We are looking for a skilled Medical Coder to join our team in Oakland, California. This is a long-term contract position within the non-profit sector, offering an opportunity to contribute your expertise in medical coding and healthcare billing. The ideal candidate will have a strong background in outpatient coding and be proficient in ICD-10 and CPT coding standards.<br><br>Responsibilities:<br>• Accurately assign ICD-10 and CPT codes to medical procedures and diagnoses.<br>• Ensure compliance with healthcare billing regulations and coding standards.<br>• Review and analyze medical records to verify proper documentation for coding purposes.<br>• Collaborate with healthcare professionals to clarify coding discrepancies and obtain additional information.<br>• Manage outpatient coding processes, maintaining accuracy and efficiency.<br>• Utilize Epic Hospital Billing systems to process medical billing and coding tasks.<br>• Support billing collections by addressing coding-related issues and resolving discrepancies.<br>• Conduct periodic audits of coded data to ensure accuracy and compliance.<br>• Stay updated on changes in coding guidelines and healthcare billing regulations.<br>• Provide guidance and training to staff on coding best practices when necessary.
<p>We are looking for an experienced Medical Billing Specialist to join a team in Wilmington, Delaware. This position plays a vital role in ensuring accurate billing, claims processing, and accounts receivable management within a healthcare setting. As a Contract to permanent opportunity, this role offers the chance to demonstrate your expertise and grow within the organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims using UB04 forms while ensuring compliance with healthcare regulations and payer requirements.</p><p>• Perform detailed medical coding using current standards to accurately reflect resident care and services.</p><p>• Manage accounts receivable for Medicaid and Medicare billing, resolving discrepancies and handling claim denials effectively.</p><p>• Update and reconcile resident census data to ensure accurate billing for insurance providers.</p><p>• Coordinate billing for resident accounts, verify insurance eligibility, and maintain precise records of claim statuses.</p><p>• Utilize PointClickCare and other healthcare software to manage billing and documentation processes.</p><p>• Monitor claim statuses, investigate rejections or denials, and prepare corrected claims when necessary.</p><p>• Collaborate with clinical and administrative teams to ensure accurate census reporting and smooth billing operations.</p><p>• Uphold compliance with healthcare policies and regulations, safeguarding patient information and confidentiality.</p>
<p><strong>Medical Billing Specialist – Join Our Dynamic Team in Hershey!</strong></p><p><br></p><p>Are you passionate about details, driven by accuracy, and ready to make a difference in healthcare? Mid-sized company in Hershey is seeking a <strong>Medical Billing Specialist</strong> who brings both know-how and enthusiasm to the table. If you’re ready to advance your career in a supportive, growth-focused workplace—with a dash of FUN—we want to hear from you!</p><p><br></p><p><strong>What You’ll Do:</strong></p><ul><li>Prepare, review, and submit medical claims for reimbursement</li><li>Collaborate with healthcare providers and insurers to resolve billing questions</li><li>Manage patient accounts, including invoice generation and payment posting</li><li>Investigate and resolve claim denials and discrepancies</li><li>Maintain up-to-date records and ensure compliance with billing regulations</li><li>Deliver exceptional customer service to both patients and partners</li></ul><p><strong>What Makes Us Stand Out:</strong></p><ul><li><strong>Team Spirit:</strong> We believe a happy team delivers the best results. Enjoy a collaborative culture that celebrates wins and supports your growth!</li><li><strong>Career Growth:</strong> We invest in your future with ongoing training, advancement opportunities, and recognition for a job well done.</li><li><strong>Perks and Fun:</strong> From office theme days to group outings and wellness initiatives, we know that a little fun goes a long way!</li><li><strong>Make an Impact:</strong> Your attention to detail ensures patients receive care and providers are supported—your work truly matters.</li></ul><p><br></p>
We are looking for an experienced Business Manager specializing in medical operations to oversee revenue cycle processes and coding compliance. In this long-term contract role based in Scranton, Pennsylvania, you will play a critical part in ensuring the quality and integrity of medical billing and coding practices while maintaining compliance with federal and state regulations. This position offers an excellent opportunity to collaborate with healthcare professionals and drive operational excellence.<br><br>Responsibilities:<br>• Perform multi-specialty coding with precision to ensure timely submission of claims.<br>• Coordinate with clinical teams to address claim appeals, denials, and resolutions effectively.<br>• Develop and implement an audit process to validate clinical documentation and coded data integrity.<br>• Provide prompt responses to inquiries from patients, payers, and staff regarding claims and account submissions.<br>• Supervise the daily tasks of billing specialists to maintain workflow efficiency.<br>• Monitor accounts receivable over 120 days and implement strategies to reduce outstanding balances.<br>• Conduct trend analysis to ensure compliance with payer reimbursement agreements and resolve discrepancies.<br>• Prepare and analyze monthly aging reports to support financial oversight.<br>• Establish best practices to uphold data integrity and quality throughout the revenue cycle.<br>• Lead staff training initiatives to promote adherence to industry standards and compliance requirements.
We are looking for a skilled Medical Billing Specialist to join our team in Kansas City, Missouri. In this long-term contract role, you will play a vital part in managing and processing medical claims, ensuring accurate billing, and supporting efficient revenue cycles. This is an excellent opportunity for professionals with expertise in medical billing, coding, and collections.<br><br>Responsibilities:<br>• Accurately process and submit medical claims to insurance providers and other payers.<br>• Review and verify patient billing information for accuracy and compliance with regulations.<br>• Resolve discrepancies and follow up on denied or unpaid claims to ensure timely collections.<br>• Collaborate with healthcare providers to obtain documentation needed for billing purposes.<br>• Maintain detailed records of billing activities and payment statuses.<br>• Ensure compliance with medical coding standards and billing guidelines.<br>• Address inquiries from patients and insurance companies regarding billing issues.<br>• Assist in identifying and implementing improvements to the billing process.<br>• Monitor accounts receivable and prepare reports on billing and collections.<br>• Provide support for audits and regulatory reviews related to billing procedures.
<p>We are looking for a skilled Medical Billing Specialist to join our team in Hampton, Virginia. This role requires expertise in medical billing, coding, and claims processing to ensure accurate and timely management of healthcare financial transactions. If you have a strong attention to detail and a commitment to maintaining compliance with medical standards, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and efficiently to ensure timely reimbursements.</p><p>• Review and verify patient account information for accuracy and completeness.</p><p>• Handle medical collections, including resolving discrepancies and communicating with insurance companies.</p><p>• Collaborate with healthcare providers and staff to address billing inquiries and resolve issues.</p><p>• Maintain up-to-date knowledge of medical billing regulations and compliance standards.</p><p>• Generate reports related to billing activities and provide insights for process improvements.</p><p>• Identify and correct billing errors to minimize delays and denials.</p><p>• Ensure confidentiality and security of patient financial information at all times.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Virginia Beach, Virginia. This long-term contract position is ideal for someone with strong accounting expertise and a passion for ensuring accurate financial processing. The role offers a hybrid work schedule following a comprehensive training period conducted on-site.<br><br>Responsibilities:<br>• Record payments accurately to member accounts and ensure proper documentation.<br>• Reconcile accounts to identify discrepancies and implement necessary corrections.<br>• Handle payments that are returned or not honored by financial institutions.<br>• Process refunds and adjustments to accounts, including memos.<br>• Prepare and distribute correspondence, such as member letters.<br>• Execute adjustments to accounts and maintain detailed records.<br>• Collaborate with the Team Coordinator to complete additional assigned tasks.
