TEKsystems

Job Summary We are seeking a confident and detailoriented *Medical Biller / Coder* to manage the full billing and claims lifecycle. This role is responsible for charge entry, insurance billing, payment posting, denial management, and direct patient communication regarding balances. The ideal candidate is reliable, honest, and experienced navigating EMR systems-specifically *NextGen or Nextech*-and is comfortable advocating with insurance companies to resolve denials. Key Responsibilities * Perform *medical billing and coding basics*, including accurate charge entry * Prepare, submit, and track *insurance claims* for medical procedures and services * Manage *insurance payment processing*, posting payments and adjustments accurately * Communicate with patients regarding *outstanding balances* and collect payments * *Investigate and appeal claim denials*, confidently working with insurance companies to secure proper reimbursement * Enter charges and bills into the EMR system...

TEKsystems is hiring for a medical biller for a specialty clinic in Edina, MN! We're looking for an experienced professional who can own the full medical billing process-from claim submission to successful reimbursement-and isn't afraid to advocate when claims are denied. Job Description * Manage *end-to-end medical billing* across the full revenue cycle * Prepare, submit, and track insurance claims for medical procedures and services * Post payments, reconcile accounts, and resolve discrepancies * *Investigate and fight claim denials*, working directly with insurance companies to secure proper reimbursement * Communicate professionally with patients regarding outstanding balances and payment collection * Ensure compliance with billing, coding, and insurance regulations What We're Looking For * *2+ years of hands-on medical billing experience* (full revenue cycle required) * Strong knowledge of medical billing and coding processes * Confidence communicating with...

About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. What You'll Do * Review and validate claim data to determine appropriate payment outcomes. * Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. * Work primarily with emergency services claims, including ambulance and air ambulance cases. * Operate within a proprietary claims management system. * Collaborate with internal teams to clear a significant backlog of cases. Note: This is not a coding-heavy role. You'll use your...

*Location:* *Remote (WI/IL preferred).* Candidates must reside in the U.S.; *not eligible* from CA, CO, CT, IL, ME, MN, NJ, NY, OR, or WA. *Schedule:* Full-time, remote | Flexible hours after training *Work Setup:* Private, dedicated workspace with a door required *About the Role* We're seeking a detail-oriented and experienced *Inpatient Coder (Coder Inpatient II)* to join our Health Information Management team. In this remote role, you will accurately assign *ICD diagnosis/procedure codes* and *MS-DRGs* for inpatient hospital services at an academic, Level I Trauma environment. You'll code across complex specialties (e.g., Neurology, Oncology, Urology, Transplant, OB/Newborn, Orthopedics, Cardiology, Critical Care), collaborate with providers via compliant queries, and partner closely with CDI to ensure documentation supports the most appropriate DRG assignment. This is an advanced, independent role where accuracy, communication, and sound judgment are essential. *What...

*Description* The Claims Examiner I reports to the Supervisor of Claims. Claims Examiner I is responsible for reviewing and processing medical, dental, vision and electronic claims in accordance with state, federal and health plan regulatory requirements, department guidelines, as well as meet established quality and production performance benchmarks to include research and review of applicable documentation. The incumbent will also process Health Insurance Payment Demand (HIPD) claims. The Claims Examiner I will thoroughly review, analyze, and research health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations, and process them for payment. The position will assist in resolving issues from providers, customer service, member services, health plan, and other internal customers. *Additional Skills & Qualifications* * High school education or equivalent: . * Medical Billing Certification preferred. * Ability to interpret Plan...

We are seeking a *detailoriented and experienced Inpatient Coder* to join our Health Information Management team. This role focuses on qualitydriven inpatient coding within a collaborative, highperformance environment. The ideal candidate values accuracy over volume and is comfortable managing a focused inpatient workload while maintaining compliance with MSDRG standards. *Key Responsibilities* * Review and analyze *inpatient medical records* to assign accurate *ICD10CM, ICD10PCS, and CPT codes* * *Ensure compliance with MSDRG classification* and coding guidelines * Work from a designated *Work Queue*, receiving one inpatient chart at a time * Average *4-5 inpatient accounts per day*, prioritizing quality and accuracy * Utilize *Epic EHR*, *3M Encoder*, and *Viziant (REM score calculator)* to support compliant coding * Maintain high coding quality standards, including participation in *monthly audits (10% of charts)* * *Engage in coaching, feedback, and quality improvement...

*Description* Key Responsibilities: Review and analyze inpatient medical records to assign accurate ICD and CPT codes. Utilize Epic, 3M (encoder), and Viziant (REM score calculator) to support coding accuracy and compliance. Work from a designated Work Queue, receiving one inpatient chart at a time. Maintain a high standard of coding quality, with monthly audits covering 10% of coded charts. Participate in coaching and quality improvement initiatives as needed. Communicate effectively and professionally with clinical and non-clinical staff. Adapt to changing priorities and multitask in a fast-paced environment. Work independently while contributing to a collaborative team culture. Qualifications: Strong knowledge of medical terminology, anatomy & physiology, and pathophysiology. Proficient in ICD and CPT coding systems and MS-DRG classification. Experience using Epic, 3M Encoder, and Microsoft Office products. Excellent attention to detail and organizational...

