18 biller coder jobs found

SUPERVISION RECEIVED: Billing and Coding Supervisor EDUCATION/EXPERIENCE High school diploma. Minimum of two years of experience with medical office billing procedures. Billing Certification preferred. KNOWLEDGE Knowledge and understanding of Physician E&M billing and coding required. Certified Coder preferred. Knowledge of clinic policies and procedures. Knowledge of 3rd party payers, Medicare, Medicaid Billing/Collections, HCPC, CPT, and ICD-9 coding. Knowledge of computer systems, programs, data entry, and spreadsheet applications. Knowledge of medical terminology and analyzing information. Knowledge of collection practices. Knowledge of governmental, legal, and regulatory provisions related to collection activity. ESSENTIAL FUNCTIONS Resolves disputed claims by gathering, verifying, providing additional information, and following-up on claims. Resolves discrepancies by examining and evaluating data and selecting corrective steps. Maintains work operations...

Job TitleSUPERVISION RECEIVED: Billing and Coding SupervisorEDUCATION/EXPERIENCE: • High school diploma. • Minimum of two years of experience with medical office billing procedures. • Billing Certification preferred.KNOWLEDGE:Knowledge and understanding of Physician E&M billing and coding required.Certified Coder preferred.Knowledge of clinic policies and procedures.Knowledge of 3rd party payers, Medicare, Medicaid Billing/Collections, HCPC, CPT, and ICD-9 coding.Knowledge of computer systems, programs, data entry, and spreadsheet applications.Knowledge of medical terminology and analyzing information.Knowledge of collection practices.Knowledge of governmental, legal, and regulatory provisions related to collection activity.ESSENTIAL FUNCTIONS: • Resolves disputed claims by gathering, verifying, providing additional information, and following-up on claims. • Resolves discrepancies by examining and evaluating data and selecting corrective steps. • Maintains work operations by...

QuickVisit Urgent Care is seeking a Medical Billing and Coding Specialist for our urgent care clinics. As a Medical Biller and Coder you will support a culture of delivering the highest quality, most affordable, and accessible healthcare in the rural communities we serve. Essential Responsibilities Performs daily posting of payments. Reconciles payments and imports remits. Post & creates claims to send to insurance. Must have experience working with and billing for Rural Health Clinics (RHC). Review and correct invalid claims from the clearing house and handle accordingly. Review rejected claims from the insurance payers and handle accordingly. Perform claims follow‑up by working aged balances in accordance with timely filing deadlines. Stays current with payer requirements for billing and shares best practices. Is involved with root cause analysis of denied claims and communicates trends and suggestions for improvement. Communicate with providers to resolve coding...

Medical Billing And Coding Specialist QuickVisit Urgent Care is seeking a Medical Billing and Coding Specialist in Waynesboro TN for our urgent care clinics. As a Medical Biller and Coder you will support a culture of delivering the highest quality, most affordable, and accessible healthcare in the rural communities we serve. Essential Responsibilities: Performs daily posting of payments. Reconciles payments and imports remits. Post & create claims to send to insurance. Must have experience working with and billing for Rural Health Clinics (RHC) Review and correct Invalid claims from clearing house and handle accordingly. Review Rejected claims from the insurance payers and handle accordingly. Perform claims follow-up by working aged balances in accordance of timely filing deadlines. Stays current with payer requirements for billing and shares best practices. Is involved with root cause analysis of denied claims and communicates trends and suggestions for...

Medical Biller Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. Position Overview: Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible coordinating daily workflow for accurate submission of insurance...

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...

Job TitleDay-to-Day ResponsibilitiesReview and code professional fee encounters using ICD-10-CM, CPT, and HCPCS guidelines.Assign accurate E/M levels, diagnoses, and procedure codes to ensure compliant reimbursement.Abstract key patient and encounter data for billing, regulatory, and reporting purposes.Audit medical records to ensure documentation supports services billed and identify documentation gaps.Communicate with physicians and providers to obtain coding and documentation clarifications.Review and resolve coding-related claim edits, including medical necessity and NCCI/CCI edits.Collaborate with billing and Accounts Receivable teams to resolve coding and reimbursement issues.Maintain quality and productivity standards while meeting a 95% coding accuracy requirement.Work within EMR, hospital information systems, and encoder software in a fully remote environment. Stay current on coding regulations, payer requirements, and continuing education requirements.We are a company...

