1148 professional fee coder jobs found

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 - GENERAL SURGERY 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....

Job Title: Professional Fee Coder I Division: Patient Business Services Work Arrangement: Hybrid Location: Houston, TX Salary Range: $47,372 to $58,263 FLSA Status: Nonexempt Work Schedule: Monday - Friday, 8 a.m. - 5 p.m. Summary The Patient Business Services (PBS) Coding department is looking for a motivated, entry level I coder to review CPT, ICD-10 and HCPCS coding for physician services. Our coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges. The PBS Coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine, Baylor St. Luke's Medical Center, Harris Health Ben Taub Hospital, as well as outpatient...

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...

Job Type Full-time Description Required: Inpatient Neonatal, pediatric, and critical care professional fee coding experience Location: Remote Job Summary: 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...

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. Required Inpatient neonatal, pediatric, and critical care professional fee coding experience Responsibilities 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...

Professional Fee Coder - Analyst II Under the direction of the Revenue Manager and Associate Director, the Analyst II will provide support in revenue operations related to coding, auditing, and training. The incumbent will provide education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines, perform an in‑depth review of physician documentation and present findings with recommendations, assign codes based on review of clinical charts, resolve coding issues based on denials, and identify areas of improvement in coding processes. Responsibilities Provide education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines. Perform an in‑depth review of physician documentation and present findings along with recommendations to the department. Assign codes based on review of clinical charts. Resolve coding issues based on denials. Identify areas of improvement in coding...

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. Required : Inpatient Neonatal, pediatric, and critical care professional fee coding experience. Responsibilities 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...

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. Required : Inpatient Neonatal, pediatric, and critical care professional fee coding experience. Responsibilities 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...

Position Overview Aspirus Health in Wausau, WI is seeking a PROFESSIONAL FEE CODER - GENERAL SURGERY to join our CODING team. The role is full-time, 1.0 FTE, 80 hours biweekly. Responsibilities The Professional Fee Coder accurately processes professional service charges, including verification of CPT and ICD codes through our EPIC Workqueues. 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. Requirements 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 in general surgery area preferred. Experience or certification in a specialty area beneficial. Additional appropriate education may be substituted for the prior medical...

A healthcare organization in Wausau, WI is seeking a full-time Professional Fee Coder specializing in general surgery. The role involves processing service charges, ensuring coding accuracy using CPT and ICD codes, and verifying documentation in compliance with coding regulations. Candidates should possess an Associate's Degree or equivalent experience, be certified in coding within 18 months, and have strong communication skills. The position offers a comprehensive benefits package, including PTO from day one and a generous retirement plan. #J-18808-Ljbffr

Professional Fee Coder - Analyst II Under the direction of the Revenue Manager and Associate Director, provide support in revenue operations related to coding, auditing, and training. Responsibilities include providing education and training to physicians and clinical staff on documentation to ensure compliance with coding guidelines, performing in-depth review of physician documentation, presenting findings with recommendations for physician education, assigning codes based on chart review, resolving coding issues informed by denials, and identifying areas of improvement. 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, and payor billing requirements. Working knowledge of the practices, procedures, and concepts of the healthcare revenue cycle,...

Required: Inpatient Neonatal, pediatric, and critical care professional fee coding experience Job Summary: 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...

Required: Inpatient Neonatal, pediatric, and critical care professional fee coding experience Job Summary: 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...

The Analyst II Coder, under the direction of the Revenue Manager/Associate Director, provides support in areas of revenue operations related to production coding, auditing, and training for their designated areas. Under general supervision, applies acquired skills as a revenue cycle analyst to perform charge capture and charge flow, PB coding, charge edit reviews, claim edits, RFIs, support setting up new charging practices/units, and reporting. Gaining expertise to act as a specialist for designated divisions. Manages a diverse range of 1,000 - 3,500 procedural code set combinations, plus Evaluation and Management services coding. Demonstrates core coding competency and proficiency in moderately complex duties, including Prof Fee and technical coding. Provides analysis to support department revenue cycle management and improve work queue design and management. Provides education and training to physicians and clinical staff on documentation to ensure compliance with coding...

A company is looking for a Professional Fee Coding Specialist. Key Responsibilities Review medical records and accurately code the charts Meet or exceed quality and productivity standards for coding services Collaborate with coders and managers to address client needs Required Qualifications At least 3 years of profee multispecialty E/M coding experience Current AHIMA or AAPC coding credentials Access to high-speed internet and a workstation Demonstrated quality of at least 95% in coding

A company is looking for an ED- Facility & Pro Fee Coder (Full-time). Key Responsibilities Review and code medical records for emergency department services Ensure compliance with coding guidelines and regulations Collaborate with healthcare professionals to resolve coding discrepancies Required Qualifications Certification as a Medical Coder (e.g., CPC, CCS, or equivalent) Experience in coding for emergency department services Knowledge of ICD-10, CPT, and HCPCS coding systems Understanding of medical terminology and anatomy High school diploma or equivalent; associate degree preferred

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...

A leading health organization in the United States seeks a Senior Coder II with at least three years of professional fee coding experience. The role involves coding inpatient and outpatient services, working with revenue management, and resolving coding issues. Candidates must possess a High School Diploma and a CPC or CCS-P certification. The position is open to remote workers in select states, promoting a supportive work environment focused on compassionate care. #J-18808-Ljbffr

Please note: Remote for Washington State ONLY Responsible for the collection of relevant, pertinent, accurate and timely professional fee diagnosis and/or procedural codes abstracted from physician documentation per practice plan and CMS/HCFA guidelines. The Coder will work in close collaboration with compliance, clinical departments, physicians and SCH Revenue Cycle team members. Performs other duties as assigned and may be responsible for working account problems in EPIC. Required Education and Experience Completion of credentialed Professional Fee Coding Course. Minimum of two years experience in medical coding or coding related experience. Required Credentials Certification as a CPC-A, CPC, specialty AAPC coding certification required, or CCS-P through AHIMA. Preferred AHIIMA: RHIT, RHIA, CCS, or CCS-P, or from AAPC - either CPC, COC, CIC, CRC, CPMA, or CPCO. Experience in a Pediatric setting. Compensation Range $29.16 - $43.73 per hour Salary...

Remote for Washington State ONLY Responsibilities Responsible for the collection of relevant, pertinent, accurate, and timely professional fee diagnosis and/or procedural codes abstracted from physician documentation per practice plan and CMS/HCFA guidelines. The coder will work in close collaboration with compliance, clinical departments, physicians and SCH Revenue Cycle team members, performs other duties as assigned, and may be responsible for working account problems in EPIC. Required Education and Experience Completion of a credentialed Professional Fee Coding Course. Minimum of two years experience in medical coding or coding related experience. Required Credentials Certification as a CPC-A, CPC, specialty AAPC coding certification required, or CCS-P through AHIMA. Preferred AHIIMA: RHIT, RHIA, CCS, or CCS-P, or from AAPC - either CPC, COC, CIC, CRC, CPMA, or CPCO. Experience in a Pediatric setting. Compensation Range $29.16 - $43.73 per hour Salary Information This...

Please note: Remote for Washington State ONLY Responsible for the collection of relevant, pertinent, accurate and timely professional fee diagnosis and/or procedural codes abstracted from physician documentation per practice plan and CMS/HCFA guidelines. The Coder will work in close collaboration with compliance, clinical departments, physicians and SCH Revenue Cycle team members. Performs other duties as assigned and may be responsible for working account problems in EPIC. Required Education and Experience Completion of credentialed Professional Fee Coding Course. Minimum of two years experience in medical coding or coding related experience. Required Credentials Certification as a CPC-A, CPC, specialty AAPC coding certification required, or CCS-P through AHIMA. Preferred AHIIMA: RHIT, RHIA, CCS, or CCS-P, or from AAPC - either CPC, COC, CIC, CRC, CPMA, or CPCO. Experience in a Pediatric setting. Compensation Range $29.16 - $43.73 per hour Salary...

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...

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...

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...