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Medical Coder jobs at The Arora Group

- 211 jobs
  • Remote Certified Coder

    Addison Group 4.6company rating

    Lubbock, TX jobs

    Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour
    $20-29 hourly 2d ago
  • Certified Medical Coder

    Pride Health 4.3company rating

    New York, NY jobs

    Title: Certified Medical Coder Shift: 8:00 AM - 4:00 PM Work Arrangement: Onsite Training (1-2 weeks) → Remote Pay: $35/hr to $37/hr Contract: 3-month assignment with possible extension Start Date: 12/01/2025 - 03/07/2026 Position Summary: We are seeking an experienced and detail-oriented Certified Medical Coder to join our team. This role begins onsite for initial training before transitioning to remote work. The ideal candidate will have strong inpatient coding experience in an acute care setting and be proficient with ICD-10, CPT coding, EPIC, and 3M Encoder tools. Key Responsibilities: Perform accurate and compliant inpatient coding using ICD-10, ICD-9-CM, CPT-4, and Encoder systems Review medical records and ensure proper documentation supports code selection Research and resolve coding-related questions and discrepancies Maintain coding accuracy and productivity standards Apply current coding guidelines, payer requirements, and regulatory rules Collaborate with clinical staff as needed to clarify documentation Support outpatient and ED coding tasks as needed (preferred, not required) Requirements: CCS Certification (required) EPIC and 3M Encoder experience (required) Minimum 3-4+ years of inpatient coding experience, preferably in an acute care setting Strong knowledge of ICD-10, ICD-9-CM, CPT-4, and Encoder systems Experience with outpatient and ED coding (preferred) Proficient computer skills, including MS Word, Excel, and coding applications Skills & Role Expectations: Strong understanding of coding guidelines, payer rules, and federal billing regulations Solid knowledge of anatomy, physiology, and disease processes Ability to work independently and efficiently after training Ability to research issues and resolve coding questions Experience mentoring or training coders is a plus Seeking candidates with strong inpatient coding backgrounds If Interested, you can reach me on my number ************** or email me at ******************************* Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
    $35 hourly 3d ago
  • Remote Certified Coder

    Addison Group 4.6company rating

    San Antonio, TX jobs

    Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour
    $20-29 hourly 2d ago
  • Remote Certified Coder

    Addison Group 4.6company rating

    El Paso, TX jobs

    Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour
    $20-29 hourly 2d ago
  • Remote Certified Coder

    Addison Group 4.6company rating

    Austin, TX jobs

    Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour
    $20-29 hourly 2d ago
  • Remote Certified Coder

    Addison Group 4.6company rating

    Dallas, TX jobs

    Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour
    $20-29 hourly 2d ago
  • Remote Certified Coder

    Addison Group 4.6company rating

    Corpus Christi, TX jobs

    Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour
    $20-29 hourly 2d ago
  • Remote Certified Coder

    Addison Group 4.6company rating

    Houston, TX jobs

    Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour
    $20-29 hourly 2d ago
  • Medical Coder

