Billing & Coding Specialist: Claims & Compliance
Jobtailor
Jobtailor in the United States seeks a billing professional to ensure accurate reimbursement, comply with CPT and ICD-10 guidelines, and serve as a coding resource for providers and staff. You will handle multiple work queues including Charge Review, Claim Edit, and Follow Up, requiring diligent attention and teamwork. The ideal candidate has at least one year in patient financial services or healthcare coding and holds CCS, RHIA, RHIT, CPC, or CCS-P certification. #J-18808-Ljbffr Jobtailor
- ...Workers' Compensation Medical Bill Reviewer Performs advanced technical review of... ...medical bills to ensure regulatory and coding compliance under NYS WCB mandates. This role applies... ...inpatient and outpatient hospital and surgical claims using EAPG and DRG methodologies....Claims
- ...with the Faculty Practice Group Compliance Manager and Administrator to... ...of CPT and ICD-9/10CM coding principles, governmental regulations... ...regarding coding and billing documentation. Review and... ...ensure the timely processing of claims and all revenue is captured....ClaimsTraineeshipLocal area
$22 per hour
...Billing Clerk The Bedford-Stuyvesant Family Health Center (BSFHC... ...the proper preparation of claims. This role supports the accurate... ...Billing Clerk helps maintain compliance with federal, state, and... ...missing data for the biller (no coding responsibilities). Prepare...ClaimsHourly payWork at office$100k - $140k
...ABA Billing Specialist We are a well-established and rapidly expanding provider... ...where precision, compliance, and revenue integrity are critical... ...complex and high-value OON claims. The right candidate is proactive... ...proper authorization, coding accuracy, and required documentation...ClaimsFull timeContract workWork at officeRemote work1 day per week- ...Harbor is seeking a Billing Specialist to join our Toledo team! This position is responsible for... ...revenue cycle tasks to ensure accurate claim submission and receipt of payment. It also... ...-party providers preferred. Previous coding experience in a behavioral healthcare setting...ClaimsFull timeWork at office
- ...cycle team and are hiring an experienced DME Billing & AR Specialist. Position Summary This role focuses exclusively on claim submission, denial management, and... ...claim rate AR performance Timely filing compliance ~2+ years Medicare DME billing experience...ClaimsRemote work
$100k - $140k
...full revenue cycle process, including billing, collections, coding, credentialing, and reimbursement... ...performance, reduce denials, and ensure compliance across revenue cycle functions. The ideal... ...of insurance verification, claims management, denials, and collections...Claims$15 - $20 per hour
...seeking a dedicated full-time Dental Billing Specialist to join our esteemed practice in Madison... ...activities will include processing claims and following up with providers to facilitate... ...patient records and documentation in compliance with industry regulations....ClaimsHourly payFull timeTemporary workWork at officeMonday to Friday- Position Summary The Billing & Contracts Specialist manages the end-to-end lifecycle of contracts across... ..., and vendors. This role ensures compliance, mitigates risk, and provides support... ...Work with Legal and Risk Management on claims or disputes. Qualifications...ClaimsContract workFor subcontractor
- ...Patient Accounts Specialist Job Category: Facilities... ...regulatory requirements and compliance standards. Working knowledge of coding / reimbursement... ...schedules. Resolves billing edits timely and works... ...and/or reports to ensure claims are released and accepted...ClaimsFull timeShift work
$18.5 - $42.35 per hour
...Coordinator to oversee a high volume of medical claims and ensure compliance with regulations. The ideal candidate will have at least 2 years of medical billing experience and a deep understanding of CPT and ICD-10 codes. This full-time position offers a competitive salary...ClaimsHourly payFull time$17 - $18 per hour
...seeking a detail-oriented and experienced Billing and Coding Specialist to join our healthcare team. This... ...and timely processing of medical claims, supporting our commitment to efficient... ...claims in a timely manner, ensuring compliance with payer requirements. Verify patient...ClaimsFull timeTemporary workFlexible hours- • Ensure the accuracy and efficiency of professional billing claims for reimbursement • Ensure billing compliance with CPT and ICD‑10 coding guidelines • Serve as a coding resource to providers and staff • Work on a variety of work queues including Charge Review, Claim...Claims
$18.5 - $42.35 per hour
