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8 results for Remote Medical Billing jobs

Medical Billing Specialist

Boca Raton, Florida
remote
Temporary / Contract
24.7 - 28.6 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida. This Contract position focuses on coding accuracy, billing compliance, and reimbursement optimization within a regulated clinical environment. The ideal candidate brings strong experience in E/M coding, documentation audits, and provider education, along with a current coding certification from a recognized credentialing body. Responsibilities: • Conduct secondary reviews of billing activity to confirm coding accuracy, regulatory compliance, and appropriate reimbursement outcomes. • Examine clinical documentation to identify coding discrepancies, including both missed charges and overreported services, and summarize findings in clear audit reports. • Partner with physicians and other care team members to clarify incomplete or conflicting documentation and support accurate claim submission. • Escalate recurring documentation or coding concerns to revenue cycle leadership or practice management with recommendations for corrective action. • Work closely with billing and revenue cycle staff to resolve account issues, support claim corrections, and improve accounts receivable follow-up efforts. • Evaluate payer reimbursement patterns, fee schedule variances, and denial trends to identify opportunities for process improvement. • Investigate questions related to payer guidelines, coding compliance, denials, and billable services, and provide informed responses to stakeholders. • Deliver education, coaching, and ongoing guidance to providers and staff on documentation standards, coding rules, and third-party payer requirements. • Maintain current knowledge of payer policy updates and communicate relevant changes affecting specialty billing and coding practices. • Protect the confidentiality of patient records and financial information while completing assigned billing and audit duties.
2026-09-21T00:00:00Z

Medical Payment Poster Specialist

Baltimore, Maryland
remote
Temporary / Contract
23.88 - 27 USD / Hourly
We are seeking a detail-oriented Medical Payment Poster Specialist to support revenue cycle operations in a fast-paced healthcare setting. This contract role is expected to last approximately 4 months and will focus on accurate payment posting, account reconciliation, and timely resolution of discrepancies. The ideal candidate will have hands-on experience in medical billing and payment posting, along with the ability to manage competing priorities effectively.Responsibilities:<ul><li>Retrieve electronic and manual remittance documents daily to support timely deposit processing and payment application.</li><li>Accurately post insurance, paper check, lockbox, and credit card payments to patient accounts.</li><li>Research unapplied cash, credit balances, and overpayments to ensure proper resolution and account assignment.</li><li>Post complex remittance activity, including zero-pay, negative balance, and forward balance transactions.</li><li>Reconcile daily and monthly payment activity against reports and deposits, identifying and correcting discrepancies as needed.</li><li>Route balances appropriately to secondary or tertiary payers, or to self-pay status, based on account activity and coverage information.</li><li>Assign denial codes and account indicators to support follow-up, reporting, and payment accuracy.</li><li>Work closely with leadership and finance teams to resolve paid-not-posted items, unapplied remittances, and ledger discrepancies.</li><li>Support departmental productivity goals and assist with special payment posting projects as needed.</li></ul>
2026-09-17T00:00:00Z

Medical Claims Analyst

Nashville, Tennessee
remote
Temporary / Contract
34 - 38 USD / Hourly
We are looking for a Medical Claims Analyst to support a commercial health plan review and audit initiative. The analyst will help evaluate medical claims for accuracy, compliance, and audit readiness while partnering with internal stakeholders to address issues and support timely resolution. Responsibilities:• Examine commercial medical claims to confirm correct processing, payment accuracy, and adherence to applicable audit standards.• Investigate claim records specifically surrounding the No Surprises Act (NSA) and supporting documentation to uncover variances, exceptions, and items that require follow-up or correction.• Validate claim details during audit-related reviews and maintain organized documentation to support findings and recommendations.• Work closely with operational and compliance teams to resolve claim discrepancies and promote alignment with regulatory obligations.• Assess denied, rejected, or adjusted claims to identify patterns, root causes, and opportunities for process improvement.• Review claims across multiple jurisdictions and plan structures to ensure consistent interpretation of commercial health plan requirements.• Use healthcare claims data and related systems to track issues, document outcomes, and support reporting on audit activities.
2026-09-23T00:00:00Z

Medical Surgery Coder (Remote)

Los Angeles, California
remote
Temporary to Hire
27.97 - 43.99 USD / Hourly
A Hospital in Los Angeles is looking for a Medical Coder with experience in Surgery experience. The Medical Coder role will focuses on accurate coding for surgical and related outpatient services, helping ensure clean claims, reliable reimbursement, and strong compliance with payer and regulatory standards. The person in the Medical Coder role will work closely with revenue cycle partners, clinical teams, and leadership to resolve coding issues, improve documentation quality, and maintain consistent coding performance. This position is a remote Monday - Friday. CPC or CCS licence is a MUST for consideration. This role is remote Monday - Friday with equipment provided. Responsibilities:• Orthopedic Surgical Coding, Surgical Abstracting, and MediCal & CCS coding and billing guidelines (Top Requirements) • Examine surgical charge documentation and clinical records to assign accurate diagnosis, procedure, and modifier codes for billing and reimbursement activities.• Validate charge capture details, correct coding discrepancies, and confirm proper linkage between diagnoses and procedures before claims move forward.• Apply ICD-10 and CPT coding standards to surgical and designated diagnostic cases, including review of complex encounters requiring careful interpretation.• Manage daily claim and coding work queues, monitor ticket volume, and help maintain timely and accurate claim submission processes.• Review scanned charge documents for completeness and coding accuracy, escalating unusual or high-risk issues when necessary.• Support reporting and trend analysis by tracking coding errors, identifying recurring issues, and sharing findings with management for process improvement.• Collaborate with revenue cycle staff, physicians, clinicians, and departmental leadership to address questions, resolve escalations, and strengthen coding quality.• Maintain working knowledge across multiple specialties and remain current on payer rules, Medi-Cal guidance, CCS, Medicare requirements, and other compliance expectations.• Participate in audits, department meetings, and ongoing education activities while assisting with coding records management and other assigned duties. TO APPLY, ONLY send resume directly to Mike Romero at Mike [dot] Romero [at] RobertHalf [dot] [com]
2026-09-23T00:00:00Z

Medical Coding Auditor

Roanoke, Virginia
remote
Permanent / Full Time
62400 - 66185.6 USD / Yearly
We are looking for a Medical Coding Auditor to support coding appeal efforts for acute care accounts in Virginia. This position focuses on evaluating denied inpatient claims, applying coding standards, and developing well-supported appeal documentation based on clinical records and regulatory guidance. The ideal candidate brings strong judgment, deep knowledge of inpatient coding methodologies, and the ability to communicate findings clearly and effectively. Responsibilities: • Review denied inpatient accounts and prepare clear, evidence-based appeal submissions that support code assignment and reimbursement accuracy. • Analyze clinical documentation alongside coding guidelines and industry regulations to identify discrepancies, compliance concerns, and potential billing issues. • Use expertise in ICD-10-CM, ICD-10-PCS, and related coding frameworks to validate coding decisions and strengthen appeal outcomes. • Research payer policies, government guidance, and applicable regulatory sources to support recommendations and resolve coding-related questions. • Track trends, root causes, and claim examples through organized records and reporting tools to help improve appeal strategies and coding quality. • Partner with client teams to build understanding of account-specific requirements and reinforce documentation and coding compliance expectations. • Contribute to training and knowledge-sharing activities by explaining appeal results and coding considerations to coding staff and stakeholders. • Maintain assigned productivity goals, stay current with coding updates, and provide responsive, thorough service in daily interactions.
2026-09-14T00:00:00Z

