527 jobs found

Job Description Job Description SUMMARY: This position is responsible for supporting the Professional Medical Billing team by posting payments, capturing/working denials, and working outstanding accounts receivable (A/R) balances and other assigned duties as needed. They will be responsible for assisting in analysis and resolutions of clinic reimbursement issues, clinical statistics, recommending CDM updates for clinic services and assisting Management with other billing responsibilities as assigned. ESSENTIAL FUNCTIONS : Perform posting charges and completion of claims to payers on time Review transmitted claim via clearing house, working rejected claims as needed Review patient bills for accuracy and completeness, and obtain any missing information Prepare, review, and transmit claims using billing software, including electronic and paper claim processing Follow up on unpaid claims within a standard billing cycle timeframe Check each insurance payment for...

Job Description Job Description Description: Job Title: Coder (Billing) Salary: $30-$35hr DOE Location: Treehaven Openings: 2 Position Purpose : The Jr. Coder is responsible for accurately assigning standardized codes to diagnoses, procedures, and treatments for patient records, insurance claims, and billing processes. This role ensures compliance with applicable coding standards, regulations, and payer policies to facilitate timely and accurate reimbursement. Core Duties and responsibilities, include but are not limited to: Reviewing patient charts to accurately assign the appropriate billing codes (ICD-10-CM, CPT, HCPCS) for diagnoses, procedures, and services rendered, in accordance with FQHC requirements across all lines of business. Assist in the submission of accurate claims to payers after correction. Ensuring coding compliance with federal and state regulations as well as insurance requirements. Communicate with patients and insurance companies...

A healthcare support company is seeking Remote Medical Billers & Coders for a flexible, 100% remote opportunity. This role involves processing medical claims accurately while maintaining HIPAA compliance. Ideal candidates are detail-oriented and may include entry-level applicants eager to learn. Experience with medical billing and coding is preferred, and certifications such as CPC or CBCS are advantageous. #J-18808-Ljbffr

Company: Green Meadows Home Health Location: 2204 E 4th Street Santa Ana 92705 Pay Rate: $25/hour Schedule: Full-Time | Monday–Friday, 9:00 AM–5:30 PM Duration: March 16 – June 30 (with potential to become permanent) Job Description Green Meadows Home Health is seeking an experienced Home Health Medical Biller to provide temporary coverage while a team member is on maternity leave. This is a full-time position starting March 16 through June 30, with the possibility of transitioning into a permanent role based on performance and business needs. Key Responsibilities OASIS tracking and oversight until completion Running monthly billing and status reports Managing and resolving exporting issues Pre-billing review and processing Chart corrections and claim clean-up Managing undrafted claims Identifying and correcting diagnosis (DX) errors Communicating with nurses to obtain complete and accurate documentation Resolving Quest Diagnostics billing and diagnosis-related...

A financial services leader is seeking an Auditor I Tax Compliance in Santa Ana, California. This role involves conducting local government tax audits and reviewing financial records for compliance with local tax regulations. The ideal candidate should have a Bachelor's degree in accounting or finance and be proficient in Microsoft Office, especially Excel. This full-time position also offers various benefits, including competitive pay and participation in a 401k plan. #J-18808-Ljbffr

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. ***This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States....

Job Description Job Description We are a growing 35 year-old International Healthcare Consulting company. As we continue to grow we seek to add to energetic and motivated people to our team of billing professionals. Experienced and recent Billing and Coding graduates are encouraged to apply Job Description Immediate Full Time position available for an Insurance (HMO and Medi-cal Managed Care) Billing and Follow Up Specialist in the Insurance Claims Unit. Recent Grads who have completed their Externship encouraged to apply, we train. Knowledge of ICD-10, CPT, RBRVS, CMS 1500, UB04, HCPCS and Coordination of Benefits required. Individual must be able to demonstrate knowledge and experience with billing and appeals according to established guidelines for these type of claims. Individual must also be able to show a stable work history. · Strong communication skills required. · Team player a must. Positive can do attitude is essential. · Typing minimum: 60wpm+....

