3477 coder professional jobs found

Certified Outpatient Medical Coder, Professional Billing Location: UCHealth Admin Lowry, US:CO: Denver Department: UCHlth Professional Coding FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $24.11 - $36.17 / hour. Pay is dependent on applicant's relevant experience Summary Assigns codes to medical diagnoses and procedures using appropriate coding classifications for assigned areas/record types. This is a 100% remote position; eligible out-of-state candidates may be considered. Responsibilities Reviews medical records to determine all appropriate diagnostic and procedural code assignments using the appropriate classifications systems. Assigns charges for applicable clinics/departments as appropriate. Communicates with department manager/supervisor on coding, compliance and documentation issues. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Enhances coding knowledge and skills...

Certified Medical Coder (Professional Review Specialist I) Job Category : Bill Review Requisition Number : CERTI010662 Posted : December 10, 2025 Full-Time Locations Showing 1 location Description 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 remote role. 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...

Functioning within the Health System’ mission, values, objectives, procedures and policies, the Coder – Professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity. Education: An Associate’s degree or completion of a certified coding program is required. Licensure/Certification: Current CPC or AHIMA Certified Physician Coder is required. Will consider candidate who is actively enrolled in certification program. To retain position, if individual without a current certification is hired into a Coder – Professional position, s/he must successfully obtain certification within one year of hire. Experience: A minimum of two years of coding experience in a physician’s office or hospital setting is preferred. Skills: Must be knowledgeable in grouper mechanics, medical necessity, clinical...

Certified Medical Coder (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 is a remote role. 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...

Anesthesia/Pain Coder 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 138 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 of recent experience in anesthesia and pain coding....

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. GENERAL SUMMARY Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned. QUALIFICATIONS Education: High School Diploma or successful completion of an equivalent High School...

Coder Professional-3 page is loaded## Coder Professional-3remote type: On-Site or Remotelocations: Remote Office - ILtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR103776**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coder Professional-3**Job Description**Coder – Professionals are responsible for professional coding includes the assignment of ICD-CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M codes) provider audits. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.Department: Physician Coding Hours: Full-Time, 40 hours a weekRequired: High School Diploma and CCA, CPC, RHIT, RHIA OR CCS within in 6 months of hire.Pay: Based on experience, starting at $22.72**Currently, we are accepting applications from the following states:**Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa,...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits. Communicates billing related issues and participates in meetings to improve overall billing process. Provides feedback to providers...

Coding Specialist Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides accurate and timely assignment of appropriate diagnostic and procedural codes on the medical records for the purpose of collecting and indexing quality health information for routine patient types (outpatient diagnostic, outpatient physician practice/clinic, inpatient physician services and/or emergency room encounters). Experience 3 years of experience in hospital and/or physician practice outpatient coding Preferred Qualifications No preferred qualifications Education High school diploma or equivalent...

Coding Specialist Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides accurate and timely assignment of appropriate diagnostic and procedural codes on the medical records for the purpose of collecting and indexing quality health information for routine patient types (outpatient diagnostic, outpatient physician practice/clinic, inpatient physician services and/or emergency room encounters). Experience 3 years of experience in hospital and/or physician practice outpatient coding Preferred Qualifications No preferred qualifications Education High school diploma or equivalent...

Job Description Job Description Description: JOB SUMMARY: The Medical Coding Specialist, Professional Fee is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, Evaluation and Management Guidelines, and CMS directives. Performs data entry of required abstracted patient information into the client’s information system. Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements. Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assign appropriate ICD-10-CM, E/M, CPT, HCPCS codes and modifiers to professional fee accounts as per designated workflow. Evaluation and management as well as surgical procedures may be assigned Abstract and enter coded data and/or charges for physician statistical...

Coding Specialist Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides accurate and timely assignment of appropriate diagnostic and procedural codes on the medical records for the purpose of collecting and indexing quality health information for routine patient types (outpatient diagnostic, outpatient physician practice/clinic, inpatient physician services and/or emergency room encounters). Experience 3 years of experience in hospital and/or physician practice outpatient coding Preferred Qualifications No preferred qualifications Education High school diploma or equivalent...

Coding Specialist Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides accurate and timely assignment of appropriate diagnostic and procedural codes on the medical records for the purpose of collecting and indexing quality health information for routine patient types (outpatient diagnostic, outpatient physician practice/clinic, inpatient physician services and/or emergency room encounters). Experience 3 years of experience in hospital and/or physician practice outpatient coding Preferred Qualifications No preferred qualifications Education High school diploma or equivalent...

Coding Specialist Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides accurate and timely assignment of appropriate diagnostic and procedural codes on the medical records for the purpose of collecting and indexing quality health information for routine patient types (outpatient diagnostic, outpatient physician practice/clinic, inpatient physician services and/or emergency room encounters). Experience 3 years of experience in hospital and/or physician practice outpatient coding Preferred Qualifications No preferred qualifications Education High school diploma or equivalent...

Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC. Participates in...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to providers in...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits. Communicates billing related issues and participates in meetings to improve overall billing process. Provides feedback to providers...

Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC. Participates in...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Job Description Essential Functions Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% Responsible for resolving all assigned pre-billing edits. 15% Utilizes appropriate coding software and coding resources in order to determine correct codes. 15% Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10%...

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for validating / reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office / clinic settings.Adheres to all coding and compliance guidelines.Maintains knowledge of coding / billing updates and payer specific coding guidelines for multi-specialty medical practice(s).Communicates with providers and team members regarding coding issues.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Validates / reviews codes for assigned provider(s) / Division(s) based on medical record documentation.Adheres to all coding and compliance guidelines.Responsible for resolving all assigned pre-billing editsCommunicates billing related issues and participates in meetings to improve overall billing processProvides feedback to providers in order to...

Certified Professional Coder A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements. Responsibilities Coding and abstracting: Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Documentation review: Analyze patient records for completeness, accuracy, and compliance with coding guidelines. Reimbursement analysis: Research and analyze data needs for accurate and timely reimbursement. Auditing and compliance: Conduct chart audits, identify coding discrepancies, and implement corrective actions. Communication and collaboration: Communicate effectively with healthcare providers to clarify coding issues and...