medical billing and coding specialist

HiRe Solutions

Job Title: Medical Coding SpecialistLocation: I-8, Islamabad Shift Timing: Night Shift (6:00 PM &ndash; 2:00 AM) Salary: PKR 50,000 / month (Starting) Employment Type: Full-Time / On-siteAbout UsAlpha Hire Solutions is a rapidly growing healthcare outsourcing and staffing firm, providing high-quality services to clients across the U.S. healthcare industry. We are currently seeking a Medical Coding Specialist to join our dynamic night-shift operations team in Islamabad (I-8 office).Job DescriptionThe Medical Coding Specialist will be responsible for reviewing, analyzing, and accurately assigning medical codes to patient diagnoses and procedures using ICD-10, CPT, and HCPCS systems. The ideal candidate will ensure compliance with all coding guidelines, improve claim accuracy, and support efficient revenue cycle management.Key Responsibilities<ul><li>Review and interpret clinical documentation to assign appropriate medical codes.</li><li>Ensure accurate coding for diagnoses, procedures, and services according to ICD-10-CM, CPT, and HCPCS standards.</li><li>Collaborate with billing and credentialing teams to ensure compliance with payer requirements.</li><li>Audit and recheck coding accuracy to minimize claim denials and rejections.</li><li>Maintain up-to-date knowledge of coding guidelines, payer policies, and healthcare regulations.</li><li>Meet daily and weekly productivity and quality targets.</li><li>Handle confidential patient information with professionalism and discretion.</li></ul>Qualifications &amp; Requirements<ul><li>Bachelor&rsquo;s degree or equivalent (preferably in life sciences or healthcare).</li><li>Minimum 1 year of experience in medical coding (freshers with strong training can also apply).</li><li>Knowledge of ICD-10, CPT, and HCPCS coding systems.</li><li>Certification (CPC, COC, or equivalent) will be a strong plus.</li><li>Excellent command of English (written and verbal).</li><li>Ability to work night shift (6:00 PM &ndash; 2:00 AM).</li><li>Detail-oriented, analytical, and able to meet tight deadlines.</li></ul>What We Offer<ul><li>Competitive starting salary of PKR 50,000/month.</li><li>Growth and performance-based salary increments.</li><li>Friendly and professional work environment.</li><li>Continuous training and career development opportunities.</li><li>Opportunity to work with an international client base.</li></ul>How to ApplyInterested candidates are encouraged to send their updated CV/Resume with the subject line &ldquo;Medical Coding Specialist &ndash; Night Shift&rdquo;.Job Type: Full-timePay: Rs75,000.00 - Rs90,000.00 per monthWork Location: In person

Medical Coding Specialist

alsafwa medical center

Job summary:We are seeking an experienced Medical Coder to join our healthcare team . The ideal candidate will have a strong background in medical coding, with specific expertise in handling preapprovals, invoicing, submissions, and resubmissions. The Medical Coder will play a critical role in ensuring accurate and timely processing of medical claims, compliance with insurance policies, and optimizing the revenue cycle management process.Key Responsibilities:<ul><li>Medical Coding:</li><li>Accurately code medical procedures, diagnoses, and treatments based on patient records using ICD-10-CM, CPT, and HCPCS codes</li><li>Ensure that all coding meets regulatory and insurance requirements</li><li>Preapprovals:</li><li>Handle the submission and follow-up of preapproval requests for medical procedures and treatments with insurance companies</li><li>Liaise with healthcare providers and insurance companies to resolve any issues related to preapprovals</li><li>Invoicing:</li><li>Prepare and manage invoicing for medical services rendered, ensuring accuracy in coding and billing information</li><li>Collaborate with the finance department to ensure timely and accurate billing</li><li>Submissions and Resubmissions:</li><li>Submit medical claims to insurance companies and follow up on the status of submitted claims</li><li>Handle resubmissions for rejected or denied claims, ensuring corrections are made promptly to facilitate payment</li><li>Communicate with insurance companies to resolve any discrepancies or issues related to claims</li><li>Compliance:</li><li>Ensure compliance with all relevant regulations, guidelines, and standards, including HIPAA and local UAE healthcare regulations</li><li>Stay updated on changes in coding and billing procedures, insurance policies, and regulatory requirements</li><li>Documentation:</li><li>Maintain accurate and detailed records of all coding, billing, preapproval, and submission activities</li><li>Generate reports on coding and billing activities for internal review and analysis</li></ul>Understand, follow and support all hospital infection control programs.RequirementsQualifications:<ul><li>Education:</li><li>Diploma or degree in Medical Coding, Health Information Management, or a related field</li><li>Certification:</li><li>Certified Professional Coder (CPC) or equivalent certification is required</li><li>Experience:</li><li>Minimum of 2 years of experience in medical coding, with specific experience in 1) preapprovals, 2) invoicing, 3) submissions, and 4) resubmissions</li><li>Knowledge:</li><li>In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems. Familiarity with UAE healthcare regulations and insurance processes is preferred. DHA issued policies</li><li>Skills:</li><li>Strong attention to detail and accuracy</li><li>Excellent communication and interpersonal skills</li><li>Proficiency in using medical coding software and electronic health records (EHR) systems</li><li>Ability to work independently and manage multiple tasks efficiently</li></ul>Job Types: Full-time, ContractPay: AED2,500.00 - AED4,000.00 per monthExperience:<ul><li>Medical coding: 1 year (Required)</li></ul>

