25 medical billing specialist jobs found in Tracy, CA

Job Title: Medical Billing Specialist Location: Gainesville, FL – Onsite – Local candidates only Period: 05/10/2024 to 12/16/2024 - possibility of extension Hours/Week: 40 hours Rate: $23-$25/hour (Hours over 40 will be paid at Time and a Half) Contract Type: W-2 Scope of Services: The Medical Billing Specialist is a pivotal member of our team, ensuring that the company meets its monthly financial goals. This role requires a diverse skill set and competencies to effectively communicate, negotiate, analyze, and resolve issues with payers and patients while adhering to HIPAA and PHI regulatory requirements. Role, Responsibilities, and Deliverables: Ensure compliance with HIPAA and PHI regulatory policies and practices throughout all phases of client information processing. Report any compliance issues to the Director of Operations promptly. Coordinate the insurance verification process, ensuring clarity for clients regarding their co-pay responsibilities. Facilitate the...

Job Title: Medical Billing Specialist Rate: $25 - $26/hr Location: Livermore, CA (100% Onsite) Schedule: Monday–Friday, 7:00 AM–3:30 PM Contract Duration: 1 Year (with possible extension) Contract Type: W2 (must be authorized to work in the US; no sponsorships or C2C) Job Description We are seeking a Medical Billing Specialist to join our client\'s onsite team in Livermore, CA. In this role, you will be responsible for handling insurance follow-up and claim denials, ensuring that all reimbursements are accurately processed. As the liaison between insurance carriers, patients, and internal departments, you will strive to maintain high-quality standards in customer service and meet daily/monthly productivity goals. Key Responsibilities Insurance Follow-up & Denials: Initiate contact with insurance carriers regarding claim status, address denials, and document all collection activities accurately. Claims & Billing Accuracy: Verify billing information, submit...

Senior Medical Billing Specialist Full Time Sunnyvale, CA, US 5 days ago Requisition ID: 1363 Salary Range: $70,000.00 To $100,000.00 Annually Work Location: Sunnyvale, CA - Onsite, 5 days per week Pay Range: $70,000 - $100,000 Our Company: Founded in 2010, iHealth is dedicated to empowering people to live healthier lives. The company is a leader in designing and manufacturing consumer-friendly, mobile personal healthcare products connected through the cloud that allows consumers to easily measure, track, and share vital health information with their doctors. With a focus on delivering high-quality and accessible products, iHealth is at the forefront of the digital health revolution. In 2018, iHealth established the Unified Care program to address the issue of managing chronic diseases. iHealth Care specialists support patients beyond the doctor’s office with chronic conditions via Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) to achieve better health...

LocationPalo Alto, United StatesJobs at Lucence# Senior Medical Billing Specialist at LucenceLocationPalo Alto, United StatesSalary$35 - $45 /hourJob TypeFull-timeDate PostedJune 17th, 2025Apply NowLucence is a pioneering precision oncology company with a bold vision: a world where cancer is defeated through early detection and timely treatment. Our cutting-edge liquid biopsy tests use advanced molecular profiling to guide personalized cancer therapies, transforming how cancer is diagnosed and treated. At Lucence, we are shaping the future of precision medicine by capturing both genetic and cellular data from a single blood draw, bringing us closer to our mission of overcoming cancer.## **Position Summary**At Lucence, every process we build supports one mission: enabling earlier cancer detection so patients can live longer and healthier lives. As a **Senior Medical Billing Specialist**, you play a vital role in that mission. You will ensure that our billing operations are accurate,...

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...

