13 jobs found

Planned Parenthood Association of Utah is looking for a bold, mission-driven  Director of Revenue Cycle  who is ready to make a powerful impact on the future of reproductive healthcare in our state. This is a dynamic leadership role for someone who thrives on solving complex challenges, elevating systems, and building strong, motivated teams. You will play a pivotal role in strengthening our financial foundation—ensuring every visit, every service, and every patient experience is supported by accurate, efficient, and forward-thinking revenue cycle operations. As a key collaborator across Health Services, Finance, and administrative leadership, you’ll bring fresh ideas, innovation, and strategic insight to identify new revenue opportunities and optimize the resources that keep our mission strong. If you’re passionate about protecting access to essential healthcare and want your work to truly matter, this is your opportunity to make a lasting difference at Planned...

We are in search of a very experienced leader. This position requires extensive knowledge of professional coding, compliance, and entire revenue cycle process. This is a customer facing role that requires presentations, provider education and high-level meetings. The candidate must have a proven track record of leadership and experience. No compromise will be made. 

A Certified Inpatient and Outpatient Professional Documentation Expert is responsible for ensuring the accuracy, completeness, and compliance of clinical documentation across both inpatient and outpatient settings. They collaborate with physicians, nurses, and other providers to clarify diagnoses, procedures, and treatment plans so that the medical record supports the patient’s severity of illness, risk of mortality, medical necessity, and appropriate reimbursement. Key duties include concurrent and retrospective chart review, generating and tracking provider queries, applying official coding and documentation guidelines, educating clinical staff on best practices, and monitoring documentation quality metrics to support regulatory, audit, and revenue cycle integrity.

The Certified Professional Medical Auditor is responsible for performing comprehensive audits of medical records, coding, and billing to ensure accuracy, compliance with federal and state regulations, and alignment with payer policies. This role helps protect the organization from financial risk, supports accurate reimbursement, and promotes high standards of documentation and clinical integrity. Key Responsibilities Perform prospective and retrospective audits of medical records, coding, and billing across assigned service lines (e.g., outpatient, inpatient, behavioral health, SUD/MH, lab). Verify that documentation supports ICD‑10‑CM, CPT, and HCPCS coding; identify under‑coding, over‑coding, unbundling, and other compliance risks. Review claims for adherence to Medicare/Medicaid, commercial payer, and regulatory guidelines; ensure compliance with NCCI edits and payer‑specific policies. Prepare clear, detailed audit reports summarizing findings,...

Medical Biller East Haven, CT Full-Time Job Description: We are seeking a detail-oriented and reliable Full-Time Medical Biller to join our team. The ideal candidate will have a solid understanding of medical billing processes, claims submission, and insurance follow-up. This role requires accuracy, strong communication skills, and the ability to work in a fast-paced environment. Key Responsibilities: Manage and process medical billing for various healthcare services. Prepare and submit insurance claims accurately and in a timely manner. Conduct accounts receivable follow-up with insurance companies and patients. Review and resolve billing discrepancies, denials, and outstanding balances. Maintain current knowledge of billing regulations, insurance guidelines, and compliance standards. Collaborate with internal staff and healthcare providers to ensure proper documentation and coding. Required Skills: Proven experience in...

CPC Expertise in medical record review to abstract information required to support accurate coding. Ability to identify documentation deficiencies and properly query providers for proper code capture. Expertise in assigning accurate CPT, HCPCS Level II, and ICD-10-CM medical codes for diagnoses and procedures. Proficiency across a wide range of services, including evaluation and management, anesthesia, surgery, radiology, pathology, and medicine. A sound knowledge of medical coding guidelines and regulations including compliance and reimbursement – allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture. CPB Proven knowledge of how to submit claims compliant with government regulations and private payer policies. Ability to follow up on claim statuses, resolve claim denials, submit appeals, post payments and adjustments, and manage collections. In-depth knowledge of...

