7277 professional certified coder jobs found

Remote Coding SpecialistWork Mode: 100% Remote (Must live in NY, NJ, DE, PA, or CT states) Duration: 6 monthsResponsibilities:Understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction.Review medical records for completeness, accuracy, and compliance with applicable coding guidelines and regulations.Identify, compile, and code member/patient data using ICD-9/ICD-10-CM and other standard classification coding systems.Support the collection and distribution of documentation and coding improvement tools for designated practice units as applicable.Support educational activities for internal stakeholders as necessary as a subject matter expert on coding review/guidelines.Participate and engage in program improvement discussions and activities.Maintain department productivity and accuracy standards.Requirements:Current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a...

HIM Professional Physician Practice CoderMission Statement: We provide quality healthcare with compassion.Vision: Exceptional people, delivering exceptional care, for a healthier community.Values: We commit to accountability, respect, integrity, innovation, safety, and excellence always.About Rome HealthRome Health is a trusted healthcare provider with a long-standing commitment to serving our community with compassion, quality, and integrity. As one of Newsweek's Greatest Midsize Workplaces in Health Care (2026) with deep roots in the region and a strong history of clinical excellence, we provide reliable, patient-centered care across a wide range of services. Our culture is built on teamwork, respect, and accountability, and many employees build long, meaningful careers here-reflecting the stability and supportive environment we offer. We are equally committed to the future, investing in employee growth, development, and career advancement.The DepartmentThe Health Information...

Certified Professional Coder (CPC)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.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews 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.Activities...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information. JOB DUTIES AND RESPONSIBILITIES: Codes and abstracts professional fee hospital services performed by SLPG...

Urgent Requirement - Certified Professional CoderIntegrated 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 candidates. We...

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...

Grow Healthy 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 Requirements...

Certified Professional Coder (CPC)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.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews 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.Activities...

Job Description Job Description We are seeking a Certified Professional Coder (CPC) to join our small, collaborative team. The ideal candidate will support coding needs across general practice and specialty areas such as psychiatry. This role involves reviewing medical documentation, accurately assigning CPT and ICD-10 codes, managing authorizations and insurance registrations, and frequently communicating with clinicians, payers, billing staff, and patients. Familiarity with proprietary EHR systems and strong attention to detail are important for success. Hours - Part-time - 20-30 hours per week - Monday-Friday - exact schedule is flexible, but must be in our billing office located in Seven Valleys PA   Responsibilities Review medical documentation for coding accuracy Assign appropriate CPT and ICD-10 codes Identify and resolve documentation issues Obtain required authorizations Register insurance information accurately Communicate regularly with clinicians,...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews and ensure coding compliance across medical records, behavioral health, and other healthcare services. The CPC will determine correct coding, ensure documentation meets state, federal and company requirements, and identify billing patterns or fraud. Travel for meetings and potential testimony may be required. #J-18808-Ljbffr

Broward Health in Fort Lauderdale is seeking a qualified medical coder to assign diagnosis and procedure codes according to established guidelines. The ideal candidate must have a High School Diploma or GED and at least two years of coding experience. A Certified Professional Coder credential is required, along with specialized credentialing through AAPC. This position offers a dynamic work environment focused on timely billing processes and efficient data handling for providers. Join Broward Health and be part of an equal opportunity employer. #J-18808-Ljbffr

Certified Professional Coder CPC-A Join Bertrand Chaffee Hospital's Team! We are seeking a skilled and dedicated Certified Professional Coder (CPC-A) to join our Physician Coding team at Bertrand Chaffee Hospital in Springville, New York. As a valued member of our healthcare organization, you will play a crucial role in ensuring accurate and timely coding of outpatient services. About the Role: As a CPC-A , you will be responsible for reviewing and assigning appropriate ICD-10-CM and CPT codes for outpatient services, including physician notes, lab results, and other relevant documentation. You will also ensure compliance with coding regulations and standards, as well as maintain accurate and up-to-date coding records. Responsibilities: Assign accurate and complete ICD-10-CM and CPT codes for outpatient services Review medical records, physician notes, lab results, and other documentation to determine proper coding Conduct research to resolve coding discrepancies and...

Certified Professional Coder (CPC-A) - Springville, NY Join Bertrand Chaffee Hospital's Team! We are seeking a skilled and dedicated Certified Professional Coder (CPC-A) to join our Physician Coding team at Bertrand Chaffee Hospital in Springville, New York. As a valued member of our healthcare organization, you will play a crucial role in ensuring accurate and timely coding of outpatient services. About the Role As a CPC-A , you will be responsible for reviewing and assigning appropriate ICD-10-CM and CPT codes for outpatient services, including physician notes, lab results, and other relevant documentation. You will also ensure compliance with coding regulations and standards, as well as maintain accurate and up-to-date coding records. Responsibilities Assign accurate and complete ICD-10-CM and CPT codes for outpatient services Review medical records, physician notes, lab results, and other documentation to determine proper coding Conduct research to resolve coding...

Location: Orlando, FL Job Id: 266 # of Openings: 1 Valora Medical Group is a visionary company focused on high-quality primary care services and consisting of healthcare providers and professionals dedicated to the health and well-being of our patients. At Valora, we treat our patients like family. With multiple locations throughout the Dallas-Fort Worth and Central Florida area, we understand that providing quality medical care and an exceptional patient experience across all our centers requires having an outstanding team. A Risk Adjustment (MRA) Coder ensures all significant chronic conditions found in the patient’s chart affecting the risk score are identified to allow the Clinical Provider to determine which conditions are current so they can be addressed during the patient visit. This role is also responsible for proper identification of respective ICD-10 codes to ensure the accuracy of billing for addressed diagnoses. In addition, the MRA Coder/Auditor provides...

To support the coding team, the full-time Certified Professional Coder - PA will work remotely on cardiology coding tasks, including assigning PQRS codes, providing physician feedback on documentation, and ensuring accurate coding practices. Key responsibilities Identify incomplete documentation and formulate physician queries for clarification while providing education on coding processes Assign PQRS codes and assist in developing templates and processes for obtaining appropriate documentation Investigate and resolve reimbursement issues, including denials, while maintaining coding accuracy and productivity standards Required qualifications High school graduate or equivalent 3 years of physician coding experience in the applicable specialty Cardiology coding experience is preferred Graduate of an approved certified coding program preferred Licensure as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent certification

Certified Professional Coder UPMC Corporate Revenue Cycle is hiring a Certified Professional Coder to join our coding team to work on Cardiology coding. This position will be a work-from-home position working Monday through Friday during normal business hours. To be considered for this position, you must have three years of coding experience. In this role, you will have the same responsibilities as Coder II, but also be responsible for assigning PQRS codes and assist in the development of templates and processes to obtain the appropriate documentation. Provide feedback to the physicians on coding, documentation, edit, and denial issues. Responsibilities: Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process. Refer problem accounts to appropriate coding or management personnel for resolution. Make forward...

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities: Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to assess medical necessity and documentation compliance Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases Analyze medical records for payer disputes, recoupments, and appeals Prepare detailed, defensible written audit reports Provide expert review, affidavit support, deposition preparation, and testimony when required Interpret CMS...

Certified Professional Coder This posting is only for current Southern New England ENT employees. Positions will be offered in New Haven, Middletown, Cheshire, and Guilford. Position Highlights Department: Middlesex Health ENT and Facial Plastic Surgery Hours: Full-Time & Part-Time Positions Summary Certified Professional Coder (CPC or CPC-A) to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services in and complete review of medical records to accurately optimize all professional services documented for billing. Responsibilities Review of electronic medical...

Certified Professional Coder- Medical Biller Certified Professional Coder- Medical Biller 2 days ago Be among the first 25 applicants Women's Health Connecticut provided pay range This range is provided by Women's Health Connecticut. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr Direct message the job poster from Women's Health Connecticut Talent Acquisition Specialist II at Women's Health Connecticut Women’s Health Connecticut is seeking to hire a Full-time, Certified Professional Coder (CPC)- Medical Biller at our corporate business office in Rocky Hill, CT. Position : Certified Professional Coder (CPC)- Medical Biller Location : Women's Health CT- HQ Working arrangement : Hybrid, 2-3 days per week in-office Employment Type : Full-time, 40 hours per week Schedule : Monday- Friday Reports to : Director of Revenue Cycle Management Position Summary: The CPC-Medical Biller is...

Job Description: Certified Professional Coder This is a full-time position which requires at least 2 years of medical billing experience, charge posting, payment posting, collections and A/R. You must be a certified professional coder with at least 1 full year of experience in orthopedic medical billing. This will involve claims management, follow-up and self-pay collections for our busy Orthopedic office Responsibilities: Codes and/or review diagnosis, co-morbidities, complications, and diagnostic procedures, Current with (CPT) (HCPCS-all levels, and any other classification systems that may be required Stay up to date with the latest medical compliance & reimbursement policies Review medical record information to identify all appropriate coding is in tune with the latest reimbursement policies & CMS guidelines Check on compliance issues, update Providers with accurate coding information and recommend new strategies to Providers Implement new coding guidelines...

Certified Professional Coder UPMC Corporate Revenue Cycle is hiring a Certified Professional Coder to join our coding team to work on Cardiology coding. This position will be a work-from-home position working Monday through Friday during normal business hours. To be considered for this position, you must have three years of coding experience. In this role, you will have the same responsibilities as Coder II, but also be responsible for assigning PQRS codes and assist in the development of templates and processes to obtain the appropriate documentation. Provide feedback to the physicians on coding, documentation, edit, and denial issues. Responsibilities: Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process. Refer problem accounts to appropriate coding or management personnel for resolution. Make forward...

Certified Medical Coder The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient's medical history, diagnosis, tests and treatment plan. Duties and responsibilities Primarily codes from final office visit, surgical/procedural operative reports signed by providers Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims Enters patient copayment information into the EMR Reconciles charges against the schedule list to ensure no charges are missed Investigates rejected claims to see why denials were issued as necessary Re-bills rejected claims in timely manner Maintains strict confidentiality and high degree of accuracy Consults classification manuals...