1521 cln coder certified jobs found

Job Title Responsible for overseeing processing of clinic and hospital professional charges including updating of procedure and diagnosis codes in database coordinating reports and maintaining fee ticket files. Qualifications Education: High School graduate or GED. License, Certification and/or Registration: Certified Professional Coder or similar certifications (CCA, CPC, CCS, etc...). Maintains current coder certification. Experience: Three years of coding experience including one year of experience in a health care organization preferred. Additional Skills/Abilities: Knowledge of accounts receivable practices and medical patient accounting services procedures. Knowledge of coding and clinic operating policies and procedures. Knowledge of insurance agency reimbursement procedures and practices. Knowledge of the organization's policies and procedures. Skill in using computer and calculator. Ability to examine documents for accuracy and completeness. Ability to prepare...

Job Description Job Description ¡Transforma la calidad del cuidado en Puerto Rico como Codificador (CPC or CRC)! ???????? ¿Eres un profesional apasionado por la calidad, la innovación y el impacto en el mundo de la salud? En Provider Network Solutions, no solo diseñamos soluciones expertas e innovadoras para proveedores de servicios de salud y pagadores, sino que también transformamos vidas, asegurando atención de excelencia para los pacientes. ¿ Desde donde trabajarás? ???? Modalidad de trabajo presencial : Oficinas en San Juan, Puerto Rico. ????  Lunes a viernes | 8:00 a.m. – 5:00 p.m. Tu futuro empieza aquí: En Provider Network Solutions, valoramos la comunicación, el aprendizaje constante y la innovación. A través de nuestro Provider Innovation Center, formamos líderes que redefinen el ecosistema de la salud. ¡Y queremos que tú seas parte de esta transformación!  ¿Qué harás como Codificador? • Realizar auditorías internas de codificación...

Compliance Auditor Responsible for ensuring that all aspects of documentation, coding, and billing practices are in compliance with applicable laws, regulations, guidelines, and UMMS policies and procedures. Conduct audits to identify areas of non-compliance, assess risks, and collaborate with key stakeholders to monitor corrective measures when indicated. Responsible for validating that data abstracted from the electronic health record (EHR) is coded according to ICD-10-CM, CPT, HCPCS, AMA CPT guidelines, E/M guidelines, and CMS standards. Work is performed under limited supervision. Direct report to the Manager, Coding Compliance Training. Conduct independent compliance audits and review on the adequacy of medical record documentation to support the codes selected by providers and/or coders. Verify compliance with CMS guidelines, CPT, HCPCS, and ICD-10 standardized code sets, and internal coding and billing policies via documentation and coding review audits. Assist with...

Your Experience Matters At UP Health System- Bell, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve. What We Offer Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers: Health (Medical, Dental, Vision) and 401K Benefits for full-time employees Competitive Paid Time Off Employee Assistance Program - mental, physical, and financial wellness assistance Tuition Reimbursement/Assistance for qualified applicants And much more... Job Summary Coder Applies the appropriate diagnostic and procedural codes to individual patient health...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Under the general supervision of the Outpatient (OP) Coding Manager and OP Coding Supervisor, the OP Coder will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The OP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing.Job Description:Essential Duties & Responsibilities including but not limited to:Professional Coding Coding Responsibilities:· Provides review and/or...

Outlier is building a remote QA coder program. You will review AI-generated code, rate model responses, and craft clear computer science prompts. The role pays up to $34 USD per hour and includes incentive-like bonuses based on project metrics. This is a freelance, 1099 contract opportunity with flexible, location-independent work for applicants worldwide. Ideal candidates hold a Bachelor's in CS, have production code experience, and can express complex ideas clearly in English, with strong #J-18808-Ljbffr

Outlier is offering a remote, freelance opportunity for QA coders to help train AI models that generate and evaluate code. Work from anywhere; open to Latin America. Core project work pays up to $34 USD/hr with additional incentives through Missions, and top earners can increase beyond base rates. Ideal candidates have a CS degree, live production code experience, strong English, and meticulous attention to detail. This is a 1099 contract opportunity on Outlier.ai platform. #J-18808-Ljbffr

Location: Cincinnati, Ohio, United StatesCompany: MedpacePosted: 2026-10-08Our corporate activities are growing rapidly, and we are currently seeking a full-time, office-based Clinical Data Coder to join our Clinical Coding & Support team in Cincinnati, OH. This position will work on a team to accomplish tasks and projects that are instrumental to the company’s success. If you want an exciting career where you use your previous coding, pharmacy, or nursing expertise and can develop and grow your career even further, then this is the opportunity for you!ResponsibilitiesPerform accurate coding of medical terms and medications utilizing industry-wide standards as well as company standards;Coordinate the assignment of appropriate dictionaries for meeting study requirementsDevelop and maintain coding guidelines;Issue queries on adverse events, medications, and medical history terms to ensure high quality coding;Work collaboratively with the Medical, Data Management, Safety and...

Outlier is seeking QA coder experts to review AI-generated code and rate model responses. The role involves flagging errors, ensuring quality, and crafting prompts to push AI capabilities. Ideal candidates hold a Bachelor's in Computer Science, have production code experience, and can communicate fluently in English. This is a freelance, 1099 opportunity with flexible, remote work and diverse projects across Latin America. #J-18808-Ljbffr

Location: San Antonio, Texas, United StatesCompany: UT Health San AntonioPosted: 2026-10-19Location: San Antonio, Texas, United StatesCompany: UT Health San AntonioPosted: Job Description The Outpatient Coder-Senior is responsible for conducting the quality review of outpatient coding, assuring coding compliance with federal regulations, and maintaining up-to-date coding guidelines and coding policy changes. Reviews, interprets, and assigns diagnostic and procedural codes based on medical record documentation according to correct coding principles. Knowledge of edit resolution and ability to code complex OP encounters. Assists in mentoring and training new coders on workflows and applications. Preserves the confidential nature of the information. Supports and maintains UT Health San Antonio policies, protocols, and values. Works under the general supervision of the Coding Operations Manager in a hospital setting.Qualifications Knowledge of Official Guidelines for coding and...