Join a dynamic team committed to supporting our employees and our community. Our Vision: Improving lives through compassionate and innovative healthcare. Schedule: Days - Variable, 40/hrs a week Base Wage: $36.27 to $48.64 Location: SRH Business Center, Mount Vernon, WA - Remote hybrid available Sign-On Bonus: $1,000.00 Apply online at www.skagitregionalhealth.org/careers Job Summary Responsible for the accurate coding and abstracting of inpatient and outpatient diagnoses and procedures into codes using an international classification of diseases. The Certified Coder will ensure that records are coded in an accurate and timely manner as well as work closely with physicians and documentation nurses or specialists to consistently and accurately translate clinical documentation and medical records into ICD-10, HCPCS, CPT, Modifiers and assign Ambulatory Payment Classifications (APC) and/or Diagnosis-Related Group (DRG) codes. To ensure success you...

Director, Revenue Integrity, and Coding Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center Woburn, MA   This position is a full-time hybrid remote role with two days required in our Woburn, MA office.   Under the direction of the Senior Director, Revenue Cycle at Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center (BIDMC), the Director, Revenue Integrity, and Coding will develop and implement HMFP’s Revenue Integrity program for charge capture and charge reconciliation to ensure billing and coding compliance identifying any potential risk areas in professional revenue integrity and coding. Serve as regulatory resource for Medicare/ Medicaid reimbursement and third-party billing rules and coverage through self-directed education and communication across the enterprise. Acts as a subject matter expert for revenue integrity, professional CDM related issues and professional coding to...

Coding operations manager is responsible for overseeing the medical coding team and ensuring the accurate and efficient coding of patient records for billing, compliance, and reimbursement purposes. Oversee insurance verification department.  Needs skills with operational leadership, compliance oversight, team management, and process improvement within the healthcare revenue cycle. Experience: Equivalent of an Associate’s degree and two to three years of relevant emergency department or general medical coding experience. CPC required, CEDC additionally preferred.  Strong expertise in all professional medical coding, including ICD-10, CPT and HCPCS coding.  Excellent organizational skills and ability to multi-task. JOB RESPONSIBILITIES Oversee day-to-day operations of the medical coding team, ensuring timely and accurate coding and allocation of duties Ensure that all codes (ICD-10, CPT, HCPCS, etc.) are applied correctly and consistently according to official...

On With Life is growing and hiring an additional Medical Biller!  On With Life is thriving and has plans to grow our current service lines while expanding into new areas. This position will help start up a new service line while providing support and backup to other team members as needed. We work hard and enjoy a healthy work/life balance grown from trust, respect and teamwork.  What does our Medical Billing Specialist do? Under the direction of the Finance Manager and in collaboration with other On With Life departments, the Medical Billing Specialist supports the generation and submission of clean and timely claims. The goal is to generate clean claims for payments to allow persons served, families and clinicians more time to focus on treatment and recovery. Specific duties include but are not limited to: Assist in billing and accounts receivable functions for various On With Life programs Post Payments Assist with admission diagnosis coding and insurance...

Please note that this is a contract to hire opportunity via Medix. Position Summary:  The Coding Manager plays a critical role in ensuring accurate and compliant coding practices for this Texas based regional medical center. This leadership position requires a deep understanding of medical coding guidelines, strong analytical skills, and a commitment to quality and efficiency. The Manager will oversee the activities of all internal and external coders, ensuring they assign accurate and timely codes for all healthcare services provided. They will also be responsible for staying abreast of coding regulation updates, implementing process improvements, and maintaining coding compliance. Essential Functions -Provide comprehensive leadership and oversight for all coding operations. -Assigns and sequencing accurate diagnosis (ICD-10-CM) and procedure (CPT) codes based on physician documentation and medical records. -Adheres to all relevant coding guidelines and regulations (e.g.,...

Summary We are seeking a detail-oriented and experienced Medical Billing Manager   to oversee the revenue cycle operations of our Maternal Fetal Medicine (MFM) specialty practice. The LOCAL   candidate will have a strong background in medical billing and coding, particularly in OB services, and will be responsible for ensuring accurate claim submission, timely reimbursement, and compliance with payer regulations. Responsibilities Revenue Cycle Management: · Oversee all aspects of billing, coding, and collections for MFM services. · Monitor and manage accounts receivable, denials, and aging reports. · Ensure timely and accurate submission of claims to insurance companies. Compliance & Coding: · Ensure compliance with federal, state, and payer-specific billing regulations. · Supervise coding staff and ensure proper CPT, ICD-10, and HCPCS coding for MFM visits. · Stay current with changes in billing regulations and payer requirements. Team...