279 medical coder accounts receivable specialist jobs found

Medical Coder/Accounts Receivable Specialist/Billing Job Description Job Description: The Medical Coder and Accounts Receivable (AR) Specialist is responsible for accurately assigning medical codes to diagnoses, procedures, and services provided by healthcare providers. In addition to coding duties, this role will handle accounts receivable functions, ensuring timely collection of payments from insurance companies and patients. The ideal candidate will possess strong knowledge of medical coding systems and healthcare revenue cycle processes, with a focus on maintaining compliance with regulations and optimizing revenue collection. Daily Tasks: 1. Accurately assign appropriate ICD-10, CPT, and HCPCS codes to patient diagnoses, treatments, and procedures based on physician documentation. Ensure coding practices adhere to all relevant regulations, payer guidelines, and healthcare industry standards. Review and interpret clinical documentation to ensure proper coding of complex...

Job Description Medical Biller Job Type: Full-time | Day Shift (No nights, weekends, or holidays) Locations: Grand Rapids, MI Join Our Team at Grand Valley Medical Specialists Grand Valley Medical Specialists (GVMS) is a well-established, physician-owned private practice that’s been serving the Grand Rapids community since the 1930s. Our team includes 15 internal medicine, pediatrics, and family medicine physicians, along with 5 advanced practice providers—all working together to provide compassionate, high-quality care. We’re currently seeking a detail-oriented Medical Billing Specialist with strong analytical skills and a thorough understanding of revenue cycle management. This role is essential to ensuring accurate coding, timely billing, and effective follow-up on claims, helping our practice maintain financial health while supporting excellent patient care. What You’ll Do Accurately code medical services and procedures to ensure proper billing and compliance Submit claims...

Medical Billing & Coding Specialist Position Summary The Medical Billing & Coding Specialist is responsible for managing insurance billing, claims processing, coding accuracy, and collection activities. This role ensures timely reimbursement, maintains compliance with coding guidelines, identifies documentation gaps, and works collaboratively with clinical and administrative teams to support accurate billing practices. This is an on-site position and is not remote. Education, Experience, and Certification Requirements High school diploma, GED, or equivalent required. Associate degree, bachelor’s degree, or relevant experience in medical records, healthcare administration, billing, or claims processing preferred. Experience with Kentucky Medicaid, medical billing, coding, insurance claims, or revenue cycle management preferred. Certification preferred: Certified Coding Associate (CCA) through AHIMA Certified Coding Specialist (CCS) through AHIMA Certified...

Company : Allegheny Health Network Job Description : This position is eligible for a $10,000 sign on bonus with a 2 year commitment This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and...

Company : Allegheny Health Network Job Description : This position is eligible for a $10,000 sign on bonus with a 2 year commitment This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and...

Physician Billing & Coding Specialist I The Physician Billing & Coding Specialist I is responsible for supporting the professional billing lifecycle, including physician coding, charge review and reconciliation, billing, and A/R follow-up. This role reviews clinical documentation for accurate ICD-10, CPT, and HCPCS code assignment; ensures compliance with regulatory and payer requirements; resolves patient and third-party account issues; and serves as a liaison between providers, payers, and patients to promote timely, accurate reimbursement. Education High school diploma or equivalent required Associate's or Bachelor's degree preferred (Health Information Management, Business, or related field) Experience Minimum of two (2) years' experience in healthcare coding, billing, patient accounting, or revenue cycle operations Hospital or physician billing experience preferred Certifications (Required) CPC, CCS-P, CCSP, or equivalent coding certification...

Overview In Person Medical Coding and Billing Specialist (CPC or CPB required) Responsibilities Address A/R aging report under the direction of the Director of the department Consistently follow up on outstanding claims to deduce timely payment from payer Handle patient billing and accounts receivable from payers Review new patient insurance to ensure accuracy Diligent review of AR reports, address rejections, medical records requests to support medical necessity, denials pursuant to AVS billing policy Review all denials for correction, execute corrections Coordinating insurance reimbursement of care providers Translating medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities Ensure coding practices are within American Medical Association CPT/HCPCS guidelines Review VA authorization to ensure planned care coincides with authorization Serve as a point of contact for all billing questions stemming from providers, patients...

