<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! 
 *** We are accepting applications for potential future opportunities and do not currently have an open position ***
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 Description
Remote Medical Biller &amp; Coder (Entry-Level &amp; Experienced)
Company: Rooted Talent Solutions
Location: Remote (Work From Home)
Job Type: Independent Contractor (1099)
Schedule: Flexible | Part-Time and Full-Time Opportunities
???? About the Role
Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers.
We’re hiring both experienced professionals and motivated individuals looking to enter the field. If you’re detail-oriented, organized, and eager to work from home, this could be the right opportunity for you.
???? Responsibilities
<ul>
<li>Process and submit medical claims accurately and on time</li>
<li>Assign appropriate ICD-10, CPT, and HCPCS codes</li>
<li>Review documentation for coding compliance</li>
<li>Follow up on denied or unpaid claims as needed</li>
<li>Communicate with providers, payers, or clients when necessary</li>
<li>Maintain HIPAA compliance and data security standards</li>
</ul>
???? Qualifications
✅ Preferred:
<ul>
<li>Experience with medical billing, coding, or claim processing</li>
<li>Familiarity with EHR or billing software</li>
<li>Strong attention to detail and accuracy</li>
<li>Basic understanding of insurance guidelines and terminology</li>
<li>Certifications such as CPC or CBCS are a plus</li>
</ul>
???? Entry-Level Applicants:
If you do not have experience, that’s okay. We will consider highly motivated candidates who demonstrate strong interest in the field. Additional details regarding onboarding and training will be discussed during the interview process.
???? Position Details
<ul>
<li>Location: 100% Remote</li>
<li>Schedule: Flexible – hours vary based on client/project needs</li>
<li>Compensation: Varies depending on experience and client placement</li>
<li>Type: Independent Contractor (1099)</li>
</ul>
???? To Apply
Submit your resume and a short message about your experience or interest in medical billing. Selected applicants will be invited to attend an interview session to learn more about current opportunities and next steps.
???? Rooted Talent Solutions is an equal opportunity contractor network. We welcome applicants of all backgrounds and are committed to fostering a supportive, remote-first work environment.

Copy of Medical Biller & Coder

<h3>Job Description</h3>
Job Description
<ul>
<li>Seeking a Claims Reconsideration Coder for a temporary to permanent hire position with a prestigious insurance company in RI.</li>
<li>This position is immediately available for the successful candidate. Experience is preferred; however, consideration will be given to newly certified applicants who have passed the certification exam and can present their certification number.</li>
</ul>
This is a full-time position working 37 1/2 hours weekly, and offers a comprehensive benefits package when/if hired permanently.
Responsibilities include, but are not limited to:
<ul>
<li>Responsible for all aspects of Claim Reconsideration Requests and Contracted Provider Administrative Appeals including reviewing, resolving, adjusting, and development of written communication to providers</li>
<li>Independently abstract and interpret of all medical notes required to determine if the services billed are supported for reimbursement using current industry standard coding, CMS guidelines, plan benefits, contractual reimbursement terms, and company policies</li>
<li>Communicate adverse determination to Provider via written correspondence</li>
<li>Responsible for identification, review and reporting of inaccurate billing practices and trends gleaned from reconsideration determinations and coding/billing knowledge</li>
<li>Work in conjunction with the Medical Director on issues of medical necessity and resolution</li>
</ul>
<ul>
<li>Responsible for reporting of potentially fraudulent or abusive billing patterns to the Special Investigation Unit</li>
<li>Maintain audit documentation and cumulative reports with prior determinations for utilization as a repository</li>
<li>Continuously maintain repository of periodicals, website links and tools used in making determinations</li>
</ul>
<ul>
<li>Perform any necessary adjustments on the claim(s) affected directly by reconsideration determinations in the Health Rules system</li>
<li>Maintain annual Continuing Education Units (CEU) required to sustain their knowledge and accreditation certificate from the AAPC or AHIMA. This includes remaining up to date on coding changes and guidelines.</li>
<li>Perform other duties and/or special projects as assigned</li>
</ul>
Qualifications Required:
<ul>
<li>Associate’s degree or equivalent, relevant work experience in lieu of a degree</li>
<li>Current certification from the American Academy of Professional Coder’s (AAPC) Certified Professional Coder or American Health Information Management (AHIMA) Certified Coding Specialist</li>
<li>Three (3) or more years of direct application of coding, billing, and reimbursement mechanisms</li>
<li>Three (3) or more years of prior claims processing and/or medical billing experience</li>
<li>Prior experience with claims editing software</li>
<li>Prior experience with claims billing or payment systems</li>
<li>Demonstrated working knowledge of medical record documentation requirements and interpretation as it relates to claim reimbursement</li>
<li>Demonstrated knowledge of NCCI, CPT, HCPC, ICD-10-CM, and ICD-10-PCS coding edits</li>
<li>Knowledge of established norms and guidelines in the industry</li>
<li>Basic understanding of contract implementation and working knowledge of contract language</li>
<li>Experience with Optum Encoder, similar coding software/website</li>
<li>Knowledge of HIPAA standards and CMS guidelines</li>
<li>Excellent ability to effectively prioritize and implement tasks/special projects within deadlines</li>
<li>Intermediate skills working with Microsoft Office products including Outlook and PDF documents</li>
</ul>
The interested candidate must have strong communication skills, be organized, have the ability to prioritize tasks, have problem solving skills, have a positive attitude and enjoy working as part of a team,
Must be able to pass a background check.
For immediate consideration please submit your resume.

Certified Professional Medical Coder (CPC)

<h3>Job Description</h3>
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start&nbsp;Caring. Connecting. Growing together.&nbsp;
\n
As a&nbsp;Medical Coder, you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met.
\n
Schedule:&nbsp;Monday - Friday, 7:00am - 3:30pm, flexibility to adjust following training period
\n
Primary Responsibilities: 
\n
<ul>\n
<li>Compares and reconciles daily patient schedules/census/registration to billing and medical records documentation for accurate charge submission, which includes (but not limited to) processing of professional charges, facility charges, manual data entry</li>
\n
<li>Maintains records to be used for reconciliation and charge follow up</li>
\n
<li>Investigates and resolves charge errors</li>
\n
<li>Meets coding deadlines to expedite the billing process and to facilitate data availability for providers to ensure appropriate continuity of care</li>
\n
<li>Responsible for working professional held claims in claims processing system</li>
\n
<li>Reviews, abstracts and processes services from surgical operative report</li>
\n
<li>Reviews, communicates and processes physician attestation forms</li>
\n
<li>Communicates with physician and other departments (co-surgery) to resolve documentation discrepancies</li>
\n
<li>Other duties as assigned</li>
\n
<li>Requires critical thinking and analytical skills, decisive judgment and work with minimal supervision</li>
\n
<li>Requires excellent communication skills to be able to converse with the clinical staff</li>
\n
<li>Applicant must be able to work under pressure to meet imposed deadlines and take appropriate actions</li>
\n</ul>
\n
What are the reasons to consider working for UnitedHealth Group?&nbsp; Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
\n
<ul>\n
<li>Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays</li>
\n
<li>Medical Plan options along with participation in a Health Spending Account or a Health Saving account</li>
\n
<li>Dental, Vision, Life&amp; AD&amp;D Insurance along with Short-term disability and Long-Term Disability coverage</li>
\n
<li>401(k) Savings Plan, Employee Stock Purchase Plan</li>
\n
<li>Education Reimbursement</li>
\n
<li>Employee Discounts</li>
\n
<li>Employee Assistance Program</li>
\n
<li>Employee Referral Bonus Program</li>
\n
<li>Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)</li>
\n</ul>
\n
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
\n
<ul>\n
<li>High School Diploma/GED (or higher)</li>
\n
<li>Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS-P), Certified Coding Associate (CCA) by American Health Information Management Certification (AHIMA) with active license</li>
\n
<li>6+ months of experience in specific training related to CPT procedural coding and ICD10 CM diagnostic coding through continuing education programs/ seminars and/or community college</li>
\n
<li>Basic level of working knowledge of human anatomy and physiology, disease processes and demonstrated knowledge of medical terminology</li>
\n</ul>
\n
Preferred Qualifications:
\n
<ul>\n
<li>Prior experience working with ECW</li>
\n
<li>Working knowledge with medical insurance</li>
\n</ul>
\n\n
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.&nbsp;
\n\n
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
\n\n\n
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
\n\n
UnitedHealth Group&nbsp;is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
\n\n\n
#RPO #RED

948 medical-coder Jobs