161 pre authorization medical coder jobs found

Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do: Pre-Authorization Coding: The coder will review documentation for planned procedures and provide the appropriate CPT for authorization. What You Will Need: High School Diploma or equivalent 3-5 years of relevant experience Certified Professional Coder (CPC) certification from AAPC Knowledge in coding guidelines Good written and oral communication skills Proficiency in use of excel What Would Be Nice To Have: Proficiency in CPT Surgical Coding Additional surgical specialty credentials from AAPC #LI- DNI The annual salary range for this position is $40,000.00-$66,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What We Offer: Guidehouse offers a...

PRN Coder I Join Southern Colorado's premier imaging team, Colorado Springs Radiologists, PC/PENRAD Imaging LLC! With 6 locations along the front range and over 40 years of A+ ratings from the BBB, Colorado Springs Radiologists, PC/PENRAD Imaging LLC has a long tradition of delivering state-of-the-art imaging to our community. We are currently looking for enthusiastic, self-motivated, career-oriented applicants to join our team. Colorado Springs Radiologists, PC/PENRAD Imaging, LLC currently has a PRN Coder I position available (variable hours based on business needs). If you are committed to providing exceptional coding services with compassion and kindness, we are looking for you. As a PENRAD Imaging Coder I you will utilize your expertise to: Process charges received from the hospital, PENRAD, or other Outside Services to include CPT, ICD-10, insurance, authorizations, admission dates, or any other necessary information. Code and bill outside services. Code screening...

Mayo Clinic Job Posting Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights: Medical: Multiple plan options. Dental: Delta Dental or reimbursement account for flexible coverage. Vision: Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities: The HB IP Coder reviews, interprets, and translates provider medical diagnostic and procedural documentation into appropriate codes following hospital inpatient claims and...

Coder I, Professional It's more than a career, it's a calling WI-Turville Bay Worker Type: Regular Job Highlights: This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. Identifies all billable services. Reviews all...

Description Join Southern Colorado's premier imaging team, Colorado Springs Radiologists, PC/PENRAD Imaging LLC! With 6 locations along the front range and over 40 years of A+ ratings from the BBB, Colorado Springs Radiologists, PC/PENRAD Imaging LLC has a long tradition of delivering state-of-the-art imaging to our community. We are currently looking for enthusiastic, self-motivated, career-oriented applicants to join our team. Colorado Springs Radiologists, PC/PENRAD Imaging, LLC currently has a PRN Coder I position available (variable hours based on business needs). If you are committed to providing exceptional coding services with compassion and kindness, we are looking for you. As a PENRAD Imaging Coder I you will utilize your expertise to: Process charges received from the hospital, PENRAD, or other Outside Services to include CPT, ICD-10, insurance, authorizations, admission dates, or any other necessary information. Code and bill outside services....

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Utilization Management RN Coder will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department's/company's guidance. They will have a working knowledge encoder use and selecting appropriate, supportable appeal arguments from evidence-based, peer reviewed medical...

GoTo Telemed seeks an exceptional  Remote Medical Biller  to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers—with new clients and provider networks added every month as our organization scales. In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory. This...

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you're ready for a rewarding new career, join Team Bronson and be part of the experience. Location BHG Bronson Healthcare Group 6901 Portage Road Title Certified Professional Coder (Onsite) The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and...

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you're ready for a rewarding new career, join Team Bronson and be part of the experience. Location BHG Bronson Healthcare Group 6901 Portage Road Title Professional Onsite Coder The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and complex surgical...

Job Description: Analyzes, codes, abstracts, and compiles medical records of patients of health care delivery system to document patient condition and treatment by performing the following duties: Essential Duties and Responsibilities Medical Record Coder Abstracts and codes diagnoses, operations, and procedures from health records by using appropriate classification systems, standards, and procedures. Prepares statistical reports required by applicable legal, accrediting, and/or licensing regulations and office policy. Assigns patient severity of illness index ratings, supplemental codes, and other data as necessary. Compiles information and data from health records and computer systems for use in the evaluation of quality of care and utilization review. Monitors completion of medical records in accordance with time standards. Audits incomplete records and prepares reports on delinquencies. Confers with doctors, nurses, and other health personnel to assure...

Job Description: Analyzes, codes, abstracts, and compiles medical records of patients of health care delivery system to document patient condition and treatment by performing the following duties: Essential Duties and Responsibilities Medical Record Coder Abstracts and codes diagnoses, operations, and procedures from health records by using appropriate classification systems, standards, and procedures. Prepares statistical reports required by applicable legal, accrediting, and/or licensing regulations and office policy. Assigns patient severity of illness index ratings, supplemental codes, and other data as necessary. Compiles information and data from health records and computer systems for use in the evaluation of quality of care and utilization review. Monitors completion of medical records in accordance with time standards. Audits incomplete records and prepares reports on delinquencies. Confers with doctors, nurses, and...

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Medicaid Modernization Certified Clinical Coder - Program Specialist V (PS V) Job Title: Program Specialist V Agency: Health & Human Services Comm Department: Medical&Dental Benefits Policy Posting Number: 13598 Closing Date: 02/24/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-21 Salary Range: $4,523.16 -...

You belong here! At Family Health West, you're more than an employee, you're family. When you enter our facility, you know it's Family Health West because, well, the color speaks for itself. You'll be part of a team that strives to bring color to care in a vibrant environment by creating fun, effective treatment programs helping to empower and inspire our patients while providing the tools and care they need to achieve their wellness goals. When we say you'll do what you love, we mean it! Welcomed by open arms and warm smiles, you'll join a team that encourages professional growth. We are sure to put on our listening ears when you share new ideas and approaches to care because that's what got us to the top! You'll wear your badge proudly, knowing that you contribute each day, to providing care that is unmatched, in western Colorado. So, what are you waiting for?! Fill out the application now, and when you hit send do a little happy dance knowing that you just made our day....

It's more than a career, it's a calling WI-Turville Bay Worker Type: Regular Job Highlights: This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary: Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. Identifies...

South Shore Speech is looking for a competent, responsible and dedicated individual to join our busy/fast paced, award winning team Benefits and Perks: . Family/friendly work environment . Supportive management and staff . Employee appreciation events regularly . Teaching/training will be provided Qualifications: . Certified Professional Coder . Proficiency with Excel . Motivated and possess the ability to multitask . Past medical office experience necessary . Strong organization skills . Able to interact well and professionally with the public both in person and over the phone Responsibilities: Pre‑Authorizations & Verifications Contact payers (e.g. Medicaid, private insurances, NICU-funded programs) to verify patient eligibility and coverage before treatment begins. Submit pre-authorization requests for services requiring prior approval (e.g. speech therapy visits under Early Intervention or CPSE). Track authorizations, monitor denials, and coordinate...

GoTo Telemed seeks an exceptional  Remote Medical Biller  to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers—with new clients and provider networks added every month as our organization scales. In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory. This...

GoTo Telemed seeks an exceptional  Remote Medical Biller  to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers—with new clients and provider networks added every month as our organization scales. In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory. This...

GoTo Telemed seeks an exceptional  Remote Medical Biller  to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers—with new clients and provider networks added every month as our organization scales. In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory. This...

GoTo Telemed seeks an exceptional  Remote Medical Biller  to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers—with new clients and provider networks added every month as our organization scales. In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory. This...

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (https://jobs.mayoclinic.org/benefits/) - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical: Multiple plan options. Dental: Delta Dental or reimbursement account for flexible coverage. Vision: Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities The Surgical Coder reviews, analyzes, and codes professional/physician medical record documentation to...

GoTo Telemed seeks an exceptional  Remote Medical Biller  to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers—with new clients and provider networks added every month as our organization scales. In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management. Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory. This...

Job Description Job Description TTF is looking for a Prior Authorization/Verification Biller to work for a client in Costa Mesa, CA. The starting salary will depend on experience and our client offers a pleasant work environment.   Job duties include: Verify insurance information for upcoming procedures, obtain pre-authorization for procedures, explain to patients what their financial responsibilities will be, answer questions related to billing and submit insurance claims.  Experience working on ZirMed and Waystar knowledge is a plus.   Please send your resume to Chelle at CBodnar@TTFrecruit.com for consideration.   Qualified candidates should have previous experience in medical claim billing, insurance follow-up, and have knowledge of Medi-Cal guidelines. In addition, qualified candidates must have a stable work history and have the ability to pass a drug screen and background check.   TTF is a search and staffing company that partners with hospitals, physician groups,...

Overview The Northern Utah Eye Center is looking for a dedicated, long-term employee to join our team as a full-time Billing Specialist. Bring a good work ethic and a desire to serve and care for our patients and you will fit right in! What will you do everyday? Checking eligibility and benefits Obtaining pre-authorizations Handling medical billing activities: insurance verification, claim submission, rejection resolution, and resolving patient-related billing inquiries In this position your primary responsibility is to assist patients in a professional and friendly manner. This position requires great customer service skills, an ability to communicate well over the phone, proficient computer skills, and a strong attention to detail. This role is essential in creating a positive experience for our patients. What should you bring? An amazing attitude and excitement towards jumping into a new fast-paced environment A great work ethic and willingness to learn...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address:...