TEKsystems

Location: Remote (WI/IL preferred). Candidates must reside in the U.S. 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 You'll Do Code inpatient charts across medical/surgical specialties,...

*Location:* *Remote (WI/IL preferred).* Candidates must reside in the U.S. *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 You'll Do* * *Code inpatient charts* across medical/surgical...

Open to new opportunities in ISO 9001!? Join the leader in network hardware and software! 100% remote Overview We are seeking an experienced ISO 9001 Lead Auditor to support internal quality audits across engineering supply chain, services organizations, and software/hardware development programs. This role will partner closely with cross‑functional engineering and delivery teams to assess compliance, identify meaningful improvement opportunities, and ensure alignment with ISO 9001 standards and internal quality management systems. The ideal candidate brings strong technical auditing experience in software and hardware development environments, communicates effectively with technical stakeholders, and approaches audits as collaborative, value‑driven engagements rather than interrogations. Audit Execution & Delivery Conduct ISO 9001 audits primarily focused on: Engineering supply chain and services organizations Software and hardware design and development projects Apply...

About the Role We are seeking an experienced Coder I - Professional to support inpatient hospital coding operations. This fully remote role is responsible for accurately coding and abstracting inpatient accounts in accordance with official coding guidelines, ensuring documentation supports appropriate reimbursement and quality reporting. The ideal candidate has strong inpatient facility coding experience, preferably within Level 1 or Level 2 Trauma environments, and is confident coding ICD-10-CM and ICD-10-PCS. Productivity expectations are 16-17 charts per day. Location: Fully Remote (Wisconsin, Missouri, or Oklahoma) Employment Type: Full-Time Key Responsibilities Assign accurate diagnosis and procedure codes for inpatient hospital accounts in accordance with official coding guidelines and clinical documentation. Abstract inpatient records to ensure timely and accurate charge capture. Collaborate with Clinical Documentation Integrity (CDI) and quality...

A leading technology services company is seeking an experienced coder for a remote role analyzing inpatient medical records and ensuring accurate ICD and CPT coding. The ideal candidate will have at least one year of coding experience, strong knowledge of medical terminology, and proficiency in Epic and 3M Encoder. This contract-to-hire position includes a comprehensive benefits package, competitive pay, and opportunities for professional growth. #J-18808-Ljbffr

A leading technology staffing firm is seeking an experienced coder for a 6-9 month contract position. This remote role requires hospital coding experience in various surgical areas, including outpatient medical coding with at least 2 years of experience. Ideal candidates will have EHR experience with Epic and relevant certifications. The successful applicant will be responsible for coding and ensuring compliance with healthcare regulations, collaborating with teams to improve processes, and maintaining high standards of productivity and quality. #J-18808-Ljbffr

A leading IT services firm is seeking a hybrid role for a medical billing position based in Greenwood, IN. The candidate will handle provider enrollment, claim submission, and other critical aspects of billing and collections within health insurance. The role requires at least 1 year of medical billing experience and health insurance knowledge. The pay ranges from $16.00 to $17.00 per hour, and includes several benefits like health insurance and a 401(k) plan. #J-18808-Ljbffr

Job Description Provider enrollment Claim submission Third party follow up Denial appeal and recovery Audit defense and recovery Patient collections Qualifications 1+ years of health insurance knowledge 1+ years of medical billing experience Ability to work in multiple systems at once Previous experience with medical coding & billing required. Strong attention to detail and organizational skills required. Ability to work independently required. Job Type & Location Contract position based out of Greenwood, IN. Hybrid workplace type in Greenwood, IN. Pay and Benefits The pay range for this position is $16.00 - $17.00/hr. Benefits for this temporary role may include: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long‑term disability Health Spending Account (HSA)...

Overview Will be a 6-9 month set contract need to support automation within the business office. Contract may extend longer. 100% remote role; prefer candidates who sit in Iowa, Illinois, and Wisconsin. Open to candidates that sit in the Midwest. Daily Duties Assign procedural codes according to coding conventions defined by the American Medical Association's CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable. Assign diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting. Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations. Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality. Collaborate with Clinical Auditors to identify opportunities for improvement and provide guidance/counsel to providers. Monitor environmental conditions in...

About the Role We are seeking an experienced Coder I - Professional to support inpatient hospital coding operations. This fully remote role is responsible for accurately coding and abstracting inpatient accounts in accordance with official coding guidelines, ensuring documentation supports appropriate reimbursement and quality reporting. The ideal candidate has strong inpatient facility coding experience, preferably within Level 1 or Level 2 Trauma environments, and is confident coding ICD-10-CM and ICD-10-PCS. Productivity expectations are 16-17 charts per day. Location: Fully Remote (Wisconsin, Missouri, or Oklahoma) Employment Type: Full-Time Key Responsibilities Assign accurate diagnosis and procedure codes for inpatient hospital accounts in accordance with official coding guidelines and clinical documentation. Abstract inpatient records to ensure timely and accurate charge capture. Collaborate with Clinical Documentation Integrity (CDI) and quality...

