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Cpc Processor Jobs (NOW HIRING)

PDS Health

Sr Analyst, Finance Operations

Irvine, CA · On-site

$93K/yr

They will also assist these department in navigating through the PDS project processes including PIC and CPC by advising and guiding department leaders. Responsibilities * Responsible for maintaining ...

PDS Health

Sr Analyst, Finance Operations

Irvine, CA · On-site

$93K - $117K/yr

They will also assist these department in navigating through the PDS project processes including PIC and CPC by advising and guiding department leaders. Responsibilities * Responsible for maintaining ...

HealthOne Alliance

Claims Processor I

Dalton, GA · On-site

$15 - $19/hr

JOB PURPOSE The Claims Processor I is responsible for accurate and timely processing of medical ... CPC) preferred PHYSICAL REQUIREMENTS Prolonged periods of sitting at a desk and working on a ...

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How much do cpc processor jobs pay per hour?

As of May 31, 2026, the average hourly pay for cpc processor in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a CPC Processor, and why are they important?

To thrive as a CPC Processor, you need strong analytical skills, attention to detail, and knowledge of medical coding and billing procedures, typically supported by a Certified Professional Coder (CPC) certification. Familiarity with coding software, electronic health records (EHR) systems, and industry-standard classification tools like ICD-10 and CPT is essential. Excellent organizational skills, problem-solving abilities, and effective communication help you stand out in this role. These skills and qualifications ensure accurate coding, timely claim processing, and compliance with healthcare regulations, which are critical for reimbursement and minimizing errors.

What are some common challenges faced by CPC Processors, and how can they be managed effectively?

CPC Processors often encounter challenges such as managing high volumes of medical claims, ensuring accuracy in data entry, and staying up-to-date with constantly changing billing codes and insurance regulations. To manage these effectively, many organizations provide ongoing training, utilize advanced claims management software, and encourage regular communication with coders and billing specialists. Attention to detail, time management, and a collaborative approach with other departments are key to overcoming these challenges and maintaining a smooth workflow.

What are CPC Processors?

CPC Processors, or Certified Professional Coders, are professionals who specialize in reviewing and processing medical records to assign standardized codes for diagnoses, procedures, and services. They ensure that healthcare providers receive accurate reimbursement from insurance companies by applying the correct codes according to industry regulations. CPC Processors play a crucial role in maintaining compliance with healthcare laws and preventing billing errors or fraud. Their work requires a strong understanding of medical terminology, anatomy, and coding guidelines.

What is the difference between Cpc Processor vs Cpc Specialist?

AspectCpc ProcessorCpc Specialist
CredentialsHigh school diploma, basic certificationHigh school diploma, advanced certification often preferred
Work EnvironmentData entry, processing centers, healthcare officesHealthcare facilities, insurance companies, data management teams
Job ResponsibilitiesReview and process claims, data entry, basic verificationAnalyze claims, resolve discrepancies, ensure compliance

The main difference between a Cpc Processor and a Cpc Specialist lies in their responsibilities and expertise. Cpc Processors focus on basic claim processing and data entry, while Cpc Specialists handle more complex analysis and problem resolution. Both roles are essential in healthcare claims management, but the Specialist typically requires more experience and advanced knowledge.

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What are the most commonly searched types of Cpc Processor jobs? The most popular types of Cpc Processor jobs are:
What job categories do people searching Cpc Processor jobs look for? The top searched job categories for Cpc Processor jobs are:
Cpc Processor jobs near you
Coding Specialist - CPC Required

Coding Specialist - CPC Required

Trinity Health

Fort Lauderdale, FL • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Trinity Health rating

6.5

Company rating: 6.5 out of 10

Based on 348 frontline employees who took The Breakroom Quiz

593rd of 864 rated healthcare providers

Job description

Employment Type:
Full timeShift:
Day Shift
Description:
This is a M-F, 8a-5p remote position that requires certification. For the Holy Cross Medical Group this individual performs charge entry, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers and checking clinical documentation. Works closely with Revenue Integrity staff and providers to educate on improved documentation to support coding. Neurosurgery experience is highly preferred. CPC license is REQUIRED.
What you will do:
Responsible for coding and/or validation of charges for more complex service lines, advanced proficiencies in surgical or specialty coding practice.
Review chart, including nursing notes, physician orders, progress notes, and surgical or specialty notes thoroughly to interpret and validate and/or extract all charges. Ensure each chart is complete according to specified guidelines. Ensure charges captured on the correct patient, correct encounter, correct date of service, with any required modifiers.
Review documentation, abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, State and Private payer regulations. a. Perform coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review b. Responsible for proofing daily charges for accuracy and clean claim submission c. Responsible for balancing charges and adjustments d. Maintain productivity standards e. Maintain compliance with regulatory requirements
Responsible for denial coordination with Patient Business Service (PBS) centers, including analysis of clinical documentation, assisting in appeals, root cause analysis and tracking as needed. 6. Educates clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity.
Educate clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity.
Perform outpatient clinical documentation improvement review (acute only) as needed.
Perform research on charges and communicate findings to intra and inter-departmental colleagues.
Maintain a minimum productivity standard, based on service line and charge type; including but not limited to, chart review, charge extraction, E&M level assignment and charge entry.
Other related responsibilities as assigned by manager.
Minimum Qualifications:
  • High school diploma or equivalent combination of education and experience.
  • Minimum three (3) years of relevant coding and charge control work experience in a Hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services.
  • Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations.
  • Licensure / Certification: CPC license required.
  • Neurosurgery experience preferred
  • Must possess a demonstrated knowledge of clinical processes, clinical coding (CPT, HCPCS, ICD-9/10, revenue codes and modifiers), charging processes and audits, and clinical billing. Strong understanding of various medical claim formats.
  • Knowledge of clinical documentation improvement processes strongly preferred.
  • Strong knowledge of Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and pre-bill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB).
  • Ability to perform charge capture processes, including understanding technical integration of electronic medical record and the automation of charge triggers, and ability to investigate charge errors accordingly. Epic experience desired.

Position Highlights and Benefits:
  • Comprehensive benefit packages available, including medical, dental, vision, paid time off, 403B, and education assistance.
  • Comprehensive benefits that start on your first day of work
  • Retirement savings program with employer matching
  • We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
  • We live and breathe our guiding behaviors: we support each other in serving, we communicate openly, honestly, respectfully, and directly, we are fully present, we are all accountable, we trust and assume goodness in intentions, and we are continuous learners.

Ministry/Facility Information:
  • A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-service, not-for-profit, Catholic, teaching hospital operating in the spirit of the Sisters of Mercy.
  • We are the only not-for-profit Catholic hospital in Broward and Palm Beach counties.
  • Through strategic collaborations and a commitment to being a person-centered, transforming, healing presence, the 557-bed hospital offers progressive inpatient, outpatient and community outreach services and clinical research trials to serve as our community's trusted health partner for life. We are committed to providing compassionate and holistic person-centered care.

Legal Info:
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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