Job Summary We are seeking a confident and detail-oriented Medical Biller / Coder to manage the full billing and claims lifecycle. This role is responsible for charge entry, insurance billing, payment posting, denial management, and direct patient communication regarding balances. The ideal candidate is reliable, honest, and experienced navigating EMR systems-specifically NextGen or Nextech-and is comfortable advocating with insurance companies to resolve denials. Key Responsibilities Perform medical billing and coding basics, including accurate charge entry Prepare, submit, and track insurance claims for medical procedures and services Manage insurance payment processing, posting payments and adjustments accurately Communicate with patients regarding outstanding balances and collect payments Investigate and appeal claim denials, confidently working with insurance companies to secure proper reimbursement Enter charges and bills into the EMR...

About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. **CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED** What You'll Do * Review and validate claim data to determine appropriate payment outcomes. * Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. * Work primarily with emergency services claims, including ambulance and air ambulance cases. * Operate within a proprietary claims management system. * Collaborate with internal teams to clear a...

*TekSystems is currently hiring for a Home and Health Hospice Medical Coder in the Chesapeake, VA area! * * *MUST HAVE: Home health and/or hospice coding experience* * *Familiarity with OASIS assessments* * *Certifications:* * *Required: One active coding certification from AHIMA, AAPC, or AHCC, including:* * *CPC, CCS, RHIA, RHIT, HCSD, HCSH, COC, or CRC* *Description* Position Summary: The Coding Specialist is responsible for accurately assigning ICD10CM diagnosis codes for home health and hospice encounters. This role ensures coding accuracy, regulatory compliance, and complete documentation to support OASIS submission, billing, and claims processing. The specialist works closely with clinical, physician, and revenue cycle teams to support quality patient care and compliant reimbursement. Key Responsibilities Coding & Documentation Assign and sequence accurate ICD10CM diagnosis codes for home care and hospice encounters. Review medical records and OASIS...

*Job Description: Surgery Coder (Intermediate Level)* *Expected Start Date:* March 10, 2026 *Work Environment:* Fully Remote (CST) *Schedule:* 8:00 AM-5:00 PM CST (Flexible start times: 7 AM, 8 AM, or 9 AM) *Position Overview* We are seeking an experienced *Surgery Coder* with strong expertise in general surgery, breast surgery, gastroenterology surgery, and head & neck surgery. This role requires accurately coding surgeries directly from PMD, pulling up auto-notes, and completing detailed work with precision and efficiency. The ideal candidate is confident, detailoriented, and collaborative, with a focus on accuracy and compliance. *Key Responsibilities* * Perform *direct surgery coding* for a variety of surgical specialties. * Utilize *PMD* to review and code surgeries efficiently. * Pull and complete *auto notes* to ensure accurate documentation. * Review medical documentation and apply appropriate *CPT*, *ICD10*, and *HCPCS* codes. * Ensure compliance with all...

Description The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Essential Job Duties The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with...

*Description* The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Essential Job Duties: The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1.Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. 2.Utilizes critical thinking to analyze and evaluate documentation...

Description The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Essential Job Duties Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within...

*Description* We're seeking an experienced Anesthesia Billing & Coding Team Lead to join our dynamic practice management company What You'll Do Lead & Inspire: Guide a talented team of billing and coding professionals while fostering a collaborative, high-performance environment Drive Accuracy: Oversee anesthesia case management (federal, commercial, worker's compensation, LOP), ensuring precise CPT/ASA/ICD-10 coding and seamless claims processing * Assign CPT, ICD-10, and HCPCS codes for anesthesiology procedures. * Analyze medical records for accurate code assignment. * Apply appropriate modifiers for precise coding. * Generate and submit claims promptly. * Verify patient insurance information and resolve discrepancies. * Address denied claims, process appeals as needed. Additional Skills & Qualifications * Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) desired. * 3-5 years of anesthesiology coding and billing experience preferred...

*Description* Coding surgeries directly use PMD Pull up auto note and fill out work *Skills* Surgery Coding, General Surgery coding, breast surgery coding, head and neck surgery coding, Gastro surgery coding *Additional Skills & Qualifications* Detail Oriented Confident Good at collaborating with team Not afraid to ask questions *Experience Level* Intermediate Level *Job Type & Location*This is a Contract to Hire position based out of Dallas, TX. *Pay and Benefits*The pay range for this position is $25.00 - $28.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions...

