5329 certified jobs found

Overview Certified Coder - Neurology Associates of Stony Brook, UFPC Location: East Setauket, NY Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay: $27.91 - $34.87 The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible compensation at the time of posting. Responsibilities SUMMARY: This incumbent is responsible for reviewing and analyzing physicians’ documentation, CPT, and ICD-10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. Job Duties & Essential Functions: Provide a variety of complex and technical assignments relating to medical coding. Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement. Resolve discrepancies on coding related issues. Review and...

City / State Norfolk, VA Work Shift First (Days) Overview :Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator / Certified Professional Coder (CPC) Remote! Status :Full-time, permanent position (40 hours) Work hours :8am to 5pm EST, M-F Location :This position is remote for candidates that live in the following states :VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year.Job Responsibilities :Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products.Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits.Contribute to the review of reimbursement systems relating to health insurance claims...

Job Title: Professional Coding Auditor (CPC Required) Location: Dover, DE 19901 (Onsite) Salary Range: $53,000 – $80,000 (Facility Salary Range) Employment Type: Full-Time If interested, please email your resume to LKOPASZ@ALINESTAFFING.com Certified Professional Coder (CPC) Position Overview Seeking a Certified Professional Coder (CPC) with strong physician (professional) coding experience in a medical office setting. This role focuses on coding audits, documentation quality reviews, and provider education. The ideal candidate has experience coding across multiple specialties and regularly collaborates with physicians to provide documentation feedback and compliance education. Auditing experience is preferred. Certified Professional Coder (CPC) General Summary Performs data quality reviews on provider documentation to validate ICD-10-CM and CPT coding accuracy and clinical documentation integrity. Audits physician and midlevel provider records to ensure correct diagnosis and...

Job DetailsJob LocationAmberwell Hiawatha - Hiawatha, KSRemote TypeFully RemotePosition TypeFull TimeEducation LevelOtherJob Shift8 Hour DayJob CategoryHealth Information ManagementDescriptionBASIC FUNCTION :Reviews patient records and assigns accurate codes for each diagnosis and procedure on the accounts assigned to coder.Applies knowledge of medical terminology, disease processes, and pharmacology.Demonstrates tested data quality and integrity skills.Performs chart verification as assigned.Performs final chart reviews as necessary.SHIFT DAYS / HOURS :Remote PositionFull-Time :40 Hours per Week, Monday through Sunday.Hours and Days are Subject to change based on business necessity.ESSENTIAL FUNCTIONS :Review and abstract patient medical records.Report diagnoses, treatments, as well as surgical and non-surgical procedures for CAH facility medical services.Perform coding duties of discharged patient medical records using AHA Coding Clinic for ICD-10-CM and ICD-10-PCS, AHA Coding...

Job DescriptionJob DescriptionMedical Records Coder / Certified - Full Time (PARTIAL REMOTE / IN OFFICE FOR MTGS)POSITION SUMMARY :Codes medical records using diagnostic coding.Ensures accurate submission of all coding data for reimbursement purposes.Ensures Regulatory Compliance and follows all Federal regulations for all payment systems.POSITION REQUIREMENTS :Minimum EducationHigh School Diploma or equivalentCertificate Required :One of the following Coding Certifications :CCS-Certified Coding SpecialistCPC-Certified Professional CoderCPC-H-Certified Professional Coder-HospitalCOC-Certified Outpatient CoderCIC-Certified Inpatient CoderCMC-Certified Medical CoderMinimum Work ExperienceAbility to read and communicate in English; Bilingual preferredGood communication and multi-tasking skillsMinimum of 2 years' experience with ICD-10 and CPT / HCPCS coding in an acute facility and / or physician's office preferredKnowledge of computer applications for codingKnowledge of medical...

