11 biller and coder jobs found

Job DescriptionJob DescriptionDescription :HIRING REMOTE EXPERIENCED BILLERS IN THE FOLLOWING STATES :FL, GA, IN, KY, LA, MS, NC, SC, TN, TX, VA, & WVReady for a change? Are you an Experienced Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT?APPY NOW!Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!!NEW HIRE ORIENTATIONS START SEPT 10TH AND 24TH!The Medical AR Follow-up & Denial Specialist is primarily responsible for analyzing and resolving all insurance claim denials for DME Supplies.The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims.Appeal carrier denials through coding review, contract review, medical record review, and carrier interaction.Utilize a multitude of resources to ensure correct appeal processes are followed and completed in a timely manner.Demonstrate a high level of expertise in the management of denied...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Shift: Monday - Friday Days Department: Missouri Orthopaedic Institute - Joint Preservation Center Compensation: Base Pay Range: $19.25 - $30.23/hour, based on experience ABOUT THE JOB MU Health Care is looking for a detail-oriented and driven medical coding professional who thrives at the intersection of healthcare, compliance, and continuous learning. The ideal candidate is a critical thinker with a passion for accuracy, an eye for uncovering important details, and a commitment to supporting high-quality patient care through precise documentation and coding practices. We value professionals who enjoy collaborating with physicians, residents, and multidisciplinary teams while serving as a trusted resource on evolving regulatory and billing requirements. Success in this role requires strong analytical skills, integrity, and the confidence to navigate complex medical records and reimbursement processes with accuracy and professionalism. If you are motivated by problem-solving,...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews under the supervision of SIU management. The role focuses on ensuring health records align with billed ICD-10-CM, CPT, HCPCS, and revenue codes with strong attention to detail. The ideal candidate has foundational medical coding knowledge, is familiar with regulatory policies, and comfortable handling confidential information in a remote-friendly environment. #J-18808-Ljbffr

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The role requires strong coding knowledge and meticulous attention to accuracy, with supervision by SIU management. The ideal candidate will review claims, abstract codes, and prepare written summaries while maintaining up-to-date knowledge of coding guidelines and privacy standards. The position emphasizes quality, accuracy, and adherence to regulations. #J-18808-Ljbffr

Certified Medical Coding Auditor (CPC or CCS-P) Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care Certified Medical Coding Auditor (CPC or CCS-P) 2 weeks ago Be among the first 25 applicants Join to apply for the Certified Medical Coding Auditor (CPC or CCS-P) role at Accelerated Urgent Care About Us Simply put, our purpose at Accelerated Urgent Care is to get you quality care when you need it. We aim to foster a supportive environment where our team members can develop their careers. To promote this goal, we’ve built a diverse and driven team of employees who are all eager to learn from one another and reach Accelerated Urgent Care’s mission of delivering exceptional healthcare to the patients and communities that we are privileged to serve. We are ... a fast-growing company that doubles in size year after year since 2012! Recognized as Kern County’s Top Urgent Care center 6 years in a row! Dedicated to our employees’ career...

Coding Auditor Department: SIU Employment Type: Full Time Location: Headquarters Description The Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. The ideal candidate has a strong foundation in primary medical coding and a keen eye for detail, eager to learn complex audit frameworks, regulatory policies, and documentation validation. Key Responsibilities Compare the procedures and codes billed on a claim to a medical record. Compare information submitted on the claims in order to determine amount and nature of billable services as needed. Determines appropriateness of billing and reimbursement as needed. Documents findings for each claim line in a spreadsheet as needed. Summarize findings in a written report as needed. Abstracts...

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews under the supervision of SIU management. The role focuses on ensuring health records align with billed ICD-10-CM, CPT, HCPCS, and revenue codes with strong attention to detail. The ideal candidate has foundational medical coding knowledge, is familiar with regulatory policies, and comfortable handling confidential information in a remote-friendly environment. #J-18808-Ljbffr

Coding Auditor Department: SIU Employment Type: Full Time Location: Headquarters Description The Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. The ideal candidate has a strong foundation in primary medical coding and a keen eye for detail, eager to learn complex audit frameworks, regulatory policies, and documentation validation. Key Responsibilities Compare the procedures and codes billed on a claim to a medical record. Compare information submitted on the claims in order to determine amount and nature of billable services as needed. Determines appropriateness of billing and reimbursement as needed. Documents findings for each claim line in a spreadsheet as needed. Summarize findings in a written report as needed....

Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The role requires strong coding knowledge and meticulous attention to accuracy, with supervision by SIU management. The ideal candidate will review claims, abstract codes, and prepare written summaries while maintaining up-to-date knowledge of coding guidelines and privacy standards. The position emphasizes quality, accuracy, and adherence to regulations. #J-18808-Ljbffr