30 certified coder pip jobs found

Job Description Job Description Certified Professional Coder/ PIP Adjuster Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve. About this role: Exciting opportunity with the possibility for growth! This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the...

Remote... need NY/NJ PIP experience and Certified coder from AAPC Responsibilities: Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes ssign proper CPT, HCPCs codes based on the review outcome Review CPT codes for unbundled services Review billed modifiers for accuracy of use Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customers in a professional easy to understand manner Use various resources, IE: eBooks, 3M software to support reviews Participate in conference calls as needed with customers and/or attorneys Participate in virtual and in-person testimony or trial when needed ssist with various special projects and other duties as...

Certified Professional Coder/ PIP Adjuster Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients' needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers' compensation insurance carriers; third party administrators (TPAs); and government entities we serve. About this role: Exciting opportunity with the possibility for growth! This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the team and as the department grows, there may be opportunities for future advancement into leadership roles individuals who...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a highly skilled CPC Coder responsible for reviewing medical bills and documentation to ensure accuracy and compliance with coding standards. This position involves interpreting medical documentation, assigning codes, reviewing billed services, and communicating outcomes professionally. Key Responsibilities Use various resources like CPT guidelines, CPT Assistant, Encoder Pro, and 3M Software to support reviews. Review medical bills related to Motor Vehicle Accident (MVA) injuries for NJ and NY-covered insureds. Ensure the accuracy of billed services by interpreting medical documentation and assigning the proper CPT and HCPCs codes. Review CPT codes for unbundled services and billed modifiers for accuracy. Crosswalk CPT codes per regulatory requirements for proper reimbursement. Apply fee...

Certified Professional Coder / Bill Review Expert Responsibilities Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned Assign proper codes as needed based on review outcome Use various resources, IE: eBooks, 3M software to support reviews Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customer in a professional easy to understand manner Participate in conference calls as needed with customer and/or attorneys Assist with various special projects and other duties as assigned Qualifications and Experience 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules Strong communicate skills, must be able to explain outcome of review, both written and verbally Extensive knowledge of coding /documentation requirements Thorough knowledge of CPT, HCPCs, ICD-10 CPC/AAPC...

Remote IP Coder Certified - HIM Inpatient Coding - Remote Kettering Health System Services | Miamisburg | Full-Time | First Shift Responsibilities Strong written and verbal communication skills. Proficient in data entry, personal computers, knowledge of medical terminology, anatomy and physiology and disease processes. Knowledge and experience with 3M and Epic clinical data system preferred. Consistently follow coding guidelines and use coding references to accurately select the appropriate principal diagnosis and procedure as well as secondary diagnoses and procedures. Evaluates the quality of documentation of all accounts to identify incomplete or inconsistent documentation which affects coding, abstracting and charging and handles appropriately. Identifies and monitors charging errors to reduce loss of revenue and any other issues regarding correct coding and reimbursement. Coordinates and performs activities associated with processing and correcting rejected accounts....

Job Details System Services | Miamisburg | Full-Time | First Shift Responsibilities & Requirements Responsibilities: Strong written and verbal communication skills. Proficient in data entry, personal computers, knowledge of medical terminology, anatomy and physiology and disease processes. Knowledge and experience with 3M and Epic clinical data system preferred. Consistently follow coding guidelines and uses coding references to accurately select the appropriate principal diagnosis and procedure as well as secondary diagnoses and procedures. Evaluates the quality of documentation of all accounts to identify incomplete or inconsistent documentation which affects coding, abstracting and charging and handles appropriately. Identifies and monitors charging errors to reduce loss of revenue and any other issues regarding correct coding and reimbursement. Coordinates and performs activities associated with processing and correcting rejected accounts....

Job Details System Services | Miamisburg | Full-Time | First Shift Responsibilities & Requirements Responsibilities: Strong written and verbal communication skills. Proficient in data entry, personal computers, knowledge of medical terminology, anatomy and physiology and disease processes. Knowledge and experience with 3M and Epic clinical data system preferred. Consistently follow coding guidelines and uses coding references to accurately select the appropriate principal diagnosis and procedure as well as secondary diagnoses and procedures. Evaluates the quality of documentation of all accounts to identify incomplete or inconsistent documentation which affects coding, abstracting and charging and handles appropriately. Identifies and monitors charging errors to reduce loss of revenue and any other issues regarding correct coding and reimbursement. Coordinates and performs activities associated with processing and correcting rejected accounts....

