5 medical records coder hybrid jobs found

* 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...

Job Summary The Medical Billing & Revenue Cycle Specialist will be responsible for managing and supporting the medical billing process from claim submission through payment and resolution. This individual will work closely with our administrative team, therapists, payers, and other team members to ensure accurate and timely billing, follow up on outstanding claims, resolve denials and billing issues, and support efficient revenue cycle processes. The ideal candidate is organized, detail-oriented, proactive, and comfortable working independently while also collaborating closely with a growing healthcare team. Responsibilities Prepare, review, and submit accurate claims to commercial insurance companies, Medicaid/managed Medicaid plans, and other applicable funding sources. Review claims and billing information for accuracy and completeness prior to submission. Monitor claim status and follow up on unpaid, denied, or rejected claims. Investigate and...

This is a non-remote position. We are seeking a detail-oriented, on-site Ophthalmology Coding Auditor to join our premier private practice. Under direct supervision of the Billing Manager, the Coding Auditor audits ophthalmology and optometry medical records for compliance with federal coding regulations and guidelines. Successful candidates will have extensive knowledge of auditing and education on CPT, ICD-10, and HCPCS codes and guidelines. In this role, you will work directly alongside our clinic team to review clinical documentation, surgical charts, and diagnostic reports, ensuring accurate coding, regulatory compliance, and optimal reimbursement. You will serve as our internal expert, identifying billing risk areas and providing face-to-face feedback and education to our providers and staff to support the financial health of our practice.   Key Responsibilities   Perform On-Site Audits: Conduct regular retrospective and prospective reviews of clinical...

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,...