TEKsystems

*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...

*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 *Top Skills Details* 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:...

*Position:* Billing Specialist - Denials *Experience Level:* Intermediate *Location:* Dallas, TX - Hybrid 2 days on site and 3 days remote *Employment Type:* Full-Time *Description* We are seeking a motivated and detailoriented *Billing Specialist - Denials* to join our growing A/R and Denials team. In this role, you will manage a portfolio of assigned payer groups, follow up on outstanding claims, resolve denials, and complete firstlevel appeals to ensure accurate and timely reimbursement. This position works closely with commercial insurance carriers, patients, and internal departments to support a smooth billing and collections process. *Responsibilities* * Manage assigned payer portfolios daily and resolve outstanding A/R. * Investigate, analyze, and resolve claim denials; initiate firstlevel appeals as needed. * Follow up with insurance carriers to determine claim status, missing information, and required next steps. * Make outbound calls to insurance companies,...

*Description* This individual will be coming on site full time to help support this Orthopedics organization with their billing processes. They will be billing for 4 providers, but they are bringing in more in the future. And they have 2 off site people who support part time. A lot of it is going to start with clean up, to help them process things from the past that are still pending. Working through the rest of the billing as it comes in. They will start on paper billing, but they are moving everything over to Electronic billing in an older system called Medix Premier. The more of the day to day will focus on: - Payment Posting- They will review the bill, circle the fee, and then put the payment posting in - Denials- Going in to anything that did not get paid, why? What do they need to do to fix it? - HCFA Forms- Mailing these out - Workers Compensation and Liability Billing- Being an Orthopedic clinic, they do a lot of workers comp claims and payments, so any knowledge in...

Description We are seeking a driven, detail-oriented Billing Specialist - Denials to join our growing A/R and Denials team. In this role, you will manage daily assigned payer groups, conduct follow-ups on outstanding claims, resolve denials, and execute first-level appeals. You will work closely with commercial insurance carriers, patients, and internal teams to ensure timely and accurate reimbursement. Work assigned payer portfolios daily to review and resolve outstanding A/R. Investigate, analyze, and resolve claim denials; perform first-level appeals as needed. Conduct follow-ups with insurance carriers to determine claim status and required next steps. Make outbound calls to insurance companies, patients, and payers to obtain updated coverage or clarify discrepancies. Document all actions, communications, and outcomes accurately in the billing system. Process and manage 35-40 claims or accounts per day with strong attention to quality. Review coverage changes or...

Position: Full-Cycle Medical Biller Experience Level: Intermediate Location: Fresno, CA Employment Type: Full-Time Description We are seeking an experienced and detail-oriented Full-Cycle Medical Biller to join our team. This role is responsible for managing the entire billing lifecycle, including insurance verification, claims follow-up, accounts receivable management, and patient balance resolution. The ideal candidate will have strong knowledge of government and commercial payers, excellent customer service skills, and the ability to manage aging accounts efficiently. Responsibilities Perform accounts receivable and insurance follow-up, including certification of patient eligibility and verification of benefits. Enter and maintain accurate patient demographics and billing information. Follow up on insurance and patient balances, working aging reports to ensure timely reimbursement. Manage refunds, adjustments, and resolution of billing...

*About the Role* We are seeking a confident, reliable *Medical Biller & Coder* with strong charge-entry skills to join our closeknit billing team. In this role, you will handle the full cycle of billing and coding responsibilities, from charge entry and claims submission to denial management and patient communication. You'll play a key part in ensuring accurate billing operations and maintaining strong relationships with insurance providers and patients. We are looking for someone who brings both technical billing expertise and the confidence to advocate for proper claim reimbursement. *Responsibilities* * Perform all medical billing and coding basics for a retina specialty practice. * Complete charge entry, payment posting, and submission of insurance claims. * Track claims and handle all aspects of insurance billing, including processing payments and resolving discrepancies. * Fight denials and confidently communicate with insurance companies to ensure proper...

Description The Coding Specialist performs all medical record coding activities. Assigns appropriate diagnostic codes to patient charts and reports as assigned. Skills Coding, Medical, icd-10, hcpcs, cpt-4, cpc, profee coding, communication and organization skills, writing skills Top Skills Details Coding,Medical,icd-10,hcpcs,cpt-4,cpc,profee coding Additional Skills & Qualifications Abstracts relevant clinical and demographic information from the medical record to assign ICD-10 and CPT-4 codes in accordance with coding and reimbursement guidelines. Identifies principal and secondary diagnosis with minimal error based on the national based standards. Codes with an accuracy of 95% based on QA internal reviews. Records all diagnostic procedures and assigns appropriate procedure codes. Requests diagnosis from physicians when information is not recorded. Determines and records the required medical information. Updates coding procedures and guidelines. Works with...

