certified medical coder

LaSante Health Center

<div>
 
 LaSante Health Center
 
 is seeking a detail-oriented in-person
 
 Medical Coder
 
 to ensure accurate coding and abstraction of patient encounters. The ideal candidate will possess strong analytical skills, attention to detail, and expertise in coding conventions.
 
 
 
 Responsibilities
 
 :
 
 
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 Code and abstract patient encounters accurately.
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 Research data for reimbursement needs.
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 Analyze medical records for documentation deficiencies.
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 Review documentation to support diagnoses and procedures.
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 Audit clinical documentation for accuracy.
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 Assign codes for reimbursement and compliance.
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 Provide coding guidance to care providers.
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 Identify and resolve billing issues
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 Complete additional tasks as assigned by supervisor.
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 Ensure compliance with payer guidelines and supports revenue cycle integrity
 
 
 
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 Qualifications
 
 :
 
 
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 Experience necessary
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 Must be a Certified Medical Coder, CPC / CPC-A
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 Must be capable of working in a fast paced environment
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 </ul>
</div>

Medical Coder

Caban Resources

<div>Starts out onsite, then transitions to REMOTE 4 days/week.
Job Summary:
Required Services provide single path medical coding services and related medical records functions. Single path coding combines facility coding and professional coding and allows one coder to code facility and professional codes for the same patient utilizing a single coding platform. perform technically complex professional services coding for medical conditions and assign the correct International Classification of Diseases, ICD-10-CM, Procedure Coding System (PCS) Current Procedural Terminology (CPT), Health Care Financing Administration Common Procedure Coding System (HCPCS), and Evaluation and Management (E&amp;M) codes for diagnosis, acuity of care and procedures for a wide range of medical specialties to include coding of complicated cases identified as difficult to classify such as treatment of burn injuries, combat related injuries, orthopedic surgery, cardiothoracic surgery, interventional radiology, new diseases, new and experimental treatments or therapies and infections, etc.
Duties:<ul><li>
Accurately assigns Evaluation and Management (E&amp;M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, ICD-10 Procedure Coding System (ICD-10-PCS), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of inpatient facility discharges (stays); inpatient professional services to include attending (also known as &quot;Rounds&quot;), consultations, and concurrent services, and inpatient surgical and anesthesia procedures; and inpatient External Resource Sharing Agreement (ERSA) encounters. May also code ambulatory (i.e. Coder II) or outpatient (i.e. Coder I) encounters as directed.</li><li>
Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care.</li><li>
Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.</li><li>
Assigns accurate codes to encounters based upon provider responses to coding queries.</li><li>
Acts as a source of reference to medical staff having questions, issues, or concerns related to coding. Responds to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding. Collaborates with and supports medical coding auditors, trainers, and compliance specialists in providing education and feedback to providers and staff.</li><li>
Supports DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification through appropriate channels.</li><li>
Upon DHA-MCPB direction, utilizes MHS computer systems to remotely access patient records and assign codes for patient encounters in support of other MTFs.</li><li>
Achieve and maintain DHA coding productivity and accuracy standards for the position.</li></ul>
Qualifications:<ul><li>
Education: Post-high school education through a university or technical school program resulting in completion of ONE of the following: 1) An Associate's degree or higher in Health Information Management, Healthcare Administration, or a biological science; OR 2) A university certificate in medical coding; OR 3) At least 30 semester hours' university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology; OR 4) Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology; OR 5) Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training, obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision. General medical ethics, telephone etiquette, and excellent communication and customer service skills.</li><li>
Certification: ONE of the following recognized professional coding certifications: Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist &ndash; Physician (CCS-P); AND ONE of the following recognized institutional coding certifications: Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).</li></ul></div>

Medical Coder III (Inpatient Coder)