We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals with a strong background in denial management and claims follow-up within the healthcare industry. You will play a key role in ensuring accurate billing processes and effective communication with insurance providers.<br><br>Responsibilities:<br>• Analyze denied insurance claims to identify underlying issues and determine appropriate follow-up actions.<br>• Communicate with insurance companies via phone and online portals to resolve claim disputes efficiently.<br>• Apply critical thinking skills to investigate claim discrepancies and ensure timely resolutions.<br>• Collaborate with team members to maintain accurate and up-to-date billing records.<br>• Utilize specialized systems and tools to process claims and manage accounts receivable.<br>• Provide support in training on organization-specific billing processes and software nuances.<br>• Ensure compliance with healthcare billing regulations and procedures.<br>• Monitor accounts for outstanding balances and take necessary steps for collection.<br>• Prepare detailed reports on billing activities and claim resolutions.<br>• Maintain professionalism and confidentiality in handling sensitive patient and insurance information.
<p>We are looking for a detail-oriented Medical Billing Specialist to join a healthcare facility in Fayetteville, North Carolina. In this role, you will play a key part in managing billing processes and ensuring accurate documentation and compliance with medical billing standards. This is a long-term contract position that offers the opportunity to contribute to a dynamic healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance providers accurately and efficiently.</p><p>• Review and verify patient information and billing data to ensure compliance with regulatory standards.</p><p>• Resolve billing discrepancies and follow up on unpaid claims to ensure timely reimbursement.</p><p>• Collaborate with healthcare professionals to clarify billing-related issues and obtain necessary documentation.</p><p>• Maintain up-to-date knowledge of billing codes and insurance policies to ensure proper claim submission.</p><p>• Generate and analyze billing reports to identify trends and areas for improvement.</p><p>• Provide support in updating and maintaining billing records within the system.</p><p>• Communicate with patients regarding billing inquiries and payment options.</p><p>• Assist in implementing best practices to streamline billing procedures and improve accuracy.</p>
<p>We are looking for a skilled Medical Biller in Salem, Oregon. In this Contract to permanent role, you will play a key part in ensuring accurate and efficient billing processes while adhering to industry standards. This position requires expertise in handling insurance claims, payment reconciliations, and patient billing inquiries using advanced clinical software.</p><p><br></p><p>Responsibilities:</p><p>• Process patient billing information with precision and accuracy using clinical software.</p><p>• Submit electronic and paper insurance claims promptly to ensure timely payments.</p><p>• Review patient demographic and insurance details to verify accuracy before processing.</p><p>• Follow up on unpaid claims, denials, and appeals to maximize reimbursement.</p><p>• Post payments and reconcile accounts within the designated billing system.</p><p>• Address patient inquiries regarding billing issues and outstanding balances professionally.</p><p>• Ensure compliance with all regulatory guidelines and billing requirements.</p><p>• Generate comprehensive billing reports to identify trends and resolve discrepancies.</p><p>• Collaborate with team members to improve billing workflows and resolve challenges.</p><p>• Maintain up-to-date knowledge of medical billing regulations and insurance policies.</p>
