169 coder ii professional fee jobs found

Coder II Professional Fee Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. The posted compensation range of $24.03 - $36.59 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. This is a senior level professional fee coding position with at least three (3) or more years' experience in multiple specialties; coding both inpatient and...

Coder II Professional FeeThis is a senior level professional fee coding position with at least three (3) or more years' experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines. This individual will also work with members of the Revenue Management team to address coding issues and concerns.Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:- Alabama- Arizona- Arkansas- Colorado- Florida- Georgia- Idaho- Indiana- Iowa- Kansas - Kentucky- Louisiana- Missouri- Mississippi- Nebraska- New Mexico-...

Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is a senior level professional fee coding position with at least three (3) or more years’ experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following...

Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Analyst II will perform an in-depth review of physician documentation and is responsible to present findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and Identify areas of improvement. Required Qualifications One (1) or more years of coding experience.Bachelor's degree in related...

Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and identify areas of improvement. Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and...

Professional Fee Coder - Analyst II Under the direction of the Revenue Manager and Associate Director, the Analyst II will support revenue operations related to coding, auditing, and training for designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. The Analyst II will perform an in‑depth review of physician documentation, present findings and recommendations to the department, assign codes based on chart review, resolve coding issues resulting from denials, and identify areas for improvement. Qualifications Required Qualifications One (1) or more years of coding experience. Bachelor's degree in a related area and/or equivalent experience/training. Experience working with CPT, ICD‑10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations as well as payor billing requirements. Working knowledge of the practices,...

Professional Fee Coder - Analyst II Under the direction of the Revenue Manager and Associate Director, the Analyst II will provide support in revenue operations related to coding, auditing, and training. The incumbent will provide education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines, perform an in‑depth review of physician documentation and present findings with recommendations, assign codes based on review of clinical charts, resolve coding issues based on denials, and identify areas of improvement in coding processes. Responsibilities Provide education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Perform an in‑depth review of physician documentation and present findings along with recommendations to the department. Assign codes based on review of clinical charts. Resolve coding issues based on denials. Identify areas of improvement in coding...

Responsibilities Provide coding, auditing, and training support for revenue operations under the direction of Revenue Manager and Associate Director. Educate physicians and clinical staff on documentation to ensure compliance with coding guidelines. Conduct in‑depth reviews of physician documentation and present findings with recommendations for physician education. Assign codes based on chart review and resolve coding issues related to denials. Identify areas for improvement in coding processes. Required Qualifications One year of coding experience or five more years of equivalent experience. Bachelor’s degree in a related field or equivalent training. Certified Professional Coder (CCA, CCS, or equivalent) with active AAPC or AHIMA certification and required continuing education credits. Experience with CPT, ICD‑10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations, and payer billing requirements. Working knowledge of the healthcare...

Job Description Professional Fee Coder – Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines, performing in‑depth reviews of physician documentation, presenting findings and recommendations to the department, assigning codes based on clinical chart reviews, resolving coding issues from denials, and identifying areas for improvement. Responsibilities Provide education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Perform in‑depth reviews of physician documentation. Present findings and recommendations to the department on physician education. Assign codes based on review of clinical charts. Resolve coding issues based on...

Certified Medical Coder I (Professional Review Specialist I) The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. Essential Functions & Responsibilities: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned Knowledge & Skills: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C...

ED Professional Coder II Preferred candidates are local (Onsite) or Hybrid workers within a commutable distance to NorthBay Campuses in Fairfield California. Candidates must be available schedule 7am -5pm PST. At NorthBay Health, the ED Professional Coder II will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner. This person is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system who can also effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital's abstracting system. Work focuses on ED using the approved classification Coding systems to include the modifiers. All work must...

Job Description At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. Qualifications Education: High School Graduate or...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office applications...

Position Summary At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Duties of a Coder may include the following, but are not limited to: Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance. Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services. Follows all HIPAA regulations and upholds a higher standard around privacy requirements. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting. Demonstrates proficiency...

Certified Outpatient Medical Coder - Remote/Contingent Opportunity Adams1and1 Consulting Services, LLC is immediately seeking resumes from qualified, credentialed medical coding professionals for inclusion in a federal healthcare proposal supporting outpatient medical coding services for the Department of Veterans Affairs. This is a remote, contingent position . Selection and employment are subject to contract award, Government approval, background investigation, system-access requirements, and final staffing needs. Position Title - Certified Outpatient Medical Coder Work Location Remote - United States All services must be physically performed within the United States. Personnel providing direct coding services must be U.S. citizens. Minimum Qualifications Candidates must possess: A current and active coding credential from either: American Health Information Management Association (AHIMA) , or American Academy of Professional Coders (AAPC) A...

Certified Professional Coder - Professional Review Specialist II The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a hybrid role. Training is onsite Full Time, then Hybrid once trained. Essential Functions & Responsibilities: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned Knowledge & Skills: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a hybrid role. Training is onsite Full Time, then Hybrid once trained. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office...

Salary : $64,311.76 - $95,813.52 Annually Location : Riverside Job Type: Regular Job Number: 26-13451-01 Department: RUHS-Medical Center Opening Date: 04/23/2026 For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section. ABOUT THE POSITION The County of Riverside - Riverside University Health System- Medical Records Department is seeking to fill multiple Certified Medical Records Coder positions. The incumbents will be responsible for performing advanced coding and abstracting of outpatient medical record entries according to the most current edition of International Classification of Diseases Clinical Modification System (ICD-CM) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Outpatient classification performs coding and abstracting of a high volume of patient records in the Medical Records Department and reports to an...

The County of Riverside - Riverside University Health System - Medical Records Department is seeking to fill a Certified Medical Records Coder position located in Riverside. Under general supervision, performs advanced coding and abstracting of inpatient medical record entries according to the most current edition of International Classification of Diseases - Clinical Modification System (ICD-CM), Procedure Coding System (PCS) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Inpatient classification performs the most complex coding and abstracting of a high volume of patient records in the Medical Records Department and reports to an appropriate supervisory or manager level position. The Certified Medical Records Coder - Inpatient is distinguished from the Certified Medical Records Coder - Outpatient in that the latter does not require an extensive knowledge of complex code and Diagnosis Related Group...

UCSF Health in Emeryville is seeking an Analyst II to support professional fee coding, auditing, and staff training across designated areas. You will educate physicians and clinical staff on documentation to ensure alignment with coding guidelines and preserve revenue integrity. Responsibilities include in‑depth documentation reviews, presenting findings, assigning codes from chart reviews, resolving denials, and identifying opportunities to improve workflows and system efficiencies. #J-18808-Ljbffr

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...