61 jobs found in San Antonio

Job Type Full-time Description Job Title: Medical Billing Specialist Job Summary: We are seeking a detail-oriented and knowledgeable Professional Reimbursement Specialist to join our healthcare team. The ideal candidate will be responsible for managing and processing medical claims, ensuring accurate reimbursement from insurance providers, and maintaining compliance with healthcare regulations. This role requires strong analytical skills and a commitment to providing excellent service to both patients and healthcare providers. Key Responsibilities: - Review and process medical claims for accuracy and completeness. - Communicate with insurance companies to resolve claim discrepancies and denials. - Ensure compliance with federal and state regulations regarding medical billing and reimbursement. - Maintain detailed records of claims and payments for auditing purposes. - Collaborate with healthcare providers to gather necessary documentation for claims. -...

Associate Director, Medical Information (multiple myeloma) Experience in hematology/oncology, immuno-oncology, cell therapy, or a related therapeutic area preferred. Knowledge of multiple myeloma is a plus. Job Overview: The Associate Director, Medical Information contractor will provide senior-level scientific, strategic, and operational support for client's Medical Information activities. The role will deliver accurate, balanced, and timely responses to unsolicited medical inquiries; lead the development and maintenance of Medical Information content; and partner cross-functionally to support product, therapeutic-area, and launch priorities. A key focus of the role will be supporting Medical Information readiness for the upcoming multiple myeloma launch, including development of scientific response resources, management of anticipated inquiry topics, and preparation of internal and external support teams. Key Responsibilities: Provide accurate, balanced, evidence-based, and...

Job TitleMedical Coding SpecialistJob DescriptionUnder limited supervision, responsible for conducting the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes.ResponsibilitiesReviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.Works coding related charge review and claim edits daily to ensure timely and accurate billing.Researches and resolves coding related issues, and assists in meeting productivity and quality standards.Contacts other facilities to obtain medical records and information need to bill for services rendered.Verifies fee tickets and...

DaMar Staffing is seeking an experienced Inpatient Medical Coder (CCS) for full-time, 100% remote work in the United States. The role requires at least 5 years of IP PCS coding experience and a CCS certificate, with preference for OP coding experience. A coding assessment will be required to proceed. Start date is immediate, with day-shift hours and standard weekday scheduling. The coder will use Cerner, PowerChart, 3M, and EPIC systems to assign ICD-10-CM/PCS and HCPCS/CPT codes and strive for #J-18808-Ljbffr

Job Type Full-time Description Certified Medical Coder & Revenue Cycle Specialist - Orthopedics & Charge Capture Job Type: Full-Time Location: San Antonio, TX Company: TSAOG Orthopaedics & Spine More Than Coding. More Than Charge Entry. At TSAOG Orthopaedics & Spine, accurate coding is an important part of keeping our revenue cycle running smoothly. We're looking for a Certified Medical Coder who understands the connection between physician documentation, accurate coding, complete charge capture, and clean claims. This is not a role for someone who simply enters what is put in front of them. We're looking for someone who notices when something doesn't add up, knows how to research the issue, asks the right questions, and takes ownership of getting it resolved. If you enjoy digging into the details, solving problems, and catching issues before they turn into denials or lost revenue, you may be exactly who we're looking for. What...

Job Description Job Description Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched...

TSAOG Orthopaedics & Spine is seeking a Certified Medical Coder to ensure accurate coding, charge capture, and clean claims in a fast-paced orthopedic setting. You will connect physician documentation to precise CPT/ICD-10-CM coding, verify charges, and collaborate with clinicians to resolve discrepancies. The role emphasizes ownership, problem-solving, and proactive review to prevent denials and maximize revenue. Prior orthopedic coding experience and CPC certification are highly valued. #J-18808-Ljbffr

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference.If this is your profile, we want to hear from you. The Director, MSLs is responsible for the leadership, direction and management of MSLs in the region and works collaboratively with the Medical Affairs Senior management with strategic and tactical planning, working collaboratively with Medical Affairs and Clinical Development teams for support of clinical studies across the...

The Coding Network (TCN) is looking to contract with Hopsitalist E&M coders to perform the daily Hospitalist coding for a number of clients throughout the country. The coder will access the operation reports via a remote connection to the client's EMR and return the coded cases. Hours can range from a 15-40 hour/week commitment. We currently have enough work available for multiple coders, and are scheduled to bring on additional Hospitalist work in March 2022. All applicants must: · Have a minimum of 3 years of Hospitalist Specific Coding · Have an active coding certification (CPC, RHIA, RHIT) · Live and work in the United States of America · Take and pass TCN’s Hospitalist Coding Exam If you meet the above criteria and are willing to test please submit your resume.

Summary Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines. Coder will work collaboratively with various CHRISTUS Health departments, including but not limited to the HIM and Clinical Documentation Specialists, to ensure accurate and complete physician documentation to...

