7762 jobs found

Job Description Join our team as a Remote Outpatient Surgical and Observation Coder ! Role responsibilities include assessing documentation for each service rendered in the hospital’s place of service, in order to accurately code principal diagnoses (i.e. preponderance of care sequence), secondary conditions, procedures, and social determinant codes using American Hospital Association guidelines, Current Procedural Terminology guidelines, payer specific rules for commercial and/or Medicaid insurance, and drug administration for specified service lines impacting Florida’s enhanced ambulatory grouping.  This includes excellent working knowledge of revenue charge capture and the impact to hospital billing (i.e. soft vs. hard coded charges),working knowledge of revenue codes, relevant grouper function and financial impact;  assessment and entry of surgical charges (i.e. supplies, implants), and pharmacy charges (i.e. contrast, patient supplied, etc).   This is...

PURPOSE OF THE JOB:  Oversees, leads, plans, manages, and supervises the day‑to‑day operations of the Health Information Management Services (HIMS) department and staff. Develops departmental goals, operating budgets, policies, and procedures aligned with BBAHC policies and applicable legal and governmental regulations. Serves as the organization’s designated Privacy Officer. ESSENTIAL FUNCTIONS Collaborates with senior leadership to establish annual, monthly, and weekly operational goals and executes detailed plans in accordance with HIMS best practices, legal and regulatory requirements, and professional standards. Demonstrates comprehensive knowledge of information privacy laws, access, and release‑of‑information requirements, including but not limited to 42 CFR Part 2, HIPAA, and HITECH. Maintains advanced knowledge of medical terminology, anatomy, coding guidelines, ICD‑10‑CM, CPT‑4, HCPCS, patient care documentation standards, and auditing principles. Aligns...

Join the winning team and work with the best!    With over 40 years of experience and enduring partnerships with our valued clients, we take pride in the stability we have built and the long-term success of our dedicated team. At UASI, we provide coding professionals with an ideal opportunity: an exciting and fulfilling role that challenges you to utilize and enhance your coding expertise, all while enjoying the flexibility and comfort of working from home. We are currently seeking experienced an experienced Medical Coding Specialist to perform accurate code assignments for facility outpatient, same day surgery and observation records. The ideal candidate will be flexible, detail-oriented, quality conscious and be able to adapt well to change. Additional qualifications include: AHIMA or AAPC certification. A minimum of five years’ outpatient coding experience in an acute care setting is required. Experience accurately assigning ICD-10-CM, CPT,...

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 Education Specialist with an emphasis in Surgery experience to join our Coding Services department.    This job can be performed 100% remotely and out of state candidates will be considered. The Coding Education Specialist will primarily be responsible for supporting and leading ongoing education to existing coding staff,...

Position Summary    The Medical Coding Manager provides operational leadership for coding activities across assigned specialties and service lines. This role ensures coding accuracy, productivity, and compliance with applicable regulatory and payer requirements, while partnering with billing, clinical, and compliance teams to support clean claim submission, reduce denials, and protect revenue integrity.   Key Responsibilities    Team Leadership & Development     Lead, coach, and develop coding staff (in-house and outsourced resources) to support accuracy, consistency, and accountability Support recruiting, onboarding, training, and competency validation for new and existing team members Establish clear performance expectations and conduct regular evaluations aligned to quality and productivity standards Address performance gaps through structured coaching and corrective action plans as needed   Operational Oversight...

A Day in the Life of a Revenue Integrity Senior Director As the lead of the Revenue Integrity Division, the Revenue Integrity Senior Director defines and carries out the strategy for maximizing gross and net revenue captured across the health system. The Senior Director serves as the chief liaison between Revenue Cycle Administrator, Revenue Integrity Medical Director, and clinical departments. This position will also ensure the availability and interpretation of reporting and analytics necessary for the clinical and Revenue Cycle departments to drive financial improvement. This position oversees the following functions: hospital/facility coding, Clinical Documentation Improvement, revenue reconciliation, Revenue Guardian, payment validation, and avoidable write-off prevention, and reporting and analytics. Why Work at Cheyenne Regional? 403(b) with 4% employer match ANCC Magnet Hospital 21 PTO days per year (increases with tenure) Education Assistance Program...

Key Responsibilities Oversee and support remote billing team members to ensure productivity, accuracy, and timely claim submission Review and verify medical documentation for completeness and billing accuracy Enter and maintain patient demographic and insurance information in the EMR/billing system Generate, submit, and track insurance claims Follow up on unpaid, rejected, or denied claims to ensure maximum reimbursement Post insurance and patient payments and reconcile accounts Resolve billing discrepancies and respond to patient inquiries regarding balances and statements Serve as a primary point of contact for assigned clients, addressing questions related to billing performance, processes, and EMR workflows Provide support to Spanish-speaking patients regarding billing questions Maintain strict compliance with HIPAA and all healthcare privacy regulations Qualifications & Requirements Fluent in English and Spanish (required) High school...

