Remote Medical Coding & Prior Authorization Specialist
Integra Partners
- Remote job
Integra Partners is seeking a Medical Coding Specialist to support Utilization Management, health plan implementations, and prior authorization program development. The role involves researching and interpreting HCPCS, CPT, and ICD-10 guidance to support accurate coding and client deliverables across Medicare, Medicaid, Commercial, and Marketplace lines. The Specialist collaborates with clinical, operational, compliance, business development, and client teams to ensure coding recommendations are #J-18808-Ljbffr Integra Partners
- ...Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior... ...authorizations (PAs) for medical services. The ideal... ...of medical terminology, CPT codes, and ICD-10 codes $4 -... ...Process Outsourcing (BPO) and remote talent solutions, dedicated...Remote workFreelanceWorldwide
$18 - $22 per hour
...Prior Authorization Specialist For over two decades, Riverhills Neuroscience has... ..., 2 days in office, 3 days remote after full in office training... ...Company Match ~ Comprehensive Medical, Dental, and Vision... ...knowledge of ICD-9-10 medical coding and billing and medical terminology...Remote workHourly payFull timeTemporary workWork at officeMonday to Friday$20.98 - $30.12 per hour
...Description The University of Maryland Medical System (UMMS) is an academic private health... ...knowledge of pre-certification /prior authorization procedures to validate account status.... ...Knowledge of collection laws, medical coding (CPT & ICD-9/10) and third party billing...Remote workImmediate start- ...Insurance Verification Specialist Revenue Cycle... ...to join our team. Remote opportunity after... ...cost estimates prior to the surgery date... ...in the Electronic Medical Records (EMR).... ...notifications and authorizations are completed by the... ...and billable CPT codes per orders Communicates...Remote workFull timeContract workTemporary workWork at office
$41.6k - $47k
...community.The Utilization Review Specialist supports Umpqua Health... ..., and completion of prior authorization requests within Medical Management. This role is... ...organized and productive in a remote, independent work... ...healthcare, managed care, medical coding, claims processing, or a...Remote workWork at officeLocal areaImmediate startMonday to FridayShift work- ...Carolina Oncology Specialists has been... ...Job Title: Authorization Specialist Department... ...Oncology Specialists-Remote Reports To: Authorization... ...and verifying prior authorizations... ..., procedures, medications, and diagnostic... ...medical billing/coding (e.g., CPC, CPAR,...Remote workWork at office
- ...work. Job Summary: The Revenue Specialist will demonstrate behavior that... ...cycle industry and be well versed in CPT medical codes and denial reason codes. The Revenue... ...payor policies, and obtaining prior authorization. Coordinating with insurance providers...Remote workFull timeWork at office
- The Billing/Coding/Credentialing Specialist possesses medical billing knowledge and understanding in order to monitor... ...liaison to therapist and AHCCCS Prior Authorization Department • Tracking and... ...an in-person position only, no remote options. #J-18808-Ljbffr PEOPLES...Remote workWork at office
$19.41 - $28.14 per hour
...Pre-Access Authorization Specialist I The Pre-Access Authorization Specialist... ...eligibility, securing prior authorization and... ...service Time management Medical terminology Medical coding Competency... ...expectations. If applying for a remote or hybrid role, this...Remote workHourly payWork at office$18 - $22 per hour
...and injuries.Position: Prior Authorization SpecialistLocation:... ...in office, 3 days remote after full in office... ...Company MatchComprehensive Medical, Dental, and Vision... ...Prior Authorization Specialist at Riverhills Neuroscience... ...of ICD-9-10 medical coding and billing and...Remote workFull timeTemporary workWork at officeMonday to Friday- ...Clinical Documentation Specialist UPMC Corporate Revenue Cycle is... ...Documentation Specialist to join our Coding Department. This position... ..., unclear or conflicting medical record documentation to clarify... ...DRG assignment required. Prior CDI work experience is preferred...Remote workWork experience placementWork from homeMonday to Friday
- ...Job Title Under direct supervision, performs all medical record coding activities. Assigns appropriate diagnostic codes to patient charts... ...keyboarding and screen-based work are required. This is a fully remote position. The work environment is a home-based office...Remote workWork at officeWork from home
$27.02 - $41.85 per hour
...Hierarchical Condition Category (HCC) Coding SpecialistApplyremote type:... ...Category (HCC) Coding, medical coding, clinical terminology... ...adjustment coding. Supports all Remote Patient Monitoring (RPM) risk... ...(CRC)* Certified Coding Specialist (CCS)* Registered Health Information...Remote workWork at officeWork from homeFlexible hours$40 - $50 per hour
