735 jobs found

Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers, payers, or clients when necessary Maintain HIPAA compliance and data security standards Qualifications Preferred: Experience with medical billing, coding, or claim processing Familiarity with EHR or billing software Strong...

ACHC is a Federally Qualified Health Center and licensed primary care clinic. We provide medical and dental care, with additional specialists in Chiropractic, Internal Medicine, Neurology, Pediatrics, Psychology, Podiatry and Optometry. ACHC Clinics are located across Fresno, Kings and Tulare counties.The Clinic Supervisor is responsible for overseeing the daily operations of a Federally Qualified Health Center (FQHC) clinic. This entry-level supervisory role that ensures efficient workflows, supports staff and providers, and promotes high-quality patient experience. Acting as the on-site point of contact for operational issues, the supervisor collaborates with the Clinic Operations Manager and other department leadership to promote a positive work environment, implement performance improvement initiatives, and maintain compliance with regulatory standards.Key ResponsibilitiesClinic Operations• Oversee front desk, scheduling, patient registration, and overall clinic flow.• Ensure...

We are seeking a detailed-oriented and experienced Medical Billing Supervisor to join our team. The Medical Billing Supervisor will be responsible for overseeing the billing operations for our ambulance services, ensuring accurate submission of claims, managing accounts receivable, and maintaining compliance with knowledge of industry standards and insurance regulations. This role requires a candidate with knowledge of ambulance billing practices, insurance requirements, and strong organizational skills. Schedule: This is an in-office position with day, swing and night shifts available. Key Responsibilities Supervise and manage the day-to-day operations of the medical billing team, ensuring accurate and timely billing for all ambulance services rendered. Review and process claims for emergency and non-emergency ambulance transports, ensuring proper coding and compliance with payer guidelines. Work closely with insurance companies, and other payers to resolve denied...

The medical biller position responsibilities are to submit accurate and timely claim billing and reports based on health plan, payor, or contract requirements. This also involves accounts receivable payment follow-up, appeals, and refunds if necessary. Schedule: This is an in-office position with day, swing and night shifts available. Essential Functions: Complete health plan billings based on requirements. Compile proper paperwork and conduct appropriate research to appeal claim denials, including requests for refunds/credits when applicable. Review and monitor reimbursements due from different payors to determine appropriate collection methods. Communicate effectively and professionally with external customers. Resolve payment issues with carriers, (e.g. denials, partial payments, etc.) Review, modify, and re-bill rejected/denied claims. Assist Cash department on payor backup as needed for payments received. Adhere to and comply with information systems...

Job Description Job Description Cypress Healthcare Partners is now hiring remote candidates for the Medical Coder position. This position is responsible for abstracting provider services accurately into billable codes from the medical documentation in accordance to the coding ethics of American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) and/or National Alliance of Medical Auditing Specialists (NAMAS) and payer coverage guidelines. Furthermore, responsible for posting and reconciling charges and communicating with provider/staff of medical necessity of services, unspecified, truncated, and lack of supporting diagnoses along with incomplete or missing documentation. KEY RESPONSIBILITIES & DUTIES: Responsible for abstracting provider services into billable codes (CPT, HCPCS, & ICD-10) from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS and payer coverage...

Job Description Job Description   Job Responsibilities : Performs all duties and responsibilities in a proficient, efficient, team-oriented manner ( Examples as follows but not limited to ) Scheduling Appointments Checking in/checking out patients Monitor Insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner- knowledge of questions to ask for proper processing. Accountable for being knowledgeable and understanding of all aspects of the billing and coding duties, maintains knowledge of and complies with established policies and procedures including government, insurance and third-party payer regulations. Verifying patient eligibility and benefits for upfront collection on unmet deductibles and co-insurance Enter charges accurately according to insurance payors/contracts Submitting clean claims by attaching necessary documentation for payment within the Revenue Cycle Follow-up on...

Caring. Connecting. Growing together. Schedule: Monday - Friday 9am - 5:30pm Primary Responsibilities: Required Qualifications: High School Diploma/GED At United Health Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. #RPO #RED

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 4pm - 12:30am PST, and to participate in on-call rotations, including weekends, holidays, and off-hours based on business needs. It may be necessary, given the business need, to work occasional overtime. Primary Responsibilities: Perform email Review / Research / Resolution Supervise Patient Access Staff with about 20 Direct...

Professional Surgical Coder At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. Primary Job Responsibilities The coder...

A SEED OF CHANGE Marriage and Family Therapy Center, Inc. is hiring a Medical Biller to work closely with clients, handling insurance billing, and collecting required documentation. The role requires attention to detail, thorough follow-up, and strong communication skills for interaction with providers. The ideal candidate will manage billing tasks, coordinate with physicians\' offices and hospitals, and ensure accurate entry of charges and payments while protecting patient confidentiality #J-18808-Ljbffr

Health Information Services Coder I - Temporary Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical offers a range of primary, specialty, and multi-specialty services, including high-risk pregnancy care, inpatient psychiatric services integrated with county mental health programs, and a growing network of outpatient clinics providing personalized patient-centered wellness care. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year. Kern Medical strives to recruit the highest quality candidates, resulting in a high performance workforce that consistently delivers quality patient care. Extra-help employment has a limited term (up to 9 months). Health Benefits coverage may be offered. Compensation: The estimated pay for this position is $22.5260 to $30.2730. This reflects only a portion of the...