Sub Acute Billing and Accounting Specialist - Patient Accounting 01 Base pay range: $24.00/hr - $25.00/hr Employment type: Contract Seniority level: Mid‑Senior level Job function: Administrative Industry: Pharmaceutical Manufacturing Responsibilities Handling inbound calls related to billing statement inquiries Following up on outstanding patient balances Interpreting EOBs (Explanation of Benefits) Qualifications Strong medical billing and insurance knowledge Experience with customer service in a healthcare setting Resolving unpaid accounts efficiently while meeting quality and productivity standards Location: Livermore, CA #J-18808-Ljbffr

Job Description Job Description Job Title: Customer Accounts Specialist – Medical Billing Location: 100% Onsite in Livermore, CA Schedule: Monday – Friday, 7:30 AM – 4:00 PM PST Pay Rate: $22-25/hour Start Date: ASAP (pending successful completion of screenings) Overview We are seeking a Customer Accounts Specialist to join our client’s Revenue Cycle Management team in Livermore, California. This individual will manage inbound patient billing inquiries, resolve outstanding balances, and ensure a positive customer experience while maintaining compliance with company standards and HIPAA regulations. The ideal candidate has a strong understanding of medical billing, insurance processes, and EOB interpretation, along with exceptional communication and problem-solving skills. This is a fully onsite position—remote or hybrid work is not available. Key Responsibilities Handle up to 50 inbound patient calls daily, providing courteous, professional...

Online Medical Billing and Coding Training Become a Certified Medical Billing and Coding Specialist Medical billing and coding is a rising star in the healthcare field today. This 100% online course will prepare you to start a career in this high-demand occupation and earn the medical billing and coding professional certification that best aligns with your interest and career goals. You’ll learn how to use the Healthcare Common procedure Coding System (HCPCS) and the CPT Category II and ICD-10 codes. Additionally, you’ll gain hands‑on practice using medical billing and coding software. Upon course completion, you’ll receive a voucher for the certification exam of your choice: CPC, CCA or CBCS. Prerequisite: There are no prerequisites to take this course. JOB OUTLOOK FOR MEDICAL BILLING AND CODING SPECIALISTS According to the U.S. Bureau of Labor Statistics (BLS), medical billing and coding specialists earn an average yearly salary of $47,180 (as of May 2022). Jobs for these...

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...

ABA Billing Specialist Key Responsibilities: Submit accurate and timely claims for ABA services to private insurance, Medicaid, and other payers Verify insurance eligibility and benefits for new and existing clients Track and follow up on unpaid or denied claims; initiate appeals as needed Manage authorizations, re-authorizations, and documentation requirements for ongoing services Reconcile payments, post EOBs, and generate client invoices as needed Maintain compliance with HIPAA, payer guidelines, and ABA-specific billing codes (e.g., CPT 97151, 97153, 97155) Collaborate with BCBAs, administrative staff, and families to resolve billing issues and ensure smooth revenue cycle operations Requirements: 2+ years of medical billing experience, with a strong focus on ABA or behavioral health services Proficiency in billing software and clearinghouses (e.g., CentralReach, Office Ally, Kareo, SimplePractice) In-depth knowledge of ABA billing codes, modifiers, and...

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....

Salary Range: $54.72 - $74.94 + applicable differentials Division Revenue Cycle Job Title Coder III – Per Diem Job Code 562 Job Summary Coder III – Per Diem is a senior‑level coding professional responsible for accurately assigning ICD‑10‑CM, ICD‑10‑PCS, and CPT/HCPCS codes for complex inpatient and outpatient encounters. The role ensures precise DRG assignment, optimal reimbursement, and compliance with federal, state, and commercial payor regulations. The Coder III serves as a subject‑matter expert and provides guidance to clinical documentation, coding staff, and revenue cycle leadership to support accurate charge capture and reduce denials. In addition to performing the essential functions listed below, the role may also be assigned other duties as required. Statement of Accountability Reports to: Director of Health Information Management Qualifications 1. Education Associate of Arts (AA) or Associate of Science (AS) degree in Health Information Technology 2....

Inpatient Medical Coder 2 This area codes inpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Medical Center and The James Cancer Hospital. ICD-10-CM/PCS codes are assigned for the diagnoses and procedures for all inpatients treated within the OSU Health System. Medical record abstract data is reviewed for accuracy in EPIC/IHIS before completing the chart. This position is responsible for coding some or all the following types of records: inpatient record types. The position is primarily responsible for coding medical records and other documents at the conclusion of the patient's visit. This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, and sequencing diagnoses and procedures. Codes flow from the Encoder Software to EPIC/IHIS Resolute Billing system. This staff member is responsible for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital...

Lead Medical Coding Specialist The Lead Medical Coding Specialist works in conjunction with the Coding Supervisor to ensure accuracy, consistency and efficiency in relation to code assignment for reimbursement and reporting purposes. The Lead Medical Coding Specialist will complete quality reviews for coding staff in order to validate code and reimbursement assignments. This position is a "working" Lead position and is expected to work alongside staff as well as provide direction. Essential Job Functions Assist Coding Supervisor in the supervision of Medical Coding staff for Emergency Facilities, Inpatient, Observation and Ancillary services coding Assists in managing staffing schedule and departmental overtime Performs quality review of staff for accuracy/efficiency and identifies charge capture opportunities Completes metric reporting as required by agreed upon deadlines and assists in month end close processes In conjunction with the Coding Supervisor, ensures standard...

Inpatient Hospitalist Coding At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Description Fulltime Remote Position (40 hour work week) Inpatient Hospitalist Experience needed for this role. Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance....

Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews 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. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Normal office environment. Typically...

Join to apply for the Medical Billing Coder role at UCSF Health Continue with Google Continue with Google 1 day ago Be among the first 25 applicants Join to apply for the Medical Billing Coder role at UCSF Health Job Summary Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating. Working under direct supervision the incumbent acquires knowledge of revenue cycle coding practices and concepts. Developing proficiency to manage 500 - 1000 code combinations to include Evaluation and Management Services as well as simple to moderately complex testing and procedural code services. FPO - Revenue Management Full Time 85300BR Job Summary Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder...

Medical Billing Coder Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating. Working under direct supervision the incumbent acquires knowledge of revenue cycle coding practices and concepts. Developing proficiency to manage 500 - 1000 code combinations to include Evaluation and Management Services as well as simple to moderately complex testing and procedural code services. The Medical Billing Coder will work to acquire and master all entry-level coding functions including assigning appropriate CPT and Dx codes, associated modifiers, appropriate NCCI edits, resolving coding edits and RFIs as well as basic entry-level revenue cycle duties. Other duties may include assisting other Departments as needed/assigned. As a Medical...

Ambulatory Professional Fee and Hospitalist Coder Apply for the Ambulatory Professional Fee and Hospitalist Coder role at NorthBay Health. Job Description At NorthBay, the 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 in the hospital setting. The ideal candidate is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. The candidate can effectively communicate with providers via email, query, phone call, or in person to educate or discuss coding requirements. The role abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital’s abstracting system. Work is performed using the approved classification coding systems to include the modifiers. All work is carried out in accordance with the...

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),...

Coding Auditor Location: Remote Position Pay Range: $20.78 - $36.53 Position Summary Responsible for performing E/M audits, summarizing the results, communicating the outcomes to all parties and completing any follow up or educational needs as required. Responsible for the review and completion of email requests in a timely manner as well as reviewing and completing ticket requests. Assigned list review and update in a timely and accurate manner. Contributes to the completion of government audits when requested. Key Performance Areas Provide coding support for physicians. Provide coding support for Claims Resolution Specialists. Meet with Manager to discuss coding trends and report any coding issues. Attend seminars and training sessions and report any changes or concerns to Manager/Compliance Officer. Maintain and ensure the confidentiality of all patient and employee information at all times. Assist in training new employees to related job duties. Will be expected to...

Ovation Healthcare At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated professionals with a desire to help independent hospitals...

Health Information Coder III The Health Information Coder III is a senior level inpatient coder with the knowledge and skill set to utilize the ICD-10-CM and ICD-10-PCS classification systems to code acute academic, teaching inpatient cases. The skill set extends to knowledge and comprehension of code sequences into Diagnoses Related Groups on acute academic, teaching inpatient cases. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services. There is minimal review of coding for quality. The employee will work eight (8) hours per day, excluding meal periods, on five (5) consecutive days within a workweek. The workweek schedule is set between the employee and the manager and may be scheduled to start any day of the week based on manager approval. DUTIES...

Job Description 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 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...