1,689 Billing And Coding jobs in the United States
Medical Billing/Coding Specialist
Posted 17 days ago
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Job Title: Medical Billing and Coding SpecialistJob Type: TemporaryPay: $25.00 - $28.00 per hourExpected hours: 40 per weekLocation: FairfaxReady for your next opportunity? PrideStaff is looking for a detail-oriented and experienced Medical Billing and Coding Specialist to join a thriving healthcare team in Fairfax! Do you need a fresh start in your career? Give us a call at . or apply directly to this posting for immediate consideration!If you are a meticulous professional with a passion for accuracy and a deep understanding of the healthcare revenue cycle, we want to connect with you. This is more than just a job; it's a chance to become a vital part of a team that values precision and dedication. Medical Billing and Coding Specialist - Job Responsibilities:Accurately translating medical diagnoses, procedures, and services into universal medical codes (ICD-10-CM, CPT, HCPCS).Creating, submitting, and tracking insurance claims to various payers in a timely manner.Diligently following up on unpaid, rejected, or denied claims, and investigating and appealing discrepancies.Reviewing patient bills for accuracy and completeness, and obtaining any missing information.Serving as a knowledgeable point of contact for patient billing inquiries, explaining benefits, and setting up payment plans when necessary.Ensuring all billing and coding practices are in full compliance with HIPAA, state, and federal regulations.Posting payments from insurance companies and patients, and reconciling accounts.Generating financial reports related to billing, collections, and accounts receivable.Medical Billing and Coding Specialist - Qualifications and Skills:Minimum of 2+ years of hands-on experience in medical billing and coding.Certification is highly preferred. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Biller (CPB) are a major plus.Proficiency in using Electronic Health Records (EHR) and medical billing software (e.g., Epic, Cerner, eClinicalWorks, etc.).Strong knowledge of medical terminology, anatomy, and physiology.In-depth understanding of ICD-10, CPT, and HCPCS coding systems and guidelines.Excellent attention to detail and a high degree of accuracy is essential.Strong organizational and time-management skills, with the ability to prioritize and manage multiple tasks effectively.Solid communication and interpersonal skills for interacting with patients and insurance carriers.Here is a comprehensive and compelling job post for a Medical Billing and Coding Specialist, crafted in the signature style of PrideStaff.Benefits:401(k)Dental insuranceHealth insurancePaid time offVision insuranceJoin Us.PrideStaff Company OverviewPrideStaff is dedicated to helping you succeed! Our team of consultants provides valuable employment market insights and resources to support you on your career journey. We have assisted tens of thousands of individuals in finding exceptional career growth opportunities over the years. At PrideStaff, we prioritize building relationships and advocating for you with our network of employers nationwide. Our recruiters are committed to guiding you with career tools and resources. PrideStaff is an Equal Opportunity Employer. We are committed to providing a workplace free from discrimination and harassment of any type, including but not limited to, discrimination based on race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, veteran status, or genetic information.
Medical Billing Coding Specialist
Posted today
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Job Description
MEDICAL BILLING CODING SPECIALIST
We encourage Military Veterans and Military Spouses to apply
SITE OF SERVICE:
DOJ (Department of Justice Prison) – Butner, NC (Onsite at DOJ)
Federal Correctional Complex (FCC) located in Butner, North Carolina at Old NC Highway 75, Butner, NC 27509.
QUALIFICATIONS:
Experience: Possess 2 years of experience in a healthcare or insurance environment
Certification : Must have one of the following certifications:
· Registered Health Information Administrator (RHIA)
· Registered Health Information Technician (RHIT)
· Certified Coding Specialist (CCS)
· Certified Coding Assistant (CCA)
· Certified Professional Coder (CPC)
CORE RESPONSIBILITIES:
· Requires strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient in database software.
· Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited to:
o Medicare Inpatient Prospective Payment System
o Medicare Outpatient Prospective Payment System
o Medicare Ambulatory Surgical Center Payment Rates
o Medicare Part B Physician Fee Schedule
o Medicare Anesthesia Physician Services
o Medicare Clinical Laboratory Fee Schedule
o Medicare Drugs and Biological Payment Amounts
· Utilizing automated records of ingress and egress for each facility at the FCC, the contractor shall verify time worked for other contract staff providing services at the FCC.
· Utilizing Medicare National Correct Coding Initiative (NCCI) coding principles, the selected applicant shall verify that invoices for medical care to inmates provided by contracted medical services providers are coded appropriately based upon the care documented in the inmates’ medical records.
· Utilizing Medicare Part A and Part B payment regulations and payment recommendations from a third party adjudicator, the selected applicant shall verify that invoices for the provision of medical care to inmates which have been determined to have been properly coded are also billed appropriately in accordance with the contracted terms and conditions of the contract under which the medical services were provided.
