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:
 
 
 
 <ul>
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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)

MedHQ

<div>Company 
Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing. healthcare cash flow through integration of both business office processes and clinical documentation. 
 
MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker&rsquo;s Top 150 Places to Work in Healthcare company. 
 
The MedHQ LLC service line offerings have grown organically over the years, beginning by providing high quality traditional human resource, accounting, and staff credentialing as a Professional Employer Organization, (PEO.) In 2022, MedHQ formed a relationship with 424 Capital, and quickly expanded into a well-rounded, menu services driven financial management company. This robust infusion of expert service line offerings has resulted in MedHQ and MedHQ clients&rsquo; efficiencies and growth. The MedHQ, LLC, menu of client services include Advisory, Client Human Resources, Client Accounting, Staff Credentialling, Clinical Staffing, and Revenue Cycle Services. For additional detailed information please review www.medhq.com and www.trajectoryrcs.com
We believe our quality of service begins with our quality of team member. We offer exceptional benefits and working environments to exceptional employees. We are seeking a qualified medical hospital coding specialist to join an established and talented team. The qualified candidate will have experience coding in a facility setting, be self-motivated, positive and detail oriented. Inpatient and outpatient hospital coding experience is a requirement for this position. Job functions include the following.
ESSENTIAL FUNCTIONS<ul><li>
Quickly and Accurately code facility services for a wide range of surgical procedures and diagnostic studies</li><li>
Understand and follow NCCI edits and bundling requirements for facilities</li><li>
Understand and follow implant charging and coding in facility setting</li><li>
Research and correct coding issues for proper payment independently</li><li>
Work directly with the billing department to effectuate smooth AR processes</li><li>
Write appeals for denials</li><li>
Identify trends and offer corrective action</li><li>
Work with administration to improve processes</li><li>
Represent Trajectory and its clients in a professional manner</li><li>
Maintain excellent customer service to both our clients and our provider's patients</li><li>
Other duties as assigned by manager</li></ul>
FULL TIME BENEFITS<ul><li>
Employer sponsored Major Medical</li><li>
Employer sponsored Dental</li><li>
Employer sponsored Vision</li><li>
Accidental Death and Disability insurance</li><li>
Short term disability</li><li>
4.5% 401K matching</li><li>
Flexible spending account</li><li>
Generous paid time off</li></ul>
This is a remote position. 
 
**Applicants must be legally authorized to work in the United States. We are unable to sponsor or take over sponsorship of an employment visa at this time.
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Medical Coding Specialist - Hospital and Ambulatory Surgery Center

Ansible Government Solutions

<div>
 
 Overview
 
 
 
 Ansible Government Solutions, LLC (Ansible) is seeking Medical Billing / Coding Specialists to work in support of Sandia National Laboratories located at 1515 Eubank Blvd SE, Albuquerque, NM 87123. At this time, the Clinic does not bill insurance companies. However, the selected candidate shall have knowledge to process patient data such as treatment records and related insurance information. The selected candidate shall code a patient&rsquo;s diagnosis along with a request for payments from the patient&rsquo;s insurance company.
 
 HIPAA-certified candidates are strongly preferred.
 
 
 
 Ansible is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of health care, national security, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers&rsquo; success as if it is their own.
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Review medical record documentation and accurately assign ICD-9/ICD-10 diagnoses and procedure codes, as well as CPT IV and HCPCS codes leading to the assignment of the correct Medicare Severity-Diagnosis Related Group (MS-DRG) or All Patient Refined-Diagnosis Related Group (APR-DRG)
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 Assure assigned codes support the documented reason for the visit and medical necessity of outpatient accounts
 
 
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 </ul>
 
 Qualifications
 
 
 
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 Minimum of two (2) years medical billing experience
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 Minimum of two (2) years experience within a healthcare medical office in a registration or clerical position
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 Intermediate knowledge and understanding of medical terminology, third party billing requirements, ICD-10 and CPT/HCPCS coding experience
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 This position requires U.S. Citizenship for DOE contract security clearance
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 No sponsorship available
 
 
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 </ul>
 
 All candidates must be able to:
 
 
 
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 Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift
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 Lift up to 50 lbs from floor to waist
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 Lift up to 20 lbs
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 Carry up to 40 lbs a reasonable distance
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 Push/pull with 30 lbs of force
 
 
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 All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
 
 
 
