14 profee coder jobs found

Coding Manager – Vascular Surgery Position Overview We are seeking a highly analytical, solutions-oriented Coding Manager with a strong background in vascular surgery coding, proven people-management skills, and the ability to improve processes that drive coding quality, operational efficiency, and revenue performance. The Coding Manager will lead the professional coding team for a high-volume, multi-specialty vascular surgery practice encompassing hospital-based procedures, ambulatory surgery centers (ASCs), office-based laboratories (OBLs), office visits, imaging, and other vascular services. This position combines technical coding expertise with hands-on operational leadership. The Coding Manager will be responsible for managing and developing the coding team, establishing performance standards, identifying and resolving operational problems, conducting coding audits, improving provider documentation, and implementing initiatives that improve charge...

Children’s Orthopaedic and Scoliosis Surgery Associates, LLP (COSSA) is seeking an experienced Medical Billing Specialist to join our pediatric orthopaedic practice. This position focuses on insurance accounts receivable, denial resolution, and obtaining accurate, timely payment for physician services. You will work independently on assigned accounts, with support from an established billing team. We value people who investigate problems, follow through, share knowledge, and help prevent recurring billing issues. Responsibilities Research and resolve outstanding insurance balances using payer portals and direct communication with insurance representatives. Review electronic claim rejections and denials, determine the appropriate corrective action, and submit corrected claims, reconsiderations, and appeals. Investigate underpayments using payer policies, contracts, and fee schedules. Prepare appeal letters supported by relevant...

Summary: Florida residency required Applies expert knowledge of ICD‑10‑CM, CPT, and HCPCS coding to accurately code inpatient and outpatient encounters in compliance with AMA and CMS guidelines. Reviews clinical documentation for medical necessity, resolves coding and billing issues, supports charge capture and denial prevention, and collaborates with providers to ensure accurate, compliant reimbursement. Position Responsibilities Knowledge of medical coding rules, regulations and compliance allowing to better handle issues such as medical necessity, claims denials, bundling issues and charge capture. Knowledge of medical terminoogy, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes and identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record. Knowledge of official coding conventions and rules established by the...

Medical Billing/Office manager position at Ear Bar Pay: $30.00 - $35.00 per hour Job description: Job Summary We are seeking a dedicated and experienced Medical Billing Specialist/office manager to oversee the daily operations of new innovative ENT specialty practice focused on ears. The ideal candidate will possess strong leadership skills and a comprehensive understanding of medical office management, including experience in clinical settings and utilization management. This role is pivotal in ensuring efficient workflow, maintaining high standards of patient care, and managing administrative functions effectively. The ideal candidate will also be responsible for managing the entire billing process, ensuring accurate and timely submission of claims, and facilitating smooth communication between healthcare providers, insurance companies, and patients. Your expertise will help optimize revenue cycles, improve patient satisfaction, and uphold the highest standards...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start  Caring. Connecting. Growing together. High Level Overview of the Role: Coding Consultant is responsible for investigating and resolving instances of healthcare fraud and abuse of medical providers. Coding Consultant uses information from a tip, member benefits, and medical records to document relevant findings. This position will achieve applicable targets and metrics as determined.This individual will provide mentoring,...

We are seeking a biller for our family owned dermatology clinic in St. Petersburg, Fl.  We are highly focused on patient care but also our culture/work environment. We always say that our patients AND staff are equally important.  We have grown over the last 9 years from one provider to a bustling clinic with 6 providers seeing around 400-500 patients a week. We have grown by word of mouth only, on the back of our outstanding reputation for patient care. Strongly prefer a biller with extensive experience with the full revenue cycle in an outpatient clinic. Our biller will need to electronically submit claims, post era's, eob's, and payments, work denials, send statements, manage patients in collections, handle all billing related phone calls, interact with patients in the office who have billing concerns or questions, etc. This job is not a reclamation project.  We are not in need of a biller to come in and clean up a mess. We have a great billing system in place with a...

Must reside in Texas, Georgia, Mississippi, Montana, North Carolina, Oklahoma, or Wisconsin Salary: up to $40/hr. with experience Job purpose The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient’s medical history, diagnosis, tests and treatment plan. Duties and responsibilities Primarily codes from final office visit, surgical/procedural operative reports signed by providers Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims Enters patient copayment information into the EMR Reconciles charges against the schedule list to ensure no charges are missed Investigates rejected claims to see why denials were issued as...