376 ambulatory coder jobs found

Ambulatory Coder Chicago The Ambulatory Coding and Reimbursement Specialist 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 Specialist ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPT and current Evaluation and Management Guidelines Interprets outpatient office visit notes and charge documents to determine services provided and accurately assign CPT, Modifiers, and ICD-10 coding to these services. Performs comprehensive...

To support the coding needs of the ENT division, the full-time CPC Certified Ambulatory Coder will abstract and validate CPT, ICD-10, and HCPCS codes for various healthcare settings while working remotely during daytime hours. Key responsibilities Abstracts and codes for assigned providers based on medical record documentation, ensuring compliance with coding guidelines Utilizes coding software and resources to determine correct codes and communicates billing issues to supervisors Mentors and assists in training other coders, while actively participating in coding educational opportunities Required qualifications High School diploma or equivalent; Associate degree preferred Five (5) years of professional fee coding experience Certified Professional Coder (CPC) certification Specialty Certification from AAPC related to the assigned specialty Knowledge of governmental and commercial payer guidelines

Coding Specialist Inspire health. Serve with compassion. Be the difference. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate coding software and coding resources in order to determine correct codes. Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Follows departmental...

Job Description Job Description The Ambulatory Coding and Reimbursement Specialist 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 Specialist ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPT and current Evaluation and Management Guidelines Interprets outpatient office visit notes and charge documents to determine services provided and accurately assign CPT , Modifiers, and ICD-10 coding to these services. Performs...

Prisma Health is seeking a qualified medical coder for the Greenville location. This role focuses on abstracting and validating CPT, ICD-10, and HCPCS codes for various healthcare settings while adhering to compliance guidelines and updates. Candidates should have at least 5 years of professional coding experience and hold a Certified Professional Coder certification. Additional qualifications include teamwork and mentoring skills, proficiency in coding software, and the ability to communicate effectively. Join us to inspire health, serve with compassion, and be the difference. #J-18808-Ljbffr

Coding Specialist Inspire health. Serve with compassion. Be the difference. Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to...

Follows departmental policies for charge corrections. Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate coding software and coding resources in order to determine correct codes. Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to providers in...

Prisma Health is seeking a Coding Specialist responsible for ensuring accurate coding for inpatient and outpatient services while adhering to compliance guidelines. The ideal candidate will validate codes based on medical documentation and resolve pre-billing edits within a supportive team environment. This position requires a High School diploma, at least two years of professional coding experience, and a Certified Professional Coder-CPC certification. Strong communication and data entry skills are essential. #J-18808-Ljbffr

San Antonio Community Hospital in Upland, California is seeking a Coder II responsible for coding outpatient surgical, interventional radiology, and Observation accounts. The role requires reviewing patient records and accurately assigning codes following regulatory guidelines. The ideal candidate will have two years coding experience in related fields and a current RHIT or CCS certification. A strong knowledge of medical terminology and anatomy is required. Pay ranges from $28.52 to $42.78, depending on experience. #J-18808-Ljbffr

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office / clinic settings.Adheres to all coding and compliance guidelines.Maintains knowledge of coding / billing updates and payer specific coding guidelines.Serves as a subject matter expert for assigned specialty.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Abstracts / codes for assigned provider(s) / division(s) based on medical record documentation.Adheres to all coding and compliance guidelines.Utilizes appropriate coding software and coding resources in order to determine correct codes.Communicates billing related issues to assigned supervisor / manager and participates in meetings in order to improve overall billing, when applicable.Follows departmental policies for charge...

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings.Adheres to all coding and compliance guidelines.Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s).Communicates with providers and team members regarding coding issues.Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values:Inspire health.Serve with compassion.Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation.Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to providers in order to clarify...

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for validating coding and facilitation of appeals process for all assigned denied professional service claims.All team members are expected to be knowledgeable of payer guidelines related to coding and appeal timelines.Communicates with providers regarding coding denial issues.Ensures documentation supports CPT, Modifiers, HCPCS and ICD-10 codes for submitted appeals, reopenings, reconsiderations, etc.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Responsible for working coding claim denials accurately and timely in accordance with performance and productivity goals.Utilizes appropriate coding software and coding resources in order to determine correct codes.Communicates billing related issuesFollows departmental policies for charge corrections.Participates in coding educational...

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for validating / reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office / clinic settings.Adheres to all coding and compliance guidelines.Maintains knowledge of coding / billing updates and payer specific coding guidelines for multi-specialty medical practice(s).Communicates with providers and team members regarding coding issues.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Validates / reviews codes for assigned provider(s) / Division(s) based on medical record documentation.Adheres to all coding and compliance guidelines.Responsible for resolving all assigned pre-billing editsCommunicates billing related issues and participates in meetings to improve overall billing processProvides feedback to providers in order to...

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office / clinic settings.Adheres to all coding and compliance guidelines.Maintains knowledge of coding / billing updates and payer specific coding guidelines.Serves as a subject matter expert for assigned specialty.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Abstracts / codes for assigned provider(s) / division(s) based on medical record documentation.Adheres to all coding and compliance guidelines.Utilizes appropriate coding software and coding resources in order to determine correct codes.Communicates billing related issues to assigned supervisor / manager and participates in meetings in order to improve overall billing, when applicable.Follows departmental policies for charge...

