178 certified professional coder representative jobs found

Job Summary The Certified Professional Coder (CPC) reviews medical records to determine compliant clinical documentation for diagnostic and procedural codes related to outpatient behavioral health services. The role requires close collaboration with billing and administrative teams to ensure accurate, timely claim submissions. Duties & Responsibilities Review medical records and verify that documentation justifies diagnostic and procedural codes (ICD‑10 CM, CPT). Audit charts to ensure accurate ICD‑10 CM and CPT code assignment and documentation integrity, preventing claim denials. Use critical and logical thinking skills in chart‑auditing based on client guidance. Uphold netiquette and professionalism in all interactions with the TaskUs team, other vendors, and the client. Verify and abstract all relevant medical data from patient records, including treatment plans, diagnoses, and procedures. Ensure compliance with coding guidelines and regulations, including HIPAA and...

About TaskUs: 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. Presently, we have a presence in twenty-three locations across twelve countries, which include the Philippines, India, and the United States. It started with one ridiculously good idea to create a different breed of Business Processing Outsourcing (BPO)! We at TaskUs understand that achieving growth for our partners requires a culture of constant motion, exploring new technologies, being ready to handle any challenge at a moment's...

Job description TITLE: MEDICAL CODER DEPARTMENT: H.I.M SUPERVISOR: H.I.M. DIRECTOR CLASSIFICATION:FULL TIME NON-EXEMPT POSITION SUMMARY: This incumbent performs highly technical and specialized functions. The employee reviews, analyzes, and codes diagnostic and procedural information to ensure compliance with established coding guidelines, third party reimbursement policies and regulations. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. ESSENTIAL FUNCTIONS: • Responsible for reviewing patient charts and entering pertinent patient data into RPMS database. • Compiles, sorts and verifies accuracy of data entered into the Electronic Health Record. • Assigns and sequences ICD-9-CM/CPT/HCPCS codes to diagnoses and procedures for documented information. • Assures the final diagnoses and operative procedures as stated...

Job Description Job Description Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance JOB SUMMARY: Responsible for accurate inpatient and outpatient coding, timeliness of coding, and utilization of systems used to perform coding functions. Reports To: HIM Director Classification: Non Exempt Hours/Days: Mon - Fri, 8a to 5p In-Office QUALIFICATIONS: Minimum 2 years of coding experience, Coding credentials preferred. OCCUPATIONAL EXPOSURE: Office Environment RESPONSIBILITIES: 1. Assigning accurate CPT, ICD, HCPCS codes and modifiers from medical record documentation. 2. Identifying and abstracting information from medical records for audits, internal and external. 3. Work closely with the supervisor during audit procedures. 4. Retrieves Charts. 5. Abstracts accurately. 6. Reviews the unbilled on a daily basis to identify pending accounts. 7. Follows release of Information policies and procedures for H.I.M....

Position Summary The Certified Inpatient Coder is responsible for the accurate diagnostic and procedural coding of medical records. The Coder is also responsible for the accurate abstracting of medical, financial and demographic information, in addition to performing other events. Core Duties and Responsibilities • Per standard process reviews and evaluates designated medical records to identify diagnoses and procedures and accurately assigns and sequences ICD CM, ICD PCS and/or CPT codes • Reviews medical record for proper assignment of diagnosis and procedure codes according to AHA coding guidelines • Contacts Physicians and Other Healthcare Providers to clarify diagnoses and procedures • Sequence codes appropriately for accurate DRG • Abstracts required data from the medical record, including, but not limited to, Attending Physician, Discharge Disposition, ICD-9-CM , ICD-10-CM, CPT diagnosis and/or procedure codes, and Physician Consultation • Completes medical...

Navajo Preference Employment Act TCRHCC is located within the Navajo Nation and, in accordance with Navajo Nation law and applicable federal law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who are enrolled members of the Navajo Nation, Hopi Tribe, and San Juan Southern Paiute Tribe and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position. Applicants who are legally married to an enrolled member of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe, who have resided within the territorial jurisdiction of the Navajo Nation or other federally-recognized American Indian Tribe for at least one continuous year immediately preceding the date of application, and who meet the necessary qualifications for this position will be given secondary preference. Applicants who are enrolled members of any other federally-recognized American Indian Tribe and...

