Certified professional coder representative jobs

Certified Professional Coder Representative

TaskUs Austin, TX, USA

Certified Professional Coder Representative 2 days ago Be among the first 25 applicants Job Description TaskUs is a provider of outsourced digital services and next‑generation customer experience to fast‑growing technology companies, helping its clients represent, protect and grow their brands. Leveraging a cloud‑based infrastructure, TaskUs serves clients in the fastest‑growing sectors, including social media, e‑commerce, gaming, streaming media, food delivery, ride‑sharing, HiTech, FinTech, and HealthTech. The People First culture at TaskUs has enabled the company to expand its workforce to approximately 45,000 employees globally. We have a presence in twenty‑three locations across twelve countries, including the Philippines, India, and the United States. We are committed to a people‑first culture, offering competitive salaries and comprehensive benefits, along with opportunities for internal mobility and professional growth. Role Overview This Certified Professional Coder...

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Full Time

Medical Coding Auditor

Farragut Square Group Remote

Farragut Square Group provides clients with research and policy advisory services on a range of healthcare topics, including Billing and Coding Claims reviews of physician office practices and in and out-patient facilities. As part of our ongoing commitment to be #AlwaysBetter for our people, clients, and communities, we have created a culture of belonging that champions your individuality and authenticity as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career so you can live a life you love both in and outside of the office. With us, you’ll find: A Firm where everyone belongs: Our award-winning culture prioritizes warmth and authenticity — we encourage you to be yourself! Enthusiasm for diverse perspectives: We’re smarter and stronger when everyone has a voice and...

Full Time

Registered Nurse CRC Coding Auditor - Remote

Conifer Health Solutions Remote

JOB SUMMARY The CRC Auditor, conducts coding and documentation quality reviews and generates responses for cases that have been denied by commercial and government payors to ensure hospital inpatient, outpatient, and pro-fee claims, were coded and billed in accordance with nationally recognized coding guidelines, standards, regulations and regulatory requirements, as well as payor and billing guidelines. The responses generated by the Auditor may include system documentation of findings and / or a formal appeal letter. The Auditor will escalate trends to CRC leadership, Conifer Quality & Performance leadership and Conifer Compliance as warranted. The Auditor will perform analysis on clinical documentation, evidenced based criteria application outcome, physician documentation, physician advisor input and complete review of the medical record related to clinical denials. Assures appropriate action is taken within appeal time frames. Communicates identified denial trends and...

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Medical Assistant Supervisor - Castle Pines Family Practice

OnPoint Medical Group Castle Pines, CO, USA

OnPoint Medical Group is searching for an outstanding Medical Assistant Supervisor to join our team at Castle Pines Family Practice! Come join a great group of medical professionals as our network continues to grow! OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Our "Circle of Care" has one primary goal - to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands. SUMMARY The back office Medical Assistant Supervisor is required to perform all duties of the Medical Assistant and functions as the direct manager to the Medical Assistant staff. Also,...

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Risk Adjustment Coder

Cano Health El Paso, TX, USA

Risk Adjustment Coder It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations. Duties & Responsibilities Essential Duties & Responsibilities Review medical record information to identify all appropriate coding based on CMS HCC categories Prepare the medical charts and track patient information via Excel spreadsheets. Complete...

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Audit & Compliance Coder

Deaconess Evansville, IN, USA

Audit & Compliance Coder Position is responsible for full coding compliance for all professional providers as completed through annual or special auditing, education, and follow-up. Compliance Officer will ensure that all new providers are trained, audited for compliance and appropriate follow through with Medical Director is completed. Position is responsible for staff auditing as assigned to ensure compliance of our staff. Will devise an auditing plan, track progress and results and keep Manager updated of all progress. Compliance Officer will review and respond to all CERT, RAC and other pay or audits along with the denial team. Position is responsible for ensuring billing compliance and system stability by working with the IT Team to make sure we are billing properly and meeting established billing requirements. Job Duties include the following, other duties may be assigned: Complete all 30 day and 90 day provider training as appropriate to ensure compliance. Assist with...

