1752 medical review coder specialist jobs found

Medical Billing, Revenue Cycle & Administrative Specialist Urban Pain Institute – Anchorage, Alaska Remote Position – Alaska, West Coast & Mountain Time Zone Urban Pain Institute, an interventional pain management practice based in Anchorage, Alaska, is looking for an experienced, highly organized Medical Billing, Revenue Cycle & Administrative Specialist to join our team. This is a remote position for an experienced professional who understands medical billing, insurance requirements, denials and appeals, prior authorizations, credentialing, and the administrative processes necessary to ensure the practice is reimbursed appropriately and remains compliant with insurance requirements and applicable laws. The ideal candidate is extremely organized, detail-oriented, proactive, and persistent, and is comfortable working independently while also coordinating with our clinical and administrative staff. Medical Billing, Revenue Cycle &...

Hospital for Special Care is currently seeking an experienced Inpatient Coding Specialist to join our team. This is an excellent opportunity for a coding professional who enjoys working with complex medical records, collaborating with clinical teams, and using their expertise to support accurate documentation, coding, and reimbursement.  What You'll Do ·   Accurately code inpatient accounts and assign appropriate ICD-10-CM/PCS, CPT, modifiers, and DRGs in accordance with current coding guidelines. ·   Review medical records, identify documentation needs, and collaborate with HIM, physicians, clinical staff, and other departments to resolve coding questions, edits, and denials. ·   Monitor outstanding accounts and coding reports to ensure timely and accurate completion of inpatient records. ·   Utilize the Electronic Medical Record, 3M HDM, and clinical documentation tools to support efficient and accurate coding. ·   Serve as a coding resource and educator...

Primary Purpose of the Position: The Revenue Cycle Medical Coding Supervisor provides daily operational supervision of assigned coding staff and coding inventory. The Supervisor assigns work, monitors throughput and quality, performs and coordinates quality reviews, supports training and onboarding, resolves complex coding issues, and promptly escalates backlog, documentation, compliance, vendor, and system risks to the Coding Manager. The role may also perform complex coding to support operational needs while maintaining appropriate separation between production work and independent quality review. Required Knowledge and Experience: Active CPC through AAPC or CCS through AHIMA; specialty coding credentials are desirable. Minimum five years of professional medical coding experience preferred, including complex surgical or multi-specialty coding; prior lead or supervisory experience preferred. Advanced knowledge of medical terminology, anatomy and physiology,...

Primary Purpose of the Position: The Revenue Cycle Coding Manager provides strategic and operational leadership for professional coding and charge capture. The Manager is accountable for coding quality, productivity, inventory, compliance remediation, workforce planning, vendor performance, physician and division engagement, and coding-related revenue integrity. The position establishes clear standards, analyzes trends, and develops corrective action plans to support accurate, timely, and compliant claim submission.   Essential Duties of the Position May Include the Following: Leads day-to-day and long-range coding operations, including staffing, workload allocation, coverage planning, production priorities, and escalation management. Owns the coding operating model and clearly defines responsibilities among the Coding Manager, Coding Supervisor, internal coders, and external coding vendors. Establishes, monitors, and reports key performance indicators for...

About Bridge Bridge is the fastest, most compliant way to scale insurance billing nationwide. We enable virtual care companies to go in-network nationally in as little as 30 days, without the operational lift. Our platform handles payer contracting, credentialing, real-time benefit verification, medical coding, claim submission, denial management, and compliance in a single integrated solution. Backed by leading investors including General Catalyst, Andreessen Horowitz, Thrive Capital, Khosla Ventures, Greenoaks, and Mischief, we're scaling rapidly. The Role We are seeking a detail-oriented and experienced RCM Coding Specialist with CPC (Certified Professional Coder) certification to join our Revenue Cycle Management team. This role is responsible for accurate and timely medical coding in accordance with current coding guidelines, payer requirements, and company standards. The ideal candidate has strong analytical skills, in-depth knowledge of CPT, ICD-10, and...

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:...

Risk Adjustment Auditor and Physician Educator Health Information Management | Full-Time | Renton, Washington Help Improve Clinical Documentation and Support Better Patient Care Valley Medical Center is seeking an experienced Risk Adjustment Auditor and Physician Educator to join our Health Information Management team. This role combines clinical documentation expertise, risk adjustment auditing, coding knowledge, data analysis, and physician education to help ensure the accurate and complete capture of patient conditions and the clinical complexity of the care we provide. The ideal candidate brings strong experience in Medicare risk adjustment, medical record auditing, ICD-10-CM coding, and physician education , along with the ability to translate complex coding and documentation requirements into practical guidance for providers. This is an opportunity to play a meaningful role in improving documentation quality, supporting value-based care initiatives, and...

South Shore Billing Services is seeking an experienced, detail-oriented Medical Billing and Coding Specialist to join our team. We provide professional billing support to primary care, OB-GYN, and behavioral health practices, helping providers maintain accurate, compliant, and efficient revenue-cycle operations. The ideal candidate is dependable, organized, and comfortable managing multiple priorities in a fast-paced medical billing environment. This individual should possess strong communication and problem-solving skills and be able to work both independently and collaboratively. Schedule Part-time: 20 hours per week Monday through Friday 8:30 a.m. to 12:30 p.m. Responsibilities Answer telephone calls and respond professionally to billing inquiries Review and resolve assigned work queues Perform charge review and verify coding accuracy Research and correct claim edits Submit clean claims promptly Post insurance and...

Billing Compliance Curriculum Development Specialist Dana-Farber Cancer Institute  Boston, MA  Full Time, Remote (Occasional Onsite)  Overview Reporting to the Manager of Billing Compliance, the Billing Compliance Curriculum Development Specialist is responsible for designing, implementing, and maintaining a comprehensive billing compliance education and awareness program that supports adherence to federal and state regulations and aligns with industry standards. This role develops and delivers training for billing providers, including physicians and advanced practice providers, and provides post-review education and feedback in collaboration with Billing Compliance Reviewers and Senior Billing Compliance Reviewers, as needed. The Specialist creates, updates, and manages instructional materials such as presentations, tip sheets, slide decks, and other training resources, and tracks training completion and effectiveness. The position also supports the...

About Med USA Med USA is a Utah-based medical billing/provider services company with a nationwide presence. We have been in business for over 45+ years and provide practice management, payer credentialing and contracting, and full-cycle management (RCM) services, including coding, billing, follow-up, and denial resolution. Join our fast-paced, high-energy team as a medical billing specialist, with great company benefits and opportunity for growth. The ideal candidate is motivated, professional, and detail-oriented, with a strong commitment to producing high-quality work and making a positive impact on the team. If you enjoy helping others, solving problems, and working in an open, collaborative, fast-paced environment, this is a great opportunity for you. Medical billing or insurance experience is preferred, but we’re happy to train the right candidate. Position Summary The Certified Medical Coder is responsible for reviewing clinical documentation and...

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 ESSENTIAL DUTIES AND RESPONSIBILITIES:  Note: The essential duties and...

We are expanding our outpatient coding and clinical documentation capabilities and are looking for an experienced outpatient coding or CDI professional to support this work on a contract basis. - Location:   Remote - Type:   1099 Contractor About Ambience Healthcare Ambience Healthcare is a clinical documentation AI company building tools that improve the accuracy and efficiency of medical documentation. Role Overview We are seeking a meticulous outpatient coding or CDI specialist to review outpatient encounters, analyze clinical documentation, and determine accurate ICD-10-CM diagnosis codes.  Your work will directly inform how we evaluate and improve the accuracy of clinical coding at scale. This is not a traditional role embedded in a health system — you will be reviewing outpatient data and making determinations about ICD-10-CM codes, identifying gaps, and providing expert-level feedback. What we value most:   We are looking for someone with...

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. •...

We are seeking a detail-oriented and experienced Medical Billing and Coding Specialist to join our growing team. This on-site position is ideal for a motivated professional who thrives in a fast-paced, collaborative environment while maintaining the ability to work independently. You will support multi-specialty clinics by ensuring accurate claim submission, resolving billing issues, and driving process improvements that contribute to organizational success. Key Responsibilities Review, code, and submit claims accurately and timely Manage assigned billing work queues and charge capture Investigate and resolve claim denials and rejections Analyze denial trends and recommend solutions Prepare and submit appeals with supporting documentation Utilize payer portals for claim corrections and resubmissions Collaborate with staff and providers to resolve billing issues Required Skills & Qualifications Advanced knowledge of ICD-10, CPT coding, and CMS...