JOB PURPOSE: Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel on coding guidelines, and ensuring the accuracy and timeliness of clinical documentation. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting performance results to leadership, and supporting HCC/RAF optimization strategies. The role will also oversee the training of Medical Practice Assistants, Physician and IDT disciplines in ICD-9/ICD-10 guidelines. JOB RESPONSIBILITIES: Responsible to deliver accurate and timely billing of insurance claims and patient statements for all...

Healthcare Coding and Consulting Services (HCCS)   is a   family‑owned, U.S.-based medical coding company   currently hiring   experienced, certified Pro Clinic coders   for   fully remote, full‑time positions   supporting   Family Medicine, Internal Medicine,  Orthopedic   and   Rural Health Clinics (RHC) . At HCCS, we are committed to   long‑term employment and career stability . We   do not offer short‑term, contract, or project‑based work . All team members are   direct‑hire W‑2 employees   with consistent workloads and full benefits. We also   do not offshore   any coding services —   all HCCS coders are U.S.-based , ensuring strong compliance, communication, and provider support. We intentionally   match coders to specialties they are experienced in , allowing them to work confidently and consistently within familiar chart types. Our Coding and Scheduling Managers actively support coders with workflow, quality, and productivity, creating a...

Team player who is proficient with inpatient documentation, coding and billing in a workplace culture which emphasizes open communication and opportunities for growth. Must be organized and possess coding certification and/or clinical expertise. The ideal candidate can work independently in a home office setting, is a problem-solver, taking on challenges independently with a strong attention to detail, who enjoys working in a collaborative and team-based environment. Experience in technical outpatient documentation, coding and billing preferred but not mandatory. Responsibilities: •Conduct inpatient and MS-DRG documentation, coding and billing reviews to identifyopportunities for clinical documentation improvement, proper coding and reporting ofdiagnosis, procedures, CC’s and/or MCC’s in order to identify potential compliance risksand/or coding improvements. •Apply knowledge of Official Coding Guidelines for ICD-10-CM and ICD-10-PCS, CodingClinic and CPT Assistant to various...

Anesthesia Associates of Kansas City (AAKC) seeks a full-time Coder to join our team in Overland Park, KS. Must reside in Kansas or Missouri.   The Coder is responsible for reviewing clinical documentation, accurately assigning diagnosis and procedure codes, and ensuring compliance with payer guidelines and regulatory standards.  Responsibilities: ·       Ensure diagnosis and procedure codes comply with regulatory requirements and payor guidelines; review medical records, obtain additional information, request clarification and/or amendment to documentation, and enter appropriate codes. ·       Update billing systems with additional required information per medical records. ·       Produce medical claims for billing, completing all required steps and fields, and ensure adherence to billing guidelines and insurance carrier requirements. ·       Contribute to the advancement of AAKC by participating in meetings, actively engage in discussions,...

As a Medical Biller, you will play a pivotal role in the healthcare system by ensuring accurate billing and coding for medical services. Your expertise in medical terminology and coding systems will be essential as you navigate through patient records and insurance claims. You’ll work closely with healthcare providers and insurance companies to facilitate smooth billing processes, making a significant impact on the financial health of the organization. What you’ll do Process and submit medical claims to insurance companies using appropriate coding systems, including ICD-9, ICD-10, and CPT coding. Review patient records to ensure accuracy in billing and coding, addressing any discrepancies promptly. Manage accounts receivable by following up on unpaid claims and conducting medical collections as necessary. Utilize Electronic Medical Records (EMR) and Electronic Health Records (EHR) systems to maintain accurate patient information and billing records. Communicate...

About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. To review all of our open positions, please visit our careers page at: https://medkoder.com/careers/ Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule.   Description: Physician Coder: Neurosurgery is responsible for reviewing and accurately coding all professional services including...

The Revenue Integrity Manager will lead the development of the revenue integrity function and is responsible for the oversight and management of the revenue integrity team. This position is accountable for optimizing revenue by ensuring accurate, compliant, and efficient charge capture and billing practice. The Revenue Integrity Manager will improve the performance of revenue cycle processes including developing best practices, coordinating issue resolution, establishing proactive lost revenue prevention measures, and monitoring compliance. The ideal candidate has a strong understanding of EPIC systems, coding standards, and billing regulations across both physician and facility revenue streams. Utilize data analytics and process improvement techniques to identify potential revenue leakage and support accurate charge capture. Use EPIC reporting tools to extract and analyze charge data. Perform extensive data mining, develop reports, review trends, and recommend enhancements...

“Immediate opening – transition period available with current biller” Full-Time About Us We are a busy, multi-provider medical practice seeking an experienced Medical Biller/Coder to take ownership of our billing operations. This is a key role responsible for ensuring accurate coding, timely reimbursement, and effective denial management. We are looking for a highly skilled, self-directed professional who can confidently manage the full revenue cycle with minimal supervision in a Family Practice Setting. All qualified candidates must have a minimum of one year medical billing and A/R experience in a Family Practice setting .  Knowledge of Medi-Cal and Medicare a plus, as well as, OB- Comprehensive Perinatal Services Program (CPSP), Family Pact, Child Health and Disability Prevention Program (CHDP), and other FFS product lines within Medi-Medi.  CPC certification is strongly desired. Key Responsibilities Perform accurate CPT,...

