Claims resolution coder jobs | Healthcare Careers

Full Time

Billing and Coding Professional- Surgery and Anesthesia- Remote- Florida Residents

Adept Surgical Billing Solution, LLC Remote (FL, USA)

Whether you are looking to expand your current knowledge or looking to share your extensive skills with us, this could be the start of something amazing. We are a small, close knit team that works together to accomplish tasks daily. Qualifications: Knowledge in Surgery Billing and Coding Coding Certification- CASCC or COC preferred Experience with Microsoft 365 products Minimum 3 years experience in surgical billing Knowledge in all aspects of RCM Insurance credentialling- preferred Job Requirements: Coding and Charge Capture Insurance Claims Billing Resolution of rejections Coding reviews of denials Appeal assistance Coding reviews of documentation in question by the coding team Management of payor chart audits Insurance overpayment reviews Issuance of disputes as needed Ability to assist in aging follow on unpaid claims Address physician documentation matters Month end closing Utilization of reports Knowledge of and adherence to...

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Coder Certified

Solaris Health Holdings Fort Lauderdale, FL, USA

Job Description Job Description Description: NO WEEKENDS, NO EVENINGS, NO HOLIDAYS We offer competitive pay as well as PTO, Holiday pay, and comprehensive benefits package! Benefits: · Health insurance · Dental insurance · Vision insurance · Life Insurance · Pet Insurance · Health savings account · Paid sick time · Paid time off · Paid holidays · Profit sharing · Retirement plan GENERAL SUMMARY The Coder Certified is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement. The Coder Certified will ensure quality and productivity standards are met. The Coder Certified will ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. They work with the Coding Supervisor to escalate coding issues and prevent untimely claim submission and denials....

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Certified Medical Coder

Psynergy Health Orlando, FL, USA

Company Description At PsynergyHealth, we are revolutionizing healthcare staffing through technology-driven solutions. Our innovative approach spans the United States and delivers tailored staffing support to optimize workforce management—from virtual safety observers to multi-state licensed physicians (and everything in between). We focus on right-sizing workforces, improving clinical outcomes, and enhancing operational efficiencies for healthcare organizations. Job Summary We are seeking a detail-oriented Certified Medical Coder with strong experience in Revenue Cycle Management (RCM) to work with our RCM partners and physician leaders to ensure accurate medical coding, timely claim submission, and optimized reimbursement. The ideal candidate will play a key role across the full revenue cycle, from charge capture through payment posting and denial resolution, while maintaining compliance with all regulatory and payer requirements. Key Responsibilities...

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Supervisor, Medical Coding

University of Rochester Tampa, FL, USA

Assistant Coding Manager As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation Range: $60,431.00 - $84,603.00 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience,...

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Medical Billing Specialist

GA Foods St. Petersburg, FL, USA

Job Description Job Description Billing Specialist The medical billing specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations. In addition, the medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims to Insurances nationwide. Accountabilities: Responsible for charge and payment entry...

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Medical Billing Insurance Accounts Receivable Supervisor

Solaris Health Holdings Fort Lauderdale, FL, USA

Job Description Job Description Description: NO WEEKENDS, NO EVENINGS, NO HOLIDAYS We offer competitive pay as well as PTO, Holiday pay, and comprehensive benefits package! Benefits: · Health insurance · Dental insurance · Vision insurance · Life Insurance · Pet Insurance · Health savings account · Paid sick time · Paid time off · Paid holidays · Profit sharing · Retirement plan GENERAL SUMMARY The Insurance Accounts Receivable Supervisor is responsible for overseeing the day-to-day operations of the insurance A/R team, ensuring timely and accurate processing, follow-up, and resolution of insurance claims. This role supervises staff, monitors performance metrics, and works to improve processes and collections. The Insurance Accounts Receivable Supervisor has strong leadership skills, a deep understanding of insurance billing, and a proactive approach to problem-solving. Requirements: ESSENTIAL JOB FUNCTION/COMPETENCIES The...

