5521 professional coder jobs found

OnPoint Medical Group is searching for an outstanding Certified Professional Coder to join our team! This is a full-time position, and after the training period, the role may be remote for candidates who reside in Colorado. Come join a great group of medical professionals as our network continues to grow! OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Our "Circle of Care" has one primary goal - to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands. About the Role: The Certified Professional Coder (CPC) plays a critical role in the healthcare...

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 A...

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...

Yeo & Yeo Medical Billing & Consulting Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future we provide...

Health Information Management Professional Contributes to organizational success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients and other staff members of departments encountered. Adhere to coding rules for coding professional services for multiple specialties (such; neurosurgery, pediatric surgery, rehab, orthopedic, cardiology, etc.), urgent care, occupational health, family practice and other to ensure quality coding based upon documentation within the patient record. Follows policies, procedures and guidelines to assure consistent coding quality. At the same time utilizes analytical skills when reviewing charts, interpreting documentation and applying codes, sufficing edits, etc. Assures coding is completed timely and all work queues are maintained at a reasonable completion rate/turnaround timeframe. This includes the willingness to help others,...

Professional Coder Billing Charge Verifier Meritus Health is seeking a motivated and detail-oriented Professional Coder Billing Charge Verifier to join our dynamic coding team. If you're passionate about coding accuracy, provider collaboration, and supporting high-quality patient care, this role offers the opportunity to make a meaningful impact across multiple clinical settings. In this role, you will ensure the accuracy of charges and diagnoses selected by Meritus Health practitioners. You'll review provider documentation and assign appropriate ICD-10-CM, CPT, and E&M codes across a variety of encounter types, including: Provider office visits Residency Program encounters Urgent Care Hospital Observation Inpatient services Surgical encounters You will also serve as a coding resource and liaison for assigned physician practices, offering guidance, answering coding questions, and providing education to support documentation accuracy and compliance. You will:...

PROFESSIONAL CODER 2# PROFESSIONAL CODER 2## OverviewSalary Range$23.50 - $33.51 HourlyJob ShiftDayEducation LevelCertificateTravel PercentageNone## Description**Who You’ll Join:**At **Santiam Hospital & Clinics**, we believe exceptional patient care starts with a supportive and inclusive work environment. We empower every team member by providing access to advanced medical technology and continuous professional development. Join our collaborative culture, where your contributions are valued and your growth is encouraged.Bring your coding expertise to **Santiam Hospital & Clinics** as a **Professional Coder 2**, where your accuracy and attention to detail directly support quality care, compliant documentation, and a smooth revenue cycle. In this role, you will use your ICD-10 knowledge with your extensive understanding of payer requirements and reimbursement guidelines to review health information records, identify documentation opportunities, and collaborate with providers...

Job Description Job Description Certified Professional Coder (CPC-A/CPC) – Surgical Practice Location: Daphne, AL (In-Office) Pay: $22–$25 per hour Benefits: Health Insurance, 401(k) Match, 10 Days PTO About the Opportunity We are seeking a detail-oriented and motivated Certified Professional Coder (CPC-A or CPC) to join our growing surgical practice in Daphne, Alabama. This position will support a team of six surgeons by accurately coding surgical procedures and related services. The ideal candidate will have strong surgical coding experience and a solid understanding of Evaluation & Management (E/M) coding , although E/M experience is preferred rather than required. You will work alongside a collaborative coding team of two additional coders and play a key role in ensuring coding accuracy, compliance, and revenue cycle success. Key Responsibilities Review and accurately assign CPT, ICD-10-CM, and HCPCS codes for surgical services provided by six...

Position Certified Professional Coder / Bill Review Expert Location Remote Employment Details FMLA: Non-Exempt, Full-Time Schedule: M-F 8:00 AM - 4:30 PM Must Have PIP experience with a high level understanding of fee schedule guidelines in NY, NJ, FL, or MI required. CPC in good standing with AAPC required (may consider candidate with strong PIP experience, e.g., NJ/NY PIP adjuster). Responsibilities Use various resources to support reviews, such as CPT guidelines, CPT Assistant, Encoder Pro, and 3M Software. Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and/or NY-covered insureds. Interpret medical documentation to ensure accuracy of billed services (e.g., CPT, HCPC codes). Assign proper CPT and HCPC 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...

Job Description Job Description 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. About this role: 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...

Job Description Job Description Performs functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents. Insures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned. EDUCATION and/or EXPERIENCE * High school diploma or general education degree (GED) preferred * Certified Professional Coder certification required * Level and years of experience based on departmental needs * Extensive knowledge of CPT and ICD-10 coding * Knowledge of government regulations as they relate to teaching physician documentation and billing guidelines * Understanding of: the importance of compliance with all government, department, and contractual regulations regarding coding and billing; and provider requirements For this position, we will consider residents of the states below: Alabama Delaware Florida Georgia Maryland Pennsylvania Tennessee...

OnPoint Medical Group is searching for an outstanding Certified Professional Coder to join our team! This is a full-time position, and after the training period, the role may be remote for candidates who reside in Colorado. Come join a great group of medical professionals as our network continues to grow! OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Our "Circle of Care" has one primary goal – to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands. About the Role: The Certified Professional Coder (CPC) plays a critical role in the healthcare...

