15823 jobs found

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...

Certified Biller for CAH in rural Nebraska. Duties include processing all Outpatient and Inpatient claims, identifying wrong/missing charges, following up on all denials/rejections and working with HIM on all coding issues.  Position will be processing all types of insurance (Medicare, Medicaid, Medicare Advantage, Commercial, VA, Work Comp) Must have experience with CAH / RHC billing. Position may be Hybrid or Remote. We are currently on TruBridge EHR and TruBridge RCM.          

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....

About Synergy Health Partners Synergy Health Partners provides healthcare revenue cycle, billing, credentialing, and managed care support services. Our team works with healthcare organizations to improve reimbursement, resolve outstanding insurance accounts, and support efficient revenue cycle operations. Position Summary We are seeking an experienced Revenue Cycle Specialist with hands-on medical insurance AR experience. This position focuses on payer follow-up, denial resolution, appeals, corrected claims, and recovery of outstanding insurance balances in a high-volume environment. The role also includes inbound patient calls , so excellent customer service and professional communication skills are important. Responsibilities Work insurance AR and aging accounts Follow up with Medicare, Medicare Advantage, Medicaid, and commercial insurance payers Research unpaid, underpaid, rejected, and denied claims Review EOBs and ERAs and...

**Onsite position** SUMMARY: Assist in the oversight of the day-to-day operations of the billing department; including but not limited to staffing, training and customer complaint resolution. Implements and maintains policies and procedures. Interacts with PPO Networks and TPA Payers on contractual issues, education of codes, and reimbursements. Ensures CPT and ICD-10 codes are current in all systems. Works with credentialing office regarding ID # for new radiologist. May perform other job related duties as necessary for the efficient operation of SDMI. Key Responsibilities Assist with daily oversight of billing department operations, including staff support and workflow management  Support hiring, training, and ongoing development of billing team members  Address and resolve customer billing inquiries and complaints in a timely, professional manner  Implement, maintain, and enforce billing policies and procedures  Collaborate with PPO networks and TPA payers...

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....

Medical Billing, Revenue Cycle & Administrative Specialist Urban Pain Institute – Anchorage, Alaska Remote Position – Alaska, West Coast & Mountain Time Zone Urban Pain Institute, an interventional pain management practice based in Anchorage, Alaska, is looking for an experienced, highly organized Medical Billing, Revenue Cycle & Administrative Specialist to join our team. This is a remote position for an experienced professional who understands medical billing, insurance requirements, denials and appeals, prior authorizations, credentialing, and the administrative processes necessary to ensure the practice is reimbursed appropriately and remains compliant with insurance requirements and applicable laws. The ideal candidate is extremely organized, detail-oriented, proactive, and persistent, and is comfortable working independently while also coordinating with our clinical and administrative staff. Medical Billing, Revenue Cycle &...

Job Description: Certified Professional Coder This is a full-time position which requires at least 2 years of medical billing experience, charge posting, payment posting, collections and A/R. You must be a certified professional coder with at least 1 full year of experience in orthopedic medical billing. This will involve claims management, follow-up and self-pay collections for our busy Orthopedic office Responsibilities:   Codes and/or review diagnosis, co-morbidities, complications, and diagnostic procedures, Current with (CPT) (HCPCS-all levels, and any other classification systems that may be required Stay up to date with the latest medical compliance & reimbursement policies Review medical record information to identify all appropriate coding is in tune with the latest reimbursement policies & CMS guidelines Check on compliance issues, update Providers with accurate coding information and recommend new strategies to Providers Implement new...

Must reside in Texas, Georgia, Mississippi, Montana, North Carolina, Oklahoma, or Wisconsin Salary: up to $40/hr. with experience Job purpose The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient’s medical history, diagnosis, tests and treatment plan. Duties and responsibilities Primarily codes from final office visit, surgical/procedural operative reports signed by providers Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims Enters patient copayment information into the EMR Reconciles charges against the schedule list to ensure no charges are missed Investigates rejected claims to see why denials were issued as...