Description Respond to Government payers by phone or correspondence concerning claims issues. Assist with all calls, correspondence and concerns regarding Medicare claims with the FI’s. Take action on bill review requests from the Collections Team in a timely manner. Complete worklist daily and ensure all accounts are set for follow up. Review unbilled accounts and ATB to ensure timely billing and collection. Communicate all denials to the billing supervisor. Aggressively work aged accounts to expedite cash, reduce bad debt and A/R days. Meet corporate goals monthly on billing and collections. Work with others as a team player, as well as the hospital/clinic staff. Investigate COB issues and communicate with appropriate staff members for resolution. Obtain medical records required for certain commercial claims. Ensure all prebilling tasks are completed and correct information is sent out on claims. Provide support to all facilities when requests are received or...

This is a hybrid role based in West Hills, CA ACTIVE LVN or RN license required AND CPC Key Responsibilities Audit denied provider and member claims for accuracy and compliance Review and process claims in accordance with UM guidelines and regulatory standards Analyze benefit structures and system configurations (EZCap or similar) Collaborate with cross-functional teams to resolve claim issues and process gaps Document findings, prepare reports, and present trends to leadership Support automated adjudication systems and identify strategies to reduce errors Ensure HIPAA and PHI compliance throughout all claim review activities Participate in special projects related to claim denials and appeals Required Qualifications Active LVN or RN license (California) 2+ years of experience in Utilization Management (UM) Hands-on experience with HMO/Medicare claims, audits, and denials Familiarity with claims processing systems (EZCap or similar) Strong analytical, documentation,...

Medical Billing Specialist – Denials Dallas, TX (Hybrid – 2 Days Onsite / 3 Days Remote) We’re currently seeking a Medical Billing Specialist – Denials to join our growing Accounts Receivable and Denials team. This is a hybrid role, with two days onsite in Dallas, TX and three days remote, offering flexibility while staying connected with the team. What You’ll Do In this role, you’ll take ownership of assigned payer portfolios and play a critical part in ensuring accurate and timely reimbursement. Work assigned payer groups daily to review and resolve outstanding accounts receivable Investigate, analyze, and resolve claim denials, including submitting first‑level appeals Follow up with commercial insurance carriers to determine claim status and required next steps Make outbound calls to insurance companies and, as needed, patients to clarify coverage or discrepancies Accurately document all follow‑ups, actions, and outcomes in the billing system Process approximately 35–40...

CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED 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...

HCC Medical Coder needed ASAP! Location: Onsite in West Hills, CA Schedule: Monday-Friday, 8:00 AM to 5:00 PM Setting: Established, reputable medical group Team: Supportive finance and coding team WHAT YOU'LL BE DOING (HIGH LEVEL) Review medical records and superbills for accurate HCC and diagnosis coding Audit provider documentation and support accurate risk adjustment Collaborate with providers and internal teams on coding questions Support quality, compliance, and documentation improvement efforts WHAT WE'RE LOOKING FOR Active coding certification (AHIMA or AAPC) Experience with HCC, ICD10, CPT, and HCPCS Experience in coding, auditing, billing, or claims (1+ year preferred) Knowledge of medical terminology and anatomy Comfortable working in EMRs and Excel Job Type & Location This is a Contract position based out of Calabasas, CA. Pay and Benefits The pay range for this position is $25.00 - $35.00/hr. Eligibility...

We are seeking a confident, detailoriented *Medical Billing & Coding Specialist* to take ownership of our full billing and insurance process. This is a key role on our team-ideal for someone who knows medical billing fundamentals, isn't afraid to advocate with insurance companies, and enjoys seeing claims through from start to finish. What You'll Do * Prepare, submit, and track insurance claims for medical procedures and services * Manage charge entry, billing, and payment posting with accuracy and efficiency * Communicate with insurance carriers to resolve denials and underpayments * Confidently follow up and appeal claims-standing firm with insurance companies when needed * Post payments and adjustments in the billing system * Communicate professionally with patients regarding balances, statements, and payments * Ensure timely collections while maintaining a positive patient experience What We're Looking For * Strong experience with *medical billing and basic...

*This is a hybrid role based in West Hills, CA* *ACTIVE LVN or RN license required AND CPC* *Key Responsibilities:* * Audit denied provider and member claims for accuracy and compliance * Review and process claims in accordance with UM guidelines and regulatory standards * Analyze benefit structures and system configurations (EZCap or similar) * Collaborate with cross-functional teams to resolve claim issues and process gaps * Document findings, prepare reports, and present trends to leadership * Support automated adjudication systems and identify strategies to reduce errors * Ensure HIPAA and PHI compliance throughout all claim review activities * Participate in special projects related to claim denials and appeals *Required Qualifications:* * Active LVN or RN license (California) * 2+ years of experience in Utilization Management (UM) * Hands-on experience with HMO/Medicare claims, audits, and denials * Familiarity with claims processing systems (EZCap or...

