medical billing and coding specialist

Olathe Integrative Healthcare

Overview Join our integrative healthcare team at OIH as a Bilingual (Spanish/English) Medical Billing and Coding Specialist, where your expertise will drive accurate reimbursement processes and ensure seamless medical record management. In this vital role, you will leverage your bilingual skills to bridge communication gaps, assist diverse patient populations, and uphold the highest standards of medical coding and billing accuracy. Your proactive approach will contribute to a smooth revenue cycle, supporting both patient care and organizational efficiency. This salary paid position offers an exciting opportunity to grow your career in a fast-paced, rewarding environment dedicated to excellence in healthcare administration. Required work hours are 9am-6pm, Monday through Friday. We offer generous PTO and optional AFLAC plans along with an infrared sauna and monthly lunch and learns/staff meetings.Responsibilities<ul><li>Review and interpret medical documentation to assign appropriate ICD-10 (International Classification of Diseases, 10th Revision) diagnosis codes, CPT (Current Procedural Terminology) procedure codes, and DRG (Diagnosis-Related Group) classifications for billing accuracy.</li><li>Ensure proper coding of chiropractic and mental health/psychiatric services using ICD-9 (International Classification of Diseases, 9th Revision) where applicable, alongside current ICD-10 standards.</li><li>Prepare and submit clean claims for insurance reimbursement using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems while adhering to payer guidelines.</li><li>Follow up on unpaid or denied claims through effective medical collection strategies, maintaining detailed records of all billing activities.</li><li>Verify patient insurance coverage, ensure required prior authorization before certain procedures, explain billing procedures bilingually, and assist patients with questions related to their medical records or bills.</li><li>Maintain comprehensive and accurate medical records by organizing documentation related to medical coding, billing transactions, and patient information.</li><li>Stay current with updates in medical terminology, coding regulations, and compliance standards to ensure ongoing accuracy and adherence to industry best practices.</li><li>Complete receptionist duties as needed (lunch breaks, when billing tasks are completed).</li></ul>&lt;Skills&gt;<ul><li>Strong knowledge of ICD-10/ICD-9 coding systems and CPT coding procedures for precise billing, particularly with chiropractic and behavioral health billing codes.</li><li>Experience with medical billing software, EMR systems, and EHR platforms for efficient claim processing (Jane, Practice Fusion, and Therapy Notes are used at this office).</li><li>Excellent understanding of medical terminology and healthcare documentation standards.</li><li>Ability to communicate fluently in two languages, providing clear explanations to patients and team members alike.</li><li>Knowledge of medical records management and compliance regulations related to privacy and security.</li><li>Proven ability to navigate complex insurance policies, perform effective medical collections, and resolve billing discrepancies promptly. Embark on a fulfilling career where your bilingual skills make a real difference! We&rsquo;re committed to fostering an inclusive environment that values precision, integrity, and continuous learning&mdash;empowering you every step of the way in your professional journey.</li></ul>Pay: From $23.00 per hourBenefits:<ul><li>Paid time off</li></ul>Education:<ul><li>High school or equivalent (Required)</li></ul>Experience:<ul><li>medical billing and collections: 2 years (Required)</li></ul>Language:<ul><li>Spanish (Required)</li></ul>Shift availability:<ul><li>Day Shift (Required)</li></ul>Work Location: In person

Bilingual Medical Billing and Coding Specialist

Zeal Integrated Health

Overview We are seeking a detail-oriented and experienced Billing Specialist to join our team. The ideal candidate will have a strong background in medical billing and coding, with proficiency in various coding systems. This role is essential in ensuring accurate billing processes and maintaining compliance with medical regulations. The Billing Specialist will work closely with healthcare providers and insurance companies to facilitate smooth billing operations.Duties<ul><li>Process and manage medical billing for various services rendered by healthcare providers.</li><li>Utilize coding to ensure accurate claim submissions.</li><li>Review patient records for completeness and accuracy before billing.</li><li>Handle medical collections and follow up on outstanding claims or payments.</li><li>Maintain organized medical records and ensure compliance with relevant regulations.</li><li>Collaborate with healthcare staff to resolve billing discrepancies or issues.</li><li>Utilize EMR and EHR systems effectively for documentation and billing purposes.</li><li>Stay updated on changes in medical terminology, coding practices, and insurance policies.</li></ul>Requirements<ul><li>Proven experience in medical billing, coding, or a related field is essential.</li><li>Familiarity with general medical terminology is required.</li><li>Experience with EMR and EHR systems is highly desirable.</li><li>Strong attention to detail and organizational skills are a must.</li><li>Excellent communication skills for interacting with healthcare providers and patients.</li><li>Previous experience in a medical office setting is preferred.</li><li>Ability to work independently as well as part of a team in a fast-paced environment. If you are passionate about ensuring accurate medical billing processes and possess the necessary skills, we encourage you to apply for this rewarding opportunity as a Billing Specialist.</li></ul>Job Type: Full-timePay: $18.00 - $21.00 per hourBenefits:<ul><li>Health insurance</li><li>Paid sick time</li><li>Paid time off</li></ul>Work Location: In person