Description We are seeking a driven, detail-oriented Billing Specialist - Denials to join our growing A/R and Denials team. In this role, you will manage daily assigned payer groups, conduct followups on outstanding claims, resolve denials, and execute firstlevel appeals. You will work closely with commercial insurance carriers, patients, and internal teams to ensure timely and accurate reimbursement. Work assigned payer portfolios daily to review and resolve outstanding A/R. Investigate, analyze, and resolve claim denials; perform first-level appeals as needed. Conduct follow-ups with insurance carriers to determine claim status and required next steps. Make outbound calls to insurance companies, patients, and payers to obtain updated coverage or clarify discrepancies. Document all actions, communications, and outcomes accurately in the billing system. Process and manage 35-40 claims or accounts per day with strong attention to quality. Review coverage changes or updated...

*Overview* We are seeking an experienced *Colorectal Surgery Coder* to join our remote team. This role is ideal for someone with strong colorectal-specific coding experience, the ability to work in a fast-paced environment, and the confidence to collaborate with surgeons and coding peers. If you're detail-oriented, efficient, and passionate about surgical coding accuracy, we want to hear from you. *Job Responsibilities* * Code colorectal surgeries accurately and efficiently * Work directly in *PMD* systems * Pull up auto notes and complete all required coding fields * Follow "*do not level*" requirement * Maintain coding productivity and accuracy standards *Work Environment & Expectations* * 100% remote role * Standard hours: *8 AM-5 PM CST*, with flexible start options (7, 8, or 9 AM CST) *Top Required Skills* * *2+ years of colorectal coding experience* * *5+ years of overall medical coding experience* * *CPC certification required* * *No facility coding...

*Now Hiring for a Remote Inpatient Medical Coder!! This opportunity is fully remote and a 3+ month contract assignment. MUST HAVE 1+ years of INPATIENT coding experience to be qualified!! * *Description* -The Coder Inpatient II correctly assigns ICD diagnosis and procedure codes and MS -DRGs for inpatient hospital services at hospital, an academic, Level I Trauma Center. -The Coder Inpatient II codes a variety of medical and surgical specialties such as Neurology, Oncology, Urology, Transplant, OB/Newborn, Ortho, Cardiology, and Critical Care which can include complex trauma and acutely ill patients. -Coders in this role communicate with care providers when necessary mainly via the electronic query process. -In order to ensure the most appropriate DRG assignment, coders partner with clinical documentation improvement specialists with the goal of obtaining the most complete and accurate medical record documentation. -The Coder Inpatient II will resolve problems and make...

*Now Hiring for a Lead Medical Biller for a clinic located in Edina, MN!!! MUST HAVE previous medical billing and coding work experience!! Nextech EMR software experience is preferred!!! * *Description:* This person will be doing all of the medical billing functions- will be managing the billing insurance processing payments. Prepare and submit claims for medical procedures and services provided to insurance companies. Will communicate with patients about outstanding balances/collect payments. Fighting denials, sticking up against the insurance company. Wants someone who is confident. *MUST HAVE:* 2+ years of medical billing experience involving the full revenue cycle of billing Nextech EMR software experience is preferred *Pay:* $30-$32/hr (based on experience) #priorityeast *Job Type & Location*This is a Contract to Hire position based out of Minneapolis, MN. *Pay and Benefits*The pay range for this position is $30.00 - $32.00/hr. Eligibility requirements apply...

*Job Title: DRG Certified Coder* Employment Type: Full-Time Location: Fully Remote *About the Role! * We are seeking a highly skilled and detail-oriented DRG Certified Coder to join our Health Information Management team. The ideal candidate will be responsible for accurately assigning ICD-10-CM/PCS codes, validating DRG assignments, and ensuring compliance with all federal coding guidelines and organizational standards. This role plays a critical part in optimizing reimbursement, supporting clinical documentation integrity, and maintaining accurate data for reporting and analytics. *Description* * Review inpatient medical records to accurately assign ICD-10-CM/PCS codes according to official coding guidelines. * Assign and validate MS-DRGs / APR-DRGs to ensure appropriate reimbursement. * Collaborate with Clinical Documentation Integrity (CDI) teams to clarify documentation and support accurate code assignment. * Ensure coding accuracy and compliance with CMS, AHA Coding...

*Registered Nurse Clinical Coder - DRG Audit (100% Remote)* *Position Type:* Contract *Schedule:* Full-time, Remote *Experience Level:* Intermediate (5+ years) *Pay:* $90,000 *Overview* Our client is seeking an experienced *Registered Nurse Clinical Coder* to support DRG audit activities for one of their major healthcare partners. This role focuses on reviewing inpatient medical records, validating DRG assignments, and ensuring coding accuracy from an *insurance and payerside perspective* rather than the provider side. This is an excellent opportunity for an RN with coding experience who enjoys analytical work, documentation review, and collaborating with audit teams. *Key Responsibilities* * Perform *DRG audits* on inpatient medical records to validate ICD10 coding accuracy and DRG assignment. * Review clinical documentation to ensure compliance with payer guidelines and audit standards. * Identify discrepancies, trends, and opportunities for coding improvement. *...

