Jobtailor

Jobtailor is hiring an experienced Hospital Coder for a senior role in Virginia. The position focuses on accurate ICD-10-CM and CPT/HCPCS coding for inpatient and outpatient services, ER billing, and APC assignment in a fast-paced hospital setting. The role requires 10+ years of hospital billing experience, supervisory background, and strong knowledge of Medicare/Medicaid rules. You will collaborate with CDI and revenue cycle teams to ensure timely, compliant claims. #J-18808-Ljbffr

Manage the accounts receivable for timely and maximum reimbursement by adhering to company billing and collection policies. Review coding & charges, ensure the completion of team members daily task. Follow-up with external and internal customers to ensure remediation of customer issues. Communicate with the AR Manager concerning central billing issues, questions, concerns, corrective actions or training needs. Perform daily, monthly and special system processing requirements (i.e. batch posting and balancing). Requirements High School diploma or GED Three to five years previous healthcare billing, collections experience, and/or managed care experience preferred. Knowledgeable about third party billing regulations and CPT.4/ICD.9/10 coding Routine CRT/data entry skills Knowledge of spreadsheet applications Proven record of dependability Strong communication and decision-making skills Core Competencies Demonstrates expertise in healthcare billing and collections, with a strong...

Responsibilities Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within EHR/EMR systems prior to claim submission. Utilize EHR/EMR platforms (such as Epic, Meditech, PrognoCis) for documentation, coding, and billing workflows. Research and resolve billing discrepancies or claim denials. Prepare and submit insurance appeals, ensuring compliance with payer guidelines. Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage. Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.). Collaborate with clinical staff and providers to ensure...

Jobtailor is seeking a Medical Billing & Coding Specialist to accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. You will perform coding with ICD-10, CPT, and HCPCS, review billing data in EHR/EMR systems (Epic, Meditech, PrognoCis), resolve denials, prepare appeals, and communicate with patients while ensuring HIPAA compliance. #J-18808-Ljbffr

Responsibilities Follows established protocols, selects and reviews a percentage of records to assess coding documentation, billing and/or reimbursement practices for compliance with all regulations for federal and state agencies, third-party payers, and organization policy. Communicates audit progress and findings by preparing reports and providing information to the Compliance Officer, Chief Medical Officer, and Chief Quality Officer as applicable. Investigates, evaluates, and identifies opportunities for improvement, recognizes their relative significance in the overall system, and provides guidance to departments regarding internal controls. Develops and maintains professional skills and knowledge through attendance at relevant conferences, seminars, and other educational programs, participation in professional organizations, and review of current literature. Conducts billing and coding training, including provider training, as they relate to billing, coding, and...

Jobtailor is seeking an experienced medical billing professional to own the end-to-end outpatient revenue cycle for behavioral health services. This role focuses on denials management, AR follow-up, and thoughtful payer communication to ensure timely, accurate reimbursements. You will work with EOBs/ERAs, CPT/ICD-10 coding, and HIPAA compliance while documenting processes and collaborating with leadership to resolve recurring issues. #J-18808-Ljbffr

Responsibilities Full claims lifecycle for outpatient behavioral health services across commercial, Medicare, and Medicaid managed care payers Denials management: root-cause analysis, appeals, resubmissions, payer follow-up, and prevention AR aging triage, payer follow-up strategy, and escalation of recurring issues ERA/EOB posting and reconciliation against expected contracted rates Investigation of underpayments, rate anomalies, ERA disruptions, and recurring denial patterns Written process documentation for the revenue cycle lane Clear communication with the Practice Manager when a payer issue needs leadership attention Requirements 3+ years of hands‑on medical billing, revenue cycle, AR, or payer follow-up experience Real experience with denials management or AR follow‑up, not only payment posting or data entry Outpatient specialty billing experience Fluency with EOBs, ERAs, denial codes, appeals, resubmissions, timely‑filing rules, and payer portals such as...

Jobtailor is seeking an experienced medical billing professional to support AR posting, posting transactions, and processing insurance benefits for accurate patient accounting. The role requires familiarity with revenue cycle processes and effective communication with physicians and patients. Responsibilities include posting refunds, handling 835 remittance files, and maintaining productive workflows in a HIPAA-compliant environment. #J-18808-Ljbffr

• Medical Billing Associate handles billing and follow up of medical claims • Focus on pre-billing edits and introductory payer denials • Initiate appeals or rebill claims to address denials • Work independently to meet production standards • Communicate with peers, trainers, and leaders • Resolve billing edits and respond to denials on accounts as assigned • Collaborate with internal/external departments as needed • Recognize payer trends and communicate them to leaders Requirements High School Diploma ATS Optimization Keywords Below are skills and terms extracted directly from this job posting to improve Applicant Tracking System (ATS) visibility. This unique feature helps candidates tailor their applications more effectively — a feature exclusive to JobTailor job listings. Soft Skills independent work communication collaboration problem-solving #J-18808-Ljbffr