Job Description Job 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 is a hybrid role. Training is onsite Full Time, then Hybrid once trained . 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 understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient...

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 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...

Professional Coder II/III What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. UTHealth is seeking Professional Coder II and III candidates to join its Revenue Cycle – Charge Capture team. Responsibilities include coding and resolving edits for Emergency Medicine and ACTAT. Cardiology, Emergency, and Gastro coding experience, along with Epic proficiency, are preferred. Department: Revenue Cycle Status: Full-time Location: Remote (2 -4 weeks onsite for training @ 1851 Crosspoint Ave, 77054), Occasionally, onsite meetings/additional training, etc. Must live in Texas (TX) **We DO NOT provide lodging or mileage reimbursement for training** Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare...

AAPC/AHIMA Certified Professional Coder We are seeking a knowledgeable and experienced AAPC/AHIMA-certified Professional Coder to support Quality Assurance (QA) activities for HEDIS measure charts. The ideal candidate will have strong expertise in HEDIS measures, chart review, and quality validation, along with the ability to independently interpret NCQA guidelines. Key Responsibilities: Perform Quality Assurance (QA) on HEDIS measure charts and abstraction results Review and validate accuracy, completeness, and compliance of HEDIS data Analyze HEDIS measurement specifications and ensure adherence to NCQA guidelines Conduct detailed chart reviews to identify gaps, inconsistencies, and coding errors Interpret and apply HEDIS technical specifications during QA validation Perform independent research on HEDIS requirements using the NCQA manual Collaborate with internal teams to resolve discrepancies and improve data quality Provide feedback and recommendations to enhance...

Help Ensure The Accuracy Behind Exceptional Patient Care! Join our Revenue Integrity team and play a key role in supporting quality patient care through accurate coding, regulatory compliance, and revenue cycle excellence. As a Lead Revenue Integrity Coding Specialist, you'll combine your advanced coding expertise with leadership responsibilities to help ensure accurate reimbursement, mentor team members, and promote continuous quality improvement across the organization. If you enjoy solving complex coding challenges, collaborating across departments, and serving as a trusted resource for your team, we'd love to hear from you. Key Responsibilities Assign and sequence ICD-10-CM and CPT-4 codes for a variety of patient encounters, including inpatient, outpatient, ambulatory, and emergency department records. Accurately code advanced and complex procedural accounts with multiple components. Review medical records for documentation deficiencies and ensure diagnoses and procedures are...

Job Description Job Description Description: ABOUT US For over 55 years, we have been considered one of the innovative world leaders in the enhancement and improvement of care for foot and ankle medical conditions, sports medicine and clinical programs. Our mission is to improve the quality of life in a patient focused environment by providing the most advanced and knowledgeable foot and ankle care. WFAI has experienced phenomenal development, with expansion into 5 states and a future dedicated to continuing with that growth strategy. As our family expands, we stand by our core values, which include integrity, excellence, trust, caring, tradition and innovation. Position Summary: Responsible for reviewing clinical documentation to abstract and/or validate CPT and ICD-10 coding for Podiatry based coding experience, including evaluation & management (E/M) and surgical coding experience. The coder will ensure that medical records are coded in an accurate and timely...

Certified Professional Coder Job Category: Finance and Accounting Requisition Number: BILLI035488 Posted: June 4, 2026 Full-Time On-site Odessa, TX 79761, USA Description 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...

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

Professional Coder The Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 DX codes. This position is remote. Essential Duties and Responsibilities Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes. Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. Ensure established productivity and quality standards are met. Review denials, research and respond appropriately and timely. Perform audits as determined by management. Assist with all levels of application testing for...

Help Ensure The Accuracy Behind Exceptional Patient Care! Join our Revenue Integrity team and play a key role in supporting quality patient care through accurate coding, regulatory compliance, and revenue cycle excellence. As a Lead Revenue Integrity Coding Specialist, you'll combine your advanced coding expertise with leadership responsibilities to help ensure accurate reimbursement, mentor team members, and promote continuous quality improvement across the organization. If you enjoy solving complex coding challenges, collaborating across departments, and serving as a trusted resource for your team, we'd love to hear from you. Key Responsibilities Assign and sequence ICD-10-CM and CPT-4 codes for a variety of patient encounters, including inpatient, outpatient, ambulatory, and emergency department records. Accurately code advanced and complex procedural accounts with multiple components. Review medical records for documentation deficiencies and ensure diagnoses and...

Certified Professional Coder - PRN Full Time Professional Highlands Ranch, CO, US 8 days ago Requisition ID: 2843 Salary Range: $25.00 To $32.00 Annually OnPoint Medical Group is searching for an outstanding Certified Professional Coder to join our team! This is a PRN position, and after the training period, the role may be remote for candidates who reside in Colorado. Come join a great group of medical professionals as our network continues to grow! OnPoint Medical Group is a physician-led network of skilled Primary and Urgent Care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Our "Circle of Care" has one primary goal – to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs, and medical records all interlinked and...