...Healthcare Administrative Specialist Type: Contract... ...0/hour Location: Remote Role Responsibilities... ...Design efficient processes for prior authorizations and utilization support... ...a Practice Administrator, Medical Office Manager, or Revenue...Remote workFull timeContract workSummer workWork at office- ...to select the appropriate charge codes based on the procedure(s) performed... ...(Telework Policy and Procedures, Remote Access, and the Telework Agreement... ...Diploma or GED Experience: Charge Entry Specialist IThree (3) months experience with medical coding or charging Charge Entry...Remote workWork at officeImmediate startTrial periodFlexible hoursShift work
- ...Job Description Join TriHealth as a Coding Specialist II! At TriHealth , our Medical Coding Specialists play a key role in supporting accurate, compliant, and high-quality patient care. In this position, you'll review provider documentation, assign correct ICD...Remote workFull timeWork from homeDay shift
- ...Working remotely in a full-time capacity, the Prior Authorization Specialist will screen prior authorization requests, coordinate specialized services... ...clearance processes Knowledge of medical terminology and ICD-9/CPT coding is helpful Bilingual candidates are preferred...Remote workFull timeWork at office
$29.62 - $45.31 per hour
...for all core functions in the Prior Authorization (PA) Department... ...resources to support the review (Medical Policies, KMS, Benefit Grids... ...service requested, CPT/HCPCS codes, and plan design. Authorize... ...provider resolutions, etc.) Remote Work This position offers...Remote workMinimum wageFull timeWork experience placementLocal areaShift work- ...seeking an Revenue Cycle Specialist (Medical Practice, Part B... ...This is a Full-time remote position Monday - Friday... ...• Certification in coding ICD-10 preferred. •... ..., eligibility, authorization, and payer-related discrepancies... ...and obtain necessary prior authorizations to...Remote workFull timeWork experience placementWork at officeWork from homeMonday to FridayFlexible hours
- Verisma is seeking a Remote Care Coordination Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates...Remote jobWork from home
- ...Intake Specialist The Intake Specialist supports the full intake cycle for prospective... ...initial documentation, and supporting authorization workflows to move families from referral... ...Assist in the preparation and submission of prior authorization requests for ABA services...Remote work
- ...The CDI Consultant will work with client facilities remotely from a home office to analyze and interpret medical record documentation and formulate appropriate... ...background with a thorough knowledge of official medical coding guidelines, CMS, and private payer regulations...Remote workHome office
- ...As a Bristol Hospice Coding Specialist, you are responsible for the review of medical documentation to ensure all codes are entered accurately. This position will also meet coding deadlines, resolve coding holds, assist Medical Billing Specialists in resolving rejected...Remote work
- ...Working remotely, the full-time Certified Coding Analyst will perform high-level coding, audits, and analyses to ensure accurate application of medical coding standards within claims and operational workflows, while serving as a resource for coding expertise across various...Remote workFull time
- ...Working remotely in a full-time capacity, the Revenue Specialist will manage revenue cycle processes, ensuring accurate billing and compliance while... ...Proficiency in billing software and electronic health record systems Certification in medical billing or coding is preferred...Remote workFull time
- ...with Medicare and Medicaid regulations, the full-time remote Coding Specialist will manage all aspects of medical coding and chart auditing, focusing on accurate... ...EMR systems, coding software, and billing platforms Prior management or supervisory experience is preferred...Remote workFull time
- ...Specialist Coder The Specialist Coder is under the direction of the Director... ...processing operation of the Medical Records Department. This position is 100% remote, but applicants must be able to... ...Previous acute care medical record coding experience in ICD-10-CM and CPT...Remote work
- ...providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and...Remote work
$22 per hour
...Insurance Reimbursement Specialist to support insurance... ...a globally recognized medical devices manufacturer in... ..., prepares pre-authorization requests. Document... ...insurance and medical device prior authorization (preferred... ...in-person training, remote working may be an option...Remote workHourly payFull timeContract workTemporary workWork at officeMonday to FridayShift work$80 per hour
...States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity criteria, payer authorization... ...operations.This role supports current and upcoming remote consulting opportunities focused on AI-assisted...Remote workHourly payPart timeFor contractorsWork at officeFlexible hours
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