1790 professional services coder jobs found

This is a casual position which is subject to renewal on 10/24/2025. JOB SUMMARY: Under the general direction of the Supervisor, Professional Billing & Coding and Director, Professional Billing & Coding, this position operates from within the Revenue Cycle Center to address coding issues related to professional billing claims. The incumbent is responsible for reviewing provider charges to ensure accuracy, reduce claim errors & denials while maintaining compliance with CCI & other payer specific coding Edits (McKesson). The incumbent is responsible for reviewing professional surgical coding performed by departmental Professional Services Coders to ensure accuracy. The incumbent will be responsible for identifying trends of incorrect coding & compiling examples. They will develop training guidelines & presentations of coding recommendations based on these identified trends & will meet with physician providers to train & educate. The incumbent...

This is a casual position which is subject to renewal on 10/24/2025. JOB SUMMARY: Under the general direction of the Supervisor, Professional Billing & Coding and Director, Professional Billing & Coding, this position operates from within the Revenue Cycle Center to address coding issues related to professional billing claims. The incumbent is responsible for reviewing provider charges to ensure accuracy, reduce claim errors & denials while maintaining compliance with CCI & other payer specific coding Edits (McKesson). The incumbent is responsible for reviewing professional surgical coding performed by departmental Professional Services Coders to ensure accuracy. The incumbent will be responsible for identifying trends of incorrect coding & compiling examples. They will develop training guidelines & presentations of coding recommendations based on these identified trends & will meet with physician providers to train & educate. The incumbent...

100737 Professional Coding Reno, NV Full Time - Eligible for Benefits Clerical & Administrative Support Day Posted 09/09/2025 Varies Req # 185063 Remote Worker Salary: 24.44 - 34.21 Biweekly Hours: 80 Position Purpose To be responsible for accurately assigning diagnostic and procedural coding for all encounters associated with Renown Health Network and Ambulatory Services. This will also include translating patient information into alpha-numeric medical codes using patient treatment, health history, diagnosis, and related information. Assignment of ICD-10-CM and CPT codes must be consistent with CMS' Official Guidelines and any regulatory agency guidelines. Nature and Scope Incumbents must be proficient with CPT and ICD-10-CM coding systems and responsible for assigning ICD-10-CM diagnoses codes and CPT procedure codes accurately and completely to ensure optimal reimbursement and coding quality. Coders in this position are held accountable for adhering to coding...

This position is responsible for the timely abstraction and coding of professional services based on provider documentation, ensuring that all services comply with the Tulane University Medical Group (TUMG) Guidelines. Responsibilities also include maintaining knowledge base relative to billing functions, internal and external regulations, and documentation issues. This person must be able to work independently and process large quantities of data. The ability to communicate clearly and professionally with providers, administrators (DBON), and the TUMG staff. Responding timely and accurately to inquiries are key elements required of the individual in this position.• Proficient computer skills and a working knowledge of Microsoft Office software applications, including Word and Excel. • Accurate keyboarding skills • Excellent written and verbal communication skills. • Ability to work independently and demonstrate initiative • Good organizational skills. • Ability to be flexible...

Coder - Professional Services - Revenue Cycle Mid Service * Days - 40hrs/wk Shift: Days FTE status: 1 On-call: No Weekends: No General Summary: Under limited direction of the HIM Director, the Coder for Professional Services is responsible for accurately coding for professional services and procedures. The Coder reviews clinical documentation and diagnostic results in order to extract data for billing, internal and external reporting, and research, ensuring all codes are appropriately applied per the ICD-9-CM and/or ICD-10-CM Official Guidelines for Coding and Reporting. Requirements: RHIT, RHIA, CCS, CCS -P, CPC, or other professional HIM coding certificate. Basic computer software experience. Effective communication and listening skills. Ability to contribute to team efforts. Essential Functions and Responsibilities: Codes outpatient/ambulatory diagnoses, treatments and procedures by translating physician documentation according to the appropriate classification...

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify's AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We're reshaping healthcare payment through seamless intelligence. ABOUT THE OPPORTUNITY: Hiring Range: $90,000 - $105,000 The Healthcare Services Concept Specialist provides support to assigned Segment Specialists by maintaining current audit concepts as well as provide support for the development process of new audit concepts. This opening will be focused on creating audit concepts within the MolDX space. Ideal candidates will...

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub. Position Summary • Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits. • Coding focus is provider based E&M level visits or outpatient hospital based ancillary visits Principal Accountabilities • Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education • High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline. Licenses and Certification • RHIA, RHIT, CCS, CCS-P, CCA, or CPC required. Role Specific Responsibilities 1. Follows all coding policies, procedures, standard operating procedures 2. Effectively uses encoding...

Provider Coding Specialist Join Team Tidelands and help people live better lives through better health! Provider Coding Specialist Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider we are also one of our area's largest employers. More than 2500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview Under the supervision of the Coding Supervisor the Provider Coding Specialist is responsible for analyzing and assigning ICD-10-CM diagnostic codes CPT and HCPCS codes to professional surgical patient accounts based on the medical information provided and consistent with regulatory guidance and best practices in the industry and Organization policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracting required clinical information from the medical record. Queries physicians as...

Coder IV Location: Olean General Hospital Location of Job: US:NY:Olean Work Type: Full-Time Shift 1 Job Description Review clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Education And Credentials Associate's degree from an accredited institution or have obtained...

Employment Type: Full time Shift: Day Shift Description: Reviews all assigned charge review errors and claim edits, ensuring correct charge capture and coding with proper ICD-10, CPT, HCPCS codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing data entry to capture charges not submitted by provider. and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties. Fully remote Position Summary: Captures, reviews and accepts all...

Coder Troy Regional Medical Center has an opening for a Coder. Our family environment offers support in a collaborative team atmosphere. Come and check out what TRMC can do for your career! As a Coder at TRMC, your primary responsibility will be to accurately code diagnoses and procedures across all specialties, particularly in the Emergency services. This role is crucial in generating indices and statistics, ensuring proper billing and reimbursement, and, most importantly, supporting our mission to deliver the highest quality of patient care economically and efficiently. Education: A high school diploma or equivalent is required. Must have completed an accredited coding education program. Experience: At least two years of coding experience in an acute hospital environment is required. Must be proficient in ICD-10 and DRG optimization if required for assigned specialty. Must have a working knowledge of medical terminology, anatomy, and physiology. Experience with APC Claims,...