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21 certified coder pip jobs found

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PR
Certified Coder, PIP
Plymouth Rock Assurance Woodbridge Township, NJ, USA
The primary function of the Certified Coder is to serve as the resource for medical coding reviews within our Medical Claims Operation. Provide in-depth research on new or unusual procedures and make recommendations as appropriate. Provide support to the Medical Claims and Legal Departments. Essential Functions and Responsibilities Review medical documentation to verify correct CPT code usage by provider/facility Remain current regarding NY Fee Schedule, Medicare, and coding literature Research for documentation to support payment reimbursement Create letters of explanation and/or affidavits when coding updates have been performed Prepare support for Counsel and Litigation Department to use for defending arbitration and trials; attend hearings to testify as necessary Serve as a resource within the Department related to billing and coding issues Other duties as assigned Qualifications and Education Certified Medical Coder (CPC, CCA, CCS) with high degree of...

May 08, 2025
Plymouth Rock Assurance
Full Time
 
Certified Coder, PIP
Plymouth Rock Assurance Woodbridge Township, NJ, USA
The primary function of the Certified Coder is to serve as the resource for medical coding reviews within our Medical Claims Operation.  Provide in-depth research on new or unusual procedures and make recommendations as appropriate.  Provide support to the Medical Claims and Legal Departments.  Essential Functions and Responsibilities Review medical documentation to verify correct CPT code usage by provider/facility Remain current regarding NY Fee Schedule, Medicare, and coding literature Research for documentation to support payment reimbursement Create letters of explanation and/or affidavits when coding updates have been performed Prepare support for Counsel and Litigation Department to use for defending arbitration and trials; attend hearings to testify as necessary Serve as a resource within the Department related to billing and coding issues Other duties as assigned Qualifications and Education Certified Medical Coder (CPC,...

Apr 30, 2025
ME
Certified Professional Coder (Remote) - PIP Experience
MEDLOGIX, LLC Trenton, NJ, USA
Job Description Job Description Certified Professional Coder / Bill Review Expert Location: Remote- Anywhere in US 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 Assign 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...

May 21, 2025
M5
Coder needed for EA...Please help
Mql5 Oklahoma City, OK, USA
Read the Rules before you post an order or execute it. I am looking for an algorithms trading tools developer to create and design a reliable trading system, an effective software called trade copier compatible for both MT4 and MT5 based on the ideas I have in mind. Kindly reach out if you have the right skill set and can work perfectly to make things accomplished. Copy forex signals from Telegram to dxtrader: I need someone that can help me with my project. I’m trying to copy forex signals from Telegram to dxtrader account. This should not be detectable for prop firms. I want that every time take profit hits, move the SL to entry. The channel I’m following has 4 TPs and requires fast execution (70ms). Every trade must risk 0.50% of the account. It is important that it can run at least 5 accounts. Modify an existing MQL5 Expert Advisor (USDJPY_Optimized_EA.mq5) to delegate its trading signal generation to an external Python script utilizing a neural network model. Key Activities:...

May 15, 2025
KH
Remote IP Coder Certified - HIM Inpatient Coding - Remote - Full Time - Days
Kettering Health Miamisburg, OH, USA
Incentives: Sign On Bonus! Up to $5k available for eligible applicants Overview: Kettering 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 its by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. 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...

May 21, 2025
SH
Certified Coder - PCP Coding
Summa Health System Akron, OH, USA
Responsible for all aspects of coding review, billing data entry, reprocessing of coding denials (including follow-up and coding denial queues), reconciling services provided at the hospital, and maintaining regulations requirements. Uses coding know Coder, Certified, Healthcare, Medical

May 19, 2025
Shriners Children's
Full Time
 
Senior Professional Coder
Shriners Children's Remote
Shriners Children's is the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center.  We have an opportunity for a remote Senior Professional Coder reporting into our Corporate Headquarters location. The Senior Professional Coder performs at an advanced level medical coding position and serves as an expert utilizing ICD-10 and CPT4 classification system coding to all diagnoses, treatments and procedures in all types of Hospital, Clinic and Ambulatory Surgical Center (ASC) locations at stated minimum performance levels. In addition, the Senior Professional Coder provides coding insight and guidance to clinical staff, Clinical Documentation Improvement (CDI), Professional Coder 1 and Professional Coder II positions as well as Revenue Cycle leadership. Responsibilities: Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure Coding (HCPC) and modifier codes for services rendered accurately and...

