18663 jobs found

Job Overview The Revenue Cycle Management Specialist – CPC Required supports the accurate and efficient management of the revenue cycle for behavioral health, outpatient, surgical, or a combination of these practice settings. This position combines hands-on medical billing and revenue cycle responsibilities with coding expertise to help ensure accurate claim submission, appropriate reimbursement and compliance with coding and payer requirements. Key Responsibilities Manage full-cycle medical billing, including insurance verification, charge entry, claims submission, payment posting, denial management and patient collections. Review CPT, ICD-10-CM, HCPCS codes and modifiers for accuracy and appropriate claim submission. Identify and resolve coding-related claim errors, rejections and denials. Ensure timely and accurate claims submission to commercial payers, Medicaid and Medicare. Conduct eligibility checks and pre-authorizations as needed. Follow up on...

Position Summary:  The Hospital (HB) Billing Lead serves as the department's senior technical resource, providing day-to-day workflow coordination, technical guidance, and functional leadership for Hospital (HB) Billing operations. Working under the direction of the Central Business Office Supervisor, the Lead supports daily billing activities by coordinating workflow, monitoring claim quality, assisting with staff development, resolving routine operational issues, and serving as the primary technical resource for Hospital (HB) Billing team. While this position does not typically have direct supervisory responsibility, the Lead provides functional leadership through coaching, mentoring, technical expertise, and promotion of departmental best practices. The Hospital (HB) Billing Lead maintains advanced knowledge of Hospital (HB) Billing operations supporting Critical Access Hospital (CAH), Hospital Outpatient (HOP), Emergency Department, Observation, Surgery, Ancillary...

Position Summary:  The Central Business Office (CBO) Supervisor serves as the operational leader of the organization's billing and accounts receivable functions, providing day-to-day leadership and oversight of departmental operations across all assigned care settings. This position is accountable for ensuring the department consistently achieves established performance, quality, compliance, productivity, reimbursement, and customer service expectations while supporting the organization's overall Revenue Cycle strategy. Working under the direction of the Central Business Office Manager, the Supervisor translates departmental goals and strategic priorities into daily operational execution by coordinating workflow, monitoring productivity and quality, resolving operational issues, developing staff, and ensuring departmental performance standards are consistently achieved. The Supervisor serves as the primary frontline leader for assigned staff, fostering a culture of...

The Manager of Coding & Revenue Integrity is responsible for the performance, accuracy, compliance, and accountability of hospital and professional coding, charge capture processes, and chargemaster (CDM) governance across the organization. Responsibilities span all organizational service lines and reimbursement methodologies, including Critical Access Hospital (CAH), Rural Health Clinic (RHC), Emergency Medical Services (EMS), hospital-based (HB), professional-based (PB), and other provider-based services, as applicable. This role ensures accurate and timely code assignment, complete and compliant charge capture, and effective CDM governance to support accurate reimbursement, reduce denials, and prevent revenue leakage while maintaining compliance with federal, state, payer, and organizational requirements. Working in a Critical Access Hospital environment, the Manager balances coding and revenue integrity operations with financial performance and regulatory compliance...

Description Codes outpatient charts and/or professional charts and abstracts all required data from records according to established procedures; including medical necessity for Medicare charts. Uses ICD-10 CM/PCS/CPT-4/chargemaster to code all diagnoses, operative procedures and physician procedures performed for outpatient procedures. Verifies/changes levels of care provided according to level of care guidelines. Captures all missing records and documentation, i.e. IV start/stop times, etc. Interacts with physicians and physician's offices regarding diagnoses or coding questions. Performs other work as needed to help within the department. Keeps current with coding practices and skills through in-services, seminars, workshops and current literature to increase coding knowledge. Reviews the entire medical record for identification of all documented conditions, diagnoses and procedures. Demonstrates the ability to read physicians...