...Managing a high volume of medical claims that have denied by refuting the denials... ...improve productivity and overall compliance Recognizing and identifying coding deficiencies and exercising the... ...of the intricacies of medical billing encountered in such areas like ambulatory...ClaimsHourly payFull timeContract workTemporary workWork at officeLocal area- ...experienced health plan education and compliance professional to develop and maintain... ...education program focused on coding, documentation, and billing integrity. You will establish workflows... ...reporting standards while analyzing claims data for outlier patterns. The role...Claims
- ...Abuse (FWA) in Oklahoma. This role involves reviewing claims data, investigating FWA complaints, and ensuring compliance with regulatory standards. The ideal candidate has 3-5 years of experience, relevant coding certifications, and a strong understanding of industry...ClaimsFull time
$20 - $24 per hour
...Medical Billing and Coding Associate Pay Range: $20-$24 per hour, based on experience Employment Type: Full-Time, Hourly Location: 16-70... ...Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs),...ClaimsHourly payWeekly payFull time- ...internal risk views. Analyze large datasets (e.g., exposure data, claims data, hazard data) to assess model performance, validate... ...catastrophe modeling platforms (RMS, Verisk, AIR, etc.). ~ Strong coding and data analysis skills (e.g., Python, R, SQL). ~ Experience...Claims
- ...plan’s provider education program for coding, documentation, and billing integrity issues Establish program... ...behavior persists Analyze claims, coding, utilization, reimbursement,... ...CPIP (Nice to have) or similar coding/compliance certification. Experience in managed...Claims
$45k - $65k
...Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving... ...We specialize in out-of-network surgical claims, and partner directly with our clients to... ...Benefits (EOBs) Address and correct coding-related denials Use payer portals (e.g...ClaimsTemporary workWork at officeFlexible hours- ...Integrated Services for Behavioral Health is hiring a Billing Specialist in Kentucky. This role focuses on Medicaid billing, ensuring accurate claim submission and tracking. Applicants should have a high school diploma and at least 3 years of experience in Ohio behavioral...Claims
- ...receivable. Provides expertise in billing, follow-up, collections, and/... ...Ensures accuracy of charge, claim, and payment data through... ...functional problem solving with coding, clinical, and payer partners... ...and coverage gaps. Maintains compliance with HIPAA, FDCPA, and payer...ClaimsFull timeContract workPart timeReliefInternshipShift work
- ...Responsible for resolving Medicaid denied claims and entering Medicaid secondary claims... ...image by adhering to the established dress code as listed in Employee Handbook. Check and... ...or damage. Knowledge Knowledge of medical billing and collection practices. Knowledge of...ClaimsWork at officeMonday to ThursdayShift work
$60k - $130k
...healthcare consulting engagements involving coding audits, disputes, claims analysis, and investigations.... ...support. Identify risks related to billing, coding, and reimbursement, including... ...coding, reimbursement systems, and compliance. What You'll Do Perform detailed reviews...ClaimsWork at officeLocal areaFlexible hours- ...Durable Medical Equipment (DME) company is looking for a biller to conduct data entry, billing and collections. Candidate must be proficient with managing all aspects of the medical claims process, and be willing to lead by example. This will involve sharing duties of...Claims
- ...Billing Specialist Assist Ambulance is looking for a Billing Specialist to join our team! Assist is a New York City EMS agency offering a full... ...: Work with Medicare, Medicaid, and private insurance Review claims for accuracy and assist with follow-up Check insurance...ClaimsWork at office
- ...inpatient medical records are coded within Medical... ...accuracy, completeness, and compliance of ICD‑10‑CM/PCS coding... ..., resolves inpatient claim and coding edits,... ...risk through targeted pre‑bill review, trend analysis,... ...RHIT) Certified Coding Specialist (CCS) - AHIMA Certification...ClaimsWork at officeRemote work
- ...insurance provider is seeking a Seasonal Crop Adjuster to handle crop insurance claims. Responsibilities include completing field inspections, evaluating coverage, and ensuring compliance with regulations. The ideal candidate should possess strong analytical skills and...ClaimsPart timeSeasonal work
- ...Insurance Hong Kong is seeking a Collision Repair Expert to join its Western Claims Service Center team. In this role, you will be responsible for reviewing vehicle appraisals, ensuring compliance with guidelines, and managing external claims vendors. Your expertise in...Claims
- ...strong knowledge of mental health billing, revenue cycle management,... ..., and commercial insurance claims. Responsibilities include overseeing... ...billing accuracy and compliance, and supporting team workflow... ...billing, behavioral health CPT coding and claims processes...ClaimsFlexible hours
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