*About the Role* We are seeking an experienced *Medical Coder with an RN and CPC certification* to join a growing medical review organization that specializes in independent, evidencebased clinical reviews. This is an excellent opportunity for an RN Coder looking to move away from bedside care and into a *stable, analytical, nonpatientfacing role*. *What You'll Do* * Perform *quality assurance (QA) reviews* of medical review files to ensure accuracy, completeness, and adherence to internal and regulatory standards * Review medical records related to *workers' compensation, group health, and disability claims* * *Gradually transition into conducting independent medical reviews*, including: * Writing clear, wellsupported medical review reports * Compiling and citing appropriate clinical references and medical literature * Handle designated cases that specifically require *RN Coder expertise* * *Ensure all reviews meet quality, documentation, and compliance requirements*...

*This role is onsite in West Hills, CA * *NOT REMOTE* *Job Description* *As an HCC Coder, you will be* *responsible for supporting the organization's risk adjustment and revenue* *integrity efforts through retrospective chart review. This team is currently* *working through a backlog of ~30,000 encounters, so accuracy and productivity* *are essential.* *Key Responsibilities* * *Review 2025 PCP office visit notes* * *Perform retrospective HCC coding for all documented diagnoses* * *Close encounters after coding completion* * *Ensure accurate capture of Medicare Risk Adjustment diagnoses* * *Work exclusively with PCP office visits* *Productivity Expectations* * *Minimum: 65 charts/day* * *Typical: 75-80 charts/day* *Quality & Auditing* * *100% audit for first two weeks posttraining* * *Audit percentage decreases with accuracy (70% 50% 30%)* * *Experienced coders may be audited at ~10%* *Systems & Tools* * *No billing performed directly in an EMR* *...

*Description* MANAGE TEAM AND OVERSEE - * Assign CPT, ICD-10, and HCPCS codes for anesthesiology procedures. * Analyze medical records for accurate code assignment. * Apply appropriate modifiers for precise coding. * Generate and submit claims promptly. * Verify patient insurance information and resolve discrepancies. * Address denied claims, process appeals as needed. * Collaborate with providers for clear documentation. * Stay updated on coding regulations and compliance requirements. * Liaise with insurance companies and patients for billing inquiries. * Provide coding guidance to team members. *Skills* Icd-10, Coding, diagnosis, medicare, medicaid, medical billing, CCS, CPC, anesthesia, Electronic health record, availity, PHI, lead, manager, supervisor, reporting, claimstronics, epic, electronic medical record, claim submission *Additional Skills & Qualifications* * Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) desired. * 3-5 years...

About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act , with a mission to resolve complex claim disputes and ensure fair payment outcomes. **CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED** What You'll Do Review and validate claim data to determine appropriate payment outcomes. Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. Work primarily with emergency services claims, including ambulance and air ambulance cases. Operate within a proprietary claims management system. Collaborate with internal teams to clear a...

About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act , with a mission to resolve complex claim disputes and ensure fair payment outcomes. What You'll Do Review and validate claim data to determine appropriate payment outcomes. Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. Work primarily with emergency services claims, including ambulance and air ambulance cases. Operate within a proprietary claims management system. Collaborate with internal teams to clear a significant backlog of cases. Note: This is not a...

About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act , with a mission to resolve complex claim disputes and ensure fair payment outcomes. **CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED** What You'll Do Review and validate claim data to determine appropriate payment outcomes. Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. Work primarily with emergency services claims, including ambulance and air ambulance cases. Operate within a proprietary claims management system. Collaborate with internal teams to clear a...

We are seeking a detail-oriented and experienced Inpatient Coder to join our Health Information Management team. This role focuses on quality-driven inpatient coding within a collaborative, high-performance environment. The ideal candidate values accuracy over volume and is comfortable managing a focused inpatient workload while maintaining compliance with MS-DRG standards. Key Responsibilities Review and analyze inpatient medical records to assign accurate ICD-10-CM, ICD-10-PCS, and CPT codes Ensure compliance with MS-DRG classification and coding guidelines Work from a designated Work Queue, receiving one inpatient chart at a time Average 4-5 inpatient accounts per day, prioritizing quality and accuracy Utilize Epic EHR, 3M Encoder, and Viziant (REM score calculator) to support compliant coding Maintain high coding quality standards, including participation in monthly audits (10% of charts) Engage in coaching, feedback, and quality...

Position Summary The Coding Specialist is responsible for accurately assigning ICD‑10‑CM diagnosis codes for home health and hospice encounters. This role ensures coding accuracy, regulatory compliance, and complete documentation to support OASIS submission, billing, and claims processing. The specialist works closely with clinical, physician, and revenue cycle teams to support quality patient care and compliant reimbursement. Key Responsibilities Assign and sequence accurate ICD‑10‑CM diagnosis codes for home care and hospice encounters. Review medical records and OASIS assessments to identify conditions requiring coding and all data elements needed for OASIS and claims submission. Ensure all codes and abstracted data are complete, accurate, and ready for OASIS submission, billing interfaces, and claims processing. Apply official ICD‑10‑CM coding guidelines, Coding Clinic guidance, CMS regulations, and internal organizational policies. Maintain compliance with national...