59 results for Medical Coding Auditor jobs

Inpatient Coding Auditor

Sharonville, OH
remote
Temporary
33 - 41 USD / Hourly
The Inpatient/DRG Validation Coding Auditor is responsible for reviewing acute inpatient medical records to ensure accurate coding, compliant documentation, and appropriate DRG assignment. The role focuses on identifying coding errors, ensuring regulatory compliance, optimizing reimbursement, and providing education and feedback to coders and CDI teams. Key Responsibilities<ul><li>Perform detailed audits of inpatient records to validate ICD-10-CM/PCS coding, DRG assignment (MS-DRG, APR-DRG, TRICARE), and clinical documentation accuracy.</li><li>Ensure documentation supports coded diagnoses, procedures, severity of illness, and resource utilization.</li><li>Identify overpayments and underpayments through claim analysis (including 30-day lookbacks).</li><li>Provide clear, compliant audit recommendations aligned with Official Coding Guidelines and AHA Coding Clinics.</li><li>Partner with CDI specialists to identify documentation improvement and query opportunities.</li><li>Maintain productivity, quality standards, and client turnaround expectations.</li><li>Stay current on regulatory changes, reimbursement policies, and coding updates.</li><li>Contribute to process improvement initiatives and compliance risk identification.</li></ul>
2026-04-06T00:00:00Z

Medical Claims Auditor

Emeryville, CA
remote
Temporary
39.5865 - 45.837 USD / Hourly
We are looking for an experienced Medical Claims Auditor to join our team in Emeryville, California. In this long-term contract position, you will play a pivotal role in ensuring the accuracy and compliance of medical claims while also serving as a trainer to enhance team knowledge and performance. If you have a strong background in medical coding, auditing, and training, this opportunity is ideal for you. Responsibilities:• Conduct detailed audits of paid, pending, and denied medical claims to ensure proper coding, adherence to benefit rules, and compliance with state and federal regulations, including the California Knox-Keene Act and Medi-Cal.• Design and deliver comprehensive training programs for Claims Examiners, focusing on workflows, updated policies, and emerging technologies.• Investigate complex claim issues, including provider disputes and appeals, and identify trends to propose effective corrective actions.• Compile and maintain detailed statistical and quality reports, presenting audit findings and staff performance metrics to management.• Stay informed about federal and state billing laws, including Medicare guidelines, to ensure compliance during health plan audits.• Collaborate with team members to resolve discrepancies and implement efficient claims processing practices.• Assist in the development of new audit procedures and quality control measures to continuously improve operations.• Provide subject matter expertise in medical coding standards, including ICD-10 and CPT codes, to support organizational goals.• Contribute to special projects and initiatives as needed to enhance claims auditing and training functions. If you are interested in this role please apply Now for immediate consideration.
2026-03-24T00:00:00Z

Medical Coder

Minneapolis, MN
remote
Temporary
28 - 31 USD / Hourly
We are looking for a skilled Clinical Consultant to join our team on a contract basis.This role focuses on supporting a strategic benefit digitization initiative, ensuring consistent and accurate coding practices across diverse markets. As part of a healthcare organization advancing its digital transformation, you will play a vital role in optimizing member and provider experiences while ensuring compliance with regulatory standards. Responsibilities:• Apply standardized coding practices to interpret and digitize benefit structures effectively.• Develop and manage groupings of procedures and service codes to ensure accurate alignment with benefit plans.• Maintain and update industry-standard codes quarterly and annually, along with benefit plan modifications throughout the year.• Execute coding solutions for benefit administration across multiple markets, including customized coding for nonstandard requests.• Ensure coding practices comply with regulatory mandates and support updates as needed.• Provide expert consultation on coding inquiries to project teams and business partners.• Collaborate with cross-functional project teams to contribute coding expertise for successful implementations.• Support benefit digitization initiatives by leveraging advanced coding methodologies and tools.• Assist in designing and implementing digital capabilities that align with organizational goal
2026-04-06T00:00:00Z

