medical billing and coding specialist

Medico first

Position Overview:We are seeking an experienced Medical Billing and Coding Specialist with at least 5-10 years of hands-on experience in U.S. healthcare billing and coding systems. The ideal candidate will have deep knowledge of CPT, ICD-10, and HCPCS codes, as well as strong expertise in insurance claims, denials management, and EHR systems.Key Responsibilities:Review, analyze, and accurately assign CPT, ICD-10, and HCPCS codes.<ul><li>Prepare and submit clean insurance claims for reimbursement.</li><li>Verify patient insurance coverage and eligibility.</li><li>Handle claim denials, rejections, and follow-ups with payers.</li><li>Maintain compliance with HIPAA and other federal regulations.</li><li>Work with healthcare providers to ensure accurate documentation.</li><li>Generate and review billing reports for accuracy and completeness.</li></ul>Requirements:<ul><li>Minimum 5-10 years of experience in medical billing and coding (USA healthcare system).</li><li>Certification (CPC, CCS, or equivalent) preferred.</li><li>In-depth understanding of medical terminology, anatomy, and billing procedures.</li><li>Familiarity with Medicare, Medicaid, and commercial insurance guidelines.</li><li>Strong knowledge of EHR and billing software</li><li>Excellent communication and problem-solving skills.</li><li>Ability to work independently and meet deadlines.</li></ul>Benefits:<ul><li>Competitive pay (based on experience)</li><li>Remote work flexibility</li><li>Paid time off and holidays</li><li>Ongoing training and professional development</li><li>Supportive, collaborative team environment</li></ul>How to Apply:Submit your resume and cover letter to ckpk4511@gmail.com with the subject line: &ldquo;Application &ndash; Medical Billing &amp; Coding Specialist (5-10 Years Experience)&rdquo;Job Type: Full-timePay: Rs100,000.00 - Rs150,000.00 per monthExperience:<ul><li>MBC: 5 years (Required)</li></ul>Language:<ul><li>english (Required)</li></ul>License/Certification:<ul><li>Medical Billing and coding (Preferred)</li></ul>Work Location: In person

Medical Billing and Coding

Abir Solutions, LLC

Medical Billing SpecialistJob Summary:Raj Consultancy is seeking a Medical Biller with a strong background in medical billing and coding. This position will be responsible for the collection of past due medical bills from patients and processing payments. The position will also be responsible for collecting and processing payments for services rendered. The position will report to the billing manager.Essential Duties and Responsibilities:<ul><li>Collect past due medical bills from patients.</li><li>Process payments (cash, check, credit cards) for patients.</li><li>Maintain patient files.</li><li>Answer patient calls and direct them to the correct billing department.</li><li>Answer patient billing questions regarding their account.</li><li>Review past due medical bills and prepare payment plans for patients who do not pay their billings in a timely manner.</li><li>Ensure that all billing procedures are followed and follow all established procedures to ensure that our process is efficient and accurate.</li><li>Perform other duties as assigned by the Manager of Accounting or Executive Director of Operations.</li></ul>Required Skills: &middot;Excellent written and verbal communication skills, including the ability to clearly articulate thoughts and ideas to others in written, verbal, or diagram form. &middot;Strong organizational skills with a proven ability to meet deadlines in a fast-paced environment. &middot;Excellent time management skills with the ability to plan ahead for future needs and prioritize tasks based on urgency. &middot;A strong work ethic with an ability to work independently or as part of a team, as required or appropriate, depending on the needs of the department, department head, or client. &middot;A strong understanding of medical billing procedures and practices, including CPT/ICD/VHEI coding, insurance verification, collection practices, data entry procedures, computer knowledge, and proficiency in using an electronic medical record system (e.g., Aetna CareCloud). Knowledge of other medical terminology is helpful but not required for this position.OFFICE TIMING: 5:30pm to 3:00amJob Type: Full-timePay: &#8377;25,000.00 - &#8377;50,000.00 per monthBenefits:<ul><li>Paid time off</li></ul>Experience:<ul><li>ICD-10: 1 year (Required)</li></ul>Work Location: In person

