5956 professional certified coder jobs found

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...

Certified Medical Coder, Springville NY Per Diem. Bertrand Chaffee Hospital is searching for a Per Diem Certified Professional Coder to join our team. All candidates must have substantial experience and require limited training. Per Diem staff will work a flexible schedule that meets performance expectations. Compensation $23.49 - $25.32 based on experience. Our Certified Medical Coders (CPC or CPC-A) provide quality review and analysis of a wide range of patient medical records ensuring accuracy of coding and maintaining records in accordance with accepted medical and legal standards. Code cases utilizing ICD-10 CM classification systems. Code outpatient and specialty services in an accurate and productive manner according to Federal, State, American Health Information Management Association (AHIMA) and hospital guidelines. Must be willing to work outside of traditional scope of activities when necessary to support department or hospital functions and when qualified to do so....

Job Description Summary Under experienced leadership the Professional Surgical Coder I is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. Using established department policies and procedures in conjunction with the current versions of ICD-10 and CPT-4, the Professional Surgical Coder I will determine the proper diagnosis, assign co‑morbidities and complications, secondary diagnoses and any HAC (Hospital Acquired Conditions) documented. As well as both E/M codes and procedure codes. The Professional Surgical Coder I is expected at South Shore Physician Ambulatory Enterprise to query providers when documentation requires clarification and he/she proactively works with medical leadership to address concerning documentation trends. The Professional Coder I works with direct support from and under the direction of the Billing and Coding Manager to...

Medical Coding Specialist Key Responsibilities: Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing...

Job Description Job Description Job Summary Very busy Orthopaedic Specialty practice seeking a full-time detail-oriented and highly organized Medical Coder/Charge Entry Clerk to join our team. This is not a remote position . Responsibilities to include but not limited to: Entry of all office based charges Review documentation and extract all applicable CPT, ICD-10, HCPS codes Knowledge of modifiers and correct coding guidelines Ensure all codes are accurate, active and billable Requesting addendums to documentation if necessary Assist office staff with billing/coding questions Compliance with all governmental and regulatory agencies Self-Pay collections process Knowledge of appeal process Payment Entry and balancing of daily payments/charges Position requires a Certified Medical Coder or minimum of 2 years prior medical charge entry and claims follow up experience. Hourly rate will be determined by current certifications and/or previous years charge entry...

POSITION SUMMARY Position Summary: Assigns ICD-10-CM and CPT codes for professional services using coding guidelines and principles to ensure appropriate billing processes, reimbursement follow up and analysis. Familiar with accounts receivable and collection activities. Utilizes resources available to ensure full compliance with federal Medicare and Medicaid laws and regulation provisions, and in keeping with the health center mission. POSITION QUALIFICATIONS Minimum Education High School or equivalent Coding Certification (CPC, CCS-P, CPC-H) or (RHIA or RHIT) Minimum Experience Two years coding experience preferred Knowledge of medical billing for physician services preferred Required Registration/License/Certification CPC, CCS-P, CPC-H, or other related coding certification or RHIA or RHIT.

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. Key Responsibilities / Essential Functions Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Analyze patient records for completeness, accuracy, and compliance with coding guidelines. Research and analyze data needs for accurate and timely reimbursement. Conduct chart audits, identify coding discrepancies, and implement corrective actions. Communicate effectively with healthcare providers to clarify coding issues and ensure accurate documentation. Keep abreast of changes in coding guidelines, regulations, and...

Shawnee Health Certified Professional Coder Join Southern Illinois' leading healthcare organization, with over 360 team members who believe that in taking care of each other and our patients and clients, we create new opportunities for success and bring big dreams to life. Shawnee Health is seeking a Certified Professional Coder for our Shawnee Health Remote Billing office. This position reports directly to the Assistant Revenue Cycle Manager. Responsibilities Completes coding and posting of charges for all provider specialties and payer types utilizing the patient encounter information as directed by physicians and medical records notes. Completes coding and posting for all hospital related visits and surgeries. Have a comprehensive understanding of coding rules and regulations by CMS, AMA, ADA and Medicaid. Conducts coding audits and reports feedback back to clinicians for educational and compliance purposes. Requirements High School Diploma Certified Professional...

Certified Professional Coder/ PIP Adjuster Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our medlogix technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients' needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers' compensation insurance carriers; third party administrators (TPAs); and government entities we serve. Exciting opportunity with the possibility for growth! This division of Medlogix is positioned for significant growth in the near future. We are actively hiring to expand the team and as the department grows, there may be opportunities for future advancement into leadership roles individuals who demonstrate mastery of the...

Urgent Requirement - Certified Professional Coder Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right...

Job Title Remote... need NY/NJ PIP experience and Certified coder from AAPC Responsibilities: Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes Assign proper CPT, HCPCs codes based on the review outcome Review CPT codes for unbundled services Review billed modifiers for accuracy of use Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customers in a professional easy to understand manner Use various resources, IE: eBooks, 3M software to support reviews Participate in conference calls as needed with customers and/or attorneys Participate in virtual and in-person testimony or trial when needed Assist with various special projects and other duties as assigned Qualifications...

Certified Professional Coder III As a Certified Professional Coder III, you will be part of a dynamic team of Cardiovascular Coders supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. Helping Novant Health deliver the most remarkable patient experience, in every dimension, every time. What You Will Do: Schedule: Monday Friday, daytime hours. Perform monthly site visits to assigned clinics in the Charlotte, NC area. Review surgical operative reports and abstract clinical diagnoses, procedure codes, and other pertinent information to bill appropriately for services. Perform coding of cardiovascular events (surgeries, procedures, office visits). Ensure all technical aspects of the assignment of diagnostic and procedure coding are carried out in accordance with established standards and in compliance with CMS, NCQA, third party payers and other regulatory agencies. Ensure physicians are...

Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: 5 years of experience into Project Management At least 2 years of experience after CPC or CCS certification Bachelor's degree is a must Certifications AAPC Certified Professional Coder (CPC) or AHIMA...

Certified Professional Coder Job Location: Hopewell, NJ Job Duration: 6 Months (possibility of extension) Payrate: $35 - $38/ hr. on w2 Job Summary: This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends. The role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. The position also provides education and guidance on ICD-10-CM coding, DRG assignment, payment methodologies, and auditing practices. Key Responsibilities: Lead hospital billing and coding audits, both on-site and remote Identify and present billing discrepancies and coordinate improper claim payment referrals Analyze trends related to documentation, billing errors, and provider contract interpretation issues Compile audit reports,...

AltaMed Health Services If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview Assigned codes to patient symptoms, diagnosis, operations, and treatments to process reimbursements, knowledge and expertise in reviewing and adjudicating coding services, procedures, and diagnoses on medical claims. Completes accuracy and timely entry of ICD-9-CM, HCPCS procedure codes, and CPT codes into the NextGen system. Minimum...

Certified Coder This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is for a Certified Coder who will provide coding expertise and clinical support across a wide range of initiatives and processes. This role requires close collaboration with cross-functional teams to ensure alignment with both clinical and business objectives, while supporting the successful execution of projects. This position is full-time (40 hours/week), Monday - Friday. Employees must work an 8-hour shift...

Certified Medical Coder II - Surgical Coder - $2000 sign on bonus Hybrid - Remote. . Hourly Salary plus monthly bonus! As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking,...

Certified Coder Make a Difference. Grow in Your Career. Thrive with Us. At Mindpath Health, we're on a mission to make mental health care more accessible and more human. As a national leader in mental health services, we empower our clinicians, support our teams, and prioritize care that helps people truly thrive. As the Certified Coder, you will be responsible for performing ICD-10-CM, CPT, and HCPCS for completing coding and billing audit to resolve coding related prebill or post bill charges, edits, or denials from A to Z. You will be responsible for interpreting and applying correct coding guidelines, payer guidelines, filing an appropriate level appeal or submitting medical records to payer, submitting and tracking/trending data to improve documentation and reduce/prevent denials. You will review, audit, and analyze documentation following correct coding and payer billing guidelines to determine overall accuracy of encounter/claim. This is a fully remote, full-time role in TX,...

Certified Coder This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is for a Certified Coder who will provide coding expertise and clinical support across a wide range of initiatives and processes. This role requires close collaboration with cross-functional teams to ensure alignment with both clinical and business objectives, while supporting the successful execution of projects. This position is full-time (40 hours/week), Monday - Friday. Employees must work an 8-hour shift...

Certified Coder This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is for a Certified Coder who will provide coding expertise and clinical support across a wide range of initiatives and processes. This role requires close collaboration with cross-functional teams to ensure alignment with both clinical and business objectives, while supporting the successful execution of projects. This position is full-time (40 hours/week), Monday - Friday. Employees must work an 8-hour shift...

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...

Clearview Cancer Institute in north Alabama seeks a Certified Professional Coder to input diagnostic codes for medical services in an outpatient oncology/hematology clinic. You will translate physician diagnoses into codes, ensure compliance with regulations, and support monthly evaluations. The role requires an Associate’s degree or CPC certification, at least one year of medical coding experience, familiarity with ICD-9, excellent typing and communication, and strong organization to manage #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...

Acentus is excited to announce an opening for the position of Certified Professional Coder Apprentice (CPC-A) on our team! In this role, you will play a crucial part in ensuring our professional medical billing and coding processes run smoothly, making a significant impact on our ability to help provide exceptional care to patients. We are looking for a friendly and organized individual who is passionate about medical billing and coding and eager to contribute to a supportive environment. The CPC-A position offers entry-level medical coding professionals real‑world coding experience through participation in the Acentus structured coding training program. This program provides hands‑on experience to help satisfy AAPC requirements for removing the apprenticeship designation from your CPC-A credential. Please note that this is not a fully remote position and does require employees to physically report to our office in Mt. Laurel, NJ. A semi‑remote schedule is available after...