4667 coder lll jobs found

Medical Billing Supervisor will handle the daily operation of the billing department for a private practice with 8 providers.    Responsibilities include but are not limited to the following:  Ensure posting and collections of all billable encounters are completed in an accurate and filed in a timely manner. Manage changes in billing and coding environments as they occur through each payor source including Medicaid, Commercial, and Private Pay. Train billing and clinical staff in use of new codes Ensure that current fee schedules and billing manuals are being used for all payers billed while adhering to all organizational billing policies and procedures. Monitor, track and handle systems for billing (e.g. claim rejection) and provide detailed bi-weekly reports. Monitor aged accounts on a continuous basis working with staff to address oversights or problems within payers and patients. Ensure staff follow the process to work unpaid claims Maintain EHR user status...

Are you passionate about physician coding, compliance, and education? Gill Compliance Solutions is growing, and we're looking for an experienced Audit & Education Manager (remote) to join our nationally recognized consulting team. Our consultants work directly with physician practices, hospitals, health systems, new tech, and legal firms across the country to defend providers,  improve documentation, coding accuracy, compliance, and reimbursement. Every day presents new specialties, new challenges, and opportunities to make a measurable impact. If you enjoy educating providers, solving complex coding issues, presenting audit findings to executive leadership, and staying at the forefront of healthcare regulations, we'd love to meet you. Duties may include but are not limited to the following:      Managing and performing audits from electronic medical records initiated by a health care provider and ensures accuracy of diagnosis, procedure codes, and modifiers in...

Candidates must be able to work on-site. This position is not remote. GENERAL PURPOSE OF JOB: The Claims and Appeals Specialist II is a certified medical coder that performs audits for correct coding and claims payments and oversees the claims appeal process for provider and member appeals. This position also investigates Coordination of Benefit (COB) claims. The Claims and Appeals Specialist II reports to the Director of Claims Oversight. ESSENTIAL DUTIES AND RESPONSIBILITIES: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate...

Position Overview We are seeking an experienced Billing Specialist to join our busy infertility practice. The ideal candidate is preferred to have billing experience in women's health care. This role requires strong knowledge of medical billing workflows, insurance follow-up, denial management, payment posting, claims resolution, and patient account management specific to women’s health. Key Responsibilities   Submit clean claims accurately and timely through our EMR system  Review and resolve claim rejections and denials across all insurance platforms  Follow up with insurance companies on unpaid claims  Post insurance and patient payments accurately in our EMR system  Work aging reports and outstanding AR  Review patient accounts for billing accuracy and follow-up needs  Handle billing corrections, resubmissions, and appeals  Communicate with registration/front desk, clinical staff, and management to resolve   billing issues  Maintain compliance with...

JOB SUMMARY:   CERTIFIED ANESTHESIA CODER   ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES   •      Review anesthesia records, operative reports, and medical documentation for completeness and accuracy. •      Ensures accurate coding, billing compliance. •      Analyzes Epic electronic medical record for assigning appropriate CPT, ICD-10-CM, HCPCS and Modifiers for anesthesia services. •      Apply appropriate anesthesia modifiers such as AA, QK, QX, QY, QZ •      Identify documentation deficiencies and communicate via EPIC query with providers for clarification.   •      Review denials, coding corrections related to anesthesia services.   •      Maintains confidentiality of patient information as per the MediSys Health Network policy. •      Meeting productivity levels of charts,60-100 anesthesia charts per day not limited to number of transactions filed or complexity of the account.   •      Reviews assigned work queues. •...

JOB SUMMARY: CDI Specialists will collaborate extensively with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve the quality, specificity, accuracy and completeness of the documentation of care provided and coded. CDI Specialist will review medical records for opportunities for diagnosis clarification and validity as it pertains to DRG assignment, severity of illness, risk of mortality, and case mix data as well as timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. These goals will be accomplished by chart review and query placement when appropriate following AHIMA guidelines and CorroHealth policies and procedures. This is a remote position ESSENTIAL DUTIES AND RESPONSIBILITIES:  Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended...

