20 coc certified outpatient coder jobs found in Miami, FL

Summary:Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance.Responsibilities:Reviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Create electronic physicians queries within allowed scope for hospital outpatient coder.Reviews all appropriate work queues daily to address edits and make corrections following Health Information Management (HIM) coding policies and procedures. Conducts, audits and/or coding...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The Department of Health Information Management (HIM) has exciting Remote Full-Time opportunities for the following roles: Under the general direction of the Outpatient Coding Manager, the Outpatient Coder 1, 2 and 3 (H) reviews documentation in the electronic medical record (EMR) and assigns and sequences ICD-10-CM diagnosis codes and CPT procedure codes in accordance with national coding guidelines. The primary focus of these roles is to capture all encounter-specific diagnoses and procedure codes for accurate reimbursement, data collection, and research purposes. Outpatient Coder 1 High School diploma or equivalent and graduation from an accredited Health Information Technology...

Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote but open to applicants who reside in the state of Florida] Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine. Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do. Summary HIM Outpatient Coder 2 is...

5 physician nephrology practice in Miami requires a meticulous and experienced nephrology biller, coder and accounts receivable specialist. Revenue cycle management a plus. On-site or remote. Position requires excellent interpersonal skills, reliability and attention to detail. Benefit package includes health insurance, profit sharing and 401K retirement plan, life insurance

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The Department of Health Information Management (HIM) has exciting Remote Full-Time opportunities for the following roles: Under the general direction of the Outpatient Coding Manager, the Outpatient Coder 1, 2 and 3 (H) reviews documentation in the electronic medical record (EMR) and assigns and sequences ICD-10-CM diagnosis codes and CPT procedure codes in accordance with national coding guidelines. The primary focus of these roles is to capture all encounter-specific diagnoses and procedure codes for accurate reimbursement, data collection, and research purposes. Outpatient Coder 1 High School diploma or equivalent and graduation from an accredited Health Information Technology or...

POSITION: Remote Professional Fee Surgical Coder - Ophthalmology DEPARTMENT: Health Information Management START: ASAP LOCATION: Remote JOB DESCRIPTION: This is a Profee Surgical coding position with a focus on Ophthalmology. Candidates must have experience coding all things Ophthalmology from complex surgery, eye correction, cancer removal, etc. Ideally, this person would also have ancillary experience in diagnostic radiology, interventional radiology, and radiation oncology. The candidate must have surgical coding experience for a Level 1 trauma center and E/M. Under indirect supervision, the coder is responsible for the accurate coding of Ophthalmology encounters for a University Health System. This includes outpatient visit procedures, diagnoses, and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS), and other specialty systems as required...

Job Description Job Description We are seeking an experienced ASC / Outpatient Coding Auditor to join our team in a fast-paced, high-volume healthcare environment. This role is fully remote and offers competitive pay. If you have 3-5 years of ASC coding and auditing experience, and the ability to manage complex cases efficiently, you will be eligible to join our team of highly knowledgeable coders. We cover approximately 19 specialties performed in ASCs. You will be responsible for outpatient service types, providing feedback to coders and clients, and improving coding compliance through the reduction of coding liability and identification of lost revenue to a wide variety of healthcare entities. If you have experience working in large healthcare organizations and thrive in a challenging, dynamic setting, we encourage you to apply. Key Responsibilities: Review daily audit work queue assignments and audit documentation and coding of each claim. Ensure coding accuracy...

POSITION: Remote Professional Fee Dermatology Coder DEPARTMENT: Health Information Management START: ASAP LOCATION: Remote JOB DESCRIPTION: This is a Profee Surgical & non-Surgical coding position with a focus on Dermatology encounters. Candidates must have experience coding all things Dermatology. Candidate must have surgical coding experience for a Level 1 trauma center and E/M. Under indirect supervision, is responsible for the accurate coding of Dermatology encounters for a University Health System. Outpatient visit procedures, diagnoses, and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS) as well as other specialty systems as required by diagnostic category and facility Reimbursement guidelines. All work is carried out in accordance with the rules, regulations, and coding conventions of the American Hospital Association (Coding...

20 hours ago Be among the first 25 applicants Job Description & Requirements PRN IP Coder StartDate: 6/10/2025 Pay Rate: $30.00 - $40.00 PRN Remote IP Coder Job Summary Under indirect supervision, is responsible for accurate coding of all inpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record at an Acute Care Health System. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM/PCS, Centers for Medicare and Medicaid Services (CMS). Essential Functions And Responsibilities Must possess a thorough knowledge of ICD-10-CM/PCS coding principles and applications as they relate to acute care hospital coding and grouping Production expectations are 2 Per hour Epic Experience Required 3M preferred Thorough knowledge of Official Coding Guidelines and payer specific requirements When services/diagnoses...

Job Details Job Location : Miami, FL Salary Range : Undisclosed 1000 NW 57TH CT, Miami, FL 33126 At ClareMedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the ClareMedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, were working together to help seniors live happier, healthier, fuller lives. This position reports to the Manager of Risk Adjustment Coding. As a member of the Risk Adjustment team, the Outpatient Risk Coder works remotely in collaboration with hospitalists and hospital staff with opportunities for improved quality, risk adjustment coding performance. The Outpatient Risk Coder is a valuable resource in process improvement and identifying clinically appropriate risk adjusting conditions to capture. Must possess the ability to work...

