15 medical biller and coder jobs found

Happy Vitals PC - Remote Medical Biller & Coder (eClinicalWorks & TriZetto Required)Job Summary:Happy Vitals is seeking an experienced Medical Biller & Coder to join our team in Lakewood, NJ.As a vital member of our operations, you will be responsible for managing the full billing lifecycle, from charge review and claim submission to denial management, payment posting, and A/R follow-up.If you have a strong background in medical billing and coding, excellent attention to detail, and excellent analytical skills, we encourage you to apply for this part-time/full-time opportunity.Key Responsibilities:o Review and scrub charges for accuracy and coding complianceo Submit claims through TriZetto and payer portalso Manage rejections, denials, appeals, and follow-upso Apply accurate ICD-10, CPT, and HCPCS codeso Post ERA/EOB payments and reconcile reimbursementso Monitor A/R aging and identify underpaymentso Generate billing and A/R reports in eClinicalWorksRequired...

Job DescriptionJob DescriptionDescription :HIRING REMOTE EXPERIENCED BILLERS IN THE FOLLOWING STATES :FL, GA, IN, KY, LA, MS, NC, SC, TN, TX, VA, & WVReady for a change? Are you an Experienced Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT?APPY NOW!Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!!NEW HIRE ORIENTATIONS START SEPT 10TH AND 24TH!The Medical AR Follow-up & Denial Specialist is primarily responsible for analyzing and resolving all insurance claim denials for DME Supplies.The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims.Appeal carrier denials through coding review, contract review, medical record review, and carrier interaction.Utilize a multitude of resources to ensure correct appeal processes are followed and completed in a timely manner.Demonstrate a high level of expertise in the management of denied...

Job DescriptionJob DescriptionDescription :HIRING REMOTE EXPERIENCED BILLERS IN THE FOLLOWING STATES :AL,FL, GA, IN, KY, LA, MS, NC, SC, TN, TX, VA, & WVMI RESIDENTS WITHIN 40 MILES OF 48393 WILL BE HYBRIDNew Year NEW CAREER! Are you an Experienced Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT?APPY NOW!Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!!NEW HIRE ORIENTATION STARTS 1 / 14 / 2026!The Medical AR Follow-up & Denial Specialist is primarily responsible for analyzing and resolving all insurance claim denials for DME Supplies.The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims.Appeal carrier denials through coding review, contract review, medical record review, and carrier interaction.Utilize a multitude of resources to ensure correct appeal processes are followed and completed in a timely manner.Demonstrate a...

Virtua Health Coding SpecialistAt Virtua Health, we exist for one reason to better serve you.That means being here for you in all the moments that matter, striving each day to connect you to the care you need.Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between we are your partner in health devoted to building a healthier community.If you live or work in South Jersey, exceptional care is all around.Our medical and surgical experts are among the best in the country.We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home.A Magnet-recognized health system ranked by U.S.News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.In addition to five hospitals, seven emergency departments,...

Our promise to you :Joining AdventHealth is about being part of something bigger.It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team.All while understanding that together we are even better.All the benefits and perks you need for you and your family :Benefits from Day One :Medical, Dental, Vision Insurance, Life Insurance, Disability InsurancePaid Time Off from Day One403-B Retirement Plan4 Weeks 100% Paid Parental LeaveCareer DevelopmentWhole Person Well-being ResourcesMental Health Resources and SupportPet BenefitsSchedule :Full timeShift :Day (United States of America)Address :900 HOPE WAYCity :ALTAMONTE SPRINGSState :FloridaPostal Code :32714Job Description :Education...

Job DescriptionThe Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement.The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra's coding policies.The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information.ResponsibilitiesAssigns diagnosis and procedure codes.Verifies accuracy of DRGAccurately abstracts required information.Initiates provider coding...

Overview Summary :Review, monitor, and control charge capture and documentation.Provide on-site physician feedback for coding / documentation practices.Assist physicians with documentation and billing compliance guidelines.Responsibilities Responsibilities :Review clinical documentation and code to the highest level of specificity for accurate charge capture stated by physicians or other healthcare providers.Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS for insurance billing.Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.Communicates with Special Billers and Charge Follow-up Coordinator in answering insurance billing questions.Reviews and corrects charge review edits.Reviews records to ensure proper submission of services prior to billing on selected charges.Maintains compliance standards in accordance with internal compliance policies.Reports compliance issues...

OverviewFTE:1.0Schedule:Monday - Friday, 8:00 AM - 5:00 PMWork Location:Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TXJob Summary:Under general supervision, reviews, analyzes, and assigns final diagnoses and procedures as documented by the practicing provider, ensuring compliance with all policies and guidelines.Accurately codes office and hospital procedures to ensure proper reimbursement.Ensures the accurate completion of electronic health records through the assignment of ICD, CDM, HCPCS, and CPT codes.ResponsibilitiesResponsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture as stated by physicians or other healthcare providers. Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS standards for insurance billing. Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations. Communicate with Special Billers...