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 responsible for providing care to patients. Corporate Overview: The University of Utah is a...

We assist out of network surgeons who want to provide covered reconstructive surgery to patients. Insurers have approved these surgeons for care due to long in network wait times or lack of expertise with certain conditions. However, the surgery staff has little experience with insurance and great need for help submitting authorizations and claims based on the single case agreements. This is a super flexible and lucrative opportunity to spend a few hours a week helping these surgeons and patients. Could turn into a separate business opportunity for the right motivated person.   MUST HAVE EXPERIENCE WITH PHYSICIAN PROFESSIONAL PRIOR AUTHORIZATION W/ EXTENSIVE AVAILITY USE. 

(Location: SAN RAMON) About the Practice / Office: Bridge Medical Neurology Consultants is a comprehensive neurology practice that offers in-depth and personalized consultations and advanced in-house neuro-diagnostic procedures for the management and treatment of a range of conditions. Dr. Said Ibrahimi, M.D. Q.M.E, has over 14 years of experience as a leading board-certified neurologist with a subspecialty in Brain Injury Medicine, tending to his expansive cohort of Adult patients, and additionally providing care for Personal Injury (P.I.) and Worker’s Compensation cases. With his extensive training and sub-specialty, Dr. Ibrahimi specializes in the treatment and management of conditions such as strokes, TIAs, dementia, Parkinson’s and Alzheimer’s Disease, epilepsy, nerve and muscle dysfunction, and many more. As a Qualified Medical Examiner (Q.M.E.) Dr. Ibrahimi also offers medical-legal services such as Independent Medical Examinations, and Expert Witness Review....

For over 30 years, Welter Healthcare Partners has collaborated with healthcare organizations across the US on the business of healthcare. Healthcare is complicated and ever-changing, and our services, solutions, highly specialized and collaborative teams are focused on helping drive results for the long-term success of our clients! We are looking for new team members that share the same passion for success!   We are looking for a 1099 Surgical Coding Expert, primarily Orthopedics, who seeks ownership of their craft, asserts their interpretation of guidelines and rules and who is extremely particular about the highest level of quality of their coding work! Skilled auditor preferred; however, a skilled and detail-oriented coder with the desire to transition to auditing will be highly considered.   We offer up to $4,000 flat fee per month and are flexible for more depending on the ability to organize and facilitate volume, but quality over quantity. Opportunity...

Accountable for conversion of outpatient diagnoses and treatment procedures into codes using an international classification of diseases, and HCPCS codes based on documentation in the patient’s record, are coded accurately and in a timely manner. Complies with government, insurance regulations and with medical coding guidelines and polices that all records are coded accurately and in a timely manner. CORE FUNCTIONS 1. Reviews and validates all diagnoses/procedures stated by physician and other healthcare providers. Ensures that records are coded within 48 business hours of discharge. Notifies director whenever work is more than 48 hours behind work deadline. Meets productivity standard of assigning codes to a minimum of 25 charts per hour. 2. Partners with charting physician if diagnosis is not transcribed to assure all required documentation is presented to meet compliance accuracy in coding and severity of illness is charted and coded. 3. Codes diagnoses and...

The Provider Education Auditor works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Responsibilities: Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete Identifies inconsistencies in medical reports and works with healthcare...

The Company:  Pulmonary Associates of Richmond (PAR) has been around since 1974. That's 50 years of serving the greater Richmond community. We specialize in pulmonary medicine, sleep disorders and research. Our staff cares about our patients and delivers the utmost excellence in quality care and customer service. The Position:  PAR seeking three dynamic and enthusiastic full-time AR Billing Specialists for the Boulders location, to perform all aspects of the revenue cycle, and other tasks related to medical billing claims for the practice. THIS IS NOT A REMOTE POSITION.       Benefits 401(k) Dental insurance Employee assistance program Employee discount Flexible spending accounts Employee referral program Health insurance Employer Paid Life insurance and LTD. Paid time off Vision insurance   Job Responsibilities Revenue Cycle Process. Apply Private Payer Policies. Apply Government Payer Policies....

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the...

CNY Family Care's commitment to excellence sets us apart and guides us as we provide care for our community. The Medical Coder and Auditor will be responsible to conduct prospective audits of coding and billing; analyze physician and provider documentation in outpatient office health records; correct evaluation and management (E/M) service levels, appropriate procedure codes, and any necessary modifiers.  Medical Coder and Auditor Responsibilities: Navigate the patient health record, office visit notes, and procedure reports in the determination of diagnoses, reason for visit, procedures, and modifiers to be coded. Code outpatient records utilizing coding books, online tools, and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers. Document individual encounter audit findings and communicates results to providers. Access charge work queues to validate and assign charges. Perform all required EMR functions as efficiently as possible and according...