Al Taie Center for Laparoscopic and Bariatric Surgery

Al Taie Center is a premier healthcare facility specializing in laparoscopic and obesity surgery, led by Dr. Abdulsalam Al Taie, Consultant General, Bariatric &amp; Laparoscopic Surgeon. With locations in Dubai and Abu Dhabi, we are committed to delivering exceptional patient care using the latest medical technologies. We are currently looking for a skilled and experienced Insurance Coder to join our Abu Dhabi team.Role OverviewWe are seeking a detail-oriented Insurance Coder who is experienced in UAE healthcare insurance practices and holds their own valid UAE visa. The ideal candidate will have a minimum of 2 years of hands-on experience in medical coding and insurance claims processing within the UAE.Key Responsibilities<ul><li>Accurately assign ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and medical services.</li><li>Review medical records and documentation to ensure coding accuracy and completeness.</li><li>Process and follow up on insurance claims (pre-authorizations, submissions, rejections, and resubmissions).</li><li>Liaise with insurance companies and HAAD/DOH authorities to resolve claim discrepancies.</li><li>Ensure compliance with UAE healthcare regulations, DOH standards, and payer-specific guidelines.</li><li>Maintain patient confidentiality and adhere to medical ethics and data privacy standards.</li><li>Coordinate with physicians and clinical staff to clarify documentation and coding details.</li><li>Prepare coding and billing reports for management review.</li><li>Stay updated on coding guidelines, payer policy changes, and regulatory updates.</li></ul>Qualifications &amp; RequirementsRequirementDetailsEducationDiploma or Bachelor's degree in Medical Coding, Health Information Management, or a related fieldCertificationCertified Professional Coder (CPC) or Certified Coding Specialist (CCS) &ndash; mandatoryExperienceMinimum 2 years of experience as a Medical/Insurance Coder in the UAEVisa StatusMust have own valid UAE visa (Family/Sponsored visa) &ndash; mandatoryKnowledgeIn-depth knowledge of ICD-10-CM, CPT, HCPCS, DOH/HAAD regulations, and UAE insurance claim processesLanguagesEnglish (fluent) &ndash; Arabic is a plusSkillsStrong attention to detail, analytical thinking, proficiency in medical billing software and EHR systemsAvailabilityImmediate joiners preferredApplication Question(s):<ul><li>Do you have your own Visa?</li></ul>Experience:<ul><li>Insurance coder: 2 years (Required)</li></ul>Work Location: In person

Insurance Coder

NKC Health

<div>
 
 Summary
 
 
 
 Here at
 
 NKC Health
 
 our mission is to
 
 
 empower hope and healing in every life we touch
 
 
 . Whether you are serving patients at a primary care clinic, specialty clinic, or in a support capacity, every team member works together to complete this mission.
 
 
 
 NKC Health Coding and Denial
 
 team is hiring a
 
 Non-Certified Coder
 
 ! If you&rsquo;re looking for a great opportunity to impact our communities, join our NKC Health team!
 
 
 
 Why NKC Health Medical Group?
 
 
 
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 Comprehensive Benefits (Medical, Dental, Vision, Life, FSA)
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 Employer matched retirement plan
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 Competitive wages
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 Paid time off for personal/vacation/sick
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 Six paid holidays per year
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 Educational assistance
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 Day shift schedules
 
 
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 </ul>
 
 What does a Non-Certified Coder do?
 
 
 
 As part of the coding team, you will have the opportunity to focus solely on coding processes. Your daily mission would be to review medical records for the correct ICD/CPT codes, posting charges and having meaningful communication with the practice team.
 
 
 
 What does a typical day on the job look like?
 
 
 
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 Review procedures, HCPCS, and diagnosis coding for accuracy.
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 Assigns proper codes based upon medical record documentation.
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 Works with denials team and central billing office to resolve claims denials, and billing issues.
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 Posts charges accurately and timely.
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 Work with providers to ensure coding accuracy.
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 Knowledge of risk adjustment processes and coding is a plus, but not required.
 
 
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 </ul>
 
 What are the requirements for the job?
 
 
 
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 High school graduate or GED equivalent
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 Minimum 2 years&rsquo; of experience in physician coding and billing
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 Knowledge of CPT and ICD-10 coding and medical terminology
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 Proficient computer skills
 
 
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 Our North Star
 
 
 
 Here at NKC Health, we believe in
 
 
 care empowered.
 
 
 Our actions are the concrete things we do to differentiate ourselves: we lead with heart, we always move forward, and we connect to more.
 
 
 
 NKC Health is an Equal Opportunity Employer and values diversity in our organization. We do not discriminate against any applicant for employment or employee on the basis of race, color, religion, gender, age, marital status, sexual orientation, national origin, disability, veteran status or any other classification protected by applicable discrimination laws.
 
</div>

Coder Non-Certified

TEEMA Group

<div><h2 class="jobSectionHeader">Role Summary</h2>
The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services.
In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical professional who thrives in a fast-paced, remote environment and is passionate about accuracy, compliance, and continuous improvement in healthcare operations.<h2 class="jobSectionHeader">
Duties &amp; Responsibilities</h2><ul><li>
Serve as a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding</li><li>
Perform DRG validation and retrospective medical claims reviews</li><li>
Analyze inpatient and outpatient claims for coding accuracy and reimbursement determinations</li><li>
Prepare clear, detailed determination letters and written review outcomes</li><li>
Identify coding discrepancies, potential fraud, and quality concerns</li><li>
Provide training, mentorship, and guidance to clinical coding staff</li><li>
Collaborate with cross-functional teams to support coding inquiries and review findings</li><li>
Research and apply medical policies, benefits, limitations, and current coding guidelines</li><li>
Ensure timely completion of coding reviews in alignment with performance standards</li><li>
Maintain accurate and thorough documentation within medical management and claims systems</li><li>
Escalate complex or high-risk cases to the Medical Director as appropriate</li></ul><h2 class="jobSectionHeader">
Required Qualifications</h2><ul><li>
High School Diploma or GED</li><li>
Active credential in one of the following:<ul><li>
Certified Inpatient Coder (CIC)</li><li>
Certified Coding Specialist (CCS)</li><li>
Registered Health Information Technician (RHIT)</li></ul></li><li>
Minimum of five (5) years of clinical coding experience (facility and/or professional)</li><li>
Minimum of three (3) years of inpatient and/or outpatient claims processing experience</li><li>
Experience working in a fast-paced, production-driven environment</li><li>
Ability to obtain and maintain a favorable background investigation</li><li>
U.S. Citizenship required</li></ul><h2 class="jobSectionHeader">
Desired Qualifications</h2><ul><li>
Experience within managed care, health insurance, or private healthcare industry</li><li>
Familiarity with government healthcare programs and regulatory guidelines</li><li>
Advanced expertise in inpatient facility coding and DRG validation</li><li>
Strong analytical, critical thinking, and problem-solving skills</li><li>
High attention to detail with strong organizational capabilities</li><li>
Ability to manage large volumes of complex information independently</li><li>
Effective communication and collaboration across multidisciplinary teams</li><li>
Proficiency in Microsoft Word, Excel, and multi-system environments</li></ul><h2 class="jobSectionHeader">
Location &amp; Work Type</h2>
100% Remote (must reside in an approved state) 
Full-time position<ul><li>
Independent home office work environment required</li><li>
Prolonged computer use and sitting required</li><li>
Flexibility to support varying work schedules as needed</li></ul>
#Workwolf</div>

Sr. Inpatient Clinical Coder

Humana

<div>
 
 Become a part of our caring community
 
 
 
 The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment
 
 
 As the Medical Coder / Coding Educator 2 you will
 
 
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 Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements.
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 Identify educational needs based on reports
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 Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques.
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 Provider onsite education, based on business needs
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 Collaboration with other market provider facing role
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 Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards.
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 Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions.
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 Participate in cross-functional teams to improve documentation, data integrity, and workflow processes
 
 
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 </ul>
 
 Required Qualifications
 
 
 
 
 Use your skills to make an impact
 
 
 
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 AHIMA or AAPC CPC (Certified Professional Coder) Certification
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 3 or more years of medical coding education and / or auditing in a healthcare setting experience
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 Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets
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 Experience speaking with leadership, webinars public speaking and/or presentation skills with healthcare providers
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 Risk Adjustment knowledge
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 Familiar with coding guidelines
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 Live in NC, SC, GA, VA, MD or TN
 
 
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 </ul>
 
 Preferred Qualifications
 
 
 
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 Bachelor's Degree
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 CRC -Certified Risk Adjustment Coder
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 Experience working with healthcare providers
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 Strong knowledge of all Microsoft Office applications
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 Valid Driver's license and reliable transportation
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 Medicare Risk Adjustment knowledge
 
 
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 Additional Information
 
 
 
 Work at home - with travel (up to 5%) to surrounding provider offices
 
 
 As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
 
 
 If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
 
 
 If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
 
 
 
 Work at Home Guidance
 
 
 
 To Ensure Home Or Hybrid Home/Office Associates' Ability To Work Effectively, The Self-provided Internet Service Of Home Or Hybrid Home/Office Associates Must Meet The Following Criteria
 
 
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 At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
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 Satellite, cellular and microwave connection can be used only if approved by leadership
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 Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
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 Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
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 Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
 
 
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 </ul>
 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
 
 
 
 Scheduled Weekly Hours
 
 
 
 40
 
 
 
 Pay Range
 
 
 
 The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
 
 
 $59,300 - $80,900 per year
 
 
 This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
 
 
 
 Description Of Benefits
 
 
 
 Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
 
 
 
 About Us
 
 
 
 About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
 
 
 
 Equal Opportunity Employer
 
 
 
 It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
 
 
</div>

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8740 certified medical coder jobs Near Me

Medical Coder

Medical Coder III (Inpatient Coder)

Insurance Coder

Coder Non-Certified

Sr. Inpatient Clinical Coder

Sr. Inpatient Clinical Coder

Medical Coder