Dental Coder

Abacus Outsourcing

Job description:Job Summary: The Medical Billing Verification Specialist is responsible for managing end-to-end billing, claims processing, payment posting, and denial management to ensure accurate and timely reimbursement. This role supports healthcare providers, administrative teams, and patients by ensuring clean claim submission, resolving billing discrepancies, and maintaining compliance with regulatory and payer guidelines.Key Responsibilities:&middot; Review patient demographic, insurance, and clinical documentation to ensure accurate claim creation and billing. &middot; Verify patient insurance eligibility, benefits, and coverage requirements prior to claim submission. &middot; Prepare, submit, and monitor medical claims to payers, ensuring timely and accurate processing. &middot; Investigate and resolve claim denials, rejections, and underpayments by coordinating with payers, providers, and internal teams. &middot; Ensure compliance with federal, state, and payer-specific billing regulations, including coding and HIPAA requirements. &middot; Maintain comprehensive and up-to-date records in practice management and EMR/RCM systems. &middot; Generate reports on claims status, collections, denials, and revenue performance. &middot; Support internal audits and quality improvement initiatives within the revenue cycle. &middot; Provide guidance to team members on billing guidelines, payer policies, and RCM best practices.Qualifications:&middot; Bachelor&rsquo;s degree in healthcare administration, business, life sciences, or related field preferred but not required. &middot; Prior experience in medical billing, RCM, claims processing, or health insurance is preferred. &middot; Strong understanding of medical billing practices, CPT/ICD coding, modifiers, and healthcare reimbursement workflows. &middot; Familiarity with EMR, EHR, and RCM/billing software systems. &middot; Excellent written and spoken English communication skills for interacting with patients, providers, and insurers. &middot; Strong attention to detail, accuracy, and organizational skills. &middot; Ability to maintain confidentiality and handle sensitive financial and medical information.Key Competencies:&middot; Analytical thinking and problem-solving. &middot; Accuracy and attention to detail. &middot; Time management and multitasking. &middot; Interpersonal skills and professionalism. &middot; Strong English communication skills (C1) for documentation, correspondence, and payer interactions.Timings: 7 PM to 4 AM Working Days: 5 Days a weekBenefits:&middot; Weekly 2 days off &middot; EOBI &middot; Medical Life Insurance (IPD + OPD)At Abacus, we&rsquo;re not just a workplace; we&rsquo;re a community built on core values. As advocates of diversity and inclusion, we proudly stand as an Equal Opportunity Employer, ensuring equitable opportunities for all. We uphold the highest standards of accountability, encouraging every team member to take ownership of their work and contribute to our shared goals. Collaboration is fundamental to our success; we believe in the power of teamwork. We foster a culture of continuous learning, where curiosity is celebrated, and growth is nurtured. Respect and empathy guide our interactions, and we embrace bold ideas and open dialogue, believing that innovation flourishes in an environment of openness.Join us at Abacus, where our values not only define our work but also shape our identity as a community!Job Type: Full-time Work Location: In person (Lahore)Job Type: Full-timePay: Rs100,000.00 - Rs130,000.00 per monthWork Location: In person

