1507 professional fee coder jobs found

Professional Fee Coder The Professional Fee Coder (ProFee) is responsible for reviewing provider documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for physician professional services. This role supports compliant coding, timely charge capture, and clean claim submission in accordance with AMA, CMS, and payer guidelines. Responsibilities include, but are not limited to: Review provider documentation and assign ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for professional fee services. Select appropriate Evaluation and Management (E/M) levels based on current guidelines (MDM and/or time and ensure documentation supports code selection. Apply modifier and global surgery rules accurately (e.g., 25, 24, 57, 58, 59, 78, 79) and comply with NCCI edits and payer policies. Ensure medical necessity and proper linkage of diagnoses to services; identify and resolve coding edits prior to claim submission when applicable. Query providers for...

Professional Fee Coder - Analyst II Under the direction of the Revenue Manager and Associate Director, the Analyst II will support revenue operations related to coding, auditing, and training for designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. The Analyst II will perform an in‑depth review of physician documentation, present findings and recommendations to the department, assign codes based on chart review, resolve coding issues resulting from denials, and identify areas for improvement. Qualifications Required Qualifications One (1) or more years of coding experience. Bachelor's degree in a related area and/or equivalent experience/training. Experience working with CPT, ICD‑10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations as well as payor billing requirements. Working knowledge of the practices,...

At Santiam Hospital & Clinics, we pride ourselves on fostering a supportive and inclusive work environment where every team member is valued and empowered to make a difference. Our commitment to excellence in patient care is matched by our dedication to employee growth and well-being. As part of our team, you’ll have access to cutting-edge medical technology, ongoing professional development opportunities, and a collaborative culture that encourages innovation and teamwork. Join us at Santiam Hospital & Clinics, where your skills and compassion will be appreciated, and together, we can make a positive impact on the health and lives of our community.With 12 clinics offering 8 specialties, you’ll be part of a diverse and dynamic healthcare community. We’re proud to have been named the 2025 Best Place to Have a Baby, Best Hospital as well as receiving accolades for our Surgery Center, Medical Facility and Women’s Clinic, reflecting our unwavering commitment to providing...

Reviewing clinical documentation to assign and sequence diagnostic and procedural codes, the full-time Remote Professional Fee Coder will ensure accurate billing and reimbursement while maintaining compliance with regulatory requirements. Key responsibilities Select and sequence ICD-10 and/or CPT/HCPCS codes for various patient types, ensuring accuracy in documentation Review facility records to validate APC assignments and ensure they reflect documented diagnoses and procedures Maintain patient confidentiality and participate in ongoing education to stay current with coding guidelines and regulations Required qualifications An active AHIMA or AAPC credential, such as RHIA, RHIT, CCS, CCA, COC, CCS-P, or CPC Two years of recent and relevant hands-on coding experience Knowledge of medical terminology, anatomy, physiology, and coding systems Ability to consistently achieve a 95% coding accuracy threshold Proficient in MS Office applications, including Excel for data...

Professional Fee Coder The Professional Fee (ProFee) Coder is responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties and client environments. Coders may support single-specialty or multi-specialty engagements depending on client needs and experience. Core Responsibilities (Sage Standards) Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes Ensure documentation supports coded services and identify discrepancies Apply appropriate modifiers, NCCI edits, and payer-specific coding rules Ensure compliance with CMS, AMA, and payer guidelines Maintain 95% coding accuracy and meet established productivity standards Identify documentation gaps and escalate for clarification when needed Participate in quality reviews, audits, and ongoing coding education Minimum...

Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Analyst II will perform an in-depth review of physician documentation and is responsible to present findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and Identify areas of improvement. Required Qualifications One (1) or more years of coding experience.Bachelor's degree in related...

Professional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Analyst II will perform an in-depth review of physician documentation and is responsible for presenting findings along with recommendations to the department on physician education. The incumbent should be familiar with all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. This position will also assign codes based on a review of clinical charts, resolve coding issues based on denials, and identify areas of improvement and current work experience is essential. Note: The rate of pay starts at $45 per hour, and...

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a PROFESSIONAL FEE CODER to join our CODING team! The Professional Fee Coder accurately processes professional service charges, including verification of CPT and ICD codes through our EPIC Workques. May process technical component charges in compliance with Provider Based or RHC Billing requirements. The Professional Fee Coder will perform coding functions for either primary care or specialty focused areas. HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications Knowledge of coding principles normally acquired through an Associate's Degree in Health Information Management, Healthcare Business Services, or an equivalent program with emphasis in coding or a minimum of two years coding experience. Experience or...

Professional Fee Coder The Professional Fee (ProFee) Coder is responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties and client environments. Coders may support single-specialty or multi-specialty engagements depending on client needs and experience. Core Responsibilities (Sage Standards) Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes Ensure documentation supports coded services and identify discrepancies Apply appropriate modifiers, NCCI edits, and payer-specific coding rules Ensure compliance with CMS, AMA, and payer guidelines Maintain 95% coding accuracy and meet established productivity standards Identify documentation gaps and escalate for clarification when needed Participate in quality reviews, audits, and ongoing coding...

Job Description Job Description Description: The Professional Fee (ProFee) Coder is responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties and client environments. Coders may support single-specialty or multi-specialty engagements depending on client needs and experience. Requirements: Core Responsibilities (Sage Standards) Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes Ensure documentation supports coded services and identify discrepancies Apply appropriate modifiers, NCCI edits, and payer-specific coding rules Ensure compliance with CMS, AMA, and payer guidelines Maintain =95% coding accuracy and meet established productivity standards Identify documentation gaps and escalate for clarification when needed Participate in quality...

