438 professional coder i jobs found

## Professional Coder IApplylocations: Weymouth, MAtime type: Full timeposted on: Posted Todaytime left to apply: End Date: July 27, 2026 (30+ days left to apply)job requisition id: R-21350**If you are an existing employee of South Shore Health then please apply through the internal career site.****Requisition Number:**R-21350**Facility:**LOC0014 - 549 Columbian Street549 Columbian StreetWeymouth, MA 02190**Department Name:**SHS Physician Services Admin**Status:**Full time**Budgeted Hours:**40**Shift:**Day (United States of America)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...

Professional Surgical Coder I 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...

Certified Medical Coder I (Professional Review Specialist I) Job Category: Bill Review Requisition Number: CERTI011475 Full-Time Locations Showing 1 location Description The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. Essential Functions & Responsibilities Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned Knowledge & Skills Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an...

About the Opportunity It is more than a career, it is a calling. MO-REMOTE Coder I, Professional at SSM Health. You will play a crucial role in ensuring accurate and timely coding of medical records. This is a remote position, allowing you to work from home while contributing to the success of our organization. Remote work is eligible in accordance with SSM policies; candidates must reside in MO, IL, OK, or WI (additional states may be considered). Job Summary Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Responsibilities Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. Identifies all billable services. Reviews all applicable data sources, including electronic health record, inpatient admit, discharge and transfer (ADT) reports, operative logs, nursing home...

South Shore Health System in Weymouth, MA is hiring a Professional Coder I to ensure accurate coding for outpatient and inpatient procedures. You will analyze medical documentation, assign diagnostic codes, and work collaboratively with healthcare providers to clarify information. The role demands strong analytical skills and requires certification as a Certified Professional Coder or Certified Coding Specialist. Ideal candidates will have an Associate's Degree and prefer candidates with 2-3 years of surgical practice experience. #J-18808-Ljbffr

Job: Professional Coder I Duration: 6+ Months Location: Newark, NJ 07105 Pay Rate: $40 - $42/hr on W2 Job Description: Summary: This position is accountable for accurately reviewing, interpreting, auditing, coding and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review may include inpatient, outpatient treatment and/or professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business. Responsibilities: • Can 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...

Coding Full Time AM Shift 8a-5p, Mon-Fri Sign-On Bonus: 5,000.00 Remote Position, Must reside in South Carolina - $5,000 Sign-On Bonus *OB/GYN experience preferred* Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center,...

Job Description Job Description Job Description A certified professional biller/coder (CPC) Salary 15-25 base on expertise and experience Responsibilities: ·        Overseeing the medical coding for all healthcare activities ·        Ensure that medical coding used is in compliance with all medical coding laws and regulations ·        Ensure that the coding used is for reimbursable expenses when necessary ·        Provide regular coding, Home Health coding, or hospital coding as appropriate ·        Communicating with patients regarding rejected claims or procedures ·         Interact with doctors, nurses, and office staff ·        Able to work during regular business hours and rarely work overtime or weekends as necessary ·        Responsible for entering charges in as accurate a manner as possible, which means coordinating with the doctor’s office to obtain any missing information (i.e., insurance cards, authorizations, op reports, etc.) Knowledge of correct CPT...

Clinic Coder I Certified Medical Coder responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for clinic/professional services, ensuring compliance, supporting revenue capture, and maintaining documentation integrity. Review and analyze medical records and documentation; assign correct ICD-10-CM, CPT, HCPCS codes; ensure regulatory compliance; collaborate with providers; conduct coding audits; provide coding guidance; stay current on coding regulations; resolve coding-related denials; maintain confidentiality. Minimum 1 year clinic/professional coding experience; proficiency in ICD-10-CM, CPT, HCPCS; strong knowledge of medical terminology, anatomy, physiology; strong analytical and communication skills; ability to work independently; familiarity with EHR systems and coding software. CPC or related certification; experience with coding audits and compliance; knowledge of Medicare, Medicaid, payer regulations; experience in clinic or professional billing...

Job Title: Clinic Coder I Department: Clinic Management Full Time/PRN: Onsite; full time Job Summary Certified Medical Coder responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for clinic/professional services, ensuring compliance, supporting revenue capture, and maintaining documentation integrity. Essential Duties & Responsibilities Review and analyze medical records and documentation; assign correct ICD-10-CM, CPT, HCPCS codes; ensure regulatory compliance; collaborate with providers; conduct coding audits; provide coding guidance; stay current on coding regulations; resolve coding-related denials; maintain confidentiality. Minimum Qualifications Minimum 1 year clinic/professional coding experience; proficiency in ICD-10-CM, CPT, HCPCS; strong knowledge of medical terminology, anatomy, physiology; strong analytical and communication skills; ability to work independently; familiarity with EHR systems and coding software....

Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system. Assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code. MISSION, VALUES and SERVICE GOALS MISSION: We deliver outstanding care, inspire health, and connect with heart. VALUES: Trust. Respect. Integrity. Compassion. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. At Beacon Health System, our commitment to world-class healthcare starts with the people we bring into our organization. We are focused on attracting, developing, and retaining top talent who are aligned to our mission and ready to make a meaningful impact in the communities we serve. We believe that access to great talent should not be...