Patient Accounts Coder Summary Title:Patient Accounts Coder ID:0402-5079 Department Location:3205/3207 N. Academy, Colorado Springs, CO 80917 Category:Administrative / Clerical / Skill Trades Description Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 20 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 74,300 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health...

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, and innovate. We believe 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 reviews and accurately codes and abstracts the most complex hospital services, in-patient procedures, overnight / multi-night stay services and all other complex medical services. Utilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG...

Coding Compliance Specialist Provides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities. None Essential Functions: Conduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies. Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed. Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes; must be able to present effectively to physician groups. Review all coding-related denials to identify trends, root causes, and systemic risks; recommend preventive strategies to reduce future denials. Review Athena coding...

Certified Coder Remote Location: Stony Brook, NY At the Manager's discretion, this role may be eligible for remote work (after 90 days) 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 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...

Overview Certified Coder Remote - Stony Brook Internists, UFPC Location: Stony Brook, NY At the Manager's discretion, this role may be eligible for remote work (after 90 days) 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 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...

Overview Certified Surgical Coder - Stony Brook CPMP Patient Accounts Location: Stony Brook, NY - At the manager's 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 CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities SUMMARY: This...

Job Description The Patient Account Representative Coder will be responsible for reviewing and coding from the medical record, already billed, or suggested from provider or computer generated applications for straight‑forward to complex coding, and any account receivable activities for the physician clinics within Saint Luke's Health System. Activities include, but are not limited to, coding, charging, troubleshooting charge related issues, responding to inbound and outbound billing calls from patients, resolving payment credits, identifying and correcting medical claim errors that may prevent payment and identifying, correcting, and resubmitting medical claims denied by insurance companies. Resolving claim edits, working denials and appeals. Evaluation and coding of ICD, CPT, HCPCS. All coding initiatives, NCCI edits, incidentals/inclusive, and bundling rules, etc. Demonstrate competency for invalid diagnosis, modifiers, coding related issues, and be able to have moderate decision...

About AmeriPharma AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves. AmeriPharma's Benefits Full benefits package including medical, dental, vision, life that fits your lifestyle and goals Great pay and general compensation structures Employee assistance program to assist with mental health, legal questions, financial counseling etc. Comprehensive PTO and sick leave options 401k program Plenty of opportunities for growth and advancement Company sponsored outings and team-building events Casual Fridays Job Summary As an Insurance Coordinator at AmeriPharma, you will be responsible for accurate and timely verifications of patients' medical insurance coverage and securing medical prior authorization to...

Medical Coder and Biller (Vascular Procedures) Location: Sacramento, CA (or Remote) Schedule: Full-Time and Part-Time positions Salary: Competitive Salary & Bonus Program Benefits: Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc. About Us With a growing network of locations, California Foot & Ankle Centers (CALFAC) and the Vascular Institutes in Sacramento, Dallas, and Houston provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular surgery and endovascular procedures. We have been serving patients for over 60 years, building a loyal patient base keeping our clinic locations busy with little to no marketing during that time. Our highly-competent doctors and medical staff all believe in giving a caring approach to each patient, as well as our utilizing the most modern technology available. Further, we conduct clinical trials and podiatric research at all of...

Department: Health Information Management SVH Exempt: No Schedule: DAYS Position Type: Full Time 0.6 FTE or More FTE: 1.000000 Base Wage $36.27 to $48.64 Location: Skagit Valley Hospital Sign-On Bonus: $1,000.00 The information described in this job description has been designed to indicate the general nature of the work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Other information: Job Summary Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS,...

JOB PURPOSE: To abstract and code compliantly, accurately and completely as well as group each account to the appropriate DRG to facilitate data quality and ensure accurate and timely reimbursement. Verifies reviews, analyzes, and abstracts medical information; researches missing medical information; assigns accurate codes; appropriately queries physicians when required; elevates documentation issues to management; ensures valid orders are on the record prior to coding; communicates with HIM Director regarding obstacles with orders, charges, physician documentation. Demonstrates proficiency in the coding and grouping of inpatient accounts. ESSENTIAL FUNCTIONS INCLUDE BUT NOT LIMITED TO: Assures data quality by capturing codes and data while complying with NCCI, while maintaining a 95% or higher accuracy rate as validated by audit. Demonstrates consistent and efficient performance by coding a minimum of 3.5 to 4 inpatient accounts per hour. Queries physicians as...

