Jobtailor

Jobtailor is seeking an experienced medical coder to translate procedures and diagnoses into ICD-10, CPT and HCPCS codes, and to abstract essential data for regulatory reporting. You will collaborate with providers to clarify requirements and ensure compliance with CPT guidelines, Coding Clinic, and ICD-10-CM CMS policies. The role supports remote work with a strong emphasis on accuracy, timely delivery, and patient care quality. #J-18808-Ljbffr

Jobtailor in California is seeking a supervisory Health Information Management professional to oversee ROI Specialists across multiple client sites, ensuring productivity and adherence to quality standards. You will adjust workloads, monitor performance, review productivity, and handle payroll approvals while maintaining HIPAA privacy guidelines. Strong written and interpersonal skills, plus proficiency in Microsoft Office, are essential. #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

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...

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 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

Jobtailor is seeking a QA/compliance professional to monitor adherence to licensing, accreditation, and organizational policies. You will conduct quality assurance audits, manage complaints, and promote timely resolutions across agency programs. The role requires a high school diploma and 1–3 years in QA or compliance, with strong communication and organizational skills. A valid driver’s license and ability to pass background checks are essential. #J-18808-Ljbffr

Responsibilities Resolve all levels of denials. Professional appeal submission with supporting documentation. Identify and present the payer trends among the claims that are denying. Communicate and work with leaders to mitigate. Collaborate professionally internally or with external departments when needed to resolve edits or denials. Present appropriate accounts for payer agendas with clear rationale and supporting documentation. Ability to be the learning partner for peers. Manage and complete assigned projects timely. Proper and detailed notation of actions taken on the account. Review, understand, and locate payer policy guidelines as required. Ability to locate claim adjudication details with the supporting documentation. Proficient use of Epic, OnBase, and other platforms as needed. Meet daily/weekly productivity standards with acceptable QA results. Requirements High School Diploma or G.E.D. – required Associate's Degree – preferred 2+ years medical billing...

Responsibilities Develop, evaluate, lead, and perform multiple and diverse performance audit programs to monitor and regulate the workers' compensation industry. Ensure public funds are disbursed properly by reviewing payroll and financial records. Conduct on-site and virtual remote audits, ranging from simple to complex, at claims processing locations. Act as a resource to the workers' compensation industry, providing training and consultation relating to workers' compensation issues. Requirements Four years of experience doing administrative research that included compiling and evaluating facts to recommend management action, or to decide compliance with program guidelines and regulations. Two of the four years must be above the technical support level. Note: college‑level coursework may substitute for experience on the basis of 45‑quarter units per year, up to a maximum of three years. Experience using a variety of computer programs and software. Experience using Excel...

Jobtailor in Kansas is seeking a Medical Billing professional to manage claims, correct rejections, and follow up in Epic. You will apply CPT, ICD-10-CM, modifiers, and payer rules to ensure timely payments. Ideal candidates have a high school diploma, 1 year of medical insurance experience for Level 1, or 3 years for Level 2, with CPB within a year and HIPAA knowledge. Experience with insurance companies is required. #J-18808-Ljbffr

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 Manages workflow among on‑site employees at multiple client sites to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies at the staffed hospital sites. Provides coverage in event of backlogs, illness, vacation or leave of absence of ROI Specialists. Performs Quality Assurance monitoring of work performance for the ROI Specialists. In conjunction with and under the direction of the Area Manager, conducts productivity and work performance reviews for ROI Specialist in accordance with MRO/customer policies and procedures and Federal/State law. In conjunction with and under the direction of the Area Manager, monitors performance and provides performance feedback for ROI Specialists. Manages employee schedules and approves bi‑weekly payroll to include approval of PTO requests. Promotes a positive self‑image of MRO with emphasis on customer service by treating patients,...

