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Department of Health & Human Services (HHS), medical record reviews (MMR), Risk Adjustment Data Validation (RADV), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist-Physician-based (CCS-P), Certified Coding Speciali

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Required Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations * Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security * Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles * Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance * Knowledge of an electronic medical record and imaging systems preferred * Working knowledge of medical terminology, anatomy and physiology * Proficiency with electronic encoder application preferred * Extensive PC knowledge - must be able to work effectively in common office software, coding software and abstracting systems ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS * Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. * Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders. SERVICE ESSENTIAL FUNCTIONS * Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. * Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process. QUALITY/SAFETY ESSENTIAL FUNCTIONS * Maintains and achieves the highest standards of coding quality by assigning accurate/ICD-10-CM/ICD-10-PCS codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines. * Maintains and achieves department standards of abstracting quality by reviewing accurate discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system. * Reviews medical record documentation and abstracts data into the encoder and EPIC/Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures. Utilizes all tools/ resources for accuracy. * Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines. FINANCE ESSENTIAL FUNCTIONS * Utilizes time effectively. Consistently codes and abstracts at departmental standards of productivity while ensuring accuracy of coding. * Supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts. * Maintains coding timeframes within established departmental standards by ensuring all work items assigned to the coding queues are processed in a timely manner. GROWTH/INNOVATION ESSENTIAL FUNCTIONS * Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve. * Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data. SUPPLEMENTAL REQUIREMENTS WORK ATTIRE * Uniform: No * Scrubs: No * Business professional: Yes * Other (department approved): No ON-CALL* Travel specifications may vary by department * May require travel within the Houston Metropolitan area Yes * May require travel outside Houston Metropolitan area Yes QUALIFICATIONS EDUCATION Required Houston Methodist is one of the nation's leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us! Houston Methodist is an Equal Opportunity Employer.

At Houston Methodist, the Senior Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Required Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations * Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security * Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles * Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance * Knowledge of an electronic medical record and imaging systems * Working knowledge of medical terminology, anatomy and physiology * Proficiency with electronic encoder application * Extensive PC knowledge - must be able to work effectively in common office software, coding software and abstracting systems ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS * Interacts and communicates effectively with members of the coding team and HIM, physicians, IT, Patient Access and Business Office. * Participates and provides good feedback during coding section meetings and coding education inservices. * Takes initiative to assist others and shares knowledge with the coding group, business office, physicians and nurses on official coding guidelines. SERVICE ESSENTIAL FUNCTIONS * Responds promptly to internal and external customer requests. Responds promptly to requests to code or review coded accounts for accuracy. * Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process. QUALITY/SAFETY ESSENTIAL FUNCTIONS * Responsible for assigning diagnostic and procedural codes to encounters of high complexity. * Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines. * Maintains and achieves department standards of abstracting quality by reviewing accurate discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system. * Reviews medical record documentation and abstracts data into the encoder and EPIC/Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures. * Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines. FINANCE ESSENTIAL FUNCTIONS * Utilizes time effectively. Consistently codes and abstracts at or above departmental standards of productivity while ensuring accuracy of coding. * Supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts. * Maintains coding timeframes within established departmental standards by ensuring all work items assigned to the coding queues are processed in a timely manner. GROWTH/INNOVATION ESSENTIAL FUNCTIONS * Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve. * Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data. SUPPLEMENTAL REQUIREMENTS WORK ATTIRE * Uniform: No * Scrubs: No * Business professional: Yes * Other (department approved): No ON-CALL* Travel specifications may vary by department * May require travel within the Houston Metropolitan area Yes * May require travel outside Houston Metropolitan area Yes QUALIFICATIONS EDUCATION Required Houston Methodist is one of the nation's leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us! Houston Methodist is an Equal Opportunity Employer.

