Guidehouse

A reputable consulting firm offers a remote position for a Revenue Integrity Coding Billing Specialist in Saint Paul, Minnesota. Responsibilities include managing Medicare and third-party payer claims, ensuring compliance with coding practices, and applying relevant codes. The ideal candidate has a high school diploma and at least 5 years of Revenue Integrity experience along with AAPC or AHIMA coding certification. Competitive salary ranges from $56,000 to $94,000, plus a comprehensive benefits package. #J-18808-Ljbffr

A healthcare consulting firm seeks a skilled Revenue Integrity Coding Billing Specialist to resolve claims and ensure compliance with Medicare and Medicaid guidelines. The ideal candidate will have 5+ years of experience, strong knowledge of ICD-10, CPT, and HCPCS coding, and excellent communication skills. The position offers a flexible, fully remote work environment with a competitive annual salary ranging from $56,000 to $94,000, along with comprehensive benefits including medical, dental, 401(k), and tuition reimbursement. #J-18808-Ljbffr

A leading consulting firm in New York is seeking a Revenue Integrity Coding Billing Specialist to provide support in resolving Medicare and third-party payer claims. This position is fully remote and requires 5+ years of Revenue Integrity experience along with proficiency in ICD-10, CPT, and HCPCS coding. The successful candidate will ensure compliance with billing guidelines and will be responsible for accurate coding of services provided. Benefits include medical insurance, 401(k), and tuition reimbursement. #J-18808-Ljbffr

A healthcare consulting firm is hiring a Revenue Integrity Coding Billing Specialist for a fully remote position. You will be responsible for resolving Medicare and third-party claims, ensuring compliance with billing regulations. The ideal candidate will have at least 5 years of Revenue Integrity experience, knowledge of ICD-10 and CPT coding, and strong communication skills. The role offers a salary range between $56,000 and $94,000 and a comprehensive benefits package including medical, dental, and a retirement plan. #J-18808-Ljbffr

A leading consulting firm is seeking a fully remote Revenue Integrity Coding Billing Specialist. The role requires at least 5 years of experience in Revenue Integrity, with proficiency in ICD-10, CPT, and HCPCS coding. Responsibilities include resolving claims, ensuring compliance with billing requirements, and validating clinical documentation. AAPC or AHIMA coding certification is a must. Benefits include medical insurance, tuition reimbursement, and a flexible rewards package. #J-18808-Ljbffr

Job Family :General CodingTravel Required :NoneClearance Required :NoneThis is a remote position.What You Will Do :Code OB / GYN office and hospital chargesReview and code properly per documentation and coding guidelinesWork remotelyWhat You Will Need :3 or more years experience coding OB / GYN clinic and hospital chargesCPC from AAPCExperience working claim edits and denialsAbility to multitaskGood communication skills - written and oralWhat Would Be Nice To Have :Specialty OB credential through AAPCExperience coding in EPIC#LI-DNIThe annual salary range for this position is $44000.00-$74000.00.Compensation decisions depend on a wide range of factors including but not limited to skill sets experience and training security clearances licensure and certifications and other business and organizational needs.What We Offer :Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to...

Job Family :General CodingTravel Required :NoneClearance Required :NoneThis position is full time as and fully remote.What You Will Do :The Remote Outpatient Multi-Specialty Surgery Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes as defined for the service type for coding billing internal and external reporting research as required and regulatory compliance.The success candidate will have multi-specialty surgical coding experience in but not limited to any Trauma Urology ENT Plastics General Surgeries OB / GYN Cardiovascular etc.Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting CMS / MAC rules and the CPT rules established by the AMA and any other official coding guidelines established for use with mandated standard code sets.What You Will Need :RHIA RHIT CCS or CPC...

Job Family :General CodingTravel Required :NoneClearance Required :NoneThis role is fully remote.What You Will Do :The Remote Inpatient Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes along with CPT / HCPCS codes as defined for the service type for coding billing internal and external reporting research as required and regulatory compliance.Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting CMS and any other official coding guidelines established for use with mandated standard code sets.Maintains a working knowledge of ICD-9-10 PCS and CPT coding principles governmental regulations official coding guidelines and third-party requirements regarding documentation and billing.Assures that all services documented in the patients chart are coded with...

Job Family :General CodingTravel Required :NoneClearance Required :NoneThis position is a fully remote positionThis position is a part-time roleWhat You Will Do :Code Neurosurgery Operative notes for Physician ChargesCode Neurosurgery rounding chargesWhat You Will Need :Experience coding Neurosurgery - Brain and SpineMinimum 3 years experience coding NeurosurgeryCPC credential from AAPCMust maintain credentials during employmentWhat Would Be Nice To Have :Experience coding OrthoExperience coding Trauma#LI-AS1The annual salary range for this position is $51000.00-$85000.00.Compensation decisions depend on a wide range of factors including but not limited to skill sets experience and training security clearances licensure and certifications and other business and organizational needs.What We Offer :Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and...

ENT Surgery Pro Fee CoderThe ENT Surgery Pro Fee Coder must be proficient in surgical coding for high complexity ENT surgery cases.The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT / HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance.Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS / MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets.The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines.This position is full time and 100% remote.Maintain...

Job Family : Patient Account Representative, PFS Billing, PFS General Travel Required : None Clearance Required : None What You Will Do : The Healthcare - Medical Biller is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other departments to facilitate the meeting of both departmental and facility goals and objectives. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Has an extensive knowledge of billing requirements mandated by payers and / or governmental regulations. This position will perform any and all related job duties as assigned. Individuals must be able to work an eight hour shift between the hours of 8:30 AM CT - 5:30 PM CT, with no remote work initially but opportunity for some hybrid (in...

