medical coding specialist

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:
 
 
 
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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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</div>

Medical Coding Specialist (Remote)

MainStreet Family Care

Certified Medical Coder – Birmingham, AL
 
MainStreet Family Care operates more than 60 fast-growing urgent care clinics across Alabama, Florida, Georgia, and North Carolina. As we continue expanding access to high-quality healthcare in rural communities throughout the Southeastern United States, we are seeking a Certified Medical Coder to support accurate and compliant coding across our clinics.
 
This role plays an important part in ensuring clinical documentation is translated into accurate billing codes that support timely reimbursement and regulatory compliance. The ideal candidate is detail-oriented, organized, and comfortable working independently in a remote environment while collaborating with internal teams.
 
This is a full-time hybrid position. The selected candidate will work remotely most of the week and report to our corporate office in downtown Birmingham once per week for collaboration and team alignment.
 
Key Responsibilities
 
•
 Review clinical documentation and assign appropriate ICD-10-CM, CPT, and HCPCS codes
 
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 Ensure coding accuracy and compliance with payer guidelines and company policies
 
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 Identify documentation gaps and request clarification when needed
 
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 Conduct occasional internal reviews of coded charts to ensure consistency with coding guidelines
 
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 Assist with resolving coding-related claim edits, denials, or payer inquiries
 
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 Maintain knowledge of current coding guidelines, payer policies, and regulatory updates
 
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 Work within our EHR (updating codes and charges directly within the EHR system)
 
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 Collaborate with billing and clinical teams to support efficient revenue cycle operations
 
Qualifications
 
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 Active certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential
 
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 Strong understanding of medical terminology and coding principles
 
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 Urgent care coding experience preferred but not required
 
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 Strong attention to detail and analytical skills
 
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 Ability to work independently in a remote environment while maintaining productivity and accuracy
 
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 Strong communication and organizational skills
 
Work Location
 
This is a full-time hybrid role. The Certified Medical Coder will work remotely and report to our downtown Birmingham office once per week.

Certified Medical Coder

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
</div>

Certified Coding Specialist (CCS)

Parkland Health

<div>Location: Virtual Employee 
 
ProFee Experience Needed 
 
Primary Purpose
 
 
The Primary Purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC),observation (OBS), specialty clinics and/or inpatient OB/newborn encounters. This role is also responsible for charge review on clinic and hospital visits to ensure accurate professional charging and billing. This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes. Demonstrates the ability to provide direction to coding staff as it relates to coding integrity, established coding guidelines and Parkland's policies to ensure accuracy of recorded patient medical information and appropriate reimbursement for services rendered. 
 
MINIMUM SPECIFICATIONS
 
 
Education 
<ul><li>
High school diploma required.</li><li>
Must have successfully completed an approved coding program.</li><li>
OR Must be a graduate of a health Information Management program.</li><li>
Must have strong knowledge of Anatomy and Physiology and possess strong application skills.</li></ul> 

Experience 
<ul><li>
Must have two (2) years of coding experience in a acute care setting or diverse clinical specialties.</li><li>
Physician office coding, charging and billing experience preferred</li></ul> 

Equivalent Education and/or Experience 
<ul><li>
May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.</li></ul> 

Certification/Registration/Licensure 
<ul><li>
Because of the lag in SCCE, HCCA, NCRA, and AHIMA updating the status of certifications, current employees whose certification is granted through one of these associations are allowed up to seven (7) calendar days, after expiration, to provide proof of renewal. Although an additional seven (7) calendar days is allowed to provide proof of renewal, there cannot be a lapse in the certification's 'active' status.</li><li>
Must be certified through the American Health Information Management Association (AHIMA) as one of the following:</li><li>
Registered Health Information Management Technician (RHIT)</li><li>
Registered Health Information Management Administrator (RHIA)</li><li>
Certified Coding Specialist (CCS)</li><li>
Certified Coding Specialist ' Physician Based (CCS-P)</li><li>
Certified Coding Associate (CCA) certification</li><li>
OR Must be certified through the American Association of Procedural Coders (AAPC) as one of the following:</li><li>
Certified Professional Coder (CPC)</li><li>
Certified Professional Coder-Hospital (CPC-H)</li><li>
Certified Outpatient Coder (COC)</li></ul> 

Required Tests for Placement 
<ul><li>
Score a minimum of 80% on a pre-employment inpatient/outpatient coding test. Contract coders with a proven coding accuracy rate of 95% at Parkland Health and Hospital System are exempt from this requirement.</li></ul> 

Skills or Special Abilities 
<ul><li>
Advance coding and charge review skills understanding the utilization of modifiers and other coding, charging and billing rules to include AMA and other state and federal organizations.</li><li>
Advanced knowledge of ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and HEDIS CAT II, E/M coding and abstracting, APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage for hospital and professional billing.</li><li>
Score a minimum of 80% on a pre-employment coding test. Contract coders with a proven coding accuracy rate of 95% at Parkland Health and Hospital System are exempt from this requirement.</li><li>
Must have knowledge of medical terminology, the human disease process, anatomy and physiology.</li><li>
Demonstrate proficiency in coding and encoder skills.</li><li>
Demonstrate knowledge of computer software applications including MS Office and Computer Assisted Coding (CAC).</li><li>
Knowledge of Epic EHR and 3M 360 coding and abstracting software is preferred.</li></ul> 

Responsibilities 
<ul><li>
Code, abstract and conduct charge quality review on all episodes of care on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS) and/or inpatient OB/newborn hospital and specialty clinic encounters according to coding conventions, guidelines and hospital policy, analyzing questionable documentation to ensure to the accuracy of information and resolves identified issues.</li><li>
Assigns appropriate diagnosis and procedures codes utilizing ICD 10-CM/PCS, CPT, HCPCS, HCC and HEDIS CAT II, E/M codes according to the Centers for Medicare &amp; Medicaid Services (CMS) requirements for both professional and hospital billing. May assist in training and reviewing the work of other coders for accuracy and efficiency.</li><li>
Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.</li><li>
May verify, edit and/or enter charges based on documentation or payer/billing requirements reporting any discrepancies in a timely manner.</li><li>
Updates, as appropriate, patient database with classification codes and resolves conflicts or inconsistencies to provide sufficient patient health information according to Parkland's standards.</li><li>
Stays abreast of the latest developments, advancements, and trends in the field of health information management by attending workshops, reading professional journals, actively participating in professional organizations, and integrates knowledge gained into current work practices.</li><li>
Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.</li><li>
Facilitate a positive working relationship with physicians, nurses, and medical staff and hospital employees to ensure that all work-related encounters are productive.</li><li>
Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the Coding area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.</li><li>
Maintains CE hours and renew annual coding credentials.</li><li>
Routine Screenings/Proof of Immunizations Exclusions: Virtual workforce employees as defined by Parkland's Virtual Work procedure, and as specified in their job descriptions, are not required to undergo routine screening for communicable diseases including TB, the flu vaccination, or the COVID-19 vaccination.</li></ul> 

Job Accountabilities 
<ul><li>
Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.</li><li>
Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.</li><li>
Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.</li></ul> 

Requisition ID: 986043</div>

Coding Specialist II

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