<p>A Hospital in Los Angeles is in the need of a Medical Billing Support Services Associate to join its healthcare team in Los Angeles. In this role, the Medical Billing Support Services Associate will play a crucial part in ensuring the accurate processing of cash receipts, managing patient eligibility reviews, and resolving recoupment statuses. The Medical Billing Support Services Associate must have strong background in medical billing and a commitment to excellence.</p><p><br></p><p>Responsibilities:</p><p>• Process cash receipts from both automated and manual payers, ensuring compliance with established procedures.</p><p>• Research and analyze unposted or unapplied cash to facilitate timely resolution and posting.</p><p>• Investigate unapplied cash receipts and escalate issues to supervisors when necessary.</p><p>• Reverse balances and adjust credits or debits to correct billing errors and payment applications.</p><p>• Review correspondence related to refunds or recoupments, taking appropriate actions such as issuing refund requests or submitting disputes.</p><p>• Evaluate credit balances and issue refunds to payers in an accurate and timely manner.</p><p>• Collaborate with Finance and other Revenue Cycle departments to streamline cash posting, balancing, and reconciliation processes.</p><p>• Address issues related to payment postings or refunds and communicate updates to management.</p><p>• Cross-train in billing processes, including charge entry, insurance eligibility verification, and resolving billing edits.</p><p>• Assist with special projects assigned by leadership, such as audits, payer compliance reviews, and case-specific billing and collections.</p>
<p>Our client is seeking a <strong>detail-oriented, service-driven Care Coordinator</strong> to support administrative and care coordination functions for pediatric patients receiving critical medical equipment and supplies. This role requires strong communication skills, comfort handling high-volume phone interactions, and the ability to navigate complex healthcare and insurance processes while maintaining compliance standards.</p><p><br></p><p>This is an <strong>immediate need</strong> with interviews conducted via Microsoft Teams.</p><p><br></p><p>Key Responsibilities</p><ul><li>Coordinate care services for pediatric patients and foster families</li><li>Communicate regularly with patient families, physicians, and community partners</li><li>Submit patient requests to physicians and follow up on required documentation</li><li>Secure eligibility information and request prior authorizations from insurance providers</li><li>Support medical billing and coding activities as needed</li><li>Maintain strict compliance with Medicaid and HIPAA regulations</li><li>Collaborate with referring agencies and healthcare providers</li><li>Coordinate durable medical equipment (DME) services</li><li>Deliver timely, accurate service while maintaining professionalism in high-stress situations</li></ul><p><br></p>
<p>Robert Half is seeking an experienced and detail-oriented Medical Biller for a contract opportunity with one of our valued healthcare clients. As a Medical Biller, you’ll play a critical role in ensuring accurate billing, timely reimbursements, and compliance with healthcare regulations.</p><p><strong>Responsibilities:</strong></p><ul><li>Prepare and submit medical claims to insurance companies and payers.</li><li>Review patient bills for accuracy and completeness.</li><li>Follow up on unpaid claims and resolve billing discrepancies.</li><li>Maintain patient records and billing documentation in compliance with HIPAA guidelines.</li><li>Work closely with healthcare providers and insurance representatives to clarify coding and coverage.</li><li>Assist with month-end reporting and reconciliation of billing accounts.</li></ul>
We are looking for a dedicated Medicare Billing Specialist to join our team in Fort Wayne, Indiana. In this role, you will handle medical billing processes with a focus on Medicare, Medicaid, and commercial insurance claims. This is a Contract to permanent position, offering an excellent opportunity for growth within the non-profit sector.<br><br>Responsibilities:<br>• Prepare and submit accurate claims to Medicare, Medicaid, and third-party payers using both electronic and paper methods.<br>• Review all documentation to ensure compliance with payer regulations and completeness.<br>• Identify and resolve errors in claims prior to submission to reduce denials and rejections.<br>• Monitor claim statuses and follow up promptly to secure timely reimbursements.<br>• Investigate and resolve discrepancies, denials, and underpayments in claims.<br>• Handle claim adjustments, resubmissions, and appeals efficiently to ensure resolution.<br>• Collaborate with Accounts Receivable to reconcile payments and adjustments.<br>• Communicate effectively with internal teams to resolve billing-related concerns.<br>• Stay updated on Medicare, Medicaid, and insurance billing policies and regulations.<br>• Support audits and contribute to process improvements within the billing operations.
