7710 certified professional coder jobs found

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Certified Professional Coder (CPC) & Affidavit Specialist Company Overview At Managed Care Network, Inc., we specialize in delivering innovative, fast-turnaround solutions in the Property & Casualty (P&C) marketplace. We support attorneys, insurance carriers, and providers with high-quality forensic medical reviews rooted in accuracy, compliance, and legal defensibility. Our mission is to elevate claim strategy, support arbitration and litigation efforts, and advocate for the integrity of medical necessity and billing practices. We aim to be the best employer by fostering an environment where our employees feel empowered, supported, and appreciated for the expertise and hard work they bring. Through our Thrive values, we encourage continuous professional growth while maintaining flexibility and work-life balance. ________________________________________ Position Summary We are seeking an experienced, detail-oriented Certified Professional Coder (CPC) with a...

Broward Health in Fort Lauderdale is seeking a qualified medical coder to assign diagnosis and procedure codes according to established guidelines. The ideal candidate must have a High School Diploma or GED and at least two years of coding experience. A Certified Professional Coder credential is required, along with specialized credentialing through AAPC. This position offers a dynamic work environment focused on timely billing processes and efficient data handling for providers. Join Broward Health and be part of an equal opportunity employer. #J-18808-Ljbffr

Certified Professional Coder This posting is only for current Southern New England ENT employees. Positions will be offered in New Haven, Middletown, Cheshire, and Guilford. Position Highlights Department: Middlesex Health ENT and Facial Plastic Surgery Hours: Full-Time & Part-Time Positions Summary Certified Professional Coder (CPC or CPC-A) to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services in and complete review of medical records to accurately optimize all professional services documented for billing. Responsibilities Review of electronic medical...

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. 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 demonstrate mastery of the...

Urgent Requirement - Certified Professional Coder Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right...

Certified Professional Coder (CPC) & Affidavit Specialist Company Overview At Managed Care Network, Inc., we specialize in delivering innovative, fast-turnaround solutions in the Property & Casualty (P&C) marketplace. We support attorneys, insurance carriers, and providers with high-quality forensic medical reviews rooted in accuracy, compliance, and legal defensibility. Our mission is to elevate claim strategy, support arbitration and litigation efforts, and advocate for the integrity of medical necessity and billing practices. We aim to be the best employer by fostering an environment where our employees feel empowered, supported, and appreciated for the expertise and hard work they bring. Through our Thrive values, we encourage continuous professional growth while maintaining flexibility and work-life balance. ________________________________________ Position Summary We are seeking an experienced, detail-oriented Certified Professional Coder (CPC) with a...

Location: Orlando, FL Job Id: 266 # of Openings: 1 Valora Medical Group is a visionary company focused on high-quality primary care services and consisting of healthcare providers and professionals dedicated to the health and well-being of our patients. At Valora, we treat our patients like family. With multiple locations throughout the Dallas-Fort Worth and Central Florida area, we understand that providing quality medical care and an exceptional patient experience across all our centers requires having an outstanding team. A Risk Adjustment (MRA) Coder ensures all significant chronic conditions found in the patient’s chart affecting the risk score are identified to allow the Clinical Provider to determine which conditions are current so they can be addressed during the patient visit. This role is also responsible for proper identification of respective ICD-10 codes to ensure the accuracy of billing for addressed diagnoses. In addition, the MRA Coder/Auditor provides...

