27 cpc certified professional coder jobs found in Vermont, WI

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The CPC will audit medical records for proper CPT/HCPCS coding and documentation, ensuring compliance with state, federal, and company guidelines. Strong communication and analytical skills are essential to articulate findings to investigators and regulators. The role requires 3+ years of coding experience, CPC certification, and knowledge of CPT/HCPCS, ICD-10, #J-18808-Ljbffr

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...

University of Vermont Health is seeking a Coder Level II for remote work in our Emergency Care Center coding team. You will assign ICD-10 CM diagnostic and CPT procedure codes to outpatient Fast Track accounts and may work in other outpatient areas such as Ancillary Services, Clinics, OB-GYN or Medical Necessity. The role requires familiarity with ICD-10CM and CPT guidelines, and AHIMA credentials. A strong accuracy rate and the ability to meet productivity standards are essential, with remote #J-18808-Ljbffr

Freeman is seeking a full-time coding professional to determine correct codes for diagnoses and procedures for office and surgical records. You will assign CPT and ICD-10 codes to support billing and reimbursement. Requirements include experience in coding, billing and compliance, proficiency with Word/Excel, and CPC certification (or within 6 months of hire). If homebound, residency in AR/KS/MO/OK is required. #J-18808-Ljbffr

Freeman is seeking a full-time coding professional to determine correct codes for diagnoses and procedures for office and surgical records. You will assign CPT and ICD-10 codes to support billing and reimbursement. Requirements include experience in coding, billing and compliance, proficiency with Word/Excel, and CPC certification (or within 6 months of hire). If homebound, residency in AR/KS/MO/OK is required. #J-18808-Ljbffr

University of Wisconsin Medical Foundation is seeking a full-time remote Medical Coder. This position allows work from most states with eligibility tied to approved remote work states. Requires progressive coding experience and active coding certification in lieu of formal education where applicable; high school diploma or associate degree preferred. Candidates with multiple specialties and HCC risk adjustment coding are favored. #J-18808-Ljbffr

University of Wisconsin Medical Foundation is seeking a full-time remote Medical Coder. This position allows work from most states with eligibility tied to approved remote work states. Requires progressive coding experience and active coding certification in lieu of formal education where applicable; high school diploma or associate degree preferred. Candidates with multiple specialties and HCC risk adjustment coding are favored. #J-18808-Ljbffr

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Sauk Prairie Healthcare, Inc. is seeking a Medical Coding Specialist – Outpatient to review medical reports and apply diagnostic and procedural codes for ambulatory services, primarily ED and Urgent Care. This remote role offers the option to work onsite and requires Wisconsin or Illinois residency. The position involves auditing records, collaborating with clinical departments, and staying current with coding changes. AHIMA/AAPC credentials must be obtained within six months of hire. #J-18808-Ljbffr

Datavant is seeking an HCC coder to review medical records and assign accurate ICD-10 codes following project guidelines. You will ensure adherence to ICD-10-CM rules, DRG guidelines, and client policies while maintaining high coding accuracy. The role supports remote work, requires at least 2 years of HCC coding experience, and AHIMA or AAPC credentials. You will contribute to data security and efficient risk adjustment processes in a fast-paced environment. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

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...

A healthcare organization is seeking a detail-oriented Medical Biller and Coder for its Podiatry Department. Candidates should have expertise in managing the billing process, accuracy in coding, and facilitating payments from both insurance companies and patients. Responsibilities include processing claims, verifying insurance coverage, and maintaining billing records. The ideal applicant will have experience in podiatry and possess excellent organizational skills. This full-time position offers competitive pay ranging from $25.00 to $50.00 per hour. #J-18808-Ljbffr

DaMar Staffing is seeking a facility/inpatient medical coder with extensive experience. The role requires five years in facility coding and four years in inpatient coding, along with advanced knowledge of medical terminology, pharmacology and ICD-10-CM/PCS and HCPCS/CPT coding. Candidates must possess RHIA, RHIT or CCS certification from the provided list. This on-site posting targets qualified coders from Washington or Oregon state and related regulatory guidelines. #J-18808-Ljbffr

