Biller coder jobs | Healthcare Careers

Part Time

A/R & ERISA Appeals Specialist (Obesity Medicine)

Abundant Health & Vitality Associates Remote

Abundant Health & Vitality Associates, PLLC is seeking an experienced Insurance A/R & ERISA Appeals Specialist to support insurance revenue recovery through accounts receivable follow-up, denials management, and ERISA-based appeals for commercial payers and Medicare. This role is primarily focused on insurance A/R and appeals. The ideal candidate can independently locate claims, documentation, and correspondence within an electronic health record and shared systems, and pursue claims through final resolution without requiring claims or documents to be sent to them. This is not an entry-level role, not a training position, and not suitable for coding-only, charge posting–only, or third-party billing companies. Key Responsibilities & Expectations Work insurance A/R aged 60–365+ days Investigate denied and underpaid claims Prepare, submit, and track ERISA-compliant appeals , including medical necessity appeals Follow up with...

Full Time Xtern Program

Inpatient and/or Outpatient Certified Professional Medical Auditor (CPMA)

Phoenix Behavioral Healthcare, LLC Hybrid (Jupiter, FL, USA)

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,...

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