<p>We are looking for a skilled Medical Billing Specialist to join our team in Fayetteville, North Carolina. In this long-term contract role, you will play a vital part in managing billing operations and ensuring that all claims are processed accurately and efficiently. This is an excellent opportunity for someone with expertise in medical billing to contribute to the success of a healthcare facility.</p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and submit medical claims to ensure accurate billing and timely reimbursement.</p><p>• Verify patient insurance coverage and address any discrepancies or issues with claims.</p><p>• Collaborate with healthcare providers and insurance companies to resolve billing inquiries and disputes.</p><p>• Maintain detailed records of billing activities, including payments, adjustments, and outstanding balances.</p><p>• Ensure compliance with healthcare regulations and billing standards to avoid errors or penalties.</p><p>• Monitor and follow up on unpaid claims to ensure prompt resolution.</p><p>• Assist with coding and documentation to align with current medical billing guidelines.</p><p>• Provide support to the team by identifying and addressing billing system issues.</p><p>• Generate regular reports on billing performance and trends for management review.</p><p>• Communicate with patients regarding billing concerns and payment options.</p>
<p>Robert Half is seeking a diligent and customer-focused Medical Collections Specialist for a contract opportunity with one of our valued healthcare clients. As a Medical Collections Specialist, you will be responsible for managing outstanding receivables in a healthcare setting and supporting the financial health of the organization.</p><p><strong>Responsibilities:</strong></p><ul><li>Contact patients and insurance companies regarding overdue medical balances.</li><li>Review patient accounts and resolve billing discrepancies.</li><li>Negotiate payment arrangements and ensure timely collection of payments.</li><li>Maintain accurate records of collection activities in compliance with HIPAA and company policies.</li><li>Collaborate with billing, insurance, and healthcare provider teams to clarify account issues.</li><li>Prepare regular aging reports and assist with reconciliations as needed.</li></ul>
<p>Robert Half has a new direct-hire opportunity for a Medical Accounts Receivable and Billing Specialist. This role will support a growing department. Our client offers great work-life balance and ability to work in a fast-paced environment where your work will make a big impact. This position sits on-site full-time Monday-Friday.</p><p><br></p><ul><li>Responsible for billing and coding</li><li>Collecting on past due balances</li><li>Insurance company follow-up</li><li>Maintain up to date information from insurance companies and customers</li><li>Reduce AR aging</li><li>Special project as assigned</li><li>Provide and obtain necessary documentation as needed</li></ul><p><br></p>
We are looking for a skilled Revenue Cycle Management Specialist to oversee and enhance revenue operations within a healthcare setting in Minneapolis, Minnesota. This Contract to permanent position requires a proactive leader who can ensure smooth billing, coding, collections, and patient financial services while maintaining compliance with regulatory standards. The ideal candidate will have a strong background in revenue cycle processes and a commitment to driving efficiency and accuracy in all aspects of financial management.<br><br>Responsibilities:<br>• Lead and manage the revenue cycle team, including billing, coding, collections, and patient financial services.<br>• Develop and implement policies and procedures to ensure compliance with healthcare regulations and payer requirements.<br>• Analyze and monitor key performance indicators (KPIs) such as denial rates, cash collections, and accounts receivable days.<br>• Investigate and resolve issues impacting revenue cycle performance, including claim denials and underpayments.<br>• Ensure accurate charge capture, coding, and timely submission of medical claims.<br>• Collaborate with finance and operations teams to forecast revenue and manage cash flow effectively.<br>• Prepare and present detailed reports on revenue cycle performance to leadership teams.<br>• Conduct audits and quality assurance checks to ensure compliance with federal, state, and payer regulations.<br>• Implement strategies to minimize errors and mitigate financial risks.<br>• Stay updated on industry standards and adapt processes to align with evolving regulations.
<p>We are looking for a skilled Medical Billing Specialist to join our healthcare team in Fayetteville, North Carolina. This is a long-term contract opportunity, ideal for professionals who excel in managing billing processes and ensuring accuracy in financial documentation. The role plays a vital part in supporting the facility's operations and maintaining compliance with healthcare billing standards.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit accurate medical claims to insurance providers in a timely manner.</p><p>• Verify patient billing information and ensure adherence to regulatory guidelines.</p><p>• Investigate and resolve claim discrepancies or denials to ensure proper reimbursement.</p><p>• Maintain detailed records of billing activities and payment statuses.</p><p>• Collaborate with healthcare staff to gather necessary documentation for billing purposes.</p><p>• Handle patient inquiries regarding billing issues and provide clear explanations.</p><p>• Monitor accounts receivable and follow up on outstanding payments.</p><p>• Ensure compliance with healthcare billing regulations and policies.</p><p>• Analyze billing data to identify trends and areas for improvement.</p><p>• Support internal teams with necessary billing reports and documentation.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Raeford, North Carolina. In this role, you will handle essential billing tasks to ensure accurate processing of medical claims and payments. This is a long-term contract opportunity within the healthcare industry, offering a chance to make a meaningful impact.<br><br>Responsibilities:<br>• Prepare and submit accurate medical claims to insurance providers.<br>• Verify patient insurance information and address any discrepancies.<br>• Follow up on unpaid claims and resolve billing issues promptly.<br>• Ensure compliance with healthcare regulations and billing standards.<br>• Maintain detailed records of payments, adjustments, and account statuses.<br>• Communicate effectively with patients regarding billing inquiries.<br>• Collaborate with healthcare staff to improve billing workflows.<br>• Utilize medical billing software to streamline processes.<br>• Review and analyze billing data for accuracy and completeness.<br>• Stay updated on changes in insurance policies and billing requirements.
<p>A National Healthcare Organization is in the need of a Medical Revenue Cycle Analyst to join its healthcare finance team. The Medical Revenue Cycle Analyst will be responsible for analyzing and improving revenue cycle processes, ensuring the organization's financial health while minimizing inefficiencies. This role requires strong analytical skills, healthcare billing knowledge, and the ability to collaborate across departments to optimize performance. If you're passionate about healthcare finance and thrive in a data-driven environment, we encourage you to apply.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Perform data analysis to identify trends, issues, and opportunities for improvement within the revenue cycle processes, including billing, coding, collections, and reimbursements.</li><li>Maintain and analyze financial and operational performance metrics related to claims processing, denial management, and payment posting.</li><li>Collaborate with cross-functional teams, such as billing and collections, to streamline processes and improve revenue cycle operations.</li><li>Research industry regulations and payer policies to ensure compliance and optimize reimbursements.</li><li>Provide regular reporting to department leaders on revenue cycle performance, including key performance indicators (KPIs).</li><li>Support system upgrades and technology implementation to enhance revenue cycle efficiency.</li><li>Identify and resolve discrepancies in payments or coding to reduce denials and delays in reimbursements.</li><li>Conduct root cause analysis for claim denials and develop strategies for resolution.</li><li>Participate in budgeting and forecasting to align revenue cycle goals with financial strategies.</li><li>Working knowledge of Epic Software.</li><li>CPC or CCS license is a plus but not a must. </li></ul>
We are looking for a dedicated Medical Customer Service Representative to join our team in Westerville, Ohio. In this contract position, you will serve as a vital link between patients and the organization by addressing billing concerns, resolving account issues, and ensuring the delivery of exceptional service. This role requires strong communication skills, attention to detail, and a patient-centric approach to handling inquiries and transactions.<br><br>Responsibilities:<br>• Facilitate the resolution of patient account balances with a focus on delivering a positive and supportive experience.<br>• Accurately calculate and collect payments from patients while adhering to established guidelines.<br>• Maintain accuracy and efficiency in processing patient accounts and related transactions.<br>• Set up payment plans using the online bill pay system in accordance with approved policies.<br>• Investigate and resolve claims-related issues in a timely manner.<br>• Collaborate with the scheduling department to identify in-network insurance contracts and reimbursement policies.<br>• Research and address accounts receivable concerns based on direction and requirements.<br>• Update insurance information and correct guarantor details in cases of registration errors.<br>• Submit refund requests as needed.<br>• Work with team members and leadership to improve workflows and enhance overall service quality.
