53 jobs found in Granite Heights

Overview Maintenance of account which includes AR follow up, payment posting & balancing, filing claims & managing rejections, as well as generating statements and receiving inbound patient calls. Responsibilities Contact insurance companies regarding claims. Process and follow up on appeals to insurance companies. Filing of all claims. Post and balance payments, if applicable. Maintain productivity standards and goals set by the department and/or manager. Maintain standard quality measures and goals. Proactively resolve any cash restraining issues by seeking out and identifying trends in each facility’s AR. Follows up on non-responded and denied insurance claims for all third-party carriers (Self-Pay, Private, HMO/PPO and Gov’t payers). Processes insurance/patient correspondence with insurance carriers to resolve adjudication issues. Resolve any issues affecting reimbursement and/or adjudication in a timely manner. Available to patients and clinical departments...

CorroHealth Inc. is seeking a Coding Specialist to provide CPT, HCPCS and ICD-10-CM coding for multiple specialties. The role supports professional, facility, and HCC coding with potential inpatient work and remote eligibility. The ideal candidate holds CPC/COC or CCS/CCS-P credentials, has at least two years of experience, and is proficient in EMR and Microsoft Office. A strong attention to detail, timely delivery, and professional client communication are essential. #J-18808-Ljbffr

Become a part of our caring community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. Responsibilities You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will perform quarterly chart reviews to support coding accuracy and documentation completeness. Use your...

ClearSky Health in Eau Claire, WI seeks a Medical Coder to review and assign ICD-10-CM codes for patient records, ensuring compliance with state and federal regulations. This role supports accurate coding and data integrity across the hospital system. The ideal candidate has 3+ years of medical coding experience or a recognized coding certification, with strong knowledge of CPT/ICD-10 and a commitment to HIPAA privacy. Rehabilitation coding experience is a plus. #J-18808-Ljbffr

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries physician for...

Driven by a bold pursuit of science and fueled by an unwavering commitment to patients, Sun Pharma is a leading global pharmaceutical company, providing high-quality medicines trusted by healthcare professionals and patients. As part of our mission to Reach People and Touch Lives, we deliver Innovative Medicines, Generics and Consumer Healthcare products that improve the lives of millions of people. With a broadly diversified portfolio of products that span multiple therapeutic areas, we improve access to effective, affordable treatments that promote better health and well-being. Reaching People. Touching Lives. Job Summary The Field Medical Associate Director, Dermatology & Immunology - West, leads a team of MSLs to advance Sun Pharma’s medical strategy through external scientific engagements with healthcare providers and managed care accounts. As a part of the field medical team, this role will report to the National Field Director, Medical Affairs, Dermatology &...

Humana Inc. is seeking an IPA Consultative Coder to collaborate with providers and clinic teams to enhance documentation accuracy and coding effectiveness. You will deliver coding and documentation education within IPA clinics, serve as a consultative resource, and perform quarterly chart reviews to support accuracy and completeness. This full-time role requires 40 hours weekly and a willingness to work in assigned markets within Wisconsin. #J-18808-Ljbffr

Cook Children's is seeking a Certified Coding Specialist I for a remote position based in Texas. The role requires coding ambulatory surgery, observation, ED, and clinic visits with ICD-10-CM & CPT-4, communicating with physicians, and staying current with coding guidelines. Preferred candidates hold CCS or CPC certification, with RHIA/RHIT plus. Strong terminology knowledge and the ability to work independently are essential. #J-18808-Ljbffr

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA) SKILLS AND ABILITIES Demonstrates the skills...

CorroHealth Inc. seeks a Claim Review Specialist to perform complex audits of inpatient, facility and outpatient claims, validating ICD-10, CPT, and HCPCS coding according to CMS and AHIMA guidelines. The role includes reporting findings, delivering client guidance, and educating clients on best practices while collaborating with the consulting team. The position requires five years of coding/audit experience, proficiency with major EHRs, and strong communication skills; remote collaboration is #J-18808-Ljbffr

About Us: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.JOB SUMMARY:The Claim Review Specialist serves as a revenue cycle and coding consultant, partnering with the Director of HIM to perform complex concurrent and retrospective audits of hospital inpatient, facility and outpatient claims. This role evaluates coding accuracy and documentation compliance by validating ICD-10, CPT, and HCPCS code assignments in accordance with CMS, AHIMA, AHA Coding Clinic, and official coding guidelines. Using proprietary software, the specialist analyzes claim...

