4119 jobs found

Knowledge of ICD-10-CM and CPT coding guidelines as well as state and federal Medicare reimbursement guidelines. Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations.   Ability to read and interpret medical procedures and terminology.   Ability to develop training materials, make group presentations, and to train staff.   Ability to exercise independent judgment.   Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff.   Ability to maintain confidentiality.   Proficiency in MS Office and patient management software   Self-directed and positive attitude essential.   Represents company in a manner that ensures a positive service image and tone for the organization.     Reviews elective surgeries performed from the previous week across...

Planned Parenthood Association of Utah is looking for a bold, mission-driven  Director of Revenue Cycle  who is ready to make a powerful impact on the future of reproductive healthcare in our state. This is a dynamic leadership role for someone who thrives on solving complex challenges, elevating systems, and building strong, motivated teams. You will play a pivotal role in strengthening our financial foundation—ensuring every visit, every service, and every patient experience is supported by accurate, efficient, and forward-thinking revenue cycle operations. As a key collaborator across Health Services, Finance, and administrative leadership, you’ll bring fresh ideas, innovation, and strategic insight to identify new revenue opportunities and optimize the resources that keep our mission strong. If you’re passionate about protecting access to essential healthcare and want your work to truly matter, this is your opportunity to make a lasting difference at Planned...

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 highly motivated  Surgical Coding Denial Specialist  to join the AR Surgery team. This job can be performed 100% remotely and out of state candidates will be considered. The Surgical Coding Denial Specialist is primarily responsible for resolving all insurance claim denials for assigned surgical specialty departments to enhance revenues for CU Medicine...

Position: Mid-Level Manager/Lead Senior Coder Location: Remote Contract Type: Full-Time  Clearance: No Secret Clearance Required Starting Salary: $58.00/Hour “Candidates must hold valid credentials from either AAPC or AHIMA to be eligible to apply.” Please indicate the position(s) you’re applying for on our website application when you apply online. This will help our team track your application process. Include your full mailing address (for equipment shipment), desired start date, and AAPC and/or AHIMA certification number(s) (with expiration date). https://gopacgroup.com/mid-level-manager-lead-senior-coder/ If you have already applied for this position and taken the Assessment, please do not apply again. The Assessment is the same for all the positions. If you have your score and you are getting updates, please do not apply again.  Assessment Protocol The assessment is   strictly timed   and must be completed within   1 hour ....

About Our Company AccuMed is the premier provider of litigation support including expert witness services for medical damages. We offer historical and future cost analysis to support quick and successful pre-litigation outcomes using our database of over 20 billion patient encounters to establish the reasonable value of healthcare costs. We provide powerful and transparent data to establish, refute, or defend the reasonable value of medical charges. Job Overview AccuMed is seeking an operationally driven and strategically minded professional to continue development and expansion of our largest business segment: Expert Witness Services . This role centers on delivering expert witness services to our clients, including the formation and defense of expert opinions related to the reasonable value of medical costs. The position will involve case-by-case analysis, deposition, and courtroom testimony. Candidates must be confident in articulating and defending their...

Healthcare Coding and Consulting Services (HCCS) is excited to announce   full-time openings   for   experienced and certified Pro Fee/ Clinic Coders   across multiple specialties. We are seeking coders with strong experience in Family Medicine, Internal Medicine, Pediatrics, Orthopedics, and additional clinic-based specialties. Ideal candidates are comfortable with E/M services, hospitalist, and high-volume production coding. This is a remote, direct-hire opportunity that offers long-term career stability and the support of a company focused on coder accuracy, professionalism, and specialty alignment. At HCCS, coders are placed according to their proven specialty expertise, ensuring you’re matched with providers and chart types where you can excel. Our coders collaborate closely with our Coding and Scheduling Managers to maintain smooth workflows and deliver consistent performance. As a family-owned company, HCCS does not outsource work or rely on project-based...

We are in search of a very experienced leader. This position requires extensive knowledge of professional coding, compliance, and entire revenue cycle process. This is a customer facing role that requires presentations, provider education and high-level meetings. The candidate must have a proven track record of leadership and experience. No compromise will be made. 

A Certified Physician Practice Manager oversees the daily operations, business performance, and staff of a medical practice to ensure high‑quality, efficient, and financially sound patient care. Primary Responsibilities Oversee day‑to‑day clinic operations (scheduling, front desk, billing, medical records, patient flow) Manage and develop staff (hiring, training, performance reviews, staffing schedules) Monitor financial performance (budgeting, revenue cycle, A/R, coding and billing accuracy, cost control) Ensure compliance with laws, accreditation standards, payer requirements, and practice policies Optimize patient experience (access, wait times, communication, service recovery) Implement and improve practice workflows, policies, and quality initiatives Oversee EHR/practice management systems and coordinate with IT/vendors Partner with physicians on strategic planning, service line growth, and marketing/outreach...

