195 senior professional fee coder jobs found

Senior Professional Fee Coder - San Antonio Division: CHRISTUS Children's Hospital - San Antonio Work Arrangement: Onsite only | Location: San Antonio, TX | Salary: $63,052 to $80,000 | FLSA Status: Nonexempt | Work Schedule: Monday – Friday, 8 a.m. – 5 p.m. Summary Baylor College of Medicine- CHRISTUS Children’s in San Antonio is seeking a highly motivated and competent professional to serve as a Senior Professional Fee Coder with primary responsibilities for managing and supporting the day‑to‑day functions of the revenue cycle under the direction of the Lead, Revenue Cycle. The candidate must be skilled in performing complex tasks required in healthcare services within the revenue cycle, to include documentation reviews, denial analysis, and educational initiatives but not limited to coding and provider education. The ideal candidate will have strong operational skills and ability to gain the confidence of faculty, staff, leaders, colleagues, etc. Will have experience with...

Senior Professional Fee Coder – San Antonio Summary Baylor College of Medicine – CHRISTUS Children’s in San Antonio seeks a highly motivated and competent professional to serve as a Senior Professional Fee Coder. The candidate will manage and support the day‑to‑day functions of the revenue cycle under the direction of the Lead, Revenue Cycle. The role requires expertise in documentation reviews, denial analysis, coding, provider education, and revenue integrity initiatives. Job Duties Review provider documentation for compliance and accuracy; flag potential coding issues. Compile data for dashboards and audit summaries; support denial trend analysis and root cause identification. Assist in creating educational materials, handouts, and training sessions; track attendance. Serve as a resource for basic coding and documentation questions; route complex inquiries to Lead, Revenue Cycle. Provide administrative and operational support for revenue cycle projects and other assigned...

Job Description Job Title: Senior Professional Fee Coder Division: Patient Business Services Work Arrangement: Hybrid Location: Houston, TX Salary Range: $63,052 to $74,178 FLSA Status: Nonexempt Work Schedule: Monday – Friday, 8 a.m. – 5 p.m. Summary The Patient Business Service (PBS) Coding department is looking for an experienced mid-level coder to review and abstract 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 as well as outpatient facility charges at McNair Cancer Center. We focus on...

A leading healthcare institution in Texas is seeking a highly motivated Senior Professional Fee Coder to manage revenue cycle functions. Responsibilities include reviewing provider documentation, denial analysis, and assisting with coding education and compliance. Candidates should have a high school diploma, significant experience, and CPC certification. This position offers a chance to contribute to revenue integrity initiatives in a respected academic environment. #J-18808-Ljbffr

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

A leading healthcare organization is seeking a senior level professional fee coder with at least three years of experience in multiple specialties. Responsibilities include coding inpatient and outpatient services, reviewing documentation, and resolving coding issues in collaboration with clinic supervisors. Candidates must hold a CPC or CCS-P certification, and excellent computer and communication skills are essential. This role offers the opportunity to work remotely, but applicants must reside in specific states, including Nebraska. #J-18808-Ljbffr

A leading educational healthcare institution in San Antonio is seeking a Senior Professional Fee Coder to oversee revenue cycle functions. Responsibilities include managing coding accuracy, conducting documentation reviews, and supporting educational initiatives. The ideal candidate should have five years of experience, a high school diploma or GED, and a Certified Professional Coder (CPC) designation. Proficiency in Microsoft Office and familiarity with EPIC are preferred. This full-time role offers an onsite work arrangement and is part of a collaborative environment. #J-18808-Ljbffr

A leading medical institution is seeking a Senior Professional Fee Coder to join its Patient Business Services team in Houston, TX. This hybrid role requires proficiency in CPT, ICD-10, and HCPCS coding. The ideal candidate will have at least 5 years of experience and a Certified Professional Coder (CPC) credential. Responsibilities include reviewing coding edits, abstracting codes from records, and participating in physician education. Strong organizational and communication skills are essential for success. #J-18808-Ljbffr

Certified Medical Coder (Professional Review Specialist I) 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 remote role. 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 in Microsoft Office applications...

Professional Review Specialist II (Certified Professional Medical Coder) The Professional Review Specialist provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills to determine appropriateness of medical care. This position will be in our Hartford, CT office during training, and once fully trained transitioned to a hybrid work arrangement. 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...

Job Description Job Description The Professional Review Specialist provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills to determine appropriateness of medical care. This position will be in our Hartford, CT office during training, and once fully trained transitioned to a hybrid work arrangement. 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...

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 138 hospital-based locations, in addition to its home-based services and virtual care offerings. The posted compensation range of $24.03 - $36.59/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....

Job Summary And Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. 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. Anesthesia/Pain Coder staff key duties include reviewing documentation to assign appropriate CPT/ASA codes using the CPT-4/ASA manual and established criteria. Anesthesia/Pain Coder will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines. This individual will also work with members of the Revenue Management team to address...

Pro Fee Coder, Surgical Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position: Pro Fee Coder, Surgical Location: Hybrid (Skokie, IL and remote) Position Type: Full-time Hours: Monday-Friday, standard 8.5 hour workday, must be flexible to accommodate early am or pm physician meetings as needed. Travel: Flexible WFH arrangement, however this is not a fully remote position. Candidate must be able to occasionally travel between NS locations. What You Will Do: Provide virtual and in-person coding and documentation education to physicians, advance practice providers, practice managers, and revenue cycle coders. Perform billing provider audits to identify missed revenue and/or compliance risk. Analyze progress notes, op reports, pathology reports, explanation of benefits, patient insurance information, and various other health information documents for coding and billing...

Overview 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 remote role. 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 in Microsoft Office applications Technical aptitude with the ability to expand knowledge of MedCheck’s...

Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Carle Health. The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient, and/or professional fee encounters using appropriate ICD-10/ICD-PCS, CPT, or HCPCS codes, along with coding software such as computer-assisted coding and encoders. This ensures compliant billing of Carle claims. The HIM Certified Coder must understand and apply all regulatory coding guidelines, including National and Local Coverage Determinations, and CPT modifiers. They are also responsible for applying coding knowledge to resolve billing edits related to coding. The coder uses Carle electronic medical record systems to review clinical encounters. Responsibilities Accurately code all records according to the appropriate coding classification system (ICD-10, CPT, HCPCS, and modifiers). The assigned codes should accurately reflect the diagnoses and procedures...

Responsible for overseeing processing of clinic and hospital professional charges including updating of procedure and diagnosis codes in database coordinating reports and maintaining fee ticket files. Qualifications Education: High School graduate or GED. License, Certification and/or Registration: Certified Professional Coder or similar certifications (CCA, CPC, CCS, etc...). Maintains current coder certification. Experience: Three years of coding experience including one year of experience in a health care organization preferred. Additional Skills/Abilities: Knowledge of accounts receivable practices and medical patient accounting services procedures. Knowledge of coding and clinic operating policies and procedures. Knowledge of insurance agency reimbursement procedures and practices. Knowledge of the organization’s policies and procedures. Skill in using computer and calculator. Ability to examine documents for accuracy and completeness. Ability to prepare records in...

Join to apply for the Coder II – Revenue Integrity role at Lee Health Location: Santa Barbara Professional Center – 224 Santa Barbara Blvd, Cape Coral, FL 33991. Department: Lee Professional Billing. Work Type: Full Time. Shift: 8:00 AM – 4:30 PM. Pay Rate: $20.50 – $27.85 per hour. Job Summary Lee Health is seeking an experienced Medical Coder II Revenue Integrity to support accurate, compliant outpatient and professional fee coding across our health system. In this role, you’ll abstract detailed clinical, demographic, and statistical information from medical records and apply correct ICD‑10‑CM, CPT‑4, and APC guidelines. This position plays a key role in our Reconciliation Reduction and Provider Education Project, partnering with Charge Review, reconciliation workflows, and data analysis tools to improve accuracy and financial integrity. The ideal candidate is a self‑starter, highly analytical, skilled in communication, and comfortable presenting findings to leaders and...

GoTo Telemed seeks an exceptional  Remote Medical Biller  to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers—with new clients and provider networks added every month as our organization scales. In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory. This...

GoTo Telemed seeks an exceptional  Remote Medical Biller  to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers—with new clients and provider networks added every month as our organization scales. In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory. This...

GoTo Telemed seeks an exceptional  Remote Medical Biller  to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers—with new clients and provider networks added every month as our organization scales. In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory. This...

GoTo Telemed seeks an exceptional  Remote Medical Biller  to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers—with new clients and provider networks added every month as our organization scales. In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory. This...

Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is a senior level professional fee coding position with at least three (3) or more years’ experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following...