Job Description Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing effective Risk Adjustment processes. You will report into the Manager, Risk Adjustment. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts., • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards., • Participate in CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits., • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process., • Support in the identification of document improvement opportunities for provider education in both MA and ACA line of business., • Identify process improvements to enhance medical encounter review efficiency., • Compliance with all applicable laws and regulations, • Bachelor's degree in a relevant field of study or commensurate work experience., • Certified professional coder (CPC), • Certified Risk Adjustment Coder (CRC) or similar certification At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Job Summary The Billing Manager is responsible for managing all activities of the Billing Department within the Revenue Cycle, with a strong emphasis on collections, reducing accounts receivable (A/R), and ensuring compliance with HIPAA guidelines and company policies. This role also focuses heavily on team development and process improvement to meet departmental goals and performance standards. Essential Duties and Responsibilities • Oversee day-to-day operations of the billing team, including workflow management, staffing, training, and disciplinary actions., • Coordinate billing needs and onboarding processes for newly acquired centers and DeNovo facilities., • Monitor payment trends; evaluate and implement changes to billing and collections strategies to improve cash flow., • Ensure HIPAA compliance across all billing activities and implement regulatory updates in a timely manner., • Work with Payers to resolve complex billing or reimbursement issues beyond standard provider support., • Collaborate with Operations to ensure alignment and communication of billing requirements across facilities., • Ensure timely month-end close processes and reporting from the billing department., • Monitor and optimize the patient account to staff ratio., • Escalate reimbursement or payment issues to the VP of RCM proactively., • Contribute to and monitor adherence to the departmental budget., • Stay up-to-date with industry trends, Federal guidelines, and payer policy changes impacting reimbursement operations., • Oversee and continuously improve billing processes and systems for both internal and external stakeholders., • Develop and implement training programs to ensure staff proficiency in compliance, billing regulations, and policy adherence., • Conduct staff evaluations, set performance goals, and manage individual development plans., • Maintain knowledge and compliance with company handbooks, safety, and security policies., • Promote professional development through leadership coaching, mentorship, and regular performance audits., • Foster collaboration across the organization to improve efficiency and outcomes., • Serve as a communication bridge between executive leadership and frontline billing staff., • Bachelor’s degree in Healthcare Administration, Business, or related field (preferred)., • Minimum 5 years of medical billing experience, including 3+ years in a supervisory or management role, ideally in a behavioral health setting., • In-depth knowledge of medical billing codes (ICD-10, CPT, HCPCS) and Federal regulations relevant Behavioral Health, • Proficiency in billing and EMR systems and financial reporting tools., • Professional certification preferred: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Biller (CPB)., • Proven leadership skills with experience managing and developing high-performing teams., • Exceptional organizational, analytical, and problem-solving capabilities., • Experience with federal ESRD Prospective Payment System (PPS) or behavioral health reimbursement models., • Familiarity with behavioral health terminology and physician billing protocols., • Ability to interpret complex payer policy changes and translate them into operational strategies.

Job DescriptionBenefits: • 401(k) matching, • Competitive salary, • Dental insurance We are a fast-growing, innovative medical billing company committed to transforming the healthcare revenue cycle through technology, transparency, and top-tier customer service. Our team is passionate about simplifying the complexities of medical billing so healthcare providers can focus on what matters mostpatient care. We're seeking a highly motivated and experienced Assistant Manager of Revenue Cycle Management (RCM) to join our leadership team and help us continue delivering exceptional results to our clients across the country. Job Overview As the Assistant Manager of Revenue Cycle Management, you will lead the end-to-end billing operations, optimize workflow efficiency, and oversee a high-performing RCM team. You'll be responsible for managing key functions such as claims submission, payment posting, denial management, and A/R follow-up across multiple specialties and client accounts. Key Responsibilities • Oversee and manage the full revenue cycle process, from patient registration through final payment., • Develop and implement policies, procedures, and performance metrics to ensure efficient and accurate billing processes., • Lead, mentor, and evaluate the performance of the RCM team., • Monitor KPIs including DSO, denial rates, and collection percentages, and proactively address areas of concern., • Collaborate with internal departments and external clients to troubleshoot complex billing issues., • Stay current on healthcare regulations, payer policies, and industry best practices., • Drive continuous improvement through data analysis, automation opportunities, and workflow redesign. Qualifications • Certified Coder (preferred) Bachelors degree in Healthcare Administration, Business, or related field (Masters preferred)., • 5+ years of progressive experience in medical billing and revenue cycle management., • Proven leadership experience in a dynamic, high-volume billing environment., • Strong knowledge of commercial and government payer guidelines, CPT/ICD-10 coding, and compliance requirements., • Excellent analytical, communication, and problem-solving skills., • Experience with medical billing software (e.g., Kareo, eClinicalWorks, Greenway-Intergy, Athenahealth, or similar platforms)., • Ability to thrive in a fast-paced, client-focused environment. Why Join Us? • Competitive salary, • Opportunities for growth and professional development, • Supportive and collaborative company culture, • Impactful work that makes a real difference for healthcare providers and patients Ready to lead the charge in revenue optimization and operational excellence? Apply today and help us redefine the future of medical billing.

