<h3>Job Description</h3>
Job Description
Job Title: HCC Coding Specialist Location: Remote (U.S. Based) Employment Type: Contract-to-Hire Schedule: Monday-Friday, 8:00 AM - 4:30 PM (CT)
About the Role: We are seeking a skilled HCC Coding Specialist for a contract-to-hire role. The ideal candidate has experience in neurology, behavioral health, and psychiatry coding, with in-depth knowledge of CMS risk adjustment and HCC guidelines. This position supports accurate documentation and risk-adjusted coding to enable value-based care.
Key Responsibilities:
<ul>
<li>
Review and assign accurate ICD-10-CM codes for HCC and risk adjustment
</li>
<li>
Analyze provider documentation and ensure coding compliance
</li>
<li>
Query providers for clarification on incomplete or ambiguous records
</li>
<li>
Collaborate with clinical and CDI teams to improve documentation quality
</li>
<li>
Stay current with coding regulations and participate in audits and reviews
</li>
</ul>
Qualifications:
<ul>
<li>
CPC or CCS certification required; CRC or CDIP preferred
</li>
<li>
2+ years of coding experience, including 1+ year in HCC/risk adjustment
</li>
<li>
Proficient in EHR systems, coding tools, and medical terminology
</li>
</ul>
Preferred:
<ul>
<li>
CPT/HCPCS coding experience
</li>
<li>
Familiarity with multiple payer risk adjustment models
</li>
</ul>
Skills:
<ul>
<li>
Strong attention to detail and accuracy
</li>
<li>
Excellent communication and analytical skills
</li>
<li>
Ability to work independently in a remote, fast-paced environment
</li>
</ul>
For California Applicants:
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).
This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
Company DescriptionHere at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine. Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us? 
<h3>Company Description</h3>
Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

HCC & Outpatient Medical Coder

<h3>Job Description</h3>
Job Description
Medical Billing &amp; Coding Specialist
<ul>
<li>North Ogden Location</li>
</ul>
We are looking for an efficient, knowledgable, and highly organized AAPC Certified Medical Coding &amp; Billing Specialist to join our team. Our vision is to keep independent physicians independent. Independent Physiatry Services is a Physical Medicine &amp; Rehabilitation Revenue Cycle Management Company where every claim counts. Our environment is driven and friendly.
Salary and Benefits
<ul>
<li>Salary based on experience $38,000- $52,000 per year</li>
<li>Paid Holidays includes the day before and day after the recognized holiday</li>
<li>Health Insurance Reimbursement</li>
<li>401k Matching</li>
<li>Tuition Reimbursement</li>
</ul>
Qualifications
<ul>
<li>AAPC Certification</li>
<li>Minimum 3 Year FTE Outpatient Coding Experience</li>
<li>Highly Organized</li>
<li>Solution Seeker</li>
<li>Collaborator</li>
</ul>
Key Result
<ul>
<li>Drive revenue by creating and sending clean claims to insurance companies and patients.</li>
</ul>
Key Objectives
<ul>
<li>Accurate and timely application of ICD-10 and CPT codes to physician documentation.</li>
<li>High level knowledge of insurance regulations, health insurance contracts, and revenue cycle management.</li>
<li>Expertly communicate in both written and verbal forms with team, patients, and physicians. Relative Value Unit (RVU) KPI.</li>
</ul>
Vision: To keep independent physicians independent.
Values: Efficient. Reliable. Knowledgeable.
Expectations:
<ul>
<li>Welcome Change and Implement</li>
<li>Be Accurate and Aware</li>
<li>Solve and Communicate</li>
</ul>
You will love working here if you resonate with our team culture.
<ul>
<li>We make decisions that support our mission of keeping independent physicians independent.</li>
<li>We keep things efficient.</li>
<li>We don’t waste time, effort, or resources.</li>
<li>We have solid technical computer skills.</li>
<li>We are loyal to our team and back each other up.</li>
<li>We perform work accurately the first time, clean claims.</li>
<li>We embrace rapid change by staying up to date in our industry.</li>
<li>We rely on great systems and processes.</li>
<li>We are ahead of the game.</li>
<li>We meet difficult situations directly with communicative language.</li>
<li>We research solutions and ask detailed informed questions.</li>
<li>We care about each other and are invested in each others accomplishments.</li>
<li>We own and accept.</li>
<li>We understand and implement industry compliance.</li>
<li>We love helping our clients in all realms of business.</li>
<li>We are kind to patients and their families.</li>
<li>We know the effect of our roles on the roles of others.</li>
<li>Our environment is driven and friendly.</li>
</ul>
Company DescriptionIPS is a Physical Medicine &amp; Rehabilitation Revenue Cycle Management Company where every claim counts. 
<h3>Company Description</h3>
IPS is a Physical Medicine &amp; Rehabilitation Revenue Cycle Management Company where every claim counts.

