Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career
Job Opportunity: Medical Billers and Coding Specialist Company: Elevate Calls Inc Location: Permanent Work From Home Job Type: Full-time About Us: We are currently seeking dedicated and skilled Medical Billers and Coding Specialists to join our team. If
Position Summary We are seeking a highly analytical and detail-oriented Certified Professional Coder (CPC) to join our team. This role is highly focused on Denial Management and Revenue Integrity. The ideal candidate is not just a
Job Purpose The Medical Coding Academy Training Manager is responsible for designing, implementing, and managing comprehensive training programs for inpatient and outpatient medical coders. This role ensures coders are equipped with the necessary knowledge, skills, and competencies
Job Purpose The Clinical Documentation Integrity Specialist focuses on the accuracy, completeness and consistency of inpatient clinical documentation to support coding and reporting of high-quality healthcare data. The Clinical Documentation Integrity Specialist performs concurrent chart reviews to
Responsibilities: - Review diagnosis and medication coding for infusion services, especially when payer limitations apply. - Assess payer medical policies and CMS guidelines to confirm medical necessity and coverage eligibility. - Ensure clinical documentation aligns correctly with billing codes
Responsibilities: - Review and validate diagnosis and medication coding for infusion services, with a focus on payer-specific requirements and restrictions, serving as the primary resource for complex or non-standard cases. - Analyze payer medical policies and CMS guidelines to
As a Multi-Specialty Quality Reviewer, you will be responsible for conducting internal quality reviews across different medical coding specialties to assess coder performance and coding accuracy. This role will focus on identifying areas for improvement, enhancing coding efficiency, and
-Bachelors degree holder -4-8 years of experience in healthcare revenue cycle management, with specific focus on coding and clinical denials, accounts receivable, and team leadership. -Deep understanding of medical coding (ICD-10, CPT, HCPCS) and clinical denials, payer medical necessity
Client Management: -Establish and maintain trusted client relationships as the primary point of contact for coding denials and hospital billing services. -Understand client challenges related to coding compliance and billing workflows and recommend tailored solutions. -Conduct regular meetings
Qualifications: -4-8 years of experience in healthcare revenue cycle management, with a specific focus on coding and clinical denials, accounts receivable, and team leadership. -Deep understanding of medical coding (ICD-10, CPT, HCPCS) and clinical denials, payer medical necessity policies,
R1 RCM PHILIPPINES, INC . is a leading provider of technology-driven, end-to-end revenue cycle solutions that transform the patient experience and financial performance of healthcare providers. R1 RCM Philippines serves as a strategic hub for global
The Revenue Cycle Analyst will have at least 5 years of experience dealing with all types of payers including Medicare, Medicare Advantage, Medicaid, and Commercial medical billing. This position requires knowledge of the entire revenue cycle from
The Clinical Appeals Specialist is responsible for reviewing and preparing clinical and coding-related appeals for denied or downgraded healthcare claims. This role involves analyzing medical documentation, applying ICD-10 coding guidelines, and utilizing MCG/InterQual criteria to support medical necessity
Position Summary: The professional coder functions under the direction of the Tenet Regional Coding Director. The professional coder is responsible for assignment of medical coding by abstracting and review of the medical documentation according to Tenet Physician Resources
The Medical Billing Specialist-Payment Posting is responsible for ensuring the timely and accurate payment of medical services rendered to our clients patients. This includes charge entry, collecting payments from insurance companies, and providing exceptional customer service. Job Details:
Summary: The primary responsibility of the Medical Billing Specialist – Collections is to assist our clients in collecting payments from the insurance companies for their medical services rendered to their patients. This includes charge entry and providing exceptional
Job Purpose The Training Manager - Revenue Cycle Management (RCM) is responsible for designing, developing, and implementing comprehensive training programs to enhance the efficiency, knowledge, and skills of the revenue cycle team. This role ensures that
Location: BGC Taguig or Iloilo City Work Setup: Hybrid but work onsite frequency is still being deliberated Work Schedule: Night Shift, Shifting Schedule, No fixed weekends off Target Start Date: August 3, 2026 Headcount Requirement: 30
Psychiatry Wellness Center is looking for a Virtual Mental Health Medical Coder/Biller/Collections Specialist. We are looking for a top performer with previous experience and knowledge of billing, reimbursement, and payment posting. The Medical coder is responsible