Remote DRG Coding Auditor

Indianapolis, IN
remote
Contract / Temporary to Hire
62000 - 86000 USD / Yearly
Our company is searching for a Remote DRG Coding Auditor to join our team, performing in-depth documentation and coding audits for our healthcare clients. In this audit-focused role, you’ll conduct independent reviews of inpatient medical records, evaluating the accuracy of diagnosis and procedure codes to ensure optimal reimbursement and compliance with official guidelines, regulatory requirements, and ethical standards. Leveraging your deep knowledge of DRG payment systems (such as MS, APR, and Tricare), you’ll assess coding accuracy, documentation integrity, and identify opportunities for coder education and documentation improvement. This is a fully remote position and you can live anywhere within the US. Hours: Monday - Friday 8am - 5pm EST with some flexibility within the daily hours by about 2-3 hours Responsibilities for the position include the following:<ul><li>Perform comprehensive audits of all acute inpatient medical records to identify coding errors, compliance concerns, and educational opportunities.</li><li>Interpret, evaluate, and apply ICD-10-CM/PCS coding principles and guidelines to ensure documentation adequately supports the coded diagnoses and procedures.</li><li>Verify that assigned DRGs accurately reflect patient severity and resource utilization according to MS, APR, Tricare, and related payment methodologies.</li><li>Research regulatory requirements and provide clear, well-supported recommendations in audit reports.</li><li>Collaborate with Clinical Documentation Integrity (CDI) specialists to pinpoint and communicate documentation and/or physician query opportunities.</li><li>Write concise, constructive feedback and educational notes for coders, referencing the latest official coding guidelines and AHA Coding Clinics.</li><li>Maintain established productivity and quality standards as measured by audit leadership.</li></ul>
2026-04-03T00:00:00Z

Claims Auditor

Oakland, CA
onsite
Temporary
35 - 45 USD / Hourly
Unlock Your Next Career Move: Claims Auditor/Trainer Are you meticulous, compliance-driven, and passionate about streamlining healthcare operations? Robert Half is recruiting for a Claims Auditor/Trainer to ensure claims are processed accurately, meet legal standards, and enhance staff knowledge of benefit requirements and regulations. Key Responsibilities: Claim Auditing & Compliance: Conduct audits of processed claims (paid, pending, denied) to verify accuracy in medical coding (ICD-10, CPT, HCPCS), benefit application, and compliance with California's Knox-Keene Act and Medi-Cal regulations. Training & Staff Development: Develop and deliver training for Claims Examiners, including creation of educational materials on workflows, policy updates, and new technologies. Research & Issue Resolution: Investigate complex claim issues, provider disputes, and appeals; identify root causes for systemic issues and recommend corrective actions. Reporting & Data Analysis: Track and report statistical data on MSO quality and production. Prepare regular reports for management. Regulatory Liaison: Maintain current knowledge of state and federal billing laws (CMS/Medicare) to ensure compliance and readiness for audits. **Other duties as assigned by senior management. If you are a detail-oriented detail oriented with experience in claim auditing, training, and regulatory compliance, we want to hear from you! Apply today and call us at (510) 470-7450 to take the next step in your career with Robert Half. Ready to make an impact? Apply now!
2026-03-07T00:00:00Z

Check Auditor

El Segundo, CA
onsite
Temporary
18 - 22 USD / Hourly
We are seeking a detail-oriented Check Auditor to support the General Accounting team on a contract basis. This role is responsible for managing the check printing process and auditing vendor payments to ensure accuracy and compliance with internal procedures. This is a fully onsite position based in El Segundo. Key Responsibilities<ul><li>Audit vendor checks against supporting documentation, verifying accuracy of addresses, amounts, and payment details</li><li>Manage and oversee the check printing process</li><li>Ensure backup check printer functionality and readiness</li><li>Partner with expense and merchandise inventory teams to validate payment support</li><li>Train team members to ensure proper coverage of check printing and audit processes</li><li>File invoices and maintain organized financial records</li><li>Ensure adherence to established processes, procedures, and internal controls</li><li>Assist with special projects and additional tasks as needed</li></ul>
2026-04-06T00:00:00Z

