19 medical coding disputes supervisor jobs found

RCM - Patient Billing Specialist Location: Draper, UT (on-site) Department: Revenue Cycle Management Reports To: RCM Supervisor / Billing Manager Position Summary The RCM Patient Communications Specialist is responsible for handling escalated patient billing scenarios as well as proactively reaching out to patients to provide updates on their billing inquiries. This role serves patients receiving evaluation and management (E&M) and DME services related to sleep apnea care, including but not limited to office visits, sleep studies, and ongoing supply orders. The Specialist must understand how care delivery and order fulfillment connect to the charges patients see on their statements, communicate that clearly and calmly to patients, and coordinate with other teams as needed to ensure billing aligns with the patient's actual course of care. This role also supports the RCM team by working directly with insurance payers to resolve and overturn claim denials so patient claims are...

We are seeking a detailed-oriented and experienced Medical Billing Supervisor to join our team. The Medical Billing Supervisor will be responsible for overseeing the billing operations for our ambulance services, ensuring accurate submission of claims, managing accounts receivable, and maintaining compliance with knowledge of industry standards and insurance regulations. This role requires a candidate with knowledge of ambulance billing practices, insurance requirements, and strong organizational skills. Schedule: This is an in-office position with day, swing and night shifts available. Key Responsibilities Supervise and manage the day-to-day operations of the medical billing team, ensuring accurate and timely billing for all ambulance services rendered. Review and process claims for emergency and non-emergency ambulance transports, ensuring proper coding and compliance with payer guidelines. Work closely with insurance companies, and other payers to resolve denied...

Our Billing Co. is seeking a Medical   Coding Supervisor  to join our team!  The Medical   Coding Supervisor  will lead and manage the medical coding team, ensuring that all medical records are accurately, efficiently, and compliantly coded. This role is responsible for overseeing the team’s performance, ensuring adherence to coding standards, training staff, and collaborating with various departments to resolve coding issues. The ideal candidate will have strong leadership and technical skills, a deep understanding of coding regulations, and a commitment to continuous improvement in coding practices. Essential Functions: Leadership Team Functions: Acts as staff resource and role model for ethical, professional conduct. Supervises and provides leadership to the medical coding team, ensuring accurate, compliant, and timely coding of medical records. Reviews and audits coded data to ensure accuracy and compliance with ICD-10, CPT, and HCPCS standards. Trains and...

Job Title Business (Non-Clinical) Company Henry Ford Medical Group Requisition Number 2611335 General Summary Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered 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 function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Principal Duties and Responsibilities Identifies all diagnostic and operative...

RCM - Patient Billing Specialist Location: Draper, UT (on-site) Department: Revenue Cycle Management Reports To: RCM Supervisor / Billing Manager Position Summary The RCM Patient Communications Specialist is responsible for handling escalated patient billing scenarios as well as proactively reaching out to patients to provide updates on their billing inquiries. This role serves patients receiving evaluation and management (E&M) and DME services related to sleep apnea care, including but not limited to office visits, sleep studies, and ongoing supply orders. The Specialist must understand how care delivery and order fulfillment connect to the charges patients see on their statements, communicate that clearly and calmly to patients, and coordinate with other teams as needed to ensure billing aligns with the patient's actual course of care. This role also supports the RCM team by working directly with insurance payers to resolve and overturn claim denials so patient claims are...

General Summary Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patient’s medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered 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 function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Remote Position Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patient’s medical record for...

Medical Billing Analyst The 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 be...

Medical Billing Specialist The Medical Billing Specialist is a higher-level billing role within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS). This role is centered predominantly around denials. The incumbent will be expected to understand and resolve the most complicated of denials and/or will research the denial to learn what is needed by the payer. The incumbent must be able to work independently but also serve as a resource to others in the department. This position will act as a learning partner or mentor to the team. They will exemplify the meaning of teamwork and support their co-workers in a positive environment. This position will also possess the ability to manage assigned projects and present findings with preferred resolutions to leadership. This role will become familiar with running reports out of Epic as assigned. The incumbent will be expected to work independently and meet production standards. Progressive communication with...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and quality reviews. Communicates with various departments as needed to ensure accuracy of patient data. Conducts audits and/or coding reviews with various health care professionals to ensure all documentation is accurate (physician billing). May assign and sequence basic CPT (Current...

Sanderson Firm is a woman-owned company specializing in Medicare Secondary Payer (MSP) compliance services. Our team of legal and clinical professionals brings more than 700 years of combined MSP industry experience, serving insurance carriers, self-insured companies, third-party administrators, and governmental entities across the country. Recognized as one of the fastest-growing MSP compliance companies, Sanderson Firm was ranked #92 on the 2025 Inc. 5000 list of fastest-growing privately held companies in America. We are proud of our 100% client retention rate and our reputation for delivering innovative solutions that help clients achieve MSP-compliant settlements. At Sanderson Firm, you'll join a fast-growing, collaborative team where your work makes a meaningful impact on our clients and the industry. We are committed to fostering a supportive environment where employees are valued, ideas are encouraged, and contributions directly help shape the future of our firm. Join us...

Medical Biller, CMG Business Office This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class categories. Serves as a resource for Medical Biller Is, seeking guidance from Supervisor when necessary. This positions also provides patient customer service and releases billing records to approved entities. This position responsible for the timely and accurate completion of assigned tasks to facilitate proper claim processing. Responsibilities Acts a resource for Medical Biller Is with resolving intermediate to complex account and claims issues. Provides guidance to other departmental roles (including Customer Service, Collections, Payment Posting) as it pertains to plan eligibility, claims processing details, and patient balance explanations as needed....

## Medical Billing SpecialistApplylocations: 100 Park Street Glens Falls, NY 12801: 59D Myrtle Street: 1275 Broadway Albany, NY 12204time type: Full timeposted on: Posted 2 Days Agojob requisition id: 70286Department/Unit:Patient Billing ServiceWork Shift:Day (United States of America)Salary Range:$49,763.00 - $69,668.00The Medical Billing Specialist is a higher-level billing role within the Hospital or Physicians Billing Offices for the Albany Med Health System (AMHS). This role is centered predominantly around denials. The incumbent will be expected to understand and resolve the most complicated of denials and/or will research the denial to learn what is needed by the payer. The incumbent must be able to work independently but also serve as a resource to others in the department. This position will act as a learning partner or mentor to the team. They will exemplify the meaning of teamwork and support their co-workers in a positive environment. This position will also possess the...

Department/Unit: Physicians Billing Work Shift: Day (United States of America) Salary Range: $46,947.00 - $65,726.00 The 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...

Location Miramar, Florida Summary Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding. Submits daily productivity report to HIM manager by defined deadline....

Summary We are seeking a highly skilled, hands-on Medical Bill Review (Working) Supervisor to lead our day-to-day bill review operations while actively participating in complex case reviews and serving as a key resource for our legal services division. In this dual-capacity role, you will manage a small team of bill reviewers and maintain a production workload focused on high-dollar, complex medical bill review/legal cases. You will leverage an intimate knowledge of major medical bill review software and national repricing/payer systems, ensuring absolute accuracy in identifying excessive or unsupported charges, determining reasonable reimbursement amounts, and defending those findings in litigation. Crucially, you will serve as a Subject Matter Expert (SME) and Expert Witness for legal proceedings, providing forensic billing analyses, affidavits, and deposition/trial testimony. This is a national role; however, Texas-specific expertise is preferred in billing regulations,...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and...

$23.92 / hour At CoreCivic, our employees are driven by a deep sense of service, high standards of professionalism and a responsibility to better the public good. At CoreCivic, we do more than manage inmates, we care for people. CoreCivic is currently seeking Medical Records Supervisors who have a passion for providing the highest quality care in BRAND NEW Behavioral Health Unit (BHU). SUMMARY: The Medical Records Supervisor provides supervision of medical records staff as well as administrative support, in the operation of the medical department by overseeing and performing varied and complex clerical and related administrative functions requiring independent judgment in the use of work methods and procedures. ESSENTIAL FUNCTIONS: The successful applicant should be able to perform ALL of the following functions at a pace and level of performance consistent with the actual job performance requirements. Supervise medical records staff in the performance of...

We are seeking an autonomous, critical-thinking Medical Biller / Appeals Specialist to manage our out-of-network claims. You will work independently to review denied/underpaid claims, formulate appeal strategies, and prepare robust documentation to move as many appeals and arbitrations forward in a day as possible. If you have a solid background in out-of-network billing and understand the complexities of the IDR process, you will be a standout candidate for this role. Key Responsibilities Manage Denials & Appeals: Review, analyze, and appeal unpaid or underpaid claims from out-of-network commercial insurance payers. Drive IDR & Arbitration: Prepare detailed documentation and evidence to support Independent Dispute Resolution (IDR) and arbitration processes when initial negotiations fail. Maximize Volume & Efficiency: Work autonomously to process a high volume of appeals and arbitration filings daily, without sacrificing accuracy. Research &...

ELLIS HOSPITAL POSITION DESCRIPTION TITLE: Accounts Receivable Representative/ Coder II DEPARTMENT: Physician Revenue Cycle REPORTS TO: Manager Patient Financial Services SECTION I BASIC FUNCTION: The Accounts Receivable Representative/ Coder will be responsible for achieving accurate and timely accounting for professional accounts receivable as set by policies and procedures. Responsible for reviewing and posting charges, payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. In addition to AR responsibilities this position will be responsible for coding review, resolving coding edits and denials with the focus on ensuring that the account is resolved in a timely and appropriate manner. SECTION II EDUCATION AND EXPERIENCE REQUIREMENTS: Education: High School Diploma or Equivalent...