Work From HomeWork From Home Work From Home, Indiana 46544 The Coder I Specialist Professional - Hospitalist/Office Visits reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on professional hospitalist and office visits. This position abstracts key data elements necessary for billing and data analysis. WHO WE ARE With 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 EXPECT Accurately 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...

Medical Coder at Bingham Healthcare Are you someone who enjoys solving puzzles, spotting the details others might miss, and turning complex information into accurate, meaningful data? Bingham Healthcare is looking for a motivated, detail-oriented Medical Coder to join our growing team! With providers across multiple specialties, you'll have the opportunity to work with a variety of medical records, diagnoses, and procedures. Your expertise will help ensure accurate coding, support proper reimbursement, and keep our healthcare operations running smoothly. If you enjoy independent work, problem-solving, and being part of a team that makes a real difference behind the scenes, this could be the perfect fit! On-site schedule: 2–3 days per week, based on provider needs. Why Choose Bingham Healthcare? Bingham Healthcare is one of Southeast Idaho's leading healthcare organizations, built on a commitment to quality care, teamwork, and community. When you join Team Bingham,...

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...

Job Description Job Description Description:   Join Our Team! Grand Peaks Medical is looking for a dependable, long-term Medical, Dental and Behavioral Health Certified Coder to become a valued member of our growing team! These are full-time, in-person positions based at our Idaho Falls clinic. Fluency in both English and Spanish is preferred but not required. We’re looking for individuals who are detail-oriented, efficient, and ready to thrive in a supportive and fast-paced healthcare environment. What You’ll Do: Process a wide range of medical claims Create claims, perform medical coding risk assessment Assign codes for diagnoses and procedures Ensures accurate billing and reimbursement Good understanding of ICD-10 codes, maximizing      specified diagnosis codes, CPT and modifiers  Understand and apply relevant laws Knowledge of OB billing preferred In depth understanding and training in areas of medical      terminology, anatomy and coding guidelines Why...

Urgent Requirement - Certified Professional Coder Full-time 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...

Revenue Cycle AuditValidates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.Job ResponsibilityLeverages clinical expertise to identify and validate DRG code assignment.Full review of CDI suggested code changesDemonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.Applies coding rules and regulations to the validation review process.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.Communicates DRG changes and rationale to the coding and CDI staff.Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations.Operates under general guidance and work assignments are...

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for...

Job Description Job Description Certified Coder Specialist (FT)  POSITION SUMMARY •    Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. •    Codes charts under the ICD-10-CM and ICD-10-PCS (HCPCS) System for statistical and DRG assignment purposes. •    Abstracts required data into hospital abstracting system. •    The outcome of information gathered is used to determine the hospital databse and reimbursement of hospital claims. •    Responsible for timely review of patient records in order to identify an appropriate selection of codes which will accurately reflect the reason for admission, extent of care received, and level of severity of illness.  OVERVIEW •    The evaluation is to assure individual performance, departmental goals and organizational goals are aligned. It is designed to support communication between the manager and the employee. Employee perception of their own...

Job Title The Inpatient, Outpatient/ER, or Clinic Coder codes all hospital and clinic discharged records of Medicare, Champus, Medicaid, Commercial Insurance and self pay patients for reimbursement and research in compliance with federal regulations, using ICD-9-CM, ICD-10-CM, ICD-10-PCS, and CPT-4/HCPCS classifications. Job Description JOB SUMMARY The Inpatient, Outpatient/ER, or Clinic Coder codes all hospital and clinic discharged records of Medicare, Champus, Medicaid, Commercial Insurance and self pay patients for reimbursement and research in compliance with federal regulations, using ICD-9-CM, ICD-10-CM, ICD-10-PCS, and CPT-4/HCPCS classifications. Job Requirements Minimum Education Must possess a high school diploma or equivalent. Minimum Work Experience Two years previous coding experience preferred and/or credentialing as an RHIT, RHIA, CCS, CPC, or CPC-H. Must have knowledge of ICD-9-CM, ICD-10-CM, CPT-4/HCPS, CPT-4/HCPCS coding guidelines, medical...

Medical Biller / Claims Specialist – In-Home Care Pay: $25.00–$27.00 per hour Location: Brea, CA (Hybrid – 2 days in office per week) Schedule: Monday–Friday, 8:00 AM–5:00 PM Employment Type: Full-Time, Hourly (Non-Exempt) Position Overview Medica Talent Group is seeking a detail-oriented Medical Biller / Claims Specialist to support billing, claims processing, and administrative operations for our In-Home Care division. This position will primarily focus on reviewing, preparing, and submitting healthcare claims through designated provider portals. The ideal candidate has experience in medical billing or healthcare claims processing and can manage high-volume transactions accurately and efficiently. Key Responsibilities Review, prepare, and manually submit healthcare claims through designated provider portals. Verify caregiver visit records, hours worked, and authorized services to ensure billing accuracy. Identify and resolve billing discrepancies, missing information,...