Job Posting Candidates must be either from Washington State or Oregon State; candidates from other states will not be considered for this role. Minimum five years experience in facility coding with four years inpatient facility coding. Advanced knowledge of medical terminology, pharmacology and medical coding principles for ICD-10-CM, ICD-10-PCS, HCPCS/CPT and coding. Advance knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT classification systems, health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny for potential fraud and abuse issues. The candidate must have 1 from the following list: RHIA - Registered Health Information Administrator Certificate. RHIT - Registered Health Information Technician Certificate. CCS - Certified Coding Specialist. #J-18808-Ljbffr

Job Description Job Description Prairie Ridge Health is looking for a team member to join Business Services in the role of Claims Resolution Specialist. This position is 1.0 FTE (40 hours per week) and will work Monday - Friday, days. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed up in a timely manner... POSITION SUMMARY   The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed up in a timely manner. This position also requires corresponding with other teams on various types of errors to resolve claims needing additional review. They independently review accounts and apply billing follow up knowledge required for all insurance payors to ensure proper and maximum reimbursement.  Uses multiple systems to resolve outstanding claims according to...

Office Coordinator and Coder The Office Coordinator and Coder maintains a good attitude, strong, dependable work ethic, and uses excellent communication and organizational skills to oversee office/clinic system, ensuring efficient, effective, and patient-sensitive operations. Shift: 32 hours/week Schedule: Days Essential Duties and Responsibilities Maintains/updates physician files. Maintains secretarial/organizational skills at high level. Maintains monthly patients/procedure information file for data collections/reporting and dissemination of same to appropriate personnel according to guidelines. Responsible for coding of all surgeries/visits under physician directions Maintains high level of communication skills as well as computer/word processing skills. Education and Experience Associate degree/medical secretary or 2 years of coding experience Two years physician office experience or two to three years medical related office/supervisor experience Skills and Abilities...

University of Wisconsin Medical Foundation Medical Coding Specialist II- Orthopedics/Multi Spec (Finance) Work Schedule This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states. Approved Remote Work States List Qualifications Medical Coding education required. In lieu of a Medical Coding education, an active coding certification is required. High School diploma or equivalent preferred Associate's Degree in a healthcare related field preferred Work Experience 1 year of progressive coding experience required 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding preferred Licenses &...

Position Overview Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here. 100% Remote position with option to work onsite. Wisconsin or Illinois residency required. Title Medical Coding Specialist – Outpatient Position Specs FTE: 1.0 (40 hours per week) Schedule: Monday to Friday, five (5) 8-hour shifts between hours of 6am and 5pm Holiday Rotation: None Weekend Rotation: None On Call Requirements: None Position Summary Reviews medical reports and physician documentation for clinic and hospital outpatient services in order to apply diagnostic and procedural codes to individual patient health information for claims processing, data retrieval and analysis. This role will primarily focus on Emergency Department and Urgent Care coding but will also assist in other areas. Technical Responsibilities Assigns codes for ambulatory outpatient services using International Classification of Diseases (ICD) and Current Procedural Terminology (CPT)...

University of Wisconsin Medical Foundation seeks a Medical Coding Spec II for Dermatology/Multi Specialty within the Finance area. This is a full-time, 100% remote role with hours that may vary by department needs and interview-based discussions. Eligible applicants can work from most states, subject to UW Health remote-work state approvals. A Medical Coding education or active coding certification is required, with additional certifications and healthcare qualifications valued. #J-18808-Ljbffr

UW Health is seeking a Medical Coder for a full-time, 100% remote position. You can work from most states, with eligibility based on an active coding certification or Medical Coding education and an approved remote work state on file. The ideal candidate has 1 year of progressive coding experience, with 2 years in multiple specialties and HCC risk adjustment coding preferred. A High School diploma is acceptable when paired with credentials; an associate degree is preferred. #J-18808-Ljbffr

University of Wisconsin Medical Foundation seeks a Medical Coding Spec II for Dermatology/Multi Specialty within the Finance area. This is a full-time, 100% remote role with hours that may vary by department needs and interview-based discussions. Eligible applicants can work from most states, subject to UW Health remote-work state approvals. A Medical Coding education or active coding certification is required, with additional certifications and healthcare qualifications valued. #J-18808-Ljbffr

UW Health is seeking a Medical Coder for a full-time, 100% remote position. You can work from most states, with eligibility based on an active coding certification or Medical Coding education and an approved remote work state on file. The ideal candidate has 1 year of progressive coding experience, with 2 years in multiple specialties and HCC risk adjustment coding preferred. A High School diploma is acceptable when paired with credentials; an associate degree is preferred. #J-18808-Ljbffr

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...