JOB PURPOSE: This position is for an Outpatient Coder with Emergency Dept and Ambulatory Surgery coding experience. The coder will code Surgery, Emergency department, and Ancillary records. Emergency Dept coding includes injection & infusion coding as well as the assignment of the E&M Professional fee. Coder will demonstrate competency by meeting productivity standards and achieving an accuracy rate of 95% on all chart types coded. Will abstract and code every account compliantly, accurately, and completely, to ensure accurate and timely reimbursement and reporting. Verifies, reviews, analyzes, and abstracts medical information; researches missing clinical information; assigns accurate codes; appropriately queries physicians when required; elevates documentation issues to management; ensures valid orders are on the record prior to coding; communicates with Coding Manager daily regarding obstacles that prevent a chart from being coded. Demonstrates proficiency in the...

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, and innovate. We believe 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 reviews and accurately codes and abstracts the most complex hospital services, in-patient procedures, overnight / multi-night stay services and all other complex medical services. Utilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG...

Overview We are looking for an experienced and detail‑driven Medical Biller / Reimbursement Coordinator to join our growing practice. This role is essential to the financial health of our organization and directly supports our ability to provide uninterrupted, high‑quality care to our patients. In this position, you’ll take ownership of key revenue cycle functions, ensuring accurate and timely billing, proactive follow‑up on claims, and full compliance with payer and regulatory requirements specific to oncology and hematology services. If you enjoy problem‑solving, working with complex claims, and making a real impact in a healthcare setting, this is an excellent opportunity to apply your expertise in a meaningful way. About Us We are a compassionate, patient‑first Oncology & Hematology practice located in Edison, NJ. Every role on our team plays a meaningful part in supporting patients during one of the most important journeys of their lives. We pride ourselves on combining...

Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance JOB SUMMARY: Responsible for accurate inpatient and outpatient coding, timeliness of coding, and utilization of systems used to perform coding functions. Reports To: HIM Director Classification: Non Exempt Hours/Days: Mon - Fri, 8a to 5p In-Office QUALIFICATIONS: Minimum 2 years of coding experience, Coding credentials preferred. OCCUPATIONAL EXPOSURE: Office Environment RESPONSIBILITIES: 1. Assigning accurate CPT, ICD, HCPCS codes and modifiers from medical record documentation. 2. Identifying and abstracting information from medical records for audits, internal and external. 3. Work closely with the supervisor during audit procedures. 4. Retrieves Charts. 5. Abstracts accurately. 6. Reviews the unbilled on a daily basis to identify pending accounts. 7. Follows release of Information policies and procedures for H.I.M. Department...

Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance JOB SUMMARY: Responsible for accurate inpatient and outpatient coding, timeliness of coding, and utilization of systems used to perform coding functions. Reports To: HIM Director Classification: Non Exempt Hours/Days: Mon - Fri, 8a to 5p In-Office QUALIFICATIONS: Minimum 2 years of coding experience, Coding credentials preferred. OCCUPATIONAL EXPOSURE: Office Environment RESPONSIBILITIES: Assigning accurate CPT, ICD, HCPCS codes and modifiers from medical record documentation. Identifying and abstracting information from medical records for audits, internal and external. Work closely with the supervisor during audit procedures. Retrieves Charts. Abstracts accurately. Reviews the unbilled on a daily basis to identify pending accounts. Follows release of Information policies and procedures for H.I.M. Department and...

Location Avera Downtown Building-Sioux Falls Worker Type Regular Work Shift Primarily days with possible weekends/evenings/holidays (United States of America) Pay Range The pay range for this position is listed below. Actual pay rate dependent upon experience. $25.50 - $38.00 Position Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the timely and accurate assignment of diagnostic and procedural codes for inpatient charts for a variety of facilities within Avera Health. Accurate abstracting along with other reporting and editing functions is also within the scope of the Coder. The Coder will work to meet quality and production goals for the position with guidance from other professional staff. Position will work closely with and be mentored by other coding professional staff to ensure accurate coding assignment. What...