All the benefits and perks you need for you and your family :Benefits from Day One - Paid Time Off from Day One - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and SupportOur promise to you :Joining AdventHealth is about being part of something bigger.Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team.All while understanding thattogetherwe are even better.Schedule :Full TimeThe role you'll contribute :The Coder Analyst I, under general supervision of the Outpatient Coding Supervisor is responsible for Assigning codes to ER and Outpatient ancillary medical records, using ICD-10-CM and CPT codes via the 3m Encoder and Dolbey Computer...

REMOTE OUTPATIENT - Wound Care CODERS NEEDED!!! NATIONWIDE WORK FROM HOMECall David at 513-206-9881and / or send resumes to :dlutz@acuitymri.comFull Job DescriptionResponsible for final coding of outpatient accounts types for GI, Pain Clinic, Radiation Oncology, Wounds, Outpatient Specialty single and series accounts, and infusion coding.This position is responsible for accurately assigning and sequencing diagnosis codes using ICD-10-CM in accordance with advice from Coding Clinic and ICD-10-CM Official Coding Guidelines.This position is accountable for utilizing 3M coding products including encoder and groupers for Medicare reimbursement and other third party payors, and for internal Advocate business and quality purposes.This position is accountable for accurate abstracting of selected clinical and non-clinical information to create a comprehensive database of information for billing purposes, internal data management, and external reporting of data.Codes diagnoses utilizing a...

Job DescriptionJob DescriptionWho is Athra Systems?Athra Systems / Crosstown Mental Health is a dynamic and forward-thinking organization dedicated to offering a wide array of behavioral health services and solutions.We pride ourselves on fostering a supportive and inclusive work environment where every team member can thrive and contribute to our collective success.Previously, a private pay company, we are now expanding to accept insurance to help more people, and the whole company is quickly adapting.Position Overview :We are seeking a Medical Biller with comprehensive knowledge of behavioral health insurance billing.The Medical Biller will be responsible for the accurate and timely billing of all professional and facility services claims, ensuring all billing activities comply with applicable regulations.In this role, you will work closely with patients, insurance companies, and healthcare providers to resolve billing issues.If you have expertise in every step of the billing...

Job DescriptionJob DescriptionSummary :The Medical Biller is responsible for preparing, reviewing, correcting, and updating insurance claims for submission to payers,Typical Schedule :Full Time, Monday through Friday, DaysOnsite training / onboarding will be required.Qualifications :Recent experience in hospital billing required.Critical Access and / or Rural Health Clinic experience a plus.Experience in charge capture, coding, revenue cycle management, patient accounting and / or physician billing a plus.Experience with EPIC EMR preferred.Medical Terminology preferred.High School Diploma required.Responsibilities include :Investigating & resolving claim denialsIdentifying denial patterns and managing insurance project resubmissions with multiple claimsValidate denial code / reasons following explanation of benefit (EOB) review and ensure coding is accurate and reflects the procedures billedAnalyze all coding adjustments made on EOB to ascertain accuracy and valid supportReview...

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.Job Focus :The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment.These responsibilities may include inpatient / outpatient / professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding.The position may also be responsible for management of the audit team and project management.All coding and auditing are performed within the scope of regulatory and compliance law expectations.Auditing Responsibilities :May include conducting inpatient,...

Job Summary:The Inpatient & Outpatient Coder plays a vital role in ensuring accurate and timely coding of medical records for both inpatient and outpatient encounters, contributing to efficient reimbursement and optimal patient care.They maintain a 95% coding accuracy rate and current, up-to-date knowledge of coding rules and regulations.Actively and consistently contributes to department operations and communications, behaves in a manner consistent with the mission, vision, and values of Pipeline Health, upholding standards of AIDET (Acknowledge, Introduce, Duration, Explanation, Thank you) patient communication.Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.Essential Functions:Assigns ICD-10CM/PCS and CPT (Current Procedural Terminology) codes using appropriate source documents within the medical record.Assigns ICD-10CM/PCS...

Job Title : Home Health & Hospice Coder - Contractor / ConsultantReports To : Administrator / Clinical DirectorLocation : RemoteEmployment Type : Independent Contractor / ConsultantOverview :The Home Health & Hospice Coder (Contractor / Consultant) is responsible for reviewing clinical documentation and assigning accurate ICD-10 codes to ensure proper reimbursement and compliance with CMS regulations.This role supports agencies in maintaining compliant, efficient, and accurate coding processes for both Home Health and Hospice claims.Key Responsibilities :Review OASIS, clinical notes, and plans of care to ensure accurate ICD-10 coding.Assign appropriate diagnosis codes based on documentation and CMS guidelines.Collaborate with clinicians and QA staff to clarify documentation when needed.Verify alignment between codes, clinical documentation, and billed services.Maintain knowledge of Medicare, Medicaid, and commercial payor coding requirements.Identify documentation...