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Job Summary The Clinical Documentation Improvement 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 Improvement Specialist performs concurrent chart reviews to
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
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
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,
-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
The Claim Resolution Specialist holds a dynamic position within the claims workflow, responsible for submitting appeals to reverse denials and initiate payments, as well as assessing the need for additional actions, such as further appeals or
We are seeking a detail‑oriented and experienced Full Cycle Medical Biller to manage end‑to‑end revenue cycle processes. The ideal candidate will ensure accurate claim submission, timely reimbursement, and compliance with healthcare regulations while maintaining excellent communication
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
This is a remote position. Virtual Rockstar is hiring a full-time Medical Billing Virtual Assistant on behalf of a growing sports physical therapy practice. This is primarily a billing role. The ideal candidate will own the
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
This is a remote position. Job Description Virtual Rockstar is hiring a full-time Medical Virtual Assistant – Insurance & Billing Support on behalf of a growing multi-location physical therapy practice. This role is focused on insurance
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