Job Description Job Description Job Summary Very busy Orthopaedic Specialty practice seeking a full-time detail-oriented and highly organized Medical Coder/Charge Entry Clerk to join our team. This is not a remote position . Responsibilities to include but not limited to: Entry of all office based charges Review documentation and extract all applicable CPT, ICD-10, HCPS codes Knowledge of modifiers and correct coding guidelines Ensure all codes are accurate, active and billable Requesting addendums to documentation if necessary Assist office staff with billing/coding questions Compliance with all governmental and regulatory agencies Self-Pay collections process Knowledge of appeal process Payment Entry and balancing of daily payments/charges Position requires a Certified Medical Coder or minimum of 2 years prior medical charge entry and claims follow up experience. Hourly rate will be determined by current certifications and/or previous years charge entry...

The Varsity Tutors Live Learning Platform has thousands of students looking for online CPC tutors nationally. As a tutor on the Varsity Tutors Platform, you’ll have the flexibility to set your own schedule, earn competitive rates, and make a real impact on students’ learning journeys—all from the comfort of your home. Why Join Our Platform? Earn incrementally higher pay for each session with the same student—reaching up to $40/hour. Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions you conduct and invoice. Set your own hours and tutor as much as you’d like. Tutor remotely using our purpose-built Live Learning Platform—no commuting required. Get matched with students best-suited to your teaching style and expertise. Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson generation, and engagement features—helping you save prep time and focus on impactful teaching. We handle the...

Certified Professional Coder A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements. Responsibilities Coding and abstracting: Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Documentation review: Analyze patient records for completeness, accuracy, and compliance with coding guidelines. Reimbursement analysis: Research and analyze data needs for accurate and timely reimbursement. Auditing and compliance: Conduct chart audits, identify coding discrepancies, and implement corrective actions. Communication and collaboration: Communicate effectively with healthcare providers to clarify coding issues and...

Job Summary Demonstrates through behavior Decatur Morgan Hospital's mission, vision and values. The Certified Professional Coder is responsible for accurate coding assignments of services performed in a medical office setting, hospital setting or outpatient surgical setting for physician and non-physician providers professional fees. Based upon the provider documentation as well as other supporting clinical documentation/reports where acceptable and appropriate the coder using their training, expertise and software tools will assign/confirm diagnoses and procedures as indicated in the patient medical record. Classification systems include Current ICD-10-CM and current CPT edition, current HCPCS Level II and all coding is in accordance with official coding guidelines from the American Medical Association and AAPC Codify All work is carried out in accordance with the Decatur Morgan approved policies and procedures. Minimum Knowledge, Skills, Experience Required Education: High...

Job DescriptionJob DescriptionMUST ATTEND ORIENTATION IN PERSON IN ARCATA, CALIFORNIASUMMARY :The primary function of this position is to review ICD, CPT and HCPCS coding for data and reimbursement.The coding function is a primary source for data and information used in health care today, and promotes quality client care, captures accurate reporting numbers and optimizes reimbursement.The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.Other duties may be assigned.Level IPerforms comprehensive review of the health record, evaluates the record for documentation, consistency, accuracy and correlation of recorded data.Ensures the final diagnosis as stated by the provider is valid, complete and accurately reflects the care and treatment rendered.Consults with provider when conflicting or ambiguous documentation is...

Job Description Job Description Salary: $27-$39 Job Title:Certified Medical Coder Schedule:Monday Friday 8:30 AM 5:00 PM Location: Stony Brook, NY Compensation:$27 - $39 Position Snapshot: The Certified Medical Coder is responsible for reviewing and analyzing physician documentation to accurately assign CPT, ICD-9, and ICD-10 diagnosis and procedure codes. This role ensures compliance with established coding guidelines, third-party reimbursement policies, regulatory requirements, and accreditation standards. The ideal candidate brings extensive evaluation and management (E/M) coding experience and a strong attention to detail. What Youll Be Doing: Perform complex and technical medical coding assignments with accuracy and consistency. Review, analyze, code, and abstract clinical documentation to assign appropriate diagnoses and procedure codes for reimbursement purposes. Ensure compliance with coding guidelines, payer policies, and regulatory requirements....

