155 hcc profee coder jobs found

Title: HCC & ProFee Coder Location: Remote Job Type: Contract to Hire Compensation: $30.00 per hour (W2) Industry: Hospital & Healthcare About the Role Our firm is recruiting on behalf of a healthcare services client that supports health plans, provider organizations, and value-based care initiatives through advanced coding, risk adjustment, and documentation review services. We are seeking an experienced HCC & ProFee Coder to perform high-level coding validation, risk adjustment auditing, and clinical documentation review activities. This role is ideal for a coding professional with deep expertise in CMS HCC, Rx HCC, ICD-10-CM, and Medicare coding guidelines who thrives in a detail-oriented, quality-focused environment. Job Description The HCC & ProFee Coder is responsible for reviewing medical records to validate coding accuracy, ensure compliance with regulatory guidelines, and support risk adjustment and quality improvement initiatives. The position requires...

Dahl Consulting is recruiting for an experienced HCC & ProFee Coder to support a healthcare services client on a remote contract-to-hire basis. The role focuses on high-level coding validation, risk adjustment audits, and documentation review within CMS and Medicare guidelines. The ideal candidate has extensive ICD-10-CM knowledge, HCC modeling experience, and a track record of achieving coding accuracy. Strong communication and compliance with HIPAA are essential for success in this role. #J-18808-Ljbffr

Title: HCC & ProFee Coder Location: Remote Job Type: Contract to Hire Compensation: $30.00 per hour (W2) Industry: Hospital & Healthcare About the Role Our firm is recruiting on behalf of a healthcare services client that supports health plans, provider organizations, and value-based care initiatives through advanced coding, risk adjustment, and documentation review services. We are seeking an experienced HCC & ProFee Coder to perform high-level coding validation, risk adjustment auditing, and clinical documentation review activities. This role is ideal for a coding professional with deep expertise in CMS HCC, Rx HCC, ICD-10-CM, and Medicare coding guidelines who thrives in a detail-oriented, quality-focused environment. Job Description The HCC & ProFee Coder is responsible for reviewing medical records to validate coding accuracy, ensure compliance with regulatory guidelines, and support risk adjustment and quality improvement initiatives. The position requires...

## Profee Coder Primary CareApply: Remote: Remote Arizona: Full time: Posted Today: R4457384**Department Name:**Coding Ambulatory**Work Shift:**Day**Job Category:**Revenue CycleInnovation and highly trained staff. Banner Health recently earned Great Place To Work CertificationTM. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care.We are looking for a motivated, experienced **Profee Coder with at least 1 year of Primary Care coding experience** to join our talented team. In this role you can anticipate high volume coding for a busy family practice clinic, including charges for HCC diagnostic, and Annual and Physical exams.**Location: REMOTE, Banner provides equipment****Schedule: Full time;** **8am-5pm AZ time. Flexible scheduling after training completed.****Ideal Candidates:***...

Banner Health is seeking a seasoned Profee Coder for a fully remote role focused on Primary Care coding. You will handle high-volume E/M coding for a family practice, including HCC and annual/physical exams, while adhering to ICD/CPT guidelines. AZ hours are 8am–5pm with flexibility after training. Must have at least 1 year of PCP coding experience and active CPC/CCS/CCS-P/CCA/AHIMA or AAPC certification. Remote work is supported from multiple states, with production coding responsibilities and #J-18808-Ljbffr

Seeking a motivated Certified Profee Coder - AZ, the full-time remote position will manage high-volume coding for a busy family practice clinic, including charges for HCC diagnostics and annual physical exams, with flexible scheduling after training. Key responsibilities: Analyze medical records and accurately code diagnostic and procedural information in accordance with national coding guidelines Abstract clinical diagnoses and procedure codes into electronic medical records, ensuring completeness and accuracy Provide quality assurance for medical records, ensuring compliance with coding rules and regulations Required qualifications: At least 1 year of recent experience in E/M Family Practice coding Current certification through AAPC or AHIMA High school diploma/GED or equivalent training in medical record keeping principles Six months of professional coding services or related healthcare experience Knowledge of ICD and CPT coding principles as demonstrated by...

As a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. This role reports into the Manager I, Finance. As part of Amazon Health Services, you will find yourself working with exceptionally talented and dedicated people committed to driving financial improvement, scalability, and process excellence. To support our growth, this candidate must possess a strong passion for accountability, setting high standards, raising the bar, and driving results through constant focus on improving existing and future state operations, systems, and processes in collaboration with management. Key job responsibilities - Managing multiple coding related projects and ensuring deliverables are up to One Medical standards while being turned around in an acceptable time frame - Remaining current on CPT, ICD-10-CM coding guidelines, AHA Coding Clinic...

Amazon One Medical Senior Health Revenue CycleAs a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. This role reports into the Manager I, Finance. As part of Amazon Health Services, you will find yourself working with exceptionally talented and dedicated people committed to driving financial improvement, scalability, and process excellence. To support our growth, this candidate must possess a strong passion for accountability, setting high standards, raising the bar, and driving results through constant focus on improving existing and future state operations, systems, and processes in collaboration with management.Key job responsibilities:Managing multiple coding related projects and ensuring deliverables are up to One Medical standards while being turned around in an acceptable time frameRemaining current on CPT, ICD-10-CM coding...

Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced Profee Coder with at least 1 year of Primary Care coding experience to join our talented team. In this role you can anticipate high volume coding for a busy family practice clinic, including charges for HCC diagnostic, and Annual and Physical exams. Location: REMOTE, Banner provides equipment Schedule: Full time; 8am-5pm AZ time. Flexible scheduling after training completed. Ideal Candidates: Minimum 1 year recent experience in E/M Family Practice coding (clearly reflected in your attached resume); Must be currently...

Banner Health Corporate is seeking a motivated Profee Coder for a fully remote role. The position requires at least 1 year of Primary Care coding experience, with certification through AHIMA or AAPC in active status or eligible. The role focuses on high-volume E/M coding for a busy family practice clinic, including HCC and annual/physical exams. Aspectos include working remote with AZ hours (8am–5pm AZ time) and flexible scheduling after training. #J-18808-Ljbffr

Medical Records Coder II (20660517) job at CalOpps. San Francisco, CA. Description San Mateo County Health is seeking experienced individuals for the position of Medical Records Coder II for Correctional Health to provide coding for CalAIM billable services including ancillary services and clinic visits. Medical Records Coder II is the journey level class of this series, fully competent to independently code ICD10 and CPT Procedural coding or perform coding audits, provide physician education on coding issues or EM levels, and analyze and resolve billing edits. The successful candidate will be responsible for performing billing functions related to the Department of Health Care Services (DHCS) justice-involved CalAIM initiative. This initiative allows eligible incarcerated individuals to enroll in Medi-Cal and receive reimbursement for health care services provided within the 90 days prior to their release, supporting their successful reentry into the community. The vacant...

Summary This position is located in the Health Information Management (HIM) section at the Business Office at the Bay Pines VA Healthcare System (BPVAHCS). Medical Record Technician (Coder Inpatient) MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi­specialty clinics, and specialty centers. Responsibilities Total Rewards of a Allied Health Professional Medical Record Technician (Coder Inpatient) primary duties include but are not limited to: Assigns codes to documented patient care encounters (inpatient facility and/or professional services) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications,...

Coordinating Certified Medical Assistant Coordinating Certified Medical Assistants work processes and supervising CMAs for a Practice. Overseeing scheduling of staff, providing feedback on job performance, orienting new CMAs, and participating in the employment process. Supervising Lab and AAFP Proficiency Testing. Attending Lead Clinical Staff meetings. Performing daily huddles and rounding to influence. Assisting Practice Manager during monthly staff meetings. Keeping up to date with Valley Health System Clinical policies and best practices. Educating and monitoring CMAs compliance with such policies. Education Associates Degree in healthcare related field preferred and Completion of a formal Medical Assistant program that is recognized by the State of New Jersey. Current and valid certification as a certified medical assistant or registered medical assistant recognized by the Board of Examiners such as American Medical Technology (AMT), American Association of Medical...

Description Position Summary: The Certified Coder is a key position in two ways: First, the employee will be responsible for abstracting medical record data and assigning/reviewing codes using current clinical classification systems appropriate for the type of care provided. Second, the employee will be able to review Medicare Risk Adjustment, understanding Medicare Advantage Plans and evaluating medical records with attention to detail. Requirements Essential Functions 1. Reviewing and assigning codes to diagnosis and procedures in order to ensure proper financial reimbursement from insurance companies. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. Conducts claims audits/reviews, identifying opportunities for improving. 2. The Certified Coder is responsible for...

Job TitleValidates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.Seeking RN candidates with a HCS-D – Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York.Job Responsibility1. Leverages clinical expertise to identify and validate DRG code assignment.2. Full review of CDI suggested code changes.3. Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.4. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.5. Applies coding rules and regulations to the validation review process.6. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.7. Communicates DRG changes and rationale to the coding and CDI staff.8. Identifies appropriate coding...

Coding Auditor SeniorCandidates must reside either in Washington or Oregon to be considered for this position.Essential Responsibilities:Proficient in medical record review and translating clinical information into coded data. Identify and assign appropriate codes for diagnoses, procedures and other services rendered, while also validating any Computer Assisted Coded (CAC) assignments for dual coding. Utilizing the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software system for professional surgical services, analyzing and maintaining systems accuracy, validity and meaningfulness for both professional and facility services. Utilizes electronic patient data system and clinical information system (EpicCare) to access patient encounter information. Abstracts and enters clinical data elements as defined by the needs of the organization. Identifies and assigns principal diagnosis and procedure codes, sequencing them as needed for proper Ambulatory Payment...

Company Overview Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family's ability to pay or insurance status. Please click here to learn more about our locations. Job Description Do you have at least 7 years of experience doing complex profee surgical coding? Do you thrive on the challenge of diving into and researching proper codes to...

HCC Coding Quality EducatorLocation: Madisonville, Louisiana, United States of AmericaCategory: ClericalRemote: Office/Remote HybridSchedule: Full timeAt St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.Job Description and Position RequirementsScheduled Weekly Hours: 40Job Summary:The HCC Coding Quality Educator (HC) facilitates the improved integrity of medical record documentation through interaction with healthcare providers to support the appropriate representation of severity of illness, risk of mortality, acuity, and...

Coder ILocation: Remote Organization: Premier Orthopaedics, in partnership with Philadelphia Hand to ShoulderOverviewPremier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely. As two of the region's most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development.Position SummaryThis role is responsible for accurately reviewing medical records and assigning ICD-10 and CPT codes in compliance with all applicable policies and regulations. It manages patient demographics, clinical documentation, and billing data across practice management systems and hospital records to ensure proper coding and reimbursement. The position also supports and educates clinical staff and providers on documentation and coding standards to promote compliance, accuracy, and effective...

About Us Cooper Norcross Health, formerly Cooper University Health Care, is a leading academic health system affiliated with Cooper Norcross Medical School of Rowan University. Headquartered in Camden, New Jersey, Cooper Norcross Health has revenues of more than $3 billion and an A+ credit rating from both S&P and Fitch Ratings. Cooper Norcross Health has nearly 14,000 team members, including more than 2,200 nurses, more than 1,200 employed physicians representing 95 specialties and subspecialties, and more than 700 advanced practice providers. The health system operates MD Anderson Cancer Center at Cooper as well as four hospitals - its 663-bed flagship Cooper Norcross University Hospital in Camden, its 229-bed Cooper Norcross University Hospital Cape Regional in Cape May Court House, Children's Hospital at Cooper Norcross Health in Camden, and The Recovery Village Cherry Hill at Cooper, a substance abuse rehabilitation and inpatient treatment facility, in partnership...

CODER III - REMOTE Camden, NJ Job ID 72962 Job Type Full Time Shift Day Specialty HIM/Coding Apply About us Cooper Norcross Health, formerly Cooper University Health Care, is a leading academic health system affiliated with Cooper Norcross Medical School of Rowan University. Headquartered in Camden, New Jersey, Cooper Norcross Health has revenues of more than $3 billion and an A+ credit rating from both S&P and Fitch Ratings. Cooper Norcross Health has nearly 14,000 team members, including more than 2,200 nurses, more than 1,200 employed physicians representing 95 specialties and subspecialties, and more than 700 advanced practice providers. The health system operates MD Anderson Cancer Center at Cooper as well as four hospitals - its 663-bed flagship Cooper Norcross University Hospital in Camden, its 229-bed Cooper Norcross University Hospital Cape Regional in Cape May Court House, Children's Hospital at Cooper Norcross Health in Camden, and The...

About Us Cooper Norcross Health, formerly Cooper University Health Care, is a leading academic health system affiliated with Cooper Norcross Medical School of Rowan University. Headquartered in Camden, New Jersey, Cooper Norcross Health has revenues of more than $3 billion and an A+ credit rating from both S&P and Fitch Ratings. Cooper Norcross Health has nearly 14,000 team members, including more than 2,200 nurses, more than 1,200 employed physicians representing 95 specialties and subspecialties, and more than 700 advanced practice providers. The health system operates MD Anderson Cancer Center at Cooper as well as four hospitals – its 663-bed flagship Cooper Norcross University Hospital in Camden, its 229-bed Cooper Norcross University Hospital Cape Regional in Cape May Court House,  Children’s Hospital at Cooper Norcross Health in Camden, and The Recovery Village Cherry Hill at Cooper, a substance abuse rehabilitation and inpatient treatment facility, in partnership...