861 senior professional coder jobs found

Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $64,972.00 - $97,458.00 The Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. Essential Duties and Responsibilities Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges...

Senior Professional CoderThe Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed.Essential Duties and ResponsibilitiesReview, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Ensuring...

Senior Professional Coder The Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. Essential Duties and Responsibilities Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines....

Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations. Job Description Do you have at least 7 years of experience doing complex profee surgical coding? Do you thrive on the challenge of diving into and researching proper codes to...

Reviews claims in assigned work queues in Cerner Revenue Cycle including CMG Review and Ambulatory Edit failure work items.Analyzes coding edits, reviews timeline notes, reviews clinical documentation, including provider orders, progress notes, surgical and test results thoroughly to interpret and ensure documentation supports the posted charges.Determines appropriate action needed to resolve coding edits / issues and ensure clean claim submission.Performs coding functions, including Current Procedure Terminology (CPT), International Classification of Diseases, tenth revision, Clinical Modification (ICD-10-CM), documentation review, and claim denial review.Applies appropriate modifiers.Ensures charges / coding are in alignment with the American Medical Association (AMA),Medicare, and Commercial coding guidelines on all claims reviewed.Credits / updates charges and coding as needed.Ensures queues are worked timely and efficiently.Maintains Productivity and accuracy...

Job Summary Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with...

Shriners Children's is seeking a Senior Professional Coder with extensive experience in complex surgical coding across hospital, clinic and ASC locations. You will apply ICD-10 and CPT-4 classifications to diagnoses, treatments and procedures while guiding clinical staff and Revenue Cycle leadership. Ideal candidates have 7 years of coding experience, familiarity with CPT/HCPCS/CCI edits, and pediatric/orthopedic coding experience, plus strong MS Office skills and a track record in education and #J-18808-Ljbffr

Shriners Children’s Hospital is seeking a Senior Professional Coder with extensive ICD-10 and CPT4 expertise to code complex surgical cases across hospital, clinic and ASC settings. You will educate clinical staff, support CDI and revenue cycle leaders, and uphold high coding quality and productivity standards. The role requires at least 7 years of professional coding experience, pediatric/orthopedic coding familiarity, and strong MS Office skills. #J-18808-Ljbffr

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity. Schedule: Monday to Friday, 8am -...

Certified Senior Coder The Certified Senior Coder reviews provider service records to ensure accurate coding for all services to maximize reimbursement and meet coding requirements from insurance carriers and regulatory agencies (Medicare and Medicaid). Additionally, acts as a resource to providers for coding issues. Principal Responsibilities: Will participate and maintain a culture within The Corvallis Clinic that is consistent with the content outlined in the Service and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within. Codes services correctly; understands and appropriately uses all CPT, ICD-10 and modifiers. Understands and follows all bundling edits. Ensures that documentation supports charges billed, e.g. E/M auditing, procedures, DOS, use of modifiers, and ICD-10. Process and input billings accurately in the practice management system; CPT codes, modifiers, units, fees,...

Senior Coder, Northwell Health Raise your career expectations as a senior coder at Northwell Health: The largest not-for-profit health system in the Northeast Named a Fortune 100 Best Workplaces in Health Care and a 2026 Forbes America's Dream Employer Location: Middle Revenue Cycle Lake Success, NY Shift: Full Time, Days Remote work schedule: Sunday-Thursday or Tuesday-Saturday, flexible hours between 7 a.m.-7 p.m. Job Responsibilities: Our senior coder will perform coding and abstracting duties to ensure accurate completion of coding for all assigned patient records. Benefits include: Competitive pay and medical benefits A collaborative and supportive environment Tuition reimbursement and additional educational opportunities through the Center for Learning and Innovation Career growth and development with resources dedicated to career movement from within the organization Rewarding and fulfilling mission-driven work committed to giving back to the local communities...

Northwell Health in Lake Success, NY is seeking a Senior Coder to perform coding and abstracting duties for all assigned patient records with accuracy and efficiency. The role requires 3–5 years of technical coding experience and relevant certifications (CCS, CPC, CCSP, CIC, COC, RHIA or RHIT). This full-time position offers a competitive salary range of $66,220–$108,180 per year, flexible hours between 7 a.m. and 7 p.m., and remote work schedule options. #J-18808-Ljbffr

Join Our Caring Community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities Deliver coding and documentation education to providers and clinic staff within IPA clinics. Be a consultative resource and ongoing support for providers in assigned clinics. Conduct documentation audits to identify gaps, trends, and opportunities for improvement. Perform quarterly chart reviews to support coding accuracy...

Job Description Join our team as a day shift, full time, Sr. Certified Coder at INTEGRIS Health in Oklahoma City, OK. Job Description Join our team as a day shift, full time, Sr. Certified Coder at INTEGRIS Health in Oklahoma City, OK. Get to Know Your Team INTEGRIS Health, Oklahoma’s largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives. Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more. Take the first step toward growing your career by joining us. Responsibilities The Senior Certified Coder analyzes complex clinical and demographic information to assign ICD-10-CM, ICD-10-PCS, and CPT/HCPCS codes across outpatient, surgical, and inpatient encounters. This role supports accurate DRG assignment, ensures compliance with...

UnitedHealth Group seeks a senior medical coder to assign CPT and ICD-10 codes for outpatient orthopedic and podiatry services. You will monitor queues, generate queries, and stay current with coding guidelines, ensuring accurate reimbursement. Required CPC certification, Epic proficiency, and 5+ years pro-fee coding experience. Telecommuting is available within the United States with competitive benefits and growth opportunities. #J-18808-Ljbffr