Apr 16, 2025
Shriners Children's
Full Time
 
Professional Coder II
Shriners Children's Remote
Shriners Children's is the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center.  We have an opportunity for a remote Professional Coder II reporting into our Corporate Headquarters location. The Professional Coder II performs at an advanced level medical coding position and serves as an expert utilizing International Statistical Classification of Diseases (ICD-10) and Current Procedural Terminology (CPT 4) classification system coding to all diagnoses and procedures on a variety of encounter types including but not limited to Profee Evaluation and Management (E/M) and Profee in-office simple surgery at stated minimum performance levels. Responsibilities: Interpret health record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology and medical terminology to identify diagnoses and procedures Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure...

Apr 16, 2025
Gu
Remote Medical Claims Compliance Auditor
Guidehealth Missouri City, MO, USA
Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. This position is fully remote but we look for candidates that ideally can work on CST time zone. Job Description As a Contractual Compliance Coordinator, you will ensure the accuracy of the required reporting and procedural and financial claims processing requirements set forth by the client and Health Plan...

May 21, 2025
HV
HCC Coder
Heritage Victor Valley Medical Group Victorville, CA, USA
Job Overview Responsible for auditing all Senior HMO members' medical records to ensure accuracy of Risk-Adjustment data and reimbursement. Maintain a professional, positive and caring attitude at all times Duties Audit PCP, specialist and hospital records for additional HCC diagnoses. Audit all assigned providers wellness visits and send a CAP based on last year chronic conditions. Log the patients Prepare provider report card following completion of each PCP review utilizing comments function of qHMO. Forward provider report card to HCC Manager. Update encounter information with additional HCC data. Conduct Risk Adjustment Data Validation (RADV) audits as requested by HCC Manager. Orient providers in the use of qHMO and documentation for Risk Adjustment. Reinforce to providers the necessity for thorough and accurate documentation and reporting of Risk Adjusted diagnoses. Contact a provider when necessary to clarify medical record documentation. Attend required...

May 21, 2025
Ab
Medical Billing Coder
Abbott Livermore, CA, USA
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Medical Billing Coder Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll also have access to: Career development with an international company where you can grow the career you dream of. Free medical coverage for employees* via the Health Investment Plan (HIP) PPO An excellent retirement savings plan with high employer contribution Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor's degree....

May 21, 2025
CT
Inpatient PTF Coder
Cooper Thomas Washington, DC, USA
Job Description Remote Inpatient Facility Fee (PTF) Medical Coders-Full-Time and Part-Time Positions Available Summary As a result of recent new contracts awarded in the last month under the VHA National Medical Coding BPA, Cooper Thomas, LLC, a leading provider of medical coding services to the Department of Veterans Affairs (VA), has immediate openings for VA experienced Inpatient PTF Coders with at least 2 years of experience for full-time (W-2) for 40 hours a week or part-time (1099) remote coding positions, with the opportunity for a flexible schedule of a minimum of 20 hours a week for part-time PTF coders. Part-time employment can be an ideal opportunity for a candidate looking to supplement their primary income with a predictable, steady, weekly volume of PTF coding. Part-time PTF coders can earn up to $30.00 per hour with all productivity and quality incentives. Previous experience with the Department of Veterans Affairs (VA) is required, either as a VA employee or a...

May 20, 2025
AN
Software Application Programmer/Coder - II
AmNet Services, Inc. Bellevue, WA, USA
Software Application Programmer/Coder - II Contract America Networks is a leading sensor and networking solutions partner for companies in any Industrial, Manufacturing, and Waste management space. We design and manufacture sensors for storage tanks, water metering, energy metering, gas monitoring, and asset management. Our founders are hardcore telecommunications engineers with combined 200 + years of experience in designing, optimizing and performance engineering for several mid – large wireless carriers internationally - that saw a need to provide low power, cost efficient sensors to collect data, create alerts, and predict needed actions. We have combined these sensors with low power, wide area (LPWA) networking technologies to provide clients various options to decrease re-occurring costs associated with operating an IoT network of sensors and connected devices. We specialize in design, deployment, optimization, and support of these Networks. Whether an off-the-shelf or custom...

May 19, 2025
PH
Inpatient Coder, FT Days
PIH Health Downey, CA, USA
The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best pr Coder, Patient, Healthcare, Education, Information

May 16, 2025
MC
Full Time Dental Biller/Coder
Mountainlands Community Health Center Vernal, UT, USA
Job Type Full-time Description Job Title: Dental Biller/Coder Status: Full Time, In-Office Reports to: Billing Supervisor Starting Wage: $21.86+ with certification. $17.91 without certification Job Summary: At our Federally Qualified Community Health Center, the Dental Biller/Coder is responsible for the timely and materially correct submission of technical or dental claims to insurance companies or patients, posting payments, correcting claim denials and other varied duties. The incumbent will leverage skills necessary to improve MCHC's billing procedures and reduce A/R days. Job Qualifications Education or Formal Training (Licenses/Certifications): High School Diploma or GED. ADA Certified Professional Coder (CPC), desired. Must become certified within six months of hire. Experience: One (1) year minimum experience, preferably in a dental setting or comparable education required. Technical knowledge and strong Microsoft Office and EMR database computer skills...

