3 coder associate jobs found in Hybrid

Opaline Medical Billing is seeking an experienced Senior Wound Care Medical Biller to assist with the transition and ongoing billing operations for a wound-care clinic. This position is ideal for an experienced medical biller who has strong hands-on knowledge of wound-care billing, electronic claims, Medicare and commercial payers, claim rejections, denials, payment posting, accounts receivable, and billing workflow management. The successful candidate should be able to independently review billing issues, identify problems within the claim workflow, communicate with appropriate support resources when necessary, and establish an organized and reliable billing process. Responsibilities: -Review and assess the clinic's existing billing workflow. -Review patient, provider, payer, charge, diagnosis, CPT/HCPCS, modifier, and billing information for accuracy. -Submit and monitor electronic claims. -Review clearinghouse reports and payer acknowledgments. -Identify, research, and...

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payors....

* This is a hybrid position to be located in WI with travel required. * JOB SUMMARY The Coding and Billing Compliance Analyst plays a critical role in safeguarding the accuracy, integrity, and regulatory compliance of coding and billing operations across all service lines.  This position supports the organization’s revenue cycle and compliance initiatives by conducting detailed coding and billing reviews, identifying areas of risk, and contributing to the development of corrective action plans and educational programs.  The analyst ensures adherence to federal and state billing regulations, including Medicaid/Medicare guidelines, HRSA program requirements, and Office of Inspector General (OIG) guidance specific to Federally Qualified Health Centers (FQHCs).  The Analyst collaborates with providers, billing teams, compliance officers, and revenue cycle leadership, to improve clinical documentation, optimize reimbursement, and maintain full compliance with all applicable...