ED Professional Coder II Preferred candidates are local (Onsite) or Hybrid workers within a commutable distance to NorthBay Campuses in Fairfield California. Candidates must be available schedule 7am -5pm PST. At NorthBay Health, the ED Professional Coder II will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner. This person is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system who can also effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital's abstracting system. Work focuses on ED using the approved classification Coding systems to include the modifiers. All work must...

Risk Adjustment Coding Specialist II Department: Quality - Risk Adjustment Employment Type: Full Time Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Reporting To: Yuvone Washington-Oshon Compensation: $70,000 - $85,000 / year Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. The staff is required to frequently travel to provider sites depending on projects. What You'll Do Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company Review medical record information on both a retroactive and prospective basis to identify,...

Description About Us Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. SUMMARY The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA’s to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. ESSENTIAL DUTIES AND RESPONSIBILITIES Analyze data from contracted IPA network providers that allows for proper review of data to evaluate HEDIS and Risk...

Overview At NorthBay Health, the ED Professional Coder II will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner. This person is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. They also effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital’s abstracting system. Work focuses on ED using the approved classification coding systems to include the modifiers. All work must be carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA, American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay...

SCAN Group in Long Beach, CA, is seeking a clinical operations leader to oversee Medical Management staff, ensure regulatory compliance, and drive performance improvement. You will assess staff performance, develop education plans, and ensure adherence to CMS/DMHC/DHCS and NCQA standards. You will also supervise nursing activities, support policy development, and provide coaching on complex clinical issues while aligning productivity and quality metrics with department goals. #J-18808-Ljbffr

Job Description Job Description The Certified Cardiology Coder plays a critical role in accurately translating cardiology medical records into standardized codes used for billing and documentation. This position requires expertise in cardiology procedures and coding standards to ensure compliance and data integrity. The coder works closely with clinicians and utilizes specific coding software alongside manual coding processes to support effective claims processing and reporting.   Responsibilities Assign accurate codes based on cardiology medical records Review and audit medical records for coding compliance Ensure data accuracy and adherence to coding guidelines Generate reports related to coding and billing activities Analyze patient data for completeness and coding accuracy Conduct coding audits to identify discrepancies and improve processes Collaborate with clinicians to clarify documentation and coding queries Process claims efficiently to support timely...

HIM Coder III Cottage Health seeks a HIM Coder III for their CH Health Information Management department responsible for coding and abstracting inpatient and outpatient conditions, diseases, reason for encounters, social determinants of health and PCS/CPT procedures to report accurate administrative and clinical data, utilizing approved coding guidelines as set forth in Official Coding Guidelines, ICD Book, Coding Clinic for ICD-CM/PCS, AHA Coding Clinic for HCPCS and CPT Book. Assigns appropriate DRG/APC prospective payment systems and classifications, to reflect the appropriate severity and illness for inpatient and specialty cardiac, neurology, and vascular outpatient encounters. Collaborates closely with clinicians and CDI staff, not excluding inpatient rehab coordinators to obtain appropriate documentation, as needed. Assists with internal coding audit and training activities Qualifications All job qualifications listed indicate the minimum level necessary to perform this...

Ventura County Behavioral Health (VCBH) offers a trainee/entry level Medical Billing Specialist opportunity within the Health Care Agency. Positions require responsibility for billing and processing claims for timely reimbursement and compliance with Medi-Cal, Medicare, and general insurance requirements. Two levels exist: Medical Billing Specialist I (entry) and II (journey level). Benefits include educational, bilingual incentives, merit increases, and retirement plans. #J-18808-Ljbffr

Job Description Job Description Established Medical Billing Company Seeking Experienced Professional We are a fast-paced, well-established medical billing company seeking an experienced Medical Biller / Data Entry Specialist to join our team. The ideal candidate already understands CPT and ICD-10 coding and is comfortable working independently in a high-volume production environment. We are looking for someone seeking long-term stability and growth within a professional billing team. Key Responsibilities Accurately enter CPT and ICD-10 procedure codes into billing software Manage high-volume data entry with precision and consistency Maintain compliance with medical coding guidelines and payer requirements Review and monitor coded entries for accuracy and completeness as part of routine workflow Collaborate with team members to identify discrepancies and improve overall billing accuracy Required Qualifications Minimum 2 years of recent medical billing and coding...

Beyond Wealth Management is seeking a detail-oriented medical billing and coding specialist for a remote role. You will ensure patient and payer records are accurate and claims are processed efficiently. In this remote position, you will review records, prepare and submit claims, resolve denials, and maintain audit-ready billing files while collaborating with internal teams. The ideal candidate has 2–5 years of relevant experience and is comfortable working independently with minimal #J-18808-Ljbffr