80 jobs found in Portland, OR

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and reimbursement...

Northwest ADHD Treatment Center, INC. is seeking a detail-oriented Medical Billing Specialist in Portland, OR. The role involves accurately submitting claims to insurers, posting payments, and resolving billing discrepancies. Ideal candidates will have at least 1 year of experience in medical billing, proficiency with medical billing software, and strong attention to detail. The position offers health, dental, and vision insurance, paid time off, and retirement savings plans. Join our team to ensure quality care and financial sustainability. #J-18808-Ljbffr

Description MAKE A DIFFERENCE AT OCHIN OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, delivering the clinical insights and tailored technologies needed to expand patient access, strengthen care teams, and improve the health of rural and medically underserved communities. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well-being for everyone. At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values. Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees' entire well-being...

Mission Healthcare, the largest home health and hospice company in the western United States, is seeking a Medical Coder in Portland, Oregon. This role involves reviewing and validating medical codes, providing coding support, and conducting audits. Candidates should have a high school diploma, relevant coding certifications, and 3-5 years of experience. Mission Healthcare promotes an inclusive workplace and offers benefits like medical insurance and 401(k). The position pays $28/hour, negotiable based on experience. #J-18808-Ljbffr

Department Overview This level 3 coding position provides support to the Enterprise Coding Department for coding highly specialized services. The role requires advanced coding experience in highly specialized areas and certification with AAPC or AHIMA. Function/Duties of Position Coding at 95% or above accuracy. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Depending on posted job need, assign correct CPT, ICD‑10‑CM, HCPCS, or ICD‑10‑PCS and DRGs for facility and/or professional charges, involving complex procedure and diagnostic coding within highly specialized areas such as Inpatient Coding or surgical coding. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). Coordinate patient encounter billing...

A nonprofit integrated health system in Portland is seeking a detail-oriented coding specialist. The role involves reviewing patient records to assign accurate diagnosis and procedure codes, ensuring regulatory compliance. Candidates should have a high school education/GED, preferably with technical certifications like Certified Coding Specialist (CCS). This position is ideal for those skilled in audit processes and coding guidelines. Join a dynamic team focused on providing quality healthcare in a supportive environment. #J-18808-Ljbffr

Children's Clinic PC is seeking a Certified Professional Coder to ensure accurate, timely, and compliant coding and charge capture for all claims, guided by ICD-10, CPT, and HCPCS rules. The role supports revenue cycle performance by reviewing charge sessions in Epic Charge Review, auditing auto-released claims, and resolving coding-related denials, while providing monthly education to assigned providers. Remote work is available per policy; Oregon residency is required for consideration for #J-18808-Ljbffr

Legacy Health is hiring a Biller I in a hybrid role open to candidates in Oregon or Washington. The position requires 2-3 days onsite at Legacy Health locations with remaining days remote from Oregon or Washington, and all new hires travel to a Portland office for new-hire health assessments and orientation. The Biller I will perform basic medical billing, verify charges, research denials, and support multiple payer types. Training may occur on-site before the hybrid schedule begins. #J-18808-Ljbffr

About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Let’s do great things, together! Position Summary This is a FT Hybrid position based in Milwaukie. This position provides supervision to a team of customer service representatives fielding calls from multiple sources regarding a wide range of...

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary Reviews patient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use. Job Requirements Education and Work Experience: High School Education/GED or equivalent:...

A leading health institution in Portland is seeking a detailed-oriented coding professional. This role involves coding clinical documentation for compliance with Medicare guidelines and requires a minimum of two years of experience along with certification from AAPC or AHIMA. Additional qualifications include knowledge of medical billing laws. This position is primarily telecommuting, providing flexible hours during regular core times. #J-18808-Ljbffr

Overview The Area Supervisor is responsible for managing the daily scheduling of the ROI Specialists at specified client sites. The Area Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations, and are completed in a timely manner. Responsibilities Manages workflow among on-site employees at multiple client sites to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave, and vacancies at the staffed hospital sites. Provides coverage in event of backlogs, illness, vacation or leave of absence of ROI Specialists. Performs Quality Assurance monitoring of work performance for the ROI Specialists. In conjunction with and under the direction of the Area Manager, conducts productivity and work performance reviews for ROI Specialists in accordance with MRO/customer policies and procedures...