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Certified Coder

SB Clinical Practice Management Plan Setauket- East Setauket, NY, USA

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 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMPs good faith and reasonable estimate of the range of possible compensation at the time of posting SUMMARY: This incumbent is responsible for reviewing and analyzing physicians documentation, CPT, and ICD-10 diagnosis codes. The coding function also ensures...

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Certified Surgical Coder - Patient Accounts

SB Clinical Practice Management Plan Stony Brook, NY, USA

Certified Surgical Coder - Stony Brook CPMP Patient Accounts Location: Stony Brook, NY - At the managers discretion, this role may be eligible for remote work; this position is only available to New York State Schedule: Full time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay Starting at: $33.65 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMPs good faith and reasonable estimate of the range of possible compensation at the time of posting SUMMARY: This incumbent is...

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Senior Outpatient Coder

Houston Methodist Houston, TX, USA

Join to apply for the Senior Outpatient Coder role at Houston Methodist 1 week ago Be among the first 25 applicants Join to apply for the Senior Outpatient Coder role at Houston Methodist Get AI-powered advice on this job and more exclusive features. Come lead with us at Corporate At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. People Essential Functions Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders. Service Essential Functions Responds...

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Virtual Medical Biller/Coder - Patient Support Claims Processing Rep (Home-Based)

Philadelphia Staffing Philadelphia, PA, USA

Patient Support Medical Claims Processing Representative As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field...

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Coder

Open Door Community Health Centers Arcata, CA, USA

Committed to Our Community in the Heart of the Redwoods. Removing Barriers to Healthcare Access Open Door Community Health Centers (ODCHC) relies on billing for services rendered and generated revenue for a significant portion of its operating budget. ODCHC is committed to proper billing procedures, documentation and review in compliance with federal and state laws and regulations and private payor requirements. The Coder I, working in collaboration with other Billing and Coding staff and the Coding Manager, is responsible for ensuring that documentation submitted by providers are accurately coded, including a congruence of final diagnoses, professional services, and procedures. As needed, Coder I will query providers as needed to resolve discrepancies in documentation, apply proper assignment of ICD, CPT and HCPCS codes and/or perform coding addendums to assure timely reimbursement. Compensation Range: $29.00-$33.68 All new hires will begin at the base wage of this position....

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Coder III

UK St. Claire Morehead, KY, USA

Position Summary: Responsible for accurate inpatient and outpatient coding, analysis and screening of records for billing, research and special studies. Responsible for the timely and accurate coding of administrative and clinical data through the accurate assignment of ICD-10 and/or CPT codes and APC and DRG Assignment and modifiers while complying with the regulations and requirements of the Federal Government, State agencies and the hospital's policies and procedures. Knowledgeable of medical necessity regulations, NCD and LCD policies. Works closely with Revenue Cycle and HIM members to ensure accuracy of coded data. Duties/Responsibilities: Ensures the correct ICD-10-CM, ICD-10-PCS, APC and DRG Assignment and/or CPT code and modifiers to each diagnosis and procedure are substantiated by documentation contained in the medical record. Follows departmental and official ICD-10-CM, ICD-10, -PCS APC Assignment and/or CPT coding guidelines to ensure consistent and accurate...

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Hospital Coder 2 (Experienced) - Health Information Management - Full Time

Concord Hospital Concord, NH, USA

Coding Specialist Reviews a variety of reports for clinical and demographic information, assigns appropriate ICD-10-CM diagnosis codes and/or CPT/HCPC procedure codes and enters this information into the electronic system for the purpose of maintaining a complete and accurate clinical data base. Production coding is primarily responsible for performing advanced coding of outpatient hospital services, including Emergency Department/Urgent Care encounters, Observation/IV administration, Outpatient in a Bed, Ambulatory Surgery, and Ancillary/Recurring accounts. This role ensures accurate, complete, and compliant assignment of ICD-10-CM, CPT, and HCPCS codes in accordance with AMA, CMS, and official coding guidelines. Audits provider documentation to ensure compliance with documentation and coding guidelines. Utilizes both manual and AI-assisted coding platforms to optimize accuracy, compliance, and throughput. Ensures data integrity for quality reporting, population health, and...

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Risk Adjustment Coder

Cano Health Birmingham, AL, USA

Risk Adjustment Coder It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations. Duties & Responsibilities Essential Duties & Responsibilities Review medical record information to identify all appropriate coding based on CMS HCC categories Prepare the medical charts and track patient information via Excel spreadsheets. Complete...

