Aston Carter

Medical Coding Specialist This role focuses on managing and responding to appeal and coding-related inquiries while ensuring accurate medical code assignment and thorough medical record reviews. The Coding Specialist supports compliance with national coding guidelines and contributes to the integrity of medical records and claims processing within a healthcare setting. Responsibilities Manage and respond to appeal inquiries in a timely and professional manner. Review and respond to coding-related inquiries from internal and external stakeholders. Evaluate provider-submitted claims to ensure accurate medical code assignment. Conduct detailed medical record reviews to validate coding accuracy in accordance with national coding guidelines. Maintain accurate documentation of coding decisions and appeal outcomes. Collaborate with relevant teams to resolve coding discrepancies and support process improvements. Perform data entry related to medical records, claims, and coding...

Medical Biller - Healthcare Industry The Medical Biller is responsible for the accurate and timely submission of professional and technical medical claims. This role plays a key part in ensuring proper reimbursement by researching unpaid or underpaid claims and working closely with insurance carriers, patients, and internal teams. The ideal candidate is detail-oriented, organized, and experienced in healthcare billing operations. Key Responsibilities Prepare, review, and submit clean medical claims to commercial insurers, Medicare, Medicaid, and other third-party payers via electronic and paper formats Research, track, and follow up on unpaid, denied, or underpaid claims to ensure timely reimbursement Communicate directly with insurance carriers to resolve claim rejections, denials, coding issues, and payment discrepancies Review patient accounts for accuracy and completeness; obtain missing or corrected demographic, insurance, or clinical information as needed Correct, resubmit,...

As a Lead Compliance Auditor, you will play a pivotal role in strengthening organizational integrity, operational reliability, and adherence to regulatory requirements. In this position, you will shape audit strategy, oversee complex compliance reviews, and collaborate with cross‑functional teams to evaluate internal controls, identify risks, and drive corrective actions. Your leadership will help cultivate a culture of accountability and continuous improvement while ensuring that critical programs and processes meet the highest standards of compliance. Relocation offered for the right candidate Qualifications Bachelor’s degree required 15+ years of accounting/audit experience 5+ years government contracting Strong expertise in government contractor regulations including FAR/DFARS/CAS 1+ years investigations experience Strong interviewing and investigative skills Responsibilities Lead and manage compliance investigations (timecard fraud, conflict of interest, financial...

Aston Carter is seeking a Lead Compliance Auditor based in Poway, CA. In this hybrid role, you will oversee compliance investigations, manage multiple cases, and drive adherence to regulatory requirements. The ideal candidate has 15+ years of audit experience, particularly in government contracting, along with a Bachelor’s degree. The position offers a competitive salary range of $160,000 - $170,000 along with comprehensive benefits, including medical, dental, and retirement plans. #J-18808-Ljbffr

Job Title: Medical Coding Specialist Job Description This role focuses on managing and responding to appeal and coding-related inquiries while ensuring accurate medical code assignment and thorough medical record reviews. The Coding Specialist supports compliance with national coding guidelines and contributes to the integrity of medical records and claims processing within a healthcare setting. Responsibilities Manage and respond to appeal inquiries in a timely and professional manner. Review and respond to coding-related inquiries from internal and external stakeholders. Evaluate provider-submitted claims to ensure accurate medical code assignment. Conduct detailed medical record reviews to validate coding accuracy in accordance with national coding guidelines. Maintain accurate documentation of coding decisions and appeal outcomes. Collaborate with relevant teams to resolve coding discrepancies and support process improvements....

As a Lead Compliance Auditor, you will play a pivotal role in strengthening organizational integrity, operational reliability, and adherence to regulatory requirements. In this position, you will shape audit strategy, oversee complex compliance reviews, and collaborate with cross‑functional teams to evaluate internal controls, identify risks, and drive corrective actions. Your leadership will help cultivate a culture of accountability and continuous improvement while ensuring that critical programs and processes meet the highest standards of compliance. Relocation offered for the right candidate Qualifications: Bachelor’s degree required 15+ years of accounting/audit experience 5+ years government contracting Strong expertise in government contractor regulations including FAR/DFARS/CAS 1+ years investigations experience Strong interviewing and investigative skills Description • Lead and manage compliance investigations (timecard fraud, conflict of interest,...

Medical Coding Specialist This role focuses on managing and responding to appeal and coding-related inquiries while ensuring accurate medical code assignment and thorough medical record reviews. The Coding Specialist supports compliance with national coding guidelines and contributes to the integrity of medical records and claims processing within a healthcare setting. Responsibilities Manage and respond to appeal inquiries in a timely and professional manner. Review and respond to coding-related inquiries from internal and external stakeholders. Evaluate provider-submitted claims to ensure accurate medical code assignment. Conduct detailed medical record reviews to validate coding accuracy in accordance with national coding guidelines. Maintain accurate documentation of coding decisions and appeal outcomes. Collaborate with relevant teams to resolve coding discrepancies and support process improvements. Perform data entry related to medical records, claims, and...