Job DescriptionMedical Coder – Wound Care (Long-Term Care) About Us Pinnacle Wound Management is a physician-led wound care provider dedicated to improving healing outcomes for patients in skilled nursing and long-term care facilities. We partner with facilities to deliver advanced wound care at the bedside, supported by thorough documentation, EMR integration, and compliance with payer guidelines. We are seeking a Medical Coder with wound care experience to join our team. This role is critical in ensuring timely, accurate coding and billing for patient encounters and cellular tissue product usage across multiple facilities. Key Responsibilities * Accurately review and code wound care services performed in long-term care and post-acute settings, ensuring compliance with ICD-10, CPT, HCPCS, and payer requirements * Code independently without reliance on a provider superbill, using clinical notes and documentation as the source of truth * Release daily coding batches to support timely revenue cycle processing * Code red-label (cellular tissue) products and ensure proper documentation of lot numbers and graft application details * Assist and work closely with the billing team to correct coding errors and resolve claim rejections/denials * Generate detailed coding reports and batch logs for submission to the Director of Operations * Collaborate with the billing and operations teams to reconcile coding discrepancies and ensure compliance * Monitor payer and CMS updates impacting wound care coding, documentation, and compliance * Maintain coding accuracy, productivity standards, and adherence to compliance regulations Qualifications * Certification strongly preferred: CPC (Certified Professional Coder), CCS, or equivalent * Minimum 2 years of experience in medical coding; wound care or long-term care experience highly preferred * Strong knowledge of ICD-10, CPT, and HCPCS coding guidelines * Ability to code directly from clinical notes/documentation without superbill support * Experience coding cellular tissue/red-label products a plus * Proficient in generating coding reports, logs, and error correction documentation * Detail-oriented with excellent organizational skills and ability to manage coding batches daily * Comfortable working independently with minimal supervision What We Offer * Competitive compensation package * Opportunity to specialize in wound care and advanced procedures in the long-term care space * Supportive team environment focused on compliance and patient-centered outcomes

Review and analyze patient medical records, including provider documentation, diagnostic reports, and treatment plans.Assign accurate ICD-10-CM diagnosis codes in compliance with CMS-HCC risk adjustment guidelines.Ensure all coded diagnoses are supported by appropriate clinical documentation.Identif

Job title: Risk Adjustment Coder. Coders will work daily reviewing medical records abstracting HCCs for members. Coders will also work on additional special projects as needed dependent on business needs.

As a member of the Accounting Department, the Billing Specialist provides accurate and timely completion of billing as assigned, ensuring that all tasks are completed in accordance with Firm or client billing guidelines or policies.Assist in responding timely to general billing inquiries directed by

Carlton Fields is seeking an E-Billing Specialist.The E-Billing Specialist assists attorneys with the accurate and efficient preparation of electronic bills for large institutional clients requiring electronic billing, ensuring the invoices are processed timely and in accordance with the fee agreeme

Certified Medical Coder preferred. We are heavily invested in training the next generation of health professionals, which is the core of our mission: to provide access to compassionate care of the highest quality in an educational environment.

Carlton Fields is seeking a Billing Specialist.This position can be based in our Miami, Tampa or Orlando office.The Billing Specialist assists attorneys with the accurate and efficient preparation of bills for clients, ensuring that the client invoices are processed timely and in accordance with the

The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Senior Medical Biller to work in Miami, FL.The Senior Medical Biller processes billing information in appropriate system and assists supervising staff in maintaining quality control of data by identif

Excellent interpersonal and communication skills (oral and written), professional demeanor, and presentation.

The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records.Assists patients, insurance companies, and laboratories with inquiries regarding billing issues.Reviews records for patient information, insurance information, service descriptors, diagnos

The Billing Specialist will have excellent communication skills and a high level of professional service to clients, management, attorneys and other staff in order to effectively, efficiently and successfully administer monthly billing, and research, respond to and resolve inquiries or discrepancies

Present in over 100 countries and employing nearly 80,000 professionals, Publicis Groupe is the third largest communications group in the world.