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Medical Billing Specialist

BLACKSTONE MEDICAL SERVICES LLC Tampa, FL, USA

Job Description Job Description Job Title: Medical Billing Specialist Location: Tampa, FL (Onsite) Company Overview Blackstone Medical Services is a leader in healthcare services, specializing in at-home sleep testing for sleep apnea. Our mission is to provide exceptional service to our clients while ensuring compliance and efficiency in all operations.  Position Summary The Medical Billing Specialist is responsible for managing the billing and reimbursement cycle for sleep testing services. This role ensures accurate claim submission, proper follow-up with insurance companies, and resolution of billing discrepancies to maximize revenue and maintain compliance with payer requirements. Key Responsibilities Prepare, review, and submit clean claims to insurance companies in a timely manner. Verify insurance eligibility and benefits for patients prior to services being rendered. Post payments, adjustments, and denials accurately into the billing system. Follow up...

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Medical Insurance Collection Supervisor

PROMD PRACTICE MANAGEMENT INC Miami, FL, USA

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Opportunity for advancement Paid time off Vision insurance Medical Insurance Collection Supervisor ProMDs Revenue Cycle Management division is a rapidly growing medical billing company seeking an experienced Medical Insurance Collection Supervisor . This role requires a strong background in medical billing, appeals, insurance verification, and team leadership. We provide comprehensive one-on-one training to ensure success in delivering high-quality billing and collection services for our top-ranked multispecialty medical providers. NOTE: This department requires two supervisors and will work closely with upper management to ensure overall success. We currently have one highly knowledgeable supervisor in place. Qualifications Candidates must meet the following requirements: Proven experience supervising a medical insurance collection department. Strong knowledge of medical...

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Coder II, Professional

SSM Health Rehabilitation Hospital Orlando, FL, USA

Coder II Professional It's more than a career, it's a calling $1,000 sign on bonus available (Check with recruiter for eligibility) Come join us as a remote Coder II Professional at SSM Health! You will play a crucial role in accurately coding and abstracting medical records for billing and reimbursement purposes. You will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Job Summary: Primarily focuses on coding of high complexity, such as surgical, specialty service, higher than average cost services, evaluation and management services. Responsible for resolving coding related denials. Job Responsibilities and Requirements: Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately...

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Medical Insurance Collection Supervisor

ProMD Medical Billing Miami, FL, USA

Join to apply for the Medical Insurance Collection Supervisor role at ProMD Medical Billing ProMD’s Revenue Cycle Management division is a rapidly growing medical billing company seeking an experienced Medical Insurance Collection Supervisor. This role requires a strong background in medical billing, appeals, insurance verification, and team leadership. We provide comprehensive one‑on‑one training to ensure success in delivering high‑quality billing and collection services for our top‑ranked multispecialty medical providers. NOTE: This department requires two supervisors and will work closely with upper management to ensure overall success. We currently have one highly knowledgeable supervisor in place. Qualifications Proven experience supervising a medical insurance collection department. Strong knowledge of medical appeal guidelines and insurance verification processes. Proficiency in managing appeals and conducting insurance verification. Strong communication skills...

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Medical Insurance Collection Supervisor

ProMD Practice Management Pinecrest, FL, USA

Benefits: 401(k) Dental insurance Health insurance Opportunity for advancement Paid time off Vision insurance Medical Insurance Collection Supervisor ProMD’s Revenue Cycle Management division is a rapidly growing medical billing company seeking an experienced Medical Insurance Collection Supervisor. This role requires a strong background in medical billing, appeals, insurance verification, and team leadership. We provide comprehensive one-on-one training to ensure success in delivering high-quality billing and collection services for our top-ranked multispecialty medical providers. NOTE: This department requires two supervisors and will work closely with upper management to ensure overall success. We currently have one highly knowledgeable supervisor in place. Qualifications Candidates must meet the following requirements: Proven experience supervising a medical insurance collection department. Strong knowledge of medical appeal guidelines and insurance...

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Coder II, Professional

SSM Health Rehabilitation Hospital Sarasota, FL, USA

Coder II Professional It's more than a career, it's a calling $1,000 sign on bonus available (Check with recruiter for eligibility) Come join us as a remote Coder II Professional at SSM Health! You will play a crucial role in accurately coding and abstracting medical records for billing and reimbursement purposes. You will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Job Summary: Primarily focuses on coding of high complexity, such as surgical, specialty service, higher than average cost services, evaluation and management services. Responsible for resolving coding related denials. Job Responsibilities and Requirements: Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately...

12 claims resolution coder jobs found