144 medical billing specialist ii jobs found

Join to apply for the MEDICAL BILLING SPECIALIST II role at Premier Health Partners . 2 days ago Be among the first 25 applicants. Summary Of Position The Medical Billing Specialist works to ensure timely and accurate reimbursement on medical claims for physician services rendered. This position is part of a centralized billing office and provides medical billing services for multi-specialty physician services. Details Location: Centralized Billing Office Schedule: Full-time, Days, 80 hours per pay period Responsibilities The Medical Billing Specialist is responsible for collecting and entering timely and accurate claim information. This includes submitting claims following insurance carrier guidelines and following up on unpaid, rejected, or denied claims. The specialist reports to the A/R Manager within the Centralized Billing Office. Qualifications High School diploma or equivalency Preferred: Three years of healthcare billing and collections experience or a...

Job Description Job Description BILLING SPECIALIST II Salary $21.00 to $22.00 Full time and in-office Benefits: 403(b) 403 (b) matching Dental insurance Health insurance Paid time off Vision insurance Flex Spending account Health Saving account Life Insurance Critical Illness, Short-term and long-term disability and accident insurances Job Summary : Responsible for visit review, billing, payment posting and payroll functions. Performance Expectations for All Employees: Protects confidential information and understands responsibilities regarding the Health Insurance Portability and Accountability Act (HIPAA) and protected health information (PHI). Complies with safety instructions, observes safe work practices, and provides input on safety issues and promotes a safe work environment. Meets the agency’s expectations for exemplary customer service. Pursues learning opportunities to enhance personal and professional capabilities. Adheres to all agency...

Job Description Job Description Description: Job Title: Medical Billing Specialist 2 Job Family: Patient Services Department: Billing Reports to: Business Office Manager Classification: Non-Exempt Status: Full Time Date Updated: May 2023 Our Mission We pursue excellence in the delivery of professional, compassionate, and complete eye care. Our Values Empathy | Seek to understand others’ feelings and perspectives. Extend Grace | Offer kindness and forgiveness. Desire to Help People in Need | Strong sense of social responsibility. Desire to Work | Perform your job regularly, consistently, and to the best of your abilities. Invest in Yourself | Never stop learning. Position Summary A successful Medical Billing Specialist (MBS) is responsible for actions that support and safeguard Fogg Remington EyeCare (FRE) Standard of Patient Care. As an MBS, you will juggle multi-tasks simultaneously and regularly complete ad hoc projects. The workday...

Administrative/Clerical Requisition #: 101288 Post Date: May 22, 2025 Requirements: High School diploma or equivalency certificate. Three years of previous healthcare billing and collections experience preferred. Knowledgeable about third party billing regulations and CPT/ICD coding. Proficient computer and data entry skills. Effective problem solving skills and ability to work independently. Working knowledge of spreadsheet applications. Proven record of dependability. Effective verbal and written communication skills. Detail oriented and ability to prioritize work. Effective time-management skills.

THE POSITION Under general direction (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance reimbursement requirements. IDEAL CANDIDATE The ideal candidate has specialized expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. Skilled in the Medi-Cal Provider Manual and TAR process, they ensure timely, compliant submissions that support access to behavioral health services. They communicate effectively with peers, patients, and payers, resolve billing discrepancies, and address compliance issues in collaboration with the compliance office. Experienced in leading and training staff on Managed Care, Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure accuracy, efficiency, and regulatory adherence in all mental health billing operations. Medical Billin g Specialist III ( $ 25.10 - $31.86...

Overview THE POSITION: Under general direction (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance reimbursement requirements. Ideal Candidate The ideal candidate has specialized expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. They are skilled in the Medi-Cal Provider Manual and TAR process, ensuring timely, compliant submissions that support access to behavioral health services. They communicate effectively with peers, patients, and payers, resolve billing discrepancies, and address compliance issues in collaboration with the compliance office. They have experience in leading and training staff on Managed Care, Medicaid, Medi-Cal, Medicare, and Commercial Insurance, and ensure accuracy, efficiency, and regulatory adherence in all mental health billing operations. Medical Billing Specialist...

Lead Medical Coder and Auditor ProSidian Consulting is looking for a talented professional ready to deliver real value to clients in a fast-paced, challenging environment. ProSidian Consulting is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. ProSidian seeks a Lead Medical Coder and Auditor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on the medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land...

Coder II The posted compensation range of $21.23 - $29.20 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. The Coder II is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. The Coder II is able to work independently with limited oversight and may require direction from supervisor or more senior co-workers on complex cases. Accurately abstracts information...

divh2Coder II Position/h2pSpecialty Scope for this coder II position to include but not limited to:/ppUpper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair; Elbows: Cubital tunnel release, Bursectomy, Arthroplasty; Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment); Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytrens (Palmar fascial fibromatosis), Amputations; Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy; Pelvis: Fracture repairs; Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs; Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy; Tibia/Fibula:...

Avera Coding Specialist III Location: Avera Downtown Building-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: $28.00 - $41.75 Position Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the timely and accurate assignment of diagnostic and procedural codes for most types of inpatient charts for a across multiple facilities within Avera Health with a focus on the more complex and high-dollar cases. Accurate abstracting, along with other reporting and editing functions to meet quality and production goals for the position, with occasional guidance from other professional staff. Provide mentorship and training to Coder I, II, and III's along with helping others with denials management. What You Will Do Review all aspects of a patient's clinical documentation in order to identify...

Coder III Responsible for the timely and accurate assignment of diagnostic and procedural codes for most types of inpatient charts for across multiple facilities within Avera Health with a focus on the more complex and high-dollar cases. Accurate abstracting, along with other reporting and editing functions to meet quality and production goals for the position, with occasional guidance from other professional staff. Provide mentorship and training to Coder I, II, and III's along with helping others with denials management. What You Will Do: Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM diagnosis and PCS procedure codes for assigned patient charts across Avera's facilities. Understand the basics of ICD-10-CM and PCS codes in depth, and be willing to update that knowledge through research or other educational opportunities. Coder III - In patient is distinguished by specific services lines which could include...

Coder II Position Specialty scope for this coder II position includes but is not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy Tibia/Fibula: Plateau...

divh2Coder II/h2pSpecialty scope for this coder II position includes but is not limited to:/ppUpper Extremity:/pp Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair/pp Elbows: Cubital tunnel release, Bursectomy, Arthroplasty/pp Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment)/pp Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytrens (Palmar fascial fibromatosis), Amputations/ppLower Extremity:/pp Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy/pp Pelvis: Fracture repairs/pp Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs/pp Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy/pp...

Medical Billing And Coding Specialist Christ Health Center has an excellent opportunity for a Medical Billing And Coding Specialist to join our team. The Medical Billing & Coding Specialist will provide administrative support and collaboration with the CFO & Revenue Cycle Manager in establishing coding, billing, and payment for all medical services. The Billing Specialist will participate in the coding, documentation, billing and payment cycle for Christ Health Center, a Federally Qualified Health Center and will be available for special projects requested by the Revenue Cycle Manager. Benefits: -401K & 401K Matching -Medical, Dental, & Vision Insurance $25,000 Basic Life & Accidental Death & Dismemberment Insurance-After the 90 Day Probationary Period During The Term of Employment with CHC -STD, LTD, and Optional Life Insurance -Paid Time Off -Employee Assistance Program Schedule: Monday-Friday Supervisory Responsibilities: None Major Duties...

Position Summary MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. Position Summary: This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. At Orlando Health, we are ordinary people with extraordinary...

Job Description Job Description INTRODUCTION Under the supervision of the Medical Billing Coding Manager, the coding specialist is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding specialist also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. DUTIES AND RESPONSIBILITIES Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Supports the Senior Medical Billing and Coding Specialist to respond to audit findings and make applicable coding additions or corrections. Registers and analyzes claims in the EMR...

Hcc Coding Quality Educator Location: Madisonville, Louisiana, United States of America Category: Clerical Remote: Office/Remote Hybrid Widget: Full time Undefined: Regular At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste. Job Description And Position Requirements Scheduled Weekly Hours: 40 Job Summary: The HCC Coding Quality Educator (HC) facilitates the improved integrity of medical record documentation through interaction with healthcare providers to support the appropriate representation of severity of illness,...

Coder Trainee Position All responsibilities of coder trainee, coder I, II plus the following: Monitors and responds to accounts on Pre-Bill edit and error reports. Assists with training other coders as requested. Performs PHC4 coding corrections; provides feedback to coders who made errors. Monitors the Daily Cirius Error report to ensure that there are 0 accounts exceeding the expected completion timeframe. Review and respond to the Pre-Bill Edit report issues to ensure timely billing. Assists with special projects as requested. Responsibilities: Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care and assign appropriate codes. Review appropriate documents in the patients' charts to accurately assign a diagnosis and/or procedure. Ensure the diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG/APC/ASC or payment tier under the Prospective Payment system...

Job Description Job Description The Professional Review Specialist provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills to determine appropriateness of medical care. This position will be in our Hartford, CT office during training, and once fully trained transitioned to a hybrid work arrangement. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of...

Coder II Position Specialty scope for this coder II position includes but is not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy...

Job Description Job Description Seeking a highly accurate and detail-oriented Certified Medical Coder (CPC) with experience coding DME, specifically within the Workers’ Compensation sector to work in-office at our Tampa headquarters. This role involves strong knowledge of state-specific Workers’ Compensation guidelines, experience working with payer-specific rules, and prior experience coding services tied to injury-related care. The coder will be responsible for assigning accurate HCPCS codes to ensure compliant billing and optimal reimbursement. Pay range starts at $50,000+ dependent on experience. Any offer made will be based on the candidate's experience and skill level. DUTIES AND RESPONSIBILITIES: Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Complying with medical coding guidelines and policies to apply appropriate state-specific Worker’s Compensation rules (including...

Coder II Specialty scope for this coder II position to include but not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy Tibia/Fibula: Plateau...