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for validating / reviewing front end coding edits and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office / clinic settings.Adheres to all coding and compliance guidelines.Maintains knowledge of coding / billing updates and payer specific coding guidelines for multi-specialty medical practice(s).Communicates with providers and team members regarding coding issues.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Validates / reviews codes for assigned provider(s) / Division(s) based on medical record documentation.Adheres to all coding and compliance guidelines.Utilizes appropriate coding software and coding resources in order to determine correct codes.Responsible for resolving all assigned pre-billing edits.Communicates billing...

Responsibilities Assign ICD‑10‑CM codes, CPT and HCPC codes for inpatient, ED, Ambulatory Surgery, and other outpatient records. Assign appropriate DRG or APC based on review of the admission diagnoses, principal diagnoses and other operations and procedures. Assign ICD‑10‑CM, CPT4 and HCPC codes as appropriate based on documentation from the report, order or medical record following coding rules and guidelines. Ensure that outpatient ICD‑10 codes are entered onto the computer within the allotted timeframe to assure accurate billing. Requirements High School diploma required. Minimum one year ICD‑10‑CM/CPT4 coding experience in a hospital or related setting. Knowledge of CRT/PC and other technology as well as knowledge of APC categories required. Knowledge of medical terminology, anatomy and physiology. #J-18808-Ljbffr

Torrance-Memorial-Medical-Center in Torrance, CA is seeking a skilled coder for inpatient and ambulatory surgery. The candidate will abstract, code, and electronically record diagnoses from medical records and may assist outpatient surgery medical coding as needed. Qualifications include a High School Diploma, completion of an approved coding certification program, and a minimum of 2 years of ICD-10-CM & CPT coding experience in an acute care facility. Offers competitive compensation ranging from $44.86 to $72.63 per hour. #J-18808-Ljbffr

CCPN Cook Children's Physician Network is looking for a Certified Coding Specialist II to apply advanced coding skills. The role includes interpreting patient medical records, coding complex procedures, and communicating with physicians regarding documentation needs. Ideal candidates must have a CCS or CPC certification with at least one year of experience coding ambulatory surgery and Evaluation & Management records. This position offers a flexible schedule and remote work for Texas residents. #J-18808-Ljbffr

CCPN Cook Children's Physician Network is looking for a Certified Coding Specialist II to apply advanced coding skills. The role includes interpreting patient medical records, coding complex procedures, and communicating with physicians regarding documentation needs. Ideal candidates must have a CCS or CPC certification with at least one year of experience coding ambulatory surgery and Evaluation & Management records. This position offers a flexible schedule and remote work for Texas residents. #J-18808-Ljbffr

A healthcare institution in Wyoming, Michigan, seeks an experienced Coder for Hospital Outpatient Services. The ideal candidate will have at least one year of coding experience, particularly in ambulatory surgery and observation, along with relevant certifications such as RHIT or CPC. Responsibilities include accurately coding outpatient conditions, maintaining coding accuracy, and ensuring compliance with coding guidelines. Join a team focused on supporting healthcare revenue processes and quality standards. #J-18808-Ljbffr

Coder Ambulatory Certified Job Category: Non-Clinical Requisition Number: CODER004003 Posted: June 2, 2026 Full-Time On-site Noblesville, IN 46060, USA Description Job Responsibilities: Review, code, data entry and interpret with accuracy and complete patient data for medical office, outpatient, inpatient, handwritten chart entries, practitioner orders and other related documentation to ensure accurate information is being submitted for billing. Obtain accurate and complete patient data through the review of the medical record, discharge summary, history and physical, consultation, progress notes, and laboratory, radiology, operative and pathology reports. Maintains competence in and up-to-date knowledge of healthcare compliance requirements, practices, trends, coding rules and standards in areas of responsibility. Maintains professional affiliations and credentials as appropriate. Consistently supports the compliance and principles of responsibility by maintaining...

Coder Lead The Coder Lead will code all patient types as needed; inpatient, same‑day surgery, ancillary, ambulatory, and provider‑based clinics. Responsibilities Mentor, train, and assist with cross‑training coding staff, including newly hired staff. Assign appropriate CPT/HCPCS and ICD‑10‑CM‑PCS diagnosis codes and procedures for hospital and physician services for inpatient and outpatient records. Navigate the patient health record and other computer systems to determine accurate diagnosis and procedure codes, MS‑DRGs, and APCs. Code complex outpatient or inpatient cases utilizing encoder software, Computer Assisted Coding (CAC), and reference tools. Validate charges by comparing them with health record documentation; use the retrospective edit tool to address possible coding or documentation issues. Communicate effectively with clinical staff, physicians, office staff, and the Clinical Documentation Improvement Specialist regarding documentation issues or needs. Identify...

MaineHealth is hiring a Coder II - Ambulatory Surgery to ensure accurate coding of outpatient medical records in its Level 1 Trauma Facility. Qualified candidates will have an Associate's degree (preferred) and relevant coding credentials such as RHIT or CPC, along with at least two years of multi-specialty surgical coding experience. The role involves performing complex coding for specialty practices and contributing to patient care in an inclusive work environment. Benefits include paid parental leave and educational assistance. #J-18808-Ljbffr