Company : Allegheny Health Network Job Description : This position is eligible for a $10,000 sign on bonus with a 2 year commitment This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and...

Company : Allegheny Health Network Job Description : This position is eligible for a $10,000 sign on bonus with a 2 year commitment This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and...

Job Description Job Description Position Description: Our busy, growing retina practice is seeking an experienced Medical Billing Specialist to join our revenue cycle team. The ideal candidate will have extensive knowledge of ophthalmology or retina billing and a proven ability to maximize reimbursement through effective claims management, denial resolution, appeals, and buy-and-bill prior authorization processes.This position plays a critical role in ensuring timely reimbursement while maintaining compliance with payer guidelines and industry regulations.Essential Responsibilities:•\tManage insurance claim submissions, payment posting, and accounts receivable follow-up.•\tInvestigate, resolve, and appeal denied or underpaid medical claims with commercial insurers, Medicare, and Medicaid.•\tPrepare and submit comprehensive first-level and second-level appeals, including supporting medical documentation and payer-specific requirements.•\tMonitor payer trends and identify root...

Physician Billing AnalystThe Medical Billing Analyst is an intermediate billing position within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS). This role is centered around the timely follow up needed on accounts that have already been billed but need re-billing, accounts in which the payer has not responded within the regulatory guidelines, or AMHS has received a denial that needs an immediate action and/or rebuttal. The denials assigned in this role are more intricate than others and the denial response may require a professional narrative accompanied by supporting documentation to be overturned. Some or all these areas may be the focus of the position depending on the resources needed. The incumbent must be able to prove that they have an ability to learn quickly and work independently. They will possess the ability to use payer websites to locate payer policies that may be impacting the ability for AMHS to be paid timely. The incumbent will...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. ( 65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. ( 15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. ( 10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in...

Overview The Revenue Cycle Medical Billing Specialist is responsible for the overall account resolution of patient accounts within the revenue cycle management (RCM) process. Ensures timely billing of claims to payers and follow up of denials, appeals, recoupments and balance management. Ability to audit and provide feedback on the billing process and outcomes. Works cooperatively with other departments to ensure timely billing, reporting and patient account management. Supports the organization’s strategic plan and workplace inclusion initiatives. Abides by the organization’s mission in performing job duties. Demonstrates an understanding and commitment to PPGT’s culture of quality, safety and risk awareness. Responsibilities Reviews submission of claims by third party billing team to the clearinghouse to ensure accuracy. Processes reimbursements and payment adjustments with attention to detail, timeliness, and accuracy. Makes corrections and prepares appeals related to claim...

Job Description Job Description Description: Join Our Team as a Medical Billing Specialist! Are you an experienced Medical Billing Specialist with a passion for accuracy and efficiency? Do you thrive in a fast-paced, dynamic environment where your contributions truly matter? If so, we want you on our team! We’re looking for a detail-oriented, dedicated professional to manage and streamline our medical billing process. This is a full-time, in-person opportunity with competitive pay, outstanding benefits, and a supportive work culture. Bring your expertise to our team, and let's make a difference in healthcare together! What You’ll Be Doing: As a Medical Billing Specialist, you will be the backbone of our billing operations, ensuring accuracy and efficiency in every step of the process. Your key responsibilities will include: Claims Superhero: Review, process, and submit medical claims to insurance companies—both electronically and on paper—with exceptional...

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Moore OB/GYN is seeking an experienced and detail-oriented Certified Medical Billing & Coding Specialist to join our growing team. The ideal candidate will have strong OB/GYN coding knowledge, payer compliance expertise, and the ability to manage accounts receivable efficiently. ???? Position: Certified Medical Biller/Coder ???? Employment Type: Full-Time ???? Location: Forestville – Maryland Key Responsibilities: Accurate CPT, ICD-10, and HCPCS coding (OB/GYN focus) Review and submission of claims (commercial, Medicaid MCOs MD/DC ) Manage denials, appeals, and AR follow-up Verify patient eligibility and benefits Ensure compliance with payer policies (UHC, CareFirst, JHHP, MD/DC Medicaid, etc.) Work within EMR/PM system  Apply appropriate modifiers (25, 59, 51, etc.) Monitor payer updates and policy changes...

Job Description Job Description Description: Vital Health and Integrative Care is seeking an experienced Medical Biller and Medical Coder to join our growing outpatient psychiatry practice. This is an in-office position responsible for managing the complete medical billing cycle, insurance claims, coding accuracy, payment posting, denial management, and insurance follow-up. The ideal candidate has experience billing for psychiatry and behavioral health services and is knowledgeable in CPT, ICD-10, and payer requirements. Requirements: Minimum of 2 years of medical billing and coding experience in a physician's office or outpatient setting.  At least 1 year of psychiatry or behavioral health billing experience required.   Knowledge of CPT, ICD-10-CM, and HCPCS coding.  Experience with commercial insurance, Medicare, Medicaid, and Tricare claims.  Proficient in the complete revenue cycle , including charge entry, claims submission, payment posting, denial management,...

Job Description Job Description Medical Biller Job Type: Full-time | Day Shift (No nights, weekends, or holidays) Locations: Grand Rapids, MI   Join Our Team at Grand Valley Medical Specialists Grand Valley Medical Specialists (GVMS) is a well-established, physician-owned private practice that’s been serving the Grand Rapids community since the 1930s. Our team includes 15 internal medicine, pediatrics, and family medicine physicians, along with 5 advanced practice providers—all working together to provide compassionate, high-quality care.   We’re currently seeking a detail-oriented Medical Billing Specialist with strong analytical skills and a thorough understanding of revenue cycle management. This role is essential to ensuring accurate coding, timely billing, and effective follow-up on claims, helping our practice maintain financial health while supporting excellent patient care.   What You’ll Do • Accurately code medical services and procedures to...

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

Medical Billing Specialist We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy...

Job Description Job Description Medical Biller Job Type: Full-time | Day Shift (No nights, weekends, or holidays) Locations: Grand Rapids, MI Join Our Team at Grand Valley Medical Specialists Grand Valley Medical Specialists (GVMS) is a well-established, physician-owned private practice that’s been serving the Grand Rapids community since the 1930s. Our team includes 15 internal medicine, pediatrics, and family medicine physicians, along with 5 advanced practice providers—all working together to provide compassionate, high-quality care. We’re currently seeking a detail-oriented Medical Billing Specialist with strong analytical skills and a thorough understanding of revenue cycle management. This role is essential to ensuring accurate coding, timely billing, and effective follow-up on claims, helping our practice maintain financial health while supporting excellent patient care. What You’ll Do • Accurately code medical services and procedures to...

Assistant Coding Manager As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location: 905 Elmgrove Rd, Rochester, New York, United States of America, 14624 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation Range: $61,000.00 - $85,400.00 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to,...

Professional Fee Coding Specialist Required Skills & Experience 3+ years of professional fee coding experience. Active coding certification through AAPC or AHIMA. Active RHIT, RHIA, CPC, COC, CCS-P, CCS, CEDC, or equivalent coding credential. Experience coding clinic visits/professional services. Strong experience with Evaluation & Management (E/M) coding, diagnosis coding, injections, and procedure coding. Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and coding compliance guidelines. Experience with Cerner EMR. Experience working remotely. Proficiency in Microsoft Outlook, Excel, and Teams. Strong communication, organization, and multitasking skills. Nice to Have Skills & Experience Emergency Department (ED) coding experience. Multi-specialty Pro-Fee coding background. Experience with regulatory reporting and data abstraction. Prior hospital or health system coding experience. Experience partnering with AR/billing teams on claim resolution....

Baptist Health is seeking a skilled inpatient coder to accurately code medical records using ICD-10-CM/PCS, ensuring compliance with CMS and OIG regulations. The one position emphasizes teamwork to achieve department and accounts receivable goals. Minimum experience is 3 years with AHIMA certifications preferred. The role requires basic familiarity with encoder systems and IPPS concepts, plus strong Word/Excel abilities. #J-18808-Ljbffr