Select how often (in days) to receive an alert: Date: Aug 26, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for an Inpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of inpatient medical records and/or other documentation to determine correct coding, as defined by review methodologies specific to the contract for...

The TSA is seeking Security Inspectors to evaluate airport security systems in San Mateo and across the United States, ensuring compliance with federal regulations. The role requires meticulous audits, data collection, and effective communication with airport authorities to support continuous safety improvements. Inspectors conduct inspections, assess procedures, prepare detailed reports, and help implement corrective actions across multiple airports. #J-18808-Ljbffr

This is an exciting time to join the FYZICAL family! If you have one year of billing experience and would enjoy being part of a champion team with a forward-thinking company that takes a unique approach to physical therapy, you are a great fit for our Medical Billing Specialist position in Horizon City, TX!In this Medical Billing Specialist role, you will be able to enhance your career under the guidance of a helpful, supportive practice leader in an exciting, fast-paced environment. With state-of-the-art technology at your fingertips, you will always have the tools you need to be successful. In addition, you will have access to continuing education, keeping you at the forefront of your profession.If you are ready to be part of an energetic atmosphere where you can achieve success and career satisfaction, apply for FYZICAL's Medical Billing Specialist job opening today!A great support team. An exciting work environment. Room to grow. Cutting-edge technology at your fingertips. This...

A healthcare service provider is seeking a detail-oriented individual for managing billing claims, requiring strong organizational and communication skills. Responsibilities include contacting insurance companies, processing appeals, and maintaining confidentiality in line with HIPAA compliance. Candidates should possess a high school diploma and ideally have two years of relevant experience in physician billing. Knowledge of the Aprima EPM practice management system is preferred, and a proactive attitude towards problem-solving is essential. #J-18808-Ljbffr

Driscoll Health System seeks a Medical Coder to review medical records and assign ICD and CPT codes for outpatient encounters. The role emphasizes accuracy, compliance, and timely coding to support billing and denials resolution. Primary duties include auditing, responding to coding queries from internal and external customers, and coordinating with physicians to obtain needed information. Education and ongoing training are encouraged within a collaborative hospital setting. #J-18808-Ljbffr

Gainwell Technologies is seeking an experienced Senior Associate Inpatient Coding Auditor to perform audits of inpatient medical records and other documentation to determine correct coding per contract-specific methodologies. The role requires extensive ICD-10 coding knowledge, MS-DRG/APR-DRG expertise, and AHIMA or AAPC credentials, with opportunities for training, advancement, and remote work within the U.S. #J-18808-Ljbffr

OU Health is seeking an Experienced Professional Coding Specialist for a 100% remote role in Revenue Integrity. The ideal candidate will independently perform complex professional coding across multiple specialties, with strong skills in ICD-10-CM, CPT, HCPCS, E/M, and payer policy interpretation. Epic, Encoder Pro, and Solventum/3M experience are preferred. Requirements include a CPC or CCS-P certification and at least 3 years of physician/provider coding experience. #J-18808-Ljbffr

Experienced Professional Coding Specialist Revenue Integrity New to OU Health? Ask your recruiter about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. Looking for a coding team to love at OU Health? This is it! We cover multiple specialties, so there's opportunities to learn and grow . 100% remote. Flexible shifts once training is complete. Opportunity to work four 9 hour days, and one 4 hour day. So if you're work-from-home ready, work well independently, and have strong coding skills we just may be the right fit for you! ***The ideal candidate would have teaching hospital or trauma center coding experience. While coding knowledge in multiple specialties is a big plus, the CIRCC certification moves you to the top of the list of candidates. Epic, Encoder Pro and Solventum/3M experience preferred.*** General Description Independently performs...

Premier Medical Resources is seeking a Medical Billing Specialist to join our Revenue Cycle Management team. This hybrid role follows a 30–90 day in-person training period, with 4 days from home and 1 day in the office. The Specialist will analyze patient records, apply ICD-10 and CPT codes, ensure charges appear on patient accounts, and coordinate with inter-departments to correct discrepancies. Experience with EOBs/COBs and CMS-1500 is preferred. #J-18808-Ljbffr