Responsibilities Lead and perform moderate to high-complexity audit work with limited supervision Identify key risks across end-to-end processes and develop risk-based audit scopes and test plans Execute and document audit procedures in accordance with Institute of Internal Auditors (IIA) standards Provide guidance and mentorship to audit team members throughout audit execution, fostering collaboration and professional growth Partner with business leaders to validate findings, identify root causes, and agree on practical, sustainable corrective actions—while maintaining professional independence Monitor management’s progress on remediation efforts and validate completed actions Support department-wide projects and initiatives to enhance LCIA’s audit methodologies, tools, and assurance capabilities Own and advance the Bank's established Compliance and Financial Crimes Compliance coverage strategies, refining them over time to ensure complete regulatory coverage with...

Jobtailor is seeking a Senior Internal Auditor to lead moderate to high-complexity audits within financial services. You will identify risks, design test plans, and ensure compliance with IIA standards while mentoring junior staff. You will partner with business leaders to validate findings, drive remediation, and advance audit methodologies, leveraging data analytics and AI to enhance efficiency and insight across the audit lifecycle. #J-18808-Ljbffr

Responsibilities Own and operate the Medical Affairs content production function as a managed service (email content, web assets, dynamic HTML interactive content, and multi-format deliverables). Manage intake, prioritization, and capacity planning across therapeutic areas; deliver on time and to quality standards. Define production standards, quality gates, and review processes to meet brand/regulatory/compliance requirements. Build and maintain SLAs, turnaround benchmarks, and throughput/quality dashboards. Lead the content production team; manage HTML authoring, email builds, interactive content development, and asset adaptation. Partner with design agencies to translate briefs/mockups into compliant, production‑ready digital content; manage creative‑to‑build handoff. Evaluate/implement AI‑powered content authoring and production tools; operationalize AI workflows to speed production and reduce manual effort. Own content authoring platforms and production infrastructure (HTML...

Jobtailor is seeking a medical billing and coding specialist to review records, assign CPT and ICD-10 codes, and oversee end-to-end billing processes. The role includes audits of coding accuracy and handling denials to maximize payments. Applicants should have 2–5 years in medical environments, CPT/ICD-10 proficiency, and EMR experience. Strong MS Office skills and HIPAA knowledge are essential for daily operations. #J-18808-Ljbffr

Jobtailor in Texas is seeking a healthcare coder to perform reviews of inpatient and outpatient coding, ensuring compliance with federal regulations and maintaining up‑to‑date coding guidelines. You will abstract complex patient data from medical records and assign diagnoses and procedures using ICD-10 and CPT systems. The role offers a hybrid work arrangement—remote and on campus. Candidates must reside within commuting distance of UT Health San Antonio; on-site orientation is required. #J-18808-Ljbffr

• Performing Medical Bill review and investigation of medical invoices • Analyzing bill for proper assignment of detailed medical coding information • Interpreting workers compensation rules for repricing • Entering/correcting data of medical bill information • Accurate billing per the American Medical Association • Review of medical documentation to support billing • Ability to discuss coding to medical providers Requirements Certified AAPC or AHIMA Certified Coding Designation preferred Medical terminology/coding coursework or experience preferred Minimum of 2 years of experience in medical bill processing or coding preferred Excellent data entry skills Requires computer literacy and strong keyboard skills Requires excellent communication skills Requires an ability to problem solve High school diploma or equivalent required Requires some college or equivalent experience ATS Optimization Keywords Below are skills and terms extracted directly from this job posting to improve...

Jobtailor in Denver seeks a dedicated Billing Specialist to ensure accurate coding and payer-specific billing workflows. You will review documentation, enter data, and support denial appeals with clinical knowledge and attention to detail. The role requires strong communication, ability to work independently in a fast-paced environment, and proficiency with MS Office and medical billing software; bilingual Spanish is preferred. #J-18808-Ljbffr

Responsibilities Developing and executing roadmaps for the advancement of CRM, Veeva Link/HCP Universe, MSL OnDemand and other related capabilities. Become the core participant in Omnichannel Program to gather requirements, recommend leveraging of existing solutions and determine best course for development of new solutions, including next‑gen CRM projects. Clearly articulate and shape business processes and requirements, working with JJT and business partners to implement. Identify and oversee the resolution of any potential issues impacting systems or business functions. Manage partnerships with IT counterparts to ensure timely delivery of system changes with high attention to quality and user experience. Perform and oversee testing to ensure successful launch of capabilities. Manage and execute administrative changes to systems such as product catalog changes, topics, key messages, profiling surveys, etc. Leverage and integrate external data and advanced analytics to...

