certified professional coder

Cooper Family Medical

Overview Join our healthcare team as a Certified Professional Coder (CPC), where your expertise in medical coding and billing will play a vital role in ensuring accurate and efficient processing of medical records. As a CPC, you will be responsible for translating healthcare services into standardized codes, facilitating seamless communication between healthcare providers, insurance companies, and patients. Your attention to detail and thorough understanding of medical terminology and coding systems will directly impact the quality of patient care and reimbursement processes. This role offers a great opportunity to apply your coding skills in a fast-paced environment dedicated to excellence .Duties<ul><li>Commercial claims processing</li><li>Reviewing charts before sending out and then working payments and denials post-processing.</li><li>Records review to maximize the quality of coding</li><li>Communicate with the providers when needed for missing, or non-specific information that is present in the health record</li><li>Assure compliance with coding rules and regulations according to regulatory agencies for Center for Medicare Services (CMS)</li><li>Performs accurate and timely charge entries into billing software</li><li>Stays up to date with coding changes</li><li>Informs management of trends identified through the review and validation process</li><li>Ensure clean claim submissions</li><li>Work with insurance companies for reports, denials, and re-submission of claims</li><li>Identify and troubleshoot billing, coding, and payer issues</li><li>Attends office meetings as necessary to provide information relating to coding and compliance</li><li>Performing medical coding of encounters and reviewing medical codes for adherence to risk adjustment models</li><li>Daily audits of medical record data pre and post patient visit to ensure accuracy will be performed</li><li>Make recommendations according to regulations and your employer&rsquo;s operational policies</li><li>Report the results of an audit to the relevant supervisor or coding service provider</li><li>Have overall proficiency with revenue cycle workflows</li><li>It is your job to ensure compliance with rules related to patient privacy and electronic medical record keeping</li><li>Always demonstrate service excellence</li></ul>Qualifications<ul><li>Certified Professional Coder (CPC) credential from the American Academy of Professional Coders (AAPC) or equivalent certification</li><li>Proven experience in medical coding, including CPT coding, ICD-9/ICD-10 coding, DRG assignment, and medical records review</li><li>Strong knowledge of medical terminology, anatomy, physiology, and healthcare documentation standards</li><li>Familiarity with EMR/EHR systems used for medical record management and coding purposes</li><li>Experience with medical billing, collections, and insurance claim processes</li><li>Excellent attention to detail with the ability to interpret complex clinical documentation accurately</li><li>Effective communication skills for collaborating with healthcare providers and insurance representatives</li></ul>Join us to leverage your coding expertise in a role that is essential to delivering high-quality healthcare services.Benefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Certified Professional Coder (CPC)

sequel technologies

Location: Bahria Town Phase 7, Rawalpindi (Preference for residents of Bahria, DHA, or nearby areas)Sequel Technologies, a software company providing healthcare IT and medical billing services to the US market.Responsibilities <ul><li>Proven work experience as a medical coder or in a similar role.</li><li>Ensure codes are sequenced correctly according to government and insurance regulations.</li><li>Ensure medical records are filed and processed accurately.</li><li>Analyze medical records and identify documentation deficiencies.</li><li>Identify diagnostic and procedural information.</li><li>Work with coding software.</li></ul>Qualifications/Skills <ul><li>2+ years of experience as a medical coder.</li><li>Degree in BSCS, software engineering, or a related field.</li></ul>Timings <ul><li>5:00 PM - 2:00 AM (Summers)</li><li>6:00 PM &ndash; 3:00 AM (Winters)</li></ul>Benefits <ul><li>Healthcare</li><li>Entertainment allowance</li><li>Cellular allowance</li><li>Provident fund</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>Are you a resident of Bahria Town Phase 7/8 or DHA 1/2? If not, kindly state your area of residency</li><li>Have you completed your CPC certification?</li></ul>Work Location: In person

Seneca Nation Health System

<div>
 
 Benefits Include
 
 
 
 <ul>
 <li>
 Monday - Friday (No weekends and no holidays)
 </li>
 <li>
 Health, dental, and vision full coverage for individual
 </li>
 <li>
 Short term/long term disability options
 </li>
 <li>
 Vacation (annual) + PTO (accrued weekly)
 </li>
 <li>
 16 paid holidays in the calendar year
 </li>
 <li>
 401K - 5% matching
 </li>
 <li>
 Parental, medical, education, bereavement leaves and so much more!
 
 
 </li>
 </ul>
 
 Basic Function
 
 
 
 Incumbent reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments. Ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
 
 
 
 General Responsibilities
 
 
 
 <ul>
 <li>
 Abstracts all necessary information and sequences and assigns codes (ICD-10, CPT, and HCPCS), which most accurately describe each documented diagnosis, surgical procedure and special therapy/procedure according to established guidelines, and to identify secondary complications and co-morbid conditions.
 </li>
 <li>
 Determines the final diagnoses and procedures as stated by the provider are valid and complete. Ensures documentation is complete to justify treatment and diagnoses.
 </li>
 <li>
 Quantitative analysis &ndash; Performs a comprehensive review for the record to ensure the presence of all component parts such as: patient and record identification, signatures and dates where required.
 </li>
 <li>
 Quantitative analysis &ndash; Evaluates the record for documentation consistency and adequacy. Ensures that final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established third party reimbursement agencies and special screening criteria.
 </li>
 <li>
 Analyzes documentation to ensure the appropriate evaluation and management (ER&amp;M) levels are assigned using the correct CPT code.
 </li>
 <li>
 Processes and accurately data enters assigned codes into the electronic health record and billing system; generates reports as needed to ensure completion. Follows up routinely on outstanding encounters that need to be coded.
 </li>
 <li>
 Conducts chart reviews and audits for documentation reviews and provides feedback and education to clinical providers and other staff.
 </li>
 <li>
 Serves as a coding subject-matter expert and provides answers to questions regarding coding and documentation.
 </li>
 <li>
 Queries providers when documentation and diagnoses need clarification.
 </li>
 <li>
 Attends mandatory staff meetings and in-services, including training to stay current in position and/or department.
 </li>
 <li>
 Participates in quality assurance/improvement/control activities.
 </li>
 <li>
 Follows all policies and procedures of the department, Seneca Nation, and Seneca Nation Health System.
 
 
 </li>
 </ul>
 
 Knowledge, Skills, &amp; Abilities
 
 
 
 <ul>
 <li>
 Advanced knowledge of diagnostic and procedural coding systems, medical terminology, abbreviations, minor medical procedures, anatomy and physiology, major disease processes, pharmacology, and the metric system.
 </li>
 <li>
 Knowledge of official coding conventions and rules established by American Medical Association (AMA), and Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
 </li>
 <li>
 Knowledge of electronic health records systems.
 </li>
 <li>
 Knowledge of Microsoft Office Suite, specifically Word, Excel, and Power Point.
 </li>
 <li>
 Must have data entry skills.
 </li>
 <li>
 Excellent verbal and written communication skills.
 </li>
 <li>
 Knowledge of fiscal requirements, policy and procedures of federal, state, and tribal programs.
 </li>
 <li>
 Recognize and respect cultural diversity.
 </li>
 <li>
 Ability to prioritize and perform tasks.
 </li>
 <li>
 Ability to maintain confidentiality of all patient protected information.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Associate&rsquo;s Degree in Health Information Technology or Medical Coding.
 </li>
 <li>
 Two years&rsquo; experience using ICD-10, HCPCS, and CPT is required.
 </li>
 <li>
 Must possess and maintain current CPC, COC, CCS, CCS-P, CCA, RHIA, OR RHIT certification.
 </li>
 <li>
 Must possess and maintain a valid NYS driver&rsquo;s license.
 </li>
 <li>
 Experience in a large hospital, academic medical center, outpatient health care setting, or Indian Health Service (IHS)/tribal health, preferred.
 </li>
 </ul>
</div>

Certified Professional Coder

CorVel Corporation

<div>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 hybrid position until fully trained. Training will be full-time onsite.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager</li>
<li>Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans</li>
<li>Appropriately document work and final conclusions in designated computer program</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology</li>
<li>Knowledge of applicable fee schedule and or applicable U&amp;C Guidelines</li>
<li>Proficient in Microsoft Office applications
</li><li>Technical aptitude with the ability to expand knowledge of MedCheck&rsquo;s proprietary systems</li>
<li>Ability to work independently, follow process guidelines, and meet productivity standards and timelines (must maintain a score of 98% or higher on performance audits)</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Associate&rsquo;s degree or equivalent experience</li>
<li>CPC or CPC-A required</li>
<li>Previous experience in the following areas preferred:
<ul><li>Medical bill auditing</li>
<li>Knowledge of workers' compensation claims process</li>
<li>Prospective, concurrent and retrospective utilization review</li></ul></li> 
</ul>
PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $22.17 - $35.66 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Hybrid</div>

(Certified Professional Medical Coder) Professional Review Specialist II

MainStreet Family Care

Certified Medical Coder – Birmingham, AL
 
MainStreet Family Care operates more than 60 fast-growing urgent care clinics across Alabama, Florida, Georgia, and North Carolina. As we continue expanding access to high-quality healthcare in rural communities throughout the Southeastern United States, we are seeking a Certified Medical Coder to support accurate and compliant coding across our clinics.
 
This role plays an important part in ensuring clinical documentation is translated into accurate billing codes that support timely reimbursement and regulatory compliance. The ideal candidate is detail-oriented, organized, and comfortable working independently in a remote environment while collaborating with internal teams.
 
This is a full-time hybrid position. The selected candidate will work remotely most of the week and report to our corporate office in downtown Birmingham once per week for collaboration and team alignment.
 
Key Responsibilities
 
•
 Review clinical documentation and assign appropriate ICD-10-CM, CPT, and HCPCS codes
 
•
 Ensure coding accuracy and compliance with payer guidelines and company policies
 
•
 Identify documentation gaps and request clarification when needed
 
•
 Conduct occasional internal reviews of coded charts to ensure consistency with coding guidelines
 
•
 Assist with resolving coding-related claim edits, denials, or payer inquiries
 
•
 Maintain knowledge of current coding guidelines, payer policies, and regulatory updates
 
•
 Work within our EHR (updating codes and charges directly within the EHR system)
 
•
 Collaborate with billing and clinical teams to support efficient revenue cycle operations
 
Qualifications
 
•
 Active certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential
 
•
 Strong understanding of medical terminology and coding principles
 
•
 Urgent care coding experience preferred but not required
 
•
 Strong attention to detail and analytical skills
 
•
 Ability to work independently in a remote environment while maintaining productivity and accuracy
 
•
 Strong communication and organizational skills
 
Work Location
 
This is a full-time hybrid role. The Certified Medical Coder will work remotely and report to our downtown Birmingham office once per week.

Certified Medical Coder

Bayview Physicians Group

<div>
 
 Medical Coder (CPC / CPC-A)
 
 
 
 
 Bayview Physicians Group | Chesapeake, VA
 
 
 
 Full-Time | Experienced or Apprentice | Medical Billing Department
 
 
 
 
 Code with purpose. Grow with confidence. Build your future at Bayview.
 
 
 
 Bayview Physicians Group is a rapidly growing, outpatient multi-specialty medical group that believes exceptional healthcare starts with strong doctor&ndash;patient relationships. With hundreds of team members serving the Hampton Roads community, we are committed to excellence, collaboration, and creating a positive workplace where employees can thrive.
 
 
 We are currently seeking a
 
 Certified Professional Coder (CPC or CPC-A)
 
 to join our Medical Billing team. Whether you&rsquo;re an experienced coder or an Apprentice ready to grow, this is an exciting opportunity to build your skills within a large, diverse, multi-specialty organization.
 
 We are willing to train the right candidate.
 
 
 
 
 Remote and hybrid opportunities are available.
 
 
 
 Why You&rsquo;ll Love Working Here
 
 <ul>
 <li>
 Competitive pay and
 
 comprehensive benefits for full-time employees
 
 </li>
 <li>
 Remote work-from-home opportunity available after one year of successful employment (CPC)
 </li>
 <li>
 AAPC annual dues reimbursement
 </li>
 <li>
 Annual CPT, ICD-10, HCPCS, and specialty coding books provided
 </li>
 <li>
 Access to
 
 Codify
 
 </li>
 <li>
 Ongoing training and specialty-specific education
 </li>
 <li>
 Exposure to a wide range of medical specialties
 </li>
 <li>
 A collaborative team of experienced coders who support your growth
 
 </li>
 </ul>
 
 What You&rsquo;ll Do
 
 <ul>
 <li>
 Review charge tickets, progress notes, and operative reports to assign accurate
 
 CPT, ICD-10, and HCPCS codes
 
 </li>
 <li>
 Analyze and correct denied claims requiring coding review across multiple specialties
 </li>
 <li>
 Collaborate with billing and coding teams to ensure clean claims and timely reimbursement
 </li>
 <li>
 Participate in month-end closing processes, including required blackout periods
 
 
 (Extended hours or weekend shifts may be required during the last week of the month)
 
 </li>
 <li>
 Maintain required annual
 
 AAPC CEUs
 
 </li>
 <li>
 Assist with special projects as assigned
 
 </li>
 </ul>
 
 What We&rsquo;re Looking For
 
 <ul>
 <li>
 Active
 
 Certified Professional Coder (CPC)
 
 or
 
 Certified Professional Coder &ndash; Apprentice (CPC-A)
 
 credential required
 </li>
 <li>
 Strong written and verbal communication skills
 </li>
 <li>
 Detail-oriented with a high level of accuracy
 </li>
 <li>
 Ability to work independently with minimal supervision
 </li>
 <li>
 Team player with a positive, professional attitude
 </li>
 <li>
 Self-motivated and eager to learn and grow
 </li>
 <li>
 General knowledge of standard office equipment and computer systems
 </li>
 <li>
 Prior medical office experience a plus
 
 </li>
 </ul>
 
 Specialties You&rsquo;ll Support
 
 
 
 Gain hands-on experience coding across a broad range of specialties, including:
 <ul>
 <li>
 Hospitalist Medicine
 </li>
 <li>
 Cardiology
 </li>
 <li>
 Pulmonary &amp; Critical Care
 </li>
 <li>
 Sleep Medicine
 </li>
 <li>
 Endocrinology
 </li>
 <li>
 Podiatry
 </li>
 <li>
 OB/GYN
 </li>
 <li>
 Colon &amp; Rectal Surgery
 </li>
 <li>
 Urgent Care
 </li>
 <li>
 Dermatology
 </li>
 <li>
 ENT
 </li>
 <li>
 And more
 
 </li>
 </ul>
 
 Locations
 
 <ul>
 <li>
 Chesapeake, VA
 </li>
 <li>
 Virginia Beach, VA
 
 </li>
 </ul>
 
 Join the Bayview Team
 
 
 
 At Bayview Physicians Group, your expertise matters&mdash;and your career growth does too. If you&rsquo;re ready to expand your coding skills, work with a supportive team, and make a meaningful impact behind the scenes of patient care, we want to hear from you.
 
 
 
 Apply today and take the next step in your coding career with Bayview Physicians Group.
 
</div>

Medical Coder

Salina Family Healthcare Center

<div>Please note that this is an in-person, non-remote position. 
Hiring Range - $18.50 - 21.15\hour 
FLSA Status: Non-Exempt 
Coder/Biller I General Description 

The Coder/Biller I provides coding and insurance support to the Billing Department and demonstrates understanding of health insurance, Medicare, Medicaid, FQHC nuances and the SFHC discount program to ensure the integrity of claims &amp; maximize reimbursement. May screen patients and assist the uninsured with enrolling in applicable discount/insurance programs. If applicable would need to meet requirements and competencies to be designated as a &ldquo;Certified Application Counselor or Navigator&rdquo; under CMS/HRSA definition. May be required to meet performance standards of Presumptive Eligibility Specialist to enroll qualified pregnant women and children in Kansas Medicaid. 
Mission &amp; Value Statements 
The mission of Salina Family Healthcare Center is to serve our community at the crossroads of compassionate healthcare and professional education. 
Salina Family Healthcare Center is guided by the following fundamental values:
<ul>
<li>Excellence;</li>
<li>Innovation;</li>
<li>Access;</li>
<li>Teamwork;</li>
<li>Equal dignity;</li>
<li>Education;</li>
<li>Ethics &amp; integrity;</li>
<li>Patient-centered.</li></ul> 


Coder/Biller I Essential Duties
<div>
<ul><li>Efficient timely review of patient charges prior to creating claims for accuracy and completeness; obtain/correct any missing information to reduce claim denial prior to creating claims; including orchard and non-billable holds as a priority.</li></ul>
<ul><li>Accurately review /code encounters for appropriate diagnosis (ICD10), procedures (CPT), HCPCS codes and modifiers prior to billing claims to maximize reimbursement.</li></ul>
<ul><li>Demonstrates and maintains working knowledge of third-party payer regulations and claim policies to include FQHC, Medicare and Medicaid, 340B, Lab NCD &amp; LCD as well as SFHC discount program to accurately submit claims.</li></ul>
<ul><li>Assist with reducing claim denials.</li></ul>
<ul><li>Monitor, identify, research and resolve outstanding unpaid claims.</li></ul>
<ul><li>Ensure the Discount Program integrity by updating claims as well as appropriate practice management systems accurately &amp; timely.</li></ul>
<ul><li>Meet requirements and competencies to be designated as a &ldquo;certified application counselor or Navigator&rdquo; under CMS/HRSA definition, if applicable.</li></ul>
<ul><li>Obtain Presumptive Eligibility Specialist designation and meet performance standards as outlined by KDHE-DHCF in order to enroll our pregnant women and children that are eligible in Kansas Medicaid if applicable.</li></ul>
<ul><li>Attend meetings as required.</li></ul>
<ul><li>Perform other duties as assigned.</li></ul></div> 


Coder/Biller I Skills Required 
 
<div><ul><li>Ability to establish and maintain effective working relationships with staff, patients and the public. 
</li></ul>
<ul><li>Knowledge of HIPAA privacy rules and regulations.</li></ul>
<ul><li>Excellent interpersonal, mathematical, verbal and written communication skills.</li></ul>
<ul><li>Ability to efficiently complete work is reasonably void of errors, and high in accuracy.</li></ul>
<ul><li>Excellent customer service skills and ability to effectively and respectfully interact with unsatisfied patients and coworkers.</li></ul>
<ul><li>Ability to manage multiple tasks, work under pressure, and prioritize workload, while maintaining efficiency and accuracy.</li></ul>
<ul><li>Effective and efficient time management and organizational skills. 
</li></ul>
<ul><li>Ability to follow written policies and procedures.</li></ul>
<ul><li>Ability to work independently and use good judgment.</li></ul></div> 


Coder/Biller I Education and Experience 
<div>
<ul><li>High school diploma required;</li></ul>
<ul><li>Certified Professional Coder (CPC) OR equivalent of two years coding and insurance in a medical related field;</li></ul>
<ul><li>Excellent organization, prioritization, and follow-up skills required; 
</li></ul>
<ul><li>Requires knowledge of ICD10, CPT and HCPCS Coding;</li></ul>
<ul><li>Social and cultural sensitivity appropriate to ethnically and economically diverse patient and employee-base.</li></ul></div> 


To see the full job description, please email careers@salinahealth.org with your requests.</div>

Coder/Biller I (In-Person Only Position)

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Certified Professional Coder (CPC)

Certified Professional Coder (CPC)

Certified Professional Coder

(Certified Professional Medical Coder) Professional Review Specialist II

Certified Medical Coder

Medical Coder

Coder/Biller I (In-Person Only Position)