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As a remote Medical Billing and Coding Specialist, you will be responsible for accurately assigning appropriate medical codes to patient records, ensuring timely reimbursement from insurance companies, and maintaining compliance with all relevant regulations and guidelines. To be successful in this role, candidates must possess the following qualifications: - Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification.

P1 Dental Partners

Medical Billing and Coding Specialist

FULL_TIME

In this role, you will provide detailed analysis of reviewing medical records, confirming the CPT Codes, and providing your opinion on whether or not the medical bills are being overcharged. Strong Microsoft Excel skills, especially with the V-Lookup formula.

MEDSURITY EXPERTS

Medical Billing and Coding Expert

IN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity. Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified.

CRD Careers

Medical Record Audit / Coding Auditor

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Serving as a subject matter expert, the Coding Quality Reviewer and Educator develops and delivers targeted education to coders, providers, and clinical departments to support compliant, defensible documentation and optimal revenue integrity outcomes. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

YEAR

Brown University Health

Coding Quality Reviewer and Educator-3

Ability to operate personal computer and general office equipment as necessary to complete essential functions, including using spreadsheets, word processing, database, email, internet, and other computer programs. Performs reviews of appeal records received based on contract/regulatory requirements, coding guidelines, and coverage policies, prepares review summary for presentation to the appeals committee, and presents appeal review to the appeals committee.

South Florida Community Care Network

Medical Coding Auditor

Medical Billing Specialist is responsible for the complete and accurate billing and collections of all hospice claims submitted for payment to third party payers including, but not limited to, Medicare, Medicaid, Managed Care, commercial carriers, and any other state and federal health care programs. Performs all follow up duties associated with rebilling, adjustments, corrected claim submissions and collections of all overdue accounts/claims in accordance with best business practices.

VITAS Healthcare®, a pioneer and leader in the hospice movement since 1978, is the nation’s largest provider of end-of-life care. Our name is derived from the Latin word for “lives” and symbolizes the VITAS mission: to preserve the quality of life for those who have a limited time to live.

 Headquartered in Miami, Florida, VITAS operates hospice programs in 15 states and the District of Columbia. VITAS has enjoyed dynamic growth since its founding as a volunteer organization by a United Methodist minister and an oncology nurse. Today, VITAS employs 11,773 professionals who care for terminally ill patients daily-primarily in the patients’ homes, and also in the company’s inpatient hospice units as well as in hospitals, nursing homes and assisted living communities/residential care facilities. VITAS team members include registered nurses, licensed practical nurses, home health aides, physicians, social workers, chaplains and other caregiving professionals.

VITAS Healthcare Corp

Medical Billing Specialist

We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. To thrive in this role, you must have experience identifying different types of hospital documentation including, but not limited to, medical records, UB-04s, EOBs, itemized bills, hospital account notes, appeal letters, and denial/approval letters.

R1 RCM Inc

Clinical Coding Appeals Nurse

This role oversees the review, analysis, and appeal of DRG downgrades and payer denials, working closely with Clinical Documentation Improvement (CDI), coding, billing, and clinical teams to promote appropriate reimbursement and maintain compliance with regulatory requirements. Track appeals through all levels (first level, second level, external review) and ensure compliance with Medicare regulations, OCE/MCE edits, and LCD/NCD requirements.

Jackson Health System

Clinical Coding Audit Specialist, HIM

The ACO Coding Auditor is responsible for reviewing medical records and identifying, collecting, assessing, monitoring, and documenting claims and encountering information as it pertains to Medicare Risk Adjustment. You implement ongoing quality improvement activities to assure the Medicare Risk score meets all requirements and act as a consulting MRA advisor to the practices you support.

Cano Health

Auditor, ACO Coding

Clinical Coding Audit Specialist, HIM, Full Time, Days

Cano Health Inc

This individual should be able to understand the entire billing and coding process, identify problems, resolve issues, oversee workflow, provide direction to staff, and take ownership of the department's day-to-day operations. While billing and coding will be the primary focus of this position, the individual will also provide front desk and administrative support as needed, including: Answer and manage incoming telephone calls professionally.

Orthopedic Health Center

Medical Billing / Revenue Cycle Supervisor

Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Examples include: Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying, and create a basic pivot table.

CorroHealth Inc

General Surgery, Profee Coding Specialist

Emergency Department Profee Coding Specialist

The Waste & Error Certified Coding Manager is responsible for leading the Certified Coding Analyst and W&E Team Lead roles that conduct medical claim reviews and coding audits to identify billing errors, waste, abuse, fraud, and payment integrity opportunities. The Manager provides direct people leadership, establishes operational priorities, ensures consistent application of coding and billing requirements, and is accountable for team productivity, quality, service levels, compliance, and employee development.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Manager, W&E Professional Coding

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

Sedgwick Claims Management Services, Inc.

Medical Bill Coordinator

The Biller Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.

Centrum Health

Billing Specialist

ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The analyst collaborates closely with healthcare providers, insurance companies, and internal departments to verify claims, identify discrepancies, and facilitate timely reimbursements.

Independent Living Systems LLC

Claims & Billing Analyst

Integrated Home Care Services (IHCS) provides a comprehensive Integrated Delivery System in the home setting, offering Durable Medical Equipment (DME), Respiratory, Home Health, and Home Infusion services. As a trusted market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services, we proudly serve more than 2 million lives across the United States and the Commonwealth of Puerto Rico.

Integrated Home

Bilingual Billing Special Project

Supports and performs the operations of the billing department including but not limited to; medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management. This position serves as "super-user" for billing systems, including but not limited to maintaining edits, bridge routines, and establishing and maintaining billing system vendor and IT relationships.

Medical Billing And Coding Jobs in Miami, FL

Medical Billing and Coding Specialist P1 Dental Partners

Medical Billing and Coding Expert MEDSURITY EXPERTS

Medical Record Audit / Coding Auditor CRD Careers

Coding Quality Reviewer and Educator-3 Brown University Health

Medical Coding Auditor South Florida Community Care Network

Medical Billing Specialist VITAS Healthcare Corp

Clinical Coding Appeals Nurse R1 RCM Inc

Clinical Coding Audit Specialist, HIM Jackson Health System

Auditor, ACO Coding Cano Health

Clinical Coding Audit Specialist, HIM, Full Time, Days Jackson Health System

Auditor, ACO Coding Cano Health Inc

Medical Billing / Revenue Cycle Supervisor Orthopedic Health Center

General Surgery, Profee Coding Specialist CorroHealth Inc

Emergency Department Profee Coding Specialist CorroHealth Inc

Manager, W&E Professional Coding CVS Health Corp

Medical Bill Coordinator Sedgwick Claims Management Services, Inc.

Billing Specialist Centrum Health

Claims & Billing Analyst Independent Living Systems LLC

Bilingual Billing Special Project Integrated Home

Billing Specialist ChenMed LLC

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