17,676 jobs found in United States

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking a motivated Coding Quality Educator with an emphasis in Surgery experience to join our team. This job can be performed 100% remotely and out of state candidates will be considered.   The Coding Quality Educator will primarily be responsible for supporting and leading ongoing audit and education to existing coding staff and/or physicians,...

Lead the team that turns coding expertise into organizational impact. As Supervisor of Coding Education, Professional at SSM Health, you’ll guide a team of coding educators, strengthen provider and coder education, and help advance coding accuracy, compliance, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Leads and coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and associates. Assists coding staff, physicians, and other health care practitioners with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding physician/provider documentation. Assists in educational needs of coding staff based on these conversations and questions. Coordinates design, development, maintenance, and delivering of training curricula, coding job aids, reference materials, and workshops for providers and coders....

Coding Manager – Vascular Surgery Position Overview We are seeking a highly analytical, solutions-oriented Coding Manager with a strong background in vascular surgery coding, proven people-management skills, and the ability to improve processes that drive coding quality, operational efficiency, and revenue performance. The Coding Manager will lead the professional coding team for a high-volume, multi-specialty vascular surgery practice encompassing hospital-based procedures, ambulatory surgery centers (ASCs), office-based laboratories (OBLs), office visits, imaging, and other vascular services. This position combines technical coding expertise with hands-on operational leadership. The Coding Manager will be responsible for managing and developing the coding team, establishing performance standards, identifying and resolving operational problems, conducting coding audits, improving provider documentation, and implementing initiatives that improve charge...

I. JOB SUMMARY/RESPONSIBILITIES Performs review of physician and other health care provider services by QMC and QEC providers to ensure services are coded with appropriate CPT and ICD-9 codes. Conducts education, training, and continuously monitors QMC and QEC providers related to PATH guidelines, coding and documentation of professional services rendered, in accordance with government, insurer, and other regulatory agency standards.  Effective October 2014, ICD-10 codes shall be required. II. TYPICAL PHYSICAL DEMANDS: Essential: sitting, stooping/bending, finger dexterity, seeing, hearing, speaking, lifting, and carrying usual weight of 5 pounds, repetitive arm/hand motions, static gripping of an object for prolonged periods, frequent gripping of an object.  Occasional: standing, walking, kneeling, climbing stairs, squatting, twisting body, lifting weight up to 10 pounds, pushing/ pulling usual weight of 2 pounds up to 5 pounds, reaching above, at and below shoulder level....

We have an opportunity at our corporate offices in Chicago for a Sr. CPT Regulatory & Communications Manager (Hybrid) on our Health Solutions team. This is a hybrid position reporting into our Chicago, IL office, requiring 3 days a week in the office.  This role will serve as a senior regulatory lead responsible for developing and executing the CPT communications program and providing operational leadership for implementation of clinical AI coding initiatives. Partner with AMA leadership, the CPT Editorial Panel, and external stakeholders to support the implementation of CPT priorities related to emerging clinical AI technologies. Leads cross-functional collaboration and stakeholder engagement to support CPT communications and clinical AI coding initiatives. RESPONSIBILITIES: CPT Proactive Communications Develop and execute the CPT proactive communications plan in alignment with organizational priorities, producing written collateral, digital...

Children’s Orthopaedic and Scoliosis Surgery Associates, LLP (COSSA) is seeking an experienced Medical Billing Specialist to join our pediatric orthopaedic practice. This position focuses on insurance accounts receivable, denial resolution, and obtaining accurate, timely payment for physician services. You will work independently on assigned accounts, with support from an established billing team. We value people who investigate problems, follow through, share knowledge, and help prevent recurring billing issues. Responsibilities Research and resolve outstanding insurance balances using payer portals and direct communication with insurance representatives. Review electronic claim rejections and denials, determine the appropriate corrective action, and submit corrected claims, reconsiderations, and appeals. Investigate underpayments using payer policies, contracts, and fee schedules. Prepare appeal letters supported by relevant...

Summary: Florida residency required Applies expert knowledge of ICD‑10‑CM, CPT, and HCPCS coding to accurately code inpatient and outpatient encounters in compliance with AMA and CMS guidelines. Reviews clinical documentation for medical necessity, resolves coding and billing issues, supports charge capture and denial prevention, and collaborates with providers to ensure accurate, compliant reimbursement. Position Responsibilities Knowledge of medical coding rules, regulations and compliance allowing to better handle issues such as medical necessity, claims denials, bundling issues and charge capture. Knowledge of medical terminoogy, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes and identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record. Knowledge of official coding conventions and rules established by the...

