljbffr

Centauri Health Solutions, Inc. in Tempe, Arizona, is seeking a skilled Risk Adjustment Coder to enhance healthcare data quality. This role requires certified professionals who can perform accurate coding and documentation improvements, working primarily with Medicaid lines. Candidates must possess a minimum of 3 years of coding experience with relevant credentials like CRC or CPC. The job offers comprehensive benefits, including medical coverage and a 401(k) plan with company match. #J-18808-Ljbffr

About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD‑9‑CM/ICD‑10‑CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance efforts....

Job Description Summary The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements.This is a hybrid position: 2 days onsite; 3 days remote option. Job Description Job Responsibilities: Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process. Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC's, PCS and ICD-10-CM codes. Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code...

Job Description Job Description The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership. Job Responsibilities: Complete root cause analysis of identified front and/or back end coding opportunities...