medical coding specialist

Optima Medical

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 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:
 
 
 
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 Review and assign accurate ICD-10-CM, CPT, and HCPCS codes for medical diagnoses and procedures based on clinical documentation.
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 Ensure coding compliance with CMS guidelines, and state/federal regulations.
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 Ability to write precise, professional, and well structured feedback to providers and team members.
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 Assist with claim reviews, denials, and coding-related audits to optimize revenue integrity.
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 Maintain up-to-date knowledge of medical coding guidelines, regulatory changes, and industry best practices.
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 Meet coding productivity and quality standards as required by Optima Medical.
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 High attention to detail and analytical skills to ensure accuracy and compliance.
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 Perform other related job duties as assigned.
 
 
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 Job Qualifications:
 
 
 
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 Minimum 2 years of experience in medical coding (physician practice or healthcare facility).
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 Certified Professional Coder (CPC) required (AAPC or AHIMA certification). No CPC-A or CCA.
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 Strong understanding of ICD-10-CM, CPT, and HCPCS.
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 Experience with EHR systems, billing software, and Microsoft Office (Outlook, Word, Excel)
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 Strong analytical, problem-solving, and communication skills.
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 Ability to work independently in a fast-paced production environment while maintaining high accuracy.
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 Must demonstrate strong written communication skills to provide clear feedback and improve coding accuracy.
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 Strong knowledge of medical terminology, disease processes, and physiology to ensure accurate interpretation of provider documentation.
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 Must live in Arizona.
 
 
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 Why Join Our Team?
 
 
 
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 Substantial growth opportunities
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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)
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 Supportive and positive work culture
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Medical Coding Specialist (Remote)

Gastro Florida

<div><h1 class="jobSectionHeader">Medical Billing/ Coding Specialist</h1>
Gastro Florida is the largest gastroenterology group in Tampa Bay with over 65 providers and over 25 locations in Pinellas, Hillsborough, Pasco, Hernando, and Polk counties. Gastro Florida offers G.I. screeningtreatment, colon cancer prevention, non-surgical cancer intervention, IBD infusionstherapy, nutritionweight loss services, monitoring between visits, pharmacypathology services, and the latest therapies, including clinical research, to provide an integrated patient experience. Our mission is to provide general and advanced/interventional gastroenterology services in an Affable, AffordableAccessible manner for Accurate Answers.
We are seeking a competent, conscientious, service-oriented individual with strong character while working in our Central Business Office (CBO). This individual will work collections of insurance claims (work A/R report, insurance follow up, denials, appeals, researching unpaid balances). He/She will work under the direction of our Billing Manager.
This role is ideal for someone who is confident in a fast-paced medical billing environment, comfortable with high volume loads, and able to integrate quickly with minimal training.
Key Responsibilities:<ul><li>Code, prepare and submit clean claims to insurance companies via electronic and paper submissions</li></ul>
-Monitor insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner -Identify coding or billing problems from EOBs and work to correct the errors in a timely manner
<ul><li>Identify payor issues and trends and resolve recoup issues</li><li>Update demographic information in the patient account record and identify actions taken on the account
</li></ul>-Provide thorough, efficient, and accurate account updates/notes in computer system for each communication made -Identify problem accounts and escalate as appropriate -Work with patients and guarantors to secure payment on outstanding account balances
- Researching and obtaining necessary information provider/office -Sort and file correspondence -Verify patient eligibility with insurance carriers<ul><li>Properly calculates and collects out of pocket expenses for patients</li><li>Obtain and maintain CPC or CGIC or similar coding certifications
</li></ul>Other Duties as Assigned (~10%)<ul><li>Able to work overtime as needed, including evening and weekend hours</li><li>Attend staff meetings, phone conferences and training as needed</li><li>Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and company policies.</li></ul>
CPC certified candidate is preferred.
Apply for this great position today!
The corporate headquarters (CBO) is located in beautiful Feather Sound (Clearwater).
Gastro Florida is committed to Affability, Affordability, Access, Answers, and Accuracy.
We are dedicated and working hard to become the best place to work and providing every team member the opportunity to be part of something bigger than just a job.</div>

Medical Billing/Coding Specialist

Houston

Job Summary We are seeking a detail-oriented and energetic Medical Billing &amp; Coding Specialist with expertise in ICD-10 and CPT coding to join our dynamic healthcare team. In this vital role, you will be responsible for accurately translating medical diagnoses and procedures into standardized codes, ensuring precise billing and reimbursement processes. Your contributions will directly impact the efficiency of our revenue cycle management, patient records accuracy, and overall healthcare delivery. If you thrive in a fast-paced environment, possess a passion for medical coding, and enjoy working with cutting-edge electronic health record (EHR) systems, this opportunity is perfect for you!The Medical Billing Specialist is responsible for analyzing patient&rsquo;s records and coding the patient&rsquo;s records based on ICD-10 and CPT codes. Additionally, ensure all charges are reflected on the patient account and communicate with inter-departments regarding any type of discrepancy for corrections.Duties<ul><li>Review and analyze medical records to assign appropriate ICD-10 diagnosis codes and CPT procedure codes with precision.</li><li>Ensure all coding aligns with current guidelines, including ICD-9 (if applicable), ICD-10, CPT, and DRG classifications.</li><li>Prepare and submit clean claims for insurance reimbursement using electronic medical record (EMR) and EHR systems.</li><li>Follow up on unpaid or denied claims through effective medical collection strategies to optimize revenue recovery.</li><li>Maintain comprehensive and accurate medical records, ensuring compliance with privacy laws and documentation standards.</li><li>Collaborate with healthcare providers to clarify documentation or resolve coding discrepancies promptly.</li><li>Stay updated on changes in medical coding regulations, insurance policies, and industry best practices to ensure ongoing compliance.</li><li>Reviews medical record documentation to ensure pertinent diagnoses are coded</li><li>Utilizes ICD 10, CPT, clinical reports, UDS reports, H&amp;P reports, operative reports, code diagnosis and modifiers according to coding guidelines</li><li>Communicates effectively with all appropriate parties regarding missing information to ensure proper billing submission</li><li>Prepares and submit electronic and paper claims to insurance carriers and gov payers</li><li>Manages the status of accounts and identify inconsistencies</li><li>Resolves denials and rejections daily</li><li>Handles electronic medical records (EMR) with proficiency and maintains accurate patient records</li><li>Other duties as assigned</li></ul>Requirements<ul><li>Proven experience in medical billing, coding, or related roles within a healthcare setting.</li><li>Strong knowledge of ICD-10, CPT coding systems, and DRG classifications.</li><li>Familiarity with ICD-9 (legacy systems) and comprehensive understanding of medical terminology.</li><li>Experience working with EMR/EHR systems to document and process billing information efficiently.</li><li>Excellent attention to detail to ensure accurate code assignment and claim submission.</li><li>Ability to interpret complex medical records and translate them into precise codes.</li><li>Strong communication skills for collaborating with healthcare providers and insurance companies. Join us if you're passionate about making a difference through accurate medical coding! Bring your expertise in ICD-10 / CPT coding, your knowledge of medical billing processes, and your enthusiasm for improving healthcare operations. We&rsquo;re committed to supporting your professional growth while fostering an energetic environment where your skills can truly shine!</li><li>High School Diploma or GED</li><li>Three (3) years of experience with medical claims/billing, medical billing cert in lieu of experience</li></ul>Pay: $15.00 - $25.00 per hourBenefits:<ul><li>Flexible schedule</li><li>Paid time off</li></ul>Work Location: In person

Medical Billing & Coding Specialist (ICD-10 / CPT)

Parallon

<div>Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Clinical Denials Coding Review Specialist with Parallon you can be a part of an organization that is devoted to giving back!
This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
<h5 class="jobSectionHeader">Job Summary and Qualifications</h5>
As a work from home Clinical Denials Coding Review Specialist, you will be responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. This job requires regular outreach to payors and Practices.
What you will do in this role:<ul><li>
Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures
</li><li>Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate
</li><li>Compose technical denial arguments for reconsideration, including both written and telephonically
</li><li>Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
</li><li>Identify problem accounts/processes/trends and escalate as appropriate
</li><li>Utilize effective documentation standards that support a strong historical record of actions taken on the account
</li><li>Post denials, post or correct contractual adjustments, and post other non-cash related Explanation of Benefits (EOB) information
</li></ul>Requirements:<ul><li>
Minimum two years related experience in accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash application preferred</li><li>
Prior experience reading and interpreting Explanation of Benefits (EOB) required</li><li>
Coding certification through AHIMA or AAPC strongly preferred</li></ul>
<h5 class="jobSectionHeader">Benefits</h5>
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
&quot;
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
&quot; 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Clinical Denials Coding Review Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Clinical Denials Coding Review Specialist

DataAnnotation

<div>
 We are looking for a Certified Coding Specialist (CCS) to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.
 
 
 In this role, you will need to be an expert in healthcare. We are interested in a wide range of expertise, so relevant backgrounds include Revenue Cycle Management &amp; Patient Finance, Pharmacy Operations (Pharm Tech), Laboratory Services and Operations (Lab Tech), and Clinical Support &amp; Ambulatory Operations.
 
 
 
 Benefits
 
 
 
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 Full-time or part-time remote position
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 Choose which projects you want to work on
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 Flexible schedule
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 Projects are paid hourly starting at $25-$30+/hr, with bonuses on high-quality and high-volume work
 
 
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 Responsibilities
 
 
 
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 Provide AI chatbots with diverse and complex healthcare-related problems
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 Evaluate AI outputs for logic, accuracy, and performance
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 Ensure the medical accuracy and overall quality of model responses
 
 
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 Qualifications
 
 
 
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 Fluency in English (native or bilingual level)
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 A current or in-progress medical or healthcare-related degree
 
 
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 Notes: Payment is made via PayPal. We will never ask you for any money. PayPal will handle any currency conversions from USD. Only applicants in the United States will be considered for this role. This is an independent contractor position.
 
 
 #generalist
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Certified Coding Specialist (CCS)

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Clinical Denials Coding Review Specialist

Certified Coding Specialist (CCS)

Certified Coding Specialist (CCS)

Certified Coding Specialist (CCS)