16 facility biller coder jobs found

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 DescriptionThis position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelinesJob RelationshipsReports to the Coding Unit ManagerPrincipal ResponsibilitiesResponsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services.Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record.Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities, complications,...

This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines Job Relationships Reports to the Coding Unit Manager Principal Responsibilities Responsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services. Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record. Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities, complications, therapeutic...

Springfield Clinic is seeking a professional coder to review clinical documentation and apply CPT/HCPCS and ICD-10-CM codes for services rendered in office and hospital settings. The role ensures documentation supports billed services, remains compliant with regulatory guidelines, and maintains accurate coding across professional and facility encounters. Responsibilities include reviewing medical records, verifying codes, and communicating with physicians to obtain missing information. #J-18808-Ljbffr

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...

PB Coder Chicago The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement...

PB CoderChicagoThe PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies.Essential Duties and Responsibilities:Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management GuidelinesAnalyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement policies such as...

Job Description Job Description Occupational health medical facility is seeking a full-time medical billing specialist. Prefer qualified candidate to have prior experience with submission of electronic billing, insurance appeals and denials, CPT/ICD10 codes, and payment posting. Knowledge with worker's comp insurance billing and collections rules also a plus. Candidate must be detailed-oriented, dependable, goal-oriented, willingness to assist others as necessary and with ability to work independently. Good customer service skills are a must. Medical Biller Duties and Responsibilities Ensure patient information is accurate and complete Request any missing patient information Review referrals and authorizations Confirm patient benefits and insurance Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO Transfer insurance claims and billing data to billing software Create both paper and electronic copies of documentation Develop and maintain...

Job Description Job Description About the Role Our growing Ophthalmology practice is seeking an experienced Medical Biller with strong insurance and revenue cycle knowledge to join our team. This position plays a key role in maintaining the financial health of the practice while also supporting front desk operations to ensure a smooth patient experience. The ideal candidate has hands-on experience with ophthalmology billing, and is comfortable managing claims from submission through payment resolution. This is a great opportunity to join a patient-focused specialty practice where your billing expertise directly contributes to efficient operations and quality patient care. Key Responsibilities Submit and manage medical claims for ophthalmology services including office visits, diagnostic testing, and minor procedures Review and correct claim errors to ensure clean claim submission and maximize reimbursement Follow up on unpaid or denied claims and manage appeals when...

PB Coder Chicago The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement...

EMS Biller and Coder Office Location: ELMHURST, IL - Not a remote position We are currently looking for an EMS Biller and Coder to join our Billing Department team! Below lists the duties, responsibilities and the qualifications needed for this position. We will train the right individual! The EMS Biller and Coder are responsible for scrubbing sites for active health Insurance while complying with insurance, local, state, and federal billing. The EMS Biller and Coder are liable for adding appropriate key identifiers from the Patient Care Reports with coordinating ICD codes. All representatives will conduct insurance verification as needed and are required to complete prebilling training to qualify for the role. Responsibilities Responsibilities of the EMS Biller and Coder Reviews Patient Care Report thoroughly, utilizing all available documentation to establish medical necessity, selection of levels of service, origin/destination modifiers and the patient's...

Job Full Description Part-Time Medical Biller / Coding Specialist Eye Care Practice | Champaign, IL Looking for flexibility, independence, and meaningful work? We're looking for an experienced Part-Time Medical Biller / Coding Specialist to help our busy eye care practice stay on track and continue delivering excellent patient care. This position is ideal for someone who enjoys working behind the scenes, understands insurance billing, and takes pride in making sure claims are processed accurately and efficiently. Our providers need help getting caught up on billing and coding, as well as ongoing support for weekly billing needs. This role offers flexibility with scheduling. You'll work approximately 25-30 hours per week and can create your own schedule during our normal business hours of 8:00 AM to 5:00 PM, Monday through Friday. If you have medical billing experience and enjoy working in a collaborative healthcare environment, we'd love to talk with you....

Job Description Join our cutting edge dermatology team! We're seeking a skilled Dermatology Biller/Coder to ensure seamless financial operations. Key Responsibilities: Accurate coding and billing. Insurance claim management. Requirements: Dermatology billing experience is required. Proficiency in coding (CPT, ICD-10). Detail-oriented. For more information please reach out to jessica.rehder@gogpac.com or 605-705-4855 All qualified applicants will receive consideration without regard to race, age, color, sex (including pregnancy), religion, national origin, disability, sexual orientation, gender identity, marital status, military status, genetic information, or any other status protected by applicable laws or regulations. GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. We are extremely competitive, client-focused and realize...

## Medical Auditor (Billing and Coding)Applylocations: Hybridtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR101418At OrthoVirginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment.With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive.Join us and become part of a trusted network committed to excellence in orthopedic care.**Medical Auditor (Billing & Coding)****Previous coding experience required Hybrid - must be...

EMS Biller and CoderOffice Location: ELMHURST, IL - Not a remote positionWe are currently looking for an EMS Biller and Coder to join our Billing Department team! Below lists the duties, responsibilities and the qualifications needed for this position. We will train the right individual!The EMS Biller and Coder are responsible for scrubbing sites for active health Insurance while complying with insurance, local, state, and federal billing. The EMS Biller and Coder are liable for adding appropriate key identifiers from the Patient Care Reports with coordinating ICD codes.All representatives will conduct insurance verification as needed and are required to complete prebilling training to qualify for the role.ResponsibilitiesResponsibilities of the EMS Biller and CoderReviews Patient Care Report thoroughly, utilizing all available documentation to establish medical necessity, selection of levels of service, origin/destination modifiers and the patient's condition at time of...

We are seeking a detail-oriented and experienced Managed Vision Care Biller to join our team in OakBrook Terrace. The ideal candidate will have a strong background in optical billing and be proficient with major vision care insurance providers including VSP, EyeMed, and Spectera. This role is essential in ensuring accurate and timely billing processes to maximize reimbursements and maintain compliance with insurance guidelines. Key Responsibilities Prepare and submit claims to managed vision care insurance providers such as VSP, EyeMed, and Spectera. Verify patient insurance eligibility and benefits prior to services. Review and process optical billing information accurately and efficiently. Follow up on unpaid or denied claims and resolve billing discrepancies. Maintain up-to-date knowledge of insurance policies, billing codes, and industry regulations. Collaborate with optical staff and insurance companies to ensure smooth billing operations. Maintain accurate records of billing...