We are looking for a detail-oriented Medical Billing Specialist to support a nonprofit healthcare-focused organization in Auburn Hills, Michigan. This Contract position is ideal for someone who brings strong experience with Medicaid-related billing activity, including eligibility review and financial determination processes. The successful candidate will be comfortable working independently, resolving billing issues efficiently, and adapting quickly in a fast-paced environment.<br><br>Responsibilities:<br>• Review Medicaid eligibility cases and complete financial assessments, including spend-down evaluations, with accuracy and timeliness.<br>• Prepare, submit, and monitor medical claims to help ensure proper reimbursement and reduce payment delays.<br>• Investigate outstanding accounts and perform follow-up activities to address denials, underpayments, and unpaid balances.<br>• Apply medical billing and coding knowledge to maintain compliant claim documentation and support clean claim submission.<br>• Communicate with payers, internal staff, and relevant stakeholders to clarify claim issues and secure needed information.<br>• Maintain organized records of billing activity, eligibility decisions, claim status updates, and collection efforts.<br>• Identify discrepancies in account information and take corrective action to improve billing accuracy and account resolution.
We are looking for a detail-oriented Medical Scheduler to support patient access and appointment coordination in Shelby Township, Michigan. This contract opportunity with potential for a permanent role is ideal for someone who can balance accuracy, professionalism, and a patient-focused approach in a fast-paced healthcare environment. In this role, you will help patients navigate scheduling, insurance verification, and pre-registration while ensuring records are complete and up to date. The right candidate will be comfortable communicating clearly with patients and working efficiently across multiple systems and priorities.<br><br>Responsibilities:<br>• Gather and confirm patient demographic, insurance, and financial details to support registration, billing, and payer requirements.<br>• Schedule, move, or cancel appointments in the healthcare scheduling platform while maintaining a high level of accuracy.<br>• Complete pre-registration tasks by entering, reviewing, and organizing required documentation in a timely manner.<br>• Verify insurance coverage in real time and explain coverage-related needs such as referrals, prior authorizations, or pre-certifications to patients.<br>• Contact patients to confirm upcoming visits and provide clear instructions about appointment readiness or service preparation.<br>• Manage inbound and outbound calls with a service-focused approach that supports patient satisfaction and access to care.<br>• Maintain accurate records by documenting interactions and updating patient information as needed.<br>• Demonstrate professionalism and tact in all communications while following departmental service standards.<br>• Assist with additional scheduling and patient access duties as assigned to support daily operations.
<p>We are seeking a detail-oriented <strong>Surgery Medical Coder</strong> to join our team. This role is primarily remote, but candidates must live close enough to attend minimal onsite training and occasional in-person meetings as needed. The ideal candidate will have coding experience in a surgical specialty environment and hold an active coding certification.</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am -5pm</p><p><br></p><p><strong>Responsibilities for the position include the following</strong>:</p><ul><li>Review and accurately code surgical procedures, diagnoses, and related services</li><li>Ensure coding compliance with payer, regulatory, and organizational guidelines</li><li>Analyze medical documentation to assign appropriate CPT, ICD-10, and HCPCS codes</li><li>Work closely with providers and staff to clarify documentation as needed</li><li>Maintain productivity and accuracy standards in a remote work environment</li><li>Support billing and reimbursement processes through precise code assignment</li><li>Participate in minimal onsite training sessions and periodic team meetings</li></ul><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida. This Contract position will focus on coding accuracy, billing compliance, and reimbursement optimization while partnering with providers and revenue cycle teams. The ideal candidate brings strong experience in E/M coding, medical record auditing, and payer guideline interpretation within a regulated clinical environment.<br><br>Responsibilities:<br>• Conduct secondary reviews of billing activity to confirm coding accuracy, regulatory compliance, and appropriate reimbursement outcomes.<br>• Examine clinical documentation to identify coding variances, prepare audit findings, and educate providers on documentation improvement opportunities.<br>• Collaborate with physicians and care teams to clarify incomplete or conflicting chart details and resolve documentation questions affecting claims.<br>• Escalate recurring documentation concerns, coding risks, and reimbursement patterns to revenue cycle leadership and practice management.<br>• Partner with billing and revenue staff to support account follow-up, claim corrections, and resubmissions that improve accounts receivable performance.<br>• Evaluate payer behavior, reimbursement trends, and policy updates to identify issues that may affect billing results or compliance.<br>• Investigate denials, coding questions, and billing-related inquiries, then provide clear guidance based on payer rules and compliance standards.<br>• Deliver training and day-to-day support to providers and less experienced staff on coding requirements, documentation standards, and regulatory expectations.<br>• Assist with updates to charge documents, workflows, and related procedures to maintain alignment with organizational and payer requirements.<br>• Protect the confidentiality of patient and financial information while completing assigned billing, coding, and audit activities.
We are looking for a Billing Analyst to join our team in Alpharetta, Georgia in a contract capacity with the potential for a long-term opportunity. This position is ideal for someone who is detail-oriented and can balance accurate invoice processing with responsive client support in a fast-paced environment. The role focuses on maintaining billing accuracy, investigating account issues, and partnering with internal teams to keep financial operations running smoothly.<br><br>Responsibilities:<br>• Prepare and issue customer invoices with a high degree of accuracy while following company standards and client-specific billing guidelines.<br>• Serve as a primary point of contact for billing-related questions, providing clear updates and timely resolution to client concerns.<br>• Oversee assigned billing accounts, identify inconsistencies, and work with finance partners to correct problems and improve workflow efficiency.<br>• Reconcile account activity on a regular basis to confirm charges, payments, and balances are properly aligned.<br>• Investigate billing variances by reviewing supporting documentation and coordinating with cross-functional teams to resolve exceptions quickly.<br>• Review billing trends and transaction data within finance platforms to support accurate reporting and informed decision-making.<br>• Maintain complete and organized billing files, account records, and recurring reports for both internal and external stakeholders.<br>• Provide day-to-day support for client account administration, ensuring billing activities are completed accurately and on schedule.
<p>We are seeking a detail-oriented <strong>Medical Claims Resolution Specialist</strong> within the state of IN to support the timely review, research, and resolution of medical claims issues. This role is responsible for investigating denied, rejected, or unpaid claims, working with payers and internal teams, and ensuring accurate claim processing and reimbursement.</p><p><br></p><p><strong>Hours:</strong> Monday - Friday 8am - 5pm *after hours work will be needed at times</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Review and analyze denied, rejected, or outstanding medical claims to identify root causes</li><li>Research claim discrepancies, billing issues, coding errors, and payer requirements</li><li>Communicate with insurance companies, patients, and internal departments to resolve claim issues efficiently</li><li>Submit corrected claims, appeals, and supporting documentation as needed</li><li>Track claim status and maintain accurate documentation of follow-up actions and resolutions</li><li>Ensure compliance with payer guidelines, HIPAA, and company policies</li><li>Collaborate with billing, coding, and revenue cycle teams to improve claim resolution processes</li><li>Identify trends in denials and recommend process improvements</li></ul>
<p>We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. This contract position involves reviewing and analyzing medical records to accurately assign diagnostic and procedural codes based on established guidelines and regulations. The role requires a thorough understanding of inpatient coding principles to ensure compliance with federal and state requirements while supporting efficient revenue cycle processes.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign ICD-10-CM and ICD-10-PCS codes to inpatient records based on medical documentation.</p><p>• Ensure proper grouping into Medicare Severity Diagnosis Related Groups (DRG) or All Patient Refined Diagnosis Related Groups (APR-DRG) for optimal reimbursement.</p><p>• Abstract required data elements from medical records in alignment with facility-specific guidelines.</p><p>• Monitor discharged but not billed accounts to facilitate timely and compliant revenue cycle processing.</p><p>• Collaborate with clinical documentation specialists and medical staff to validate and enhance documentation.</p><p>• Maintain high standards of coding accuracy and productivity while adhering to quality benchmarks.</p><p>• Utilize software tools such as Epic, 3M Encoder, and other coding systems to validate and compile medical information.</p><p>• Analyze and ensure compliance with coding, billing, and data collection regulations.</p><p>• Address missing or unclear information by seeking clarification and ensuring proper documentation.</p><p>• Independently manage workload and prioritize tasks to meet departmental productivity standards.</p>
Responsible for inbound and outbound communications to customers regarding account payments. Processes and verifies accurate payment of invoices. Maintains all assigned credit accounts. Provides research auditing reporting and performs other assigned tasks as required. Works with moderate supervision/guidance. Is accountable for individual results and impact on team.<br> <br> Job Description<br> Core Responsibilities<br> - Contacts customers with delinquent accounts and attempts to determine reason for overdue payment.<br> - Arranges for debt repayment or establishes repayment schedule based on customers' financial situation.<br> - Receives payments and posts amounts paid to customer accounts.<br> - Issues daily reports on the status of delinquent accounts and tracks collection efforts.<br> - Performs various administrative functions for assigned accounts such as recording address changes and purging the records of deceased customers.<br> - Keeps up-to-date on working applicable state and federal laws regulating collection activities.<br> - Handles bankruptcy programs.<br> - Processes and schedules soft no-pays.<br> - Issues workflows from customer service or agency issues.<br> - Updates collection agency to remove accounts.<br> - Regular consistent and punctual attendance. Must be able to work nights and weekends variable schedules and overtime as necessary.<br> - Other duties and responsibilities as assigned.<br> <br> Employees at all levels are expected to:<br> - Understand our Operating Principles make them the guidelines for how you do your job.<br> - Own the customer experience - think and act in ways that put our customers first give them seamless digital options at every touchpoint and make them promoters of our products and services.<br> - Know your stuff - be enthusiastic learners users and advocates of our game-changing technology products and services especially our digital tools and experiences.<br> - Win as a team - make big things happen by working together and being open to new ideas.<br> - Be an active part of the Net Promoter System - a way of working that brings more employee and customer feedback into the company - by joining huddles making call backs and helping us elevate opportunities to do better for our customers.<br> - Drive results and growth.<br> - Respect and promote inclusion diversity.<br> - Do what's right for each other our customers investors and our communities.<br> <br> Disclaimer:<br> - This information has been designed to indicate the general nature and level of work performed by employees in this role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties responsibilities and qualifications.
<p>Our company is searching for a<strong> Remote DRG Coding Auditor </strong>to join our client's 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.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm EST with some flexibility within the daily hours by about 2-3 hours</p><p><br></p><p><strong>Responsibilities for the position include the following:</strong></p><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><p><br></p>
<p>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.</p><p><br></p><p>Key Responsibilities</p><ul><li>Perform detailed audits of inpatient records to validate <strong>ICD-10-CM/PCS coding</strong>, 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><p><br></p>
We are looking for a highly organized and experienced Part-Time Bookkeeper with a focus on legal billing to join our team remotely. This role offers flexibility to set your own schedule while dedicating 25–30 hours per week to maintaining accurate financial records and supporting legal billing operations. The ideal candidate will bring expertise in legal accounting practices and thrive in an independent, remote work environment.<br><br>Responsibilities:<br>• Oversee legal billing processes, including preparing and managing client invoices.<br>• Maintain precise accounting records and perform reconciliations using QuickBooks.<br>• Generate monthly financial statements and other necessary reports.<br>• Collaborate with attorneys and staff to ensure proper recording of billable hours and client payments.<br>• Handle accounts payable and accounts receivable tasks with accuracy.<br>• Conduct bank reconciliations to ensure financial records are up-to-date.<br>• Assist with additional bookkeeping responsibilities as needed.<br>• Ensure compliance with legal accounting standards and practices.
<p>Join our client's team as a <strong>Remote Inpatient Coding Specialist</strong> 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.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am -5p EST with flexibility</p><p><br></p><p>Responsibilities:</p><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><p><br></p>