Billing Specialist

Standard High School & College

Job Title: Medical Billing and Credentialing Specialist Company: Deosai Medical Services Location: I-8, Islamabad (On-site) Job Type: Full-time Reports To: Medical Billing and Credentialing ManagerJob Summary:The Medical Billing and Credentialing Specialist at Deosai Medical Services is responsible for overseeing all billing processes and managing provider credentialing. The role ensures timely and accurate submission of claims to insurance companies while verifying the credentials of healthcare providers to maintain compliance with regulatory standards. This specialist will work closely with providers, insurance companies, and internal teams to optimize billing accuracy and ensure proper credentialing.Key Responsibilities:Billing:<ul><li>Submit and process medical claims to insurance companies in compliance with all regulations.</li><li>Ensure accuracy in coding (CPT, ICD-10, HCPCS), modifiers, and documentation before submission.</li><li>Follow up on denied or rejected claims and manage appeals as necessary.</li><li>Track and resolve outstanding accounts receivables.</li><li>Send out patient bills, handle inquiries, and process payments.</li><li>Maintain accurate patient and insurance records</li></ul>Credentialing:<ul><li>Manage credentialing and re-credentialing processes for healthcare providers.</li><li>Ensure all providers comply with state and federal regulations, including licenses and certifications.</li><li>Complete and submit credentialing applications to insurance carriers and healthcare organizations.</li><li>Track credentialing status and resolve any delays or discrepancies.</li><li>Maintain up-to-date provider contracts, credentialing records, and licensing.</li></ul>Compliance &amp; Reporting:<ul><li>Stay updated on billing and credentialing regulations to ensure compliance.</li><li>Generate reports on billing and credentialing activities.</li><li>Assist with internal audits to ensure adherence to best practices and regulations.</li></ul>Collaboration:<ul><li>Coordinate with healthcare providers to gather necessary documentation for billing and credentialing.</li><li>Collaborate with insurance companies to resolve claims and credentialing issues.</li><li>Work with finance and administrative teams to improve the revenue cycle.</li></ul>Qualifications:<ul><li>High school diploma or equivalent required; Associate&rsquo;s or Bachelor&rsquo;s degree in healthcare administration, business, or related field preferred.</li><li>Proficiency in the English language</li></ul>Experience:<ul><li>2+ years of experience in medical billing, coding, and credentialing.</li><li>Strong knowledge of billing practices, insurance regulations, and credentialing procedures.</li><li>Experience with medical billing software and EHR systems (e.g., Epic, Kareo, AdvancedMD).</li></ul>Skills:<ul><li>Knowledge of CPT, ICD-10, and HCPCS coding standards.</li><li>Familiarity with Medicare, Medicaid, and commercial insurance billing processes.</li><li>Strong organizational skills and attention to detail.</li><li>Excellent communication and interpersonal skills.</li><li>Ability to work independently and as part of a team.</li><li>Proficiency in Microsoft Office Suite (Excel, Word).</li></ul>Job Type: Full-timeWork Location: In person

