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6 claims resolution coder jobs found

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claims resolution coder Intermediate Level
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ruralMED Management Resources
Full Time
 
Hospital Outpatient Specialty Coder
ruralMED Management Resources Remote (NE)
ruralMED Management Resources, an Ovation Healthcare partner, seeks a Hospital Outpatient Specialty Coder. This role, under general direction, is responsible for critical access hospital coding; including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic. They will ensure the timely and accurate coding of medical claims while maximizing reimbursement for services. Duties and Responsibilities: Employee must have the skills, ability and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation.  Specific job duties will vary based upon client assignment.  Employee will also abide by ruralMED’s policies as a condition of employment. Charge Entry Receive and review charge entry data from practice sites Identify and investigate incomplete or missing charges Coding: Abstract clinical information; translates medical...

Apr 16, 2026
Rancho Health MSO Inc
Full Time
 
Revenue Cycle Billing & Coding
Rancho Health MSO Inc Remote
The intent of this job description is to provide a summary of the major duties and responsibilities performed in this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.   The  RCM Biller/Coder  is responsible for the accurate coding and billing of professional services to ensure timely, compliant, and clean claim submission across all affiliate sites. This role supports both  Athena  and  Epic  workflows and applies current  CPT, ICD-10-CM, and HCPCS  coding guidelines in alignment with Rancho Family MSO Revenue Cycle Management (RCM) policies and payer requirements. The Biller/Coder works collaboratively with RCM leadership and team members to resolve coding issues, address denials, and support optimal revenue cycle performance. Essential Job Duties:  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   Accurately assign...

Apr 07, 2026
C2Q Health Solutions
Full Time
 
Medical Coding and Billing Analyst
C2Q Health Solutions Hybrid (NY)
JOB PURPOSE: Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel on coding guidelines, and ensuring the accuracy and timeliness of clinical documentation. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting performance results to leadership, and supporting HCC/RAF optimization strategies. The role will also oversee the training of Medical Practice Assistants, Physician and IDT disciplines in ICD-9/ICD-10 guidelines. JOB RESPONSIBILITIES: Responsible to deliver accurate and timely billing of insurance claims and patient statements for all...

Apr 15, 2026
University of Utah Health
Full Time
 
Observation Coder III
University of Utah Health Remote (Salt Lake City, UT)
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for providing care to patients. Corporate Overview: The University of Utah is a...

Mar 23, 2026
Client First RCM, LLC
Full Time Part Time
 
Accounts Receivable Specialist
Client First RCM, LLC Remote (Orwigsburg, PA)
Job Title:   Accounts Receivable (AR) Specialist Company:   Client First RCM, LLC Location:   In-Office/Remote/Hybrid– Pennsylvania Job Type:   Full-time About Us Client First RCM, LLC is a multi-specialty Revenue Cycle Management company serving providers across multiple states. We specialize in ethical, accurate, and efficient medical billing services with a focus on provider success and patient satisfaction. Job Summary We are seeking a dependable and detail-oriented Accounts Receivable (AR) Specialist to join our in-office team in Pennsylvania. This position plays a key role in managing AR follow-ups, claim resolution, and reimbursement activities across multiple medical specialties. Responsibilities: Follow up on unpaid or underpaid claims via phone, web portals, and written communication Resolve claim denials and rejections using EOBs and remittance advice Submit corrected claims and appeals with appropriate documentation Post...

Feb 06, 2026
LG
Full Time
 
Experienced Billing Specialist
Live.Grow.Share. Hybrid (Eugene, OR)
Description of Position :   The Billing specialist is responsible for billing insurance claims to the Oregon Health Plan (OHP) Medicaid Open Card, as well as Medicare. The Billing specialist   checks eligibility, submits claims, identifying billing discrepancies, resolves denials, and determines write-offs. The Billing specialist is responsible for ensuring prior authorizations are in place and updating systems for fee schedule changes.   Essential Functions   Billing System Oversight    Implement and maintain billing contracts with insurance companies in coordination with Practice Manager   Liaison with Oregon Health Plan regarding Service rules   Attend insurance billing meetings   Maintain billing systems with current fee schedules, covered diagnoses, prior authorization requirements, and procedure codes   Prepare month-end reports of all claim batches submitted...

Apr 06, 2026
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