Medical Biller Coder Specialist

<h3>Job Description</h3>
Job Description
Professional Coder General Surgery (2)
This is a full-time,remote position that offers a flexible schedule.
We are currently looking for candidates with experience specializing in the following area: General Surgery.
Responsibilities:
<ul>
<li>Review and accurately code cases to maximize reimbursement in a timely manner.</li>
<li>Review and accurately code E/M visits and office procedures.</li>
<li>Able to work independently and research coding scenarios.</li>
<li>Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis.</li>
<li>Attend conference calls as necessary to provide information and/or feedback.</li>
<li>Communicate with leadership on coding or documentation issues/trends.</li>
<li>Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary.</li>
<li>Participate in coding department and education meetings.</li>
<li>Flexible to expand coding skill set into other specialties altogether.</li>
<li>Maintain confidentiality and protect sensitive information.</li>
<li>Other duties as assigned by leadership.</li>
</ul>
Education/Experience Requirements: 
<ul>
<li>High School diploma required. Associates or BS degree preferred.</li>
<li>Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. A CPC or CCS-P certification is required. CPC-A is not accepted.</li>
</ul>
Minimum of 3 years physician coding experience (recent hands-on production) in professional general surgery coding &amp; procedural coding in at least one of the following areas: Neurosurgery, Plastics, Podiatry required with expertise in General Surgery
Company DescriptionM&amp;D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team. 
<h3>Company Description</h3>
M&amp;D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.

Medical Coder: General Surgery

<h3>Job Description</h3>
Job Description
We are currently looking for candidates with experience specializing in the following area: Orthopedic Hand/Upper Extremity and Lower Extremity Surgery
Responsibilities:
· Review and accurately code cases to maximize reimbursement in a timely manner.
<ul>
<li>Review and accurately code E/M visits and office procedures.</li>
<li>Able to work independently and research coding scenarios.</li>
<li>Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis.</li>
<li>Attend conference calls as necessary to provide information and/or feedback.</li>
<li>Communicate with leadership on coding or documentation issues/trends.</li>
<li>Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary.</li>
<li>Participate in coding department and education meetings.</li>
<li>Flexible to expand coding skill set into other specialties altogether.</li>
<li>Maintain confidentiality and protect sensitive information.</li>
<li>Other duties as assigned by leadership.</li>
</ul>
Education/Experience Requirements: 
<ul>
<li>High School diploma required. Associates or BS degree preferred.</li>
<li>Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. A CPC or CCS-P certification is required. CPC-A is not accepted.</li>
<li>Minimum of 3 years physician coding experience (recent hands-on production) in Expertise in professional general surgery coding &amp; procedural coding in at least one of the following areas: Neurosurgery, General Surgery (SDS), Plastics, Podiatry required with the specialty of Orthopedics, specifically for hand/upper extremity and lower extremity surgical coding, including E/M leveling and office procedures (joint injections, fracture care).</li>
<li>Must have proficient knowledge of anatomy and physiology, medical terminology, CPT, ICD-10 coding, modifiers, disease processes, surgical techniques, and Medicare and Medicaid billing policies for professional services.</li>
<li>Additional skills required: Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and electronic healthcare record information and billing systems.</li>
</ul>
Company DescriptionM&amp;D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team. 
<h3>Company Description</h3>
M&amp;D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.

Medical Coder: Orthopedic Surgery

<h3>Job Description</h3>
Job DescriptioniMedX, a Rapid Care Group Company, has an opportunity for you to join a winning team!&nbsp; We have an&nbsp;immediate opening for an Inpatient Facility Coder/Clinic Coder.&nbsp; This is a&nbsp;remote,&nbsp;Part-time employee position. Purpose The Medical Coding Specialist abstracts clinical information from health records and assigns accurate and complete codes in accordance with Official Coding Guidelines and iMedX standards as appropriate. Organizational Structure:&nbsp;&nbsp;The Medical Coding Specialist reports to the Coding Manager. Key Responsibilities:
<ol>
<li>Abstracts relevant clinical information from the health records.</li>
<li>Identifies the principal and secondary diagnoses based on the Coding Guidelines.</li>
<li>Assigns ICD codes to the principal and secondary diagnoses.</li>
<li>Identifies procedures based on Coding Guidelines.</li>
<li>Assigns ICD and CPT codes to the procedures.</li>
<li>Assign principle diagnoses for DRG reimbursement.</li>
<li>Assigns correct principal and secondary ICD-10-PCS codes with attention to accurate sequencing.</li>
<li>Complies with the Clinical Coding Initiative (CCI) edits when assigning codes.</li>
<li>Meets or exceeds the iMedX coding quality standards.</li>
<li>Understands and adheres to all requirements related to coding compliance.</li>
<li>Performs coding in an efficient and productive manner utilizing good time management and professional work habits.&nbsp; Meets productivity standards for position.</li>
<li>Refers coding questions to the Coding Manager in a timely manner for feedback and coding guideline development.</li>
<li>Continually enhances coding skills.&nbsp; Participates in team meetings and educational conferences to ensure coding practice remains current.</li>
<li>Maintains confidentiality and safeguards the privacy of protected health information (PHI).</li>
<li>Promotes the Company’s values.</li>
<li>Performs other job related duties as may be assigned or required.</li>
</ol>
Education:&nbsp;&nbsp;&nbsp;High school diploma or GED equivalent.&nbsp; Completion of a formal coding program. Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or other AHIMA or AAPC approved coding credential preferred. &nbsp; Experience:&nbsp;&nbsp;&nbsp;Minimum of three years’ coding work experience encompassing a working knowledge of the ICD and CPT coding systems; medical terminology; anatomy and physiology; and health record content.&nbsp;Exhibits a sense of urgency towards work, possesses intermediate level computer skills, attention to detail, excellent customer service and written and verbal communication skills. &nbsp; &nbsp;
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Inpatient Medical Coder

<h3>Job Description</h3>
Job Description
Job Summary:
The Medical Biller/Coder is responsible for translating healthcare services rendered into standardized codes for insurance billing, ensuring accurate reimbursement. This role ensures the efficient processing of patient data, medical records, and insurance claims in compliance with healthcare regulations.
Key Responsibilities:
<ul>
<li>Accurately assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses and procedures based on medical documentation.</li>
<li>Review patient records for completeness, accuracy, and compliance with regulations.</li>
<li>Prepare and submit clean claims to insurance companies electronically or via paper submission.</li>
<li>Follow up on unpaid claims within standard billing cycle timeframe.</li>
<li>Resolve billing issues with insurance companies, patients, and healthcare providers.</li>
<li>Correct rejected or denied claims and resubmit for payment.</li>
<li>Post payments and adjustments to patient accounts.</li>
<li>Generate patient statements and respond to billing inquiries.</li>
<li>Maintain strict confidentiality of patient health information (HIPAA compliance).</li>
<li>Stay updated on coding guidelines and insurance regulations, including Medicare and Medicaid rules.</li>
<li>Assist with audits, reporting, and other administrative tasks as needed.</li>
</ul>
Required Skills and Qualifications:
<ul>
<li>High school diploma or equivalent required; Associate's degree in Health Information Management or related field preferred.</li>
<li>Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Biller (CPB), or similar credentials preferred.</li>
<li>1-3 years of medical billing and coding experience in a healthcare setting.</li>
<li>Extensive Medicare and Medicaid Billing experience.</li>
<li>Knowledge of medical terminology, anatomy, and insurance billing procedures.</li>
<li>Proficient with billing software, electronic health records (EHRs), and Microsoft Office Suite.</li>
<li>Excellent organizational, communication, and problem-solving skills.</li>
<li>Ability to work independently and meet deadlines.</li>
</ul>
APPLICATION REQUIREMENTS:
Submit a completed application with supporting documents to the Warm Valley Health Care, Human Resource Department, P.O. Box 128, Ft. Washakie, WY 82514.
Applications are available at Warm Valley Health Care or for more information contact Stacie Fagerstone, Executive HR Director via email at <a href="mailto:stacie.fagerstone@warmvalley.health" target="_blank">stacie.fagerstone@warmvalley.health</a>.
Preference will be given to a qualified Eastern Shoshone tribal member, then other qualified federally recognized Indian tribal members and then other qualified candidates.
<ul>
<li>Applicants must submit a copy of Tribal Enrollment card or CIB for Indian Preference.</li>
</ul>
Veterans who meet the minimum qualifications and provide documentation of an honorable discharge (DD214) from any branch of military service are entitled to receive preference points during the interview process.
Any offer of employment is contingent dependent on negative drug test results, reference checks and background check. Refusal to undergo required testing or testing positive will render the applicant ineligible for employment.
 
