(CPC) Certified Professional Coder jobs | Healthcare Careers (2024)

RC

Lead, Professional Services Coder

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 will research CCI Edits, coding & payer websites to provide up-to-date information to coding & billing staff, as well as providers. The incumbent will monitor, track & report error & denial trends to...

May 29, 2024

Clinic Coder

Reviews medical record documentation and assigns accurate ICD-9-CM/ICD-10-CM and CPT codes for services provided by physicians and other qualified healthcare professionals. Experience Qualifications 2 years Coding experience. Preferred Licenses and Certifications Registered Health Information Administrator (RHIA) - AHIMA Required or Registered Health Information Technician (RHIT) - AHIMA Required or Certified Coding Specialist-Physician-Based (CCS-P) - AHIMA Certified Coding Specialist (CCS) is also accepted. Required or Certified Professional Coder - AAPC Required Skills and Abilities Knowledge of medical terminology. ( Preferred proficiency) Knowledge of reimbursem*nt processes and regulatory guidelines and ability to process claims through application and understanding of these guidelines. ( Preferred proficiency) What you will do Selects and enters appropriate ICD-9-CM/ICD-10-CM and CPT codes utilizing encoding...

May 28, 2024

WH

Biller

A Gynecology Practice is seeking a motivated individual to join their team of physicians, providers and administrative staff. The candidate will be responsible for all aspects of medical billing and coding operations, ensuring optimal and consistent cash flow. The position is full-time remote. Responsibilities: 1) Medical coding, charge entry, claims submission, payment posting, appeal preparation, accounts receivable follow-up. 2) In house expert for ICD10, HCPCS and CPT coding and billing matters 3) Scrutinize billing and claims for accuracy and completeness, apply appropriate modifiers 4) Manage account receivable 5) Contribute to the formulation and implementation of office billing policies and protocols 6) Continuous evaluation of current procedures to enhance billing and collection efficiency 7) Analyze trends impacting charges, coding, collections and accounts receivable; educate staff and revise...

May 23, 2024

Compliance Auditor

JOB SUMMARY VMG Health is seeking a Compliance Auditor to perform all levels of documentation and coding reviews related to professional services, project management, and report writing for VMG’s coding and compliance and operational excellence team (CCOE). The Compliance Auditor also provides education and training both internally to the audit team in unique practice specialties and externally to providers. The current team consists of a Managing Director, Director, Manager, Supervisor, Auditors, Coders, and Coordinators who are serving healthcare organizations, providers, law firms, and private equity groups. Services provided include medical coding, auditing, due diligence coding reviews, education and training, general compliance and research. This is an excellent opportunity for the right professional who is interested in building a career in medical coding and compliance with the support of a best-in-class team.

May 22, 2024

CC

Remote Sr. Risk Adjustment Coding Auditor

CSI Companies is immediately seeking a Remote Sr. Risk Adjustment Coding Auditor for a long- term consultant position. RISK ADJUSTMENT CODING AUDITOR JOB SUMMARY The Sr. Risk Adjustment Coding Auditor will be responsible for conducting documentation reviews to assess the accuracy, completeness, and highest ICD-10 specificity related to risk adjustment and HCC coding guidelines, and assist educating in medical necessity coverage of diagnostic studies. Responsible for performing quality review audits of medical records coded by Risk Adjustment coding team to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. The auditor will discuss chart reviews and reports to identify documentation deficiencies and areas for improvement....

May 22, 2024

CC

REMOTE Senior Risk Adjustment Coding Consultant, RADV

CSI Companies is actively hiring for a REMOTE SENIOR Risk Adjustment Medical Coder for a HHS IVA RADV Audit . The coder will be required to work full-time hours ( minimum 35 hours a week). This position requires a minimum of 3 years Risk Coding on Commercial Charts. We strongly desire coders with ACA HHS IVA RADV experience. Check out what other coders are sharing about their experience working at CSI- Indeed Reviews The What You Want to Know! 100% REMOTE -Work from home Flexible working schedule PAY PER HOUR model Paid training Long term contract position- Benefits Offered! Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P, CCS (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based) Pay: $26-30/hr based on experience The What Will You Be Doing? Assign appropriate ICD–10-CM codes, mapping to risk...

May 22, 2024

Risk Adjustment Provider Educator

ALSO HYBRID POSITIONS AVAILABLE IN UT/CO; HOUSTON, TX; CHATTANOOGA, TN Job Summary: This role is responsible for supporting Cigna Medicare Advantage’s Risk Adjustment & Stars program for assigned populations in an operational market. The role will be accountable for assigned provider groups reaching risk adjustment and stars related annual metrics. This role will work directly with providers to assist in achieving accurate and complete coding documentation and addressing Stars gaps in care. The role will work under the direction of Risk Adjustment & Stars Provider Education Supervisor and/or Manager to reach overall operational market goals in conjunction with market network operations, stars strategy and vendor partners. The role will provide subject matter expertise to assigned providers and internal matrix partners of Cigna Medicare’s programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in...

May 16, 2024

Sr. Compliance Coordinator- Billing and Coding

Job Description Additional Information About the Role Remote opportunity- must reside in the Greater St. Louis Metropolitan area! Experience with analyzing provider data and training on current billing guidelines to identify trends is a plus! Previous auditing experience of evaluation and managementand surgical procedures is preferred! Working knowledge of EXCEL and MS Publisher. Overview BJC Medical Group is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with top-ranked hospitals in the Midwest region. Since 1994, BJC Medical Group has provided access to extraordinary care in over 145 locations and over 25 specialties in the greater St. Louis, mid-Missouri and southern Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the communities we...

May 15, 2024

Pro Fee Coder

Title: Pro Fee Coder Job Summary: We are seeking a skilled and knowledgeable Outpatient Coder with Multi-Specialty Surgery experience to join one of our clients. This position requires expertise in assigning accurate diagnostic and procedural codes for outpatient surgical procedures across multiple medical specialties. surgical procedures, medical coding guidelines, and regulatory requirements. Responsibilities: Review outpatient surgical documentation across multiple medical specialties including but not limited to orthopedics, general surgery, neurosurgery, urology, ophthalmology, ENT, and plastic surgery. Assign appropriate CPT, ICD-10-CM, and HCPCS Level II codes to accurately reflect the procedures performed, ensuring compliance with coding guidelines and regulations. Conduct thorough reviews of medical records to ensure documentation supports the assigned codes and captures all relevant diagnoses and procedures. Collaborate...

May 14, 2024

CC

REMOTE Risk Adjustment Medical Coding Consultant (CPC, CRC, CCS)

CSI Companies is actively hiring for a REMOTE Risk Adjustment Medical Coder for full-time hours ( minimum 35 hours a week) to join our growing Managed Services team. This project REQUIRES a MINIMUM of 2 YEARS RISK ADJUSTMENT EXPERIENCE. Working for CSI as a Risk Adjustment Medical coder in our Managed Services team will offer you the opportunity to: Work with nationally recognized healthcare client companies that are industry leaders Work on various projects as desired in 4 risk models (Rx HHS, CDPS, CMS and CAI), in multiple coding platforms, offering project variety while improving skill sets and always in a CSI Team environment with training, supportive coaching and tools proprietary to CSI Have access to our internal learning platform, CSI University, for CSI proprietary risk adjustment educational content and free CEU's Have the ability to move from project to project year round as clients require unique services, including risk adjustment coding, validation...

May 14, 2024

AH

Inpatient Coding Specialist

An Inpatient Coding Specialist will be responsible for coding all requested inpatient medical records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment, while meeting specified productivity and accuracy standards. You will also be responsible for abstracting key data required from the medical information consistent with UHDDS requirements and other regulatory coding guidelines. Codes all requested Inpatient records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment in accordance with coding guidelines. Abstracts, codes and assigns necessary demographic and clinical data elements required Writes appropriate, non-leading queries. Maintains quality and productivity according to client requirements. Sourcing for both full-time and contract inpatient coding specialist. Qualifications : Certified through AHIMA or AAPC (CCS, CPC, or CIC) Minimum 2 years inpatient coding experience in an acute care...

May 14, 2024

Revenue Cycle Management Lead

We are seeking a dynamic and driven Revenue Cycle Management Lead to join our team and drive strategic growth within our organization. Marvin is contracted in-network with 99% of commercial insurance payors (no Medicare/ Medicaid). The Revenue Cycle Management Lead will collaborate closely with the CEO and billing team to manage patient billing and insurance claims, operationalizing key processes and aligning the medical record systems for growth. The ideal candidate will possess strong analytical skills, problem solving abilities, attention to detail, and a proven track record of success in medical billing. They will have multiple years of experience in behavioral health specific billing, as well as experience in AdvancedMD as a medical record. This position is based in western Los Angeles. While work is primarily remote, the candidate will be willing to spend 1-2 days per week in Marvin’s office in Marina del Rey, CA. RESPONSIBILITIES Revenue Cycle...

May 13, 2024

Billing Manager

Overview: An Ophthalmology Practice is seeking a motivated individual to join their team of physicians, clinical personnel, and dedicated administrative staff. This role presents an exciting opportunity for a seasoned Medical Biller to advance within a flourishing Ophthalmology Practice. We welcome an adaptable, organized, and proficient Medical Biller eager to specialize in this field. Summary: As the Billing Manager, you will oversee and coordinate all aspects of medical billing and coding operations, ensuring optimal and consistent cash flow. This pivotal role demands strong leadership, business acumen, and meticulous attention to detail. Responsibilities: Supervise billing department operations, including medical coding, charge entry, claim submission, payment posting, and accounts receivable follow-up. Serve as the in-house expert for coding and billing matters. Scrutinize billing and claims for accuracy and completeness; manage claim submissions to...

May 13, 2024

AVP Medical Group Coding

Avoca Search is proud to be partnering with RWJBarnabas Health in their search for an Assistant Vice President, Medical Group Coding. This is an exciting opportunity for an experienced Coding leader to join the largest academic health system in New Jersey. RWJBarnabas Health is New Jersey’s largest integrated health care delivery system, providing treatment and services to more than three million patients each year. Throughout RWJBarnabas Health, the dedicated physicians, nurses, and health professionals are committed to providing the highest quality of patient care and health education to the community and region. RWJBarnabas Health is the largest, most comprehensive academic health care system in N.J., with a service area covering eight counties with five million people. The health system includes 12 acute care hospitals; three acute care children’s hospitals; Children’s Specialized Hospital, with a network of outpatient pediatric rehabilitation centers; a...

May 13, 2024

Medical Billing and Coding Instructor

Students will be taught the billing and coding process from the working perspective. Special focus is given to reimbursem*nt procedures including Current Procedural Terminology (CPT), Internal classification of Diseases (ICD-10) and Health Care Finance Administration Procedural Coding System (HCPCS). Prior teaching experience is not required. This is an IN-PERSON position and is located in Hammond, Louisiana averaging 24-26 hours per week.

May 09, 2024

Enterprise Denial Coding Analyst

Enterprise Denial Coding Analyst UF Health Shands Hospital Fully remote in most states UF Health Shands Hospital is consistently ranked among the nation’s best hospitals. We’re recognized for delivering high-quality patient care, and we have enterprise denial coding analyst jobs open now. This is fully remote work excluding certain states. Please inquire about the specific states where you are allowed to work. If you’re a denial coding analyst looking for a rewarding position where you’ll learn and grow, start a new chapter in your career with us. Delivering the best patient care requires the best care for our team. You’ll earn competitive compensation. Our health and wellness benefits will empower you to live your life fully. Tuition reimbursem*nt is available to help you grow. Our patients — and our people — are the heart of what we do....

May 08, 2024

Dermatology Auditing Coordinator

Scope of Duties: The Dermatology Auditing Coordinator assists with coding and documentation accuracy in accordance with state, federal, and payer guidelines by engaging in and overseeing internal audits, payer audits, and provider education and training. The role focuses on mitigating coding and documentation errors, engaging in compliant audit process improvement, maintaining and monitoring the client audit program, and employee training and assessment reviews collaborating with remote departments to achieve these goals and objectives. The Dermatology Auditing Coordinator works along with the coding team to provide BEST-IN-CLASS service to our clients. Read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT ® , HCPCS Level II, and modifier coding assignments. Assist with E/M audits using the 2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M...

May 08, 2024

Cardiac Surgery Physician Coder - CA Residents Only

Position Details and Benefits: - Full-time opportunities available. - 100% remote position; candidates must reside in California. - Comprehensive benefits package: Health, Dental, Vision, Life, AD&D, FSA. - Basic Term Life Insurance and accidental death insurance provided. - 401(k) contributions. - Codify supplied by the client. - Equipment provided. Position – OP Ancillary Physician Coder: - Required: CPC or CCS certification. - Required: CCC and/or CCVTC certification. - Minimum of 3 years of current experience in a hospital or physician's office as a medical coder. - Expert knowledge of ICD10-CM, CPT, and HCPCS. - EPIC software experience is required . - Proficiency in Microsoft. Purpose Statement / Position Summary: Reporting to the Manager, Coding Compliance, the OP Ancillary/Physician Coder is integral in reviewing and analyzing billing and coding for efficient processing. This role involves accurately coding office, hospital, and surgical procedures for...

May 07, 2024

General Surgery Physician Coder - Ca Residents Only

Purpose Statement / Position Summary Under the direction of the Manager, Coding Compliance, the OP Ancillary/Physician Coder will play a key role in reviewing and analyzing billing and coding for processing. Thisrole will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursem*nt. The OP Ancillary/Physician Coder will also be committed to ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to each patient. Essential Functions and Responsibilities of the Job Proficient in Microsoft Office suite Proficient in Epic software - Required Analytical skills Critical thinking and problem-solving skills Understanding of the health care revenue cycle Strong communication skills with the ability to communicate information accurately and clearly Provide excellent customer service The ability to manage interpersonal relationships and...

May 07, 2024

Revenue Cycle Manager

About Peak ENT Associates: Peak ENT Associates is a leading medical practice specializing in Ear, Nose, and Throat (ENT) care in Utah County. Our dedicated team of healthcare professionals is committed to providing top-quality patient care, including diagnostic evaluations, medical treatments, and surgical interventions. We are currently seeking a highly qualified and experienced Revenue Cycle Manager to join our team and continue the development of our high standards of revenue cycle excellence. Job Summary: As the Revenue Cycle Manager at Peak ENT Associates, you will play a crucial role in overseeing and managing the smooth and timely workflows of coding, billing, and collections functions to ensure that our practice maintains smooth cash flow and a high level of operational and regulatory excellence. The successful candidate will possess an associate's degree or higher, along with significant experience in healthcare revenue cycle billing, coding, payer, and compliance....

May 07, 2024