401 certified medical coder i jobs found

Professional Review SpecialistThe Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements.Essential Functions & Responsibilities:Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting managerCollect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plansAppropriately document work and final conclusions in designated computer programAdditional duties as assignedKnowledge & Skills:Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminologyKnowledge of applicable fee schedule and or applicable U&C GuidelinesProficient in Microsoft Office applicationsTechnical...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office applications...

A prestigious healthcare institution is looking for a part-time coding contractor in New York City. The candidate will review inpatient and outpatient records, ensuring accurate coding for reimbursement and compliance. Requirements include a high school diploma and coding experience, preferably with an Associate's degree in Health Information Management. Knowledge of EPIC and 3M CRS coding software is also desired. This position offers a supportive environment in a top-ranked hospital known for its commitment to excellence. #J-18808-Ljbffr

Are you a detail-oriented Certified Medical Coder who takes pride in accuracy and contributing to quality patient care? We#re looking for someone just like you to join our growing healthcare family at Valleywise Health.As a key member of our team, you#ll play a vital role in ensuring that patient services are accurately coded and reimbursed, helping our clinical teams continue to deliver excellent care.You#ll be surrounded by a supportive team, gain access to ongoing professional development, and have a direct impact on our hospital#s mission to serve the community with compassion and integrity.If you#re a certified medical coder who values accuracy, efficiency, and being part of a healthcare team that truly makes a difference - we want to hear from you! Why You#ll Love Working With Us :# Meaningful Impact :We value you! Accurate medical coding is more than just numbers - it#s about ensuring the integrity of patient care, supporting proper reimbursement, and safeguarding the...

A healthcare solutions provider is seeking a CERIS Certified Coder to reverse code medical bills for accuracy. Key responsibilities include processing claims, determining their validity, and communicating with stakeholders. Essential qualifications include a High School diploma, AAPC certification, and experience in orthopedic billing. This position allows for remote work and offers a comprehensive benefits package, emphasizing growth and support for employees. #J-18808-Ljbffr

Bestcare in Omaha is seeking a Certified Coder I to ensure accurate billing and coding for services provided. This is a full-time role offering flexible 8.5 hour shifts from Monday to Friday. The ideal candidate will hold a High School Diploma and relevant coding certifications, with preferred experience in healthcare billing. Join us in making a difference in patient care while working in a supportive team environment. #J-18808-Ljbffr

Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education opportunities. Navigates Epic EMR,...

ResponsibilitiesThe Coder I reviews, analyzes and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record. Queries physicians for diagnoses or missing/ambiguous information for accurate coding. Apply organizational documentation policies and procedures in conjunction with official coding guidelines. Applies knowledge of coding and Prospective Payment System and Medical Necessity guidelines for ethical and optimal reimbursement. Competent to accurately code and abstract all 23-hour observations, same day surgery, emergency room and/or clinic records in a consistent, accurate and timely manner....

Clinic Coder I Certified Medical Coder responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for clinic/professional services, ensuring compliance, supporting revenue capture, and maintaining documentation integrity. Review and analyze medical records and documentation; assign correct ICD-10-CM, CPT, HCPCS codes; ensure regulatory compliance; collaborate with providers; conduct coding audits; provide coding guidance; stay current on coding regulations; resolve coding-related denials; maintain confidentiality. Minimum 1 year clinic/professional coding experience; proficiency in ICD-10-CM, CPT, HCPCS; strong knowledge of medical terminology, anatomy, physiology; strong analytical and communication skills; ability to work independently; familiarity with EHR systems and coding software. CPC or related certification; experience with coding audits and compliance; knowledge of Medicare, Medicaid, payer regulations; experience in clinic or professional billing...

Professional Surgical Coder IThe Professional Surgical Coder I is responsible for the accurate and timely assignment of ICD-10-CM, CPT, and E/M codes for inpatient and outpatient services. This role reviews clinical documentation, assigns appropriate diagnoses and procedures, identifies documentation gaps, and queries providers as needed to ensure coding accuracy, compliance, and optimal reimbursement. The Professional Surgical Coder I collaborates with physicians and leadership to support documentation improvement and maintain high-quality coding standards.Compensation Pay Range: $26.30 - $37.60Essential FunctionsAnalyzes patient medical records and interprets documentation to identify all diagnoses and procedures performed. Assigns proper ICD-10CM and CPT-4 diagnostic and procedural codes to charts and related records by reference to designated coding manuals and other reference material.Identifies any and/or all complications or comorbidities. Applies sequencing guidelines based...

Physician Coder (FT)The Physician Coder I performs evaluation/management coding for clinic, inpatient, and outpatient encounters as well as coding for in-office ancillary services and minor procedures. Assigns and sequences all codes for services rendered. Collaborates with coders, billers, clinical staff, managers, and healthcare professionals to ensure accurate coding assignment and to resolve any coding-related claim denials.Job Specific:Physician Coder I Duties:Assigns codes to diagnoses, hospital visits, office visits, and in-office ancillary services and minor procedures using correct CPT®, HCPCS Level II, and ICD-10-CM codes.Ensures that assigned codes are accurate and sequenced correctly in accordance with coding guidelines, as well as insurance and government regulations.Examines patient medical record to ensure coding accurately reflects the documented medical care provided.Demonstrates continued improvement on coding reviews and audits, until 90% accuracy is met and...

