2 pediatric profee coder jobs found

About the role You will join a team that partners with healthcare organizations to strengthen their revenue cycle. As a coder, you’ll deliver accurate, compliant coding for clients who count on you to get it right. Many of our client sites have limited on-site coding support, so you’ll work independently, communicate clearly with providers, and own the quality of your work. This is a 100% remote, 12-month W2 contract role with flexible scheduling between 6am and 6pm in your local time zone (40 hours a week). Successful candidate could have the opportunity to extend or convert to full-time employment. You will work alongside a growing team with opportunities for cross-training.    What you’ll do Assign accurate diagnosis, procedure, and service codes using ICD-10-CM, ICD-10-PCS (where applicable), CPT, and HCPCS Level II. Review provider documentation for accuracy and completeness, and apply payer, CMS, and organizational coding guidelines. Sequence codes and...

Children’s Orthopaedic and Scoliosis Surgery Associates, LLP (COSSA) is seeking an experienced Medical Billing Specialist to join our pediatric orthopaedic practice. This position focuses on insurance accounts receivable, denial resolution, and obtaining accurate, timely payment for physician services. You will work independently on assigned accounts, with support from an established billing team. We value people who investigate problems, follow through, share knowledge, and help prevent recurring billing issues. Responsibilities Research and resolve outstanding insurance balances using payer portals and direct communication with insurance representatives. Review electronic claim rejections and denials, determine the appropriate corrective action, and submit corrected claims, reconsiderations, and appeals. Investigate underpayments using payer policies, contracts, and fee schedules. Prepare appeal letters supported by relevant...