Medical Coder - Independent Dispute Review (IDR) *Location:* 100% Remote *Pay Rate:* $25.00/hour *Schedule:* Monday-Friday | 8:00 AM - 4:30 PM CST *Duration:* Longterm contract (multiyear opportunity) About the Opportunity We are partnering with a nationally recognized medical review organization that supports state and federal agencies, healthcare payers, and employers by providing *independent, unbiased medical claim reviews*. Due to the *No Surprises Act* and a permanent increase in claim volume, this team is expanding and building out a *brandnew Independent Dispute Resolution (IDR) unit*. This is a *stable, longterm opportunity* with consistent work and strong training support-ideal for a CPC or CPCA professional looking to grow their career beyond traditional coding roles. What You'll Do In this role, you will *not be coding charts*. Instead, you'll use your coding knowledge to make *payment determinations* on disputed medical claims. Key responsibilities include: *...

*Description* * 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. *Additional Skills & Qualifications* Additional Skills & Qualifications * Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) desired. * 3-5 years of anesthesiology coding and billing experience preferred * Proficient in coding and billing claims software. * Thorough understanding of compliance and regulatory requirements. *Experience Level* Intermediate Level *Job...

*Job Title:* Surgery Coder - Colorectal Specialty *Location:* Remote *Employment Type:* Full Time *Position Summary* We are seeking an experienced *Professional Fee Surgery Coder* with a strong background in *colorectal procedures*. The ideal candidate will have a minimum of *2 years of colorectal-specific coding experience* and a proven ability to handle high-volume coding efficiently and accurately. *Key Responsibilities* * Accurately code *colorectal surgical procedures* for professional billing (Pro Fee). * Maintain compliance with all applicable coding guidelines and payer requirements. * Review operative reports and assign appropriate CPT, ICD-10, and modifiers. * Ensure timely and accurate coding for approximately *30 cases per hour*. * Collaborate with clinical and billing teams to resolve coding discrepancies. * Stay current with industry changes and updates in colorectal coding. *Required Qualifications* * *CPC Certification* (Certified Professional Coder)...

TekSystems is currently hiring for a Medical Coder that can sit anywhere in the US as it is FULLY REMOTE, this position does work on EST time zone hours! MUST HAVE: 1-3 years of medical coding experience preferably outpatient experience but open to other medical coding experience, MUST have an ACTIVE CPC License! Description These Coders will be taking the work from the Client Coordinators. They will be looking at what the Provider send and coded for payment and what the Payer sent and coded for payment. They will be reviewing the case to decide which one is correct, is the correct code being used, and make a determination of what code and payment is recommended by MCMC. Then they pass it off to QA for review. They will do these cases over and over again to push them through. All of the cases are going to be Emergency Services, so they would like for everyone to have experience in emergency services, inpatient coding, or DRG (diagnosis-related group) coding. This would...

TekSystems is currently hiring for a Medical Coder that can sit anywhere in the US as it is FULLY REMOTE, this position does work on EST time zone hours! MUST HAVE: 1-3 years of medical coding experience preferably outpatient experience but open to other medical coding experience, MUST have an ACTIVE CPC License! Description These Coders will be taking the work from the Client Coordinators. They will be looking at what the Provider send and coded for payment and what the Payer sent and coded for payment. They will be reviewing the case to decide which one is correct, is the correct code being used, and make a determination of what code and payment is recommended by MCMC. Then they pass it off to QA for review. They will do these cases over and over again to push them through. All of the cases are going to be Emergency Services, so they would like for everyone to have experience in emergency services, inpatient coding, or DRG (diagnosis-related group) coding. This would...

Now Hiring for a Remote Inpatient Medical Coder!! This opportunity is fully remote and a 3+ month contract assignment. MUST HAVE 1+ years of INPATIENT coding experience to be qualified!! Description -The Coder Inpatient II correctly assigns ICD diagnosis and procedure codes and MS -DRGs for inpatient hospital services at hospital, an academic, Level I Trauma Center. -The Coder Inpatient II codes a variety of medical and surgical specialties such as Neurology, Oncology, Urology, Transplant, OB/Newborn, Ortho, Cardiology, and Critical Care which can include complex trauma and acutely ill patients. -Coders in this role communicate with care providers when necessary mainly via the electronic query process. -In order to ensure the most appropriate DRG assignment, coders partner with clinical documentation improvement specialists with the goal of obtaining the most complete and accurate medical record documentation. -The Coder Inpatient II will resolve problems and make...

Description JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) ESSENTIAL FUNCTIONS OF THE ROLE - Performs routine coding quality reviews on all coders including third party suppliers as appropriate. - Performs coding quality reviews in collaboration with or for internal customers of the organization. - Provides feedback as appropriate depending on findings. - Abstracts and validates required data elements into the coding and abstracting system. - Works collaboratively with the Clinical Documentation...