Medical Claims Analyst

North Providence, RI
onsite
Temporary
17.1 - 19.8 USD / Hourly
Position SummaryWe are seeking a detail-oriented Claims Analyst for a long-term contract on site in Providence, RI. Strong experience in Coordination of Benefits (COB), orthodontic or medical claims processing, and suspended/pended claims resolution. This role requires a thorough understanding of industry guidelines, plan provisions, and claim adjudication processes to ensure accurate and timely claim outcomes. Key ResponsibilitiesCoordination of Benefits (COB) Processing<ul><li>Review and adjudicate claims to determine primary and secondary coverage in accordance with COB rules</li><li>Verify subscriber and dependent eligibility across multiple insurance plans</li><li>Apply industry-standard guidelines to ensure accurate benefit determination</li><li>Calculate correct payment amounts following primary insurer adjudication</li><li>Adjust claims based on Explanations of Benefits (EOBs) received from other carriers</li></ul>Orthodontic Claims Processing<ul><li>Evaluate orthodontic treatment plans for coverage eligibility and plan compliance</li><li>Verify lifetime maximums, age limits, and plan-specific orthodontic provisions</li><li>Process initial banding/bonding claims and ongoing periodic payments</li><li>Calculate prorated payments over the course of treatment</li><li>Monitor continuation of treatment and confirm ongoing patient eligibility</li></ul>Suspended / Pended Claims Handling<ul><li>Analyze suspended or pended claims to identify errors, missing documentation, or review flags</li><li>Determine root causes such as eligibility discrepancies, coding issues, or COB conflicts</li><li>Prioritize suspended claims based on aging, urgency, and service-level agreements (SLAs)</li><li>Escalate complex or high-risk issues to senior analysts or supervisors as appropriate</li><li>Ensure timely and compliant resolution in accordance with turnaround time standards</li></ul>
2026-04-06T00:00:00Z

Change Management Auditor

Atlanta, GA
onsite
Temporary
53 - 67 USD / Hourly
OverviewOur higher education client is seeking an experienced Change Management Consultant who can immediately step in, operate independently, and drive effective change governance across campus systems and processes. This consultant will assess existing change‑management practices, evaluate internal controls, and ensure change activities are authorized, tested, monitored, and aligned with institutional standards. This role requires someone with strong higher‑education experience who can provide clear justification and insight behind recommendations. Top Skills & Responsibilities<ul><li>Evaluate and understand current change‑management processes, procedures, and governance.</li><li>Identify and assess key controls ensuring changes are properly authorized, documented, and tested prior to deployment.</li><li>Determine whether the quality and completeness of change‑management program data is sufficient for effective oversight.</li><li>Review and assess existing change‑management performance metrics, including:</li><li>Their existence and relevance</li><li>Monitoring activities</li><li>Responses to deviations or exceptions</li><li>Evaluate whether risk‑management controls are: Preventive, Detective, or Corrective — and assess whether the program maintains an appropriate balance.</li><li>Provide insight and justification behind findings and recommendations.</li><li>Work autonomously, quickly integrate into the environment, and hit the ground running.</li></ul>
2026-03-11T00:00:00Z

Medical Biller

Salem, OR
onsite
Temporary
23 - 30 USD / Hourly
We are looking for a motivated professional to handle medical billing tasks within our organization. The successful candidate will help ensure billing processes run smoothly and efficiently. This role requires attention to detail, strong organizational skills, and the ability to work in a fast-paced environment. Responsibilities:<ul><li>Process billing and claims submissions with accuracy.</li><li>Ensure proper follow-up on outstanding payments or claims.</li><li>Help resolve issues related to billing discrepancies.</li><li>Maintain organized records and documents.</li><li>Collaborate with teams to ensure compliance with procedures and guidelines.</li></ul>
2026-04-03T00:00:00Z

Remote Inpatient Coding Specialist

Indianapolis, IN
remote
Contract / Temporary to Hire
29 - 33 USD / Hourly
Join our team as a Remote Inpatient Coding Specialist and play an essential role in ensuring accurate medical coding and billing processes. As a subject matter expert, you will use your knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG coding standards to review appeals and denials. Your expertise will help substantiate coding principles, address potential billing and coding concerns, and maintain high-quality standards in documentation. This is a fully remote position. Hours: Monday - Friday 8am -5p EST with flexibility Responsibilities:<ul><li>Apply medical coding principles and industry guidelines objectively during appeals and denial review processes.</li><li>Leverage knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG to identify, analyze, and resolve billing and coding issues.</li><li>Assess quality concerns by verifying adherence to regulatory requirements and best practices.</li><li>Participate in client system education to gain familiarity with specific platforms and workflows.</li><li>Ensure all appeals are accurately supported by clinical documentation, coding/CDI guidelines, and regulatory standards.</li><li>Collaborate with clients and internal stakeholders to clarify documentation and coding requirements.</li></ul>
2026-04-03T00:00:00Z