Clinic Coder I Certified Medical Coder responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for clinic/professional services, ensuring compliance, supporting revenue capture, and maintaining documentation integrity. Review and analyze medical records and documentation; assign correct ICD-10-CM, CPT, HCPCS codes; ensure regulatory compliance; collaborate with providers; conduct coding audits; provide coding guidance; stay current on coding regulations; resolve coding-related denials; maintain confidentiality. Minimum 1 year clinic/professional coding experience; proficiency in ICD-10-CM, CPT, HCPCS; strong knowledge of medical terminology, anatomy, physiology; strong analytical and communication skills; ability to work independently; familiarity with EHR systems and coding software. CPC or related certification; experience with coding audits and compliance; knowledge of Medicare, Medicaid, payer regulations; experience in clinic or professional billing...

Location 1600 N. Main Street,Lovington, NM, 88260,United States Employee Type Full-Time Required Degree High school Manage Others No Name Meghan Waters Phone 575-396-6611 Ext 2805 Email careers@nlgh.org Description As a part of the Revenue Cycle team, Coders are responsible for the accurate coding/charge capture ( ICD 10-CM, ICD 10-PCS, CPT and HCPCS )of all records for Nor Lea Hospital District. The coder will perform review and audit of the medical records to support continual improvement optimize reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, and accurate database information. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. The coder serves as a liaison between the billing department and the clinical staff; utilizing denial trends, claim edits, and provider questions...

Job Description Job Description Job Summary The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital setting. The Coder is also responsible to assist the Revenue Cycle team. Under the direction of the System Director of Revenue Cycle, the Coder collaborates with the Providers, BMS Practice Managers, and COO to ensure timely and compliant billing for services provided. Job Requirements Minimum Education Requirement Training/certification from an accredited coding/billing program. Must be certified upon hire, or successfully complete certification exam within 3 months of hire. Minimum Experience Requirement Three years’ experience in medical office billing preferred. Working knowledge of computers, billing and basic office software, especially Excel. Ability to communicate with all levels of staff. Analytical ability to detect trends in...

Job Description Job Description Certified Coder Specialist (FT) POSITION SUMMARY • Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. • Codes charts under the ICD-10-CM and ICD-10-PCS (HCPCS) System for statistical and DRG assignment purposes. • Abstracts required data into hospital abstracting system. • The outcome of information gathered is used to determine the hospital databse and reimbursement of hospital claims. • Responsible for timely review of patient records in order to identify an appropriate selection of codes which will accurately reflect the reason for admission, extent of care received, and level of severity of illness. OVERVIEW • The evaluation is to assure individual performance, departmental goals and organizational goals are aligned. It is designed to support communication between the manager and the employee. Employee perception of their own performance is very...

Certified Coder Specialist (FT) Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. Codes charts under the ICD-10-CM and ICD-10-PCS (HCPCS) System for statistical and DRG assignment purposes. Abstracts required data into hospital abstracting system. The outcome of information gathered is used to determine the hospital database and reimbursement of hospital claims. Responsible for timely review of patient records in order to identify an appropriate selection of codes which will accurately reflect the reason for admission, extent of care received, and level of severity of illness. The evaluation is to assure individual performance, departmental goals and organizational goals are aligned. It is designed to support communication between the manager and the employee. Employee perception of their own performance is very important. To maximize the benefit of this process, both the manager and the employee...

Coder POSITION SUMMARY Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. Codes charts under the ICD-9-CM and HCPCS System for statistical and DRG assignment purposes. Abstracts required data into hospital abstracting system. The outcome of information gathered is used to determine the hospital database and reimbursement of hospital claims. Responsible for timely review of patient records in order to identify an appropriate selection of codes which will accurately reflect the reason for admission, extent of care received, and level of severity of illness. OVERVIEW The evaluation is to assure individual performance, departmental goals and organizational goals are aligned. It is designed to support communication between the manager and the employee. Employee perception of their own performance is very important. To maximize the benefit of this process, both the manager and the employee participate in the...

Coffee Regional Medical Center Coder POSITION SUMMARY • Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. • Codes charts under the ICD-9-CM and HCPCS System for statistical and DRG assignment purposes. • Abstracts required data into hospital abstracting system. • The outcome of information gathered is used to determine the hospital database and reimbursement of hospital claims. • Responsible for timely review of patient records in order to identify an appropriate selection of codes which will accurately reflect the reason for admission, extent of care received, and level of severity of illness. OVERVIEW • The evaluation is to assure individual performance, departmental goals and organizational goals are aligned. It is designed to support communication between the manager and the employee. Employee perception of their own performance is very important. To maximize the benefit of this process, both...

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...

Job Title Medical Records Coder I Job Description The Coder I reviews and analyzes documentation present in the medical record for both inpatient and outpatient visits to determine diagnoses and procedures as described by the physicians of record. Utilizing the International Classifications of Diseases, Ninth Revision (ICD-9) and Current Procedural Terminology (CPT), the Coder I translates the documented diagnosis and procedural information into coded data. Determination of code assignment is based on the official American Health Association (AHA) guidelines in addition to hospital specific and regulatory guidelines. The Coder I enters the coded data and other abstracted data from the medical record into hospital's electronic information system, facilitating the Health Information Services department's indexing responsibility for internal use (such as to support medical care evaluation studies), and mandated reporting requirements. Participates in chart review projects as...

Overview Department : Medical Records Schedule : Full Time, 40 Hours, Days Facility : Central Maine Medical Center Location : Lewiston, Maine, 04240 Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoastal Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services. Responsibilities The Coder I reviews and analyzes documentation present in the medical record for both inpatient and outpatient visits to determine diagnoses and procedures as described by the physicians of record. Utilizing the International...