A Certified Inpatient and Outpatient Professional Documentation Expert is responsible for ensuring the accuracy, completeness, and compliance of clinical documentation across both inpatient and outpatient settings. They collaborate with physicians, nurses, and other providers to clarify diagnoses, procedures, and treatment plans so that the medical record supports the patient’s severity of illness, risk of mortality, medical necessity, and appropriate reimbursement. Key duties include concurrent and retrospective chart review, generating and tracking provider queries, applying official coding and documentation guidelines, educating clinical staff on best practices, and monitoring documentation quality metrics to support regulatory, audit, and revenue cycle integrity.

The Certified Professional Medical Auditor is responsible for performing comprehensive audits of medical records, coding, and billing to ensure accuracy, compliance with federal and state regulations, and alignment with payer policies. This role helps protect the organization from financial risk, supports accurate reimbursement, and promotes high standards of documentation and clinical integrity. Key Responsibilities Perform prospective and retrospective audits of medical records, coding, and billing across assigned service lines (e.g., outpatient, inpatient, behavioral health, SUD/MH, lab). Verify that documentation supports ICD‑10‑CM, CPT, and HCPCS coding; identify under‑coding, over‑coding, unbundling, and other compliance risks. Review claims for adherence to Medicare/Medicaid, commercial payer, and regulatory guidelines; ensure compliance with NCCI edits and payer‑specific policies. Prepare clear, detailed audit reports summarizing findings,...

Overview Top candidates will have experience in Same Day Surgery Coding.   As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA   This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not...

WHAT IT'S LIKE AT SGMC HEALTH Purpose . No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place. Excellence . We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service. Team Spirit.  We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment. Award Winning Performance.  We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.   WHY YOU WILL LOVE SGMC HEALTH SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand...

Medical Coding Appeals Analyst Anticipated End Date: 2025-12-31 Position Title: Medical Coding Appeals Analyst Job Description: Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria....

Medical Biller East Haven, CT Full-Time Job Description: We are seeking a detail-oriented and reliable Full-Time Medical Biller to join our team. The ideal candidate will have a solid understanding of medical billing processes, claims submission, and insurance follow-up. This role requires accuracy, strong communication skills, and the ability to work in a fast-paced environment. Key Responsibilities: Manage and process medical billing for various healthcare services. Prepare and submit insurance claims accurately and in a timely manner. Conduct accounts receivable follow-up with insurance companies and patients. Review and resolve billing discrepancies, denials, and outstanding balances. Maintain current knowledge of billing regulations, insurance guidelines, and compliance standards. Collaborate with internal staff and healthcare providers to ensure proper documentation and coding. Required Skills: Proven experience in...

Position:   Experienced OT/PT/SLP   Medical Biller (Remote W2 employee) Location:   Florida, Maryland, Virginia, or Idaho residents only Start Date:   January 12, 2026 Classification:   Non-Exempt, Hourly Hours:   Up to 40 hours per week Important Details You Must Review Carefully Before Applying: This is a fully remote position but showing as hybrid to attract people in the Florida region You must reside in one of the following states to be considered: Florida, Maryland, Virginia, Idaho You must be aware that the compensation is hourly between $18-$26 per hour. If you are seeking highest compensation - please don't apply. The role does not include traditional benefits. No paid time off, no retirement plan, no traditional benefits. We do offer health benefits via an HRA for full-time employees with up to $400 per month contribution. You must have extensive medical billing experience preferably in Speech Therapy private practice sector. This role...

We are looking for an individual who can perform both roles as a professional and outpatient coder. This is a full-time position in downtown Riverside, CA. 

JOB TITLE: Business Office Manager DEPTARMENT: Business Office GENERAL SUMMARY OF DUTIES: An exempt position. Responsible for managing, directing and supervising the reimbursement/coding activities on all services furnished by the physicians/providers of Alaska Heart Institute. Ensures accurate patient billing and efficient account collection to maximize cash flow. SUPERVISON RECEIVED: Reports to Chief Revenue Officer SUPERVISION EXERCISED: Supervises billing office staff which consists of charge posting, payment posting, Insurance/ Medicare research, collections, patient/insurance refunds and bank deposits. ESSENTIAL FUNCTIONS:   Develops departmental objectives and organizes the work of the department.  Reviews work of billing office personnel. Responsible for managing human resources of the billing department staff.  Hires, orients, evaluates performance goals and objectives, recommends merit increases, promotions, and disciplinary actions for...

