6 medical coder and biller jobs found

Job Description Job Description Specialized Medical Billing is looking for a Fulltime Certified Medical Biller or Certified Coder, (CPC, CMC, or CCS) to join our team our team,  MUST be located in the state of OHIO. Out of state   applicants will not be considered. Not a remote position.  This is an in-office position and out of state resumes will not be reviewed! No Weekends or evenings as a part of your regular shift. Flexible schedule available. Complete benefits package available, including health, dental, vision, and Paid Time Off after initial employment period. Job Requirements Review and enter charges accurately. Submit insurance claims electronically and via paper when necessary. Follow up on unpaid claims in a timely manner. Identify and correct claim errors. Post payments and reconcile accounts. Communicate with insurance companies, providers, and patients about billing issues. Maintain organized, accurate billing records. Strong  attention to...

Inpatient/DRG Validation Coding Auditor The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities, and optimizes reimbursement by ensuring that the diagnosis/procedure codes and supporting documentation accurately support the services rendered and comply with ethical coding standards/guidelines and regulatory requirements. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations. Has an extensive understanding of reimbursement guidelines, specifically related to DRG (MS, APR, Tricare, etc.) payment systems. Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG...

Remote Coding Professional This is a remote position We are seeking a highly motivated and dedicated coding professional to join our team. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical specialties, with a focus in orthopedic surgeries, as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will bring deep expertise in surgical and outpatient coding, strong knowledge of payer guidelines, and proven experience working with denials related to orthopedic and neurosurgical services. Key Responsibilities: Resolve Claim Edits and Denials by reviewing clinical documentation, identifying root causes, correcting coding or modifier issues, and submitting appeals or corrected claims as needed. Review and Assign Accurate CPT, ICD-10-CM, and HCPCS Codes for orthopedic and neurosurgical procedures, including inpatient and outpatient surgeries and office visits....

Supervisor, Outpatient Medical Coding The Supervisor of Outpatient Medical Coding is responsible for the timely and accurate coding of outpatient visits and managing timely and accurate auditing of coded medical records. This position is critical to the financial and legal standing of the hospital. If records are not coded in a timely fashion or if codes misrepresent the patient visit, payers may refuse or delay payment of hospital bills. The supervisor shall assist in planning, organizing, staffing, directing the outpatient coding area to ensure timely completion of medical record coding reviews and outstanding accounts not billed. The supervisor is responsible for monitoring the productivity and quality of the medical records coding specialists' training, monitoring performance and ensures accurate and compliant coding and billing practices within the medical center. The position serves as the supervisor for Radiation Oncology medical records coding specialists. This team is...

Job Description Job Description Description: JOB TITLE: Medical Certified Professional Biller DEPARTMENT: Administration – Finance – Revenue Cycle Management REPORTS TO: Director of Revenue Cycle Management STATUS: Non-exempt SUMMARY: Responsible for entering and coding patient services into computer system and ensuring encounters transfer properly for submission to insurance payers. Sorts and files paperwork, handles insurance claims, and performs collections/refund duties. ESSENTIAL DUTIES AND RESPONSIBILITIES: Collect, post, and manage patient account payments. Submit claims to insurance payers. Review delinquent accounts and call for collection purposes. Collect unpaid claims and clear up discrepancies Process refund requests to patients and insurance payers. Maintain strict patient confidentiality and information security. Sort and file paperwork. Ensure healthcare facilities are reimbursed for all procedures. Handle information about patient...

Overview FTE: 1.0 Schedule: Monday – Friday, 8:00 AM – 5:00 PM Work Location: Remote (only within approved states: FL, GA, MO, PA, SC, TN, TX) Summary: Under general supervision, this role reviews, analyzes, and assigns the final diagnoses and procedures as documented by the practicing provider, in accordance with all compliance policies and guidelines. The position accurately codes office and hospital procedures to ensure proper reimbursement. Additionally, this role provides physician education to ensure correct completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture. Interact with providers to provide feedback and education using verbal, written, and in-person communication. Assign and sequence appropriate codes and modifiers using current procedure,...