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WVUHS - Professional Coding Auditor- Educator (Urology/Neurology/Gastroenterology)

WVU Medicine Palm Coast, FL, USA

Coding Specialist Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. Minimum Qualifications: 1. Graduate of Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), COC (Certified Outpatient Coder), CCS (Certified Coding...

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WVUHS - Professional Coding Auditor- Educator (Urology/Neurology/Gastroenterology)

WVU Medicine Fresno, CA, USA

Coding Specialist Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. Minimum Qualifications: 1. Graduate of Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), COC (Certified Outpatient Coder), CCS (Certified Coding...

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Risk Adjustment Coder

Cano Health Kissimmee, FL, USA

Risk Adjustment Coder It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations. Duties & Responsibilities Essential Duties & Responsibilities Review medical record information to identify all appropriate coding based on CMS HCC categories Prepare the medical charts and track patient information via Excel spreadsheets. Complete...

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Single Path Coder Specialist - Pulmonology - Remote Permanent Opportunity

Ochsner Health New Orleans, LA, USA

Coding Specialist We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job is responsible for reviewing and accurately coding either most professional services, including evaluation and management, and procedures or hospital outpatient surgeries/procedures and observation patients. Remains in conformance with applicable Medicare, Medicaid and third-party payer guidelines to ensure receipt of accurate reimbursement. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are...

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WVUHS - Professional Coding Auditor- Educator (Urology/Neurology/Gastroenterology)

WVU Medicine Oklahoma City, OK, USA

Coding Specialist Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. Minimum Qualifications: 1. Graduate of Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), COC (Certified Outpatient Coder), CCS (Certified Coding...

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WVUHS - Professional Coding Auditor- Educator (Urology/Neurology/Gastroenterology)

WVU Medicine San Jose, CA, USA

Coding Specialist Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. Minimum Qualifications: 1. Graduate of Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), COC (Certified Outpatient Coder), CCS (Certified Coding...

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Patient Accounts Representative and Certified Coder

Missouri Staffing Kansas City, MO, USA

Patient Accounts Representative And Certified Coder Saint Luke's in Kansas City is seeking a patient accounts representative and certified coder to join our team. You will perform a variety of functions related to managing accounts, coding, and charge reviews. Shift details: Monday-Friday flexible hours. Perform billing and collections to manage accounts receivable for the SLHS physician enterprise central billing office (CBO). Focus on charge review edits and provide coding support to the physician enterprise CBO. Charge review, account follow-up, and reconciliation. Resolving issues with payers and identifying and reporting trends in billing or collections. This position requires a certified professional coder certification. We believe in creating a collaborative environment, while looking for innovative ways to improve. We offer competitive salaries and benefits packages to all eligible employees: medical health plans, tuition reimbursement, leave of absence, PTO, extended...

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Medical Coding Auditor (CPC)

McDermott Will & Emery Austin, TX, USA

Farragut Square Group provides clients with research and policy advisory services on a range of healthcare topics, including Billing and Coding Claims reviews of physician office practices and in and out-patient facilities. As part of our ongoing commitment to be #AlwaysBetter for our people, clients, and communities, we have created a culture of belonging that champions your individuality and authenticity as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career so you can live a life you love both in and outside of the office. With us, you'll find: * A Firm where everyone belongs: Our award-winning culture prioritizes warmth and authenticity - we encourage you to be yourself! * Enthusiasm for diverse perspectives: We're smarter and stronger when everyone has a voice and a seat at the table. We...

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WVUHS - Professional Coding Auditor- Educator (Urology/Neurology/Gastroenterology)

WVU Medicine Hartford, CT, USA

Coding Specialist Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. Minimum Qualifications: 1. Graduate of Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), COC (Certified Outpatient Coder), CCS (Certified Coding...

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Risk Adjustment Coder

Cano Health Hartford, CT, USA

Risk Adjustment Coder It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations. Duties & Responsibilities Essential Duties & Responsibilities Review medical record information to identify all appropriate coding based on CMS HCC categories Prepare the medical charts and track patient information via Excel spreadsheets. Complete...

151 certified professional coder representative jobs found