Description Leidos, a global technology leader, is seeking a Combat Coder for our Sentinel program, supporting the United States Air Force in geographically distributed intelligence operations. Combat Coders directly support mission objectives by integrating data sources and interfaces quickly while being embedded with the user base. As a Combat Coder you will engage directly with our customers to build and modify all aspects of full-stack applications. Your contributions will move directly to production systems and get immediate feedback. You will be working with a small elite team of developers that focus on getting things done to support the mission. Join Leidos in our mission to enhance global security and efficiency through technology and innovation. Be part of a team that champions Integrity, Inclusion, Innovation, Agility, Collaboration, and Commitment. If you're ready to drive critical software deliveries, apply now to join Leidos as a Combat Coder for the...

Job Description Job Description Description: Are you Collaborative, Adaptable, Respectful and strive for Excellence? If so, you share our C.A.R.E. with Compassion core values, and we invite you to apply to become part of our Team. JOB DESCRIPTION JOB TITLE: Medical Biller STATUS: Non-Exempt REPORTS TO: Chief Financial Officer LOCATION: Spokane, WA SCHEDULE: M-F, 8am - 5pm FT/PT: Full Time BASE PAY: $20.00/hour JOB SUMMARY To ensure prompt and correct billing of all contracted and non-contracted commercial and private carriers minimizing denials and maximizing reimbursement. With an emphasis on problem solving through research and interface with Therapeutic Solutions/Psychiatric Solutions staff and physicians in order to obtain maximum reimbursement as expediently as possible. DUTIES & RESPONSIBILITIES Process private and commercial billings and correspondence. Responsible for monitoring the unbilled, denied, rejected and aging accounts and...

Job Description Job Description Benefits: 401(k) Health insurance Paid time off Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! Must be able to work in office closely with the doctors and patients ( please don't apply if you are looking for a remote job). As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

divh2Medical Biller Opportunity/h2pWe are seeking a skilled Medical Biller to join our clients healthcare team. The ideal candidate will be responsible for accurately and efficiently processing medical claims and invoices, ensuring timely reimbursement from insurance companies and patients. The Medical Biller will work closely with healthcare providers, insurance companies, and patients to resolve billing discrepancies and ensure compliance with regulatory requirements./ppstrongJob Responsibilities:/strong/pullistrongClaims Processing:/strong Prepare and submit accurate medical claims to insurance companies, Medicare, and Medicaid for reimbursement./lilistrongBilling:/strong Generate and send invoices to patients for services rendered, following up on outstanding balances and resolving billing discrepancies./lilistrongInsurance Verification:/strong Verify patients insurance coverage and eligibility, ensuring all necessary authorizations and referrals are obtained before services...

Virtua Health Coding Specialist Evaluates and analyzes medical records for proper documentation and the correct diagnosis (ICD-10-CM) codes for a wide variety of clinical cases and services for risk adjustment models (e.g., hierarchical condition categories (HCCs), Chronic Illness & Disability Payment System (CDPS), and U.S. Department of Health and Human Services (HHS) risk adjustment). CRCs review provider documentation and communicates coding opportunities for HCC coding so that disease processes are coded accurately to follow risk adjustment models. Position Responsibilities: Evaluates and analyzes medical records for proper documentation. Identifies and communicates coding deficiencies to clinicians in order to improve documentation for accurate risk adjustment coding. Provides on-going training and education to the clinicians and physicians during 1:1, physician group, performance improvement and ad hoc meetings. Manages and trends data collection for HCC and other...

Coder Lead The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday General Duties Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers....

Description Leidos, a global technology leader, is seeking a Combat Coder for our Sentinel program, supporting the United States Air Force in geographically distributed intelligence operations. Combat Coders directly support mission objectives by integrating data sources and interfaces quickly while being embedded with the user base. As a Combat Coder you will engage directly with our customers to build and modify all aspects of full‑stack applications. Your contributions will move directly to production systems and get immediate feedback. You will be working with a small elite team of developers that focus on getting things done to support the mission. Join Leidos in our mission to enhance global security and efficiency through technology and innovation. Be part of a team that champions Integrity, Inclusion, Innovation, Agility, Collaboration, and Commitment. If you're ready to drive critical software deliveries, apply now to join Leidos as a Combat Coder for the...

