16 certified jobs found

JOB TITLE: Certified Billing Specialist DEPARTMENT: Business Office LOCATION: Anchorage, AK STATUS: Full-Time, On-Site CERTIFICATION REQUIRED:  Active Certified Professional Biller (CPB) or Certified Coder (CPC) **SIGN ON BONUS: $3,000 (2yr commitment) ** About the Role Alaska Heart & Vascular Institute (AHVI) is seeking an experienced and detail-oriented Billing Specialist  to join our in-office Business Office team in Anchorage. This role is ideal for a billing professional who thrives in a collaborative environment and is looking to deepen their expertise in cardiology billing across outpatient, inpatient, and ambulatory settings. As part of a highly knowledgeable team of coders, billers, and clinical professionals, you’ll play a key role in ensuring accuracy, compliance, and exceptional service in a fast-paced, high-volume environment. SUPERVISION RECEIVED: Reports to Business Office Manager. SUPERVISION EXERCISED: None ESSENTIAL...

“Immediate opening – transition period available with current biller” Full-Time About Us We are a busy, multi-provider medical practice seeking an experienced Medical Biller/Coder to take ownership of our billing operations. This is a key role responsible for ensuring accurate coding, timely reimbursement, and effective denial management. We are looking for a highly skilled, self-directed professional who can confidently manage the full revenue cycle with minimal supervision in a Family Practice Setting. All qualified candidates must have a minimum of one year medical billing and A/R experience in a Family Practice setting .  Knowledge of Medi-Cal and Medicare a plus, as well as, OB- Comprehensive Perinatal Services Program (CPSP), Family Pact, Child Health and Disability Prevention Program (CHDP), and other FFS product lines within Medi-Medi.  CPC certification is strongly desired. Key Responsibilities Perform accurate CPT,...

(Location: SAN RAMON) About the Practice / Office: Bridge Medical Neurology Consultants is a comprehensive neurology practice that offers in-depth and personalized consultations and advanced in-house neuro-diagnostic procedures for the management and treatment of a range of conditions. Dr. Said Ibrahimi, M.D. Q.M.E, has over 14 years of experience as a leading board-certified neurologist with a subspecialty in Brain Injury Medicine, tending to his expansive cohort of Adult patients, and additionally providing care for Personal Injury (P.I.) and Worker’s Compensation cases. With his extensive training and sub-specialty, Dr. Ibrahimi specializes in the treatment and management of conditions such as strokes, TIAs, dementia, Parkinson’s and Alzheimer’s Disease, epilepsy, nerve and muscle dysfunction, and many more. As a Qualified Medical Examiner (Q.M.E.) Dr. Ibrahimi also offers medical-legal services such as Independent Medical Examinations, and Expert Witness Review....

For over 30 years, Welter Healthcare Partners has collaborated with healthcare organizations across the US on the business of healthcare. Healthcare is complicated and ever-changing, and our services, solutions, highly specialized and collaborative teams are focused on helping drive results for the long-term success of our clients! We are looking for new team members that share the same passion for success!   We are looking for a 1099 Surgical Coding Expert, primarily Orthopedics, who seeks ownership of their craft, asserts their interpretation of guidelines and rules and who is extremely particular about the highest level of quality of their coding work! Skilled auditor preferred; however, a skilled and detail-oriented coder with the desire to transition to auditing will be highly considered.   We offer up to $4,000 flat fee per month and are flexible for more depending on the ability to organize and facilitate volume, but quality over quantity. Opportunity...

Riverside University Health System (RUHS)   is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience in an acute care hospital...

The University of Missouri School of Medicine is seeking an experienced and strategic Supervisor, Coding & Data Management to lead our Professional Coding and Revenue team. This role is critical to ensuring accurate medical coding that directly translates into clinical revenue integrity, regulatory compliance, and operational excellence. If you are a certified coding professional who thrives in leadership, process improvement, and complex reimbursement environments, we invite you to apply. Why Join Us? At the School of Medicine, our coding leadership team plays a vital role in supporting clinical operations, optimizing reimbursement, and maintaining compliance with federal and commercial payer regulations. You will collaborate with physicians, administrators, and revenue cycle professionals in a mission-driven academic healthcare setting. Position Overview The Supervisor, Coding & Data Management is responsible for overseeing coding accuracy, reimbursement...

The Medical Policy Manager is responsible for overseeing all cap thresholds and medical review triggers, ensuring they are routed either for administrative evaluation by the vendor or referred to the state’s Utilization Management (UM) vendors for clinical review. Qualifications Certified Coding Specialist credential issued by the American Health Information Management Association (AHIMA) Minimum of five years’ experience creating and administering medical and/or Utilization Management (UM) policies for state Medicaid programs or Medicare Strong working knowledge of Centers for Medicare & Medicaid Services (CMS) procedure and diagnosis coding, including dental and Current Dental Terminology (CDT) codes Bachelor’s degree in a related discipline

About the role We run a fast-growing care management program billed under partner clinic TINs across a mixed payer population. We need an expert to tighten CoCM billing yield while keeping documentation audit-proof as we scale from ~24 clinics to 100+. The right candidate will be able to convert this into a full-time role with equity, and grow with the company. Looking to hire ASAP. What you’ll own Design and audit CoCM and CCM billing workflows , including appropriate patient stratification between programs. Define clear, defensible criteria for assigning patients to CoCM vs CCM (and transitions over time). Build “gold standard” documentation templates and checklists for 99492/99493/99494, 99490, 99439 , and related codes as applicable. Design simple, audit-proof time capture and attribution workflows across care team members. Create and run a QA sampling plan with feedback loops for care teams and clinic billers. Partner with...

Job Description Nemours is seeking a Sr. CDM Specialist  in Orlando, FL This position is responsible for: assistance in maintenance of Charge Description Master (CDM) within Nemours hospital revenue producing departments. Works with the CDM/HB Manager to ensure an accurate CDM and Coding process resulting in clean and compliant claims. Acts as liaison and problem solver for CDM issues with Administration, insurance companies, charge capture departments, Health Information Management, Utilization Management, Recovery Auditors, Managed Care, Corporate Compliances, and Central billing Office (CBO).  Responsibilities: Responsible for the coordination of ongoing CDM consistency within revenue producing departments. Includes maintaining accurate descriptions, coding, in-activations, and revenue code assignments.      Demonstrate and incorporate a working knowledge of the hospital's billing and coding software applications as related to coding...

Job Title: Manager Location: System Business Office Department Name: HIM - Professional Req #: 0000207266 Status: Salaried Shift: Day Pay Range: $110,681.00 - $156,337.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The  System Professional Coding Provider Review and Education Manager  is responsible for onboarding, educating, and reviewing medical record documentation and coding processes of the Medical Group physicians, APNs and other billing providers across all medical centers within the RWJBH enterprise. This includes onboarding education, medical record reviews, targeted education to physician groups and individual physicians, annual and quarterly...