TSAOG Orthopaedics & Spine seeks a Charge Entry Specialist, a certified medical biller and coder, to ensure precise charge capture and compliant reimbursement. The role emphasizes critical review of physician documentation, identifying missing charges, and resolving billing discrepancies before claims submission. The candidate will review codes, enter charges for office visits and procedures, reconcile against reports, and collaborate with clinicians to obtain clarifications, while upholding #J-18808-Ljbffr

Job Details: Job Location: Huebner Ambulatory Surgery Center - San Antonio, TX 78240, Position Type: Full Time, Salary Range: $20.00 - $25.00 Hourly, Are you detail-oriented, organized, and passionate about making a difference behind the scenes in patient care? We're looking for a Biller/Collector to join our dedicated team. In this vital role, you'll help ensure that our patients receive outstanding service while managing billing, collections, and accounts receivable with accuracy and care. At our Center, teamwork isnt just a buzzword - its how we operate every day. We support one another, cross-train to grow our skills, and work together to create a positive, efficient environment for both staff and patients. Why You’ll Love Working Here: Paid holidays Paid Time Off Comprehensive benefits package including medical, dental, vision, life, and disability insurance. Supportive, team-based environment that values your contributions Opportunities to learn, grow, and...

University Health System- San Antonio seeks a Billing Supervisor to oversee daily review of operating room, MARC Ambulatory Center, Cardiac Cath Lab, Emergency Center, and Trauma Code III billing. You will supervise billing activities, data entry, hold-bill reviews, and coordinate with departments to correct errors. The role requires a high school diploma, at least three years in third-party billing or collections, and preferred supervisory experience; hospital background is a plus. #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. This is a hybrid position that requires occasional travel within the assigned market. 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...

Join Our Caring CommunityHumana'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. This is a hybrid position that requires occasional travel within the assigned market.Responsibilities:Deliver coding and documentation education to providers and clinic staff within IPA clinics.Be a consultative resource and ongoing support for providers in assigned clinics.Conduct documentation audits to identify gaps, trends, and opportunities for improvement.Perform quarterly chart reviews to support coding accuracy and...

Medical Accounts Receivable SpecialistOur client is seeking an experienced Medical Accounts Receivable (AR) Specialist to manage all aspects of medical AR collections for a physician medical group. This role will focus heavily on insurance claim denial follow-up, unpaid claims, payment recovery, billing issue resolution, and account management.Key ResponsibilitiesManage assigned medical accounts receivable and insurance payer follow-up to ensure timely payment of outstanding claims.Perform claim denial follow-up, research unpaid and underpaid claims, identify billing issues, and pursue available options to obtain payment.Follow up on zero-payment Explanation of Benefits (EOBs) and determine appropriate next steps for claim resolution.Monitor accounts for delinquent payments and use appropriate collection techniques to maintain current AR.Research and resolve patient billing inquiries, insurance issues, and account discrepancies.Professionally communicate with patients, insurance...

Coders, Bill Reviewers, And Payment Integrity ReviewersCalling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential.A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines.Core duties and responsibilities:Evaluates the appropriateness of codes and determine whether they meet all established program standards.Ensures that the medical records are matched appropriately to...

Job Description Job Description Description: POSITION SUMMARY: The Medical Biller is responsible for organizing patient medical costs and sending invoices to collect payments from patients and their insurers. Their duties include calling patients to discuss payment and developing reasonable payment plans, entering patient data into administrative systems and recording information about outstanding claims. DUTIES AND RESPONSIBILITIES: Accurately and timely submit medical claims to insurance companies and other payers. Verify patient insurance coverage and obtain necessary authorizations for medical procedures. Review and analyze medical records to ensure appropriate coding of diagnoses and procedures. Resolve billing issues with insurance companies and other payers. Follow up on unpaid claims and resubmit claims as necessary. Work closely with other departments, such as medical coding and billing, to ensure accurate and timely billing processes. Maintain accurate and...

Sports Medicine Associates of San Antonio - SMASA is seeking a Medical Billing/Authorization Clerk to verify insurance benefits and secure pre-authorizations for services. You will communicate with patients, physicians, and insurance carriers, ensuring accurate billing and EMR data entry. The role requires experience with workers' compensation, medical terminology, and proficiency in MS Office and EMR systems. This on-site position is in the Business Office department. #J-18808-Ljbffr

Location: San Antonio, Texas, United StatesCompany: UT Health San AntonioPosted: Job Description The Outpatient Coder-Senior is responsible for conducting the quality review of outpatient coding, assuring coding compliance with federal regulations, and maintaining up-to-date coding guidelines and coding policy changes. Reviews, interprets, and assigns diagnostic and procedural codes based on medical record documentation according to correct coding principles. Knowledge of edit resolution and ability to code complex OP encounters. Assists in mentoring and training new coders on workflows and applications. Preserves the confidential nature of the information. Supports and maintains UT Health San Antonio policies, protocols, and values. Works under the general supervision of the Coding Operations Manager in a hospital setting.Qualifications Knowledge of Official Guidelines for coding and reporting.Knowledge of medical terminology, human anatomy, physiology and pharmacology.Knowledge...