*HCC Medical Coder needed* * *Location:* Onsite in West Hills, CA * *Schedule:* Monday-Friday, 8:00 AM to 5:00 PM * *Setting:* Established, reputable medical group * *Team:* Supportive finance and coding team WHAT YOU'LL BE DOING (HIGH LEVEL) * Review medical records and superbills for accurate HCC and diagnosis coding * Audit provider documentation and support accurate risk adjustment * Collaborate with providers and internal teams on coding questions * Support quality, compliance, and documentation improvement efforts WHAT WE'RE LOOKING FOR * Active coding certification (AHIMA or AAPC) * Experience with HCC, ICD10, CPT, and HCPCS * Experience in coding, auditing, billing, or claims (1+ year preferred) * Knowledge of medical terminology and anatomy * Comfortable working in EMRs and Excel *Job Type & Location*This is a Contract position based out of Canoga Park, CA 91304. *Pay and Benefits*The pay range for this position is $25.00 - $35.00/hr. Eligibility...

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 skills. Ability to prioritize...

We are seeking a confident, detail-oriented Medical Billing & Coding Specialist to take ownership of our full billing and insurance process. This is a key role on our team-ideal for someone who knows medical billing fundamentals, isn't afraid to advocate with insurance companies, and enjoys seeing claims through from start to finish. What You'll Do Prepare, submit, and track insurance claims for medical procedures and services Manage charge entry, billing, and payment posting with accuracy and efficiency Communicate with insurance carriers to resolve denials and underpayments Confidently follow up and appeal claims-standing firm with insurance companies when needed Post payments and adjustments in the billing system Communicate professionally with patients regarding balances, statements, and payments Ensure timely collections while maintaining a positive patient experience What We're Looking For Strong experience with...

*Job Description:* - provider enrollment - claim submission - third party follow up - denial appeal and recovery - audit defense and recovery - patient collections *Additional Skills & Qualifications* * 1+ years of health insurance knowledge * 1+ years of medical billing experience * Ability to work in multiple systems at once * Previous experience with medical coding & billing required. * Strong attention to detail and organizational skills required. * Ability to work independently required. *Job Type & Location* This is a Contract position based out of Greenwood, IN. *Pay and Benefits*The pay range for this position is $16.00 - $17.00/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,...

Medical Billing Specialist - Denials * Dallas, TX (Hybrid - 2 Days Onsite / 3 Days Remote)* We're currently seeking a Medical Billing Specialist - Denials to join our growing Accounts Receivable and Denials team. This is a hybrid role, with two days onsite in Dallas, TX and three days remote, offering flexibility while staying connected with the team. What You'll Do In this role, you'll take ownership of assigned payer portfolios and play a critical part in ensuring accurate and timely reimbursement. * Work assigned payer groups daily to review and resolve outstanding accounts receivable * Investigate, analyze, and resolve claim denials, including submitting firstlevel appeals * Follow up with commercial insurance carriers to determine claim status and required next steps * Make outbound calls to insurance companies and, as needed, patients to clarify coverage or discrepancies * Accurately document all followups, actions, and outcomes in the billing system * Process...

About the Role We are seeking an experienced *Coder I - Professional* to support inpatient hospital coding operations. This fully remote role is responsible for accurately coding and abstracting inpatient accounts in accordance with official coding guidelines, ensuring documentation supports appropriate reimbursement and quality reporting. The ideal candidate has *strong inpatient facility coding experience*, preferably within *Level 1 or Level 2 Trauma environments*, and is confident coding *ICD10CM and ICD10PCS*. Productivity expectations are *16-17 charts per day*. *Location:* Fully Remote (Wisconsin, Missouri, or Oklahoma) *Employment Type:* FullTime Key Responsibilities * Assign accurate *diagnosis and procedure codes* for inpatient hospital accounts in accordance with official coding guidelines and clinical documentation. * Abstract inpatient records to ensure timely and accurate charge capture. * Collaborate with *Clinical Documentation Integrity (CDI)* and quality...

*Description* Qualifications: Ideal candidate has experience with inpatient facility coding, ideally with Trauma level 1 or 2, and strong ICD-10-PCS and CM experience High school diploma or equivalent Two years' experience Job Summary: Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for inpatient hospital accounts. Coordinates with the clinical documentation and quality teams to ensure validation of Medicare Severity Diagnosis Related Group (MSDRG), patient safety indicators, and hospital acquired conditions are supported by physician documentation to support appropriate coding Monitors assigned work queues to ensure all records are charged in a timely matter. Generates coding queries for clarification regarding physician documentation as needed...