Job Family : PFS Billing Travel Required : None Clearance Required : None What You Will Do : The Medical Biller is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other departments to facilitate the meeting of both departmental and facility goals and objectives. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Has an extensive knowledge of billing requirements mandated by payers and / or governmental regulations. This position will perform any and all related job duties as assigned. The medical biller will be working a Hybrid schedule two days in either the San Marcos, CA or El Segundo, CA offices and three days from home. Essential Job Functions Hospital Billing Emphasis Correcting...

Remote Neurology Clinic Coder The Remote Neurology Clinic Coder reviews clinical documentation and diagnostic results to assign accurate ICD-10, CPT, and HCPCS codes for billing, reporting, and compliance. Working under the coding manager or supervisor, this role applies official coding guidelines, supports denial review and resolution, and helps ensure accurate documentation and reimbursement. This position is full-time and 100% remote. Responsibilities: Perform accurate, high-quality coding of medical records using ICD-10, CPT, and HCPCS guidelines. Ensure documented services are coded appropriately and obtain clarification when documentation is incomplete. Maintain productivity, accuracy, and turnaround standards for assigned work queues and chart review. Review and communicate coding corrections, re-bills, denials, and documentation issues in a timely manner. Respond professionally to coding and billing questions from providers, facilities, and internal teams....

Remote Risk Adjustment Coder The Remote Risk Adjustment Coder must be proficient in ICD10CM Risk Adjustment coding as well as Evaluation & Management & Annual Wellness Visit Coding. Will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager/supervisor—the coder will accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer...

A leading consulting firm is seeking a Revenue Integrity Coding and Billing Specialist to join their remote team. The role involves reviewing and resolving Medicare claims, ensuring compliance with billing guidelines, and applying appropriate medical codes. The ideal candidate will have over three years of relevant experience and certification in coding. Competitive compensation ranges from $49,000 to $81,000 annually, alongside a rich benefits package that includes health insurance and retirement plans. #J-18808-Ljbffr

Guidehouse is seeking a medical coding specialist in Indiana, PA, to review medical records for accurate coding in anesthesia services. Candidates should have a minimum of 1 year of medical coding experience, mandatory graduation, and certification from AAPC or AHIMA. Strong analytical and communication skills are required. Guidehouse offers competitive compensation and a flexible benefits package, ensuring an attractive work environment for its employees. #J-18808-Ljbffr

Job Family: Coding OP (India) Travel Required: None Clearance Required: None What You Will Do Review medical records and operative reports to assign accurate CPT, ICD 10CM and ASA codes Abstract Anesthesia services including time, modifiers and physical status Follow ASA guidelines and payer specific rules for anesthesia billing and compliance Verify documentation of anesthesia start/stop time procedures and medical necessity Ensure to use appropriate modifiers and check concurrency rules for anesthesiologists and CRNA’s Maintain up to date knowledge in CPT, ICD 10CM, HCPCS, ASA crosswalk and CMS guidelines Participate in audits and provide feedback on documentation improvement What You Will Need Candidate should possess a minimum of 1 year experience in medical coding with Anesthesia specialty Graduation is mandatory Good analytical skills and communication are required Ability to work independently and manage deadlines Mandatory certification from either AAPC or...

Responsibilities Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM, CPT and HCPCS codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Checking input volumes allotted by TL Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Regular interaction with TL and getting feedbacks. This position requires that one performs well independently and in a collaborative manner with their entire coding team. Understands in detail the workflow, procedures and specific criteria for the assigned client. Ensures he/she meets the monthly target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Shall understand and abide by the organizations’ information security policy and protect the...

What You Will Do Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM, CPT and HCPCS codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Check input volumes allotted by TL. Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Maintain regular interaction with TL and receive feedback. Perform well independently and in a collaborative manner with the coding team. Understand in detail the workflow, procedures and specific criteria for the assigned client. Meet the monthly target with above 95% accuracy consistently. Attend the Weekly QA / Team meetings and respond in two-way communication with the Quality Analyst/Team Lead. Understand and abide by the organization’s information security policy and protect the confidentiality, integrity and availability of all information assets. Report...

Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do: The Remote Inpatient Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager-the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets. Maintains a working knowledge of ICD-9-10 PCS and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing. Assures that all services documented in the patient's chart...

Guidehouse is seeking a Medical Coder in Indiana, Pennsylvania. The successful candidate will accurately transform medical diagnoses and procedures into designated codes. Responsibilities include meeting coding volumes and quality standards, and supporting the team in achieving targets consistently. Ideal candidates will have a life science background with 1-2 years of experience and strong analytical skills. Proficiency in medical coding software and MS Excel is preferred. A comprehensive benefits package is included. #J-18808-Ljbffr

Job Family General Coding Travel Required None Clearance Required None What You Will Do Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections. Review LCD and NCD criteria and insurance billing guidelines. Report any changes as necessary to collections teams. Electronically file replacement claims and some payment posting as needed. M-F onsite training for approx. 3-6 months. After training hybrid with 90% being remote/working from home. What You Will Need High School Diploma/GED (relevant experience may be substituted for formal education) 1+ years of medical coding experience AAPC CPC or AHIMA CCS coding certification Experience in ICD-10, CPT and HCPCS Level II Coding Ability to determine medical necessity of services provided and charged based on provider/clinical documentation Knowledge, understanding and proper application of Medicare, Medicaid, and third‑party...

A leading consulting firm based in Birmingham, Alabama, is seeking a Medical Coder. Responsibilities include reviewing inpatient and outpatient coding requests for accuracy, filing claims, and reporting changes to collections teams. Candidates must have a High School Diploma, 1+ years of coding experience, and relevant certifications. The position offers a hybrid work model post-training with a strong benefits package, including medical and dental insurance, 401(k), and tuition reimbursement. #J-18808-Ljbffr