Day-to-Day Responsibilities • Review and code professional fee encounters using ICD-10-CM, CPT, and HCPCS guidelines. • Assign accurate E/M levels, diagnoses, and procedure codes to ensure compliant reimbursement. • Abstract key patient and encounter data for billing, regulatory, and reporting purposes. • Audit medical records to ensure documentation supports services billed and identify documentation gaps. • Communicate with physicians and providers to obtain coding and documentation clarifications. • Review and resolve coding-related claim edits, including medical necessity and NCCI/CCI edits. • Collaborate with billing and Accounts Receivable teams to resolve coding and reimbursement issues. • Maintain quality and productivity standards while meeting a 95% coding accuracy requirement. • Work within EMR, hospital information systems, and encoder software in a fully remote environment. Stay current on coding regulations, payer requirements, and continuing education...

Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class categories....

Medical Biller Location: Knoxville, TN Pay: $20.00–$22.00/hour Schedule: 8am-5pm Position Overview M Force Partners is seeking an experienced Medical Biller to support high-volume billing and revenue cycle activities for multiple healthcare entities in Knoxville, TN. This position is responsible for processing claims, following up with insurance carriers, resolving denials and billing discrepancies, and helping ensure accurate and timely reimbursement. The ideal Medical Biller has hands-on experience managing billing for multiple entities and working with a broad range of government and commercial payers. Candidates should be comfortable handling high claim volumes while maintaining accuracy across different payer requirements and billing processes. Key Responsibilities Manage medical billing activities across multiple healthcare entities Prepare, review, and submit medical claims to government and commercial insurance payers Process and follow up on claims...

Who We Are At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well-being of every team member. Our Legacy Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region-including Hamilton Medical Center and Bradley Medical Center-you'll have the opportunity to be part of something bigger: a connected, mission-driven team making a difference every day. Our Values Our core values- Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE) -guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission. Your Career With Us Join us and build a...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...

Coding Specialist, Centralized Coding, Inpatient CoderFull Time, 80 Hours Per Pay Period, Day ShiftCovenant Health Overview:Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.Position Summary:This individual provides leadership, direction, and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical...

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You must reside in one of these states to be eligible for this position: Arkansas California Kentucky Massachusetts Nevada New Mexico Oregon Utah Tennessee Texas Wyoming Job Summary: The Senior Coder supports assigned inpatient and/or outpatient coding operations through day-to-day workflow leadership and may provide oversight of coding quality, coding edits, auditing, and staff education. Assigned functions may include inpatient, observation, emergency department, ambulatory surgery, ancillary, clinic, and other hospital-based coding services. The position supports Revenue Cycle Operations with special projects, including denial review, appeals, discharge-not-final-billed management, regulatory and payer edit review, and process improvement efforts designed to meet organizational goals while promoting accurate, complete, and compliant coding and billing....

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...

Medical Biller, CMG Business Office This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class categories. Serves as a resource for Medical Biller Is, seeking guidance from Supervisor when necessary. This positions also provides patient customer service and releases billing records to approved entities. This position responsible for the timely and accurate completion of assigned tasks to facilitate proper claim processing. Responsibilities Acts a resource for Medical Biller Is with resolving intermediate to complex account and claims issues. Provides guidance to other departmental roles (including Customer Service, Collections, Payment Posting) as it pertains to plan eligibility, claims processing details, and patient balance explanations as needed....

Job Description Job Description Job Summary We are seeking a detail-oriented and knowledgeable Medical Billing and Coding Specialist to join our healthcare team. In this role, you will be responsible for accurately coding medical diagnoses and procedures, ensuring compliance with healthcare regulations, and managing medical billing processes. Your expertise in medical terminology and coding systems will be crucial in maintaining accurate patient records and facilitating timely reimbursements. Duties Review and analyze patient medical records to extract relevant information for coding purposes. Assign appropriate ICD-10 codes for diagnoses and procedures in accordance with established guidelines. Ensure accuracy of medical coding to support billing processes and compliance with regulations. Collaborate with healthcare providers to clarify documentation and resolve discrepancies in medical records. Process medical claims for reimbursement. Maintain up-to-date...

Come join our team and experience working in a positive environment with a true work-life balance with competitive salary and comprehensive benefit plan. Position Summary: We are a Franklin, TN based healthcare company seeking a Medical Biller to support Revenue Cycle operations.The ideal candidate should be able to demonstrate strong analytical and problem solving skills, be proficient in data aggregation and utilization, have excellent written and verbal communication skills, and be a self-motivated individual. Essential Functions: Works closely with insurance carriers for reimbursement requirements to ensure payment. Reviews outstanding AR accounts and contacts insurance for reimbursement explanation. Resolves denials and seeds to understand and prevent future denials. Effectively identifies trends that inhibit timely payment and escalates to management and operations to resolve root cause issues. Input codes into practice management system for billing. Assist team members with...