Medical Billing

Bethesda, MD
onsite
Temporary
23 - 23 USD / Hourly
A Healthcare organization is seeking a medical billing specialist to work in their Bethesda office. <ul><li>Make outbound collections calls to patients.</li><li>Calls will be made based on the aging report</li><li>The role will be patient focused role.</li></ul>
2026-03-26T00:00:00Z

Medical Billing

Bethesda, MD
onsite
Temporary
20 - 22 USD / Hourly
A Healthcare organization is seeking a medical billing specialist to work in their Bethesda office. <ul><li>Make outbound collections calls to patients.</li><li>Calls will be made based on the aging report</li><li>The role will be patient focused role. </li></ul>
2026-03-09T00:00:00Z

Medical Billing Specialist

French Camp, CA
onsite
Contract / Temporary to Hire
20.9 - 24.2 USD / Hourly
We are looking for a dedicated Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position offers an excellent opportunity for detail-oriented individuals with expertise in medical billing, accounts receivable, and claims processing to contribute to a dynamic environment. The ideal candidate will possess strong technical skills and the ability to interpret complex healthcare regulations while maintaining exceptional attention to detail and customer service. Responsibilities:• Process and manage billing functions, ensuring compliance with healthcare regulations and accuracy in all claims.• Research and resolve complex issues related to accounts receivable, appeals, and benefit functions.• Utilize advanced knowledge of billing systems, including Allscripts, Cerner Technologies, and EHR systems, to manage patient data effectively.• Maintain and update records using computerized filing systems, ensuring consistency and organization.• Prepare and review detailed reports, including insurance claims and treatment authorization forms, with precision.• Perform coding and data entry tasks that align with departmental procedures and healthcare policies.• Collect and reconcile payments, adjust accounts as necessary, and ensure proper documentation of financial transactions.• Provide exceptional customer service by addressing patient inquiries and explaining billing procedures in a clear and thorough manner.• Train and support team members in technical processes, fostering a collaborative and efficient work environment.• Develop and maintain spreadsheets and databases to track financial and statistical data for reporting purposes.For immediate consideration please contact Cortney 209-225-2014
2026-04-01T00:00:00Z

Medical Billing Specialist

French Camp, CA
onsite
Contract / Temporary to Hire
20.9 - 24.2 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks. Responsibilities:• Handle specialized and intricate billing processes, including accounts receivable and appeals management.• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.For immediate consideration please contact Cortney at 209-225-2014
2026-04-01T00:00:00Z

Medical Billing Specialist

Philadelphia, PA
onsite
Contract / Temporary to Hire
21 - 23 USD / Hourly
Robet Half is looking for a skilled Medical Billing Specialist to join to join a team based in Philadelphia, Pennsylvania. This contract Medical Billing Specialist position as potential for long-term employment and is ideal for professionals who excel in managing medical billing processes and ensuring the accuracy of patient and insurance data. The successful Medical Billing Specialist candidate will play a critical role in maintaining efficient billing workflows and supporting compliance with healthcare regulations. If you are looking for an opportunity to get your career moving in the right direction and put your talents to the test then click the apply button today. If you have any questions, please contact Robert Half at 215-568-4580 and mention JO#03720-0013410775. As a Medical Billing Specialist Your Responsibilities will include but are not limited to:• Accurately input patient demographic, insurance, and billing information into electronic medical record and billing systems. • Review and validate documentation such as Explanation of Benefits (EOBs), charge tickets, and encounter forms for completeness and correctness. • Apply knowledge of medical codes to ensure accurate data entry and validation. • Investigate and resolve discrepancies in patient accounts, insurance details, or claims. • Prepare billing data for claim submission while adhering to established guidelines. • Maintain compliance with healthcare privacy policies and organizational standards. • Collaborate with billing teams, clinical staff, and front office personnel to address documentation issues. • Support the optimization of billing workflows to enhance operational efficiency. • Assist in audits, reporting, and specialized data cleanup projects as needed.
2026-03-30T00:00:00Z