JOB SUMMARY: Coding Specialists are an important part of the Team at CorroHealth. Will be Coding Professional Fee charts in several specialties for clinics. Specialties needed: Trauma, Neurology/Neurosurgery, Interventional Radiology, Hospitalist, and Orthopedic This is a remote position ESSENTIAL DUTIES AND RESPONSIBILITIES:  Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member. This is a remote position Must live in the US. Specialties needed: Trauma,   Neurology/Neurosurgery,   and Interventional Radiology Team Member must be able to work...

About the role:                                                        The Audit and Coding Specialist (“Audit and Coding Specialist”) is an integral member of Community Reach Center’s Quality Improvement (“QI”) Division. The Audit and Coding Specialist is responsible for managing all aspects of assigned projects, reviewing compliance standards to maintain quality assurance functions, and support risk management activities for the agency. Additionally, the Audit and Coding Specialist will have other duties and responsibilities as determined from time to time by the Utilization Manager. Essential Functions:  Designs and implements internal compliance audits, regularly monitoring accuracy and adherence to documentation requirements in collaboration with Utilization Manager to support continuous quality improvement and compliance as identified in the Quality Management Plan (QMP). Conducts audits as determined by the Manager or Director. Oversees...

Join Our Team We are seeking a detail-oriented and experienced   Medical Billing and Coding Specialist   to join our growing team. This role is ideal for a motivated professional who thrives in a fast-paced, team-oriented environment while maintaining the ability to work independently. This is an onsite position located in Linden, NJ. This position has the ability to go remote after six months. If you enjoy solving complex billing challenges, analyzing denial trends, and contributing to process improvements, this is a great opportunity to advance your career. What You’ll Do As a key member of our revenue cycle team, you will take ownership of complex billing processes and serve as a resource for coding and payer-related issues. Core Responsibilities: Review, code, and submit provider/practice claims with accuracy and timeliness Independently manage assigned work queues to ensure proper charge capture Investigate and resolve complex claim denials and...

Director of Operations/Revenue Cycle Manager Millstone Healthcare Full-Time | In Person/Leadership Role | Physical Medicine Practice About Millstone Healthcare Millstone Healthcare is a growing multi-disciplinary physical medicine practice with over $3 million in annual revenue and a team of 35+ employees dedicated to delivering exceptional patient care. We specialize in Federal Workers Compensation, Personal Injury, & Aesthetics.  Our collaborative environment brings together providers and staff focused on improving patient outcomes while creating an efficient, positive experience for every patient we serve. We are seeking an experienced, highly organized, and results-driven  Director of Operations/Revenue Cycle Manager  to oversee the daily operations of our practice and help lead our next phase of growth. Position Summary The Director of Operations/Revenue Cycle Manager will be responsible for the overall administrative and operational...

Summary The Experienced Medical Billing Specialist provides best-in-class full RCM billing services for our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late, underpaid or denied; work closely with providers, practice managers and staff to implement best practice protocols. Responsibilities Learn and become proficient with the premiere pediatric system in the industry - Physician’s Computer Company (PCC) Billing. Efficiently analyze insurance claims throughout the submission process, insuring claims are accurately coded in a timely fashion, and for optimum reimbursement and compliance. Ensure that all claims reach the payers, and independently resolve any issues (underpayments, denials, etc.) with the claims so they are paid fully and on time. Post payments, organize processing of patient correspondence and statements. Answer phone inquiries from...

SCOPE/GENERAL PURPOSE OF JOB:   The Coding Specialist is responsible for abstracting all E/M, CPT, HCPCS, ICD-10-CM, modifier, and units from the medical record documentation.  Other responsibilities include accurately entering data into coding/billing software and/or Excel reports.  Performing accurate coding using applicable guidelines and facility protocols and communicating with staff and/or providers as needed.  Provide written feedback of coding results as needed in the form of comments, summary of findings, and recommendations.  Ensure compliance with federal and state laws, regulations and standards related to health information and coding principles.       ESSENTIAL DUTIES AND RESPONSIBILITIES:   Assign ICD-10 CM and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/or Professional fee coding) depending on the specific...

Bring your coding expertise to SSM Health in a role where education, quality, and compliance come together. As a Coding Educator, you’ll partner with providers and coders, lead training initiatives, and influence documentation and coding practices that support accuracy, consistency, and revenue integrity across the organization. PRIMARY RESPONSIBILITIES Drives optimal clinical and financial outcomes through thorough assessment of provider documentation and coding competency, identification of improvement opportunities. Develops and delivers training and education of all coding processes. Stays abreast of regulatory changes and works with leadership to ensure compliance and revenue integrity. Act as subject matter expert for providers and coders while providing guidance and clarification on issues which present in their daily account processing. Establishes and coordinates internal quality review processes and corresponding training for providers and coders....

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. Risk Adjustment Coding Specialists are an important part of the Team at Virtix Health. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements. Equipment provided along with Encoder software with access to AHA Coding Clinic This is a remote position ESSENTIAL DUTIES AND RESPONSIBILITIES:...

Lead Coding. Drive Revenue Integrity. Shape Provider Performance.  El Camino Health is seeking a highly experienced HIM Professional Billing Coding Manager to lead coding operations across its medical network. This is a critical leadership role directly tied to revenue cycle performance, compliance, and provider documentation excellence. If you bring deep expertise in professional billing (PB) coding, auditing, and provider education , this is your opportunity to make a meaningful impact within a respected, nonprofit health system. About El Camino Health El Camino Health is an integrated, nonprofit health system known for delivering high-quality, patient-centered care across its communities. With a strong commitment to innovation, compliance, and clinical excellence, the organization plays a vital role in driving healthcare outcomes and access across the region. This position is onsite in Mountain View, CA 2 days a week, with 3 days available for remote work....

As a onsite Medical Billing Specialist at On With Life, you can be a part of something greater. This position is responsible for generating and submitting claims for our various programs in a timely manner and managing the accounts receivable. The goal is to generate clean claims for payments to allow persons served, families and clinicians more time to focus on treatment and recovery. Hours for the Medical Billing Specialist are primarily between 8am and 4:30pm, Monday-Friday, approximately 40 per week. No holidays or weekends are required, but some earlier or later hours may periodically be needed. We do annual raises based on budget capacity, and you also have the opportunity for a discretionary bonus at your anniversary. Starting wage of $20/hour for applicants with a minimum two years medical billing experience or a Medical Billing Certificate.   This position is eligible for subsidized medical and dental insurance, vision insurance, free life and long-term disability...

Champion Accurate Coding. Win Appeals. Make an Impact. Primarily Remote | Monthly Onsite   Love the challenge of proving you’re right? This role is for coders who don’t just assign codes — they defend them. You’ll be part of a team that ensures providers are paid accurately for the care they deliver. When a payer says no, you build the case that turns it into yes. Your coding expertise, clinical insight, and persistence directly impact reimbursement and provider success.   What makes this role exciting You’ll advocate for correct payment, not just code charts Your work directly reverses denials and underpayments You’ll collaborate with physicians, payers, and fellow coding experts Every appeal you win is a tangible victory   What you’ll do Review medical records to validate accurate ICD‑10, CPT, and HCPCS coding Identify documentation or coding issues that impact reimbursement Build, submit, and follow payer...

A Day in the Life of a Revenue Integrity Senior Director As the lead of the Revenue Integrity Division, the Revenue Integrity Senior Director defines and carries out the strategy for maximizing gross and net revenue captured across the health system. The Senior Director serves as the chief liaison between Revenue Cycle Administrator, Revenue Integrity Medical Director, and clinical departments. This position will also ensure the availability and interpretation of reporting and analytics necessary for the clinical and Revenue Cycle departments to drive financial improvement. This position oversees the following functions: hospital/facility coding, Clinical Documentation Improvement, revenue reconciliation, Revenue Guardian, payment validation, and avoidable write-off prevention, and reporting and analytics. Why Work at Cheyenne Regional? 403(b) with 4% employer match ANCC Magnet Hospital 21 PTO days per year (increases with tenure) Education Assistance Program...

AAPC is seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder. This position is a fully remote contract role. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will possess the following: Minimum 5 years of coding experience Extensive coding in multiple specialties including: all primary care specialties, anesthesia, general surgery, dermatology, and orthopedics. Excellent written and verbal communication skills Detail oriented and deadline driven attitude Sound knowledge of medical terminology Strong computer skills (Excel, Word, and internet) Ability to multitask and keep a sense of urgency Excellent customer service skills Strong time management, organization skills, and work ethic Job Duties:...