Specialized coder jobs | Healthcare Careers

Full Time

Cardiology and Vascular Billing Specialist

National Kidney Partners Port Richey, FL

Cardiology and Vascular Billing Specialist Location: Port Richey, FL Position Overview We are seeking a detail-oriented Cardiology and Vascular Authorization and Billing Specialist to join our team in Port Richey, FL. This role is responsible for ensuring timely insurance approvals (prior authorizations) for cardiac procedures and vein treatments, while managing accurate billing, coding (ICD-10, CPT), and reimbursement processes. The ideal candidate will prevent denials by verifying benefits, providing clinical documentation to payers, and coordinating with clinical staff for peer-to-peer reviews. Key Responsibilities Prior Authorization Acquisition: Obtain authorization for appointments, tests, and complex vascular/cardiovascular procedures by reviewing clinical documentation and understanding payor guidelines. Clinical Collaboration: Partner with physicians to gather medical necessity documentation for insurance reviews. Billing & Coding:...

Co

Full Time

Billing and Coding Analyst - Surgical Subspecialty Clinic

County of Ventura Ventura, CA

THE POSITION: Under general direction this position is responsible for providing billing and coding support within the Ambulatory Care Clinic System. The clinic areas of specialization include ENT, plastic reconstruction, neurology, and urology. Examples Of Duties: Duties may include but are not limited to the following: Reviews electronic medical records initiated by a health care provider and ensures accuracy of diagnosis, procedure codes, and modifiers in accordance with Federal and State regulations in compliance with billing and coding guidelines. Effectively monitors assigned work queues and reviews claim errors, ensuring timely and accurate resolution of accounts. Review, Analyze and validate medical records to ensure completeness and accuracy of code selections while identifying educational opportunities. Prepares educational materials to communicate with providers when identifying gaps in clinical documentation for the selection of appropriate...

Washington Center for Bleeding Disorders

Full Time

Medical Accounts Receivable Billing Specialist

Washington Center for Bleeding Disorders Hybrid (Seattle, WA)

POSITION SUMMARY: The Medical Accounts Receivable Billing Specialist, reporting directly to the Revenue Cycle Manager, is responsible for managing and resolving insurance and patient accounts receivable, and ensuring accurate and timely billing, reimbursement, and collections. This role supports WACBD's financial health by monitoring outstanding balances, communicating with patients and payers, and maintaining meticulous documentation in accordance with organizational policies and healthcare regulations. This position requires strong analytical skills, attention to detail, and a commitment to delivering exceptional service to patients with chronic and complex medical needs. KEY RESPONSIBILITIES: Review and monitor accounts receivable aging reports to identify outstanding balances and prioritize follow-up activities. Work complex denials (coding, medical necessity, eligibility, prior auth, duplicate, bundling, coordination of benefits) and submit appeals to secure...

3 specialized coder jobs found