Job Description Job Description Medical Billing Specialist - Starting $20 to $25 Join a team you'll love at Synergy Respiratory and be a part of a workplace that values your skills and offers amazing perks! 4 Day Work Week (Monday-Thursday) Holidays off Synergy is growing and expanding our billing department and looking for exceptional candidates. Come join and collaborate with a supportive team! Our Billing Department excels on a high level of accuracy and outstanding attention to detail to thrive in the job. The billing specialist will work directly with insurers and patients to resolve billing discrepancies and related issues. Job responsibilities include, but not limited to: Revenue billing specialists must process claims quickly and accurately, and ensure there are no errors or issues on the claim. They may also have to do a bit of administrative work, updating patients' medical files and ensuring that other members of the staff are...

Job Description Job Description Now Hiring: Medical Billing Specialist Skilled Nursing Facility | Santa Rosa, CA Full-Time | Onsite | $27 – $33 per hour We are seeking an experienced Medical Billing Specialist  for a Skilled Nursing Facility in Santa Rosa. This is a full-time, onsite position for a detail-oriented professional with strong knowledge of Medicare and Medi-Cal billing. The ideal candidate is organized, accountable, and committed to accurate and compliant billing practices while delivering excellent customer service to residents, families, and staff. Position Summary The Medical Billing Specialist is responsible for accurate and timely billing, accounts receivable management, and financial reporting. This role plays a key part in ensuring regulatory compliance, maximizing reimbursement, and maintaining the financial integrity of the operation. Key Responsibilities Prepare and submit Skilled Nursing Facility billing, including private pay, insurance,...

Coder - Hospital Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Medical Record Management Hours: Full-time Required: High School Diploma, CCA coding certification is preferred Pay: Based on experience, starting at $22.72 Responsibilities Assists physicians with record documentation needs by requesting clarification for additional information. Assists in educating physicians and ancillary staff members about documentation needed for coding process. Contacts physician offices and/or SBL departments as needed for diagnostic information to code the encounter. Assists with training new coding staff as requested. Codes all types of encounters as...

Inpatient Coder Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and all types of multifaceted accounts which includes, but is not limited to, interventional radiology, interventional cardiology, cardiovascular surgeries, major transplants, neurovascular surgeries, spinal fusions and coding level 1 trauma (multi significant). Position Responsibilities Key Areas of Responsibility Coding 1. Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes for more complex accounts. 2. Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS),...

divh2Op Coder 2/h2pHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of whats possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in peoples lives./ppWork Shift: Day (United States of America)/ph3Job Summary:/h3pThe OP Coder 2 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in same day surgery and observation medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and procedural CPT-4/HCPCS codes to the greatest specificity, and assigning the most accurate APC when appropriate. Abstracts demographic and coding information accurately and...

divh2Scheduled Hours/h2p40/ph2Position Summary/h2pPosition reviews medical record documentation to determine appropriate billing codes and necessary documentation./ph2Job Description/h2pPrimary Duties Responsibilities:/pulliReviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment./liliCodes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code./liliMeets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up./liliActs as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required./liliAssists with efforts to increase physician awareness of documentation requirements./liliPrepares case reports and initiates follow-up for billing process./li/ulpWorking Conditions:/pulliNormal...

Medical Biller Position We are seeking a skilled and detail-oriented Medical Biller to join our team. In this role, you will be responsible for managing the billing process, ensuring accurate claim submissions, and following up on payments and reimbursements. This remote position is ideal for candidates with experience in medical billing and coding who want to work in a flexible, virtual environment. Key Responsibilities Prepare, review, and submit accurate medical claims to insurance companies or government programs. Verify patient insurance coverage and eligibility for services. Process claims for reimbursement and ensure timely follow-up on denied or unpaid claims. Post payments, adjustments, and reconcile billing statements. Communicate with insurance companies to resolve claim discrepancies, rejections, or denials. Assist patients with billing inquiries and resolve payment issues. Ensure compliance with healthcare regulations and billing standards (e.g., HIPAA,...

Job Description Job Description Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices.  We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate onsite opportunity to join our growing company. We are currently seeking 4 full-time (M-F 8:00 am-5:00 pm) Medical Billing Specialists for our Tracy office.    Job Responsibilities: • Verify medical eligibility; benefit coverage and authorization requirements online or phone. • Obtain authorization if required by plan via fax, email, or online. • Process files within predesignated deadlines. • Contact patients to obtain information to process insurance...

Professional Coding Auditor And Educator - Remote This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education. Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation...