<h3>Job Description</h3>
Job Description
Inpatient/ER Medical Coder Inhouse/Remote
Department: Business Office FLSA Status: Non-Exempt Reports To: Business Office Manager
 Position Summary
The Medical Coder will be responsible for inpatient coding and OP procedure/emergency room coding as determined by workload requirements and the Business Office Manager.
Essential Functions
<ul>
<li>Codes visits in accordance with applicable standards as assigned by the Business Office </li>
<li>Works claim denials as assigned by the Business Office </li>
<li>Maintains schedules &amp; reconciliations as </li>
<li>Audits encounters for appropriate documentation and communicates needs to providers with follow-up.</li>
<li>Retrieves information as requested from records, email, minutes, and other related documents; prepares written summaries of data when needed.</li>
<li>Responds to and resolves administrative inquiries and </li>
<li>Performs other related duties as </li>
</ul>
 
Qualifications
Education
<ul>
<li>High School Diploma or GED</li>
<li>Current coding credentials through AAPC or AHIMA related to IP and ER</li>
<li>Minimum of 2 years experience, experience with CAH Method II facilities is a plus!</li>
<li>One to three years of experience in an administrative role</li>
<li>Knowledge of medical billing is beneficial</li>
</ul>
 Knowledge, Skills and Abilities
<ul>
<li>Excellent verbal and written communication </li>
<li>Excellent interpersonal and customer service </li>
<li>Proficient in Microsoft Office Suite or related </li>
<li>Excellent organizational skills and attention to </li>
<li>Basic understanding of clerical procedures and systems such as recordkeeping and </li>
<li>Ability to work independently.</li>
</ul>
 Hours of Work
Monday-Friday 8-4

Inpatient/ER Medical Coder

<h3>Job Description</h3>
Job Description
About Us: At The Preferred Medical, we pride ourselves on offering a comprehensive suite of services tailored specifically to the needs of the Workers' Compensation industry. Our core mission is to enhance outcomes for injured workers, ensuring their swift and safe return to work. Through our responsive approach, tailored solutions, and focused expertise in PBM, ancillary services, and medical cost containment, Preferred Medical stands as a pillar of support, helping our clients navigate the financial and operational complexities of Workers' Compensation claims.
The Role: The Medical Bill Review Analyst is responsible for reviewing medical bills to ensure accuracy, prevent duplicate charges, detect collision alerts, and confirm correct use of CPT, ICD-10, and HCPCS codes. This role requires applying state fee schedule rules and Workers’ Compensation standards to support clean claim submission, explain denials, and maintain compliance with federal, state, and payer regulations. The MBR Analyst works closely with customer service, billing staff, payers, and providers.
&nbsp;General Responsibilities:
•&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Review and process medical bills according to state-specific rules, regulations, and guidelines.
•&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Stay current on multi-state jurisdictional regulations, reporting requirements, mandated fee schedules, and client-specific policies.
•&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Provide professional customer service to both internal and external clients by:
<ul>
<li>Requesting missing or additional information from clients, adjusters, or providers.</li>
<li>Assisting with issue resolution.</li>
</ul>
•&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Review and respond to provider appeals based on fee schedule rules.
•&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Analyze complex medical documentation, including high-level office visits, reports, and records, using independent judgment.
•&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Interpret hospital billing guidelines for both inpatient and outpatient claims.
•&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Process a variety of complex bill types, including med-legal, appeals, consultations, surgeries, hospital services, and technical charges.
•&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Perform specialized bill review for both PPO and non-fee schedule claims.
•&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Continue learning bill review methods such as Usual &amp; Customary, fee schedules, and PPO discounts.
•&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Maintain active certification and required continuing education credits (CEUs).
•&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Protect the confidentiality of all information handled.
•&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Complete other duties as assigned.
What You'll Need to Succeed:
<ul>
<li>2+ years of experience in medical coding, preferably in workers’ compensation.</li>
<li>CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) required; CPC-A considered with relevant experience.</li>
<li>Strong knowledge of CPT, ICD-10, and HCPCS coding systems.</li>
<li>Familiarity with CompIQ Solutions billing system is preferred.</li>
<li>Knowledge of medical terminology, workers’ compensation billing guidelines and fee schedules. Montana and Georgia jurisdiction experience is a plus.</li>
<li>Excellent attention to detail and organizational skills.</li>
<li>Strong communication skills for provider and team interactions.</li>
<li>Ability to work independently in a fast-paced, high-volume environment.</li>
<li>Must be proficient in Microsoft applications.</li>
</ul>
What's in it for you:
<ul>
<li>Flexible schedule: 10-20 hours weekly (ideally within standard EST office hours)</li>
<li>Remote Position: work from home*</li>
<li>Team Culture: Become part of a team that embodies our core pillars of being responsive, tailored, and committed to making a meaningful difference in the lives of injured workers.</li>
<li>Impactful Work: Make a significant impact in the Workers' Compensation industry, contributing to improved patient outcomes and faster recovery times.</li>
</ul>
Pay Range Details:
The pay range below is provided in compliance with state specific laws. Pay ranges may be different in other locations. Exact compensation may vary based on skills, experience, and location.
Compensation:&nbsp;$20-$28 per hour, commensurate with experience. Employment Type:&nbsp;Part-Time, with the potential to move to Full-Time
Remote Work Requirements: 
Applicants must reside in any of the following states where Preferred Medical Network has the ability to run payroll: KY, IN, GA, NC, TN, NE, FL, UT. State locations and specifics are subject to change as our hiring requirements shift.
Preferred Medical Network provides use of company IT equipment, and the employee supplies the internet, a hard-wired internet connection and a distraction-free work environment.
Internet Requirements: Ping/Latency 100ms or less; Download 25MBPS; Upload 5MPBS; Packet loss 0% (Cannot use: Mobil hot-spot, tethering, or Satellite ISP service)
Additionally, remote employees are required to be on video in internal calls, meetings and trainings.

Please note, official Preferred Medical recruiters will never contact you with a non @thepreferredmedical.com email address&nbsp;and will never ask for payment to apply or accept any interview or job offer. Nor will you be asked to supply sensitive financial and personal information via phone, email or social media as part of the interview process. If you receive a call, text message, or are contacted via social media&nbsp;from an apparent Preferred Medical official asking for money, you should cease communication immediately and inform the Office of the Federal Trade Commission through its website: <a href="https://reportfraud.ftc.gov/" target="_blank">https://reportfraud.ftc.gov/</a>.

Preferred Medical Network is an equal opportunity employer, committed to the principles of inclusion and diversity for all employees and to providing employees with a work environment free of discrimination and harassment.&nbsp;&nbsp;All employment decisions at Preferred Medical Network are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical or mental disability, medical history or genetic information, sexual orientation, gender identity and/or expression, marital status, past or present military service, family or parental status, or any other status protected by the federal, state or local laws or regulations in the locations where we operate.

Medical Bill Review Analyst/Certified Coder

<h3>Job Description</h3>
Job Description
We are looking for a detail-oriented Medical Biller and Coder to join our team on a contract basis in Union City, California. In this role, you will utilize your expertise to ensure accurate billing, coding, and insurance authorization processes, contributing to the smooth operation of our healthcare services. This position offers flexible scheduling within standard business hours, making it an excellent opportunity for professionals seeking adaptability in their work routine.
 
Responsibilities:
• Accurately code medical procedures and diagnoses using ICD-10 and CPT codes.
• Handle billing functions for outpatient services, ensuring timely submission and reimbursement.
• Manage insurance claims and authorizations, resolving any discrepancies effectively.
• Collaborate with healthcare providers to verify medical information and ensure proper coding.
• Utilize MatrixCare software for billing tasks, with training provided if needed.
• Maintain up-to-date knowledge of managed medical plans and billing regulations.
• Generate detailed reports on billing activities and submit them promptly.
• Communicate with insurers to address billing inquiries and ensure compliance with policies.
• Support hospital billing processes and outpatient coding requirements.
 
If you are interested, please call us immediately if you are interested at (510)470-7450
• Proven experience in medical coding and billing, preferably in outpatient and hospital settings. • Proficiency in ICD-10 and CPT codes. • Familiarity with insurance billing and authorization procedures. • Strong understanding of managed medical plans and healthcare regulations. • Experience with MatrixCare software is a plus, but training can be provided. • Certification in medical coding is highly preferred. • Excellent attention to detail and organizational skills. • Ability to work independently and adapt to flexible schedules within standard business hours.

Medical Biller and coder

<h3>Job Description</h3>
Job DescriptionBenefits: 
<ul>
<li>Bonus based on performance</li>
<li>Flexible schedule</li>
<li>Opportunity for advancement</li>
</ul>
 Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities 
<ul>
<li>Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare</li>
<li>Note and process all necessary forms from the insurance</li>
<li>Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures</li>
<li>Work with doctors offices and hospitals to obtain charge information and billing details</li>
<li>Enter all billing and payment information into the system properly and without errors</li>
<li>Follow up with clients and payments, as needed</li>
<li>Answer phones, assist clients with questions, take messages, and screen calls</li>
<li>Maintains the highest level of confidentiality</li>
</ul>
Qualifications 
<ul>
<li>Strong customer service skills</li>
<li>Previous experience with medical coding or billing desired</li>
<li>Strong organization skills</li>
<li>Excellent attention to detail</li>
<li>Electronic Medical Records a MUST eclinical Works</li>
</ul>

Medical Biller/coder/AR

<h3>Job Description</h3>
Job Description
 

Certified Medical Coder
(Remote Production Role)
Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! 
Main Responsibilities (may include but are not limited to): 
<ul>
<li>Meet minimum production goals while maintaining accuracy requirements</li>
<li>Review provider medical coding of services rendered for medical claim submission</li>
<li>Review and respond to medical coding inquiries submitted by providers and staff</li>
<li>Work directly with providers to resolve specific medical coding issues</li>
<li>Analyze data for errors and report data problems</li>
<li>Partner with billing office to correct and resubmit claims based on review of the records, provider input, and payor input</li>
<li>Work with clinical and non-clinical groups to identify undesirable coding trends</li>
<li>Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee</li>
<li>Abide by HIPAA and Coding Compliance standards</li>
<li>Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment</li>
<li>Accomplish other tasks as assigned</li>
</ul>
Other Duties That May be Assigned: 
<ul>
<li>Work hand in hand with partner facilities to verify resident stay status</li>
<li>Review patient information to assist in decision making process in regard to advance modalities</li>
<li>Coordinate with outside partners for advanced modalities</li>
</ul>
Skills required to succeed: 
<ul>
<li>Must live in one of the following states: WA, OR, ID, UT, AZ, TX, VA, FL</li>
<li>2+ years coding</li>
<li>2+ years medical billing experience (preferred but not required)</li>
<li>Experience with insurance and revenue cycle management processes</li>
<li>Ability to read and understand insurance EOB’s</li>
<li>Proficient in reviewing edits between CPT, ICD10, and HCPCS codes</li>
<li>Experience in reviewing insurance review denials and payer policies</li>
<li>Professional coder certification through a recognized organization such as AAPC (preferred) or AHIMA</li>
<li>Leadership qualities with the ability to effectively educate providers remotely</li>
<li>Acute attention to detail with a strong, self-sufficient work ethic</li>
<li>Excellent organization and use of time management skills</li>
<li>Ability to prioritize workload and have a strong sense of urgency when time sensitive situations arise</li>
<li>Proficient with computers and navigating within multiple applications</li>
<li>Proficient in MS Office (specifically Teams, Outlook, Excel, and Word)</li>
<li>Ability to collaborate with other UWH team members electronically via email, messaging, and telephone conferences</li>
<li>Strong verbal and written communication, as well as customer service skills; must be able to listen and communicate effectively with leadership, providers, and co-workers</li>
<li>Goal-oriented and a consistent performer</li>
<li>Must be self-motivated, punctual, dependable, and able to work independently</li>
<li>Must be trustworthy, honest and have a positive and professional attitude</li>
</ul>
Location: Remote – corporate office location in WA 
Compensation: $25.00 - $33.00 hourly - DOE and location 
This position is classified as: Hourly, Non-Exempt; Full-Time employment 
Hours: Typical hours are Monday through Friday; 7:30am – 4:00pm PST, (occasional overtime depending on claim volume) 
Benefits: 
<ul>
<li>Work remotely from a home office</li>
<li>Associates working 20+hrs per week:
<ul>
<li>Medical/Dental/Orthodontic/Vison/RX - 80% towards employee monthly premiums covered, HSA matching, dependent coverage available at employee’s expense</li>
<li>Employer Sponsored Life, AD&amp;D, and Disability Insurance </li>
<li>Voluntary Supplemental Insurance: Accident, Cancer, Critical Illness, STD, Life</li>
</ul>
</li>
<li>Paid Time Off:
<ul>
<li>Accruals up to 132hrs (16.5 days) your first year of employment based on 1.0FTE status</li>
</ul>
</li>
<li>8 paid Holidays for full-time employees</li>
<li>401(k) match on first 4%</li>
<li>Core Values that promote work-life harmony</li>
<li>Work with amazing people who have created a culture where we recognize each other’s wins and don’t tolerate gossip or drama</li>
</ul>
 Website: <a href="http://www.unitedwoundhealing.com" target="_blank">www.unitedwoundhealing.com</a>
*Do you want to grow personally and professionally by working with the best? We’d love to hear from you! Apply now: 
We are a drug-free workplace. All offers of employment are contingent upon a successful drug screen and criminal background check. EEO.

Certified Medical Coder (Remote Production Role)

<h3>Job Description</h3>
Job DescriptionDescription:
Job Summary:
 
ESSENTIAL FUNCTIONS:
· Consistently and accurately assigns ICD-10-CM, CPT and/or HCPCS codes in accordance with current year CMS/AMA CPT-4, HCPCS and Official ICD-10 Coding Guidelines by reviewing and interpreting medical documentation from physician office visit notes, procedure notes, nurse visit notes, provider orders, pathology, labs, etc.
· Identifies and abstracts any additional documented HCC diagnosis not listed by the provider in the Assessment/Impression/Final Diagnosis
· Review and report missing or incomplete documentation
· Query providers or clinic staff as necessary for clarification of documentation or lack thereof as it pertains to proper application of ICD-10-CM diagnosis coding, HCPCS and CPT E/M and procedure coding
· Monitor assigned work lists and provider lists to ensure all records are coded in a timely manner
· Meets departmental productivity standards for coding 
· Maintain current knowledge of medical compliance, coding guidelines and federal regulations, such as medical necessity issues and correct coding initiatives
· Keep informed of the changes/updates in ICD-10-CM/CPT guidelines by attending appropriate training, review coding clinics and other resources and implementing these updates in daily work 
· Meet continuing education requirements for coding certification 
· Maintain annual compliance education
· Participate in coding meetings and education conferences to maintain coding skills and accuracy
<ul>
<li>Attend conference calls as necessary to exchange information related to Coding</li>
</ul>
ADDITIONAL RESPONSIBILITIES:
· Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision
· Consistently demonstrates time awareness, reduces non-essential interruptions to an absolute minimum
· Demonstrates thorough understanding of how position impacts the department, clinics, and hospital
· Demonstrates a good rapport and works to establish cooperative working relationships with all members of department, clinic, and hospital staff
· Assists billing office staff with claims denials. Verify accuracy of billing data and make corrections as appropriate for re-billing purposes as needed
· Performs special projects as directed by Supervisor
· Identify and communicate trends and educational opportunities to ensure proper documentation, coding, and accuracy of billing
· Respond to inquiries from providers, staff, and management in a timely and professional manner
· Organized and completes tasks
· Regular and reliable attendance
· Responsible and dependable
· Present to work on time as scheduled
· Strong communication skills, oral and written with a friendly, helpful attitude
· Strong work ethic and flexibility required
· Analytical skills experience and sound judgment to make decisions
· Self-motivated problem-solver with professional demeanor
· Must be able to seek assistance from supervisor when any change in schedule or issues with assigned work arise
· Ability to use whatever tools and equipment is available to get the job done
· Knowledgeable in multiple computer programs, i.e., Microsoft Outlook, Excel, Word
· The ability to work with little to no supervision
· Perform other duties as assigned by supervisor
KNOWLEDGE/SKILL/ABILITIES:
· 
AGE-RELATED COMPETENCIES: Demonstrates the basic knowledge and skills necessary to identify age-specific patient needs appropriate for this position.
Information Management: Treats all information and data within the scope of the position with appropriate confidentiality and security.
Risk Management/Quality Management/Safety: Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations.
MINIMUM POSITION QUALIFICATIONS:
Ø Education - High School Diploma/GED or higher
Ø Work Experience – Preferred 2+ years of post-certification medical coding experience
o Experience with various encoder systems (3m, Knowledge source, Encoder Pro, Evident, etc.)
Ø Training - Experience with CPT-4/HCPCS Procedure coding
o Experience with ICD-10-CM coding
o 
Ø License/Certification - Professional coder certification with credentialing from AHIMA and/or AAPC (CPC-a, RHIT, RHIA, CCA, CPC, COC, CPC-P, CCS) to be maintained annually
o All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview/offer process
o 2+ years of experience in a PC in a Windows environment, including MS-Excel and EMR systems
o Proficient Excel skills
o Medical terminology knowledge
ENVIROMENTAL CONDITIONS: Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids.
Requirements:

Certified Medical Coder (25-342)

<h3>Job Description</h3>
Job Description 
I. General Summary
<ul>
<li>Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems.</li>
</ul>
II. Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
<ul>
<li>Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.</li>
<li>Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.</li>
<li>Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.</li>
<li>Collaborates with other senior coders (and the other coding staff) with sharing coding information and providing coding advice to colleagues regarding complex cases to be coded.</li>
</ul>
 Qualifications 
III. Education and Experience
<ul>
<li>High School graduate or equivalent. Formal ICD-10-CM and CPT training Associates or Bachelor’s degree preferred.</li>
<li>Minimum of three years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma and Rehab hospital or 4 years of experience with coding inpatient hospital medical records required.</li>
<li>One of the following required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC)</li>
</ul>
IV. Knowledge, Skills and Abilities
<ul>
<li>Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability.</li>
</ul>
 Additional Information 
All your information will be kept confidential according to EEO guidelines.
Compensation:
Pay Range:$30.26- $42.37
Other Compensation (if applicable):
Review the 2024-2025 UMMS Benefits Guide
Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at <a href="mailto:careers@umms.edu" target="_blank">careers@umms.edu</a>.
PandoLogic. Keywords: Medical Coder, Location: Baltimore, MD - 21201

Senior Inpatient Medical Coder

<h3>Job Description</h3>
Job Description
Certified Coder&nbsp;needed full time for small billing company. Job description: Coding of pending charges, Claim follow up, Denials, appeals, etc. Position will require learning multiple medical software systems. Must be team player, good computer skills and problem solver. Podiatry experience a must. Must have at least 5-8 years experience in medical&nbsp;coding. Compensation based on experience.&nbsp; This is a remote position
Company DescriptionSmall billing company. Relaxed environment. 
<h3>Company Description</h3>
Small billing company. Relaxed environment.

943 medical-coder Jobs