medical coding specialist

Qualix Solutions

<p><b>Employment Type:</b> Full-Time, Project-Based Contract</p><p><b>Duration:</b> 3 months (with potential for renewal or full-time position)</p><p><b>Location:</b> Onsite (PECHS, Karachi)</p><p><b>About the Role</b></p><p>Qualix Solutions is working on an innovative health tech product for a client building an AI-powered medical documentation and billing platform focused on cardiovascular and vascular procedures. The platform leverages advanced AI to improve documentation accuracy, streamline coding workflows, and optimize insurance reimbursement for hospitals and surgical teams.</p><p>We are seeking a Medical Coding Specialist to help us accurately code procedures using CPT, HCPCS, ICD-10, and ICD-9 (via crosswalk mapping) codes. This is an opportunity to help shape an AI product from the ground up. You will work directly with our medical, development, and AI engineering teams to build coding logic that drives better documentation and billing outcomes.</p><p>Our initial focus is on catheterization lab and vascular procedures, but we plan to expand into additional surgical specialties, so strong foundational knowledge of anatomy is essential.</p><p><b>Work Environment Requirements</b></p><ul><li>Onsite onboarding with our medical and development teams is required before transitioning to remote work.</li><li>Working hours must align with US Eastern or Pacific time zones for team calls and collaboration.</li><li>Reliable internet connection for web conferencing.</li><li>Must appear on camera during video calls.</li><li>A quiet workspace with good lighting and audio quality is essential.</li></ul><p><b>Responsibilities</b></p><p><b>Medical Data Review and Annotation</b></p><ul><li>Review catheterization lab recordings to capture procedure details, anatomical locations, supplies used, and clinical findings.</li><li>Analyze vascular and echocardiogram ultrasound recordings and reports to identify relevant anatomy and contribute to platform training.</li><li>Correlate supply, anatomy, and clinical details with insurance reimbursement reports for cardiovascular procedures.</li><li>Assign appropriate CPT, HCPCS, ICD-10, and ICD-9 (crosswalked) codes to procedures and findings.</li><li>Research and document codes to address platform issues and minimize insurance delays or denials.</li></ul><p><b>Data Enrichment</b></p><ul><li>Create decision frameworks that help medical staff and our AI (Large Language Model) select the most precise codes for a given procedure or finding.</li><li>Support updates for the 2026 coding rules refresh.</li></ul><p><b>Quality Assurance</b></p><ul><li>Identify and resolve inconsistencies or errors in existing coding logic.</li><li>Guide corrections to AI-generated coding suggestions.</li><li>Uphold high standards for accuracy and completeness across all coding processes.</li></ul><p><b>Collaboration</b></p><ul><li>Provide constructive feedback to developers and AI engineers on coding accuracy.</li><li>Participate in workflow improvement discussions.</li><li>Help refine coding guidelines as the product evolves.</li></ul><p><b>Administrative AI Workflow</b></p><ul><li>Learn and implement AI tools to streamline daily operations and data entry.</li><li>Engage with various AI platforms that support operations, admin, and marketing functions.</li></ul><p><b>Requirements</b></p><p><b>Education and Background</b></p><ul><li>Medical student, physician (recent graduates welcome), sonographer, medical coder, or other relevant medical field experience.</li><li>Strong foundational knowledge of human anatomy and medical terminology.</li><li>Familiarity with catheterization labs, vascular/hybrid surgery labs, vascular ultrasounds, or echocardiograms is a strong plus.</li><li>Familiarity with operating rooms and surgical procedures is a plus.</li></ul><p><b>Skills</b></p><ul><li>Understanding of US healthcare insurance billing rules and payer requirements.</li><li>Exceptional attention to detail and ability to follow structured guidelines.</li><li>Basic computer proficiency, including comfort with Excel and web-based tools (training on our platform will be provided).</li><li>Openness to learning new web technologies that can contribute to platform growth.</li><li>Interest and willingness to engage with AI platforms that support operations and workflows.</li></ul><p><b>Certifications (Preferred)</b></p><ul><li>CPC, CCS, or equivalent medical coding certification.</li></ul><p><b>Availability</b></p><ul><li>Full-time commitment for a minimum of 3 months.</li><li>Flexibility to align with US Eastern or Pacific time zones for team meetings.</li><li>Good internet access is required for Work-from-home; video sharing and being on camera during conference calls is mandatory.</li></ul><p>Job Type: Full-time</p><p>Application Question(s):</p><ul><li>What is your current salary?</li><li>What is your expected salary?</li><li>Is your expected salary negotiable?</li><li>Please rate your English communication skills on a scale of 1 (Novice) to 10 (Expert)?</li></ul><p>Work Location: In person</p>

Medical Coding Specialist (US Healthcare)

Henry Ford Health

<div><div><p><b>Our Revenue Cycle Team wants to meet YOU! Join us at our </b><b>job fair on February 25.</b><b> </b><b>Register here</b><b>.</b></p><p>
GENERAL SUMMARY:</p><p>
Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Complex Specialist accurately abstracts information from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, and regulation and accreditation guidelines.</p>
<div><p>EDUCATION/EXPERIENCE REQUIRED:</p><ul><li>
High school diploma or G.E.D. equivalent required.</li><li>
Minimum of two (2) years coding experience required.</li><li>
Additional specialty coding certification or five (5) years coding experience required.</li><li>
Prior experience in a healthcare revenue cycle position required.</li><li>
Specialty coding experience preferred.</li><li>
One to two (1-2) years college or additional course work in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.</li><li>
Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.</li><li>
Strong organizational and time management skills required to effectively prioritize work.</li><li>
Ability to communicate effectively with colleagues, supervisor, and manager.</li><li>
Ability to work independently. Ability to work remotely.</li><li>
Proficient in medical terminology.</li><li>
Proficient in ICD-10 CM, CPT and HCPCS coding.</li><li>
Able to recognize patterns and trends and escalate to supervisors to support root- cause analysis.</li><li>
Able to assist other team members. Supports the standards set forth in the HFHS Code of Conduct by adhering to legal and ethical guidelines.</li></ul><p></p><p><br>
CERTIFICATIONS/LICENSURES REQUIRED:</p><ul><li>
Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required.</li></ul>
 </div></div><div><div><div><div><h4 class="jobSectionHeader"><b>Additional Details</b></h4>
<div><p>
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.</p></div>
</div>
</div></div><div><div><div><h4 class="jobSectionHeader"><b>Overview</b></h4>
<div><p>
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services &ndash; from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford&rsquo;s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation&rsquo;s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.</p></div>
</div>
</div></div><div><div><div><h4 class="jobSectionHeader"><b>Benefits</b></h4><div><p><br>
</p><p>The health and overall well-being of our team members is our priority. That&rsquo;s why we offer support in the various components of our team&rsquo;s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
</p></div></div></div></div><div><div><div><h4 class="jobSectionHeader"><b>Equal Employment Opportunity/Affirmative Action Employer</b></h4>
<div><p>
 Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is</p>
<p>
 committed to the hiring, advancement and fair treatment of all individuals without regard to</p>
<p>
 race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,</p>
<p>
 weight, marital status, family status, gender identity, sexual orientation, and genetic information,</p>
<p>
 or any other protected status in accordance with applicable federal and state laws.</p></div></div></div></div></div></div>

Coding Complex Specialist/Full Time/Remote

SWLA Center for Health Services

<div><p>SU</p>
<p><b>
JOB TITLE:</b> Billing Specialist
</p><p><b>DEPARTMENT:</b> Finance</p>
<p><b>
SUPERVISED BY:</b> Billing Supervisor</p>
<p><b>
STATUS:</b> Full-Time</p><p></p><p><b><br>
 </b><b>WORK </b><b>SITE CAN BE LAKE CHARLES, LAFAYETTE OR CROWLEY</b></p><p></p><p><b><br>
SUMMARY:</b><br>
This position is primarily responsible for all patient billing, payments and accounts receivable financial reporting.</p><p><br>
<b>
EDUCATION, TRAINING AND EXPERIENCE:</b><br>
1. High school graduate and at least one year experience in the medical field<br>
2. Minimum one year experience in third party billing, ICD-10 and CPT coding.<br>
3. Ability to counsel patients using an effective, courteous and professional attitude under<br>
 pressure.<br>
4. Ability to effectively communicate with others<br>
5. Efficiency in office equipment<br>
6. Must successfully complete a pre-employment physical examination and drug screen.<br>
7. Able to perform tasks in a timely manner and should work in a well-organized manner</p><p></p><p><b><br>
JOB RESPONSIBILITIES:</b></p>
<ul>
<li>Researches all information needed to complete billing process including obtaining charge information from physicians</li>
<li>Codes &amp; corrects information regarding procedures performed along with diagnosis</li>
<li>Reviews and/or keys charge information into online entry program and follows billing procedures</li>
<li>Works with other staff to follow-up on accounts</li>
<li>Assists with coding and error resolution</li>
<li>Contacting payers on denials and correcting claims for resubmission and payment</li>
<li>Assists with answering the telephone, taking and relaying messages</li>
<li>Maintains required billing records, reports and files</li>
<li>Understands and observes organization policies regarding HIPAA confidentiality and security of information</li>
<li>Other duties may be assigned including special projects and provider enrollment tasks if needed</li>
<li>Retrieve online remittance advices</li>
<li>Posts all payments to patient accounts accordingly and in a timely manner</li>
<li>Assist front office with billing and account inquiring including but not limited to voiding payments posted in error and patient account inquiries</li>
<li>Maintains information on encounters not received by providers and communicates this information with those providers</li>
<li>Serves as a resource when needed, including assisting in co-worker training and orientations</li>
<li>Observes clinic policies and procedures</li>
<li>Participates in educational experiences designed to maintain competence</li>
<li>Annually completes all required in-services and training as appropriate to the job</li></ul></div><p></p>

Billing Specialist

The Cardiovascular Care Group

<div>
 <p>
  <strong>
   <strong>
    Background:
   </strong>
  </strong>
 </p>
 <br/>
 <p>
  Established in 1963, The Cardiovascular Care Group provides complete care for patients with vascular disease. With New Jersey offices in Essex, Passaic, Union, Morris, Monmouth, and Mercer counties, the Group is able to deliver care in both office-based and hospital settings.
 </p>
 <br/>
 <p>
  <strong>
   Job Summary:
  </strong>
 </p>
 <br/>
 <p>
  Reporting to the Coding Manager, the
  <strong>
   Certified Medical Coder
  </strong>
  must have a current/active Certified Professional Coder
  <strong>
   (CPC or CCS)
  </strong>
  certification to provide quality review and analysis of a wide range of surgical and hospital outpatient coding, patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards as well as provide the full range of billing support functions to ensure the efficient billing and collection of medical payments to the practice.
 </p>
 <br/>
 <p>
  <strong>
   Certified Medical Coder (CPC or CCS)&nbsp;
  </strong>
  Responsibilities will include:
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   Properly analyze coding services, procedures, diagnoses, and treatments.
  </li>
  <br/>
  <li>
   Identify and resolve billing issues related to coding.
  </li>
  <br/>
  <li>
   Code and bill vascular scans.
  </li>
  <br/>
  <li>
   Assign ICD-10 DX and CPT Codes for outpatient surgical suite procedures.
  </li>
  <br/>
  <li>
   Assign ICD-10 DX and CPT Codes for hospital consults and surgical procedures.
  </li>
  <br/>
  <li>
   Post-surgical consults/charges, must review operative notes to ensure correct coding.
  </li>
  <br/>
  <li>
   Perform other administrative duties (back up).
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  <strong>
   Certified Medical Coder (CPC or CCS) Skills and Experience:
  </strong>
  * Minimum 3+ years of experience as a Certified Medical Coder, preferably in a hospital or busy medical office.
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   Surgical and hospital outpatient coding experience required
  </li>
  <br/>
  <li>
   Excellent interpersonal communication skills
  </li>
  <br/>
  <li>
   Strong customer service and problem solving skills
  </li>
  <br/>
  <li>
   Excellent attention to detail; thorough and accurate in work
  </li>
  <br/>
  <li>
   Proficient with electronic health records systems
  </li>
  <br/>
  <li>
   Demonstrated organization skills including ability to manage multiple tasks and meet deadlines
  </li>
  <br/>
  <li>
   Proficient in Microsoft Office Suite
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  <strong>
   Education:
  </strong>
  * High School Diploma or equivalent
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   <strong>
    Requirement:
   </strong>
   Completion of accredited medical coding program through AHIMA or AAPC preferred.
  </li>
  <br/>
  <li>
   <strong>
    CPC or CCS certification
   </strong>
   that is
   <strong>
    current/active
   </strong>
   .
  </li>
  <br/>
  <li>
   Proficient in medical terminology &amp; anatomy and physiology.
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  Job Type: Full-time
 </p>
 <br/>
 <p>
  Benefits:
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   401(k)
  </li>
  <br/>
  <li>
   Dental insurance
  </li>
  <br/>
  <li>
   Flexible spending account
  </li>
  <br/>
  <li>
   Health insurance
  </li>
  <br/>
  <li>
   Life insurance
  </li>
  <br/>
  <li>
   Paid time off
  </li>
  <br/>
  <li>
   Vision insurance
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  Schedule:
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   8 hour shift
  </li>
  <br/>
  <li>
   Monday to Friday
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  Work Location: Remote
 </p>
 <br/>
 <p>
  Job Type: Full-time
 </p>
 <br/>
 <p>
  Benefits:
 </p>
 <br/>
 <p>
  <br/>
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   401(k)
  </li>
  <br/>
  <li>
   Dental insurance
  </li>
  <br/>
  <li>
   Employee assistance program
  </li>
  <br/>
  <li>
   Employee discount
  </li>
  <br/>
  <li>
   Flexible spending account
  </li>
  <br/>
  <li>
   Health insurance
  </li>
  <br/>
  <li>
   Health savings account
  </li>
  <br/>
  <li>
   Life insurance
  </li>
  <br/>
  <li>
   Paid time off
  </li>
  <br/>
  <li>
   Vision insurance
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  <br/>
 </p>
 <br/>
 <p>
  Experience:
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   Surgical coding: 2 years (Required)
  </li>
  <br/>
 </ul>
 <br/>
 <p>
  License/Certification:
 </p>
 <br/>
 <ul>
  <br/>
  <li>
   CPC or CCS Certification (Required)
  </li>
 </ul>
</div>


Certified Medical Coder

Ascribe Healthcare Solutions

<div></div><div><div><div><div><div><div><div>Post</div></div><div></div><div>
</div></div>
</div></div></div><div><div><div><div>Medical Records Coder will be responsible for reviewing, interpreting and abstracting clinical information from medical records for the purposes of reimbursement, research, and compliance, adhering to coding guidelines and processing as per established productivity standards for all accounts assigned. He/she checks and distributes reports and files inpatient records while maintaining patient confidentiality.</div>
</div>
</div></div><div><div><div><div><div><h4 class="jobSectionHeader"><b>Roles and Responsibilities</b></h4><ul><div><p>
Ensure appropriate selection of principal diagnosis, qualifying secondary diagnosis, impacting procedures and other services which is relevant for submission and reimbursement.</p></div><div><p>
Effective physician query process prior to code assignment to obtain the greatest possible diagnostic specificity and clinical documentation to accurately reflect the patient's condition.</p></div><div><p>
Consistently maintain quality and productivity standards and achieve the productivity target and quality targets</p></div><div><p>
Ensures to reduce rejections and get the claim paid at the initial submission of claims.</p></div><div><p>
Perform other related duties incidental to the work described herein.</p></div><div><p>
Identify documentation deficiencies and query physicians for clarification and additional documentation prior to code assignment.</p></div><div><p>
Adhere to the coding guidelines</p></div></ul>
</div>
</div></div></div><div><div><div><div><h4 class="jobSectionHeader"><b>Education, Experience, and skills needed</b></h4><ul><div><p>
Education: Degree in any related field preferably medical or life science background. CCS (AHIMA) or CPC (AAPC) certification is mandatory.</p></div><div><p>
Minimum of one-two (1-2) years coding experience in any setting. Both inpatient and outpatient experience preferred.</p></div><div><p>
Willingness to work in different shifts</p></div><div><p>
Willingness to work from different facility</p></div><div><p>
Good skill in assigning accurate CPT, ICD-10-CM, DRG, HCPCS and other service codes for diagnosis and procedures performed in the OP/ER/IP setting</p></div><div><p>
Proficiency in medical terminology, anatomy and physiology</p></div><div><p>
Excellent in communication skills.</p></div></ul></div></div></div></div></div></div><div></div>

Medical Coding Executive - Dubai

<div></div><div><div><div><div><div>The Senior Executive for Medical Coding will be responsible for reviewing, interpreting and abstracting clinical information from medical records and translate into international code sets by applying coding guidelines for reimbursement, research, and compliance, adhering to established coding principles and protocols.</div>
</div>
</div></div><div><div><div><div><div><h4 class="jobSectionHeader"><b>Roles and Responsibilities</b></h4><ul><div><p>
Ensures appropriate selection of principal diagnosis, qualifying secondary diagnosis, Impacting procedures and other services which are relevant for submission and reimbursement</p></div><div><p>
Effective physician query process before code assignment to obtain the greatest possible diagnostic specificity and clinical documentation to accurately reflect the patient's condition</p></div><div><p>
Consistently maintain quality and productivity standards and achieve the productivity target and quality targets</p></div><div><p>
Ensures to reduce rejections and get the claim paid at the initial submission of claims</p></div><div><p>
Assign codes for preauthorization process and effective response to payer queries coordinating with the clinical team</p></div><div><p>
Applying advanced knowledge of medical terminology, anatomy, and physiology, treatment modalities, diagnostic test, medications.</p></div><div><p>
Ensure a high level of patient data confidentiality</p></div><div><p>
Identify documentation deficiencies and query physician for clarification and additional documentation before code assignment</p></div><div><p>
Perform other related duties incidental to the work described herein</p></div><div><p>
Ensures that targets are met for department Turnaround time, Quality and Productivity</p></div><div><p>
Adhere to the DHA Claims and Adjudication rules and coding guidelines</p></div></ul>
</div>
</div></div></div><div><div><div><div><h4 class="jobSectionHeader"><b>Education, Experience, and skills needed</b></h4><ul><div><p>
Education: Degree in any related field with medical/life science background</p></div><div><p>
CCS (AHIMA) or CPC (AAPC) certification is mandatory</p></div><div><p>
Minimum of two to three (2-3) years coding experience in any setting i.e., hospital, daycare center, or other related healthcare organizations in UAE is required</p></div><div><p>
Knowledge of the billing process will be desirable. Both inpatient (IR-DRG) and outpatient coding experience are mandatory.</p></div><div><p>
Expertise in medical record review to abstract information required to support accurate coding</p></div><div><p>
Excellent communication skills</p></div><div><p>
Good understanding of the preauthorization process and payer adjudication guidelines related to DHA</p></div><div><p>
Expertise in assigning accurate ICD-10-CM, CPT, DRG, HCPCS and other service codes for diagnosis and procedures performed in the IP/OP/ER setting.</p></div><div><p>
Excellent interpersonal skills while interacting with physicians, nurses and other staffs</p></div><div><p>
Multispecialty coding experience in surgery, IVR, labs, radiology and HCPCS coding for supplies &amp; consumables</p></div><div><p>
Aware of current trends related to medical necessity, DRG, and DHA Claims and Adjudication rules and coding guidelines</p></div></ul></div></div></div></div></div></div><p></p>

Medical Coding Senior Executive - Dubai

Doctors of Waikiki/NIU Health

<p>Job Overview</p><p>We are seeking an experienced Medical Biller to join our healthcare team. The successful candidate will be responsible for ensuring accurate and timely billing for our patients. This is a great opportunity for a detail-oriented individual with a strong background in medical billing and coding to work in a fast-paced medical office environment.</p><p>Responsibilities</p><ul><li>Review and analyze patient medical records, including lab results and diagnoses, to determine the correct billing codes.</li><li>Utilize medical terminology and ICD-10 codes to assign accurate billing codes to patient records.</li><li>Perform medical coding for both inpatient and outpatient services.</li><li>Ensure compliance with DRG guidelines for hospital billing.</li><li>Manage patient billing and insurance claims, including processing and submitting claims to payers.</li><li>Identify and resolve billing errors, and handle billing disputes.</li><li>Maintain accurate and up-to-date medical records and billing databases.</li><li>Work closely with medical office staff to ensure accurate and timely billing.</li><li>Follow up on outstanding accounts and assist with medical collection efforts.</li><li>Stay up-to-date on the latest medical billing and coding systems, as well as regulatory changes.</li></ul><p>Skills</p><ul><li>Strong understanding of medical terminology and ICD-10 coding.</li><li>Experience with medical coding, including DRG coding.</li><li>Proficiency with medical billing and coding systems.</li><li>Knowledge of medical office operations and medical records management.</li><li>Excellent communication and organizational skills.</li><li>Ability to work independently and as part of a team.</li><li>Familiarity with medical billing and collection practices.</li><li>Experience with electronic medical record systems and other healthcare information systems.</li><li>Certification in medical coding or billing is a plus.</li></ul><p>Job Types: Full-time, Part-time</p><p>Pay: $20.00 - $30.00 per hour</p><p>Benefits:</p><ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Schedule:</p><ul><li>8 hour shift</li><li>Monday to Friday</li><li>Weekends as needed</li></ul><p>Experience:</p><ul><li>Medical billing: 3 years (Required)</li></ul><p>Work Location: In person</p>

Medical Biller

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