8 coder provider practice jobs found

The position will be responsible for developing and establishing the guidelines/policies/procedures for the program, determine proper staffing, preparing, and maintaining relevant guidelines for billing to each insurance carrier, coaching and training the staff, tracking and trending for the continued development of the rules in Encoda, and developing creative solutions for any challenges. Pay will be based on years of experience  QUALIFICATIONS AND EXPERIENCE: •       Previous Medical Billing experience preferred. Preference for those with a minimum of eighteen months experience. •       Comfortable using email and interacting with Internet applications •       Knowledge of practice management and Mircrosoft processing software •       Proven understanding of Explanation of Benefits forms, claim forms and the insurance billing process •       Working knowledge of managed care, commercial insurance, Medicare, and Medicaid...

This position has the primary function of coordinating and supporting the Deputy Chief Compliance Officer with administrative, analytical, and program coordination activities. This position will provide support related to compliance auditing activities and programs, assisting with developing and coordinating the Compliance Audit Plan, supporting proactive and reactive audits of professional fee billings in clinic and facility settings, including federally qualified health centers. Proactively support audit activities related to billing and coding risks to the SOM, identifying and calculating potential overpayments based on audit results, participating in the repayment process if necessary, reviewing research billing compliance issues and assisting the Deputy Chief Compliance Officer in designing and managing a comprehensive billing/auditing program.  The position supports compliance-related activities by gathering information, coordinating documentation reviews, monitoring...

We are looking for a Medical Coder (Behavioral Health, E/M) to help define how automated and human-in-the-loop coding works at scale. In this role, you will serve as an internal authority on behavioral health E/M coding , partnering closely with Brellium's Customer Success, Product, and Engineering teams. You will help ensure that coding recommendations are accurate, defensible, and aligned with payer expectations — balancing appropriate revenue capture with audit-safe compliance. This is a highly impactful role for an experienced coder who enjoys shaping policy, improving systems, and applying clinical coding expertise in a modern, technology-driven environment. What You'll Do Own Coding Quality & Compliance Review and validate E/M coding for behavioral health encounters in a pre-bill workflow Ensure coding decisions align with documentation, payer guidance, and compliance best practices Define clear standards for when revenue capture is appropriate vs when...

SUMMARY/OBJECTIVE: The Revenue Cycle Management Manager is responsible for all duties listed below. The position requires coordination with clients, executive staff and RCM staff for the revenue cycle management performance reporting.   ESSENTIAL FUNCTIONS: Core duties and responsibilities include the following. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. 1. LEAD AND SUPERVISE REVENUE CYCLE STAFF Provide day‑to‑day leadership, coaching, and performance oversight for billing, coding, collections, and reimbursement teams. Ensure staff adhere to organizational policies, regulatory requirements, and best practices across the full revenue cycle. 2. Monitor and Report Staff Productivity Develop, track, and analyze productivity metrics for all revenue cycle functions. Prepare regular performance dashboards and present findings AND SUGGESTIONS for improvement to...