Medical Billing Specialist

Van Nuys, CA
onsite
Temporary
25 - 35 USD / Hourly
We are seeking an experienced Medical Billing Specialist to manage end‑to‑end billing functions for a multi‑specialty healthcare practice. This role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution. Key Responsibilities:<ul><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-31T00:00:00Z

Medical Billing Specialist

Holyoke, MA
onsite
Temporary
22.325 - 25.85 USD / Hourly
Are you an experienced medical billing professional ready to make an impact? Robert Half is hiring a Medical Billing Specialist for a contract role supporting our client in Holyoke, MA. This is an excellent opportunity to apply your billing and reimbursement expertise with a respected organization.Key Responsibilities:<ul><li>Process and submit medical claims accurately and promptly</li><li>Review patient information and insurance details for validity and completeness</li><li>Resolve claim discrepancies and follow up on outstanding accounts</li><li>Collaborate with healthcare providers, insurers, and patients to secure accurate payments</li><li>Ensure compliance with HIPAA and industry billing standards</li><li>Manage billing software and maintain up-to-date records in the electronic health record system</li></ul>
2026-03-31T00:00:00Z

Medical Billing Specialist

Rochester, NY
onsite
Temporary
19 - 22 USD / Hourly
<ul><li>Accurately process claims, invoices, and patient billing statements</li><li>Review medical records and documentation for billing compliance</li><li>Verify insurance coverage and eligibility</li><li>Follow up on unpaid claims and resolve billing discrepancies</li><li>Maintain up-to-date knowledge of billing codes (ICD, CPT, HCPCS) and regulatory requirements</li><li>Collaborate with internal teams and external partners to ensure timely reimbursement</li><li>Respond to patient inquiries regarding billing and insurance</li></ul>
2026-04-03T00:00:00Z

Medical Billing Specialist

La Puente, CA
onsite
Contract / Temporary to Hire
23.75 - 28.23 USD / Hourly
A Larger Medical Center in the La Puente Area is in the need of a d Medical Billing Specialist with strong Medi-Cal insurance experience. The Medical Billing Specialist will play a key part in managing the revenue cycle and ensuring accurate billing for Medi-Cal programs. The Medical Billing Specialist must have expertise to maintain compliance with provider guidelines and optimize reimbursement processes. Experience in OBGYN and/or Perinatal Services is a bit plus. Responsibilities:• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.• Maintain secure and compliant records of Protected Health Information used in billing activities.• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.• Collaborate with internal teams to streamline billing processes and improve efficiency.
2026-04-03T00:00:00Z

Medical Billing Specialist

Chesterfield, MA
onsite
Temporary
21.85 - 25.3 USD / Hourly
Join Robert Half to support a leading client in West Springfield, MA as a Medical Billing Specialist! We are seeking a detail-driven professional to manage medical billing processes, ensure timely reimbursement, and contribute to the financial health of the organization. This is a contract opportunity with immediate impact.Key Responsibilities:<ul><li>Accurately process medical claims, payments, and billing statements</li><li>Review and verify patient information, insurance coverage, and medical records</li><li>Resolve billing discrepancies and collaborate with healthcare providers, patients, and insurers</li><li>Maintain compliance with HIPAA and industry regulations</li><li>Manage account follow-up and collections to maximize revenue cycle efficiency</li><li>Utilize electronic health records (EHR), billing software, and related systems</li></ul>
2026-03-31T00:00:00Z

Medical Billing Specialist

French Camp, CA
onsite
Contract / Temporary to Hire
20.9 - 24.2 USD / Hourly
We are looking for a skilled Medical Billing Specialist to join our team in French Camp, California. In this role, you will handle complex billing procedures, ensure accurate claims processing, and provide exceptional customer service to patients and stakeholders. This is a Contract to permanent position within the healthcare industry, offering an opportunity to contribute to vital administrative functions while ensuring compliance with regulations. Responsibilities:• Process and manage complex medical billing procedures, including accounts receivable functions and claim submissions.• Review and verify insurance claims, applying advanced knowledge of reimbursement codes and policies.• Research and resolve billing discrepancies to ensure accurate and timely payment processing.• Maintain and update patient records using electronic health record (EHR) systems such as Allscripts and Cerner Technologies.• Generate detailed reports and statistical data to support departmental operations and budget planning.• Provide specialized program-related information to patients, clients, and outside agencies in a detail-oriented manner.• Collaborate with team members to improve billing processes and ensure compliance with healthcare regulations.• Train and assist other staff in billing procedures and system usage as needed.• Handle appeals and benefit functions, ensuring proper documentation and resolution.• Utilize software tools such as Dynamic Data Exchange (DDE) and Epaces for efficient billing and data management. For immediate consideration please contact Cortney at 209-225-2014
2026-04-01T00:00:00Z

