10 medical biller coder jobs found

We are a boutique private plastic surgery practice in Palm Beach County seeking an experienced 1099 Certified Professional 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 & Appeals:...

 Ophthalmology practice is seeking an experienced, organized Surgery Scheduler with strong medical billing and insurance knowledge. This is a full-time, onsite position in Las Vegas. Responsibilities: • Coordinate cataract, corneal, and oculoplastic surgeries from scheduling through postoperative appointments • Verify insurance eligibility, surgical benefits, deductibles, copays, and coinsurance • Obtain prior authorizations and required medical clearances • Prepare patient financial estimates and collect surgical payments • Coordinate with patients, physicians, surgery centers, and insurance companies • Maintain accurate surgery schedules, documentation, and follow-up • Assist with claim follow-up, denials, EOB review, and unresolved balances when needed Qualifications: • At least two years of surgery scheduling, medical billing, insurance verification, or related experience • Strong understanding of authorizations, CPT and ICD-10...

About the Role Wellness Direct LLC is an established behavioral health practice based in Cedar Grove, New Jersey, seeing patients remotely nationwide. This role, however, is hybrid and based out of our Cedar Grove office — see Location & Schedule below for the on-site expectation. This is one opening, filled at either the Specialist or Lead level depending on the experience the candidate brings; the level is determined during the interview process. The role owns full-cycle revenue cycle work in TherapyNotes: claims, ERA/EOB processing, denials, coding accuracy, patient billing support, and — at the Lead level — credentialing and oversight of the billing function. Specialist vs. Lead •     Specialist — Owns the day-to-day billing, coding, and claims work. Reports to the Billing Manager. No supervisory responsibility — a fit if you want to stay hands-on rather than manage people. •     Lead — Everything above, plus end-to-end credentialing and payer enrollment,...

Claims Processing Supervisor AllCare Health | Claims Department We Are Seeking Qualified Candidates to Join Our Team! AllCare Health offers competitive wages and an excellent benefits package, including affordable healthcare, 401(k) retirement, wellness programs, and flexible scheduling options. Summary of the Position The Claims Processing Supervisor ensures that internal and external departmental performance requirements are consistently met. This role oversees the day-to-day activities of the Claims Processing team, assigns work and coordinates efficient workflows to meet contractual and operational requirements, and serves as a hands-on resource for staff regarding training, questions, and claims processing best practices. Essential Duties Provides one-on-one support and initial training for new hires and facilitates monthly mandatory training sessions for Claims Processing staff. Establishes and maintains a professional, supportive, and provider...

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payors....

* This is a hybrid position to be located in WI with travel required. * JOB SUMMARY The Coding and Billing Compliance Analyst plays a critical role in safeguarding the accuracy, integrity, and regulatory compliance of coding and billing operations across all service lines.  This position supports the organization’s revenue cycle and compliance initiatives by conducting detailed coding and billing reviews, identifying areas of risk, and contributing to the development of corrective action plans and educational programs.  The analyst ensures adherence to federal and state billing regulations, including Medicaid/Medicare guidelines, HRSA program requirements, and Office of Inspector General (OIG) guidance specific to Federally Qualified Health Centers (FQHCs).  The Analyst collaborates with providers, billing teams, compliance officers, and revenue cycle leadership, to improve clinical documentation, optimize reimbursement, and maintain full compliance with all applicable...