Medical Billing Specialist

The Garden of Eve

Medical Billing SpecialistLocation: Head Office, Lahore, Pakistan Job Type: Full-time | Timings: 5:30 PM &ndash; 2:30 AM (PAK EST) Level: Mid-Level | Department: Med Tech | Reports To: Team LeadAbout the RoleWe are looking for a detail-oriented Medical Billing Specialist to manage end-to-end billing and revenue cycle processes. You will handle claim submission, follow-ups, denial management, and ensure timely reimbursements from insurance providers, patients, and government programs.Key Responsibilities<ul><li>Prepare and submit accurate claims using ICD-10, CPT, and HCPCS codes.</li><li>Follow up on unpaid/denied claims and handle appeals or resubmissions.</li><li>Post payments, maintain billing records, and support monthly reports.</li><li>Verify patient insurance eligibility and update payer information.</li><li>Ensure compliance with HIPAA, payer guidelines, and coding regulations.</li></ul>Requirements<ul><li>Experience: 2&ndash;4 years in US Medical Billing (A/R &amp; Denial Management).</li><li>Education: Bachelor&rsquo;s degree (Commerce, Finance, or Healthcare preferred).</li></ul>*<ul><li>Skills:</li><li>Strong understanding of RCM and US insurance processes</li><li>Proficiency in billing platforms (e.g., Kareo, eClinicalWorks, AdvancedMD)</li><li>Analytical, organizational, and communication skills</li><li>Knowledge of HIPAA, EOBs, and payer appeal procedures</li></ul>About 7 Kings Code7 Kings Code is a US-based IT Staffing &amp; Software Solutions company headquartered in Coral Springs, Florida, with a global presence across the USA, Canada, Europe, India, Pakistan, and the Middle East. Mission: Never Stop, Never Give Up. Vision: To lead globally in technology and talent management. Values: Equal Opportunity | Diversity &amp; Inclusion | Respect &amp; IntegrityApply NowIf you are a motivated Medical Billing professional with a passion for accuracy and efficiency, we&rsquo;d love to hear from you!Job Type: Full-timePay: Rs60,000.00 - Rs80,000.00 per monthWork Location: In person

MaxRemind

MaxRemind is seeking a Medical Billing Specialist to join our professional team in Rawalpindi (Onsite). The ideal candidate will possess strong analytical skills, attention to detail, and a solid understanding of medical billing processes within the US healthcare system.Key Responsibilities:<ul><li>Prepare, submit, and follow up on insurance claims to ensure timely payments.</li><li>Verify patient insurance coverage, eligibility, and benefits.</li><li>Accurately apply CPT, ICD-10, and HCPCS codes as required.</li><li>Resolve denied claims through effective communication with patients, providers, and insurance companies.</li><li>Maintain accuracy, confidentiality, and compliance with HIPAA and company policies.</li></ul>Qualifications and Requirements:<ul><li>Bachelor&rsquo;s degree (Mandatory).</li><li>6 months &ndash; 1.5 years of experience in medical billing or the revenue cycle process.</li><li>Proficiency in billing software, coding standards, and insurance processes.</li><li>Excellent communication, analytical, and problem-solving skills.</li><li>Strong attention to detail and ability to work independently and efficiently.</li></ul>Benefits:<ul><li>Competitive salary package.</li><li>Lunch and tea provided.</li><li>Career growth and learning opportunities.</li><li>Supportive and collaborative team environment.</li></ul>Timings: 08:00 AM &ndash; 05:00 PM Location: Near Old Airport. Fazal Town Phase 2, Rawalpindi, Pakistan (Onsite) Apply at: hr@mrremind.comJob Type: Full-timePay: Rs40,000.00 - Rs50,000.00 per monthWork Location: In person

Dynamic

Full Job description: We are seeking a detail-oriented and knowledgeable Insurance Coder to join our healthcare team. The ideal candidate will be responsible for accurately coding medical records and ensuring compliance with industry standards. This role requires proficiency in various coding systems and a strong understanding of medical terminology, billing processes, and electronic health record systems.Responsibilities1. Medical Coding and Documentation Review<ul><li>Review clinical documentation provided by physicians and healthcare providers to accurately assign ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services rendered.</li><li>Ensure that all coding reflects the services documented and complies with local payer requirements and insurance coding standards.</li></ul>2. Claims Preparation and Submission<ul><li>Prepare and process medical claims for submission to insurance companies, TPAs, and government health programs.</li><li>Ensure each claim is accurately coded, error-free, and submitted within the payer&rsquo;s timeframe to minimize claim rejections and delays.</li></ul>3. Insurance Verification and Pre-Authorization Support<ul><li>Collaborate with the front desk and insurance department to verify patient coverage, benefits eligibility, and prior authorization requirements before procedures.</li><li>Provide coding support to facilitate accurate pre-approvals.</li></ul>4.Compliance and Regulatory Adherence<ul><li>Maintain strict adherence to UAE regulatory guidelines (DHA, DOH, MOHAP, etc.) and international coding standards (AAPC/AHIMA).</li><li>Ensure all documentation and coding practices meet HIPAA and data privacy regulations.</li></ul>5. Denial Management and Resubmission<ul><li>Analyze denied or rejected claims, identify coding-related reasons, and take corrective actions.</li><li>Recode and resubmit claims promptly to ensure optimal reimbursement.</li></ul>6. Revenue Cycle Optimization<ul><li>Work closely with the billing and finance teams to ensure that accurate coding contributes to maximum reimbursement and efficient cash flow.</li><li>Identify patterns in underpayments or denials and recommend corrective strategies.</li></ul>7. Internal Audits and Quality Assurance<ul><li>Conduct routine coding audits to ensure accuracy, completeness, and compliance.</li><li>Participate in internal reviews to maintain a clean claims ratio and minimize financial risk to the centre.</li></ul>8. Provider Education and Feedback<ul><li>Collaborate with physicians and nurses to educate them on documentation standards that support appropriate coding.</li><li>Provide feedback on incomplete or ambiguous notes that may affect claim validity.</li></ul>9. Reporting and Data Analytics<ul><li>Generate periodic coding, billing, and denial trend reports for management review.</li><li>Contribute insights into service utilization, payer performance, and reimbursement trends to inform business decisions.</li></ul>10. Continuous Professional Development<ul><li>Stay updated with new coding regulations, payer policies, and software updates (such as in Bitrix, eClaimLink, or DHA Shafafiya systems).</li><li>Participate in coding workshops, training sessions, and continuing education programs to maintain certification.</li></ul>Qualification:<ul><li>At least 2 years of UAE experience as an insurance coder in the clinic sector.</li><li>Proven experience in medical coding .</li><li>Familiarity with medical billing processes and medical collection practices is preferred.</li><li>Strong knowledge of medical terminology to ensure accurate coding practices.</li><li>Excellent attention to detail with the ability to work independently as well as part of a team.</li><li>Strong analytical skills to interpret complex information accurately.</li><li>Certification in Medical Coding (e.g., CPC, CCS) is a mandatory.</li></ul>Job Type: Full-time

Insurance Coder

National Emirates for Medical Services

We are currently seeking a Billing and Medical Coder with prior experience in the homecare sector to join our team in Abu Dhabi. The ideal candidate will be responsible for accurately coding medical procedures and services, preparing and submitting claims, and ensuring compliance with insurance regulations specific to homecare services.Key Responsibilities:<ul><li>Review and analyze medical documentation to assign appropriate ICD-10, CPT, and HCPCS codes</li><li>Ensure accurate and timely billing of homecare services to insurance providers</li><li>Verify and validate patient insurance coverage</li><li>Resolve billing discrepancies and follow up on unpaid claims</li><li>Maintain confidentiality and security of patient records</li><li>Stay up to date with payer regulations and homecare coding guidelines</li><li>Coordinate with nurses and physicians for proper documentation</li></ul>Requirements:<ul><li>Proven experience in medical coding and billing, specifically in a homecare setting (Mandatory).</li><li>Certification in medical coding (e.g., CPC, CCA, CCS) is preferred.</li><li>Strong knowledge of ICD-10, CPT, and HCPCS coding systems.</li><li>Familiarity with UAE insurance billing processes and portals (e.g., Daman, Thiqa, etc.).</li><li>Excellent attention to detail and accuracy.</li><li>Proficient in medical billing software and Microsoft Office.</li><li>Good communication and organizational skills.</li><li>Based in Abu Dhabi or willing to relocate.</li></ul>Job Type: Full-timePay: From AED1.00 per monthApplication Question(s):<ul><li>Do you have valid license?</li></ul><ul><li>How many years of homecare experience?</li></ul><ul><li>Willing to work in Abu Dhabi?</li></ul><ul><li>How many months is your notice period?</li></ul><ul><li>Expected date of joining?</li></ul><ul><li>Willing to work in Homecare?</li></ul>Work Location: Remote

BILLING AND MEDICAL CODER – HOMECARE

Sheikh Shakhbout Medical...

Job DescriptionThe CDI primary role will be auditing inpatient/ outpatient cases for DRG validation and/or documentation improvement opportunities utilizing a unique approach that combines technology, coding and clinical documentation auditing expertise. Responsibilities include working directly with the Physicians, Coders and CDI team members to streamline processes, identify training needs and ensure consistent information is shared. Provide training, as needed to ensure quality and productivity standards are met. This person should have strong coding skills, extensive knowledge of medical terminology, the human disease process, and anatomy &amp; physiology, along with a thorough understanding of the workflow and processes utilized by the team members to successfully complete review processes. Viewed as an expert, highly sought-after resource, and a key advisor to other business partners. Ensures compliance of coding/billing and charging with regulatory and accreditation standards.Responsibilities Prepares medical records in the inpatient and/or outpatient setting to capture an accurate representation of the severity of illness and facilitate proper coding. Improves documentation practices to reflect quality and outcome scores. Develops and educate physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record; Obtains and promote appropriate clinical documentation through extensive interaction with physicians to ensure that the documentation of the level of service rendered to the patient and the patient's clinical complexity is complete and accurate; Performs remote and on-site paper or electronic medical chart review and clinical validation audits and interpretation of medical documentation to ensure clinical support of all relevant coding based on AHIMA guidelines; Facilitates and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient Assess review data to determine areas of improvement for follow up physician training and communication Utilizes query process when code assignments are not straightforward or documentation is not clear for coding purposes; Maintains Clinician focused process design, data analysis, and improvement strategies to drive project execution for high quality/high priority outcomes; Assess clinical aspects of medical record documentation to drive improvement and consistency in application across Medical Group adult primary care and specialty clinics. Prepares spreadsheets to collect and support chart review findings; Recommends necessary training to correct deficiencies for the department/section Communicates effectively all relevant policies and procedures, of the facility to the current and prospective employees Contributes to the processes used in the performance of the CDS role, through SOP development and revision, and process improvement Responsible for providing accurate information to the management, finance leadership, and medical team. Contributes to the processes used in the performance of the CDS role, through SOP development and revision, and process improvementAccountabilities Maintains patient medical records in the inpatient and/or outpatient setting to capture an accurate representation of the severity of illness and facilitate proper coding. Determines and validates that coding reflects medical necessity of services and facilitates appropriate coding which provides an accurate reflection and reporting of the severity of the patient s illness along with expected risk of mortality and complexity of care.QualificationsExperience :-Required Experience in IR-DRG, ICD10 and CPT Experience with Statistical analysis/ Data Analysis Experience with Microsoft Office Tools Experience in a large healthcare facilityDesired Experience in a large healthcare facility Experience in IR-DRG and ICD10Educational Qualification: Required: Any of the following: Registered Health Information Technician (RHIT), Certified CodingAbout UsAt SSMC, we firmly believe that the human touch is a fundamental part of care. We understand that health care is both an art and a science, running deeper than simply diagnosing and treating those who rely on us. Our SSMC Model of Care puts our patients at the forefront of our purpose and at the heart of everything we do, ensuring that the needs of our patients come first. Every one of our patients receives individualized attention from a multidisciplinary team of experts who collaborate closely to deliver trusted and compassionate care. From the very first point of contact with SSMC, to the moment patients are back home, we ensure speciality-specific care at every stage and in every interaction. As one of the largest tertiary hospitals in the UAE, SSMC provides access to specialist medical treatments and advanced diagnostics, with a commitment to becoming a Destination Medical Center in the UAE and wider region.About The TeamAbout Sheikh Shakhbout Medical City (SSMC)SSMC is the largest tertiary hospital in the UAE and serves to elevate the provision of health care services in the nation under the mandate of the Abu Dhabi Economic Vision 2030.Supported by the latest diagnostic and treatment modalities available, SSMC offers care in 44 specialties. A team of locally and internationally trained medical, clinical and admin professionals work seamlessly together, which promotes comprehensive interdisciplinary learning, allowing SSMC to become a leading hub for integrated patient-centric medical services in the region.As the region s leading tertiary facility, SSMC has 742 patient beds, 18 operating theatres, and includes a hybrid operating room, 26-bed neonatal intensive care unit, and the UAE s largest pathology lab.

Clinical Documentation Integrity Specialist-Coding

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BILLING AND MEDICAL CODER – HOMECARE

Clinical Documentation Integrity Specialist-Coding