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Alertive Healthcare Medical Groiup
Full Time
 
Certified Medical Biller & Coder
Alertive Healthcare Medical Groiup Remote
Position Summary The Certified Medical Biller and Coder is responsible for accurately reviewing medical documentation, assigning appropriate diagnosis and procedure codes, and supporting the billing process to ensure timely and compliant reimbursement. This role plays a critical part in maintaining the integrity of the revenue cycle by ensuring claims are coded correctly, submitted efficiently, and compliant with payer and regulatory guidelines. The position requires strong knowledge of CPT, ICD-10-CM, HCPCS coding systems, payer requirements, and medical billing workflows. Essential Duties and Responsibilities Review provider documentation and assign accurate CPT, ICD-10-CM, and HCPCS codes Ensure coding compliance with Medicare, Medicaid, and commercial payer guidelines Verify documentation supports medical necessity and appropriate coding Apply correct modifiers and place-of-service codes Prepare and review claims prior to submission to ensure...

Mar 09, 2026
CNY Family Care, LLP
Full Time
 
Medical Coder and Auditor
CNY Family Care, LLP Hybrid (Initial training onsite. Hybrid schedule once/week in offce.)
CNY Family Care's commitment to excellence sets us apart and guides us as we provide care for our community. The Medical Coder and Auditor will be responsible to conduct prospective audits of coding and billing; analyze physician and provider documentation in outpatient office health records; correct evaluation and management (E/M) service levels, appropriate procedure codes, and any necessary modifiers.  Medical Coder and Auditor Responsibilities: Navigate the patient health record, office visit notes, and procedure reports in the determination of diagnoses, reason for visit, procedures, and modifiers to be coded. Code outpatient records utilizing coding books, online tools, and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers. Document individual encounter audit findings and communicates results to providers. Access charge work queues to validate and assign charges. Perform all required EMR functions as efficiently as possible and according...

Mar 06, 2026
University of Utah Health
Full Time
 
Outpatient/Provider Coder III
University of Utah Health Remote
Overview Top candidates will have experience with Oncology Coding.   As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA   This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for...

Feb 13, 2026
Lexington Health
Full Time
 
Professional Medical Coder I & II
Lexington Health West Columbia, SC, USA
Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation. Minimum Qualifications Minimum Education:   High School Diploma or Equivalent Minimum Years of Experience:   3 Years of Professional Coding Experience Covering Multiple Clinical and/or Surgical Specialties (Combination of Surgical, E/M, or other coding experience as approved by Director), which they Successfully Met Quality and Productivity Standards Substitutable Education & Experience (Optional):   None. Required Certifications/Licensure:   Active AAPC or AHIMA Coding Credential Required Training:   Experience working with CPT, ICD diagnosis coding; Experience with CCI edits; Experience with Medicare LCDs and NCDs; Understanding of state and federal regulations as well as payor...

Feb 02, 2026
SGMC Health
Full Time
 
Professional Coder
SGMC Health Remote (WV, USA)
JOB LOCATION:   Remote (Considering applicants residing in Georgia, Florida, Ohio, North Carolina, South Carolina, West Virginia, Utah, Arizona, and Missouri.) DEPARTMENT:   REVENUE CYCLE MEDICAL GROUP, SGMC Health SCHEDULE:   Full Time, 8 HR Day Shift, 8-5 Abstracts ICD-10 and CPT codes for Diagnosis and Procedures on professional services. Reviews and analyzes medical records verifying and coding the diagnosis, evaluation and management service, minor procedures, or other codes required for the completeness and accuracy of the record. Additionally, will code and/or review principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, any applicable supply, medication, and injectable drugs. Maintains communication with Management, Practice Manager, and Provider to ensure timely notification of identified documentation issues. Interact with other team members of the revenue cycle and provider clinics. Responsible for continuing education of...

Jan 23, 2026
NC
Full Time
 
EXPERIENCED Pro fee and outpatient Coder for coding denials
Nationwide Credit and Collection Inc Remote
Physician Medical Coder Job Listing   PLEASE READ JOB DESCRIPTION    Profee coder to review coding denials and correct/validate CPT, ICD-10, HCPCS and modifiers for physician services.  Our coders will review medical records, research payer policy, and NCDs to make coding corrections and resubmit corrected claims in an accurate and timely manner. We work closely with other team members and management to translate clinical documentation consistently and accurately into ICD-10 and CPT codes with proper sequencing and modifiers. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors.     Job Requirements     At least one active certification is required. Additional certifications a plus. Accepted certifications...

Jan 15, 2026
Gonzaba Medical Group
Full Time
 
Risk Adjustment Coder
Gonzaba Medical Group San Antonio, TX, USA
General Summary: This role focuses on the Risk Adjustment process that supports the documentation of acuity diagnoses for the Managed Care (MC) patient population and required activities for submission of records to Medicare Advantage (MA) payers under established capitated contracts. It assists with medical record reviews for HCC diagnoses, correct usage of various coding guidelines (ICD-10-CM, CPT, HCPCS) and federal and MA payor regulations, as well as clinical validation of appropriate supporting documentation.   Supervisory Responsibilities: This position has no supervisory responsibilities.   General Requirements: All duties performed will be done accurately and in a timely manner.   1.        Assumes responsibility for maintaining clinical competencies according to Gonzaba Medical Group policy. 2.        Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers. 3.        Must...

Jan 09, 2026
AAPC
Contract
 
Multi-Specialty Professional Coder - Contractor
AAPC Remote
AAPC is seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder. This position is a fully remote contract role. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will possess the following: Minimum 5 years of coding experience Extensive coding in multiple specialties including: all primary care specialties, anesthesia, general surgery, dermatology, and orthopedics. Excellent written and verbal communication skills Detail oriented and deadline driven attitude Sound knowledge of medical terminology Strong computer skills (Excel, Word, and internet) Ability to multitask and keep a sense of urgency Excellent customer service skills Strong time management, organization skills, and work ethic Job Duties:...

Oct 09, 2023
AC
Medical Coder
Audubon County Memorial Hospital & Clinics Audubon, IA, USA
Job Description Job Description Position : Medical Coder (Certified) Hours: Full-Time Department : Health Information Management General Description: Responsible for abstraction, assignment, and conversion of diagnoses and treatment procedures into codes using ICD-10 and HCPCS. This position will work collaboratively with HIM staff to code hospital inpatient, outpatient, and physician office episodes. Correlate information from appropriate supporting clinical documentation not limited to Pathology, Radiology and/or other Physician Consultations after review by the Attending Physician, wherever appropriate. Requires skill in the sequencing of diagnoses/procedures to optimize reimbursement. Ensures that records are coded in an accurate and timely manner. Coder will work on detailed physician chart abstractions and may be a liaison to documentation improvement to optimize physician coding practices for compliance and revenue purposes for the providers. Coder will conduct...

Mar 15, 2026
WR
Coder-Inpatient
White River Health System Inc Batesville, AR, USA
Job Description Job Description Coder-Inpatient JOB RESPONSIBILITY Perform Inpatient Medical Record Coding. Identify significant diagnoses and procedures and determine the principal diagnosis and procedure for each hospitalization accu­rately 95‑100% of the time to meet standard; 94% or less is below standard as documented by quality assurance activities. Assign correct classification codes for identified diagnoses and procedures accurately - 95‑100% of the time to meet standard; 94% or less is below standard, as documented by quality assurance activities. 3. Sequence all procedures performed according to the established AHIMA guidelines. 4. Code all inpatient medical records as documented on the daily worklists. Work task desktop maintain AR daily productivity. Standard : 1. Code all IP records with a minimum of 2 charts per hour. The goal is to code within 4 -7 days from discharge date. Employee shall maintain ongoing continuing education...

Mar 15, 2026
SL
Coder III Outpatient
Saint Luke's Health System Mountain Home, AR, USA
Job Description Our Coding team is seeking an advanced Outpatient Coder to join their team! Shifts: Full Time Hours are flexible - Monday- Friday. This is a remote position. Review clinical documentation as appropriate to extract data and assign appropriate ICD10, CPT, and HCPCS codes for billing, internal and external reporting, research, and regulatory compliance. Appropriately assign codes for diagnoses and procedures as determined by the clinical documentation. Ability to determine first listed diagnosis, secondary diagnoses, and surgical procedures. Analyze documentation and abstract pertinent data. Must maintain minimum quality and productivity standards. RHIT, RHIA, CCS, or CPC required with minimum 5 years of exp. Job Requirements Applicable Experience: 3-5 years Cert Professional Coder - Various The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only...

Mar 15, 2026
SL
Remote Outpatient Coder III — Flexible Hours & Impact
Saint Luke's Health System Mountain Home, AR, USA
A leading healthcare organization is seeking an advanced Outpatient Coder to join their remote team. The role involves reviewing clinical documentation to assign appropriate ICD10, CPT, and HCPCS codes for billing and compliance. Candidates must have 5 years of experience and certifications like RHIT, RHIA, CCS, or CPC. Join a faith-based health system dedicated to delivering outstanding patient care within a diverse and inclusive environment. #J-18808-Ljbffr

Mar 15, 2026
TF
CDI Specialist-Coder
Trillium Family Services Corvallis, OR, USA
Join Trillium Family Services - Make a Difference in Young Lives and Families Job Title: CDI Specialist Coder Employment Type: Full-Time Starting Pay: $23.00 per hour Position Summary The CDI Specialist Coder is a certified coding professional responsible for conducting real-time, retrospective, and incident-driven audits of clinical documentation to ensure it supports established standards, including medical necessity, CPT/HCPCS, and ICD coding accuracy. This position collaborates closely with clinical, Health Information Management (HIM), and billing teams to improve the quality and clarity of documentation. Through auditing, education, and query processes, the CDI Specialist Coder helps ensure accurate coding, regulatory compliance, reporting integrity, and improved patient care outcomes. Duties and Responsibilities Coding and Documentation Integrity Apply ICD-10-CM, CPT, and HCPCS coding guidelines accurately, ensuring correct assignment of primary and secondary...

Mar 15, 2026
Me
Certified Risk Adjustment Coder (Hybrid)
Medasource Boone, IA, USA
Certified Risk Adjustment Coder (CRC) Hybrid | Des Moines, IA (Onsite TuesThurs, Remote Mon/Fri) $40/hour | 6-Month Contract with Potential for Conversion We are seeking a Certified Risk Adjustment Coder (CRC) to support Medicare Risk Adjustment initiatives through detailed HCC medical record reviews and direct provider engagement. This role is ideal for someone confident, collaborative, and comfortable working onsite with provider teams to drive documentation accuracy and performance improvement. This position requires onsite presence TuesdayThursday in Des Moines, IA with 10% local travel , and remote flexibility on Mondays and Fridays. Position Overview This role performs concurrent medical record reviews to ensure accurate capture of HCC conditions and appropriate documentation reflecting patient severity of illness. The coder will collaborate closely with physicians, clinical leadership, and provider engagement teams to improve documentation practices...

Mar 15, 2026
UB
Coder I
Uintah Basin Healthcare Roosevelt, UT, USA
Job Description Job Description THIS IS NOT A REMOTE POSITION Job Summary Accountable for the conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses/procedures in accordance with coding guidelines. Ensures that records are coded in an accurate and timely manner. Duties and Responsibilities Demonstrates Competency in the Following Areas: Ensures that records are coded within three days of discharge, excluding weekends and holidays. Reviews the chart thoroughly to ascertain all diagnoses/procedures. Contact the responsible physician in a professional, tactful manner if the diagnosis is not available on the chart. Refers chart to the director if there is a question regarding the diagnoses/codes. Utilizes computerized coding/abstracting equipment. Codes all diagnoses/procedures in accordance with ICD-10-CM coding principles and the Coding Manual. Meets...

