Benefit coder jobs | Healthcare Careers

Full Time

Coding Specialist

Bridge Remote

About Bridge Bridge is the fastest, most compliant way to scale insurance billing nationwide. We enable virtual care companies to go in-network nationally in as little as 30 days, without the operational lift. Our platform handles payer contracting, credentialing, real-time benefit verification, medical coding, claim submission, denial management, and compliance in a single integrated solution. Backed by leading investors including General Catalyst, Andreessen Horowitz, Thrive Capital, Khosla Ventures, Greenoaks, and Mischief, we're scaling rapidly. The Role We are seeking a detail-oriented and experienced RCM Coding Specialist with CPC (Certified Professional Coder) certification to join our Revenue Cycle Management team. This role is responsible for accurate and timely medical coding in accordance with current coding guidelines, payer requirements, and company standards. The ideal candidate has strong analytical skills, in-depth knowledge of CPT, ICD-10, and...

Full Time

Medical Coder II

University of Utah Salt Lake City, UT

Medical Coder II Job Summary University Medical Billing ( UMB ) is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidate will exemplify these attributes too. We are looking for an experienced Medical Coder II to join our team. As the Medical Coder II, you will analyze and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. Code records for use and planning by physicians, hospitals, research organizations, or insurance companies. Be knowledgeable of medical and clinical terminology, disease processes, and pharmacology. Complete assignments according to...

Full Time

Pathology Coder

APS Medical Billing Remote

APS Medical Billing, located in Toledo, Ohio, is seeking certified professional coders with experience in pathology to become part of our progressive team. This position works with clients to ensure proper documentation for charge capture and remains current with industry guidelines. Requirements Demonstrated ICD-10-CM proficiency Demonstrated understanding of the CPT guidelines for separate procedures, bundling and add-on-codes Experience in abstracting medical records for accurate CPT code assignments Experience in surgical pathology preferred Experience in reviewing, resolving and preventing coding denials Understanding and application of CMS initiatives including NCCI Edits, MIPS and NCD/LCD polices Competitive wages; benefit package (Health, Health Savings Account, Dental, Vision, Personal Health Care Advisor, EAP, Life, 401k, Paid Holidays, Vacation & Earned Time Off (ETO). APS Medical Billing is an Equal Opportunity Employer....

Full Time

Quality Assurance Auditor

University of Utah Salt Lake City, UT

Quality Assurance Auditor Job Summary University Medical Billing ( UMB ) is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidate will exemplify these attributes too. We are looking for an experienced Quality Assurance Auditor to join our team. As the Quality Assurance Auditor, you will conduct audits of medical coding to increase coding accuracy and identify opportunities for improvement and training within an organization that provides healthcare patient services. Review audit results with medical coding management and staff. Provide training on coding guidelines, medical terminology, and proper...

Part Time

Orthopedic/Spine Surgical Coder

Flagstaff Bone & Joint Remote

Description General summary of duties: Responsible for coding, billing, denials, accounts receivable and payer policy updates Supervision received: Reports to Revenue Cycle Manager Education: CPC certification required Pay: $53,000 - $65,000 DOE Location: Flagstaff office (Remote considered) Responsibilities include: Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines. Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding. Interact with and provide support to the practice to answer questions and resolve claim denials. Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare,...

Full Time

Medical Billing Specialist – Insurance A/R & Denials

Children's Orthopaedic and Scoliosis Surgery Assoc Hybrid (St. Petersburg, FL)

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...

Full Time

Special Investigations Unit Pre Pay Coding Consultant - 2380700

Optum Remote

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,...

SP

Full Time

Dermatology Biller

St. Petersburg Dermatology Hybrid (Flexible mix between office and home)

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...

Full Time

Risk Adjustment Auditor & Physician Educator - Remote

Valley Medical Center Remote

Risk Adjustment Auditor and Physician Educator Health Information Management | Full-Time | Renton, Washington Help Improve Clinical Documentation and Support Better Patient Care Valley Medical Center is seeking an experienced Risk Adjustment Auditor and Physician Educator to join our Health Information Management team. This role combines clinical documentation expertise, risk adjustment auditing, coding knowledge, data analysis, and physician education to help ensure the accurate and complete capture of patient conditions and the clinical complexity of the care we provide. The ideal candidate brings strong experience in Medicare risk adjustment, medical record auditing, ICD-10-CM coding, and physician education , along with the ability to translate complex coding and documentation requirements into practical guidance for providers. This is an opportunity to play a meaningful role in improving documentation quality, supporting value-based care initiatives, and...

Full Time

Pro Clinic Coder

Healthcare Coding & Consulting Services (HCCS) Remote

Healthcare Coding and Consulting Services (HCCS) is a family-owned, U.S.-based medical coding company currently hiring experienced, certified Pro Clinic coders for fully remote, full-time positions supporting specialties in Rural Health Clinics (RHC), Family Medicine, Internal Medicine, Orthopedic, Behavioral Health, and Oncology . At HCCS, we are committed to long-term employment and career stability. We do not offer short-term, contract, or project-based work. All team members are direct-hire W-2 employees with consistent workloads and full benefits. We also do not offshore any coding services — all HCCS coders are U.S.-based, ensuring strong compliance, communication, and provider support. We intentionally match coders to specialties they are experienced in, allowing them to work confidently and consistently within familiar chart types. Our Coding and Scheduling Managers actively support coders with workflow, quality, and productivity, creating a collaborative...

Full Time

Billing Specialist / AI Trainer

Undeniable Health Remote (United States)

About Us Undeniable Health puts AI billing agents to work inside the revenue cycle operations of healthcare providers and the billing companies that serve them. We handle the full claim lifecycle: charge entry, credentialing, prior authorization, claim submission, claim management, and denial recovery, including the denied claims traditional billing teams can't afford to chase. We work inside our clients' existing systems, under their credentials, as an embedded member of their team. No software to sell. No dashboards to manage. We get the money back. We're backed by investors who know the RCM space, and led by co-founders Alex Poon and Jason Griffith, repeat entrepreneurs with multiple successful exits. We service all specialties, with a current focus on diagnostic labs and behavioral health. The Role This is a production billing job, and we mean that as a compliment. You'll work inside client billing systems every day doing the work that keeps revenue moving: entering...

Full Time

Compliance Specialist, Senior

Fred Hutch Cancer Center Seattle, WA

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington. With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world’s deadliest diseases and make life beyond cancer a reality. At Fred Hutch we value collaboration, compassion, determination, excellence,...

Full Time

DRG Validator

Kodiak Solutions Remote

At Kodiak Solutions, we’re dedicated to transforming the healthcare industry through cutting-edge, technology-driven solutions. We specialize in healthcare finance, unclaimed property, risk management, and revenue cycle management, helping healthcare organizations streamline complex financial operations. Our mission is to simplify and optimize processes, so healthcare providers can focus on delivering excellent patient care . Position Summary The DRG Validator plays an integral role within Kodiak’s Revenue Integrity Optimization team, helping healthcare organizations improve coding accuracy, compliance, quality, and reimbursement. Working alongside an experienced, U.S.-based team, Validators perform comprehensive inpatient coding and clinical validation reviews across both MS-DRG and APR-DRG methodologies . DRG validation at Kodiak goes beyond traditional inpatient coding review , incorporating broader clinical and quality considerations such as Hospital-Acquired...

Full Time

Bill Negotiation Specialist

CrowdHealth Remote

Position Overview The Bill Negotiation Specialist plays a vital role on the frontline of advocacy efforts. This individual will prepare fair price documents, communicate directly with healthcare providers, and manage the day-to-day flow of patient cases through the negotiation process. The Bill Negotiation Specialist ensures cases are handled thoroughly, efficiently, and compassionately, working closely with providers and patients to secure fair resolutions. Key Responsibilities Case Preparation & Documentation • Compile and analyze billing data, provider policies, and price transparency benchmarks. • Draft fair price documents outlining recommended settlement amounts based on research and industry standards. • Ensure all supporting materials (bill audits, patient forms, compliance findings, etc) are complete and accurate before submission. Provider Communication & Negotiation Support • Submit fair price documents and supporting materials...

Full Time

Fraud Investigator

MJHS Health System Remote (New York, NY)

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: Tuition Reimbursement for all full and part-time...

15 benefit coder jobs found