9 cpc certified professional coder jobs found in Bismarck, ND

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit, ensuring coding accuracy and compliance with CPT/HCPCS, ICD-10, CMS 1500 and UB04. The CPC must articulate findings to investigators, regulators, and leadership, and support efforts to identify billing errors, abuse, and fraud while maintaining documentation and up-to-date coding knowledge. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING:   Bonus Incentives  Paid Certifications  Tuition Reimbursement  Comprehensive Benefits  Career Advancement  This position will pay between $29.75 and $32.70/hr based on experience  Specialized Coders Wanted —$3,000 Sign‑On Bonus Awaits -- We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties.  The  Specialized Coder  is a certified coder with expert knowledge in physician coding for  Cardiology,   Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education.  Job Responsibilities:    Code claims directly from the medical record/operative report according to coding guidelines....

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes . Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines .  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties.   Job Responsibilities: Quality Review - Monitors and audits inpatient...

A leading health data platform company is seeking experienced inpatient coders to join their remote team. Candidates should have a minimum of 3 years of inpatient coding experience and be skilled in medical terminology and coding standards. The role requires maintaining high coding accuracy and productivity benchmarks. Ideal for those looking to shape the future of healthcare from their own workspace. #J-18808-Ljbffr

Intermountain Health in Las Vegas, NV is seeking an entry-level Risk Adjustment Analyst to learn coding for MA, Medicaid, and ACA programs. You will audit clinical documentation post-visit to ensure accurate coding in line with CMS/HHS guidelines and aim to obtain CRC certification within 1 year of hire. This role supports senior analysts, uses EMR and Microsoft Office, and requires strong communication. The position involves 40 hours weekly with an hourly rate of $28.06-$44.20 plus benefits. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Medical Coder This is an on-site (not remote) Certified Medical Coding position. You will be responsible for converting medical diagnosis, equipment and processes into standardized codes that are used when filing insurance claims. You will review, analyze, and correct coding of diagnostic and procedural information based on provider documentation to adhere to coding and compliance standards. You will use established systems that make it easy for insurers to recognize treatments covered under a patient's plan. You will gather documentation to validate the coding choices, examine all parts of a patient's visit including diagnostic tests, consultations, therapies, surgeries, in-office procedures and prescribed medications. As a member of the Business Office team, you may be asked to assist with other duties and tasks in the department, along with Central Scheduling, Surgery Scheduling and Patient Services. This is a full time on-site position, Monday - Friday, 8 am - 5 pm. No...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience * We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. * The Forensic Coder is a certified coder with expert knowledge in front and back end coding.  This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership.       Job Responsibilities: Complete root cause analysis of...