Day Kimball Healthcare in Putnam, CT, is seeking a detailed-oriented Certified Professional Coder for their Central Business Office. This role requires skills in ICD-9 and ICD-10 coding within a collaborative team environment. The ideal candidate will have a minimum of five years’ experience in coding and be proficient in medical terminology. This position offers a comprehensive benefits package, and opportunities for continuous education and personal growth. #J-18808-Ljbffr

Day Kimball Health in Putnam, CT is seeking a Certified Professional Coder for the Central Business Office. The CPC will perform abstracting, diagnosis coding, charge capture and posting with record analysis, and conduct quarterly chart audits for ICD-9/ICD-10 compliance. The role includes training providers and staff, contributing to implementation efforts, and ensuring documentation language supports maximum reimbursement while maintaining professional standards. #J-18808-Ljbffr

GDIT's Federal Health Division is hiring a Healthcare Coding Expert to support the Centers for Medicare and Medicaid (CMS), you will be trusted to identify trends in the data and create leads and referrals for the Healthcare Fraud Prevention Partnership (HFPP) members (Partner) and the Trusted Third Party (TTP). You will be part of a 50-person team supporting the TTP which was established in 2012 to reduce fraud, waste and abuse in healthcare data. Work visa sponsorship will not be considered for this position WHAT YOU'LL BE DOING: Performs analytical tasks in support of HFPP program, including identifying fraud, waste, and abuse referrals and leads from HFPP Analytics Collaborate on the development of HFPP analytic reports Drive outcome metrics related to fraud, waste, and abuse referrals and leads shared with Partners May perform business development activities including analyzing health claims data, generating study referrals and leads, developing provider...

CTHCA Certified Professional CoderHot JobNespelem - Nespelem, WA 99155OverviewSalary Range $25.27 - $30.78 Hourly Position Type Full TimeDescriptionCLOSING DATE: October 21, 2026POSITION: CTHCA Certified Professional CoderSALARY: $25.27 - $30.78, per hour DOEREPORTS TO: Revenue Cycle Program ManagerLOCATION: Colville Tribal Healthcare Authority, NespelemSummary:Researches and analyzes data needed for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results.The Certified Professional Coder is the second in the Medical career ladder. Certified Professional Coder will work cooperatively in full compliance with all relevant claims reimbursement requirements by maintaining high ethical standards, strict confidentiality, and a strong knowledge of all laws and regulations related to coding...

Job Type Full-time Description ***Must reside in Texas, Georgia, Mississippi, Montana, North Carolina, Oklahoma, or Wisconsin*** Job purpose The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient's medical history, diagnosis, tests and treatment plan. Duties and responsibilities Primarily codes from final office visit, surgical/procedural operative reports signed by providers Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims Enters patient copayment information into the EMR Reconciles charges against the schedule list to ensure no charges are missed Investigates rejected claims to see why denials were issued as...

Certified Medical CoderThe certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient's medical history, diagnosis, tests and treatment plan.Duties and responsibilitiesPrimarily codes from final office visit, surgical/procedural operative reports signed by providersReviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelinesVerifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claimsEnters patient copayment information into the EMRReconciles charges against the schedule list to ensure no charges are missedInvestigates rejected claims to see why denials were issued as necessaryRe-bills rejected claims in timely mannerMaintains strict confidentiality and high degree of accuracyConsults classification manuals and relies on knowledge...

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities: Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to assess medical necessity and documentation compliance Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases Analyze medical records for payer disputes, recoupments, and appeals Prepare detailed, defensible written audit reports Provide expert review, affidavit support, deposition preparation, and testimony when required Interpret CMS...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

About Us We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Job Details The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or...

Job Description Job Description Description:   ABOUT US For over 55 years, we have been considered one of the innovative world leaders in the enhancement and improvement of care for foot and ankle medical conditions, sports medicine and clinical programs. Our mission is to improve the quality of life in a patient focused environment by providing the most advanced and knowledgeable foot and ankle care. WFAI has experienced phenomenal development, with expansion into 5 states and a future dedicated to continuing with that growth strategy. As our family expands, we stand by our core values, which include integrity, excellence, trust, caring, tradition and innovation.  Position Summary:  Responsible for reviewing clinical documentation to abstract and/or validate CPT and ICD-10 coding for Podiatry based coding experience, including evaluation & management (E/M) and surgical coding experience. The coder will ensure that medical records are coded in an accurate and...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Medical Coding Specialist Key Responsibilities: Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...