CPC Expertise in medical record review to abstract information required to support accurate coding. Ability to identify documentation deficiencies and properly query providers for proper code capture. Expertise in assigning accurate CPT, HCPCS Level II, and ICD-10-CM medical codes for diagnoses and procedures. Proficiency across a wide range of services, including evaluation and management, anesthesia, surgery, radiology, pathology, and medicine. A sound knowledge of medical coding guidelines and regulations including compliance and reimbursement – allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture. CPB Proven knowledge of how to submit claims compliant with government regulations and private payer policies. Ability to follow up on claim statuses, resolve claim denials, submit appeals, post payments and adjustments, and manage collections. In-depth knowledge of...

Phoenix Behavioral Healthcare, LLC is seeking a highly skilled Executive   Director of Revenue Cycle Management (RCM) to oversee and optimize the full revenue cycle across multiple behavioral health facilities, clinics, laboratories, and E&M service lines. This onsite leadership role manages all aspects of RCM operations—including intake, UR/UM alignment, coding, billing, claims submission, collections, clinical documentation improvement, denial management, appeals, and compliance oversight. Key Responsibilities: Lead, manage, and optimize end-to-end revenue cycle operations for all Phoenix facilities Oversee billing and coding for inpatient, outpatient, lab, and professional services (UB-04 & CMS-1500) Direct UR/UM workflow integration to improve documentation quality and turnaround times Manage and mentor a full RCM support team (billers, coders, auditors, documentation trainers, compliance) Develop standardized...

Join a dynamic team committed to supporting our employees and our community. Our Vision: Improving lives through compassionate and innovative healthcare. Schedule: Days - Variable, 40/hrs a week Base Wage: $36.27 to $48.64 Location: SRH Business Center, Mount Vernon, WA - Remote hybrid available Sign-On Bonus: $1,000.00 Apply online at www.skagitregionalhealth.org/careers Job Summary Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and assign Ambulatory Payment Classifications (APC) and/or Diagnosis-Related Group (DRG) codes. To ensure success you...

Professional Coding Provider Educator & Reviewer RWJBarnabas Health Oceanport, NJ Full-Time Day Pay Range: $75,597.00 - $106,780.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Professional Coding Provider Educator/Reviewer is responsible for preparing educational materials and delivering instruction to Medical Group physicians, Advance Practice Providers, and staff across all RWJBH medical centers, as directed by the System Professional Provider Education Coding Manager and Coding Leadership. Education may be provided in response to compliance reviews, physician onboarding, proactive training, or coding and regulatory updates. This role also conducts...

Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care.  Clinical and/or technical expertise is utilized to address the provision of medical care and to identify inappropriate billing practices and errors inclusive of, but not limited to; duplicate billing, unbundling of charges, services not rendered, mathematical and data entry errors, undocumented services, reusable instrumentation, unused services and supplies, unrelated and/or separated charges, quantity and time increment discrepancies, inconsistencies with  diagnosis, treatment frequency and duration of care, DRG validation, service/treatment vs. scope of discipline, use of appropriate billing protocols, etc.  KNOWLEDGE & SKILLS: Concise and effective verbal and written communication skills  Ability to interface with claims...

Senior Risk Adjustment Coder (CPC, CRC, and CCDS required) Stanford Medicine Partners Newark, CA (Remote/CA Resident) Stanford Medicine Partners (SMP) is looking for an amazing Senior Risk Adjustment Coder to join our rapidly growing team! SMP prides itself in offering exceptional service and patient care. Stanford Medicine Partners with Stanford Health Care to provide individualized and convenient care with access to Stanford specialists and technology. Join our team and start making a difference today! A Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. What you will do Risk Adjustment...

Director, Revenue Integrity, and Coding Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center Woburn, MA   This position is a full-time hybrid remote role with two days required in our Woburn, MA office.   Under the direction of the Senior Director, Revenue Cycle at Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center (BIDMC), the Director, Revenue Integrity, and Coding will develop and implement HMFP’s Revenue Integrity program for charge capture and charge reconciliation to ensure billing and coding compliance identifying any potential risk areas in professional revenue integrity and coding. Serve as regulatory resource for Medicare/ Medicaid reimbursement and third-party billing rules and coverage through self-directed education and communication across the enterprise. Acts as a subject matter expert for revenue integrity, professional CDM related issues and professional coding to...