3 inpatient coder prn jobs found

Remote Outpatient Professional Medical Coder (CPC or equivalent) VA Northeast Ohio Healthcare System | Full-time W-2 | U.S. only Certified outpatient / professional-fee coder needed for a large VA tertiary teaching system. 100% remote through VA VPN. Hours are Monday–Friday, 6:00 a.m.–6:00 p.m. Eastern. Work Code outpatient professional encounters/FINs (primary care, subspecialties, diagnostics, prosthetics) ICD-10-CM, CPT with modifiers, HCPCS, and E/M Query providers through the VHA query process when documentation is unclear Productivity: 25 outpatient/prosthetic FINs per day Turnaround: within 5 calendar days of assignment Accuracy: 95% or higher Systems: Oracle Health and Solventum CRS encoder (VistA/CPRS/VIRR helpful) Required Active AAPC or AHIMA credential: CPC, CCS-P, CCS, RHIT, RHIA, COC, or CIC U.S. citizen; work performed inside the United States 2+ years continuous coding at a Level 1A VA (or equivalent large tertiary teaching...

We are a boutique private plastic surgery practice in Palm Beach County seeking an experienced 1099 Certified Professional Coder (CPC) or Biller (CPB) for selective, low-volume out-of-network (OON) reconstructive claims and pre-procedure advocacy . This role is tailored for an established independent biller or freelance consultant looking to add a low-volume, high-value practice. We do not have high claim turnover; instead, we require meticulous, high-touch advocacy for specific reconstructive cases, pre-op Single-Case Agreements (SCAs), and hybrid surgical coding. Key Responsibilities: Pre-Service Single-Case Agreements (SCAs): Negotiate pre-op SCAs and Network Gap Exceptions on a case-by-case basis with commercial PPOs. Hybrid / Reconstructive Coding: Scrub and file split-billing claims (combining medically necessary CPT codes, e.g., panniculectomy 15830, with self-pay aesthetic procedures) while maintaining total compliance. Targeted Claims &...

Prior Authorization Rep II Job Summary University Medical Billing ( UMB )  is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidate will exemplify these attributes too.        We are looking for an experienced  Prior Authorization Representative  to join our team. As the Prior Authorization Rep, you will be responsible for ensuring accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic managers and financial advocates to resolve issues that...