Job DescriptionJob DescriptionSUMMARYThe Certified Risk Adjustment Coder is responsible for accurately abstracting provider services into ICD-10 codes from medical documentation.This role adheres to the coding ethics of organizations such as the American Academy of Procedural Coders (AAPC), American Health Information Management Association (AHIMA), and the National Alliance of Medical Auditing Specialists (NAMAS), as well as payer guidelines.The coder conducts concurrent, prospective, and retrospective reviews of medical record documentation to ensure the accurate and complete capture of the clinical picture, severity of illness, and complexity of patients.Additional duties include provider communication and education to support the closure of both risk adjustment and quality care gaps, as well as providing ongoing feedback to physicians regarding coding guidelines and requirements.ESSENTIAL JOB FUNCTIONSPerform coding quality audits of medical records to ensure ICD-10 codes are...

Job Posting Overview: FTE: .20 Shift Hours: Monday Friday - VARIABLE Work Location: Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TX Position Summary: Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes , delivered verbally, physically, and in written form. Responsibilities: Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interact with providers to provide feedback and education using verbal, written, and in-person communication. Assign and sequence appropriate codes and modifiers using current...

Job Posting FTE: 1.0 Schedule: Monday Friday, 8:00 AM 5:00 PM Work Location: Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TX Job Summary: Under general supervision, reviews, analyzes, and assigns final diagnoses and procedures as documented by the practicing provider, ensuring compliance with all policies and guidelines. Accurately codes office and hospital procedures to ensure proper reimbursement. Ensures the accurate completion of electronic health records through the assignment of ICD, CDM, HCPCS, and CPT codes. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture as stated by physicians or other healthcare providers. Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS standards for insurance billing. Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations. Communicate with Special...

Job Summary :Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, other regulatory agencies, third party payers and Kaiser Permanente policy.Function includes, but is not limited to working charge review work queues, other forms of charge submissions and querying providers to ensure the completeness and accuracy of coding of internal services performed.Essential Responsibilities :Responsible for reviewing primarily medical and ancillary type workques charge sessions within KP Health connect and applying coding principles for correct coding.Research, code, and / or data enter encounters that are supported by KPHC with the Charge capture tool.Review all other charge sessions submitted via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied.Query providers for clarification of incomplete or...

Description JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. Duties & Responsibilities Responsible for reviewing and submitting charges from the coding workqueues (WQ). Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. Arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number. Reviews and processes re-submits. Works closely with the...

Job Description Job Description Salary: $18-$26.00 per hour 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...

A leading health data exchange platform in Puerto Rico is seeking experienced outpatient coders. This remote role requires accurate coding of medical records and a high attention to detail. Ideal candidates will have AHIMA or AAPC certifications, along with 2+ years of coding experience. The position offers flexible scheduling, extensive training, and competitive hourly pay between $20 to $35. Join a dynamic team dedicated to revolutionizing healthcare through data! #J-18808-Ljbffr

A leading health data platform company is seeking experienced outpatient coders to join their remote team. Ideal candidates should have AHIMA or AAPC certifications and at least two years of coding experience. Responsibilities include reviewing medical records, assigning codes, and maintaining high accuracy standards. This role offers a flexible schedule and competitive pay, ranging from $20 to $35 per hour, depending on experience and location. #J-18808-Ljbffr

A local healthcare center in Nebraska is seeking a Medical Coder to accurately assign codes for billing purposes based on clinical documentation. The ideal candidate should have excellent communication skills and be detail-oriented, with proficiency in medical terminology. An Associate degree in Medical Coding or a CPC certification within a year of hire is required. This role will involve collaboration with clinical staff to ensure compliance and accuracy in coding while maintaining patient confidentiality. #J-18808-Ljbffr