6 specialty biller and coder jobs found

Location: Tucson Employment Type: Full-Time Schedule: Monday – Friday Position Overview The Medical Biller / Coder & Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment. This role works closely with providers, leadership, and clinical teams to ensure accurate billing, compliance with payer requirements, and efficient reimbursement processes. Key Responsibilities Medical Coding Review provider documentation and assign accurate ICD-10, CPT, and HCPCS codes. Ensure coding complies with payer regulations and industry guidelines. Identify documentation gaps and communicate with providers when clarification is required. Support coding compliance and documentation improvement. Claims & Billing Prepare and submit electronic claims through the practice management system. Monitor claim status and follow up on unpaid or denied claims....

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Addison Group Recruiter - National HIM & CDI at Addison Group Job Title: Ophthalmology Coder Location (city, state): Phoenix, Arizona Compensation: $22-$30 Benefits: This position is eligible for medical, dental, vision. Qualifications: AAPC or AHIMA Certification Job Description: *Willing to Train on Ophthalmology* Chart Types: Ophthalmology (including ASC surgeries & procedures – CPTs), Anesthesia, Pain Management, Clinic Denials, Rebills, J-Codes/Meds, E/M surgeries (Provider & Facility-based). Systems: NextGen (preferred), RVMed, Codify (AAPC). Duration: Contract to Hire. REQUIRED Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin,...

1. Review charges for accuracy and completeness prior to claim submission, identifying coding, modifier, and demographic errors that would result in rejection or denial. 2. Resolve claim edits, scrubber holds, and clearinghouse rejections on a daily basis in both athenaOne and eCW. 3. Research, document, and appeal denied claims, including preparation of appeal correspondence and assembly of supporting documentation. 4. Work aged accounts receivable by payer, aging bucket, and dollar value, prioritizing by recovery likelihood and timely filing exposure. 5. Contact payers by telephone and portal to obtain claim status, resolve processing errors, and pursue reprocessing. 6. Perform root-cause analysis on recurring denials and communicate the coding, configuration, or front-end workflow corrections required to prevent recurrence. Payment posting and reconciliation 7. Post electronic remittance advice (835) files and manual EOBs across assigned client practices and payers in both...

PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. Position Summary: Under general supervision, the incumbent is responsible for examining, verifying, and maintaining data involved in processing medical care claims for alternate resources reimbursement and performing other third-party billing-related duties. The primary function of this position is to bill/process all medical care claims timely to ensure reimbursement from third-party payers. Scope of Work: The work involves the review of medical claims to ensure accuracy and completeness and obtain missing information. The incumbent performs various accounting, budget, or financial management support-related duties or assignments related to medical billing. Essential Duties and Responsibilities: Responsible for received claims up until Third-Party Payer has paid the...

Healthcare Biller Virtual Teammate is building the most capable AI-enabled healthcare virtual workforce in the market. Our Healthcare Billers are the revenue cycle backbone for SMB medical and dental clinics, PE-backed specialty groups, and surgical centers across the US. You will handle claim submission, denial management, A/R follow-up, and patient collections — fully supported by an AI agent that handles up to 55% of routine task volume so you can focus on the work that requires expert judgment. Key Responsibilities Submit clean claims across Medicare, Medicaid, and commercial payers with ≥ 95% first-pass rate Manage denial queues — identify root cause, correct, and resubmit within payer deadlines Work aged A/R buckets proactively; keep A/R over 90 days below 15% of total A/R Perform patient collections and balance follow-ups with professionalism and HIPAA discipline Navigate EMR and billing platforms (Athenahealth, eClinicalWorks, Kareo, AdvancedMD, or...

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.Job Focus :The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment.These responsibilities may include inpatient / outpatient / professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding.The position may also be responsible for management of the audit team and project management.All coding and auditing are performed within the scope of regulatory and compliance law expectations.Auditing Responsibilities :May include conducting inpatient,...