<ul>
<li>Must pass pre-employment drug screening.</li>
<li>Successfully pass the employment background check.</li>
</ul>

Medical Biller/Coder

<h3>Job Description</h3>
Job Description
Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential.
 
Job Summary:
A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines.
 
Core Duties &amp; Responsibilities:
<ul>
<li>Evaluates the appropriateness of codes and determine whether they meet all established program standards.</li>
<li>Ensures that the medical records are matched appropriately to the codes and if not, obtains them.</li>
<li>Read &amp; apply policy guidelines and healthcare terminology and delineate when criteria are/are not met.</li>
<li>Evaluates claims for conflict of interest and criteria appropriateness.</li>
<li>Works within established timeframes set by program parameters.</li>
<li>Provides strong customer service skills and works closely with clients on a case- by-case basis to provide complete, timely, and error-free quality assurance of cases.</li>
<li>Provides clinical oversight to cases that are complex and need additional review prior to return to the client.</li>
<li>Serves as an additional level of QA and clinical knowledge/review for cases with quality Issues.</li>
</ul>
 
Requirements
Required Education &amp; Experience:
● Must have a CPC, APCC, or DRG coder certification
● Payment integrity or professional bill review experience is strongly preferred.
● Out-of-network bill review experience is a plus.
● Experience working in a remote environment is preferred.
● Experience in a medical office or health care background.
 
Required Skills:
● Must work with a sense of urgency and meet deadlines.
● Must be self-motivated, with a strong drive for performance excellence.
● Excellent written and verbal communication skills are required.
● Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus).
● Attention to detail REQUIRED.
 
 
PLEASE BE AWARE: In the interest of the security of both parties, please be aware that
Dane Street will never conduct an interview via text or request checks from candidates
for purchasing equipment.
Benefits
We offer generous Paid Time Off, an excellent benefits package, and a competitive salary. If you are an outstanding candidate for this position, if you thrive in a fast-paced environment, and if you are interested in doing meaningful work that impacts others' lives, then we encourage you to apply!
 
ABOUT DANE STREET 
A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street is seeking
insightful, astute forward-thinking professionals. We process over 200,000 insurance
claims annually for leading national and regional Workers’ Compensation, Disability,
Auto and Group Health Carriers, Third-Party Administrators, Managed Care
Organizations, Employers and Pharmacy Benefit Managers. We provide customized
Independent Medical Exam and Peer Review programs that assist our clients in
reaching the appropriate medical determination as part of the claims management
process.

Medical & Billing Coder

<h3>Job Description</h3>
Job Description
About the Role:
The Certified Medical Coder - Manager plays a pivotal role in overseeing the accuracy and efficiency of medical coding and billing operations within a healthcare organization. This position ensures that all medical records are coded correctly according to established guidelines, facilitating proper reimbursement from insurance providers and patients. The manager will lead a team of AR billing specialists, providing training, support, and quality control to maintain compliance with healthcare regulations and payer requirements.
Minimum Qualifications:
<ul>
<li>Certified Professional Coder (CPC) or equivalent certification in medical coding.</li>
<li>Minimum of 3 years of experience in medical coding and billing, including experience with CPT coding and healthcare reimbursement.</li>
<li>Proven experience managing a team or leading projects within a medical coding or billing environment.</li>
<li>Strong knowledge of Medicare, commercial insurance billing, and patient collections processes.</li>
<li>Familiarity with healthcare regulations and compliance standards related to medical coding and billing.</li>
</ul>
Preferred Qualifications:
<ul>
<li>Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field.</li>
<li>Experience with electronic health record (EHR) systems and medical billing software.</li>
<li>Additional certifications such as Certified Coding Specialist (CCS) or Certified Medical Reimbursement Specialist (CMRS).</li>
<li>Demonstrated success in process improvement initiatives within a healthcare revenue cycle.</li>
<li>Strong analytical skills with experience in data reporting and financial analysis related to medical billing.</li>
</ul>
Responsibilities:
<ul>
<li>Supervise and mentor a team of billing specialists to ensure accurate and timely coding and billing processes.</li>
<li>Review and audit medical records and coding to ensure compliance with CPT, ICD-10, and other relevant coding standards.</li>
<li>Develop and implement policies and procedures to improve coding accuracy and reimbursement rates.</li>
<li>Collaborate with healthcare providers and administrative staff to address coding discrepancies and optimize healthcare reimbursement.</li>
</ul>
Skills:
The required skills such as Medical Billing, Medical Coding, and CPT Coding are essential for ensuring that all healthcare services are accurately documented and billed according to regulatory standards. Patient Collections and Medical Insurance Billing skills are used daily to manage accounts receivable and ensure timely payments from both patients and insurance companies. Knowledge of Private Pay and Medicare billing processes allows the manager to navigate complex reimbursement environments and resolve payment issues effectively. These skills are applied in training and supervising staff to maintain high coding accuracy and compliance. Preferred skills like proficiency with EHR systems and advanced certifications enhance the ability to implement efficient workflows and improve overall revenue cycle management.

Certified Medical Coder - Manager

<h3>Job Description</h3>
Job DescriptionJob Title: Certified Pediatric Medical Coder/Biller Location: Portland, OR (remote) Job Type: Part-Time with Oregon Residency&nbsp; &nbsp; Pure Joy Pediatrics - Our Culture At Pure Joy Pediatrics, we believe that excellent medicine can be delivered in an environment that feels more like home than a hospital. Our cozy, spa-like space is designed to help families exhale the moment they walk in - from the little ladybug ride-on toys that lead patients to their rooms, to the calming presence of our therapy dog, Maja, who greets each child with gentle affection. We live by our core values of transparency, innovation, growth mindset, and restoring joy in the lives of the families we serve. Our care philosophy is deeply personal - we take the time to know our patients, many of whom we’ve cared for since birth, and we work intentionally to minimize trauma around medical procedures. As a team, we collaborate closely, celebrate each other’s wins, and approach challenges with curiosity, data driven, knowing there’s often more than one way to solve a problem. We value efficiency and resourcefulness, recognizing that every tool, every minute, and every idea can be optimized to help us grow the services we offer. Pure Joy Pediatrics is more than a medical practice - it’s a mission. We proudly participate in community initiatives like the annual fundraiser for congenital diaphragmatic hernia (CDH) research, and we see every patient interaction as an opportunity to spread compassion, trust, and joy. &nbsp; Position Summary: We are seeking a detail-oriented, experienced Certified Pediatric Medical Coder and Biller to join our team. The ideal candidate will be well-versed in medical billing practices with a strong focus on pediatric coding, insurance claim submission, and reimbursement processes. This role plays a critical part in ensuring the financial health of our pediatric clinic by accurately billing for services and following up on unpaid claims. Key Responsibilities: 
<ul>
<li>Review, prepare, and submit accurate insurance claims for pediatric services (including office visits, immunizations, well-child checks, developmental screenings, etc.).</li>
<li>Ensure compliance with current coding standards (ICD-10, CPT, and HCPCS) specific to pediatric care.</li>
<li>Follow up on unpaid or denied claims; resolve billing discrepancies and resubmit claims as needed.</li>
<li>Verify patient insurance eligibility and benefits prior to services.</li>
<li>Post payments and reconcile Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).</li>
<li>Maintain accurate billing records and patient account information.</li>
<li>Respond to patient inquiries regarding billing and insurance coverage with professionalism and clarity.</li>
<li>Work collaboratively with clinical and administrative staff to ensure billing accuracy.</li>
<li>Stay current on payer policies, coding updates, and billing regulations affecting pediatric healthcare.</li>
<li>Provide detailed reports on payers reimbursements, aging reports, and maintain accurate AR.</li>
</ul>
 Qualifications: 
<ul>
<li>Certification: Certified Professional Biller (CPB), Certified Professional Coder (CPC), or Certified Medical Reimbursement Specialist (CMRS) optional.</li>
<li>Experience: Minimum of 5 years of medical billing experience, with at least 3 year in a pediatric setting preferred.</li>
<li>Knowledge: Strong understanding of pediatric-specific coding (e.g., vaccine administration, developmental screenings, etc.).</li>
<li>Coding &amp; Clean Claim Submission</li>
<li>Proficient with electronic medical records (EMRs) and billing software.</li>
<li>Familiarity with major insurance carriers, Medicaid, and Credentialling.</li>
<li>Excellent analytical, communication, and problem-solving skills.</li>
<li>High attention to detail and accuracy.</li>
</ul>
 Preferred Skills: 
<ul>
<li>Billing Experience with patient billing collections and payment plans.</li>
<li>Knowledge of PII and HIPAA regulations and medical office confidentiality standards.</li>
<li>Medical Credentialing.&nbsp;</li>
<li>Coding &amp; Clean Claims Submission.</li>
<li>Accounts Receivable (AR)</li>
<li>Payment posting &amp; Accounts reconciliation.</li>
<li>Denial Management.</li>
<li>PCPCH Program&nbsp;</li>
</ul>
 Compensation &amp; Benefits: 
<ul>
<li>This position is a part-time position with option of working for multiple clinics.</li>
<li>Ideal for local Oregonians / work-from-home</li>
<li>Competitive salary based on experience and credentials.</li>
</ul>
 To Apply: Please submit your resume and a brief cover letter to <a href="mailto:Career@PureJoyPediatrics.com" target="_blank">Career@PureJoyPediatrics.com</a> &nbsp; &nbsp;

Medical Pediatric Biller/Coder

<h3>Job Description</h3>
Job Description
Out of Network Medical Biller/Coder experience!
This is NOT an entry level position. This position would be ideal for someone looking to go back into the workforce and work in a family run medical practice long term.
Our client is a small surgical practice looking for someone to help the Practice Administrator with day-to-day clerical tasks
Our ideal candidate is someone that is reliable, dependable, and very loyal. They have a strong sense of doing the right thing and should be passionate about helping others. Resourcefulness and strong attention to detail are vitally important for this role. 
Position:
<ul>
<li>Prefer individuals from a OON billing background</li>
<li>Multi trained office staff person for back-office role, billing and coding, front office, and MA task. Offering a competitive pay rate with generous benefits package. </li>
<li>Seeking medical billing and coder person who has experience with out of network billing in General Surgery and experience.</li>
<li>Must have a pleasant and friendly demeanor with a well-groomed appearance.</li>
<li>Required English skills both written and spoken must be able to communicate without a detectable accent.</li>
<li>Must be flexible and able to fill roles in patient intake, office operations and billing for a low volume office of multi-specialty surgeons.</li>
<li>Must be capable of managing intake process for in office patients and remote visits.</li>
<li>Must be highly organized and computer literate in all basic operating systems, Word, Microsoft office, electronic fax, EMR, excel, Google dive, Google DOCs, multi phone lines business phone, availity, payor access portals, optum, TriZetto.</li>
<li>Own reliable form of transportation and be available for early hours and periotic weekend schedule.</li>
<li>Must have completed an accredited program in Medical Billing and Coding. Must have a current certification from the state of Texas.</li>
<li>Must have recommendations and work experience in out of network billing , appeals and collections. </li>
</ul>
Preferred:
<ul>
<li>Seasoned, mature, and stable person who has worked in medicine for several years with availability and willingness to keep a consistent work schedule. </li>
<li>This is a quiet and well-maintained office environment. Due to the nature of the providers specialty, there is significant focus on communication skills and follow through of the staff with providers. Daily task requires dedication to follow through and completion. </li>
</ul>
Benefits:
<ul>
<li>401(k)</li>
<li>Dental insurance</li>
<li>Health insurance</li>
<li>Life insurance</li>
<li>Paid time off</li>
<li>Professional development assistance</li>
<li>Retirement plan</li>
<li>Vision insurance</li>
</ul>
Schedule:
<ul>
<li>Monday to Friday</li>
</ul>
Education:
<ul>
<li>Bachelor's (Preferred)</li>
</ul>
Experience:
<ul>
<li>Microsoft Office: 5 years (Preferred)</li>
<li>Administrative experience: 5 years (Preferred)</li>
</ul>
Work Location: In person

953 medical-coder Jobs