<p>Robert Half is partnering with a <strong>growing healthcare organization</strong> to hire a <strong>Revenue Cycle Manager</strong> for a high-impact leadership role based in <strong>Emmett, Idaho</strong>. This position offers a <strong>hybrid work environment</strong>, allowing for a blend of on-site collaboration and remote flexibility. <strong>Relocation assistance is available</strong> for the ideal candidate.</p><p>This is a unique opportunity to lead revenue cycle operations in a mission-driven organization while enjoying a balanced lifestyle in a scenic, close-knit community. With continued organizational growth, this role offers <strong>strong potential for future career advancement</strong>.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Lead strategic planning and day-to-day operations of the Revenue Cycle team</li><li>Oversee CPT and ICD-10 coding practices and prepare for ICD-11 transition</li><li>Manage the Chargemaster to ensure accurate and timely billing</li><li>Monitor billing accuracy using quality improvement tools and implement corrective actions</li><li>Train providers and staff on coding and billing updates, especially for Critical Access Hospitals</li><li>Ensure compliance with federal and state regulations, including the No Surprises Act and Hospital Price Transparency Rule</li><li>Build and maintain payer relationships to resolve issues impacting cash flow</li><li>Optimize charge capture, reimbursement, patient collections, and minimize bad debt</li><li>Analyze data to identify trends and improve operational efficiency</li><li>Leverage technology and automation to streamline revenue cycle processes</li><li>Evaluate team performance and provide coaching for continuous improvement</li><li>Advise leadership on payer relations and regulatory changes</li></ul><p><br></p><p>Please reach out to Lana Funkhouser with Robert Half to review this position. Job Order: 03590-0013292146</p>
We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. In this contract position, you will play a vital role in ensuring the accurate coding and abstraction of medical records, adhering to federal and state regulations. This role requires a strong understanding of coding guidelines, compliance standards, and the ability to work independently while maintaining quality and productivity benchmarks.<br><br>Responsibilities:<br>• Accurately review and assign ICD-10-CM codes for diagnoses and procedures based on medical record documentation.<br>• Utilize appropriate software tools, including Epic and 3M systems, to validate and group codes for reimbursement purposes.<br>• Abstract required data elements from patient records to support accurate reporting and compliance.<br>• Monitor Discharged Not Billed accounts and ensure timely processing of inpatient cases within the revenue cycle.<br>• Collaborate with Clinical Documentation Specialists and medical staff to ensure completeness of patient records and proper coding assignment.<br>• Verify discharge dispositions and admission sources for state reporting, ensuring compliance with regulatory guidelines.<br>• Maintain quality and productivity standards through consistent and accurate coding practices.<br>• Analyze documentation to optimize reimbursement and ensure alignment with third-party payer requirements.<br>• Address missing or unclear information by consulting with providers and other stakeholders.<br>• Follow all official coding guidelines and ethical standards as outlined by recognized organizations.
We are looking for an experienced Billing Clerk to join our team in Forest Hills, New York. In this role, you will manage various billing functions, ensuring accuracy and efficiency in processing claims, invoices, and payments. This is a long-term contract position within the non-profit industry, offering an opportunity for growth and stability.<br><br>Responsibilities:<br>• Prepare and process billing statements and invoices with precision.<br>• Handle claims processing for Medicaid and healthcare-related billing.<br>• Investigate and resolve discrepancies in billing records or payments.<br>• Maintain accurate documentation and records for all billing activities.<br>• Collaborate with internal teams to ensure timely submission of claims and invoices.<br>• Monitor and track payments to ensure compliance with deadlines.<br>• Apply appropriate codes to invoices and claims based on regulations and policies.<br>• Support the implementation and maintenance of billing systems.<br>• Communicate with clients and stakeholders to address billing inquiries.<br>• Generate reports to analyze billing performance and identify areas for improvement.