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 in Illinois seeks an experienced internal audit professional to lead enterprise audits across banking and financial services. You will plan, perform, and oversee engagements, identify issues, and present findings to management. You will contribute to the annual audit plan, leverage data analytics, and coach staff while building strong relationships with internal and external stakeholders. This is a full-time on-site role. #J-18808-Ljbffr

Jobtailor in the United States is seeking a Health Care Compliance Auditor specializing in medical coding and documentation compliance. You will review records, ensure CPT/E&M coding accuracy, and report findings to the Compliance Officer and executive leadership. Qualifications include CPC/CCS-P/COC, 2+ years in health care, HIPAA knowledge, and Epic EMR familiarity. The role emphasizes auditing, policy development, training, and collaboration to strengthen internal controls. #J-18808-Ljbffr

Jobtailor is seeking a BSA/AML audit professional to develop, audit, and monitor compliance across financial institutions of all sizes. You will execute all audit phases, present findings to senior management, and build relationships across three lines of defense. A Bachelor’s degree and 3+ years in related fields are required, with CAMS/CIA/CISA preferred. Up to 5% travel may be needed. This role emphasizes meticulous analysis, strong communication, and experience with retail banking AML #J-18808-Ljbffr

Responsibilities Perform complex chemical, biological, and bacteriological tests Analyze body fluids and cells Match blood for transfusions Analyze chemical content of fluids Prepare specimens and count cells Relay test results to physicians Make cultures of body fluids Evaluate test results and ensure accuracy Use safety precautions with biohazardous materials Maintain clean working environment and manage lab supplies Supervise and guide other technologists and technicians Requirements Bachelor’s Degree in Medical Technology Certification by AMT, ASCP, or NCA Minimum of 5 years’ experience as Medical Technologist At least 1 year in a Lead role Current clinical experience in direct patient care for 6 of the last 12 months Ability to multi-task and be detail‑oriented Proficiency with computers and MS Office Ability to adapt to sudden changes Strong problem‑solving skills Must be a US citizen or permanent resident for at least 3 of the last 5 years ATS...

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

Provide strategic and operational medical writing expertise to prepare high-quality complex clinical and regulatory documents for health authority submissions. Contribute to the medical and regulatory writing portfolio and collaborate across functional groups within the company. Lead and maintain standardized document development processes for clinical and regulatory documents. Develop and execute strategies for organizing and preparing documents for clinical and regulatory health authority submissions. Independently author and/or lead the authoring and end-to-end development of clinical and regulatory documents. Write, review, and edit science-based documents such as those included in IND/NDA sections. Provide high-quality medical writing support to documents led by other company functional groups. Manage contract medical writers, as needed, and review documents produced by external writers. Collaborate with relevant company subject matter experts and document owners to develop...

Responsibilities 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 #J-18808-Ljbffr

Responsibilities Under direct supervision, responsible for conducting reviews of inpatient and outpatient coding, ensuring compliance with federal regulations, and maintaining up-to-date coding guidelines and policy changes. Perform all tasks required to facilitate medical billing, including abstracting complex patient‑related data from medical records and coding diagnoses and procedures using ICD-10 and CPT classification systems. Work in a hybrid arrangement—remote and/or on campus. Candidates must reside within commuting distance of UT Health San Antonio. On‑site orientation and training are required upon hire. Transition to remote work is contingent on meeting productivity and quality standards set by the supervisor. Remote coders may be required to attend occasional on‑campus training and meetings. Requirements Proficiency in ICD-10 and CPT coding. In‑depth understanding of medical terminology, anatomy, and physiology. Meticulous attention to detail and accuracy....

Responsibilities Provides medical affairs support for the Craniomaxillofacial platform within DePuy Synthes Delivers medical and surgical input across product development and life‑cycle management Collaborates cross‑functionally to support evidence generation, dissemination for market registration, access and adoption Provides medical education to internal and external stakeholders to support commercialization and market adoption Requirements Medical Doctor (surgeon) or Physician Assistant with strong clinical hands‑on surgical experience Minimum of 8 years of relevant experience in the pharmaceutical or medical device sectors Experience in medical affairs, clinical development, or related roles in research or the medical device industry preferred Fluent in English #J-18808-Ljbffr