May 15, 2025
CF
Hybrid Certified Coder Family Practice
CNY Family Care LLP Syracuse, NY, USA
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Description Hybrid Certified Coder - Family Practice Full-time Monday - Friday Hybrid, Day schedule (2 days in office, 3 days from home) $25.00 - $39.00/hour Non-Exempt Hybrid schedule: 2 days in office, 3 days from home Hybrid Certified Coder Family Practice Benefits: 401K after six months with up to 7% combined employer match and annual discretionary profit-sharing contribution Health, dental and vision benefits are available to all full-time employees and coverage becomes effective the first of the month following your date of hire. Practice paid life insurance. Full complement of voluntary benefits. $1,000 annual employer contribution to HSA if enrolled in CNYFC HDHP. Free office visits with...

May 14, 2025
IM
Medical Coder
Integrated Management Strategies LLC Bethesda, MD, USA
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...

May 09, 2025
AH
Medical Coder
Amoskeag Health Manchester, NH, USA
Description Make a difference every day at Amoskeag Health! As a Federally Qualified Health Center (FQHC) and nonprofit primary healthcare organization, we provide high-quality, affordable care to our community and ensure everyone has access to the healthcare they deserve. Join a team that's dedicated to making an impact. Our collaborative, team-based approach brings together medical providers, Behavioral Health Clinicians, Case Managers, Care Coordinators, and Community Health Workers to deliver comprehensive, patient-centered care. Ready to be a part of something meaningful? JOB SUMMARY: Reporting to the Billing Manager, the Medical Coder is responsible for ensuring coding processes and workflow between providers, coding and billing is compliant and efficiently handled. This position will work with the Coding Lead to review patient visits to ensure appropriate coding entered, make corrections as needed, tracking the frequency of errors. This position supports the billing...

May 09, 2025
AT
HTML Coder
ApTask Chicago, IL, USA
About Client: The client provides information technology (IT) services, including business outsourcing, infrastructure technology, and application services. The application service offered by the company includes application development, maintenance, and support. The markets served by the company are financial services and insurance, healthcare, manufacturing, government, transportation, communications, and consumer and retail industries. Rate Range: $55-$60/Hr Job Derscription: We are seeking a dedicated Developer with HTML CSS coding skills along with In-depth and extensive knowledge in Accessibility standards and guidelines (WCAG 2.0/2.1, WAI-ARIA, UAAG and ATAG). Accessibility experience of software, web, and documents. Experience with accessibility evaluation tools such as Chrome accessibility developer tools, our financial client, Axe, Inspect, WAI toolbar. Key Responsibilities include: Conduct Accessibility compliance audits and testing of websites, mobile applications,...

May 04, 2025
CT
Inpatient PTF Coder
Cooper Thomas Washington, DC, USA
Job Description Remote Inpatient Facility Fee (PTF) Medical Coders-Full-Time and Part-Time Positions Available Summary As a result of recent new contracts awarded in the last month under the VHA National Medical Coding BPA, Cooper Thomas, LLC, a leading provider of medical coding services to the Department of Veterans Affairs (VA), has immediate openings for VA experienced Inpatient PTF Coders with at least 2 years of experience for full-time (W-2) for 40 hours a week or part-time (1099) remote coding positions, with the opportunity for a flexible schedule of a minimum of 20 hours a week for part-time PTF coders. Part-time employment can be an ideal opportunity for a candidate looking to supplement their primary income with a predictable, steady, weekly volume of PTF coding. Part-time PTF coders can earn up to $30.00 per hour with all productivity and quality incentives. Previous experience with the Department of Veterans Affairs (VA) is required, either as a VA employee or a...

Apr 29, 2025
CT
Remote Part-Time Outpatient Medical Coder
Cooper Thomas Washington, DC, USA
Job Description Remote VA Experienced Outpatient Medical Part Time Coders Summary Cooper Thomas, LLC, a leading provider of medical coding services to the Department of Veterans Affairs (VA), has immediate openings for experienced Outpatient Coders. Applicants must have at least 2 years of experience for part-time remote coding positions, with the opportunity for a flexible schedule. Previous experience with VA is required , whether as a VA employee or with another VA contractor. You must be able to pass an initial entrance exam and code at a minimum of 95% accuracy. This work will be performed remotely in your home office. Preference will be given to those candidates who meet the qualifications below and have an active Background Investigation, PIV Card, eToken, and Contractor/Moonlighter Account. Ask about our productivity and quality incentives to maximize your pay. We are looking for coders who can commit to a minimum of 20 hours per week, scheduled at your discretion...

Apr 29, 2025
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