Our patients have the peace of mind knowing that their health and well-being are our primary concerns. We give our health plan clients the confidence that their members are well taken care of. With over 11,000 at-risk members, we provide primary care and other services to seniors and families in our medical centers that are comfortable, convenient and staffed with caring professionals. Our activity and wellness facilities are filled with health plan members who know us for our distinct events and programs that cater to the communities we serve. Every day, we deliver on our promise to bring value based, quality healthcare to our patients. Overview The Certified Outpatient Medical Risk Adjustment Professional Coder is responsible for reviewing encounter notes and other supporting documentation and assigning diagnosis codes and procedure codes to create claims. Also, responsible for assigning appropriate level II codes to quality measures for HEDIS reporting. Follows official coding...

DRG Coding Auditor Principal Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical record and attending physician’s statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other...

Certified Medical Coder II Hybrid - Remote. Must be Florida resident. Salary plus bonus! As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000...

Job Details Job Location : Miami, FL Salary Range : Undisclosed 1000 NW 57TH CT, Miami, FL 33126 At ClareMedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the ClareMedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we’re working together to help seniors live happier, healthier, fuller lives. That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees’ growth and wellness and where their full potential and value are realized. At ClareMedica, we’re excited about great people like you. We’re even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities. Opportunity awaits – welcome to ClareMedica. This position reports to...

Join to apply for the Coder I - MPG - FT - Days - MSS role at Memorial Healthcare System 1 day ago Be among the first 25 applicants Join to apply for the Coder I - MPG - FT - Days - MSS role at Memorial Healthcare System Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being, and quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Reviews medical record documentation. May assign codes to medical diagnoses, procedures, and modifiers, when applicable, using appropriate coding classifications to ensure proper billing and compliance. Responsibilities Enhances and maintains coding knowledge and skills. Reviews work queues daily to address edits and makes corrections following procedures. Seeks clarification from healthcare providers to ensure accurate coding. Collaborates with billing department for...

Join to apply for the Coder I - MPG - FT - Days - MSS - Remote Eligible role at Memorial Healthcare System Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being, and quality of life for those entrusted to our care. Our unwavering commitment to our service vision is the foundation of The Memorial Experience. Summary Reviews medical record documentation and assigns codes to diagnoses, procedures, and modifiers to ensure proper billing and compliance. Responsibilities Communicates with insurance companies regarding coding errors and disputes. Abstracts data for billing and quality reviews. Ensures accuracy of patient data by collaborating with departments. Submits productivity reports and maintains coding standards. Participates in educational meetings to maintain certifications. Reviews and codes medical records, including outpatient encounters. Enhances coding knowledge and reviews work queues for corrections. Collaborates with billing...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis Related Groups (MSDRG) and All Patients Refined Diagnosis Related Groups (APRDRG) assignment and queries following official coding guidelines and regulatory requirements. Provides training and education based on audit results and any regulatory changes that effect Federal, State and American Health Information Management Association (AHIMA) guidelines. Responsibilities: Performs all other duties as assigned. Maintains thorough knowledge of ICD-10CM/PCS, and CPT coding principles and guidelines;...

Job Description Job Description WE ARE FLORIDA MEDICAL! Our 459-bed acute care hospital has made excellence in delivering healthcare a priority, and it shows: We are home to the Heart Institute of Florida, where our doctors have worked on the leading edge of cardiac care for more than 40 years. We are part of the Advanced Neuroscience Network, leading the way in brain and spinal care in Florida. We have a comprehensive stroke center that offers fast, effective stroke care for a strong recovery. At Florida Medical Center, we are committed to delivering the highest quality care possible to each of our patients. We strive to help patients achieve better outcomes, quicker recovery times, shorter hospital stays and ultimately, better health. As a result of our efforts, Florida Medical Center has received numerous prestigious awards and accolades from trusted organizations including the Florida Agency for Health Care Administration (AHCA) and the American Heart/Stroke...

WE ARE FLORIDA MEDICAL! Our 459-bed acute care hospital has made excellence in delivering healthcare a priority, and it shows: We are home to the Heart Institute of Florida, where our doctors have worked on the leading edge of cardiac care for more than 40 years. We are part of the Advanced Neuroscience Network, leading the way in brain and spinal care in Florida. We have a comprehensive stroke center that offers fast, effective stroke care for a strong recovery. At Florida Medical Center, we are committed to delivering the highest quality care possible to each of our patients. We strive to help patients achieve better outcomes, quicker recovery times, shorter hospital stays and ultimately, better health. As a result of our efforts, Florida Medical Center has received numerous prestigious awards and accolades from trusted organizations including the Florida Agency for Health Care Administration (AHCA) and the American Heart/Stroke Association. WHAT WE OFFER...

WE ARE FLORIDA MEDICAL! Our 459-bed acute care hospital has made excellence in delivering healthcare a priority, and it shows: We are home to the Heart Institute of Florida, where our doctors have worked on the leading edge of cardiac care for more than 40 years. We are part of the Advanced Neuroscience Network, leading the way in brain and spinal care in Florida. We have a comprehensive stroke center that offers fast, effective stroke care for a strong recovery. At Florida Medical Center, we are committed to delivering the highest quality care possible to each of our patients. We strive to help patients achieve better outcomes, quicker recovery times, shorter hospital stays and ultimately, better health. As a result of our efforts, Florida Medical Center has received numerous prestigious awards and accolades from trusted organizations including the Florida Agency for Health Care Administration (AHCA) and the American Heart/Stroke Association. WHAT WE OFFER Essential/stable...