 Powered by JazzHR
 
 
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</div>

Medical Billing / Coding Specialist

Catalyst Health Group

<div><div>Job Summary
The Medical Billing Coding Specialist Sr. will help our communities thrive by ensuring our practice remains compliant with documentation and coding during claims billing process. We are a culture that is unabashedly driven by purpose. We are making a difference to our patients and providers while growing at an accelerated rate. 
Every day, we support the health journey of patients by authentically living our core values: Purpose Driven, Relationships Matter, Serve Others First, and Inspire Creativity. If you love serving others and would like to make a material difference in an industry-transforming organization, then we invite you to apply to this role. We are recognized as one of the Top 100 Places to Work by The Dallas Morning News, and we have been awarded as one of the fastest-growing privately held companies by SMU Cox. 
Accountabilities<ul><li>
Uses Technical and Functional Experience</li><li>
Possesses up to date knowledge of the profession and industry</li><li>
Accesses and uses resources when appropriate</li><li>
Demonstrates Adaptability</li><li>
Handles day to day work challenges confidently</li><li>
Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change</li><li>
Shows resilience in the face of constraints, frustrations, or adversity</li><li>
Demonstrates flexibility</li><li>
Customer Service</li><li>
Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.</li><li>
Uses Sound Judgment</li><li>
Makes timely, cost effective, and sound decisions</li></ul>
Role and Responsibilities:<ul><li>
Perform paper and EMR chart audits for all providers in accordance with third party and CMS requirements.</li><li>
Ensure captured charges and billings accurately reflect the medical record according to ICD-10, CPT, HCPCS, and CMS guidelines.</li><li>
Coordinates, schedules, and performs the professional services documentation and coding audits of outpatient records for the practice.</li><li>
Responsible for maintaining up to date knowledge of coding guidelines as they relate to services rendered such as AMA guidelines, Medicare LCD's, commercial payor billing guidelines, coding manuals.</li><li>
Develop and coordinate educational and training programs regarding elements of coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates.</li><li>
Recommends procedural improvements and training opportunities to management.
</li><li>Maintains the confidentiality of medical information contained in each record.</li><li>
Assists with other audits such as hospital visits, consultations, and others as assigned.</li><li>
Assists with CHG audit and compliance or reimbursement audits such as providing records, audit reports, and standard operating procedure manuals.</li><li>
Performs Chart Audits</li><li>
Works with healthcare providers to identify areas of coding opportunity to ensure compliance and maximize revenue.
</li><li>Develops training material and leads training.</li><li>
Demonstrate knowledge of state, federal, and third-party claims processing required.</li><li>
Demonstrates knowledge of payer-specific coding requirements.</li><li>
Responsible for coordinating team training on coding and payer related updates.</li><li>
Creates monthly operations performance reports.
</li><li>Reports team performance to Manager and directors on a monthly basis.</li><li>
Contributes to interdepartmental projects to meet business needs.</li><li>
Develops, interfaces and maintains relationships with providers office leadership, including leading monthly KPI meetings as needed.</li><li>
Leads and participates in business unit readouts.</li></ul>
Minimum Qualifications and Requirements:<ul><li>
CPC Certification required.</li><li>
High School diploma with at least five (5) years of billing, coding, and medical records experience required and Minimum two (2) years of insurance resolution experience resolving issues with patients and payers.</li><li>
Must possess a broad knowledge of managed care and HMO policies and procedures and Medicare benefits. Must possess a strong knowledge of current versions of ICD10, CPT and HCPCS.</li><li>
Demonstrate knowledge of medical coding.</li><li>
Proficiency with computer systems and Microsoft Office (Word and Excel) required.</li></ul>
Preferred Experience:
Associate degree in finance, Business</div></div>

Sr Medical Billing Coding Specialist

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
 
•
 Ensure coding accuracy and compliance with payer guidelines and company policies
 
•
 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
 
•
 Work within our EHR (updating codes and charges directly within the EHR system)
 
•
 Collaborate with billing and clinical teams to support efficient revenue cycle operations
 
Qualifications
 
•
 Active certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential
 
•
 Strong understanding of medical terminology and coding principles
 
•
 Urgent care coding experience preferred but not required
 
•
 Strong attention to detail and analytical skills
 
•
 Ability to work independently in a remote environment while maintaining productivity and accuracy
 
•
 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

Heart Center Of North Texas

<div>The Medical Coding Specialist is responsible for accurately reviewing clinical documentation and assigning appropriate ICD-10, CPT, and modifier codes in accordance with federal, state, and payer-specific regulations. This role ensures proper coding to support accurate billing, timely reimbursement, and compliance with CMS, Medicare, commercial payer policies, and internal coding standards.
The position requires a strong working knowledge of medical terminology, cardiology-related procedures, and coding guidelines, as well as attention to detail and commitment to confidentiality. The Medical Coding Specialist collaborates closely with clinical staff, billing personnel, and management to prevent denials, resolve coding issues, and optimize revenue cycle performance.<h3 class="jobSectionHeader">
Essential Duties and Responsibilities</h3><ul><li>
Review and interpret clinical documentation to assign accurate ICD-10 diagnostic codes and CPT procedure codes with applicable modifiers.</li><li>
Ensure all coding complies with CMS, Medicare, commercial payer rules, and nationally recognized coding standards.</li><li>
Monitor payer medical policies and coding guidelines to support accurate claim submissions.</li><li>
Assist in researching, analyzing, and resolving denied claims related to coding issues.</li><li>
Maintain up-to-date knowledge of annual coding guideline changes, payer policy updates, and compliance requirements.</li><li>
Communicate with providers to clarify documentation and ensure accurate code selection when needed.</li><li>
Maintain confidentiality of all patient information per HIPAA and organizational standards.</li><li>
Assist with office support tasks as needed, including phone duties and documentation support.</li><li>
Perform other duties as assigned to support the billing and coding department.</li></ul>
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education<ul><li>
Associate degree or completion of an accredited medical coding certificate program required.</li></ul>
Experience<ul><li>
Experience in medical coding is required.</li><li>
Cardiology coding experience preferred.</li></ul>
Licensure/Certification (one or more required)<ul><li>
Certified Professional Coder (CPC) &ndash; AAPC</li><li>
Certified Cardiology Coder (CCC) - AAPC</li><li>
Certified Coding Specialist (CCS) &ndash; AHIMA</li><li>
Certified Coding Specialist &ndash; Physician Based - AHIMA</li></ul>
Skills and Abilities<ul><li>
Proficiency in ICD-10-CM and CPT coding with understanding of modifiers.</li><li>
Knowledge of medical terminology and anatomy, with cardiology experience preferred.</li><li>
Strong analytical and problem-solving skills.</li><li>
Ability to interpret clinical documentation and apply coding guidelines accurately.</li><li>
Strong verbal and written communication skills.</li><li>
Proficiency with EMR and medical billing software.</li><li>
Ability to maintain strict confidentiality and adhere to HIPAA.</li><li>
High attention to detail and accuracy.</li></ul>
Language Requirement<ul><li>
Proficiency in reading, writing, and speaking English is required to perform essential job duties, including interpreting documentation, communicate with providers, and staff.</li></ul><h3 class="jobSectionHeader">
Physical and Mental Requirements</h3><ul><li>
Frequent sitting with intermittent walking.</li><li>
Occasional bending, stooping, and reaching as required for daily tasks.</li><li>
Regular use of hands and fingers for typing, computer operation, and handling office materials.</li><li>
Ability to regularly lift and/or move up to 10 pounds and occasionally up to 25 pounds.</li><li>
Visual abilities including close, distance, and peripheral vision; depth perception; and the ability to adjust focus for reading documents and computer screens.</li><li>
Work environment is typically quiet and professional but may become fast-paced with distracting noise levels due to phone activity.</li></ul><h3 class="jobSectionHeader">
Competencies</h3><ul><li>
Problem Solving: Identifies issues and resolves coding-related discrepancies promptly.</li><li>
Customer Service: Responds professionally to internal and external inquiries.</li><li>
Interpersonal Skills: Maintains confidentiality; communicates effectively with providers and staff.</li><li>
Oral Communication: Communicates clearly; seeks clarification when needed.</li><li>
Judgment: Uses sound decision-making aligned with coding compliance standards.</li><li>
Professionalism: Demonstrates respect, reliability, and accountability.</li><li>
Quality: Ensures accuracy and completeness in coding and documentation review.</li><li>
Attendance/Punctuality: Reliable and punctual; maintains consistent attendance.</li><li>
Dependability: Follows instructions, meets deadlines, and completes work with accuracy.</li><li>
Initiative: Actively stays current on coding updates and seeks opportunities to support team efficiency.</li></ul>
Shift/Schedule:
<ul><li>Full-time, Monday to Thursday, 8:30 am to 5 pm</li><li>
Friday 8:30 am to 3:00pm</li></ul>
Benefits:<ul><li>
Paid time off</li><li>
Health insurance</li><li>
Dental insurance</li><li>
Vision insurance</li><li>
401(k)</li><li>
Life insurance</li><li>
Disability insurance</li></ul>
Interview Process:<ul><li>
Selected applicants will be invited to an in-person interview at the Heart Center and must take and pass a proctored coding knowledge exam to be considered for interview with hiring manager.</li></ul>
We're looking for someone passionate and eager to contribute to our growing team. If this opportunity aligns with your career goals and expertise, we'd love to hear from you.</div>

Medical Coder

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