Health Plan Specialist - Medicare

Minnetonka, Minnesota
remote
Temporary / Contract
21 - 21 USD / Hourly
We are looking for a customer-focused Health Plan Specialist to support members through high-volume inbound service specifically related to Medicare. This is a contract position offering the opportunity to assist members with benefit, billing, and enrollment questions while delivering accurate and compassionate support. The ideal candidate is comfortable navigating multiple systems, handling complex inquiries, and maintaining an organized remote work environment. Success in this role requires strong communication, sound judgment, and a commitment to creating a positive member experience. Responsibilities:• Handle a large volume of inbound member calls each day, especially during open enrollment periods, while maintaining a calm and attentive approach.• Guide members through questions related to Medicare benefits, billing matters, eligibility, and enrollment with clear and accurate explanations.• Take full ownership of each inquiry from initial contact through final resolution, ensuring issues are documented thoroughly and completed on time.• Use digital tools and multiple on-screen applications efficiently to research information, verify details, and provide accurate responses.• Follow up on unresolved concerns as needed to ensure members receive complete and timely updates.• Maintain detailed records of member interactions and actions taken to support service quality and compliance expectations.• Participate fully in virtual training, team meetings, and coaching sessions, including live video attendance and active engagement.• Work within assigned weekday shifts and contribute to a collaborative team environment focused on service excellence and member satisfaction.
2026-09-15T00:00:00Z

Billing Coordinator

Augusta, Maine
remote
Temporary / Contract
16.15 - 18.7 USD / Hourly
We are looking for a detail-oriented Billing Coordinator to support accounts receivable operations for an organization in the Energy/Natural Resources industry based in Augusta, Maine. This Long-term Contract opportunity is well suited for someone who is highly accurate, organized, and experienced in applying incoming funds and maintaining reliable payment records. The person in this role will help ensure daily cash activity is recorded properly, customer accounts remain current, and billing support is handled with consistency and professionalism. Responsibilities: • Process incoming payments promptly and apply funds to the correct customer accounts with a high level of accuracy. • Record daily cash activity and maintain complete documentation to support receivable balances and payment history. • Review remittance details to match payments with open invoices and resolve discrepancies when information is incomplete. • Update accounts receivable records to reflect posted transactions, adjustments, and unapplied cash as needed. • Partner with internal billing and finance teams to investigate payment issues and support timely account reconciliation. • Monitor outstanding items related to cash receipts and follow established procedures to clear exceptions efficiently. • Prepare routine reports related to payment posting activity, account status, and cash application results. • Help maintain organized financial records and ensure billing data is handled in accordance with company standards.
2026-09-21T00:00:00Z

Sr Manager, Resolute Billing (EPIC)

Secaucus, New Jersey
remote
Permanent / Full Time
145000 - 160000 USD / Yearly
We are seeking an experienced Epic Resolute detail oriented Billing (PB) Application Manager to lead the day-to-day operations of an Epic Resolute team supporting a complex healthcare revenue cycle environment. This individual will oversee a team responsible for configuring, maintaining, and optimizing the Epic Resolute detail oriented Billing application while driving strategic initiatives that improve operational efficiency, billing performance, and system reliability. The ideal candidate is a proven people leader with deep expertise in Epic Resolute PB, healthcare revenue cycle operations, and project governance. Responsibilities Lead, mentor, and develop a team of Epic Resolute Analysts. Establish team goals, performance metrics, and detail oriented development plans. Conduct performance evaluations and foster leadership growth within the team. Oversee a portfolio of revenue cycle initiatives, from system enhancements to enterprise implementations. Develop and maintain project governance processes for project intake, prioritization, and reporting. Ensure projects are delivered on time, within scope, and aligned with business objectives. Review and approve complex Epic configurations to maintain system integrity, compliance, and data accuracy. Provide leadership for troubleshooting complex detail oriented Billing issues and perform root cause analysis. Leverage reporting and analytics to identify denial trends, revenue leakage, workflow inefficiencies, and other optimization opportunities. Translate analytical findings into actionable recommendations and process improvement initiatives. Establish and enforce change management and configuration governance standards. Partner with Revenue Cycle, Finance, Clinical Operations, and IT leadership to support strategic initiatives. Drive continuous optimization of the Epic Resolute environment. Lead application upgrades while ensuring system stability, security, and business continuity.
2026-09-16T00:00:00Z