Legal E-Billing & Appeals Specialist.Carlton Fields is seeking a Legal E-Billing & Appeals Specialist.This is a high-visibility role with direct exposure to attorneys and firm leadership.You will directly impact the Firm's realization, cash flow, and profitability by reducing write-downs and improvi

Present in over 100 countries and employing nearly 80,000 professionals, Publicis Groupe is the third largest communications group in the world.

Salary/yearAre you ready to make a difference in our community? At Jewish Community Services of South Florida (JCS), youll join a team of passionate professionals dedicated to making a positive impact in the lives of those we serve. We foster a collaborative environment where your talents are valued

Founded in 1952, Wicker Smith has established itself as a leader in providing exceptional and creative legal services across a wide array of specialties.With a team of over 300 attorneys in 15 offices, our firm is recognized for its collaborative culture, dedication to excellence, and strong advocac

The Billing Specialist is a key contributor to the firm's financial operations, partnering closely with attorneys and legal professionals to ensure accurate, timely, and client-compliant billing. This role is ideal for a detail-driven professional who thrives in a fast-paced legal environment, enjoy

As a member of the Accounting Department, the Billing Specialist provides accurate and timely completion of billing as assigned, ensuring that all tasks are completed in accordance with Firm or client billing guidelines or policies.Assist in responding timely to general billing inquiries directed by

Professional development support.

Present in over 100 countries and employing nearly 80,000 professionals,.

Legal billing specialists should have a bachelor's degree in accounting, at least four years of experience in accounting, and at least one year in the legal field.These specialists are tasked with compiling billable hours for clients and providing them with bills on a daily and monthly basis, as wel

We provide an award-winning cloud platform that helps tens of thousands of accounting professionals work more efficiently and collaboratively every day. Deep familiarity with how accounting firms or professional services businesses bill and collect from their clients.

A national recruiting company is seeking a Business Medical Coder in Miami.

A leading academic medical center in Miami is seeking an Epic Analyst for Resolute Billing.This role involves supporting end-users, optimizing application functions, and collaborating with various stakeholders.The ideal candidate should have a Bachelor's degree, relevant experience in healthcare, an

If you have previous employment experience in transportation (such as a delivery driver, driver, professional driver, driving job, truck driver, heavy and tractor-trailer driver, cdl truck driver, class a or class b driver, local truck driver, company truck driver, taxi driver, taxi chauffeur, cab d

If you have previous employment experience in transportation (such as a delivery driver, driver, professional driver, driving job, truck driver, heavy and tractor-trailer driver, cdl truck driver, class a or class b driver, local truck driver, company truck driver, taxi driver, taxi chauffeur, cab d

If you have previous employment experience in transportation (such as a delivery driver, driver, professional driver, driving job, truck driver, heavy and tractor-trailer driver, cdl truck driver, class a or class b driver, local truck driver, company truck driver, taxi driver, taxi chauffeur, cab d

If you have previous employment experience in transportation (such as a delivery driver, driver, professional driver, driving job, truck driver, heavy and tractor-trailer driver, cdl truck driver, class a or class b driver, local truck driver, company truck driver, taxi driver, taxi chauffeur, cab d

If you have previous employment experience in transportation (such as a delivery driver, driver, professional driver, driving job, truck driver, heavy and tractor-trailer driver, cdl truck driver, class a or class b driver, local truck driver, company truck driver, taxi driver, taxi chauffeur, cab d

If you have previous employment experience in transportation (such as a delivery driver, driver, professional driver, driving job, truck driver, heavy and tractor-trailer driver, cdl truck driver, class a or class b driver, local truck driver, company truck driver, taxi driver, taxi chauffeur, cab d

If you have previous employment experience in transportation (such as a delivery driver, driver, professional driver, driving job, truck driver, heavy and tractor-trailer driver, cdl truck driver, class a or class b driver, local truck driver, company truck driver, taxi driver, taxi chauffeur, cab d

If you have previous employment experience in transportation (such as a delivery driver, driver, professional driver, driving job, truck driver, heavy and tractor-trailer driver, cdl truck driver, class a or class b driver, local truck driver, company truck driver, taxi driver, taxi chauffeur, cab d