Kettering Health Job OpportunityKettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio.We are committed to transforming the health care experience with high-quality care for every stage of life.Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.Responsibilities & RequirementsResponsibilities :Strong written and verbal communication skills.Proficient in data entry, personal computers, knowledge of medical terminology, anatomy and physiology and disease processes.Knowledge and experience with 3M and Epic clinical data system preferred.Consistently follow coding guidelines and uses coding references to accurately select the appropriate principal diagnosis and procedure as well as secondary diagnoses and procedures.Evaluates the quality of...

Registered Nurse - Utilization Management/Coder RN Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. Bienvivir is currently accepting applications for the following position: REGISTERED NURSE - UTILIZATION MANAGEMENT / CODER The...

Job Description Job Description ***This position is open through Friday, May 8, 2026*** The Redding Rancheria is seeking a Certified Professional Coder/Biller. The preferred schedule for this position is Monday - Friday, 8:00 AM - 5:00 PM. JOB SUMMARY: Perform all coding relating to Medical, Dental and accounts receivable. Coding for diagnosis, procedures and services performed by providers of the clinic. Audit for accuracy of billing for all 3rd Party Payers, Medi-Cal (including Medi-cal, Share of Cost) Medicare and Private Insurance meeting all payer, state and federal regulations. REQUIREMENTS/MINIMUM QUALIFICATIONS: Must have current experience in Medical and/or Dental. Certified Professional Coder BS in Health Care Administration or equivalent years Coding/Billing experience Must pass pre-employment drug screening. Indian preference. ESSENTIAL JOB DUTIES: Ensure coding, insurance and Alternate Resource Information is complete, current and determine...

Outpatient Medical Coder Are you ready for your next career adventure?! Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Outpatient Medical Coder to join our healthcare consulting practice. The role is on site in Bethesda, MD. We are proud of our national presence, and excited to offer great career opportunities within the organization. What you'll do Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation. Adhere to systems and standards required in multi-specialty medical coding encounters in an Outpatient setting. Process encounters within required SLA on contract with deficiencies identified escalated as necessary. Review and respond to each audit within set time window, with corrections made immediately after final adjudication. Complete training on...

Effective July 1, 2025, in accordance with the applicable Memorandum of Understanding, the Personal Leave Program 2025 (PLP 2025) was implemented. PLP 2025 requires each full-time employee in Bargaining Unit 19, and related Excluded, Exempt and Statutory Exempt employees, will have their base salary reduced by 3 percent and will receive 5 hours PLP 2025 leave credits monthly through June 2027. Salaries do not reflect the recent changes. Recruitment and Retention Bonus may be available for clinicians newly hired with California Correctional Health Care Services. Please note : Individuals may be eligible to receive a $10,000 one-time recruitment and retention stipend should they meet the eligibility criteria, including but not limited to remaining employed with CCHCS for six months. Additionally, individuals may be eligible to receive a monthly recruitment and retention differential during their first year with CCHCS (totaling $20,000), should they meet the eligibility...

Job Description Job Description Description: About the Role We are seeking highly experienced Orthopedic Medical Coders with current expertise in orthopedic coding to support a dynamic healthcare organization. This role requires coders who are actively coding orthopedics on a regular basis. The ideal candidate will be fully up to date on current orthopedic coding guidelines and comfortable providing coding feedback and education to orthopedic providers, particularly regarding bundling/unbundling rules, modifier usage, and coding compliance. Key Responsibilities Charge Review Work Queues · Review provider-submitted coding in EPIC against clinical documentation · Resolve EPIC edits and recommend coding corrections to departments Claim Edit Work Queues · Review provider-submitted coding and address clearinghouse rejections and claim edits · Recommend appropriate coding corrections based on documentation Follow-Up Work Queues · Review post-bill denials...

Position Charge Poster (Fertility Services) About our Client Our client is one of Southern California's leading fertility centers, providing compassionate, state-of-the-art reproductive care for over 35 years. With multiple locations across Los Angeles, Orange County, and the Inland Empire, their board-certified physicians and clinical teams have helped thousands of individuals and couples build families through personalized treatment and advanced technology. Committed to innovation, inclusivity, and patient-centered care, our client remains a trusted leader in reproductive medicine and family-building care. Description Post superbills, surgeries and cycles for the various offices as assigned by the Supervisor Accurately review accounts and post payments and prepayments to provider and facility Post charges within and in excess of target daily, weekly and monthly goals Review benefits, authorizations, office notes and fee schedules for accurate manual...