OVERVIEW : The Billing & Coding Specialist works collaboratively with the billing team to support all functions of the billing department, ensuring the maximization of receivables and maintaining optimal cash flow.  This role requires advanced knowledge of OB/GYN coding and billing practices.  The Billing & Coding Specialist is responsible for maintaining compliance with office policies, procedures, and all applicable regulatory requirements.   The ideal candidate demonstrates a friendly and professional demeanor, strong interpersonal skills, and the ability to remain composed during high-pressure situations. This role requires the ability to work independently, apply critical thinking to resolve complex billing issues, and manage sensitive financial conversations with patients in a respectful and understanding manner. KEY RESPONSIBILITIES: Serve as the subject matter expert for all billing, coding, and documentation questions. Review provider...

Overview Hybrid position, need to live in the area or be willing to relocate.   As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA   The Trauma Registrar is responsible for the traumatic injured patient identification, collection, entry, validation and maintenance of injury data for our American College of Surgeons (ACS) verified Level 1 Trauma Center. Utilizing analytical and cognitive skills, the Trauma Registrar collects trauma data used for improvement in clinical care, injury research, national benchmarking, epidemiology, prevention and quality initiatives,...

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking a motivated Coding Quality Educator with an emphasis in Surgery experience to join our team. This job can be performed 100% remotely and out of state candidates will be considered.   The Coding Quality Educator will primarily be responsible for supporting and leading ongoing audit and education to existing coding staff and/or physicians,...

Lead the team that turns coding expertise into organizational impact. As Supervisor of Coding Education, Professional at SSM Health, you’ll guide a team of coding educators, strengthen provider and coder education, and help advance coding accuracy, compliance, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Leads and coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and associates. Assists coding staff, physicians, and other health care practitioners with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding physician/provider documentation. Assists in educational needs of coding staff based on these conversations and questions. Coordinates design, development, maintenance, and delivering of training curricula, coding job aids, reference materials, and workshops for providers and coders....

Bring your coding expertise to SSM Health in a role where education, quality, and compliance come together. As a Coding Educator, you’ll partner with providers and coders, lead training initiatives, and influence documentation and coding practices that support accuracy, consistency, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Drives optimal clinical and financial outcomes through thorough assessment of provider documentation and coding competency, identification of improvement opportunities. Develops and delivers training and education of all coding processes. Stays abreast of regulatory changes and works with leadership to ensure compliance and revenue integrity. Act as subject matter expert for providers and coders while providing guidance and clarification on issues which present in their daily account processing. Establishes and coordinates internal quality review processes and corresponding training for providers and coders....

About the role You will join a team that partners with healthcare organizations to strengthen their revenue cycle. As a coder, you’ll deliver accurate, compliant coding for clients who count on you to get it right. Many of our client sites have limited on-site coding support, so you’ll work independently, communicate clearly with providers, and own the quality of your work. This is a 100% remote, 12-month W2 contract role with flexible scheduling between 6am and 6pm in your local time zone (40 hours a week). Successful candidate could have the opportunity to extend or convert to full-time employment. You will work alongside a growing team with opportunities for cross-training.    What you’ll do Assign accurate diagnosis, procedure, and service codes using ICD-10-CM, ICD-10-PCS (where applicable), CPT, and HCPCS Level II. Review provider documentation for accuracy and completeness, and apply payer, CMS, and organizational coding guidelines. Sequence codes and...

Coding Manager – Vascular Surgery Position Overview We are seeking a highly analytical, solutions-oriented Coding Manager with a strong background in vascular surgery coding, proven people-management skills, and the ability to improve processes that drive coding quality, operational efficiency, and revenue performance. The Coding Manager will lead the professional coding team for a high-volume, multi-specialty vascular surgery practice encompassing hospital-based procedures, ambulatory surgery centers (ASCs), office-based laboratories (OBLs), office visits, imaging, and other vascular services. This position combines technical coding expertise with hands-on operational leadership. The Coding Manager will be responsible for managing and developing the coding team, establishing performance standards, identifying and resolving operational problems, conducting coding audits, improving provider documentation, and implementing initiatives that improve charge...

