Orthopedic Physician Coding Specialist II - Claims & Coding
University Hospitals Pain Management
University Hospitals Pain Management in Kentucky is seeking a Physician Coding Specialist II to monitor and analyze unresolved third party accounts. The role involves initiating contact, negotiating resolutions, and ensuring timely payments of outstanding claims. The ideal candidate will exhibit strong knowledge of insurance billing, coding rules, and excellent communication skills. Responsibilities include analyzing accounts, reviewing coding edits, and maintaining confidentiality of patient information. #J-18808-Ljbffr University Hospitals Pain Management
- Position Title Professional Coding Specialist II Department Revenue Integrity Remote Eligibility... ...coding rules as relevant to pro fee claims. Provide real-time guidance to peers... ...Experience At least 3 years of experience physician/provider coding required....ClaimsFull timeWork at officeRemote workFlexible hours
- ...Under the direction of the Revenue Cycle Supervisor - Coding the Physician Coding Specialist II monitors and analyzes unresolved third party accounts for... ...resolutions to ensure timely payments of outstanding claims. What You Will Do Analyzes, on a daily basis and in accordance...ClaimsRelief
- RCM Specialist II The RCM Specialist II is an individual contributor role on the RCM team, responsible... ...-up to resolve unpaid or underpaid claims, denials, and aged balances through... ...fee schedules, claim submission, charging/coding requirements, insurance AR follow up and...ClaimsRemote job
$50k - $55k
...Department leaders, the Appeals Coordinator level II team member will assist Appeals... ...work within the department. The Appeals Specialist level II performs research, investigation... ...care industry ~ Experience in inpatient claims, DRG and High-Cost Outlier claims preferred...ClaimsRemote work$24 - $33 per hour
...Position Summary: As a Reimbursement Specialist II, Follow Up & Appeals, you will play a vital... ...report, and resolve complex outstanding claims. Troubleshoot Explanation of Benefits (EOBs... ...Policies and the Fair Chance Act (Gov. Code Section 12952). Guardant Health is an...ClaimsWork at officeRemote workWork from home$23.69 - $32 per hour
A healthcare administrative support organization is seeking an Accounts Receivable Specialist II. This fully remote role involves following up on unpaid accounts, researching claim denials, and communicating with patients and insurance companies. Candidates should have...ClaimsRemote jobHourly pay- Position Title: Professional Coding Specialist III Department: Revenue Integrity... ...of Coding Specialists I-II; assist with onboarding, competency... ...services and complex claims. Partner with clinical leadership... ...5 years of experience of physician/provider coding required. Certification...ClaimsFull timeRemote workFlexible hours
- ...OU Health is seeking an experienced Orthopedic Professional Coding Specialist II to join their Revenue Integrity team. This fully remote position offers flexible shifts once training is complete, including opportunities to work four 9-hour days and one 4-hour day. The...Remote workFlexible hours
$97.38k - $172.2k
...Great Culture, Great Rewards, and Great Careers.As the Journey Specialist II, you will be responsible for the day-to-day development and... ...cross-functional teamsExperience with Velocity, HTML, and CSS coding, with a strong foundation in coding fundamentalsSolid understanding...Hourly payWork experience placementWork at officeLocal area3 days per week- ...effectively communicate with patients, physicians, family members and co-workers in a manner... ...with management to target complex claims and reduce aging of accounts by providing... ...that result in resolution. Engages the coding follow up team for any medical necessity...ClaimsShift work
- ...administrative tasks and manage appeals and complaints. The ideal candidate will have 3+ years of healthcare experience, a strong background in claims processing, and excellent analytical and communication skills. Remote work options are available along with competitive benefits...ClaimsRemote work
- Machinify is seeking a Medical Review Nurse II to perform medical claims audit reviews for Government and Commercial Payers. This role requires an... .... Preferred qualifications include expertise in ICD-10 coding and utilization management systems. #J-18808-Ljbffr MachinifyClaimsRemote job
- ...Position overview: The Coding Specialist I is responsible for independently reviewing, analyzing... ..., and resolving all assigned front-end claims to ensure accurate and timely claim... ...working relationships with physicians and staff. Strong commitment to maintaining...ClaimsHourly payWork at officeLocal area
- OU Health is seeking a Neuro Interventional Radiology Professional Coding Specialist II who will work remotely and provide coding expertise across multiple specialties. The ideal candidate should possess at least 3 years of coding experience and have certification like...Remote jobFlexible hours
- A leading healthcare organization is seeking a Specialty Coder II to work remotely, focusing on coding procedures and diagnoses primarily in anesthesia. The successful candidate will require certifications such as CPC or CCS, alongside relevant coding experience. Responsibilities...Remote job
$21.38 - $44.4 per hour
...Dependent on Experience) The Revenue Cycle Specialist is responsible for billing and... ...Appeal carrier denials through review of coding, contracts, and medical records. Call insurance... ...insurances. Research and appeal denied claims. Set up patient payment plans. Verify patient...Claims$20.45 - $24.7 per hour
...Medical Coding Specialist Ensemble is a leading provider of technology‑enabled revenue cycle management... ..., including hospitals and affiliated physician groups. Key Responsibilities Review... ...Discharged Not Final Billed, failed claims, stop bills, and epremis to ensure timely...ClaimsHourly payTemporary workWork at officeLocal areaRemote work$23.69 - $32 per hour
...Accounts Receivable Specialist II #Full Time #Remote The 61st Street... ...experienced group of more than 2,800 physicians, surgeons, dentists, and... ...inquiring about unpaid claims, appealing denied claims with... ...terminology, diagnosis and procedure coding preferred Previous...ClaimsHourly payFull timeWork at officeLocal areaRemote work- Southeast Alabama Medical Center is looking for a Medicare Specialist I to handle claims reimbursement, ensuring timely processes and accuracy in... ...revenue cycle management. Working knowledge of CPT and ICD 10 coding systems is preferred. Join a great environment that...Claims
$18.92 - $23.46 per hour
...patient files for completeness and accuracy, identify and audit claims, ensure all revenue opportunities are included, and complete and... ...experience required. Two years of home infusion therapy is required. Coding Course Certification is highly preferred. Physical Requirements...ClaimsFull timeContract workTemporary workLocal areaRemote workFlexible hours$62.29k - $75k
...with a focus on fraud and dispute processing. Processes member claims of fraud or dispute on their credit and/or debit cards. Due to regulatory... ...all applicable federal and state laws, regulations, and UNFCU’s Code of Ethics & Business Conduct. Perform additional duties as...ClaimsLocal area- ...effective follow-up on outstanding insurance claims to ensure accurate and prompt reimbursement. In the role of Follow Up Specialist, you will be responsible for analyzing... ...and documentation. Collaborate with billing, coding, and clinical staff to obtain necessary documentation...ClaimsPermanent employmentTemporary work
- ...Truman Medical Centers is looking for a Professional Coder II to work remotely. The role involves accurately coding professional services based on medical documentation, adhering to AMA/CMS guidelines. Ideal candidates must possess a high school diploma, relevant coding...Remote work
- Senior Specialist, Talent Acquisition at nTech Workforce Title: Payment Integrity Specialist... ...healthcare providers warrants a change in claim payment. This is a non-phone, research-heavy... ...a strong background in claims, medical coding, or payment integrity systems. You will…...ClaimsContract workRemote work
$16.36 - $22.09 per hour
Valued Relationships, Inc. is seeking an individual passionate about healthcare to manage client eligibility and claims submissions. Ideal candidates will have experience in revenue cycle management and excellent communication skills. This role requires a High School Diploma...ClaimsHourly pay$85k - $90k
A healthcare technology firm is seeking a Nurse Coder DRG Auditor to validate coding accuracy and medical necessity of inpatient claims. The role involves applying industry standards and guidelines to perform DRG validations while collaborating within a team. Successful...Claims- Summary: The Coding Specialist is responsible for reviewing clinical documentation... ...policies. Collaborate with physicians, clinical staff, and billing... ...activities to minimize claim denials. Qualifications:... ...equivalent credential. 2+ years of orthopedic medical coding experience....ClaimsFull timeTemporary workWork at officeDay shiftWeekday work
- ...Reviews forms and source documents such as bills, receipts, invoices, claims, or service contracts to complete purchase orders; confirms... ...standards. Verifies or determines correct classification and coding of transactions. Uses commercial and proprietary automated information...ClaimsWork at office
$57k - $83k
...7K - $83K Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. About the role The Senior Specialist works in the Special Investigation Unit to support... ...to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates...ClaimsWork experience placementWork at officeRemote workWork from home2 days per week- ...platform. Our agentic AI works claims end-to-end, from portal... ...a Senior Accounts Receivable Specialist to join our client onboarding... ...working in a hospital system or physician practice you've worked claims... ...necessity, timely filing, COB, coding ~ Experience with appeals...ClaimsPermanent employmentWork at officeImmediate startFlexible hours
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