1039 certified medical coder specialist jobs found

Senior Risk Adjustment Coder (CPC, CRC, and CCDS required) Stanford Medicine Partners Newark, CA (Remote/CA Resident) Stanford Medicine Partners (SMP) is looking for an amazing Senior Risk Adjustment Coder to join our rapidly growing team! SMP prides itself in offering exceptional service and patient care. Stanford Medicine Partners with Stanford Health Care to provide individualized and convenient care with access to Stanford specialists and technology. Join our team and start making a difference today! A Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. What you will do Risk Adjustment...

Job Title: Revenue Cycle Manager Location: Portland, ME  Reports To: Director of Operations Position Summary Allergy & Asthma Associates of Maine is seeking a strategic and detail-oriented Revenue Cycle Manager to lead and optimize our billing operations. This role is central to our transition from outsourced billing with Quest National Services to an in-house model. The Revenue Cycle Manager will be responsible for claims processing, denial management, payment posting, and reporting, while coordinating with internal staff and external vendors to ensure timely and accurate reimbursement. Key Responsibilities Revenue Cycle Oversight Manage the full revenue cycle process including charge capture, claims submission, payment posting, denial resolution, and patient billing. Ensure compliance with payer guidelines, HIPAA, CMS, and Medicaid regulations. Monitor and report on KPIs including days in A/R, denial rates, and collection percentages. Team...

Location: Full-Time Remote Clearance: No Secret Clearance Required Starting Salary: $37.00/Hour Note: All positions require U.S. Citizenship. Applicants must be U.S. citizens — visa holders and green card holders are not eligible. “Candidates must hold valid credentials from either AAPC or AHIMA to be eligible to apply.” Please indicate the position(s) you’re applying for. Include your full mailing address (for equipment shipment), desired start date, and AAPC and/or AHIMA certification number(s) (with expiration date). If you’ve already applied through our website, there’s no need to reapply for this position! Assessment Protocol The assessment is strictly timed and must be completed within 1 hour. Once the link is opened, the timer is automatically activated. The assessment cannot be paused, reopened, or restarted. Only the initial attempt will be accepted for scoring. Candidates are provided with a 24-hour window to complete...

At Wipfli, people count.   At Wipfli, our people are core to everything we do—the catalyst behind our ability to create exceptional impact and extraordinary results.   We believe in flexibility. We focus on relationships. We encourage each individual to follow their own path.   People truly matter and they feel it. For those looking to make a difference and find a professional home, Wipfli offers a career-defining opportunity. Join Wipfli as a Consultant II of Revenue Cycle, guiding clients through the complexities of optimizing financial performance.    Responsibilities:   Act as the SME for clients on medical coding standards, compliance, and best practices. Assess client needs and identify potential solutions Plan own work to meet client requirements Lead and manage multiple client engagements concurrently with minimal supervision. Deliver professional presentations to internal and external stakeholders. Provide...

AMBULATORY (Same Day Surgery) OUTPATIENT CODER ON SITE Joint Base Andrews, MD ABOUT US: Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world.   LTSI connects the right people to the right opportunity.  With our experience in placing our Team Members throughout the United States and overseas, we excel at providing experienced, professional personnel for a wide range of Professional and Office Administration as well as Medical services. Our goal is to provide the highest quality of professionals in the industry. LTSI’s culture delivers a strong work ethic while going above and beyond with a sense of urgency. We are the employee-driven company.  We strive for excellence every day, which is what sets us apart from all the other government contractors. Our strong work ethic, sense of urgency and commitment to going above and beyond for our clients is what we value most!   As a Certified...

Assists the CMP Revenue Cycle Director (“Director”) in planning, administering, and directing the day-to-day operations of the coding department of Citizens Medical Professionals (“CMP”).       JOB DUTIES AND RESPONSIBILITIES: Develops and carries-out departmental goals and objectives in conjunction with the organization’s mission, strategic plans, and other identified needs, as well as in the planning, supervising, coordinating and directing the activities of the department. (EF) Monitors coding operations and recommends departmental policy and procedures to CMP’s Revenue Cycle Director and complies with and enforces hospital and department policies and procedures, including oversight and compliance with CMP’s coding and documentation policies. (EF) Coordinates with the CMP providers and clinics, as well as physician patient access and billing departments, on coding and documentation processes so that maximum financial reimbursement can be obtained. (EF)...

AGS Health is seeking an Inpatient Coding Specialist who will be responsible for coding all requested inpatient medical records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment, while meeting specified productivity and accuracy standards. The coding specialist will also be responsible for abstracting key data required from the medical information consistent with UHDDS requirements and other regulatory coding guidelines. JOBS-TO-BE-DONE ( JTBDs): Codes all requested Inpatient records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment in accordance with coding guidelines. Abstracts, codes, and assigns necessary demographic and clinical data elements required. Writes appropriate, non-leading queries. Maintains quality and productivity according to client requirements.   KEY SELECTION CRITERIA: Candidate qualifications :  Certified through AHIMA or AAPC (CCS, CPC, or CIC) Minimum 2 years inpatient...

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado.   We are seeking a motivated Provider Education Specialist to join our Audit, Compliance & Education team.    This job can be performed 100% remotely and out of state candidates will be considered.   The Provider Education Specialist will provide formal and informal coding and regulatory education to all attending Physicians, Residents, Advanced Practice...

Physician Medical Coder Job Listing   PLEASE READ JOB DESCRIPTION    Profee coder to review coding denials and correct/validate CPT, ICD-10, HCPCS and modifiers for physician services.  Our coders will review medical records, research payer policy, and NCDs to make coding corrections and resubmit corrected claims in an accurate and timely manner. We work closely with other team members and management to translate clinical documentation consistently and accurately into ICD-10 and CPT codes with proper sequencing and modifiers. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors.     Job Requirements     At least one active certification is required. Additional certifications a plus. Accepted certifications...

We are seeking an experienced and detail-oriented Billing Manager/Revenue Cycle Manager to join our orthopaedic surgery practice. This key leadership position will be responsible for overseeing all aspects of our revenue cycle operations, from insurance verification through payment posting and collections. The ideal candidate will have extensive experience in healthcare billing, particularly in orthopaedic or other surgical specialty practice settings, with a strong understanding of medical coding, insurance reimbursement, and revenue cycle optimization. This position plays a critical role in ensuring the financial health and sustainability of our practice by maximizing revenue capture and minimizing payment delays. As the Billing Manager, you will directly supervise all billing staff members and work closely with practice leadership to ensure financial stability and growth through efficient revenue cycle processes. This role requires exceptional analytical skills, leadership...

When you join Kaiser Permanente, you’ll be part of an organization dedicated to total health. At every level and in every department, it’s what we stand for. By using your innovation and your creativity, you can play a role in the health of communities across town and around the country by serving 12.5 million of our members. No matter your background, your ideas can help drive a health care pioneer. You can play a role in the future of health.   Director, Compliance, Medical Coding (Remote) Oakland, California Full-Time, Salary Range: $192,200 – $248,710/Year   ******This is a 100% remote position, and you may be based in any of the following Kaiser Permanente locations: CA, GA, CO, OR, WA, VA, MD, or Washington, D.C.   In addition to the responsibilities listed below, the position is also responsible for serving as a Risk Adjustment compliance subject matter expert related to coding functions, overseeing audit activity related to coding...

Join Our Thriving Pediatric Orthopaedic Group!   Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We are seeking a highly motivated Billing Specialist to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance.   Role Overview:  In this role, you will oversee the billing process for healthcare services, ensuring accurate claim submissions and full payment collection. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives. What You'll Do: Independently: Analyze claim denials and take corrective action, including corrected claims, reconsiderations, and appeals. Apply accurate adjustments based on insurance guidelines and contracts....

Adventist HealthCare seeks to hire an experienced Service Line Coding & Reimbursement Specialist for our Patient Financial Services department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Service Line Coding & Reimbursement Specialist, you will: Evaluates initial CPT code selections made by providers for services rendered and takes steps to make necessary corrections. Ensure proper use of modifiers and other coding guidelines to prevent billing errors. Reviews medical records for accuracy and promptly reports incomplete documentation. Audits and corrects previously coded claims to ensure accuracy. Demonstrates knowledge and experience with CCI edits, payer edits, and payer policies, including Medicare NCD and LCDs. Serves as the main contact for coding inquiries, issues, and projects. Meets daily coding production and quality standards set by...