Inpatient CoderNesco Resource has partnered with a well-established healthcare organization in their pursuit to hire Inpatient Coders. Fully remote. Full-time with flexible scheduling options available. Competitive compensation—up to $65,000 plus excellent benefits.The Inpatient Coder is responsible for accurately coding and abstracting diagnoses, procedures, and clinical information from inpatient medical records. This individual ensures compliance with established coding guidelines while maintaining high standards of data quality, integrity, productivity, and accuracy.Essential ResponsibilitiesAssign ICD-10-CM/PCS diagnosis and procedure codes in accordance with Official Coding Guidelines, AHA Coding Clinic, CMS, and other regulatory requirements.Apply Uniform Hospital Discharge Data Set (UHDDS) definitions to determine principal diagnoses, secondary diagnoses, and procedures.Utilize MS-DRG and APR-DRG reimbursement methodologies to ensure accurate code assignment.Assign Present...

Job DescriptionYour experience mattersCanyon Vista Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Coder I joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.NOTE: This is an on-site role and is not open for remote work.How you'll contributeA Coder I who excels in this role:Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.Assigns accurate ICD diagnosis codes, using compliant documentation.Assigns accurate CPT/HCPCS codes to records, using compliant documentation.Applies knowledge of Coding Guidelines to select...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Medical Coder IDiscover a Medical Coder II opportunity that makes you feel valued and appreciated for the work you do. As a Medical Coder I/II for Interim HealthCare®, you'll join an organization that cares for its employees as much as the clients and patients they serve.Since 1966, Interim HealthCare has been an employer of choice to Medical Coders seeking a more fulfilling career path. Led by more than 65 percent nursing and medical professionals, you'll have the support of a leadership team that understands the importance of your role to delivering exceptional care. If you're ready to take your Medical Coding career to a whole new level in a culture that values every employee, you are made for this!Our Medical Coder I enjoy some excellent benefits:$18hrMake a difference in the lives of others through the work you doDay Shift, Monday - FridayOnline training, growth and ability to earn CEUsTuition discounts through Rasmussen UniversityAs a Medical Coder I, here's a big-picture...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Location: Portsmouth, Ohio, United StatesCompany: Southern Ohio Medical CenterPosted: 2026-06-20Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process." Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk), Remote GENERAL SUMMARYWorks under the supervision of the Health Information Reimbursement Manager. The primary job function of the HIM Coder Level I are to assign correct, ICD-10 and CPT codes to established diagnoses and procedures to outpatient (emergency room, same-day surgery, interventional radiology, observation and/or Urgent Care Center) and/or limited inpatient records. In some instances, may audit OP and /or IP records for charging accuracy. May be asked to add or delete charges for optimal reimbursement as well as compliance following coding and governmental guidelines. The level one coder has mastered a maximum of 2 work types. Performs other duties as assigned....

Mayo Clinic Job OpportunityMayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.Benefits HighlightsMedical: Multiple plan options.Dental: Delta Dental or reimbursement account for flexible coverage.Vision: Affordable plan with national network.Pre-Tax Savings: HSA and FSAs for eligible expenses.Retirement: Competitive retirement package to secure your future.ResponsibilitiesThis is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs.The HB IP Coder reviews, interprets, and...

Surgical CoderMayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.Benefits HighlightsMedical: Multiple plan options.Dental: Delta Dental or reimbursement account for flexible coverage.Vision: Affordable plan with national network.Pre-Tax Savings: HSA and FSAs for eligible expenses.Retirement: Competitive retirement package to secure your future.ResponsibilitiesThis is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. The Surgical Coder reviews, analyzes, and codes...

Health Information Services Coder I - Temporary Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical offers a range of primary, specialty, and multi-specialty services, including high-risk pregnancy care, inpatient psychiatric services integrated with county mental health programs, and a growing network of outpatient clinics providing personalized patient-centered wellness care. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year. Kern Medical strives to recruit the highest quality candidates, resulting in a high performance workforce that consistently delivers quality patient care. Extra-help employment has a limited term (up to 9 months). Health Benefits coverage may be offered. Compensation: The estimated pay for this position is $22.5260 to $30.2730. This reflects only a portion of the...

Health Information Services Coder I - TemporaryKern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical offers a range of primary, specialty, and multi-specialty services, including high-risk pregnancy care, inpatient psychiatric services integrated with county mental health programs, and a growing network of outpatient clinics providing personalized patient-centered wellness care. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year.Kern Medical strives to recruit the highest quality candidates, resulting in a high performance workforce that consistently delivers quality patient care.Extra-help employment has a limited term (up to 9 months). Health Benefits coverage may be offered.Compensation: The estimated pay for this position is $22.5260 to $30.2730. This reflects only a portion of the total...

Position Summary: Reporting to the Senior Director of Practice Management, the Medical Biller Specialist I will process claims for their assigned providers and facilities. The Billing Specialist will review medical documentation to property bill services and treatment provided and submit claims to the payers following ICD-10, CPT coding and insurance guidelines. The Medical Biller Specialist will join a dedicated team of professionals within our Finance's Practice Management Division. This position is remote, requiring monthly onsite duties based in the Bronx, NY for team meetings and training. Although remote- i ncumbents must reside locally to the NYC market and are required upon request to come onsite for training, meetings, and events. Monday-Friday 8:00 a.m. to 5:00 p.m. Minimum Qualifications: High School Diploma or GED is required. Medical Billing Certification is required. Certified Professional Coder preferred. Knowledge of ICD-10, CPT Codes,...

Coder I Specialist Professional - Office Visits E&MThe Coder I Specialist Professional - Office Visits E&M reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on professional and office visits. This position abstracts key data elements necessary for billing and data analysis.Who We AreWith 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.What You Can ExpectAccurately reviews and codes patient records in the following clinical areas: hospitalist rounds and office visits (with repetitive or non-invasive procedures).Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT...