<h3>Job Description</h3>
Position Name: Quality Assurance III (Medical Coder)
City &amp; State: Reston, Virginia
Duration: 3 Months
 
Purpose:
Acts as an internal expert to ensure that as value-based reimbursement and medical policy models are developed and implemented. Provides advanced knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT and ICD 10 codes in claims submissions.
Utilizes extensive coding knowledge, combined with medical policy, credentialing, and contracting rules knowledge to help build the effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity.
 
Consults on proper coding rules in value-based contracts to ensure appropriate quality measure capture and proper use of CPT and ICD10 codes. Provides input on various consequences for different financial and incentive models. Supports to use of alternatives and solutions to maximize quality payments and risk adjustment. Translates from claim language to services in an episode or capitated payment to articulate inclusions and exclusions in models.
 
Serves as a technical resource / coding subject matter expert for contract pricing related issues. Conducts business and operational analyses to assure payments are in compliance with contract; identifies areas for improvement and clarification for better operational efficiency. Provides problem solving expertise on
systems issues if a code is not accepted. Troubleshoots, make recommendations and answer questions on more complex coding and billing issues whether systemic or one-off.
 
Supports and contributes to the development and refinement of effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. May interface directly with provider groups during proactive training events or just in time on complex claims matters. Consults with various teams, including the Practice Transformation Consultants, Medical Policy Analysts and Provider Networks colleagues to interpret coding and documentation language and respond to inquiries from providers.
 
Keeps up-to-date on coding rules and standards.
 
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
 
Education Level: High School Diploma
Experience: 3 years experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in managed care; state or federal health care programs; or health insurance industry experience
 
Preferred Qualifications
Bachelor's degree in related discipline
Experience in medical auditing
Experience in training/education/presenting to large groups
 
Experience in revenue cycle management and value-based reimbursement/contracting models and methodologies
Knowledge, Skills and Abilities (KSAs) Proficiency
Knowledge of billing practices for hospitals, physicians and/or ancillary providers as well as knowledge about contracting and claims processing Proficient
Knowledge and understanding of medical terminology to address codes and procedures. Advanced
Excellent communication skills both written and verbal. Proficient
Detail oriented with an ability to manage multiple projects simultaneously Proficient
Demonstrated ability to effectively analyze and present data Proficient
Experience in using Microsoft Office (Excel, Word, Power Point, etc.) and demonstrated ability to learn/adapt to computer-based tracking and data collection tools Proficient
 
The Special Investigations Unit (SIU) is currently managing a claim volume exceeding 5,000, which has significantly impacted our operational capacity. Due to existing bandwidth limitations, approval was granted to secure temporary support to help reduce the backlog and maintain timely investigative processes.
This additional resourcing is essential to ensure continued compliance, mitigate risk, and uphold the integrity of our claims review process.
 
Responsibilities will include reviewing provider claims with medical records for SIU prepayment team. The role is to ensure properly coded claims in accordance with AMA, industry standards, and identification of FWA indicators.
Accreditations include:
CPC, CPMA, COC through AAPC
 
 
Thanks &amp; Regards,
 
Sekhar Pillala
Team Lead - Talent Acquisition
KMM Technologies, Inc.
CMMI Level 2 | ISO 9001 | ISO 20000 | ISO 27000 Certified
WOSB, SBA 8(A), MDOT MBE &amp; NMSDC MBE
Contract Vehicles: 8(a) STARS III &amp; Schedule 70
Tel: 240-800-1958 | Fax: (866) 856 3684
E-MAIL: <a href="mailto:sekhar.pillala@kmmtechnologies.com" target="_blank">sekhar.pillala@kmmtechnologies.com</a>
Linked In: <a href="https://www.linkedin.com/in/sekhar-ji-1505ab22/" target="_blank">https://www.linkedin.com/in/sekhar-ji-1505ab22/</a>
<a href="http://www.kmmtechnologies.com" target="_blank">www.kmmtechnologies.com</a>

Medical Coder

<h3>Job Description</h3>
Job Description
Description
This Medical Coder will be working with 8 doctors directly, being a liaison between the Physicians and the coding team. This person will be working with the physicians and escalated cases, auditing cases, and coding for minor surgical procedures. This person must be able to speak with doctors and also review and research reasons as to why cases are coded a certain way. If they aren't coded correctly, they will need to present evidence from various sources such as the AHA or CPT Assistant, Z Health, or webinars that they have learned on.
Skills
Icd-10, Medical, Cpc, Ehr, Coding, Electronic health record, Electronic medical record, Epic
Top Skills Details
Icd-10,Medical,Cpc,Ehr,Coding
Additional Skills &amp; Qualifications
Must have years of experience coding
Must be willing work with Surgical doctors directly 
Strong attention to detail 
CPC 
Pay and Benefits
The pay range for this position is $32.00 - $42.00/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 &amp; vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life &amp; AD&amp;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 hybrid position in San Bernardino,CA.
Application Deadline
This position is anticipated to close on Oct 24, 2025.
h4&gt;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.

<h3>Job Description</h3>
Job DescriptionGrowing Healthcare system is seeking a remote Inpatient Coder III for a long term contract role with great growth potential.&nbsp; Qualified applicants must have CCS (AHIMA) and a min of 2 years' Inpatient Coding experience.&nbsp; Job Duties:
<ul>
<li>Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS) </li>
<li>Interprets documentation and assigns proper International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses and ICD-10-Procedural Classification System (PCS) operative procedure codes utilizing designated software to include Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material. · </li>
<li>Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes DRG groupings, and observes for appropriate DRG assignment. · </li>
<li>Reviews high dollar and more complex cases including but not limited to, medical, surgical, behavioral health and IP Rehabilitation. </li>
<li>Applies IRF-PAI guidelines for IP Rehabilitation coding. </li>
</ul>
Education:
<ul>
<li>Associate's Degree or equivalent experience&nbsp; </li>
</ul>
 Requirements:
<ul>
<li>Min 2 years' inpatient coding experience </li>
<li>CCS (AHIMA&nbsp; </li>
<li>ICD 10-CM diagnostic and ICD-10-PCS procedure codes UHDDS </li>
<li>Various DRG methodologies (MS-DRG, APR-DRG, Tricare, etc.) </li>
<li>IP Rehabilitation IRF-PAI coding requirement&nbsp; </li>
<li>Clinical information related to areas of responsibility&nbsp;To Be Replaced </li>
</ul>

<h3>Job Description</h3>
Job DescriptionCertified Professional Coder- Medical Billing Department (CPC/ CPC-A) Job Type Full-time Full Job Description Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full time employees and we are always accepting applications from qualified candidates.&nbsp; We are currently seeking a full-time CPC or CPC-A Certified Professional Coder. If you are an Apprentice you are also encouraged to apply. We can offer you the opportunity to work &nbsp;and grow as a coder for a large multi-specialty group. We are willing to train the right candidate. This will offer coders from all levels of experience the opportunity to work with a diverse group of CPC's on a variety of specialties. Some of the specialties include: Hospitalists, Cardiology, Pulmonary and Critical Care, Sleep Specialists, Endocrinology, Podiatry, OB/GYN, Colo/Rectal, Urgent Care, Dermatology, ENT and much more. Remote and/or Hybrid opportunities are available. Duties &amp; Responsibilities:
<ul>
<li>Review charge tickets, progress notes, and op notes to apply appropriate CPT, ICD-10 and HCPCS codes.&nbsp;</li>
<li>Review denied claims queue’s needing coding review for multispecialty claims and identify how to correct the claim to ensure&nbsp;payment.</li>
<li>Participate in month end closing processes. This requires end of month black out dates. Extended hours and weekend shifts may be required during the month end time frame. (Aprx last week of the month)</li>
<li>Maintains required annual CEU’s</li>
<li>Special Projects as assigned</li>
</ul>
Qualifications:
<ul>
<li>Must be&nbsp;licensed&nbsp;as a Certified Professional Coder (CPC) or Certified Professional Coder- Apprentice (CPC-A)</li>
<li>Ability to communicate effectively &amp; professionally orally and in writing.</li>
<li>Must demonstrate the ability to work as a team member.</li>
<li>Must demonstrate a positive attitude, and helpful demeanor.</li>
<li>Attention to detail a must</li>
<li>Ability to work independently with little to no direct supervision</li>
<li>Self-starter who is willing to learn and grow</li>
<li>General knowledge of standard office equipment such as computers, fax machine, photo copier, etc.</li>
<li>General medical office experience a plus</li>
<li>Locations in Chesapeake and Virginia Beach</li>
</ul>
Education and/or Experience:
<ul>
<li>CPC or CPC-A Required</li>
</ul>
Additional Benefits Offered to full time CPC Coders:&nbsp;
<ul>
<li>Remote work from home opportunity available to CPC coders after 1 year of successful employment</li>
<li>Reimbursement of AAPC annual dues</li>
<li>All CPT, ICD-10, HCPCS and Specialty books are provided annually</li>
<li>Access to Codify</li>
<li>Opportunities for continued training available by specialty</li>
</ul>
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nhj3Dwen4S

<h3>Job Description</h3>
Job Description
We are looking for a Certified Medical Coder to join our team in Sacramento, California. This is a long-term contract position that requires expertise in accurately translating medical information into standardized codes for billing and insurance purposes. The ideal candidate will bring precision, attention to detail, and a commitment to maintaining compliance with coding regulations.
 
** Must have experience coding for a surgery center or hospital ** For immediate consideration, apply and contact Julian Sanchez on LinkedIn **
 
Responsibilities:
• Review medical records and reports to assign accurate numeric and alphanumeric codes.
• Translate patient diagnoses, procedures, and medical histories into standardized codes for billing purposes.
• Prepare and submit insurance claims while ensuring proper documentation and compliance.
• Conduct audits and reviews of coding practices to ensure accuracy and adherence to regulations.
• Provide training and mentorship to less experienced coders as needed.
• Collaborate with healthcare professionals to verify diagnostic information and clarify medical data.
• Stay informed on updates to medical coding policies, regulations, and software.
• Maintain confidentiality and uphold ethical standards in handling patient information.
• Utilize coding software and tools such as 3M, Cerner, and Allscripts to ensure efficient operations.
• Certification as a Certified Coder (CPC) or Certified Coding Specialist (CCS) is required. • Proven experience in medical coding and billing processes. • Strong understanding of medical terminology, anatomy, and physiology. • Proficiency in coding software and tools, including 3M and Cerner Technologies. • Familiarity with ICD-10-CM and HCPCS Level II coding guidelines. • Excellent attention to detail and critical thinking skills. • Effective communication skills for collaborating with healthcare teams. • Knowledge of auditing and claim administration processes.

<h3>Job Description</h3>
Job Description
A Medical Coder for WellStreet Urgent Care is responsible for supporting all aspects of the Revenue Cycle for our Urgent Care Centers.
Responsibilities • Coding for our Urgent Care Centers using our internal software • Knowledge of ICD-10 Coding and compliance • Experience using an encoder • Setting up insurance plans within our software • Working with the Revenue Cycle Management to identify &amp; resolve issues related to coding and the process flow • Interfacing with clinic staff on billing &amp; coding issues. • Comply with all legal requirements regarding coding procedures and practices • Conduct audits and coding reviews to ensure all documentation is accurate and precise • Assign and sequence all codes for services rendered • Collaborate with billing department to ensure all bills are satisfied in a timely manner • Communicate with insurance companies about coding errors and disputes • Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures • Adhere to productivity standards
Minimum Qualifications • 3+ years of experience in medical billing • Epic experience required • Urgent Care and Occupational Health Billing experience is a plus • High School diploma or equivalent
Required Skills
•2+ years of experience as a Medical Coder • Active CPC, RHIT, CCS or COC Certification • Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims • Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software Energy, enthusiasm and the ability to work under pressure in a high volume, fast paced, unstructured start-up environment • Ability to work within a team environment and maintain a positive attitude • Excellent documentation, verbal and written communication skills • Extremely organized with a strong attention to detail • Motivated, dependable and flexible with the ability to handle periods of stress and pressure • All other duties as assigned.
WellStreet Urgent Care is committed to providing the highest quality patient and customer care. In addition to the above requirements, WellStreet is looking for team members with the following qualities:
<ul>
<li>A positive attitude toward patients, families, and coworkers.</li>
<li>Willingness always to go the extra mile to create an outstanding experience for customers and to train and lead the center team to do the same.</li>
<li>A desire to work in concert with others in an upbeat and supportive atmosphere while reinforcing the WellStreet mission to provide uncompromising service.</li>
<li>A compelling desire to serve others, improve your community’s health, and have fun every day.</li>
</ul>
INDmisc

<h3>Job Description</h3>
Job Description
Job Summary: Reviews and code (ICD-10 &amp; CPT) procedural and diagnostic information that determines Medicare, Medicaid and private insurance billing. Performs ICD-10 and CPT coding for reimbursement. Abstracts pertinent data from the health record for billing purposes. Responsible for accurate, complete, and timely completion of the health record/ billing folder.
 
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:CCA (Certified Coding Associate) certification or ability to complete AHIMA Coding Basics Program and obtain CCA certification. CCS or CCS-P also accepted from AHIMA or AAPC Certification (CPC)
 
QUALIFICATIONS:
1. One of the above Certifications
2. Six months experience in an office setting preferred.
 
ESSENTIAL DUTIES &amp; RESPONSIBILITIES:
Core Competencies
Reviews the medical record for reimbursement purposes. Responsible for abstracting and coding the classification of psychiatric and medical treatments. Selecting the most accurate and descriptive code(s) from a complete listing of ICD-10 codes, and sequencing codes to optimize reimbursement.
Applies knowledge of anatomy and physiology to interpret general medical classifications for coding inpatient discharge data.
Ensures that all data abstracted and/or coded are consistent with guidelines outlined by JCAHO, OSHPD and CMS, regional and local policy.
Organizes and prioritizes all work to ensure that records are coded in timeframes that will ensure compliance with regulatory requirements and internal billing processes.
Interacts with physicians to clarify and accurately document patient diagnostic and procedural information.
Enters patient information into EMR, ensuring the accuracy and integrity of the medical record abstract or encounter data.
Performs other related duties as necessary.
 
 day shift per diem

<h3>Job Description</h3>
Job Description
FULL TIME | 8-HR SHIFT | AM SHIFT 
 Pay range: $23/hr - $33/hr.
We have an opening for an experienced, certified Medical Coder. CCS required. 
What We Do:
Charter Oak Hospital offers compassionate and individualized treatment for mental health and substance use disorders. We believe in a patient-centric approach, where every treatment plan is tailored to meet the specific needs of each person who walks through our doors.
What You’ll Do:
The coder is responsible for correctly and timely coding of all medical record; manage daily workload, follow up on missing charts, review charts to determine correct procedure and diagnosis codes, and other projects as assigned.
Join us in making a meaningful impact in the lives of those we serve!
 Aurora Charter Oak Hospital has been delivering Behavioral Health Treatment Services for over 83 years. We are located on 10 acres of beautifully landscaped grounds in Covina, California. Covina is about 22 miles east of downtown Los Angeles, in the San Gabriel Valley, close to 10, 60 and 210 FWY.
 EEOC Employer. Aurora Charter Oak Hospital does not discriminate against any person on the basis of race, color, national origin, sexual orientation, disability, or age in admission, treatment, or participation in its programs, services and activities, or in employment. 
 The company participates in the E-Verify program. Follow the link for additional information. E-Verify: <a href="http://www.uscis.gov/e-verify" target="_blank">http://www.uscis.gov/e-verify</a>
Requirements
Education &amp; Experience:
· Certified Coding Specialist (CCS) required
· Bachelor's degree preferred with coursework in Medical Terminology/Anatomy and Physiology
· One year coding experience using ICD-10 and ICD-10 PCS required
· Psych and Chemical Dependency ICD-10 and ICD-10 PCS experience preferred
Benefits
Benefits:
<ul>
<li>401(k)</li>
<li>Dental insurance</li>
<li>Employee assistance program</li>
<li>Employee discount</li>
<li>Flexible spending account</li>
<li>Health insurance</li>
<li>Life insurance</li>
<li>Paid time off</li>
<li>Vision insurance</li>
</ul>

Coder (Medical Coder)

<h3>Job Description</h3>
Job Description
We do more than treat cancer. Be a part of the most powerful team of cancer experts and advocates who invest in the health and well-being of our patients throughout treatment and beyond. As part of the team, you will be pursuing the most advanced, innovative and cost-effective treatment options, so that our patients receive personalized, custom care best suited to their situation.
Under general supervision, this position will manage and execute coding clinical notes supporting a minimum of one specialty. The coder also functions as a partner to provide feedback and documentation advice to our physicians, practice management team, and their fellow coders. Supports and adheres to the Oklahoma Cancer Specialists and Research Institute Compliance Program, to include the Code of Ethics and Business Standards. Qualifications: High School diploma or equivalent required. Minimum of 7 years of experience collaborating with physicians to improve quality and completeness of documentation of care provided and coded for coordination, abstraction and submission of accurate date required by payers. Must be proficient working in various electronic medical record systems. Previous experience with OncoEMR, Mosaiq, EMA EMR systems and G4 Studio practice management systems is preferred. Experience with Encoder Pro or AAPC Coder. Knowledge of medical terminology, anatomy, physiology, and oncology is highly desired. Responsible for maintaining current knowledge of coding guidelines and relevant federal regulation using current CPT, HCPCS Level II, and ICD-10CM materials and other pertinent materials. Must be able to prioritize duties and manage time in such a way as to successfully complete their responsibilities as well as others, as assigned. Communication skills written and verbal. Excellent customer service and high level of courtesy and professionalism required. 
Compensation is competitive and commensurate with experience, qualifications, and other relevant factors.

<h3>Job Description</h3>
Job DescriptionSalary: 
LPR International is seeking an experienced Medical Coder with at least 3 years of prior experience in production coding in a surgical setting or a physician practice environment. This is a REMOTE role and supports a contract based in Linthicum Heights, MD.
 
Job Title: Coding Specialist/ PB Coder (Critical Care and Pulmonary) Shift/Schedule: Remote; M-F 8AM-SPM (Flexible start date) MUST Reside on CST/EST Interview: Virtual Equipment: Facility will NOT provide equipment. Contractors must have their own equipment for contract duration
 
JOB SUMMARY: Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions Assigns specified codes to medical diagnoses with some coding of specific clinical procedures.
 
JOB REQUIREMENTS: **EXPERIENCE WITH PROFEE BILLING. NO HCC CODERS** 
<ul>
<li>HS Diploma or GED </li>
<li>3+ years experience in production coding in a surgical setting or in a physician practice environment required. Outpatient professional fee revenue cycle management experience preferred </li>
<li>MUST have an active CPC or CCS-P certification </li>
<li>MUST have experience with Critical Care and Pulmonary coding</li>
</ul>
 
JOB FUNCTIONS:
<ul>
<li>Deciphers operative reports and other physician medical record documentation to appropriately select codes and maximize charge capture. Ensures coding compliance with established standards and guidelines</li>
<li>Acts as liaison between the clinical and billing departments. Answers questions from billing in a timely manner </li>
<li>Responsible for ensuring quality, accuracy and timeliness of clinical data contained in patients medical record by reviewing and analyzing medical information provided by physicians for reimbursement, statistical and indexing purposes </li>
<li>Meets established productivity and proficiency standards </li>
<li>Attends coding seminars, hospital and departmental meetings as required or assigned. Actively participates in hospital educational in-services </li>
<li>Utilizes appropriate customer relation skills to ensure all customers are treated with respect and dignity and that the confidentiality of their data is upheld</li>
</ul>
 
 
All applicants requiring alternative methods of application or screening should contact LPR International directly.
 
 
LPR International is an Equal Opportunity Employer and does not discriminate on the basis of race, creed, color, religion, gender, sex, sexual orientation, gender identity, pregnancy, national origin, citizenship status, age, disability, medical condition, genetic information, marital status, status as a covered veteran, military discharge status, criminal records that have been sealed or expunged, arrest records not resulting in conviction or any other characteristic protected by federal, state and/or local law.

1,210 medical-coder Jobs