Hospital for Special Care is currently seeking an experienced Inpatient Coding Specialist to join our team. This is an excellent opportunity for a coding professional who enjoys working with complex medical records, collaborating with clinical teams, and using their expertise to support accurate documentation, coding, and reimbursement.  What You'll Do ·   Accurately code inpatient accounts and assign appropriate ICD-10-CM/PCS, CPT, modifiers, and DRGs in accordance with current coding guidelines. ·   Review medical records, identify documentation needs, and collaborate with HIM, physicians, clinical staff, and other departments to resolve coding questions, edits, and denials. ·   Monitor outstanding accounts and coding reports to ensure timely and accurate completion of inpatient records. ·   Utilize the Electronic Medical Record, 3M HDM, and clinical documentation tools to support efficient and accurate coding. ·   Serve as a coding resource and educator...

MaxAI is Stripe for healthcare billing — the infrastructure that makes medical practices actually get paid. We're early-stage, growing fast, and the people joining now aren't just shaping this company — they're helping fix a broken industry. We want billers and coders who think like owners, not processors.   What You'll Do Own the full billing cycle for our dermatology clients — claim submission, follow-up, collections, everything. You'll dig into denial patterns, catch issues before they become problems, and work directly with practice staff to keep revenue flowing. Review patient records and assign accurate ICD-10 and CPT codes for dermatology procedures Submit clean claims and minimize rejection rates Work denials — identify root causes, appeal when appropriate, and prevent repeat issues Manage A/R aging and follow up aggressively on unpaid claims Handle patient billing inquiries and collections professionally Collaborate...

Multiple ED, SDS and IP Coding Assignments Available & Data Quality Auditors Needed Description: Coders and Auditors with 3-5+ years of facility coding experience are needed to provide coverage to Pena4’s clients. Responsibilities : Pena4 M edical Coders are responsible for accurately assigning ICD-10-CM/PCS diagnosis and CPT procedure codes for inpatient and outpatient hospital services. This role ensures coded data is complete, compliant, and supports appropriate reimbursement, quality reporting, and regulatory requirements. Coders must meet or exceed determined productivity and quality standards for respectively assigned client engagements in order to ensure the highest level of coding.  Summary: Position Type: 1099 Independent Consultant 100% Remote Assignments Schedule/Shift varies per assignment. See current assignment details below.   Credentials: CPC, CCS, RHIA, RHIT (preferred) 3-5+ years of Facility Coding Will be required to complete ED,...

Primary Purpose of the Position: The Revenue Cycle Coding Manager provides strategic and operational leadership for professional coding and charge capture. The Manager is accountable for coding quality, productivity, inventory, compliance remediation, workforce planning, vendor performance, physician and division engagement, and coding-related revenue integrity. The position establishes clear standards, analyzes trends, and develops corrective action plans to support accurate, timely, and compliant claim submission.   Essential Duties of the Position May Include the Following: Leads day-to-day and long-range coding operations, including staffing, workload allocation, coverage planning, production priorities, and escalation management. Owns the coding operating model and clearly defines responsibilities among the Coding Manager, Coding Supervisor, internal coders, and external coding vendors. Establishes, monitors, and reports key performance indicators for...

About Bridge Bridge is the fastest, most compliant way to scale insurance billing nationwide. We enable virtual care companies to go in-network nationally in as little as 30 days, without the operational lift. Our platform handles payer contracting, credentialing, real-time benefit verification, medical coding, claim submission, denial management, and compliance in a single integrated solution. Backed by leading investors including General Catalyst, Andreessen Horowitz, Thrive Capital, Khosla Ventures, Greenoaks, and Mischief, we're scaling rapidly. The Role We are seeking a detail-oriented and experienced RCM Coding Specialist with CPC (Certified Professional Coder) certification to join our Revenue Cycle Management team. This role is responsible for accurate and timely medical coding in accordance with current coding guidelines, payer requirements, and company standards. The ideal candidate has strong analytical skills, in-depth knowledge of CPT, ICD-10, and...

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. Risk Adjustment Coding Specialists are an important part of the Team at Virtix Health. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements. Equipment provided along with Encoder software with access to AHA Coding Clinic This is a remote position ESSENTIAL DUTIES AND RESPONSIBILITIES:...