Medical Billing/Office manager position at Ear Bar Pay: $30.00 - $35.00 per hour Job description: Job Summary We are seeking a dedicated and experienced Medical Billing Specialist/office manager to oversee the daily operations of new innovative ENT specialty practice focused on ears. The ideal candidate will possess strong leadership skills and a comprehensive understanding of medical office management, including experience in clinical settings and utilization management. This role is pivotal in ensuring efficient workflow, maintaining high standards of patient care, and managing administrative functions effectively. The ideal candidate will also be responsible for managing the entire billing process, ensuring accurate and timely submission of claims, and facilitating smooth communication between healthcare providers, insurance companies, and patients. Your expertise will help optimize revenue cycles, improve patient satisfaction, and uphold the highest standards...

About Synergy Health Partners Synergy Health Partners provides healthcare revenue cycle, billing, credentialing, and managed care support services. Our team works with healthcare organizations to improve reimbursement, resolve outstanding insurance accounts, and support efficient revenue cycle operations. Position Summary We are seeking an experienced Revenue Cycle Specialist with hands-on medical insurance AR experience. This position focuses on payer follow-up, denial resolution, appeals, corrected claims, and recovery of outstanding insurance balances in a high-volume environment. The role also includes inbound patient calls , so excellent customer service and professional communication skills are important. Responsibilities Work insurance AR and aging accounts Follow up with Medicare, Medicare Advantage, Medicaid, and commercial insurance payers Research unpaid, underpaid, rejected, and denied claims Review EOBs and ERAs and...

**Onsite position** SUMMARY: Assist in the oversight of the day-to-day operations of the billing department; including but not limited to staffing, training and customer complaint resolution. Implements and maintains policies and procedures. Interacts with PPO Networks and TPA Payers on contractual issues, education of codes, and reimbursements. Ensures CPT and ICD-10 codes are current in all systems. Works with credentialing office regarding ID # for new radiologist. May perform other job related duties as necessary for the efficient operation of SDMI. Key Responsibilities Assist with daily oversight of billing department operations, including staff support and workflow management  Support hiring, training, and ongoing development of billing team members  Address and resolve customer billing inquiries and complaints in a timely, professional manner  Implement, maintain, and enforce billing policies and procedures  Collaborate with PPO networks and TPA payers...

Must reside in Texas, Georgia, Mississippi, Montana, North Carolina, Oklahoma, or Wisconsin Salary: up to $40/hr. with experience Job purpose The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient’s medical history, diagnosis, tests and treatment plan. Duties and responsibilities Primarily codes from final office visit, surgical/procedural operative reports signed by providers Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims Enters patient copayment information into the EMR Reconciles charges against the schedule list to ensure no charges are missed Investigates rejected claims to see why denials were issued as...

Hospital for Special Care is currently seeking an experienced Inpatient Coding Specialist to join our team. This is an excellent opportunity for a coding professional who enjoys working with complex medical records, collaborating with clinical teams, and using their expertise to support accurate documentation, coding, and reimbursement.  What You'll Do ·   Accurately code inpatient accounts and assign appropriate ICD-10-CM/PCS, CPT, modifiers, and DRGs in accordance with current coding guidelines. ·   Review medical records, identify documentation needs, and collaborate with HIM, physicians, clinical staff, and other departments to resolve coding questions, edits, and denials. ·   Monitor outstanding accounts and coding reports to ensure timely and accurate completion of inpatient records. ·   Utilize the Electronic Medical Record, 3M HDM, and clinical documentation tools to support efficient and accurate coding. ·   Serve as a coding resource and educator...

Primary Purpose of the Position: The Revenue Cycle Coding Manager provides strategic and operational leadership for professional coding and charge capture. The Manager is accountable for coding quality, productivity, inventory, compliance remediation, workforce planning, vendor performance, physician and division engagement, and coding-related revenue integrity. The position establishes clear standards, analyzes trends, and develops corrective action plans to support accurate, timely, and compliant claim submission.   Essential Duties of the Position May Include the Following: Leads day-to-day and long-range coding operations, including staffing, workload allocation, coverage planning, production priorities, and escalation management. Owns the coding operating model and clearly defines responsibilities among the Coding Manager, Coding Supervisor, internal coders, and external coding vendors. Establishes, monitors, and reports key performance indicators for...