5 Medical Coding jobs in Austin
Senior Inpatient Medical Coding Auditor Professional
78703 Austin, Texas
Humana
Posted 3 days ago
Job Viewed
Job Description
**Become a part of our caring community and help us put health first**
The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, PCS) to patient records. This position works assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
**Responsibilities**
The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.
Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
+ Reviewing staff monthly QA review variances
+ Daily inventory monitoring and assignment of escalated inventory
+ Research on guidelines - CMS, AMA, etc.
+ Training new coders/auditors
+ Responsible for updating and maintaining processes/resources/guidelines in OneNote & Mentor
+ Point of contact for coders/auditors
+ Assist coders with coding or technical issues
+ Team Engagement
+ Assist with assignments as appropriate per leader direction
**Use your skills to make an impact**
**WORK STYLE:** Remote/work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**WORK HOURS:** Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. Start time is typically between 7AM-8AM EST.
Overtime might be offered but is not mandatory.
**Required Qualifications**
+ Experience with all of the following: Inpatient medical coding, analytics, health record security and privacy, HIPAA compliance, and data governance.
+ Hold at least one of the following AHIMA Coding Certifications: RHIT, RHIA, or CCS
+ Comprehensive knowledge of MS Word, Excel and PowerPoint
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ Experience implementing timely resolution to complex issues
**Preferred Qualifications**
+ Associate or Bachelor's degree
+ Previous leadership experience
**Additional Information**
**Work at Home Requirements**
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
- Satellite, cellular and microwave connection can be used only if approved by leadership
- Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Interview Format**
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 07-30-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
?
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, PCS) to patient records. This position works assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
**Responsibilities**
The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.
Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
+ Reviewing staff monthly QA review variances
+ Daily inventory monitoring and assignment of escalated inventory
+ Research on guidelines - CMS, AMA, etc.
+ Training new coders/auditors
+ Responsible for updating and maintaining processes/resources/guidelines in OneNote & Mentor
+ Point of contact for coders/auditors
+ Assist coders with coding or technical issues
+ Team Engagement
+ Assist with assignments as appropriate per leader direction
**Use your skills to make an impact**
**WORK STYLE:** Remote/work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**WORK HOURS:** Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. Start time is typically between 7AM-8AM EST.
Overtime might be offered but is not mandatory.
**Required Qualifications**
+ Experience with all of the following: Inpatient medical coding, analytics, health record security and privacy, HIPAA compliance, and data governance.
+ Hold at least one of the following AHIMA Coding Certifications: RHIT, RHIA, or CCS
+ Comprehensive knowledge of MS Word, Excel and PowerPoint
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ Experience implementing timely resolution to complex issues
**Preferred Qualifications**
+ Associate or Bachelor's degree
+ Previous leadership experience
**Additional Information**
**Work at Home Requirements**
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
- Satellite, cellular and microwave connection can be used only if approved by leadership
- Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Interview Format**
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 07-30-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
?
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
View Now
0
Medical Billing/Claims/Collections
78703 Austin, Texas
Robert Half
Posted 4 days ago
Job Viewed
Job Description
Description We are looking for skilled professionals to join our team on a contract basis, specializing in medical billing, claims processing, and collections. Located in Austin, Texas, this role focuses on managing aged accounts receivable, patient collections, and claim reviews to ensure accurate and efficient resolution. Ideal candidates will bring expertise in navigating complex financial processes within healthcare environments.
Responsibilities:
- Conduct follow-up on aged accounts receivable, ensuring timely resolution of outstanding balances.
- Review and process insurance claims, including assessing denial reasons and determining next steps such as appeals or resubmissions.
- Handle patient collections by initiating contact, negotiating payment terms, and addressing sensitive financial concerns with empathy.
- Evaluate claims to determine appropriate actions such as write-offs, resubmissions, or patient billing.
- Interpret Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to allocate financial responsibility accurately.
- Prepare and issue invoices while maintaining compliance with healthcare billing standards.
- Collaborate with insurance providers to address claim-specific nuances and resubmission timelines.
- Manage appeals processes, including preparing necessary documentation for commercial and government payers.
- Maintain accurate records and documentation for all billing, claims, and collections activities.
- Support the team in identifying process improvements to streamline financial operations. Requirements - Proven experience in medical billing, claims processing, and collections within a healthcare setting.
- Strong knowledge of aged accounts receivable management in high-volume environments.
- Familiarity with insurance follow-up processes, including payer-specific requirements and denial resolution.
- Expertise in handling appeals and claim resubmissions for both commercial and government insurance.
- Demonstrated ability to interpret EOBs and ERAs to determine financial responsibility.
- Excellent communication skills for patient collections, including negotiating payment plans with sensitivity.
- Proficiency in healthcare invoicing and compliance standards.
- Attention to detail and organizational skills to manage accurate records and documentation.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .
Responsibilities:
- Conduct follow-up on aged accounts receivable, ensuring timely resolution of outstanding balances.
- Review and process insurance claims, including assessing denial reasons and determining next steps such as appeals or resubmissions.
- Handle patient collections by initiating contact, negotiating payment terms, and addressing sensitive financial concerns with empathy.
- Evaluate claims to determine appropriate actions such as write-offs, resubmissions, or patient billing.
- Interpret Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to allocate financial responsibility accurately.
- Prepare and issue invoices while maintaining compliance with healthcare billing standards.
- Collaborate with insurance providers to address claim-specific nuances and resubmission timelines.
- Manage appeals processes, including preparing necessary documentation for commercial and government payers.
- Maintain accurate records and documentation for all billing, claims, and collections activities.
- Support the team in identifying process improvements to streamline financial operations. Requirements - Proven experience in medical billing, claims processing, and collections within a healthcare setting.
- Strong knowledge of aged accounts receivable management in high-volume environments.
- Familiarity with insurance follow-up processes, including payer-specific requirements and denial resolution.
- Expertise in handling appeals and claim resubmissions for both commercial and government insurance.
- Demonstrated ability to interpret EOBs and ERAs to determine financial responsibility.
- Excellent communication skills for patient collections, including negotiating payment plans with sensitivity.
- Proficiency in healthcare invoicing and compliance standards.
- Attention to detail and organizational skills to manage accurate records and documentation.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .
View Now
1
Medical Billing/Claims/Collections
78703 Austin, Texas
Robert Half
Posted 4 days ago
Job Viewed
Job Description
Description We are looking for skilled professionals to join our team on a contract basis, assisting with medical billing, claims processing, and collections in Austin, Texas. This position involves managing aged accounts receivable, patient collections, and claim reviews to ensure accurate financial outcomes. Ideal candidates will demonstrate expertise in handling insurance follow-ups, appeals, and patient payment negotiations with precision and empathy.
Responsibilities:
- Manage aged accounts receivable by reviewing and resolving outstanding balances in a high-volume environment.
- Conduct patient collections, including contacting patients, negotiating payment plans, and handling sensitive financial discussions.
- Review and process invoices for accuracy and compliance with established guidelines.
- Analyze claims to determine appropriate actions such as re-submissions, appeals, write-offs, or patient collection efforts.
- Follow up on insurance denials by determining claim status, resubmission timelines, and payer-specific requirements.
- Prepare and submit appeals with proper documentation for commercial and Medicare/Medicaid claims.
- Interpret explanation of benefits (EOBs) and electronic remittance advice (ERAs) to identify payer and patient responsibilities.
- Collaborate with team members to ensure claims are adjudicated correctly and efficiently.
- Maintain detailed records of billing activities and ensure compliance with applicable regulations.
- Communicate effectively with patients, insurance providers, and internal teams to resolve billing issues. Requirements - Proven experience in medical billing and claims processing, with a focus on accounts receivable and collections.
- Familiarity with handling aged accounts receivable in a fast-paced, high-volume setting.
- Knowledge of insurance follow-up processes, including denial management and claim status determination.
- Expertise in submitting appeals and re-submissions for commercial and government insurance plans.
- Ability to interpret EOBs and ERAs to determine financial responsibility.
- Strong communication skills, especially for negotiating payment plans and addressing sensitive financial matters.
- Proficiency in invoicing and maintaining accurate billing records.
- Understanding of claim adjudication logic and payer-specific guidelines.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .
Responsibilities:
- Manage aged accounts receivable by reviewing and resolving outstanding balances in a high-volume environment.
- Conduct patient collections, including contacting patients, negotiating payment plans, and handling sensitive financial discussions.
- Review and process invoices for accuracy and compliance with established guidelines.
- Analyze claims to determine appropriate actions such as re-submissions, appeals, write-offs, or patient collection efforts.
- Follow up on insurance denials by determining claim status, resubmission timelines, and payer-specific requirements.
- Prepare and submit appeals with proper documentation for commercial and Medicare/Medicaid claims.
- Interpret explanation of benefits (EOBs) and electronic remittance advice (ERAs) to identify payer and patient responsibilities.
- Collaborate with team members to ensure claims are adjudicated correctly and efficiently.
- Maintain detailed records of billing activities and ensure compliance with applicable regulations.
- Communicate effectively with patients, insurance providers, and internal teams to resolve billing issues. Requirements - Proven experience in medical billing and claims processing, with a focus on accounts receivable and collections.
- Familiarity with handling aged accounts receivable in a fast-paced, high-volume setting.
- Knowledge of insurance follow-up processes, including denial management and claim status determination.
- Expertise in submitting appeals and re-submissions for commercial and government insurance plans.
- Ability to interpret EOBs and ERAs to determine financial responsibility.
- Strong communication skills, especially for negotiating payment plans and addressing sensitive financial matters.
- Proficiency in invoicing and maintaining accurate billing records.
- Understanding of claim adjudication logic and payer-specific guidelines.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .
View Now
2
Medical Billing/Claims/Collections
78703 Austin, Texas
Robert Half
Posted 4 days ago
Job Viewed
Job Description
Description We are looking for detail-oriented professionals to join our team as Medical Billing/Claims/Collections Specialists on a contract basis. This role is based in Austin, Texas, and offers an opportunity to contribute to an important project involving accounts receivable, claims review, and patient collections. Successful candidates will bring expertise in medical billing processes, claims adjudication, and patient communication, ensuring accuracy and compliance in all activities.
Responsibilities:
- Conduct thorough follow-up on aged accounts receivable to resolve outstanding balances in a high-volume environment.
- Handle patient collections, including negotiating payment plans and engaging in sensitive financial discussions with empathy.
- Review medical claims to determine appropriate actions such as resubmissions, appeals, write-offs, or patient billing.
- Analyze Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify payer and patient responsibilities.
- Manage insurance denials by assessing claim statuses, determining resubmission options, and navigating payer-specific requirements.
- Prepare and issue invoices accurately while adhering to established guidelines and timelines.
- Execute appeals and resubmissions by following standard processes and ensuring proper documentation for commercial and government payers.
- Collaborate with internal teams to ensure seamless communication and timely resolution of billing and claims issues.
- Maintain compliance with industry regulations and organizational policies in all billing and collections activities.
- Utilize specialized knowledge of claim adjudication logic to support decision-making on billing and collections strategies. Requirements - Proven experience in medical billing, claims processing, and collections within a healthcare setting.
- Strong knowledge of accounts receivable management, particularly in handling aged AR.
- Familiarity with insurance follow-up processes, including managing denials and resubmissions.
- Expertise in appeals and resubmissions for both commercial and Medicare/Medicaid claims.
- Proficiency in interpreting Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs).
- Ability to handle patient collections with professionalism, empathy, and negotiation skills.
- Solid understanding of claim adjudication logic and payer-specific nuances.
- Excellent organizational and communication skills to work effectively in a collaborative environment.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .
Responsibilities:
- Conduct thorough follow-up on aged accounts receivable to resolve outstanding balances in a high-volume environment.
- Handle patient collections, including negotiating payment plans and engaging in sensitive financial discussions with empathy.
- Review medical claims to determine appropriate actions such as resubmissions, appeals, write-offs, or patient billing.
- Analyze Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify payer and patient responsibilities.
- Manage insurance denials by assessing claim statuses, determining resubmission options, and navigating payer-specific requirements.
- Prepare and issue invoices accurately while adhering to established guidelines and timelines.
- Execute appeals and resubmissions by following standard processes and ensuring proper documentation for commercial and government payers.
- Collaborate with internal teams to ensure seamless communication and timely resolution of billing and claims issues.
- Maintain compliance with industry regulations and organizational policies in all billing and collections activities.
- Utilize specialized knowledge of claim adjudication logic to support decision-making on billing and collections strategies. Requirements - Proven experience in medical billing, claims processing, and collections within a healthcare setting.
- Strong knowledge of accounts receivable management, particularly in handling aged AR.
- Familiarity with insurance follow-up processes, including managing denials and resubmissions.
- Expertise in appeals and resubmissions for both commercial and Medicare/Medicaid claims.
- Proficiency in interpreting Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs).
- Ability to handle patient collections with professionalism, empathy, and negotiation skills.
- Solid understanding of claim adjudication logic and payer-specific nuances.
- Excellent organizational and communication skills to work effectively in a collaborative environment.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .
View Now
3
Clinical Denials Coding Review Specialist
78703 Austin, Texas
HCA Healthcare
Posted 3 days ago
Job Viewed
Job Description
**Description**
**Introduction**
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:Clinical Denials Coding Review SpecialistParallon.
**Benefits**
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
We are seeking a Clinical Denials Coding Review Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!
**Job Summary and Qualifications**
Seeking a Clinical Denials Coding Review Specialist, who is responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. This job requires regular outreach to payors and Practices. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. We want you to apply today!
**W** **hat you will do in this role:**
+ Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures
+ Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate
+ Compose technical denial arguments for reconsideration, including both written and telephonically
+ Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
+ Identify problem accounts/processes/trends and escalate as appropriate
+ Utilize effective documentation standards that support a strong historical record of actions taken on the account
+ Post denials, post or correct contractual adjustments, and post other non-cash related Explanation of Benefits (EOB) information
+ Update patient accounts as appropriate
+ Submit uncollectible claims for adjustment timely and correctly
+ Resolve claims impacted by payor recoupments, refunds, and posting errors
+ Assist team members with coding questions and provide resolution guidance
+ Provide coding guidance and support to Practices
+ Meet and maintain established departmental performance metrics for production and quality
+ Maintain working knowledge of workflow, systems, and tools used in the department
**What qualifications you will need:**
+ High school diploma or GED preferred
+ Minimum two years related experience preferred, such as accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash application.
+ Prior experience reading and interpreting Explanation of Benefits (EOB) required
+ Coding certification through AHIMA or AAPC strongly preferred
**Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you find this opportunity compelling, we encourage you to apply for our Clinical Denials Coding Review Specialist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. **We are interviewing apply today!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
**Introduction**
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:Clinical Denials Coding Review SpecialistParallon.
**Benefits**
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
We are seeking a Clinical Denials Coding Review Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!
**Job Summary and Qualifications**
Seeking a Clinical Denials Coding Review Specialist, who is responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. This job requires regular outreach to payors and Practices. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. We want you to apply today!
**W** **hat you will do in this role:**
+ Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures
+ Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate
+ Compose technical denial arguments for reconsideration, including both written and telephonically
+ Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
+ Identify problem accounts/processes/trends and escalate as appropriate
+ Utilize effective documentation standards that support a strong historical record of actions taken on the account
+ Post denials, post or correct contractual adjustments, and post other non-cash related Explanation of Benefits (EOB) information
+ Update patient accounts as appropriate
+ Submit uncollectible claims for adjustment timely and correctly
+ Resolve claims impacted by payor recoupments, refunds, and posting errors
+ Assist team members with coding questions and provide resolution guidance
+ Provide coding guidance and support to Practices
+ Meet and maintain established departmental performance metrics for production and quality
+ Maintain working knowledge of workflow, systems, and tools used in the department
**What qualifications you will need:**
+ High school diploma or GED preferred
+ Minimum two years related experience preferred, such as accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash application.
+ Prior experience reading and interpreting Explanation of Benefits (EOB) required
+ Coding certification through AHIMA or AAPC strongly preferred
**Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you find this opportunity compelling, we encourage you to apply for our Clinical Denials Coding Review Specialist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. **We are interviewing apply today!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
View Now
Be The First To Know
About the latest Medical coding Jobs in Austin !
4