    Us Tech Solutions 4.4company rating

    Sacramento, CA jobs

    Duration :: 13 Weeks Contract Seeking experienced Professional Fee (Pro Fee)-focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives. These roles are high-visibility and require strong communication and presentation skills to engage directly with clinicians and support client revenue cycle, audit, and education functions. Candidates must live within the client geographic footprint and be available for occasional on-site work and local travel. Positions are structured as 13-week temp-to-hire with conversion opportunities. Key Responsibilities Coding Education & Training Deliver physician and coder education for assigned groups, with emphasis on Pro Fee (ASC, surgery, outpatient) environments. Facilitate individual and group training sessions; must be comfortable presenting to clinicians. Address provider and coder questions related to documentation standards, audit findings, and coding requirements. Audits & Accuracy Monitoring Perform focused coding audits and detailed chart reviews to validate CDI opportunities and coding accuracy. Identify coding trends, discrepancies, and risks; partner with leadership to build targeted education plans. Support revenue cycle initiatives tied to audit readiness, pipeline goals, and CLARO engagement. Documentation & Compliance Support Improve documentation integrity and reduce variation in coding practices across the organization. Implement education initiatives to strengthen documentation quality and coding accuracy. Collaborate with coding leads to develop education aligned with compliance expectations and organizational standards. Required Qualifications Certifications (must have; strong preference for Pro Fee experience): CPC (AAPC) CCS or CCS-P (AHIMA) Experience: Demonstrated success in Pro Fee coding, education, and audit environments. Proven ability to engage directly with physicians and present complex coding concepts clearly. Experience conducting chart reviews and coding accuracy audits. Work Model Requirements: Must reside within the client footprint (California). Able to support occasional on-site needs and local travel. Willing/eligible to convert to a permanent role after the 13-week assignment. Preferred Qualifications CDEO or CDIP (documentation/education alignment) Bachelor's degree About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************ US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruiter Details: Recruiter name: Ajeet Kumar Recruiter's email id : ***************************** JobDiva ID :: JobDiva # 25-54020
    $64k-86k yearly est. 1d ago
  • Remote Certified Coder

    Addison Group 4.6company rating

    Arlington, TX jobs

    Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour
    $20-29 hourly 2d ago
  • Remote Certified Coder

    Addison Group 4.6company rating

    Fort Worth, TX jobs

    Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour
    $20-29 hourly 2d ago
  • Billing and Coding Specialist

    Scion Staffing 4.2company rating

    Rochester, NY jobs

    Scion Staffing has been engaged to conduct a search for a Billing and Coding Specialist for an established clinic in Rochester, NY. This position is 100% onsite at the clinic's Rochester office. This Billing & Coding Specialist position supports daily billing operations for a high-volume clinic, handling claims, insurance follow-up, and coding for routine and interventional procedures. The role is ideal for someone with strong billing, denial management, and revenue cycle experience seeking long-term stability. This is a direct hire opportunity. PERKS: Competitive compensation at $30-$34/hr Hands-on training and mentorship in interventional psychiatry billing All equipment provided onsite Collaborative and inclusive clinic culture Long-term conversion opportunity with room to grow RESPONSIBILITIES: Process claims, manage insurance follow-up, and resolve denials Code and submit claims for psychiatric and interventional procedures Assist with backlog cleanup and recurring billing issue resolution Monitor cash flow trends and escalate problem areas Coordinate with clinicians on documentation, copays, and authorizations Maintain accurate records in EHR and clearinghouse platforms QUALIFICATIONS: Experience with medical billing, coding, or RCM workflows Knowledge of insurance portals and denial management practices Strong attention to detail, accuracy, and problem-solving Ability to manage high-volume billing with steady, reliable execution Comfortable learning systems such as Jane App, ClaimMD, and clearinghouses COMPENSATION AND BENEFITS: This role offers $30-$34/hr, depending on experience level. Benefits are available and may include health, dental, vision, 401(k), sick time, and additional offerings based on eligibility. ABOUT OUR SEARCH FIRM: Scion Staffing is a national award-winning staffing firm! Since 2006, we have had the pleasure of successfully placing thousands of talented professionals with amazing career opportunities. Through our innovative team building and recruiting solutions, we bridge the gap in executive leadership searches, direct hire recruiting, interim leadership placement, and temporary professional staffing. We are proud to be part of the Forbes lists of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a ClearlyRated Best of Staffing firm as well as a top recruitment firm by The Business Times. Additional information about our firm can also be found online. Scion Staffing, Inc. is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation or belief, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent. For opportunities located in a region that have enacted fair chance, arrest or conviction-based employment ordinances, Scion Staffing proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records. We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.
    $30-34 hourly 3d ago
  • Health Information Specialist

    Motion Recruitment 4.5company rating

    Somerville, MA jobs

    Our Client, a hospital, is looking for someone to join their team as a Health Information Records Team Lead! **This is an onsite 12-month contract role that takes place in Somerville, MA** Responsibilities In collaboration with the management team, oversees the day-to-day operational functions of special projects in the CRCC. Coordinates assignment of team resources in operations of CRCC special projects. Facilitates training and provide direction and guidance to direct reports in a complex environment to ensure that all staff are appropriately informed, trained, guided, supported and evaluated. Works to develop staff for special projects. Manages daily scheduling and assists with timekeeping for unit team, including management of timekeeping exceptions Establish and maintain a positive and productive team environment and a stable work environment through leadership, mentoring and coaching staff Provides input to management regarding overall employee performance. Monitors the quality of work performed by staff throughout the fiscal year and informs management of any deficiencies Assist in recruiting and interviewing personnel in collaboration with HIM Management for the special projects team Provides orientation and training to new staff regarding the operational and system policies and procedures Qualifications Excellent communication and written skills Detail-Oriented Excellent analytical and problem-solving skills Strong computer skills, Microsoft Window based computer skills Ability to plan and manage projects, staff, other resources, and timelines; and to prioritize and delegate accordingly Ability to be flexible, versatile, and adaptable in day-to-day activities conducted in a multi-site environment Ability to manage workload and competing priorities in order to complete tasks within set limits Ability to produce quality work on a consistent basis You will receive the following benefits: Medical Insurance - Four medical plans to choose from for you and your family Dental & Orthodontia Benefits Vision Benefits Health Savings Account (HSA) Health and Dependent Care Flexible Spending Accounts Voluntary Life Insurance, Long-Term & Short-Term Disability Insurance Hospital Indemnity Insurance 401(k) Paid Sick Time Leave Legal and Identity Protection Plans Pre-tax Commuter Benefit 529 College Saver Plan Motion Recruitment Partners (MRP) is an Equal Opportunity Employer. All applicants must be currently authorized to work on a full-time basis in the country for which they are applying, and no sponsorship is currently available. Employment is subject to the successful completion of a pre-employment screening. Accommodation will be provided in all parts of the hiring process as required under MRP's Employment Accommodation policy. Applicants need to make their needs known in advance.
    $33k-41k yearly est. 3d ago
  • Coding Denials Resolution Specialist / Coding Team Lead

    Healthrise 3.8company rating

    Farmington, MI jobs

    Job DescriptionDescription: Responsible for reviewing all post-billed denials (including coding-related denials) for coding accuracy and appealing them based on coding expertise and judgment within Hospital and/or Medical Group partner revenue operations. Serves as part of the coding denials resolution team responsible for identifying and determining root causes of denials. Responsible for using coding knowledge and standard procedures to track appeals through all levels and ensure timely filing as required by payers. Also promotes departmental awareness of coding best practices. Duties and Responsibilities Knows, understands, incorporates, and demonstrates the Healthrise Core Values. Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims. Responsible for understanding and resolving Professional Billing HCFA1500 claims or other coding-related issues, and processing charge corrections based on medical record reviews, contracts, and regulations as directed by the supervisor. Interprets data, draws conclusions, and reviews findings with all levels for further review. Takes initiative to continuously learn all aspects of the role to support progressive responsibility. Maintains a working knowledge of applicable federal, state, and local laws and regulations. Additional Duties and Responsibilities - Coding Team Lead Serves as first-line support for coders, answering questions, troubleshooting issues, and escalating complex cases to the manager. Reviews team members' work for accuracy and compliance, providing coaching and real-time feedback. Tracks productivity and quality metrics at the individual and team level and communicates performance trends to leadership. Supports onboarding and training of new coders, ensuring consistency in process knowledge and documentation. Responsible for monitoring and maintaining assigned leader workqueues. Requirements: High school diploma or Associate degree in Accounting, Business Administration, or related field, and a minimum of four years of experience in a hospital, clinic environment, health insurance company, managed care organization, or healthcare financial service setting; or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Comprehensive knowledge of professional/physician diagnostic and procedural coding, typically obtained through a coding certificate program, and at least one year of professional and hospital outpatient coding experience, or a minimum of two years of hospital inpatient coding experience including DRG assignment. Must hold one of the following credentials: RHIA, RHIT, CCS, CPC. CPMA will also be considered. Experience with NCCI edits, NCDs, LCDs, and outpatient coding guidelines for official coding and reporting. Detailed understanding of compliant healthcare billing and collections principles. Expertise in medical terminology, disease processes, patient health record content, and the medical record coding process. Comfortable operating in a collaborative, shared leadership environment. Previous experience working with Global Partner vendors preferred. Physical Demands and Work Environment Remote work environment requiring a dedicated space that ensures confidentiality and privacy. Frequent communication via Microsoft Teams, email, and phone with colleagues across locations. Manual dexterity required to operate a keyboard; hearing required for phone and Teams communication. Ability to concentrate, meet deadlines, work on multiple projects, and adapt to interruptions. Must be able to set and manage work priorities independently, adjust to changing demands, and work under potentially stressful conditions with individuals possessing diverse personalities and work styles, including Global Partner vendors.
    $52k-68k yearly est. 25d ago
  • Remote Certified Coder

    Altegra Health 4.4company rating

    Dallas, TX jobs

    Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable. • Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. • Remain current on medical coding guidelines and reimbursement reporting requirements. • Check chart assignments every day and report accurately all hours worked on a weekly basis. • Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. • Comply with HIPAA laws and regulations. • Participate in testing and training as required by the Company. Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required • At least one years' experience as a medical coder/abstractor. • Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred); • Ability to code using an ICD-9-CM code book (without using an encoder); • Strong clinical skills related to chronic illness diagnosis, treatment and management; • Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts); • Personal discipline to work remotely without direct supervision; • Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5); • Computer proficiency (including MS Windows, MS Office, and the Internet); • Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better; • Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills; • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation. Qualifications 1 year of certified coding experience Additional Information All your information will be kept confidential according to EEO guidelines.
    $37k-48k yearly est. 11h ago
  • Building Code & Zoning Specialist

    Milrose Consultants, Inc. 3.9company rating

    New York, NY jobs

    Building Code & Zoning Specialist New York, NY | Hybrid | Full-Time Build Your Career While We Build the Future About Us At Milrose Consultants, LLC, we build more than buildings-we build trust, expertise, and lasting partnerships. As leaders in building code and zoning consulting, we help shape the skylines of tomorrow through excellence in compliance and development strategy. Position Overview We're seeking a Building Code & Zoning Specialist to join our Code & Zoning team. In this role, you'll serve as a subject matter expert, guiding clients through complex building code and zoning requirements. You'll collaborate with design professionals, project teams, and regulatory agencies to ensure compliance and support successful project outcomes. What You'll Do Review design plans for compliance with NYC and regional zoning and building codes. Conduct due diligence for proposed developments and prepare technical documentation. Advise clients on achieving compliance and resolving code-related issues. Represent Milrose at project and agency meetings; liaise with city, state, and town officials. Prepare variance requests, determinations, and zoning/building code reports. Train staff on code updates and best practices. Support business development by identifying new opportunities and contributing to service growth. What You'll Bring Required: Bachelor's degree in Architecture, Engineering, Urban Planning, or related field. 10+ years of experience on complex, large-scale projects. Strong knowledge of NYC Zoning Resolution, Building Code, and regional codes. Excellent organizational, communication, and problem-solving skills. Proficiency in Microsoft Word and Excel. Preferred : RA, PE, or NYC Department of Buildings Class 2 Filing Representative License. Familiarity with construction methodologies and approval processes. Work Environment & Schedule This position is based in New York, NY, with a hybrid schedule. Standard working hours are Monday-Friday, 8:30am - 5:00pm. Minimal travel may be required. Compensation & Benefits Salary range: $115,000 - $125,000, based on knowledge, skills, and experience. Comprehensive health, dental, and vision, insurance, and 401K plan with a match. Paid time off: Holiday, vacation, sick time, personal and birthday. Career development and growth opportunities. Milrose Consultants, LLC is an Equal Opportunity Employer . We are committed to creating an inclusive environment for all employees and applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other characteristic protected by law. Milrose Consultants, LLC is committed to providing reasonable accommodation for qualified individuals with disabilities. If you need assistance or an accommodation due to a disability, please contact us at *******************. Notice to third party agencies: Please refrain from calling or emailing our team directly. Our in-house Talent Acquisition team manages all recruiting operations, including the selection and management of all external suppliers.
    $115k-125k yearly Auto-Apply 15d ago
  • Remote Certified Coder

    Altegra Health 4.4company rating

    Atlantic City, NJ jobs

    Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable. • Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. • Remain current on medical coding guidelines and reimbursement reporting requirements. • Check chart assignments every day and report accurately all hours worked on a weekly basis. • Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. • Comply with HIPAA laws and regulations. • Participate in testing and training as required by the Company. Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required • At least one years' experience as a medical coder/abstractor. • Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred); • Ability to code using an ICD-9-CM code book (without using an encoder); • Strong clinical skills related to chronic illness diagnosis, treatment and management; • Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts); • Personal discipline to work remotely without direct supervision; • Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5); • Computer proficiency (including MS Windows, MS Office, and the Internet); • Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better; • Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills; • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation. Qualifications 1 year certified remote coding experience Additional Information All your information will be kept confidential according to EEO guidelines.
    $42k-60k yearly est. 11h ago
  • Certified Coder

    Dean's Professional Services 4.1company rating

    Houston, TX jobs

    Job Description Certified Coder Pay Rate: $30/hr Shift: Monday through Friday, 8 AM to 5 PM Dean's Professional Services is actively seeking a Certified Coder to support accurate coding and documentation processes within a healthcare environment. This role requires strong attention to detail and a commitment to maintaining compliance with coding guidelines and standards. Responsibilities: - Review clinical documentation and diagnostic results to extract required data. - Apply accurate ICD-9-CM and CPT codes for billing, reporting, research, and regulatory compliance. - Ensure coding aligns with the ICD-9-CM Official Guidelines for Coding and Reporting. - Maintain accuracy, consistency, and compliance across all assigned coding tasks. Qualifications: - High school diploma or GED required. - Current certification as a Medical Coder (CPC, CCS, or equivalent). - Strong knowledge of ICD-9-CM and CPT coding guidelines. - Previous medical coding experience in a healthcare setting preferred. Why Join Us? - Full benefits including healthcare, dental, vision, and 401(k). - Temp-to-hire opportunity. - Work in a respected healthcare environment. - Supportive and professional team culture. Dean's Professional Services is a national, award-winning staffing solutions firm. Since 1993, DPS has placed more than 50,000 professionals nationwide. We match talent with opportunity, focusing on skill, experience, and culture fit. Apply today at or call for more information.
    $30 hourly 28d ago
  • Medical Records Specialist

    Teksystems 4.4company rating

    San Jose, CA jobs

    What You'll Do: Process medical record requests efficiently and accurately, including retrieving, scanning, and transmitting patient charts. Review and validate authorizations for release of information in compliance with HIPAA and state/federal regulations. Perform quality checks to ensure accuracy, confidentiality, and proper invoicing. Maintain equipment and work areas in excellent condition. Deliver outstanding customer service by listening carefully, responding promptly, and proactively resolving concerns. Handle incoming requests via mail, phone, and fax as needed. Stay up-to-date on state laws and fee structures related to medical records. Support team operations by taking on additional tasks or assisting during high-volume periods. What We're Looking For: Strong attention to detail and commitment to accuracy. Ability to maintain confidentiality and work with sensitive information responsibly. Excellent communication and customer service skills. Organized, professional, and adaptable in a fast-paced environment. Job Type & Location This is a Contract to Hire position based out of San Jose, CA. Pay and Benefits The pay range for this position is $21.00 - $24.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in San Jose,CA. Application Deadline This position is anticipated to close on Dec 17, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
    $21-24 hourly 12d ago
  • Senior Professional, Certified Coding Integrity

    Wright 4.2company rating

    Scranton, PA jobs

    The Senior Certified Coding Integrity Professional is responsible for all aspects of the coding and billing of all inpatient and outpatient claims, as well as all aspects of the CCM billing. The Senior Certified Coding Integrity Professional, a key position in the Revenue Cycle, facilitates the coding as well as manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients related to coding issues. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues and will have an onsite presence at the clinical locations. Requirements ESSENTIAL JOB DUTIES and FUNCTIONS While living and demonstrating our Core Values, the Senior Certified Coding Integrity Professional will: Perform accurate and timely multi-specialty coding for daily claims submission. Prepare and submit clean claims to third-party payers working closely with clinical team members regarding claims appeal, denial, and resolution. Perform audits of the daily billing summary reviewing the quality of the clinical documentation and coded data to validate that the documentation supports services rendered while ensuring the integrity of the coding. Respond timely (either orally or written) to account inquiries from patients, third-party payers, clinical providers, and/or other staff on claims submission. Interact with physicians, learners and other patient care providers on daily basis regarding billing and documentation policies, procedures, and regulations to ensure receipt and analysis of all charges; obtains clarification of conflicting, ambiguous, or non-specific documentation; as well as develop working relationship with operational leaders. Perform and monitor all steps in the billing and coding process to ensure maximum reimbursement from patients, third-party payers as well as from special billing arrangements. Assist in provider and learner education to ensure coding quality. Must have capacity to attend meetings day/evening as needed within assigned areas. Participate in clinical huddles/didactics and other clinical meetings as requested. Assist in the implementation and maintenance of the billing and coding educational materials used in clinical provider and learner training. Assist in the implementation and maintenance of population management learner training program addressing inpatient/outpatient chart review. Serve as a resource and subject matter expert for all billing and coding matters. Understand all aspects of Federally Qualified Health Center (FQHC) coverage, coding, billing and reimbursement of patient services, as well as other third-party payers. Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing/coding. Understand the considerations of coding in Value Based payment contracts. Responsible for reviewing and implementing changes from payor bulletins. Follow coding/billing guidelines and legal requirements to ensure compliance with federal and state regulations. Serve as a coach and mentor for billing team & education team. REQUIRED QUALIFICATIONS Bachelor or Associate degree in any Healthcare related field or equivalent experience. Must be a Certified Professional Coder with 7-10 years minimum direct professional coding experience. Certified Professional Coder CPC, Certified Risk Adjustment Coder CRC (not required but a plus), Certified Professional Compliance Officer Certification - CPCO (not required but a plus). Must have strong knowledge of all guidelines for ICD-10, CPT/HCPCS codes, medical terminology, and billing processes. Knowledge of Medical Billing/EHR (Electronic Health Records) systems preferably Medent. Knowledge of EOBs (Explanation of Benefit), EFTs (Electronic Funds Transfer) and ERAs (Electronic Remittance Advice). Knowledge of Microsoft Office software. Must possess team leadership skills and have a positive disposition. Must be focused, self-directed, & organized, with problem-solving abilities. Accurate and precise attention to detail. Excellent verbal and written communication skills. REQUIRED LICENSES/CERTIFICATIONS Certified Professional Coder-CPC Certified Risk Adjustment Coder-CRC (not required but a plus) Certified Professional Compliance Officer Certification - CPCO (not required but a plus) PREFERRED QUALIFICATIONS FQHC billing helpful (not required but a plus). General working knowledge/previous exposure of healthcare environments and auditing concepts, medical billing/operations, medical terminology and clinical documentation.
    $54k-63k yearly est. 60d+ ago

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