· Utilizing contracted rates provided by the Government, the selected applicant shall verify that invoices for services performed at the FCC by other contracted medical services providers are accurately billed based upon the inclusion of approved/verified time sheets, the application of correct unit prices to the number of hours billed, and the overall total calculation.
· Utilizing knowledge of Medicare coding and billing standards and procedures, selected applicant shall investigate all inconsistencies in invoices identified by third party adjudicator.
· Other duties will include, but are not limited to filing, composing memoranda, maintaining suspense files, data entry, and preparation of cost analysis, financial obligations reconciliations, budget and expenditures tracking.
HOURS:
The work schedule will be 30 hours per week, Monday through Friday, excluding federal holidays. The schedule will include a ½ hour unpaid lunch break.
SPECIAL REQUIREMENTS/SKILL
Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.
MEDICAL BILLING CODING SPECIALIST
SITE OF SERVICE:
DOJ (Department of Justice Prison) – Butner, NC (Onsite at DOJ)
Federal Correctional Complex (FCC) located in Butner, North Carolina at Old NC Highway 75, Butner, NC 27509.
QUALIFICATIONS:
Experience: Possess 2 years of experience in a healthcare or insurance environment
Certification : Must have one of the following certifications:
· Registered Health Information Administrator (RHIA)
· Registered Health Information Technician (RHIT)
· Certified Coding Specialist (CCS)
· Certified Coding Assistant (CCA)
· Certified Professional Coder (CPC)
CORE RESPONSIBILITIES:
· Requires strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient in database software.
· Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited to:
· Medicare Inpatient Prospective Payment System
· Medicare Outpatient Prospective Payment System
· Medicare Ambulatory Surgical Center Payment Rates
· Medicare Part B Physician Fee Schedule
· Medicare Anesthesia Physician Services
· Medicare Clinical Laboratory Fee Schedule
· Medicare Drugs and Biological Payment Amounts
· Utilizing automated records of ingress and egress for each facility at the FCC, the contractor shall verify time worked for other contract staff providing services at the FCC.
· Utilizing Medicare National Correct Coding Initiative (NCCI) coding principles, the selected applicant shall verify that invoices for medical care to inmates provided by contracted medical services providers are coded appropriately based upon the care documented in the inmates’ medical records.
· Utilizing Medicare Part A and Part B payment regulations and payment recommendations from a third party adjudicator, the selected applicant shall verify that invoices for the provision of medical care to inmates which have been determined to have been properly coded are also billed appropriately in accordance with the contracted terms and conditions of the contract under which the medical services were provided.
· Utilizing contracted rates provided by the Government, the selected applicant shall verify that invoices for services performed at the FCC by other contracted medical services providers are accurately billed based upon the inclusion of approved/verified time sheets, the application of correct unit prices to the number of hours billed, and the overall total calculation.
· Utilizing knowledge of Medicare coding and billing standards and procedures, selected applicant shall investigate all inconsistencies in invoices identified by third party adjudicator.
· Other duties will include, but are not limited to filing, composing memoranda, maintaining suspense files, data entry, and preparation of cost analysis, financial obligations reconciliations, budget and expenditures tracking.
HOURS:
The work schedule will be 30 hours per week, Monday through Friday, excluding federal holidays. The schedule will include a ½ hour unpaid lunch break.
SPECIAL REQUIREMENTS/SKILL
Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.
LUKE is an Equal Opportunity employer.
Links:
To learn more about LUKE, please visit our website at:
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Billing and Coding Specialist
Posted today
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**Description**
**University of Colorado Anschutz Medical Campus**
**Department: Neurosurgery**
**Job Title** **Billing and Coding Specialist**
**Position** **- Requisition #: 37575**
**Job Summary:**
**Key Responsibilities:**
**Education/Efficiency Development/Fiscal Monitoring - 35%**
+ Serve as the neurosurgery coding/billing liaison possessing high level knowledge and skills in neurosurgery billing/coding and EPIC to work with ECG consultants on the revenue cycle improvement plan.
+ Serve as the Departmental Coding/Billing Expert, helping clinical faculty to improve their revenue cycle through education and training.
+ Serve as the training expert for clinical faculty in coding/billing and best use of EPIC.
+ Determine what the key issues are, who are Champions already maximizing their billing and who needs the extra training and support.
+ Provide regular f/u through reports available in MyBi to clinical faculty to ensure they are on track with their productivity targets and maximizing their billing potential using all the tools.
+ Assist department clinical faculty with optimizing coding and charge capture procedures. Create efficiencies and reproducibility in the processes employed.
+ Prepare formalized reports and present results to department leadership, medical directors, clinical program directors, and clinicians.
+ Respond to inquiries from clinicians and administrative staff regarding billing, coding, and documentation.
+ Perform follow-up reviews after new provider training and provide additional education as needed.
+ Work closely with the DFA and Chair to analyze new services to generate an estimated profit/loss statement for any new service in collaboration with CU Medicine Client Services Manager assigned to Neurosurgery.
+ Collaborate on joint projects with internal clinical financial staff and CU Medicine departments to resolve billing and documentation issues.
**Compliance - 35%**
+ Perform review of medical records to ensure accurate assignment of diagnosis/HCC and procedure codes, requiring high level of knowledge of neurosurgery coding/billing and EPIC.
+ Perform coding compliance reviews as applicable to the specialty of Neurosurgery.
+ Review weekly charges processed reports for changes or deletions for Neurosurgery providers.
+ Review provider and billing data from MyBi reports.
+ Maintain current knowledge of coding guidelines, reimbursement guidelines, medications, and documentation requirements.
+ Attend CU Medicine meetings with Office of Value Based Performance, Revenue Cycle, Audit/Compliance, and other related meetings as a representative for the department of Neurosurgery
+ Maintain coding knowledge and billing regulations related to CPT, ICD-10, HCPCS, HCC and other CMS regulations.
**Continual Improvement Plan and Implementation - 30%**
+ Experience in developing QA/QI plans for coding/billing using EPIC, to provide expertise to develop this process.
+ Develop a QA/QI plan after working with ECG consultation to provide continual feedback and improvements to maximize earnings and ensure clinical faculty are always using tools and systems and have the knowledge to maximize their billing and productivity.
+ Follow up on open-ended issues and manage action plans.
+ Tracking, aggregating, and summarizing the changing coding and billing rules impacting Neurosurgery.
+ Work collaboratively with CU Medicine Applications for EHR system changes/updates to ensure accurate charge capture and sequencing.
**Work Location:**
Hybrid
**Why Join Us:**
**An Exciting Opportunity:**
**Why work for the University?**
+ Medical: Multiple plan options
+ Dental: Multiple plan options
+ Additional Insurance: Disability, Life, Vision
+ Retirement 401(a) Plan: Employer contributes 10% of your gross pay
+ Paid Time Off: Accruals over the year
+ Vacation Days: 22/year (maximum accrual 352 hours)
+ Sick Days: 15/year (unlimited maximum accrual)
+ Holiday Days: 10/year
+ Tuition Benefit: Employees have access to this benefit on all CU campuses
+ ECO Pass: Reduced rate RTD Bus and light rail service
**Equal Employment Opportunity Statement:**
**Qualifications:**
**Minimum Qualifications:**
+ Bachelor's degree in healthcare administration or a related field.
+ A combination of education and related professional experience may be substituted for the bachelor's degree on a year-for-year basis.
+ Three (3) years of clinical coding/auditing experience in Neurosurgery or a similar environment.
+ Active CCS-P, CPC, or RHIA/RHIT certification in conjunction with auditing credentials (e.g., CPMA).
+ Experience with commercial and government payers
+ Experience with third-party payer reimbursement, coding, and documentation requirements.
+ Experience with specific primary care medicine and/or sports medicine coding, ie CPT, HCC, ICD-10, HCPCS
+ Experience with EHR systems.
**Preferred Qualifications:**
+ 5+ years of clinical coding/auditing experience, preferably in Neurosurgery or a similar environment.
+ Experience in a teaching/academic medical environment.
+ Multi-specialty auditing experience.
+ Experience in professional fee and/or facility fee setting.
+ Experience with outpatient (HOPD, freestanding) and inpatient coding, risk adjustment auditing.
+ Experience building and implementing audit plans.
+ Experience with EHR systems (Epic preferred).
+ Experience with Centricity Business, and MyBI.
**Knowledge, Skills and Abilities:**
+ Ability to communicate effectively, both in writing and orally.
+ Ability to establish and maintain effective working relationships with a diverse group of employees and stakeholders at all levels throughout the institution.
+ Demonstrated commitment and leadership ability to advance diversity and inclusion.
+ Strong organizational, and time management skills.
+ Strong verbal, written, and presentation skills.
+ Strong project management skills and proficient in creating and maintaining detailed project plans.
+ Independent decision-making skills with the capacity for critical thinking and problem-solving.
+ Strong interpersonal skills and the ability to navigate complex relationships.
+ Ability to maintain confidentiality and demonstrate a high level of discretion in dealing with sensitive information.
+ Familiarity with Lean, Six Sigma, or other process improvement methodologies.
+ Proficiency with project management tools, spreadsheets (Excel), and communication platforms (e.g., Outlook, Microsoft Teams).
**How to Apply:**
**Screening of Applications Begins:**
**August 22. 2025**
**Anticipated Pay Range:**
**$70,000-$85,000**
**ADA Statement:**
**Background Check Statement:**
**Vaccination Statement:**
**Job Category**
**Primary Location**
**Schedule**
**Posting Date**
**Unposting Date**
**To apply, visit ( 2025 Jobelephant.com Inc. All rights reserved.
Posted by the FREE value-added recruitment advertising agency ( and Coding Specialist - 37575 University Staff
The Billing and Coding Specialist is responsible for ensuring accurate and compliant coding and billing practices for professional medical services within a neurosurgery clinical setting. This position will work in partnership with the CU Medicine departments (Audit, Compliance & Education (ACE) and Revenue Services Client Management) to focus on clinician documentation evaluation, review, and recommendations via education to maximize coding/documentation. They will also work closely with ECG who we will be contracting with via CU Medicine to assist with improvements to our Revenue Cycle. The Billing and Coding Specialist will operate within the Department of Neurosurgery mission area and will work collaboratively with various service centers within CU Medicine to optimize billing/collection processes for the department of Neurosurgery.
- this role is eligible for a hybrid schedule, 3 days in office and 2 days remote with occasional travel to meet with the clinicians at each of our HOPD practices, attend Program and APP meetings on a PRN basis, and attend the faculty meetings as requested.
At the University of Colorado's Department of Neurosurgery, we are committed to providing the highest level of quality care to our patients through innovation and collaboration, we strive to create, and share new knowledge, train future healthcare professionals, and seek to discover the latest innovations in the field of neurosurgery through our research endeavors.By joining us, you will be part of a dedicated team working to transform healthcare delivery and improve the lives of patients and communities. Our collaborative, supportive environment empowers staff to contribute to meaningful change and fosters professional growth. You'll have the opportunity to play a key role in advancing our strategic plan and creating lasting, positive impact within a mission-driven department. Together, we can shape the future of Neurosurgery.We have AMAZING benefits and offerexceptional amounts of holiday, vacation, and sick leave! The University of Colorado offers an excellent benefits package including:There are many additional perks & programs with the CU Advantage ( .
CU is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing nondiscrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities.
Applicants must meet minimum qualifications at the time of hire.
For full consideration, please submit the following document(s):1. A letter of interest describing relevant job experiences as they relate to listed job qualifications and interest in the position.2. Curriculum vitae / Resume3. Three to five professional references, including name, address, phone number (mobile number if appropriate), and email address.Questions should be directed to: Liz ( will be accepted until finalists are identified, but preference will be given to complete applications received by . Those who do not apply by this date may or may not be considered.
The starting salary range (or hiring range) for this position has been established as The above salary range (or hiring range) represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. This position may be eligible for overtime compensation, depending on the level.Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans and retirement contributions that add to your bottom line.Total Compensation Calculator: ( University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at ( .
The University of Colorado Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students, and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.
CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine preventable diseases ( . If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the occupational health medical surveillance program ( . Application Materials Required: Cover Letter, Resume/CV, List of References : Finance and Accounting : Hybrid Department: U0001 -- Anschutz Med Campus or Denver - 20335 - SOM-NS GENERAL OPERATIONS : Full-time : Aug 19, 2025 : Ongoing Posting Contact Name: Liz Seelenfreund Posting Contact Email: ( Position Number: 00839041jeid-9865ac57f6eee24dbbb20731bf8dfd0a
The University of Colorado does not discriminate on the basis of race, color, national origin, sex, age, pregnancy, disability, creed, religion, sexual orientation, gender identity, gender expression, veteran status, political affiliation, or political philosophy. All qualified individuals are encouraged to apply.
Medical Billing and Coding Specialist
Posted 15 days ago
Job Viewed
Job Description
DescriptionGeneral InformationCompany: Frederick Primary Care Associates, P.A.Job Title: Medical Billing & Coding SpecialistLocation: 610 Solarex Ct, Frederick, MD 21703Contact: or 301-663-6162Job Category: Administrative BillingDate Posted: 6/17/2025Hourly Pay: $21-23 per hour depending on experienceAdditional Compensation: Annual bonuses (variable depending on office and performance)Schedule: Full Time (5 - 8 hour shifts or 4 - 10 hours shifts)This position will require being in office one day per week. This position also offers the potential to transition into a hybrid work arrangement based on performance.DescriptionThe Billing Department at Frederick Primary Care Associates is seeking to expand its team of dedicated and professional specialists. As the healthcare landscape continues to evolve, we are looking for enthusiastic and experienced individuals who are eager to learn, adapt, and contribute to continuous improvements. Our goal is to maintain and enhance an environment that supports exceptional patient care.Medical Billing and Coding Specialist Essential Job Responsibilities:Enter CPT and ICD 10 codes accurately and expeditiously to ensure proper records handlingUpdate patient demographic and insurance information as neededAssist and resolve patient inbound calls in a timely and courteous mannerResponsible for processing any updated information for claims to reprocess and ensure timely paymentMaintain constant professional communication with providers and other staffOther duties as assignedRequirementsMedical Billing and Coding Specialist Minimum Job Requirements: High school diploma or equivalent; some college preferred Two (2) years of billing experience in a healthcare organization or setting Primary Care Billing experience preferred CPC certification requiredThis position is eligible for the following benefits: Health Insurance (Single and Family)Dental Insurance (Single and Family)Vision Insurance (Single and Family)Vacation Accrual (2 weeks)Holidays (up to 6 days per year)Sick Leave (1 week/year - first year is prorated)Employer Paid Life Insurance, Short-Term Disability and Long-Term Disability401k w/ Employer Contributions
Medical Billing and Coding Specialist
Posted 88 days ago
Job Viewed
Job Description
CPC certification (preferred)
Experienced (at least one year)
Healthcare
Two-year degree
Duties
Handling insurance claims accurately and efficiently.Determining which codes end up on a patient’s bill for third-party billing purposes.Properly coding services, procedures, diagnoses, and treatments.Preparing and sending invoices or claims for payment.Correcting rejected claims.Tracking payments.Reviewing clinical documentation to extract and translate billable information into medical codes.This Company Describes Its Culture as:
Detail-oriented -- quality and precision-focusedPeople-oriented -- supportive and fairness-focusedTeam-oriented -- cooperative and collaborativeSchedule:
Monday to FridayDay shiftJob Type: Full-time
Benefits:
401(k)Dental insuranceHealth insuranceLife insurancePaid time offVision insuranceExperience:
healthcare billing: 1 year (Required)Billing: 1 year (Required)Education:
Associate (Preferred)Work Location: In person
Benefits
Pulled from the full job description
· 401(k)
· Dental insurance
· Health insurance
· Life insurance
· Paid time off
· Vision insurance
RequirementsDuties
Handling insurance claims accurately and efficiently.Determining which codes end up on a patient’s bill for third-party billing purposes.Properly coding services, procedures, diagnoses, and treatments.Preparing and sending invoices or claims for payment.Correcting rejected claims.Tracking payments.Reviewing clinical documentation to extract and translate billable information into medical codes.BenefitsBenefits
Pulled from the full job description
· 401(k)
· Dental insurance
· Health insurance
· Life insurance
· Paid time off
· Vision insurance
Billing & Certified Coding Specialist II
Posted 18 days ago
Job Viewed
Job Description
**Time Type:** Full time
**Work Shift:** Day (United States of America)
**FLSA Status:** Non-Exempt
**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.**
Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services. Reviews provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and other coding needs for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned projects.
**Job Description:**
**Essential Duties & Responsibilities** including but not limited to:
**Coding Responsibilities:**
1. Provides review and/or coding of any coding related denied professional services for appropriate use of CPT, ICD-9, ICD-10, HCPCS, Modifier usage/linkage.
2. Periodic review of codes, at least annually or as introduced or required.
3. Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding corrections via paper or electronic submission to the Follow up Team.
4. Reports coding trends and issues to the coding supervisor for education within the coding department and/or physician education.
5. Confers regularly with the Coding Department through regular departmental staff meetings, on-on-one meetings to review and discuss coding denials and education.
6. Maintains certification requirements for coding.
**Follow Up Responsibilities:**
1. Monitors days in A/R and ensures that they are maintained at the levels expected by management. Analyzes work queues and other system reports and identifies denial/non-payment trends and reports them to the Billing Supervisor.
2. Responds to incoming insurance/office calls with professionalism and helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims.
3. Establishes relationships and maintains open communication with third party payor representatives in order to resolve claims issues.
4. Reviews claim forms for the accuracy of procedures, diagnoses, demographic and insurance information, as well as all other fields on the CMS 1500.
5. Reviews and corrects all claims/charge denials and edits that are communicated via Epic, Explanation of Benefits (EOB), direct correspondence from the insurance carrier or others and uses information learned to educate PFS and office staff to reduce future denials and edits of the same nature. Initiates claim rebilling or corrections and obtains and submits information necessary to ensure account resolution/payments.
6. Identifies invalid account information (i.e.: coverage, demographics, etc.) and resolves issues.
7. Evaluates delinquent third party accounts and processes based on established protocols for review, payment plan or write-off.
8. Reviews/updates all accounts for write-offs and refunds.
9. Keeps informed of all federal, state, and managed care contract regulations, maintains working knowledge of billing mechanics in order to properly ascertain patients' portion due.
10. Completes all assignments per the turnaround standards. Reports unfinished assignments to the Billing Supervisor.
11. Handles incoming department mail as assigned.
12. Attends meetings and serves on committees as requested.
13. Maintains appropriate audit results or achieves exemplary audit results. Meet productivity standards or consistently exceeds productivity standards.
14. Provides and promotes ideas geared toward process improvements within the Central Billing Office.
15. Assists the Billing Supervisor with the resolution of complex claims issues, denials and appeals.
16. Completes projects and research as assigned.
17. Provides feedback and participates as the coding representative for the Patient Financial Services Department on the Revenue Cycle teams.
**Secondary Functions:**
1. Enhances professional growth and development through in-service meetings, education programs, conferences, etc.
2. Complies with policies and procedures as they relate to the job. Ensures confidentiality of patient, budget, legal and company matters.
3. Exercises care in the operation and use of equipment and reference materials. Performs routine cleaning and preventive maintenance to ensure continued functioning of equipment. Maintains work area in a clean and organized manner.
4. Refers complex or sensitive issues to the attention of the Billing Supervisor to ensure corrective measures are taken in a timely fashion.
5. Observes irregularities in the cash/denial posting process and reports them immediately to the Billing Supervisor.
6. Accepts and learns new tasks as required and demonstrates a willingness to work where needed.
7. Assists other staff as required in the completion of daily tasks or special projects to support the department's efficiency.
8. Performs similar or related duties as assigned or directed.
**Education & Professional Development:**
1. Researches and stays updated and current on CMS (HCFA), AMA and Local Coverage Determinations (LCD's), or Local Medical Review Policies (LMRP's) to ensure compliance with coding guidelines.
2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare's yearly fee schedule, Medicare Website, and specialty newsletters.
3. Makes guidelines available via, paper, on-line access, web access, or any other means provided by manager.
**Organizational Requirements:**
1. Maintain strict adherence to the Lahey Health Confidentiality policy.
2. Incorporate Lahey Health Standards of Behavior and Guiding Principles into daily activities.
3. Comply with all Lahey Health Policies.
4. Comply with behavioral expectations of the department and Lahey Health.
5. Maintain courteous and effective interactions with colleagues and patients.
6. Demonstrate an understanding of the job description, performance expectations, and competency assessment.
7. Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
8. Participate in departmental and/or interdepartmental quality improvement activities.
9. Participate in and successfully completes Mandatory Education.
10. Perform all other duties as needed or directed to meet the needs of the department.
**Minimum Qualifications:**
Education: High School diploma or equivalent, plus additional specialized training associated attainment of a recognized Coding Certificate
Licensure, Certification & Registration: CP (Certified Professional Coder through AAPC), CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA)
Experience: 1-2 years of experience in billing, coding, denial management environment related field.
Skills, Knowledge & Abilities:
+ Ability to work independently and take initiative
+ Good judgment and problem solving skills
+ Excellent organizational skills
+ Ability to interact and collaborate effectively and tactfully with staff, peers and management.
+ Ability to promote team work through support and communication.
+ Ability to accept constructive feedback and initiate appropriate actions to correct situations.
+ Ability to work with frequent interruptions and respond appropriately to unexpected situations.
**As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. Learn more ( about this requirement.**
**More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.**
**Equal Opportunity** **Employer/Veterans/Disabled**
Sr. Compliance Coordinator-Billing & Coding
Posted 24 days ago
Job Viewed
Job Description
City/State: Saint Louis, Missouri
Categories: Legal and Audit
Job Status: Full-Time
Req ID : 93985
Pay Range: $57,304.00 - $93,288.00 / year (Salary or hourly rate is based on job qualifications and relevant work experience)
Additional Information About the Role
-
Remote opportunity- ideal candidates will reside in the Greater St. Louis area.
-
Experience with analyzing provider data and training on current billing guidelines to identify trends is a plus!
-
Previous auditing experience of evaluation and management and surgical procedures is preferred!
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Working knowledge of EXCEL and MS Publisher.
Overview
BJC Medical Group is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with top-ranked hospitals in the Midwest region.
Since 1994, BJC Medical Group has provided access to extraordinary care in over 145 locations and over 25 specialties in the greater St. Louis, mid-Missouri and southern Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the communities we serve.
The Quality and Compliance Department provides support to the strategic and operational objectives of BJC Medical Group practices is located in Town & Country, MO.
Preferred Qualifications
Role Purpose
The Senior Compliance Coordinator conducts and coordinates reviews of BJCMG specialty provider documentation to ensure accuracy of services billed. This position prepares reports of findings to be presented to providers. This position also develops educational opportunities for new and existing providers giving instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with governmental regulations. Additionally, the Senior Compliance Coordinator collaborates with departments in providing appropriate education to staff as it relates to compliance and privacy of protected health information.
Responsibilities
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Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services identified as part of the review for specialty providers or up on request from management.
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Interacts with specialty providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation based on the review.
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Develops and/or presents educational training material to specialty providers and coders based on findings and trends identified as a result of the reviews; provides general education on coding and documentation rules and regulations, regulatory provisions, and third party payer requirements to new employees and providers to include Employee and Provider New Employee Orientation.
-
Interacts with government agencies/contractors, management, employees and others, as necessary, to ensure an understanding of the organization?s compliance initiatives.
-
Conducts and coordinates routinely scheduled reviews of BJCMG specialty providers' documentation involved with professional fee billing for accuracy of coding and physical presence; reviews consist of ambulatory E&M services and office procedures, as well as hospital admissions, subsequent visits, hospital procedures, and all other services performed by BJCMG specialty providers; reviews medical record documentation to identify under-coded and up-coded services, prepares reports of findings, and meets with providers to provide education and training on accurate coding practices and compliance issues; serves as subject matter expert related to specialty coding.
-
Conducts focused reviews across the BJCMG enterprise based upon the Compliance Department's annual work plan and/or trends identified based upon internal reviews or requests from senior leadership; performs special projects as requested/assigned by management; monitors trends across the organization and develops education and training on accurate coding practices and compliance issues.
-
Provides guidance and serves as mentor to fellow coordinators related to the audit process, coding, billing and compliance; identifies and notifies management educational opportunities and/or concerns as a result of serving as lead auditor.
-
Support the HIPAA liaison by tracking and conducting employee investigations when requested.
Minimum Requirements
Education
- High School Diploma or GED
Experience
- 5-10 years
Supervisor Experience
- No Experience
Licenses & Certifications
- CCS/CPC
Preferred Requirements
Education
- Associate's Degree
- Business/HC Admin/related
Licenses & Certifications
-
RHIA/RHIT
-
#LI-EW1
Benefits and Legal Statement
BJC Total Rewards
At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
-
Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
-
Disability insurance* paid for by BJC
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Pension Plan*/403(b) Plan funded by BJC
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401(k) plan with BJC match
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Tuition Assistance available on first day
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BJC Institute for Learning and Development
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Health Care and Dependent Care Flexible Spending Accounts
-
Paid Time Off benefit combines vacation, sick days, holidays and personal time
-
Adoption assistance
To learn more, go to (
*Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
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Sr. Compliance Coordinator-Billing & Coding
Posted 4 days ago
Job Viewed
Job Description
**Categories:** Legal and Audit
**Job Status:** Full-Time
**Req ID** : 93985
**Pay Range:** $57,304.00 - $93,288.00 / year (Salary or hourly rate is based on job qualifications and relevant work experience)
**Additional Information About the Role**
+ Remote opportunity- ideal candidates will reside in the Greater St. Louis area.
+ Experience with analyzing provider data and training on current billing guidelines to identify trends is a plus!
+ Previous auditing experience of evaluation and management and surgical procedures is preferred!
+ Working knowledge of EXCEL and MS Publisher.
**Overview**
**BJC Medical Group** is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with top-ranked hospitals in the Midwest region.
Since 1994, BJC Medical Group has provided access to extraordinary care in over 145 locations and over 25 specialties in the greater St. Louis, mid-Missouri and southern Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the communities we serve.
The Quality and Compliance Department provides support to the strategic and operational objectives of BJC Medical Group practices is located in Town & Country, MO.
**Preferred Qualifications**
**Role Purpose**
The Senior Compliance Coordinator conducts and coordinates reviews of BJCMG specialty provider documentation to ensure accuracy of services billed. This position prepares reports of findings to be presented to providers. This position also develops educational opportunities for new and existing providers giving instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with governmental regulations. Additionally, the Senior Compliance Coordinator collaborates with departments in providing appropriate education to staff as it relates to compliance and privacy of protected health information.
**Responsibilities**
+ Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services identified as part of the review for specialty providers or up on request from management.
+ Interacts with specialty providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation based on the review.
+ Develops and/or presents educational training material to specialty providers and coders based on findings and trends identified as a result of the reviews; provides general education on coding and documentation rules and regulations, regulatory provisions, and third party payer requirements to new employees and providers to include Employee and Provider New Employee Orientation.
+ Interacts with government agencies/contractors, management, employees and others, as necessary, to ensure an understanding of the organization?s compliance initiatives.
+ Conducts and coordinates routinely scheduled reviews of BJCMG specialty providers' documentation involved with professional fee billing for accuracy of coding and physical presence; reviews consist of ambulatory E&M services and office procedures, as well as hospital admissions, subsequent visits, hospital procedures, and all other services performed by BJCMG specialty providers; reviews medical record documentation to identify under-coded and up-coded services, prepares reports of findings, and meets with providers to provide education and training on accurate coding practices and compliance issues; serves as subject matter expert related to specialty coding.
+ Conducts focused reviews across the BJCMG enterprise based upon the Compliance Department's annual work plan and/or trends identified based upon internal reviews or requests from senior leadership; performs special projects as requested/assigned by management; monitors trends across the organization and develops education and training on accurate coding practices and compliance issues.
+ Provides guidance and serves as mentor to fellow coordinators related to the audit process, coding, billing and compliance; identifies and notifies management educational opportunities and/or concerns as a result of serving as lead auditor.
+ Support the HIPAA liaison by tracking and conducting employee investigations when requested.
**Minimum Requirements**
**Education**
+ High School Diploma or GED
**Experience**
+ 5-10 years
**Supervisor Experience**
+ No Experience
**Licenses & Certifications**
+ CCS/CPC
**Preferred Requirements**
**Education**
+ Associate's Degree
- Business/HC Admin/related
**Licenses & Certifications**
+ RHIA/RHIT
+ #LI-EW1
**Benefits and Legal Statement**
**BJC Total Rewards**
At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
+ Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
+ Disability insurance* paid for by BJC
+ Pension Plan*/403(b) Plan funded by BJC
+ 401(k) plan with BJC match
+ Tuition Assistance available on first day
+ BJC Institute for Learning and Development
+ Health Care and Dependent Care Flexible Spending Accounts
+ Paid Time Off benefit combines vacation, sick days, holidays and personal time
+ Adoption assistance
**To learn more, go to ( all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
MEDICAL BILLING AND CODING SPECIALIST SAN ANTONIO TX
Posted 21 days ago
Job Viewed
Job Description
MEDICAL BILLING AND CODING SPECIALIST SAN ANTONIO TX 78213 Snelling Staffing San Antonio is seeking a skilled Medical Billing and Coding Specialist to join a family practice in the 78213 area. This is a fantastic opportunity for a detail-oriented professional with expertise in medical billing, coding, and claims processing. If you're ready to grow your career in healthcare administration, apply today! PAY/SCHEDULE/LOCATION/BENEFITS: Starting at $17.00-$0.00/hr+ DOE Castle Hills area of San Antonio, TX Mon-Fri Office Hours Weekly Pay via pay card or Direct Deposit Access to Medical, Dental, Vision & more MEDICAL BILLING AND CODING SPECIALIST DUTIES: Review patient charts to ensure accurate coding of diagnoses and procedures. Assign correct codes (ICD-10, CPT) for medical services provided in a family practice setting. Submit claims to insurance companies for reimbursement, ensuring accuracy. Maintain up-to-date knowledge of current coding regulations and billing practices. Ensure compliance with healthcare laws and regulations related to billing and coding. Communicate with insurance companies and patients to resolve billing issues or discrepancies. Use medical billing software to track and process claims efficiently. Work closely with healthcare providers to clarify codes or treatment details when necessary. MEDICAL BILLING AND CODING SPECIALIST REQUIREMENTS: High school diploma or equivalent; medical billing or coding certification preferred. At least 2 years of experience in medical billing and coding, family practice setting preferred. Strong knowledge of ICD-10, CPT, and insurance claim submission processes. Proficiency with medical billing software and Microsoft Office Suite. Exceptional attention to detail and organizational skills. Effective communication and problem-solving abilities. *Apply online at snellingSA.com or email your resume to (email protected) for quicker consideration. Explore More Snelling Staffing Job Opportunities: Follow us on LinkedIn , Facebook , and Instagram SNELLING is a contingency recruiting firm, placing candidates in temporary, temp-to-hire, and direct-hire positions for over 70 years. There is never a fee for job seekers, and all inquiries are strictly confidential. Contact us TODAY with confidence! LOCATION San Antonio, Texas 78213 PAY 17-20/hr+ DOE
Business Office Assistant - Billing Coding - Days
Posted 4 days ago
Job Viewed
Job Description
Provides administrative support for the organization by performing a variety of secretarial/clerical duties such as reception, scheduling, billing and/or transcription.
**Shift**
Full Time, Days, 8:30am - 5pm, Monday through Friday, no weekends or holidays
**Duties and Responsibilities**
**Essential Functions:**
+ Answers telephones, routes callers, takes messages and provides routine information to callers.
+ Greets and registers patients in accordance with established policies and procedures.
+ Schedules patient appointments within established parameters.
+ Maintains files and electronic patient records on an ongoing basis. Handles patient Protected Health Information (PHI) on a regular basis.
+ Coordinates with appropriate personnel to facilitate creation of the patient schedule and to ensure that needed equipment, supplies, personnel, and patient information is available.
+ Enters and/or retrieves data from established computer files and/or cloud-based systems using knowledge of various computer software applications.
+ Opens and routes incoming mail; distributes correspondence and other material to staff. Photocopies, faxes and scans documents as needed.
**Common Expectations:**
+ Maintains established policies and procedures, objectives, quality assessment and safety standards.
+ Maintains professional growth and development.
+ Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
+ Transcribes recorded material, including operative reports, discharge summaries, patient history and examinations.
+ Orders office supplies as necessary.
+ Reviews pre-admissions and admissions to ascertain and verify insurance coverage and eligibility.
**Qualifications**
**Minimum Education:**
+ High School Diploma or GED Required
**Work Experience:**
+ Less than 1 year Relevant experience. Required
+ Business office and receptionist experience. Preferred
**Courses and Training:**
+ Medical Terminology. Upon Hire Required
**Knowledge, Skills, and Abilities:**
+ Basic computer and typing skills.
+ Good communication and interpersonal skills.
**Benefits Offered:**
+ Comprehensive health benefits
+ Flexible spending and health savings accounts
+ Retirement savings plan
+ Paid time off (PTO)
+ Short-term disability
+ Education assistance
+ Financial education and support, including DailyPay
+ Wellness and Wellbeing programs
+ Caregiver support via Wellthy
+ Childcare referral service via Wellthy
**Quality of Life**
Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.
Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more - within an easy drive of major East Coast cities.
York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)
WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.