3/11/26 At TE, you will unleash your potential working with people from diverse backgrounds and industries to create a safer, sustainable and more connected world. Job Description: Day-to-Day Job Overview Develop new and revise existing firmware Full Software Development Lifecycle according to DO-178 Gitlab pipelines for test automation Generate deliverables and documentation This is a fully remote position. Job Requirements SW Architecture Design, Planning and Documentation Programming Arm Cortex microcontrollers Programming 16-bit PIC microcontrollers Serial communications protocols (RS485, SPI, I2C, 1553, ARINC 429 & 825, CAN) Non-volatile Memory, EEPROM Emulation, ROM, storage of configuration constants Cybersecurity requirements including boot protection, image verification, NVM CI/CD using GitLab DO-178 development expertise MISRA-C linting Writing and utilizing bootloaders Excellent debugging methodology and tools...

About Integrated Management Strategies (IMS) LLC We are a women-owned small business and management consulting firm that provides an array of business and technical services. IMS is headquartered in the Washington, D.C. metropolitan area, with employees across 24 US states. What We Do We support the mission critical needs of federal agencies and commercial businesses by leveraging our experience, talent and can-do attitude, and solve their strategic and operational challenges. How We Do It We earn our clients' trust through our personalized approach and attention to detail, allowing us to collaborate and solve even the most complex problems. About the role Are you ready for your next career adventure?! Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Outpatient Medical Coder...

Job Description At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. Qualifications 1. Education: High School Graduate or...

Position Status Label: Non- Exempt Labor Category: Admin Remote/Onsite: Remote Additional Informations: This job is for new sourcing The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; Retrieves information from medical records, ensuring adherence with established methods and procedures. Key Responsibilities/ Accountabilities: • Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. • Sequence the diagnoses and procedures using coding guidelines. • Ensure DRG/APC assignment is accurate. • Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. • Serves as backup to other administrative functions as assigned. • Meets job standards for achieving contract...

Sr. Embedded Coder Posting Start Date: 3/11/26 At TE, you will unleash your potential working with people from diverse backgrounds and industries to create a safer, sustainable and more connected world. ? Job Description: Day-to-Day Job Overview Develop new and revise existing firmware Full Software Development Lifecycle according to DO-178 Gitlab pipelines for test automation Generate deliverables and documentation This is a fully remote position. Job Requirements SW Architecture Design, Planning and Documentation Programming Arm Cortex microcontrollers Programming 16-bit PIC microcontrollers Serial communications protocols (RS485, SPI, I2C, 1553, ARINC 429 & 825, CAN) Non-volatile Memory, EEPROM Emulation, ROM, storage of configuration constants Cybersecurity requirements including boot protection, image verification, NVM CI/CD using GitLab DO-178 development expertise...

About the Role We are seeking highly experienced Orthopedic Medical Coders with current expertise in orthopedic coding to support a dynamic healthcare organization. This role requires coders who are actively coding orthopedics on a regular basis. The ideal candidate will be fully up to date on current orthopedic coding guidelines and comfortable providing coding feedback and education to orthopedic providers, particularly regarding bundling/unbundling rules, modifier usage, and coding compliance. Key Responsibilities Charge Review Work Queues • Review provider-submitted coding in EPIC against clinical documentation • Resolve EPIC edits and recommend coding corrections to departments Claim Edit Work Queues • Review provider-submitted coding and address clearinghouse rejections and claim edits • Recommend appropriate coding corrections based on documentation Follow-Up Work Queues • Review post-bill denials and payer edits • Analyze documentation and...

Overview Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a unique managed care benefit for frail seniors (participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. Benefits for Full and Part-time Employees We pay 100% of the MEDICAL monthly premiums for Employee Only coverage. We pay 100% of the DENTAL monthly premiums for Employee Only coverage. We provide an...

Overview About Integrated Management Strategies (IMS) LLC We are a women-owned small business and management consulting firm that provides an array of business and technical services. IMS is headquartered in the Washington, D.C. metropolitan area, with employees across 24 US states. What We Do We support the mission critical needs of federal agencies and commercial businesses by leveraging our experience, talent and can-do attitude, and solve their strategic and operational challenges. How We Do It We earn our clients’ trust through our personalized approach and attention to detail, allowing us to collaborate and solve even the most complex problems. About the role Are you ready for your next career adventure?! Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting...