Professional coder 2 jobs | Healthcare Careers

Professional Coder 2

Atrium Health Wake Forest Baptist Winston-Salem, NC, USA

Join to apply for the Professional Coder 2 role at Atrium Health Wake Forest Baptist Department : 05509 WFBMG University Group Practice: WFBMC Main - Radiology: Xray Status : Full time, Benefits Eligible : Yes, Hours Per Week : 40, Schedule Details/Additional Information : Monday - Friday 8:00 Am - 5:00 PM JOB SUMMARY : Under general supervision, abstracts and codes hospital based, inpatient hospital, outpatient and ambulatory physician (and mid-level provider) services and special procedures. Uses standard ICD diagnosis and CPT professional coding guidelines, Medicare, Medicaid and other third-party regulations/requirements, as well as internal coding guidelines, in order to provide data for billing and reimbursement. EDUCATION/EXPERIENCE : High school diploma or GED equivalent with two years of medical coding experience in a similar environment, or eligibility for internal promotion based on achieving and maintaining Coder level II performance criteria by department for six...

AH

Professional Coder 2

Atrium Health Wake Forest Baptist & Wake Forest University School of Medicine Winston-Salem, NC, USA

Department 05509 WFBMG University Group Practice: WFBMC Main – Radiology: Xray Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details / Additional Information Monday - Friday 8:00 AM - 5:00 PM Job Summary Under general supervision, abstracts and codes hospital based, inpatient hospital, outpatient and ambulatory physician (and mid-level provider) services and special procedures (e.g., Emergency Room, Ambulatory Surgery, Day Hospital, Shetland Center, Forsyth Hospital). Uses standard ICD diagnosis and CPT professional coding guidelines, Medicare, Medicaid and other third‑party regulations/requirements, as well as internal coding guidelines, to provide data for billing and reimbursement. Education / Experience High school diploma or GED equivalent with two years of medical coding experience in a similar environment, or eligibility for internal promotion based on achieving and maintaining Coder level II performance criteria by department for six...

Full Time

Certified Coder - Skagit Regional Health

Skagit Regional Health Hybrid (Mount Vernon, WA, USA)

Join a dynamic team committed to supporting our employees and our community. Our Vision: Improving lives through compassionate and innovative healthcare. Schedule: Days - Variable, 40/hrs a week Base Wage: $36.27 to $48.64 Location: SRH Business Center, Mount Vernon, WA - Remote hybrid available Sign-On Bonus: $1,000.00 Apply online at www.skagitregionalhealth.org/careers Job Summary Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and assign Ambulatory Payment Classifications (APC) and/or Diagnosis-Related Group (DRG) codes. To ensure success you...

Full Time

Professional Review Nurse

CorVel Corporation Remote

Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/or technical expertise is utilized to address the provision of medical care and to identify inappropriate billing practices and errors inclusive of, but not limited to; duplicate billing, unbundling of charges, services not rendered, mathematical and data entry errors, undocumented services, reusable instrumentation, unused services and supplies, unrelated and/or separated charges, quantity and time increment discrepancies, inconsistencies with diagnosis, treatment frequency and duration of care, DRG validation, service/treatment vs. scope of discipline, use of appropriate billing protocols, etc. KNOWLEDGE & SKILLS: Concise and effective verbal and written communication skills Ability to interface with claims...

HM

Full Time

Director, Revenue Integrity, and Coding

Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center Hybrid (Woburn, MA, USA)

Director, Revenue Integrity, and Coding Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center Woburn, MA This position is a full-time hybrid remote role with two days required in our Woburn, MA office. Under the direction of the Senior Director, Revenue Cycle at Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center (BIDMC), the Director, Revenue Integrity, and Coding will develop and implement HMFP’s Revenue Integrity program for charge capture and charge reconciliation to ensure billing and coding compliance identifying any potential risk areas in professional revenue integrity and coding. Serve as regulatory resource for Medicare/ Medicaid reimbursement and third-party billing rules and coverage through self-directed education and communication across the enterprise. Acts as a subject matter expert for revenue integrity, professional CDM related issues and professional coding to...

Contract

Mid-Level Medical Coder

PAC GROUP LLC Remote

Location: Full-Time Remote Clearance: No Secret Clearance Required Starting Salary: $37.00/Hour Note: All positions require U.S. Citizenship. Applicants must be U.S. citizens — visa holders and green card holders are not eligible. “Candidates must hold valid credentials from either AAPC or AHIMA to be eligible to apply.” Please indicate the position(s) you’re applying for. Include your full mailing address (for equipment shipment), desired start date, and AAPC and/or AHIMA certification number(s) (with expiration date). If you’ve already applied through our website, there’s no need to reapply for this position! Assessment Protocol The assessment is strictly timed and must be completed within 1 hour. Once the link is opened, the timer is automatically activated. The assessment cannot be paused, reopened, or restarted. Only the initial attempt will be accepted for scoring. Candidates are provided with a 24-hour window to complete...

Full Time

Coding Operations Manager

Prestige Billing Services Hybrid (Miamisburg, OH, USA)

Coding operations manager is responsible for overseeing the medical coding team and ensuring the accurate and efficient coding of patient records for billing, compliance, and reimbursement purposes. Oversee insurance verification department. Needs skills with operational leadership, compliance oversight, team management, and process improvement within the healthcare revenue cycle. Experience: Equivalent of an Associate’s degree and two to three years of relevant emergency department or general medical coding experience. CPC required, CEDC additionally preferred. Strong expertise in all professional medical coding, including ICD-10, CPT and HCPCS coding. Excellent organizational skills and ability to multi-task. JOB RESPONSIBILITIES Oversee day-to-day operations of the medical coding team, ensuring timely and accurate coding and allocation of duties Ensure that all codes (ICD-10, CPT, HCPCS, etc.) are applied correctly and consistently according to official...

Full Time

On-site Medical Coder Educator - (AAPC or AHIMA)

Gonzaba Medical Group San Antonio, TX, USA

General Summary: The Coding Educator is responsible for the development, management, and oversight of a comprehensive coding program encompassing all activities of the organization. This position serves as the documentation and coding liaison to clinicians, ensuring compliance with government and organizational policies and procedures. Supervisory Responsibilities: General Requirements: This position has no supervisory responsibilities. All duties performed will be done accurately and in a timely manner. 1. Ensures customer service is always maintained at the highest level. 2. Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers. 3. Must always adhere to customer service expectations including in-person and virtual (via telephone, or telehealth applications) communication. 4. English and...

Full Time

AMBULATORY (Same Day Surgery) OUTPATIENT CODER (On Site-Andrews AFB)

LAREDO TECHNICAL SERVICES INC. Joint Base Andrews, MD, USA

AMBULATORY (Same Day Surgery) OUTPATIENT CODER ON SITE Joint Base Andrews, MD ABOUT US: Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world. LTSI connects the right people to the right opportunity. With our experience in placing our Team Members throughout the United States and overseas, we excel at providing experienced, professional personnel for a wide range of Professional and Office Administration as well as Medical services. Our goal is to provide the highest quality of professionals in the industry. LTSI’s culture delivers a strong work ethic while going above and beyond with a sense of urgency. We are the employee-driven company. We strive for excellence every day, which is what sets us apart from all the other government contractors. Our strong work ethic, sense of urgency and commitment to going above and beyond for our clients is what we value most! As a Certified...

Full Time Xtern Program

Medical Biller (Onsite ONLY)

DSouza & Associates Hockessin, DE, USA

📍 Wilmington, DE 🕓 Full-Time on-site | Healthcare Administration | Revenue Cycle Management About D’Souza & Associates For over 35 years, D’Souza & Associates has helped physicians and healthcare practices across the U.S. get paid accurately and on time. We’re a technology-driven medical billing and revenue cycle management firm that believes in precision, accountability, and continuous improvement. We combine human expertise with smart automation to simplify healthcare operations — and we’re looking for detail-oriented, motivated professionals to grow with us. What You’ll Do Enter and review patient, insurance, and billing data for accuracy Research and resolve claim issues and denials through payer communication and analysis Track claims and payments to ensure timely reimbursement Collaborate with internal teams and physician offices to clarify billing details Prepare and summarize reports on claim and payment activity Handle...

AH

Full Time Contract

FULL TIME, CONTRACT (CPC) CERTIFIED PROFESSIONAL CODER (CIC) CERTIFIED INPATIENT CODER (CCS) CERTIFIED CODING SPECIALIST

AGS Health Remote

AGS Health is seeking an Inpatient Coding Specialist who will be responsible for coding all requested inpatient medical records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment, while meeting specified productivity and accuracy standards. The coding specialist will also be responsible for abstracting key data required from the medical information consistent with UHDDS requirements and other regulatory coding guidelines. JOBS-TO-BE-DONE ( JTBDs): Codes all requested Inpatient records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment in accordance with coding guidelines. Abstracts, codes, and assigns necessary demographic and clinical data elements required. Writes appropriate, non-leading queries. Maintains quality and productivity according to client requirements. KEY SELECTION CRITERIA: Candidate qualifications : Certified through AHIMA or AAPC (CCS, CPC, or CIC) Minimum 2 years inpatient...

Full Time

Provider Coding Education Specialist

University of Colorado Medicine Remote (Aurora, CO, USA)

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking a motivated Provider Education Specialist to join our Audit, Compliance & Education team. This job can be performed 100% remotely and out of state candidates will be considered. The Provider Education Specialist will provide formal and informal coding and regulatory education to all attending Physicians, Residents, Advanced Practice...

Full Time

Surgical Profee Coder

UASI Remote

Join Our Award-Winning Team and Work with the Best! We are thrilled to share that UASI has been recognized as a Top Workplace by the Cincinnati Enquirer for the last three years! With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we’ve built and the long-term success of our dedicated team. At UASI, we offer HIM professionals the perfect balance: an exciting and fulfilling role that challenges you to utilize and enhance your coding expertise, combined with the flexibility and comfort of working from home. We are currently seeking experienced Surgical Profee Coders who are CPT coding experts in professional billing of surgical cases performed in both the inpatient and outpatient setting to join our team. The ideal candidate will be flexible, detail-oriented, with the ability to work independently, quality conscious and be able to adapt well to change. If you’re ready to take your career to...

WC

Full Time

Account Administrator

Weill Cornell Medicine OBGYN New York, NY, USA

Position Summary Under direct supervision, performs billing and account receivable activities to maximize insurance reimbursement and promote faster payments while ensuring compliance with departmental and Physician Organization (PO) billing policies and procedures Job Responsibilities As needed, assists with the development and implementation of revenue cycle strategies and workflows that will enhance cash collections, expedite account resolution and streamline billing processes. Reconciles revenue cycle matters such as past due accounts and invoices; reviews aging balances and takes appropriate actions to resolve unpaid receivables. Composes and maintains billing and/or billing compliance associated correspondence. Determines proper account resolution and/or adjustment as needed. Performs charge entry and/or payment posting within the practice management billing system as needed. Tracks and resolves issues on denied claims. Resubmits or appeals...

NC

Full Time

EXPERIENCED Pro fee and outpatient Coder for coding denials

Nationwide Credit and Collection Inc Remote

Physician Medical Coder Job Listing PLEASE READ JOB DESCRIPTION Profee coder to review coding denials and correct/validate CPT, ICD-10, HCPCS and modifiers for physician services. Our coders will review medical records, research payer policy, and NCDs to make coding corrections and resubmit corrected claims in an accurate and timely manner. We work closely with other team members and management to translate clinical documentation consistently and accurately into ICD-10 and CPT codes with proper sequencing and modifiers. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors. Job Requirements At least one active certification is required. Additional certifications a plus. Accepted certifications...

Full Time

Director, Compliance, Medical Coding (Remote)

Kaiser Permanente Remote (Washington, DC, USA)

When you join Kaiser Permanente, you’ll be part of an organization dedicated to total health. At every level and in every department, it’s what we stand for. By using your innovation and your creativity, you can play a role in the health of communities across town and around the country by serving 12.5 million of our members. No matter your background, your ideas can help drive a health care pioneer. You can play a role in the future of health. Director, Compliance, Medical Coding (Remote) Oakland, California Full-Time, Salary Range: $192,200 – $248,710/Year ******This is a 100% remote position, and you may be based in any of the following Kaiser Permanente locations: CA, GA, CO, OR, WA, VA, MD, or Washington, D.C. In addition to the responsibilities listed below, the position is also responsible for serving as a Risk Adjustment compliance subject matter expert related to coding functions, overseeing audit activity related to coding...

Full Time

Multi-specialty Profee Coding Specialist (Must have VistA EHR exp)

CorroHealth Remote

Coding Specialists are an important part of the Team at CorroHealth. The Coding Team Member will code multispecialty, professional fee charts. Specialties could include Podiatry, Plastics, Pediatrics, Family Medicine, OB, Ortho, General Surgery, Internal Medicine, Urgent Care, Pulmonary, ED, or a variety of other specialties. Must have VistA EHR experience. Team Member must be able to work from home and be independent in their coding skills. Provide various components of coding services to support our clients. Calculate ProFee and/or Facility E/M levels by using an algorithm created by our company Recognize critical care cases by patient acuity. Code surgical procedures typical of an ER setting to capture additional revenue when appropriate. Apply ICD-10-CM diagnosis codes to the highest level of specificity available. Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS Interpret coding...

Children's Orthopaedic and Scoliosis Surgery Associates

Full Time

Orthopaedic Medical Billing Specialist - In Office Position

Children's Orthopaedic and Scoliosis Surgery Associates St. Petersburg, FL, USA

Join Our Thriving Pediatric Orthopaedic Group! Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We are seeking a highly motivated Billing Specialist to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance. Role Overview: In this role, you will oversee the billing process for healthcare services, ensuring accurate claim submissions and full payment collection. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives. What You'll Do: Independently: Analyze claim denials and take corrective action, including corrected claims, reconsiderations, and appeals. Apply accurate adjustments based on insurance guidelines and contracts....

Full Time

Billing Specialist (Onsite Position)

CORE Orthopaedics and Sports Medicine Oxford, AL, USA

Primary Responsibilities • Review EMR Office Visit Notes to ensure correct CPT/HCPCS and ICD-10 Coding is assigned to each claim. • Obtain Consultation Notes and Operative Reports from hospitals and facilities. • Review Operative Reports and assign correct CPT/HCPCS and ICD-10 coding to each claim and/or and enter claims after coding team has assigned appropriate CPT/HCPCS and ICD-10 codes. • Daily reconciliation of ancillary services performed and billed. • Daily communication with the billing and coding team regarding requests for additional information as well as complete assigned billing tasks. • Work with the practice's billing team to ensure all patient and office visit information is entered correctly for clean claims submission. • Identify trends in claim scrub denials and communicate with the office manager and billing company to determine resolutions. Other Responsibilities Support office operations by performing general...

Full Time

Surgery Coder - Tier II

OrthoAlliance Remote

Description Position Summary: The Surgery Coder – Tier Two is responsible for reviewing operative reports and assigning accurate CPT, ICD-10-CM, and HCPCS codes for intermediate to complex orthopedic surgical procedures. This role ensures coding compliance with official guidelines and payer-specific rules to support timely and accurate reimbursement. This position requires a solid understanding of orthopedic anatomy, procedures, and documentation requirements. The Tier Two coder works independently with minimal supervision, may assist in mentoring Tier One coders, and supports documentation improvement efforts through collaboration with providers and internal teams. Full Time (Remote) Monday through Friday Days Core Values: Communication: Verbal and written communications are effective in soliciting and conveying information. Information is clear, concise and timely. OrthoAlliance Policies: Consistently adheres to OrthoAlliance Policies and...

EH

Full Time

Clinical Coding Auditor & Trainer

Elevance Health Remote

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. ***The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on an annual basis. Candidates must be willing to travel to New York twice a year to be considered for the position. *** Responsibilities: Conducts auditing of work performed by staff and present findings and recommendation for areas of improvement to management Under minimal supervision responsible for all aspects of auditing projects that are broad in nature and require originality...

Part Time Contract

Remote Medical Coder - Surgical, Anesthesiology & HCC Specialties | patients.app | Part-Time/Supplemental Income Opportunity

patients.app Remote

patients.app - a leading AI research team in health care Remote Medical Coder - Surgical, Anesthesiology & HCC Specialties Part-Time/Supplemental Income Opportunity Patients.app is a team of engineering researchers, MDs, and public health experts transforming healthcare delivery through advanced technology. We combine information from EMRs, HIEs, faxes, and PDFs to build complete patient pictures across national sites, using AI to create specialty-focused checklists, reports, and clinical documentation that supports treatment decisions. Our platform is currently deployed with leading health systems and maintains SOC 2 certification with the highest standards for data security and HIPAA compliance. We're seeking an experienced medical coder with expertise in surgical, anesthesiology, and HCC coding to join our remote team on a flexible, hourly basis. This position is ideal for certified coders looking to supplement their primary income. You'll play a crucial role in...

Full Time

Registered Nurse CRC Coding Auditor - Remote

Conifer Health Solutions Remote

JOB SUMMARY The CRC Auditor, conducts coding and documentation quality reviews and generates responses for cases that have been denied by commercial and government payors to ensure hospital inpatient, outpatient, and pro-fee claims, were coded and billed in accordance with nationally recognized coding guidelines, standards, regulations and regulatory requirements, as well as payor and billing guidelines. The responses generated by the Auditor may include system documentation of findings and / or a formal appeal letter. The Auditor will escalate trends to CRC leadership, Conifer Quality & Performance leadership and Conifer Compliance as warranted. The Auditor will perform analysis on clinical documentation, evidenced based criteria application outcome, physician documentation, physician advisor input and complete review of the medical record related to clinical denials. Assures appropriate action is taken within appeal time frames. Communicates identified denial trends and...

Full Time

Pro Fee & Pro Clinic Medical Coders

Healthcare Coding & Consulting Services (HCCS) Remote (USA)

Healthcare Coding and Consulting Services (HCCS) is excited to announce a full-time opening for an experienced and certified Pro Clinic and Pro Fee Coder . We are seeking coders with multispecialty experience . This is a remote, direct-hire position offering long-term career stability and growth with a company that values accuracy, professionalism, and coder-first support. At HCCS, we hire coders based on their specialty expertise, ensuring you are matched with chart types and providers where you can excel. Our coders work closely with our Coding and Scheduling Managers to maintain strong workflows and deliver high performance. As a family-owned company, HCCS does not outsource or rely on project-based contracts. All operations remain in the U.S., and we proudly offer W-2 positions with full benefits, job security, and a commitment to your professional growth. What We Look For in a Pro Fee Coder Minimum of 3 years of Pro Fee and/or Clinic...

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