Medical Billing Specialist- US Health Insurance

Prima Systems

Position: VOB &amp; Eligibility Specialist Department: Revenue Cycle Management Location: (On-site) Shift: US Shift (Night Shift)Role SummaryThe VOB &amp; Eligibility Specialist is responsible for verifying insurance benefits, checking patient eligibility, and ensuring all required information is accurate before services are rendered or claims are submitted. This role plays a critical part in reducing denials, improving cash flow, and ensuring seamless operations within the Revenue Cycle Management process.Key Responsibilities<ul><li>Verify patient insurance coverage using payer portals, IVR, and direct communication with insurance carriers.</li><li>Confirm eligibility status, policy details, copays, deductibles, co-insurance, out-of-pocket limits, and benefit maximums.</li><li>Check coverage limitations, plan benefits, and authorization requirements for specific services.</li><li>Validate patient demographics and update billing systems/EMR with accurate insurance details.</li><li>Identify and resolve issues related to inactive policies, plan changes, or benefit discrepancies.</li><li>Document all findings clearly and ensure timely completion as per client-specific TAT.</li><li>Coordinate with billing, coding, front-office, and prior authorization teams to resolve eligibility or benefit concerns.</li><li>Maintain and apply up-to-date knowledge of insurance guidelines, payer rules, and benefit structures for Medicare, Medicaid, and commercial plans.</li><li>Contribute to reducing claim denials related to eligibility and benefit errors.</li></ul>Required Skills &amp; QualificationsBachelor&rsquo;s degree is mandatory.<ul><li>Minimum 1&ndash;2 years of experience in US Medical Billing (VOB and Eligibility preferred).</li><li>Strong understanding of commercial and government payers (PPO, HMO, Medicare, Medicaid, Workers Comp).</li><li>Excellent communication skills&mdash;both verbal and written.</li><li>High attention to detail, accuracy, and analytical ability.</li><li>Experience working with EMR/EHR platforms, clearinghouses, and payer portals.</li><li>Ability to meet productivity and quality metrics consistently.</li><li>Willingness to work US night shifts.</li></ul>Job Type: Full-timeWork Location: In person

VOB & Eligibility Specialist – US Medical Billing

Macrise Tech Solutions

We are looking for a highly organized and detail-focused Accounts Receivable &amp; Denials Resolution Specialist to support our medical billing operations. In this position, you will manage outstanding insurance claims, resolve denials, and ensure timely and accurate reimbursement from payers. The ideal candidate is analytical, efficient, and skilled in communicating professionally with patients, providers, and insurance companies.Key ResponsibilitiesAccounts Receivable &amp; Denial Management<ul><li>Monitor, track, and manage all pending insurance claims to minimize AR balances.</li><li>Perform daily follow-up on claim denials and ensure quick resolution.</li><li>Review ERA reports to identify common denial trends and suggest preventive strategies.</li><li>Prepare, file, and monitor appeals for denied or underpaid claims, including all required documentation.</li><li>Identify payment discrepancies and escalate complex issues to the Billing Manager.</li><li>Maintain updated AR aging reports with consistent weekly and monthly reporting.</li><li>Manage claims for specialized services such as TMS, Spravato, and psychological evaluations.</li><li>Coordinate with the Billing Manager to meet AR reduction, accuracy, and recovery targets.</li></ul>Patient &amp; Provider Coordination<ul><li>Address billing inquiries from patients, providers, and internal teams in a timely manner.</li><li>Verify and update patient account information before starting collection processes.</li><li>Collaborate with providers to correct claim issues, including coding or documentation errors.</li><li>Work with insurance payers on eligibility, authorizations, and network-related matters.</li><li>Resolve patient concerns respectfully and process refunds when applicable.</li></ul>System &amp; Workflow Optimization<ul><li>Create, monitor, and resolve support tickets in eClinicalWorks (eCW).</li><li>Provide training and guidance to team members on AR and denial workflows.</li><li>Coordinate with U.S. billing teams to ensure proper and timely claim submission.</li><li>Participate in performance review meetings, analyze trends, and recommend process improvements.</li><li>Stay informed about payer rules, regulatory updates, and evolving medical billing standards.</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift in Wapda Town, Lahore?</li></ul>Experience:<ul><li>Medcal Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Medical Billing AR & Denials Specialist

Russell Tobin

<div>
 
 
 Russell Tobin is actively looking for a Medical Equipment (DME) Billing and Claims Submission Specialist II.
 
 
 
 
 
 
 
 
 
 
 Location:
 
 San Antonio, TX (Hybrid Schedule)
 
 
 
 Shift:
 
 1st Shift
 
 
 
 Employment Type:
 
 W2 Contract (1-year)
 
 
 
 Pay Rate:
 
 $17-19/hour (based on experience)
 
 
 
 
 
 
 About the Company
 
 
 
 Join a
 
 global healthcare technology organization
 
 with a long-standing legacy of medical innovation. This company develops
 
 smart, data-driven solutions
 
 that advance patient care and enable healthcare professionals to perform at their best. As they continue to grow independently, they remain committed to improving lives through innovation, science, and compassion.4
 
 
 
 
 
 
 Key Responsibilities
 
 
 <ul>
 <li>
 Process and manage
 
 DME billing and claims submissions
 
 for Wound V.A.C.&reg; therapy.
 </li>
 <li>
 Review payer websites and contact payers, patients, and physician offices (via phone or email) to gather required billing information.
 </li>
 <li>
 Analyze and prioritize workload to meet departmental production targets.
 </li>
 <li>
 Update and refile claims accurately and in a timely manner.
 </li>
 <li>
 Review data and reports to identify trends or areas for process improvement.
 </li>
 </ul>
 
 
 
 
 
 Required Skills &amp; Qualifications
 
 
 <ul>
 <li>
 
 High School Diploma or GED
 
 (verified prior to start).
 </li>
 <li>
 
 2+ years of experience
 
 in
 
 medical billing, healthcare claims, or healthcare support
 
 .
 </li>
 <li>
 Familiarity with
 
 Electronic Health Record (EHR)
 
 systems.
 </li>
 <li>
 Proficiency with
 
 Microsoft Office
 
 (Word, Excel, Outlook).
 </li>
 <li>
 Strong understanding of
 
 HIPAA regulations
 
 and compliance standards.
 </li>
 <li>
 Working knowledge of
 
 CPT, HCPCS, and ICD-10
 
 coding systems.
 </li>
 </ul>
 
 
 
 
 
 Preferred Qualifications
 
 
 <ul>
 <li>
 Experience in
 
 post-acute care environments
 
 such as Home Health Agencies, Skilled Nursing Facilities, or Wound Care Centers.
 </li>
 <li>
 Exceptional
 
 attention to detail
 
 and accuracy in billing documentation.
 </li>
 <li>
 Strong
 
 time management and organizational
 
 skills.
 </li>
 <li>
 Ability to work independently while maintaining high productivity and accuracy.
 </li>
 </ul>
 
 
 
 
 
 Benefits that Russell Tobin offers:
 
 
 
 
 Russell Tobin offers eligible employee&rsquo;s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life &amp; disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors
 
 
 
 #JD-E2EProf2
 
 
 #rta-zr
 
</div>

Medical Billing Analyst

University of Pennsylvania Health System

<div>Description
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. 
 
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? 
Entity: CCA-Penn Primary Care and Penn Specialty Practices
Department: Population Health
Location: 150 Monument Road, Bala Cynwyd
Hours: Full-Time, Per Departmental Needs
Job Summary:
The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line, Director of Quality with an affiliation with the ambulatory billing &amp; compliance team. The primary objective of this position is to improve the accuracy of coding, compliance and clinical documentation. The Certified coder (CPC or CCS-P) is responsible for detailed analysis of outpatient medical record documentation to ensure appropriate and correct coding.
Accountabilities:
<ul><li>Review and interpret patient medical record documentation (progress notes, operative reports, discharge summaries, charge documents) to determine services provided and identify pertinent diagnoses and procedures.
</li><li>Assigns ICD-10-CM, ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory clinic visit records
</li><li>Maintain current knowledge of coding guidelines, reimbursement reporting requirements; educate staff and physicians in accurate data collection to ensure efficient and timely claim submission.
</li><li>Review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the procedures preformed</li><li>
In partnership with coding colleagues, educate provider community through independent audit analysis to ensure knowledge and understanding of correct coding and documentation policies and procedures
</li><li>Identify payor related issues and report to management team.
</li><li>Work in coordination with other members of the Physicians' Billing &amp; Compliance Office as necessary
</li><li>Recommend new approaches, policies, and procedures to influence continuous improvements in department's efficiency and services performed
</li><li>Take ownership of special projects and follow through with detailed action plans
</li><li>Assure consistent quality and cost effectiveness of daily operations through coordination with physicians, patients, process assessment, and review of financial reports generated EPIC.
</li><li>Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
</li><li>Other duties as assigned to support the unit, department, entity, and health system organization</li></ul>
Qualifications:
<ul><li>Bachelor's Degree HIM, healthcare, or related field (Required)</li><li>
Relevant coding medical professional services experience including ambulatory outpatient and risk adjustment coding (Required)</li><li>
Additional experience could be considered in lieu of degree.</li><li>
CCS or Certified Procedural Coder - CPC (AAPC) (Required)</li><li>
CRC (Preferred)</li></ul>
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. 
 
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.</div>

Ambulatory Coding and Doc Specialist

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