Mar 15, 2026
TE
Inpatient Coder
TEKsystems Highland Beach, MD, USA
*Description* The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Essential Job Duties: The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. 2. Utilizes critical thinking to analyze and evaluate documentation...

Mar 15, 2026
TJ
Medical Coder
TradeJobsWorkforce Arlington, VA, USA
Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action...

Mar 15, 2026
KH
Coder IV - 14441
Kaleida Health Olean, NY, USA
Coder IV Location: Olean General Hospital Location of Job: US:NY:Olean Work Type: Full-Time Shift 1 Job Description Review clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Education And Credentials Associate's degree from an accredited institution or have obtained...

Mar 15, 2026
CT
Certified Medical Coder
Claims Theory NY, USA
Certified Professional Coder / Bill Review Expert Responsibilities: Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned Assign proper codes as needed based on review outcome Use various resources, IE: eBooks, 3M software to support reviews Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customer in a professional easy to understand manner Participate in conference calls as needed with customer and/or attorneys Assist with various special projects and other duties as assigned Qualifications and Experience: 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules Strong communicate skills, must be able to explain outcome of review, both written and verbally Extensive knowledge of coding /documentation requirements Thorough knowledge of CPT, HCPCs, ICD-10 CPC/AAPC...

Mar 15, 2026
NH
Senior Coder
Northwell Health New Hyde Park, NY, USA
Job Description Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all...

Mar 15, 2026
MH
Coder II
Monument Health Rapid City, SD, USA
HIM Coder II HIM Coder II is responsible for coding a variety of services. Those services can include hospital outpatient, surgical services, hospital and clinic professional services as well as procedures and any ancillary services. The coder will be responsible for accurately assigning ICD-10 codes, CPT and HCPCS codes in accordance with Monument Health guidelines, Official coding guidelines and payor standards. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: Supportive work culture Medical, Vision and Dental Coverage Retirement Plans, Health Savings Account, and Flexible Spending Account Instant pay is available for qualifying positions Paid Time Off Accrual Bank Opportunities for growth and advancement Tuition assistance/reimbursement Excellent pay differentials on qualifying positions Flexible scheduling Essential Functions: Review and abstract information in the medical record to accurately...

Mar 15, 2026
NH
Appeal Resolution Coder
Northwell Health New Hyde Park, NY, USA
Job Description Job Description Responds to commercial payers, managed care and third party review organizations in managing the appeals/denials process. Supports the review of denial trends and identifies coding issues and knowledge gaps. Job Responsibility Supports denial reviews and response processes; prioritizes and reviews cases denied by commercial payers. Reports program performance and/or corrective action to management on regular basis. Assists in monitoring inpatient denial types, volume and formulates responses to requesting agency; seeks additional resources (e.g. legal counsel) to resolve issues, as needed; develops case-specific written rationale to substantiate and communicate findings. Addresses coding issues and knowledge gaps; functions as a organization resource for litigation as related to coding denials. Maintains hospital database. Remains up-to-date on DRG system literature from all agencies. Maintains coding clinic up-dates....

Mar 15, 2026
TT
Coder Reimbursement Specialist - Hospital
TechTammina LLC Cape Girardeau, MO, USA
Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

Mar 15, 2026
WR
Coder-Inpatient
White River Health Batesville, AR, USA
Coder-Inpatient Job Responsibility Perform inpatient medical record coding. Identify significant diagnoses and procedures and determine the principal diagnosis and procedure for each hospitalization accurately 95-100% of the time to meet standard; 94% or less is below standard, as documented by quality assurance activities. Assign correct classification codes for identified diagnoses and procedures accurately - 95-100% of the time to meet standard; 94% or less is below standard, as documented by quality assurance activities. Sequence all procedures performed according to the established AHIMA guidelines. Code all inpatient medical records as documented on the daily worklists. Work task desktop maintain AR daily productivity. Standard : Code all IP records with a minimum of 2 charts per hour. The goal is to code within 4-7 days from discharge date. Employee shall maintain ongoing continuing education and training as available. This will include seminars, literature,...

Mar 15, 2026
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