A leading health organization in Portland, Oregon, is seeking an experienced coding professional. This role requires advanced coding skills and certification from AAPC or AHIMA. Responsibilities include coding with high accuracy, ensuring compliance with regulations, and mentoring staff. The position allows for telecommuting and offers extensive benefits including healthcare, pension plans, and tuition reimbursement. Join a diverse team committed to high standards of practice. #J-18808-Ljbffr

Position Overview Our client in Tigard is seeking an experienced Medical Billing Specialist to join their team on a part-time basis (20-25 hours per week). The ideal candidate will bring a strong background in medical billing and coding, along with exceptional attention to detail to ensure accurate and compliant billing processes. Responsibilities Process and manage billing for medical services, ensuring accuracy and regulatory compliance. Review patient bills for accuracy and completeness; gather any missing information. Communicate with patients and insurance companies to resolve billing inquiries and discrepancies. Maintain up-to-date records of billing activities, payments, and adjustments. Collaborate with healthcare providers to clarify billing issues and ensure timely claim submission. Assist with accounts receivable and follow up on unpaid claims. Protect patient information in compliance with HIPAA regulations. Qualifications High school diploma or equivalent;...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients’ unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities: Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data, contribution,...

Mission Healthcare is seeking a Quality Program Auditor to ensure hospice quality standards and regulatory compliance. The role partners with clinical, education, compliance and leadership to identify improvement opportunities and strengthen outcomes. Responsibilities include audits, documentation reviews, corrective action monitoring, and collaboration to implement best practices across branches. Travel to locations is required as needed. #J-18808-Ljbffr

Kaiser Permanente in Portland, OR is seeking an experienced coder for a documentation review and coding position focused on accurate claim submission and regulatory compliance. The role requires two years in healthcare, with at least one year of professional coding experience and certification credentials. You will review documentation, stay current with guidelines, and support audits and complex coding tasks. #J-18808-Ljbffr

Department Overview This level 2 coding position provides support to the Enterprise Coding Department for coding of physician fees. This position requires experience in coding and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS). Assign correct CPT, ICD-10-CM, and HCPCS codes for professional charges, which could include all E&M services including outpatient and inpatient; diagnostic services; procedural services; and/or Charge Routers and Charge entry. Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned professional services at OHSU. Monitor activity for compliance with federal and/or state laws regarding correct...

This is a remote based position. Applicants can be located nationwide Back Inpatient Professional Fee, Profee Medical Coder #2848 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust,...

Coding Position This level 3 coding position provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding, and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Coding at 95% or above accuracy. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Depending on posted job need, assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or surgical coding. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical...

Only applicants who reside in Oregon or Washington will be considered. JOB SUMMARY The Certified Professional Coder is responsible for ensuring accurate, timely, and compliant coding and charge capture of all assigned claims while ensuring compliance with ICD-10, CPT, and HCPCS guidelines. This position supports revenue cycle performance by reviewing charge sessions in Epic Charge Review, auditing auto-released claims, resolving coding-related denials and claim edits, and providing monthly education and performance feedback to assigned providers. MAJOR RESPONSIBILITIES Coding Review -Review and resolve charge sessions routed to Epic Charge Review work queues., Validate CPT, HCPCS, ICD-10-CM, and modifier selection for accuracy and compliance. Ensure documentation supports all reported services. Correct coding discrepancies prior to claim submission. Maintain productivity standards while ensuring coding quality and compliance. Claim Quality Assurance -Audit...

Job Summary: In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, and ambulatory medical records to identify elements to be abstracted, as well as diagnostic and procedure codes, and beginning to review inpatient records. Essential Responsibilities: Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and...

Oregon Health & Science University (OHSU) seeks an Inpatient Coder to support the Enterprise Coding Department. Certification in AHIMA or AAPC with 4+ years of inpatient coding experience is required. You will ensure accurate ICD-10 coding, identify query opportunities, and collaborate with CDI teams. The role is remote with Monday–Friday schedule; working with Epic and 3M 360 to process inpatient records and ensure compliance with CMS/OMAP guidelines. #J-18808-Ljbffr