OB/GYN Medical Coder Location: Remote Schedule: Full-time, day shift Department: Domestic Coding Services Reports to: Vice President of Coding Services Position Overview AGS Health is seeking an experienced OB/GYN Medical Coder to join our Domestic Coding Services team. This remote position is responsible for reviewing clinical documentation and assigning accurate diagnosis and procedure codes for obstetrics and gynecology services. The ideal candidate has a strong understanding of professional coding, OB/GYN terminology, and applicable coding guidelines, along with a commitment to quality, productivity, and client service. Key Responsibilities Review provider documentation and assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes for OB/GYN services. Code a variety of services, which may include office visits, preventive services, maternity care, deliveries, gynecologic procedures, and surgical services....

Job Position: Independent Medical Reviewer   Reports To:   Chief, Clinical Business Operations  Department:  AppealMasters  Employment Status:  • 1099 Independent Contractor (Remote)  • This remote contractor role requires a minimum commitment of ten appeals per week  (approximately 15–20 hours weekly). Contractors are responsible for providing their own  equipment and maintaining a secure home office environment.  Position Summary  We are seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist to  review, analyze, and write compelling appeals for coding and DRG-related denials. This  position requires a strong understanding of inpatient coding guidelines, MS-DRG assignment,  clinical documentation, payer policies, and reimbursement principles.  The ideal candidate will have mid-level inpatient coding experience and the ability to translate  complex coding and clinical information into clear, concise, and well-supported appeal  arguments. The primary...

I. JOB SUMMARY/RESPONSIBILITIES Performs review of physician and other health care provider services by QMC and QEC providers to ensure services are coded with appropriate CPT and ICD-9 codes. Conducts education, training, and continuously monitors QMC and QEC providers related to PATH guidelines, coding and documentation of professional services rendered, in accordance with government, insurer, and other regulatory agency standards.  Effective October 2014, ICD-10 codes shall be required. II. TYPICAL PHYSICAL DEMANDS: Essential: sitting, stooping/bending, finger dexterity, seeing, hearing, speaking, lifting, and carrying usual weight of 5 pounds, repetitive arm/hand motions, static gripping of an object for prolonged periods, frequent gripping of an object.  Occasional: standing, walking, kneeling, climbing stairs, squatting, twisting body, lifting weight up to 10 pounds, pushing/ pulling usual weight of 2 pounds up to 5 pounds, reaching above, at and below shoulder level....

Required: Active coding certification (apprentice designation not accepted for this role). SCOPE/GENERAL PURPOSE OF JOB: The Senior Coding Specialist is responsible for abstracting all E/M, CPT, HCPCS, ICD-10-CM, modifier, units from the medical record documentation.  Other responsibilities include accurately entering data into coding/billing software and/or Excel reports.  Performing accurate coding using applicable guidelines and facility protocols and communicating with staff and/or providers as needed.  Provide written feedback of coding results as needed in the form of comments, summary of findings and recommendations.  Ensure compliance with federal and state laws, regulations and standards related to health information and coding principles.  Communicate with your direct manager as needed (i.e. schedule changes, daily assignments/work volume, coding questions, etc.)   ESSENTIAL DUTIES AND RESPONSIBILITIES: ·         Assign ICD-10 CM...

Description General summary of duties:  Responsible for coding, billing, denials, accounts receivable and payer policy updates Supervision received:  Reports to Revenue Cycle Manager Education:  CPC certification required Pay:  $53,000 - $65,000 DOE Location: Flagstaff office (Remote considered)   Responsibilities include: Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines. Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding. Interact with and provide support to the practice to answer questions and resolve claim denials. Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare,...

We have an opportunity at our corporate offices in Chicago for a Sr. CPT Regulatory & Communications Manager (Hybrid) on our Health Solutions team. This is a hybrid position reporting into our Chicago, IL office, requiring 3 days a week in the office.  This role will serve as a senior regulatory lead responsible for developing and executing the CPT communications program and providing operational leadership for implementation of clinical AI coding initiatives. Partner with AMA leadership, the CPT Editorial Panel, and external stakeholders to support the implementation of CPT priorities related to emerging clinical AI technologies. Leads cross-functional collaboration and stakeholder engagement to support CPT communications and clinical AI coding initiatives. RESPONSIBILITIES: CPT Proactive Communications Develop and execute the CPT proactive communications plan in alignment with organizational priorities, producing written collateral, digital...