Medical Billing Specialist

Eugene, OR
onsite
Temporary
23 - 30 USD / Hourly
A client is seeking a detail-oriented medical billing specialist to support billing operations. The ideal candidate will play a key role in ensuring accurate, timely billing and maintaining efficient processes in a fast-paced setting. Key Responsibilities:<ul><li>Accurately process medical billing and submit claims.</li><li>Follow up on outstanding payments and claims as needed.</li><li>Assist in identifying and resolving billing discrepancies.</li><li>Maintain well-organized records and documentation.</li><li>Collaborate with internal teams to ensure adherence to established policies and procedures.</li></ul>
2026-04-03T00:00:00Z

Medical Billing Specialist

Van Nuys, CA
onsite
Contract / Temporary to Hire
25.3365 - 29.337 USD / Hourly
We are looking for a skilled Medical Billing Specialist to join our team in Los Angeles, California. This Contract to permanent position offers an exciting opportunity to manage comprehensive billing operations for a multi-specialty healthcare practice, with a focus on Ear, Nose, and Throat services. The ideal candidate will have expertise in claim submission, collections, and patient communications, as well as experience with out-of-network and concierge billing models. Responsibilities: • Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections. • Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers. • Conduct quality assurance checks and audits of billing tasks performed by team members. • Handle out-of-network billing and provide support for concierge-model practices. • Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog. • Assist with collections and reimbursement strategies to optimize revenue. • Maintain detailed and accurate billing records, including comprehensive account documentation. • Ensure compliance with payer policies, industry standards, and internal workflows. • Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations.
2026-04-06T00:00:00Z

Surgery Medical Billing Collections Specialist

Los Angeles, CA
onsite
Temporary
24.91 - 31.01 USD / Hourly
A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist.The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials. DUTIES AND RESPONSIBILITIES -Performs full cycle billing and collection functions for Surgical professional fees -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission -Performs all data entry and charge posting functions for surgical services as needed -Performs all third party follow-up functions for all products and surgical procedures. -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing. -Provides the correct ICD-10M code to identify the provider's narrative diagnosis -Provides the correct HCPCS code to identify medications and supplies -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation. - Reviews all surgical operative reports and assigns appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons
2026-04-03T00:00:00Z

Medical Accounts Receivable Specialist

Alsip, IL
onsite
Temporary
24 - 26 USD / Hourly
We are looking for a detail-oriented Medical Accounts Receivable Specialist to join our team on a contract basis in Alsip, Illinois. In this role, you will play a critical part in managing medical billing analysis billing versus paid, collections, unpaid claims analysis, and accounts receivable processes for a non-profit organization. This is an excellent opportunity for someone with expertise in the healthcare revenue cycle who thrives in a fast-paced, process-driven environment. Responsibilities:• Analyze and review payments against billed amounts to ensure accuracy and proper reconciliation.• Review outstanding claims billed, paid, and balances owed effectively and maintain precise transaction records.• Initiate collection efforts to recover outstanding revenue, including Medicaid collections cleanup.• Conduct follow-ups on accounts receivable aging reports to address overdue balances.• Update and maintain Excel spreadsheets to track claims billed versus payments received.• Contact private parties regarding outstanding balances and resolve payment issues.• Utilize knowledge of the medical revenue cycle to streamline processes and improve efficiency.• Work with specialized accounting and state software, including Carelogic, to manage billing and collections workflows. Experience working with MIP Accounting Software, ROCS, and Carelogic is highly preferred! The salary range for this position is $24/hr. to $26/hr. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
2026-03-31T00:00:00Z