Medical Claims Processor II: Coding & Adjudication Expert
Health One Alliance, LLC
HealthOne is seeking a Claims Processor II to accurately process professional and institutional medical claims pending manual adjudication. You will interpret benefit provisions and review claims to determine coverage based on contracts and guidelines. The role requires one year of claims processing experience, familiarity with ICD-10, CPT4, HCPCS, and HIPAA, and an ability to work in a high-volume environment. #J-18808-Ljbffr Health One Alliance, LLC
$40k - $44k
...Are UST HealthProof is looking for Claims Examiner II, reporting to the Claims Team... ...Examiner II is responsible for the adjudication of healthcare claims utilizing specific... ...around physician practices and hospital coding, billing and medical terminology, CPT, HCPCS, and ICD-10...MedicalPermanent employmentFull timeWork at officeRemote work- ...achieve your goals. JOB PURPOSE The Claims Processor II is responsible for accurate and... ...professional and institutional medical claims pended for manual adjudication in assigned Workflow roles. The... ...logic of standard medical coding (i.e. CPT, ICD-10, HCPCS, etc.)...MedicalContract workTemporary workImmediate startFlexible hoursNight shift
$39.89 - $56.13 per hour
Pomona Valley Hospital Medical Center is seeking a Medical Coder to review and evaluate medical records to assign accurate diagnosis and procedure codes, ensuring optimal reimbursement while maintaining regulatory compliance. The role requires CCS, RHIT or RHIA credentials...MedicalHourly pay$36 - $40 per hour
## Expert Coach II - CDCESApplylocations: USA - Any Location (Remote)time type: Full timeposted on: Posted Todaytime left to apply: End Date... ...sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran...MedicalBi-weekly payFull timePart timeWork experience placementRemote workVisa sponsorshipWork visa- Baylor Grapevine Medical Center is seeking a Clinical Dietitian II to provide nutrition therapy and education to patients, families, and the community. The role includes nutrition assessments, care plan development, and participation in multidisciplinary rounds at 8:00...MedicalFull timeReliefShift workDay shift
$45 - $100 per hour
...independent contractor role with flexible schedule and no client work. Work in three tracks: Software Engineering, Finance & Accounting, and Medical & Clinical, with pay of $45-$100 per hour. You set your own projects and hours, and you’ll be paid on a regular cadence. There are...MedicalHourly payFor contractorsWork at officeRemote workFlexible hours- Responsible for the analysis, investigation, and adjudication of medical claims. Receive requests as either paper or EDI for review. Work requires... ...claims, medical terminology in addition to CPT -4, ICD-9-10 codes, HCPCS, ASA, UB92 Codes, and standard billing guidelines....MedicalWork experience placement
- Sutherland is hiring a full-time permanent healthcare claims adjudicator. You will process medical claims via data entry, adjudicate to policy and regulatory guidelines, and maintain privacy according to HIPAA. The role emphasizes independence with support from knowledge...MedicalPermanent employmentFull time
$46.13k - $64.58k
...Financial Services & Insurance Claims Representative -... ...and experience to adjudicate complex customer claims... ...broad, global network of experts to both learn from and... ...documented and claims coding is correct. May process low-level lifetime medical and/or defined period medical...MedicalContract workFlexible hours- ...payment, verifies accuracy and completeness of claims, verifies insurance benefits via phone or... ...: Bookkeeping/Accounting And/Or Medical Collection Setting (2 Years). Skills: Not... ...Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical...MedicalHourly payTraineeshipWork experience placementWork at office
- ...UnitedHealth Group is seeking a professional inpatient coder to accurately assign ICD-10-CM/PCS codes for hospital services and assess DRG impact. You will abstract data during chart reviews, maintain high coding quality and productivity, and provide feedback to providers...MedicalRemote work
- ...collaborate with physicians and care teams to ensure accurate coding and appropriate severity for inpatient services. This role emphasizes... ...and organizational skills to support quality and compliance across multiple facilities. #J-18808-Ljbffr North Memorial Medical CenterMedicalRemote job
- Labela seeks certified U.S. medical coders for high-level coding and documentation consulting, acting as subject matter expert to validate AI-generated coding logic and documentation reasoning. This flexible, remote role requires 2+ years of production coding or CDI experience...MedicalRemote jobFull timeFlexible hours
- Guarantee Trust Life Insurance Company (GTL) in the Chicago area is seeking a Medical Claims Adjuster II to join our team. This role focuses on adjudicating medical claims and interpreting policy language to determine accurate benefits for policyholders and providers....MedicalRemote jobFlexible hours
- ...Trust Life Insurance Company (GTL) is currently seeking a Medical Claims Adjuster II to join our team! Since 1936, GTL has offered cutting-edge... ...of Responsibilities: The primary responsibilities are to adjudicate claims based on variable contract provisions and benefits...MedicalContract workWork at officeRemote workFlexible hours
$45 - $100 per hour
...work you already do every day — shipping code, closing books, reading charts — became the... ...think in your field? TrainBrain builds expert-authored training data and evaluations for... ...revenue assurance background Track 3 — Medical & Clinical Challenge models on differential...MedicalFor contractorsLocal area- DHR Health is seeking a trained Medical Coder to review clinical documentation and diagnostic results to assign ICD-10-CM codes for outpatient encounters. The role includes identifying principal diagnoses, comorbidities, and surgical procedures while adhering to AHIMA standards...Medical
- ...is seeking a Hospital Inpatient Coder to assign ICD-10 and DRG codes for inpatient services in accordance with guidelines and payer requirements... ...to resolve discrepancies. The ideal candidate has 2+ years of medical coding experience and current AHIMA or AAPC certification, with...MedicalRemote job
- The University of Rochester is hiring a Medical Coder for remote work in Albany, NY. You will review codes for accuracy, resolve insurance coding denials, and ensure... ...Responsibilities include editing, troubleshooting claims, and communicating with internal teams and...MedicalRemote job
- ...Health Hospitals & Clinics seeks an experienced inpatient facility coder to assign ICD-10-CM/PCS and CPT/HCPCS codes for diagnoses and procedures based on medical records. The role requires five years in acute care coding and professional certifications. You will use 3M 3...MedicalRemote job
- University of Rochester offers a remote Med Records Coder III position focused on accurate coding and denials resolution. The role emphasizes ICD-10-CM, CPT, and HCPCS knowledge within Health Information Management-Coding. It requires a high school diploma and 1 year coding...MedicalRemote jobFull time
- AbsoluteCARE Medical Center & Pharmacy is seeking a remote-based Billing Specialist responsible for managing claims edits and ensuring clean claims are submitted to payers. You will review... ...insurance verification, charge capture, coding and billing edits prior to submission....MedicalRemote job
- ...OU Health is seeking a Professional Coding Specialist II in Oklahoma. This role involves coding encounters, resolving denials, and ensuring compliance across multiple medical specialties. Ideal candidates will have at least 3 years of coding experience, as well as CPC...MedicalRemote workFlexible hours
- ...Claims Resolution Specialist Demonstrate competency as a claims resolution specialist... ...the U.S. Perform claims resolution or medical billing and appeals or claims denials in... ...Differentiate between best practices of appeal, coding review, credentialing review and/or...MedicalWork at office
$100k
...Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care PRIMARY PURPOSE OF THE... ...claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor...MedicalLocal areaFlexible hours$17 - $18 per hour
Medical Claims Processor 2026-08-09 NTT DATA Americas all cities,AK Description: Job Title : Medial Claims Processor Industry : Healthcare FSLA... ..., review and act on the claims Prioritize work and adjudicate claims as per turnaround time/SLAs Ensure claims are adjudicated...MedicalHourly payTemporary workWork at officeRemote workWork from homeFlexible hours$18 per hour
...is seeking to hire a Remote Claims Processing Associate to work... ...our end client and their team. Medical Claims Processing Specialist... ...claims Prioritize work and adjudicate claims as per turnaround time... ...Top Employer, we have diverse experts in more than 50 countries and...MedicalRemote jobHourly payContract workWork from homeFlexible hoursShift work- ...readiness to work rotating shifts and respond to emergencies as part of the firefighting mission. Applicants must hold FAA rotorcraft certificates (Commercial or ATP) and a current Class II medical, with at least 2,000 hours PIC in helicopters. #J-18808-Ljbffr Heli PreflightMedicalPermanent employmentFull timeWork at officeRotating shift
- UofL Health in Louisville, KY is seeking a Coder II to accurately abstract and code CPT, ICD-10 and HCPCS procedures for hospital-based billing. This role requires careful attention to documentation, adherence to CMS and payer guidelines, and the ability to work independently...MedicalRemote job
- University of Georgia in Athens is seeking a Systems Administrator II to join the FMD-Admin-IT team. The role focuses on maintaining physical and virtual servers, VDI environments, networking, and security while supporting end users. The successful candidate will have...Casual workNight shift
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