Responsibilities Own and deliver the Microsoft Power App product portfolio for Value & Implementation (V&I) Operations Define product strategy, priorities, and roadmaps by synthesizing input from V&I stakeholders Lead end-to-end product lifecycle, including discovery, value case development, design, build, testing, release, and change management Serve as the voice of the stakeholder, partnering with engineering teams Govern and manage the Global Medical and Value Capabilities (GMVC) hyperautomation product portfolio Develop clear product requirements (epics, user stories, design specifications) within an agile framework Own backlog management, sprint planning, and release execution Drive adoption and stakeholder satisfaction by delivering impactful products Requirements Bachelor’s degree in life sciences, business, or technology five years of relevant work experience Ability to think critically and ask questions to come to a solution for a problem...

Jobtailor is seeking a Medical Coder to review inpatient and outpatient records, assign ICD diagnoses and procedures, and ensure timely entry into the system in New Jersey. Candidates should have 2-3 years of health information experience, an Associate’s degree, and CCS certification within a year, demonstrating strong analytical and data abstraction skills for accurate coding and data integrity. #J-18808-Ljbffr

Jobtailor is seeking a skilled medical coder in New Jersey to review and code patient records for both inpatients and outpatients, ensuring accurate ICD-10-CM/PCS and CPT-4 coding. Responsibilities include verification of CPT-4 codes, DRGs, and APCs to support proper billing and patient care documentation. The ideal candidate has 1-3 years of acute care coding experience, strong knowledge of anatomy, physiology, medical terminology, and pathology understanding, and holds an Associate degree in #J-18808-Ljbffr

Responsibilities Under general supervision and according to established policies and procedures, review and abstract the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT. Ensure that inpatient and outpatient records are coded, abstracted and entered into the computer system in an accurate and timely manner. Requirements Work requires the level of knowledge normally acquired through completion of two to three years of occupational‑specific education beyond High School or an Associate’s Degree in Health Information Technology or a closely related field and two to three years of previous work‑related experience. Certified Coding Specialist (CCS) AHIMA's coding certification required or within 1 year of hire. Work requires the analytical ability to resolve problems that require the use of basic scientific knowledge and the ability to exchange information on factual matters. Hard...

Responsibilities Review and code patient records for both inpatients and outpatients Assign appropriate ICD-10-CM and ICD-10-PCS codes Verify CPT-4 codes, DRGs, and APCs Requirements 1-3 years acute care coding experience Knowledge of anatomy and physiology Medical terminology proficiency Pathology of disease understanding Experience with ICD-10-CM coding Experience with ICD-10-PCS coding Experience with CPT-4 coding Associate degree in Health Information Technology Certifications: RHIA, RHIT, CCS, or CCA Core Competencies Demonstrates expertise in coding patient records with a strong understanding of ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems. Proficient in medical terminology, anatomy, and physiology, with a focus on acute care coding. #J-18808-Ljbffr

Responsibilities Performing coding and abstracting of both inpatient and outpatient medical records in accordance with ICD-10-CM and CPT coding rules, guidelines, and conventions following hospital and PAM Health system procedures. Accurately reflect the reason for admission, extent of care received, and level of severity of illness. Requirements High school diploma or its equivalent is required. Coding, medical terminology, Anatomy/Physiology courses preferred. Certification as one of the following is preferred; a. Certified Coding Specialist (CCS) b. Certified Coding Specialist-Physician based (CCS-P) c. Certified Professional Coder (CPC) d. Certified Professional Coder Apprentice (CPC-A) e. Certified Billing and Coding Specialist (CBCS) f. Certified Coding Associate required (CCA) g. Registered Health Information Technician (RHIT) h. Registered Health Information Administrator (RHIA) i. Registered Nurse (RN) with ICD-9-CM coding background j. Licensed Practical Nurse (LPN)...

Jobtailor is seeking a skilled coding professional to perform accurate inpatient and outpatient medical record coding. You will apply ICD-10-CM and CPT guidelines, reflecting admission reasons, care extent, and illness severity, while ensuring HIPAA compliance. Strong data entry, attention to detail, and communication skills are essential for success. Two years of coding experience is preferred; professional credentials such as CCS/CPC and related certifications are highly valued in this role. #J-18808-Ljbffr