Medical Billing and Credentialing Specialist

Advanced Dermatology Care

Job Description: Advanced Dermatology Care is seeking a full-time Medical Billing Specialist to join our team in the Business Office of White Bear Lake. We are looking for someone who is a team player with outstanding people skills. Major responsibilities of this role include entering charges, entering EOB&rsquo;s, preparing and submitting claims, reviewing and coding clinical notes for Image Guided Superficial Radiation Therapy, resolving claim issues, posting payments, banking deposits, preparing and mailing statements, helping patients understand their statements, working with insurance companies, maintain patient records while following HIPAA compliance, and more.Job Type: Full-time, 36-40 hours per week. Shifts times vary between 7:00 am to 6:00 pm. Intermittent work in office required.Skills:<ul><li>Strong commitment to excellent customer service and patient care</li><li>Basic knowledge of medical terminology</li><li>Must have experience with medical billing codes &amp; ICD 10 codes</li><li>Knowledge of Radiation Oncology CPT and ICD-10 experience</li><li>Experience in dermatology billing and coding a plus!</li><li>Ability to analyze data with accuracy and attention to detail</li><li>Strong problem solving skills</li><li>Ability to multi-task</li><li>Excellent computer skills</li><li>Excellent verbal and written English language skills</li><li>Demonstrates a positive and professional attitude</li><li>Willingness to work independently and as a team player</li><li>Bookkeeping skills are beneficial</li></ul>Additional Responsibilities:<ul><li>Dependably opening and/or closing of the business office</li><li>Providing a professional and friendly experience on the telephone and in-person for patients and vendors</li><li>Verifying charges, incoming and outgoing</li><li>Willingness to train in other departments of the business office</li><li>Various clerical duties as requested by Managers</li></ul>Job Qualifications:<ul><li>Experience: 1+ years of medical insurance coding</li><li>Education: Completion of medical coding program</li><li>Skills preferred: Involvement in credentialing, EMA EHR experience, Dermatology coding and billing, Radiation coding and billing</li></ul>Job Type: Full-timePay: $24.00 - $27.00 per hourWork Location: Hybrid remote in Saint Paul, MN 55127

Medical Biller and Coder

Speak Viral

The AR Specialist in Medical Billing is responsible for managing and optimizing the revenue cycle by ensuring timely collection of outstanding claims from insurance companies and patients. This role involves analyzing accounts, resolving billing issues, following up on unpaid claims, and maintaining compliance with healthcare regulations.Key Responsibilities:<ul><li>Review and manage outstanding accounts receivable balances</li><li>Follow up with insurance companies on unpaid or denied claims</li><li>Investigate and resolve billing discrepancies and claim rejections</li><li>Submit corrected claims and appeals as necessary</li><li>Post payments, adjustments, and denials accurately in the billing system</li><li>Communicate with patients regarding outstanding balances and payment plans</li><li>Verify insurance information and ensure accurate claim submission</li><li>Maintain detailed documentation of all account activity</li><li>Collaborate with billing, coding, and front-office teams to resolve issues</li><li>Ensure compliance with HIPAA and other healthcare regulations</li></ul>Required Qualifications:<ul><li>High school diploma or equivalent (Associate&rsquo;s or Bachelor&rsquo;s degree preferred)</li><li>2+ years of experience in medical billing or accounts receivable</li><li>Strong knowledge of insurance claims, EOBs, and denial management</li><li>Familiarity with CPT, ICD-10, and HCPCS coding systems</li><li>Experience with medical billing software and EMR systems</li><li>Excellent analytical and problem-solving skills</li><li>Strong attention to detail and organizational abilities</li><li>Effective communication and interpersonal skills</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(6pm to3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

AR Specialist in Medical Billing

Optima Medical

<div>
 
 About Optima Medical:
 
 
 
 Optima Medical is an Arizona-based medical group consisting of 30 locations and 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and dedicated professionals aboard. We are currently seeking a Medical Coding Specialist to join our team!
 
 
 
 This role will transition to a fully remote position after up to 30 days of training. To be eligible, you'll need to complete your initial training onsite at our Scottsdale office and remain in good standing. Must reside in Arizona!
 
 
 
 
 Job Responsibilities:
 
 
 
 <ul>
 <li>
 Review and assign accurate ICD-10-CM, CPT, and HCPCS codes for medical diagnoses and procedures based on clinical documentation.
 </li>
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 Ensure coding compliance with CMS guidelines, and state/federal regulations.
 </li>
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 Ability to write precise, professional, and well structured feedback to providers and team members.
 </li>
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 Assist with claim reviews, denials, and coding-related audits to optimize revenue integrity.
 </li>
 <li>
 Maintain up-to-date knowledge of medical coding guidelines, regulatory changes, and industry best practices.
 </li>
 <li>
 Meet coding productivity and quality standards as required by Optima Medical.
 </li>
 <li>
 High attention to detail and analytical skills to ensure accuracy and compliance.
 </li>
 <li>
 Perform other related job duties as assigned.
 
 
 </li>
 </ul>
 
 Job Qualifications:
 
 
 
 <ul>
 <li>
 Minimum 2 years of experience in medical coding (physician practice or healthcare facility).
 </li>
 <li>
 Certified Professional Coder (CPC) required (AAPC or AHIMA certification). No CPC-A or CCA.
 </li>
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 Strong understanding of ICD-10-CM, CPT, and HCPCS.
 </li>
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 Experience with EHR systems, billing software, and Microsoft Office (Outlook, Word, Excel)
 </li>
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 Strong analytical, problem-solving, and communication skills.
 </li>
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 Ability to work independently in a fast-paced production environment while maintaining high accuracy.
 </li>
 <li>
 Must demonstrate strong written communication skills to provide clear feedback and improve coding accuracy.
 </li>
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 Strong knowledge of medical terminology, disease processes, and physiology to ensure accurate interpretation of provider documentation.
 </li>
 <li>
 Must live in Arizona.
 
 
 </li>
 </ul>
 
 Why Join Our Team?
 
 
 
 <ul>
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 Substantial growth opportunities
 </li>
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 Leadership and mentoring.
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 Fun work environment (lunches, events, holiday parties)
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 Comprehensive benefits (medical, vision, dental, 401k, paid holidays)
 </li>
 <li>
 Supportive and positive work culture
 </li>
 </ul>
</div>

Medical Coding Specialist (Remote)

Ensemble Health Partners

<div>Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:<ul><li>
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.</li><li>
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.</li><li>
Striving for Excellence: Execute at a high level by demonstrating our &ldquo;Best in KLAS&rdquo; Ensemble Difference Principles and consistently delivering outstanding results.</li></ul>
The Opportunity:
CAREER OPPORTUNITY OFFERING:<ul><li>
Bonus Incentives</li><li>
Paid Certifications</li><li>
Tuition Reimbursement</li><li>
Comprehensive Benefits</li><li>
Career Advancement</li><li>
This position pays between $29.70 - $31.80 based on experience</li></ul>
The Acute Coding Appeals Specialist integrates medical coding principles and objectivity in the performance of coding appeals activities. Draws on ICD10CM, ICD10PCS, HCPCS, NCCI, CMS and CMG coding expertise and industry knowledge to substantiate coding principles to determine potential billing/coding issues, and quality concerns. Under indirect supervision, the Coding Appeals Specialist is responsible for reviewing and writing appeals for inpatient Diagnosis Related Group, (DRG) denials in order to support the assigned DRG and to address the clinical documentation utilized in the decision-making process to support the validity of the assigned codes.
Job Responsibilities:<ul><li>
The appeals professional integrates medical coding principles and objectivity in the performance of coding appeals/denials activities. Draws on ICD10CM, ICD10PCS, HCPCS, NCCI, CMS and CMG coding expertise and industry knowledge to substantiate coding principles to determine potential billing/coding issues, and quality concerns</li><li>
Participates in client system education to gain the knowledge necessary to appeal client accounts in ensuring that the coding is supported by the patient's clinical documentation, coding/cdi guidelines and other regulatory standards/guidelines as appropriate</li><li>
Maintain meticulous documentation, spreadsheets, account, and claim examples of root cause issues. Performs searches of governmental, payor-specific, hospital-specific, regulatory body, and literature rules, regulations, guidelines to identify and coding and billing requirements to make recommendations to client</li><li>
Assist in education and training for client coding companion as it relates to the outcomes of the coding appeals</li><li>
Meet established productivity standards for coding appeals &amp; coding certification requirement</li><li>
Attends in-house sessions to receive updated coding information and changes in coding and/or regulations</li><li>
Provides excellent customer service, in an organized and efficient manner, while maintaining a positive attitude</li></ul>
Required Experience:
<ul><li>Previous inpatient facility coding experience, working appeals, denials and edits</li><li>
5 years previous experience in coding, required</li><li>
Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements</li><li>
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.</li><li>
This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.</li></ul>
Minimum Education:<ul><li>
High School Diploma or GED</li></ul>
Required Certification:<ul><li>
Active Coding Certification (i.e. RHIA, RHIT, CCS, CIC, CPC, COC, etc.)</li></ul> 
#LI-HB1
#LI-REMOTE
Join an award-winning company
Five-time winner of &ldquo;Best in KLAS&rdquo; 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024<ul><li>
Innovation</li><li>
Work-Life Flexibility</li><li>
Leadership</li><li>
Purpose + Values</li></ul>
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:<ul><li>
Associate Benefits &ndash; We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.</li><li>
Our Culture &ndash; Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
</li><li>Growth &ndash; We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.</li><li>
Recognition &ndash; We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.</li></ul>
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role&rsquo;s range.
Employment Disclaimers &ndash; Ensemble</div>

Acute Coding Appeals Specialist

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