Certified Coder
Dane Street
MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities: Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to assess medical necessity and documentation compliance Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases Analyze medical records for payer disputes, recoupments, and appeals Prepare detailed, defensible written audit reports Provide expert review, affidavit support, deposition preparation, and testimony when required Interpret CMS guidelines, LCD/NCD policies, and state-specific Medicaid and commercial payer rules Review E/M services under 2021+ guidelines Identify compliance risks and documentation deficiencies Qualifications: Active CPC certification through the American Academy of Professional Coders (AAPC) CPMA strongly preferred Minimum 5-7 years of professional coding experience Documented experience performing audits or utilization reviews in multiple states Strong knowledge of CMS regulations and state Medicaid variations Experience with Medicare, Medicare Advantage, and commercial payer audits Prior demand package review or litigation support experience required Deposition and/or expert testimony history preferred Excellent written reporting and analytical skills Ability to work independently and meet strict deadlines This position may be structured as part time Candidates must be comfortable reviewing policies and payer rules across multiple jurisdictions and is able to do multiple types of reviews/audits Preferred Experience: RAC, UPIC, or commercial payer audit response Multi-state Medicaid policy interpretation Expert witness experience in civil litigation Data analysis and audit trend reporting Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers' Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process. #J-18808-Ljbffr
- ...provides a company match, safe harbor match and profit-sharing match to go along with your contributions. Responsibilities The Certified Coder assists in the delivery of primary health care and patient care management, ensuring that charges are coded and consistent with...SuggestedWork at office
- ...billing guidelines; knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application. Inpatient and ED experience. Requirements Minimum 5+...SuggestedHourly payTemporary workRemote workWeekend workWeekday work
- MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including...SuggestedTemporary workPart timeRemote work
- Certified Professional Coder CPC-A Join Bertrand Chaffee Hospital's Team! We are seeking a skilled and dedicated Certified Professional Coder (CPC-A) to join our Physician Coding team at Bertrand Chaffee Hospital in Springville, New York. As a valued member of our healthcare...Suggested
- ...physician coding experience preferred. Pediatric multi-specialty coding experienced preferred CERTIFICATES, LICENSES, REGISTRATIONS. Certified as any of the following: CCS, CCS-P, CPC, AAPC specialty coding certifications, RCC Radiology coding certification. Must maintain...SuggestedWork at officeImmediate start
- ...operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Facility Certified Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure...Remote workRelocation package
- Job Description: Coder Coder Job Summary: This position assigns diagnosis and procedures codes to patient accounts to ensure accurate... ...(RHIT) or Register Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) or Certified Professional Coder-Hospital...Contract workPart timeLocal areaRemote workShift work
- Description The Coder I is responsible to lead our billing team to obtain accurate reimbursement for our providers’ claims. This is... ...Requirements Qualifications: High school diploma or equivalent. Certified professional coder through AAPC is required with a minimum of...Work at officeFlexible hours
- ...Boone Memorial Health is seeking a detail-oriented and motivated Coder (HIM Coder) to join our Health Information Management team. In... ...when applicable. Skills, Qualifications, and Competencies Certified Coding Specialist (CCS) Certified Professional Coder (CPC) Minimum...Local area
- UnitedHealth Group is seeking a full-time inpatient coder to work remotely from anywhere in the U.S. You will identify ICD-10 CM/PCS assignments and DRG abstraction for facility services, following official coding guidelines and client-specific rules. Required: AHIMA and...Remote jobFull time
- Driscoll Children’s Hospital seeks a skilled Medical Coder to review medical records and assign ICD and CPT codes for outpatient services, ensuring accurate billing and compliant documentation. The role requires 3-5 years of physician coding experience, preferably in pediatric...
- ...maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assigns appropriate CPT Modifiers... ...single day. OhioHealth is recognized as a Great Place to Work Certified organization. The Great Place to Work is a global authority on...Local areaRemote workShift work
- ...this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. CERTIFIED CODER/ABSTRACTOR - HEALTH INFORMATION MGT - FT-REMOTE Full Time Non-Management Jefferson Regional Main Hospital, Pine Bluff, AR, US What...Remote jobFull timeTemporary workMonday to FridayFlexible hours
- ...Company in The Midwest. POSITION OVERVIEW Job Summary The Clinical Coder extracts clinical information from a variety of medical records... .../ GED Experience: 1-3 years Licenses and Certifications Certified Medical Coder with one of the following active certifications (...Weekly payWork at officeLocal areaWork from homeHome office
- Description Heritage Health is seeking a full-time Coder to join our team at our Pediatrics office. This is an onsite position, designed... ...degree in medical coding or related field preferred. Certified Professional Coder (CPC) credential is required; AAPC preferred...Full timeTemporary workPart timeWork at officeImmediate start
$43.89k - $93.57k
...be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices...Hourly payFull timeTemporary workLocal area- Umcelpaso seeks a Certified Medical Coder to accurately code, sequence, and abstract outpatient records per ICD-10-CM and CPT guidelines, ensuring timely reimbursement and data integrity. You will query physicians for documentation clarification and work within approved...
$20.5 - $27.85 per hour
...coding certification required (listed below). Other specialty certifications from AAPC or AHIMA will be considered. CPC (Certified Professional Coder) COC (Certified Outpatient Coding) CPC-P (Certified Professional Coder-Payer) CRC (Certified Risk Adjustment Coder) CIC...Full timeRemote workShift work$27.03 - $43.25 per hour
...taking a job, you’re making a difference in people’s lives. The Coder position, working on the physician billing side, will be... ...related work experience required in coding or coding credential of Certified Professional Coder, RHIT, CCS, or CCS-P. Knowledge of anatomy,...Hourly payWork experience placementImmediate startRemote workMonday to FridayShift work- ...Join our team as a day shift, full time, Professional Surgical Coder at INTEGRIS Health in Oklahoma City, OK. Get to Know Your Team... ...-RHIT (Registered Health Information Technician) OR AHIMA-CCS (Certified Coding Specialist) OR AAPC-CPC (Certified Professional Coder) OR...Full timeDay shift
$24.5 per hour
...orientation and strong cross‑department collaboration opportunites. About the Opportunity Select Medical is seeking an entry-level inpatient coder responsible for reviewing multidisciplinary inpatient medical records and health information to classify patient diagnoses and...Full timeTemporary workRemote work$24.04 - $33.65 per hour
POSITION SUMMARY: The Physician Practice Coder-Anesthesia position is responsible for reviewing documentation in the outpatient/inpatient EHR. This position is responsible for assigning ICD-10-CM diagnosis codes and CPT, ASA, HCPCS II and appropriate modifiers to patient...Full timeWork experience placementFlexible hours$23 - $29 per hour
...providers improve efficiency, maintain compliance, and optimize reimbursement. About the Role Are you an experienced Outpatient Facility Coder looking for an opportunity to use your coding expertise in a fast-paced healthcare environment? As a Coder II, you’ll play an...Local area- Coder II Location: Remote Organization: Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder Overview Premier Orthopaedics... ...elbow, arm, and shoulder. Our fellowship-trained surgeons and certified Hand and Occupational Therapists collaborate to provide...Remote jobFull timeLocal areaMonday to Friday
- ...the rural health network throughout the state of South Carolina. Under the direct supervision of the Hospital Coding Supervisor, the Coder II will Abstract inpatient, outpatient, clinic, and/or emergency department medical record documentation to select and sequence...Hourly pay
- Professional Coder I (Remote) 101 Truman Medical Center Job Location Work From Home-City Tax Req Kansas City, Missouri Department Corporate Professional Billing Position Type Full time Work Schedule 8:00AM - 4:30PM Hours Per Week 40 Coder I - Turn Clinical Notes into Code...Remote jobFull timeWork from homeShift work
$23 - $28 per hour
...Opportunity to make a difference in your community! Full Time 40 Hours - Remote Massachusetts Residents Preferred. As a Medical Coder for TaraVista in Devens, Massachusetts, you’ll bring your experience and knowledge where your voice matters. A Medical Coder is an integral...Full timeTemporary workApprenticeshipLocal areaRemote workFlexible hours- The Richland Hospital & Clinics is seeking a Medical Coder/Analyst to join our Health Information Management team. This is an excellent opportunity for a detail-oriented professional to play a key role in accurate coding and documentation that supports patient care and...
- Job Summary: Under the general guidance of the Ambulatory Billing Manager, the Ambulatory biller/coder is responsible for monitoring, auditing, and identifying negative trends in hospital billing. Provides support to staff in the respective areas as needed. Responsible...Monday to Friday
$45 - $65 per hour
Mercor is hiring certified medical coders on behalf of a healthcare AI partner building advanced clinical documentation tools. In this role you will apply your coding and documentation expertise to review, annotate, and evaluate clinical documentation and AI-generated...Work experience placement10 hours per week
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