2 certified biller coder jobs found

Overview Exponent is hiring medical billers, coders, prior-authorization and insurance-verification specialists, and pharmacy technicians as subject matter experts for a healthcare technology client. You will evaluate revenue-cycle and authorization workflows in a simulated environment and document where the environment differs from real-world practice. This is a remote, part-time, contract engagement. No protected health information is involved. Responsibilities Complete assigned workflows in a simulated environment: eligibility and benefits verification, authorization submission and appeals, claim generation and scrubbing, remittance review, charge entry, coding and abstracting, and fax routing Identify steps that fail, behave differently from the production system, or are missing Document findings in structured forms and short written notes Attend a remote onboarding session and periodic check-ins Qualifications 5+ years in revenue cycle, coding, prior...

We are a boutique private plastic surgery practice in Palm Beach County seeking an experienced 1099 Certified Professional Coder (CPC) or Biller (CPB) for selective, low-volume out-of-network (OON) reconstructive claims and pre-procedure advocacy . This role is tailored for an established independent biller or freelance consultant looking to add a low-volume, high-value practice. We do not have high claim turnover; instead, we require meticulous, high-touch advocacy for specific reconstructive cases, pre-op Single-Case Agreements (SCAs), and hybrid surgical coding. Key Responsibilities: Pre-Service Single-Case Agreements (SCAs): Negotiate pre-op SCAs and Network Gap Exceptions on a case-by-case basis with commercial PPOs. Hybrid / Reconstructive Coding: Scrub and file split-billing claims (combining medically necessary CPT codes, e.g., panniculectomy 15830, with self-pay aesthetic procedures) while maintaining total compliance. Targeted Claims &...