Children’s Orthopaedic and Scoliosis Surgery Associates, LLP (COSSA) is seeking an experienced Medical Billing Specialist to join our pediatric orthopaedic practice. This position focuses on insurance accounts receivable, denial resolution, and obtaining accurate, timely payment for physician services. You will work independently on assigned accounts, with support from an established billing team. We value people who investigate problems, follow through, share knowledge, and help prevent recurring billing issues. Responsibilities Research and resolve outstanding insurance balances using payer portals and direct communication with insurance representatives. Review electronic claim rejections and denials, determine the appropriate corrective action, and submit corrected claims, reconsiderations, and appeals. Investigate underpayments using payer policies, contracts, and fee schedules. Prepare appeal letters supported by relevant...

Summary: Florida residency required Applies expert knowledge of ICD‑10‑CM, CPT, and HCPCS coding to accurately code inpatient and outpatient encounters in compliance with AMA and CMS guidelines. Reviews clinical documentation for medical necessity, resolves coding and billing issues, supports charge capture and denial prevention, and collaborates with providers to ensure accurate, compliant reimbursement. Position Responsibilities Knowledge of medical coding rules, regulations and compliance allowing to better handle issues such as medical necessity, claims denials, bundling issues and charge capture. Knowledge of medical terminoogy, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes and identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record. Knowledge of official coding conventions and rules established by the...

Medical Billing/Office manager position at Ear Bar Pay: $30.00 - $35.00 per hour Job description: Job Summary We are seeking a dedicated and experienced Medical Billing Specialist/office manager to oversee the daily operations of new innovative ENT specialty practice focused on ears. The ideal candidate will possess strong leadership skills and a comprehensive understanding of medical office management, including experience in clinical settings and utilization management. This role is pivotal in ensuring efficient workflow, maintaining high standards of patient care, and managing administrative functions effectively. The ideal candidate will also be responsible for managing the entire billing process, ensuring accurate and timely submission of claims, and facilitating smooth communication between healthcare providers, insurance companies, and patients. Your expertise will help optimize revenue cycles, improve patient satisfaction, and uphold the highest standards...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start  Caring. Connecting. Growing together. High Level Overview of the Role: Coding Consultant is responsible for investigating and resolving instances of healthcare fraud and abuse of medical providers. Coding Consultant uses information from a tip, member benefits, and medical records to document relevant findings. This position will achieve applicable targets and metrics as determined.This individual will provide mentoring,...

We are seeking a biller for our family owned dermatology clinic in St. Petersburg, Fl.  We are highly focused on patient care but also our culture/work environment. We always say that our patients AND staff are equally important.  We have grown over the last 9 years from one provider to a bustling clinic with 6 providers seeing around 400-500 patients a week. We have grown by word of mouth only, on the back of our outstanding reputation for patient care. Strongly prefer a biller with extensive experience with the full revenue cycle in an outpatient clinic. Our biller will need to electronically submit claims, post era's, eob's, and payments, work denials, send statements, manage patients in collections, handle all billing related phone calls, interact with patients in the office who have billing concerns or questions, etc. This job is not a reclamation project.  We are not in need of a biller to come in and clean up a mess. We have a great billing system in place with a...

Job Title: Independent Medical Biller/Coder, Part Time, Work From Home (athenahealth Expert) Job Type: 1099 Independent Contractor (Part-Time, Fractional) Hours: Estimated 20 hours/month (with potential to scale as our practice expands) Location: 100% Remote (US-Based Only; Texas-experienced preferred) About the Practice We are a Family Medicine practice based in Texas with a current patient panel of approximately 2,000 patients . We are just beginning an exciting transition to a HYBRID / Direct Primary Care (DPC) model. As we roll out our direct care cash-pay option, we are keeping a curated insurance panel consisting of Medicare, Tricare, and select commercial payers (BCBS Texas, Aetna, Cigna, UHC). Our Growth Vision: We are actively looking to expand our practice by bringing on additional physicians and non-physician clinicians. To make this expansion possible, we must maximize our practice revenue through highly effective, meticulous billing....