ED Professional Coder II Preferred candidates are local (Onsite) or Hybrid workers within a commutable distance to NorthBay Campuses in Fairfield California. Candidates must be available schedule 7am -5pm PST. At NorthBay Health, the ED Professional Coder II will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner. This person is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system who can also effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital's abstracting system. Work focuses on ED using the approved classification Coding systems to include the modifiers. All work must...

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...

About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical...

Nemours Children's Health is seeking a remote Professional Fee Abstractor to review professional sessions and apply ICD-10-CM, CPT, HCPCS codes, and modifiers per payer guidelines. The role requires collaborating with providers to ensure accurate coding across multiple specialties. The position supports 60–100 sessions per shift, focuses on high‑risk encounters, and aims to optimize charge capture while meeting production metrics and quality standards. #J-18808-Ljbffr

Overview At NorthBay Health, the ED Professional Coder II will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner. This person is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. They also effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital’s abstracting system. Work focuses on ED using the approved classification coding systems to include the modifiers. All work must be carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA, American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay...

Job Description Preferred candidates are local (Onsite) or Hybrid workers within a commutable distance to NorthBay Campuses in Fairfield California. Candidates must be available schedule 7am -5pm PST At NorthBay Health, the ED Professional Coder II will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner. This person is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system who can also effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital's abstracting system. Work focuses on ED using the approved classification Coding systems to include the modifiers. All work must be...

Job Description ***New Hires are eligible for a Sign-On Bonus*** Under the general direction of the Revenue Manager/Associate Director, this position is expected to function as a senior coder with a high degree of accuracy, proficiency, and production in the areas and specialties covered by the Faculty Practice Revenue Management Operations coding team. Applies specialized coding knowledge to manage a large range of coding combinations (approximately 1,500 – 5,000 combinations). Breadth of understanding of application of moderate to complex coding, coding modifiers, and correct coding initiative guidelines to autonomously manage extensive ICD-10 and CPT procedural codes and current work experience. May include both professional fee and technical coding application. Also guides a centralized coding team as a subject matter expert to improve the accuracy and efficiency of professional fee coding by the team. Note: We are offering a new hire sign‑on bonus of $2,000. All new...

POSITION: Remote Professional Fee Surgical Coder - Ophthalmology DEPARTMENT: Health Information Management START: ASAP LOCATION: Remote JOB DESCRIPTION: This is a Profee Surgical coding position with a focus on Ophthalmology. Candidates must have experience coding all things Ophthalmology from complex surgery, eye correction, cancer removal, etc. Ideally, this person would also have ancillary experience in diagnostic radiology, interventional radiology, and radiation oncology. The candidate must have surgical coding experience for a Level 1 trauma center and E/M. Under indirect supervision, the coder is responsible for the accurate coding of Ophthalmology encounters for a University Health System. This includes outpatient visit procedures, diagnoses, and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS), and other specialty systems as required by diagnostic...

POSITION: Remote Professional Fee Surgical Coder - Ophthalmology DEPARTMENT: Health Information Management START: ASAP LOCATION: Remote JOB DESCRIPTION: This is a Profee Surgical coding position with a focus on Ophthalmology. Candidates must have experience coding all things Ophthalmology from complex surgery, eye correction, cancer removal, etc. Ideally, this person would also have ancillary experience in diagnostic radiology, interventional radiology, and radiation oncology. The candidate must have surgical coding experience for a Level 1 trauma center and E/M. Under indirect supervision, the coder is responsible for the accurate coding of Ophthalmology encounters for a University Health System. This includes outpatient visit procedures, diagnoses, and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS), and other specialty systems as required by...

Responsibilities Provide coding, auditing, and training support for revenue operations under the direction of Revenue Manager and Associate Director. Educate physicians and clinical staff on documentation to ensure compliance with coding guidelines. Conduct in‑depth reviews of physician documentation and present findings with recommendations for physician education. Assign codes based on chart review and resolve coding issues related to denials. Identify areas for improvement in coding processes. Required Qualifications One year of coding experience or five more years of equivalent experience. Bachelor’s degree in a related field or equivalent training. Certified Professional Coder (CCA, CCS, or equivalent) with active AAPC or AHIMA certification and required continuing education credits. Experience with CPT, ICD‑10, E/M Documentation Guidelines (1995/1997), CCI edits, Medicare LCDs, state and federal regulations, and payer billing requirements. Working knowledge of the healthcare...

Santiam Hospital & Clinics seeks an experienced inpatient and outpatient professional coder to support our Health Information Management team. The role emphasizes accurate diagnostic and procedural coding while safeguarding patient confidentiality and complying with HIPAA regulations. Flexible remote or hybrid on-site work options are available. Minimum one year of coding experience is required, with CPC or CCS credentials preferred. #J-18808-Ljbffr

Anesthesia/Pain Coder Professional Fee Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. The posted compensation range of $26.26 - $44.56 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. This is a senior level professional fee coding position with at least three (3) or more years of recent experience in anesthesia and pain coding....

This is a remote based position. Applicants can be located nationwide Back Inpatient Professional Fee, Profee Medical Coder #2848 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust,...

This is a remote based position. Applicants can be located nationwide Back Inpatient Professional Fee, Profee Medical Coder #2848 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust,...