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About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED What You'll Do • Review and validate claim data to determine appropriate payment outcomes., • Analyze CPT codes and supporting documentation to identify the correct party in disputed claims., • Work primarily with emergency services claims, including ambulance and air ambulance cases., • Operate within a proprietary claims management system., • Familiarity with emergency services billing is a plus, but not required., • Strong attention to detail and ability to make objective decisions., • Be part of a federally certified IDR entity with a permanent increase in business volume., • Gain exposure to high-impact healthcare legislation (No Surprises Act)., • Work in a supportive environment that values entry-level talent and provides growth opportunities., • Medical, dental & vision, • Critical Illness, Accident, and Hospital, • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available, • Life Insurance (Voluntary Life & AD&D for the employee and dependents), • Short and long-term disability, • Health Spending Account (HSA), • Transportation benefits, • Employee Assistance Program We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. 3M Experience Needed Essential Job Duties: The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment., 2. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed., 3. Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within timeframes established for each patient type., 4. Maintain a high level of accuracy in code assignment to prevent claim denials, billing errors, and potential legal issues., 5. Review medical records, including patient histories, examination findings, diagnoses, and treatment plans, to extract pertinent information for code assignment., 6. Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details., 7. Complies with AHIMA standards of ethical coding and coding compliance guidelines, including adherence to HIPAA (Health Insurance Portability and Accountability Act) privacy regulations., 8. Utilizes coding references, software tools, and electronic health records (EHR) to facilitate accurate and efficient code assignment., 9. Participate in ongoing education, training, and certification programs to enhance coding proficiency and maintain credentials. • Medical, dental & vision, • Critical Illness, Accident, and Hospital, • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available, • Life Insurance (Voluntary Life & AD&D for the employee and dependents), • Short and long-term disability, • Health Spending Account (HSA), • Transportation benefits, • Employee Assistance Program We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Coding Analyst Sr. CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through homecare and community-based services. LOCATION : This is a virtual eligible role. You should be within a reasonable proximity to one of our offices. HOURS : 8:00a - 5:00p, Monday through Friday (Eastern or Central time) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance. Primary duties may include, but are not limited to: * Audits and reviews medical documentation for appropriate ICD-9 and CPT coding and documentation. * Queries physicians when code assignments are not straightforward or documentation is unclear. * Trains and educates others on coding documentation, claim payment guidelines, and related issues. * Reviews CPT and ICD-9 codes annually for accuracy and implements changes. * Assists physicians and providers with questions and problems related to coding, documentation and billing. * Serves as a resource to Coding Analysts. Required Qualifications * Requires a H.S. diploma or equivalent and minimum of 2 years of experience; or any combination of education and experience, which would provide an equivalent background. * Certified Medical Code (CPC or CCS-P) required. Preferred Qualifications * Experience with the most current CMS Risk Adjustment Model strongly preferred. * AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration () .

Job Description Hi, we're Oscar. We're hiring a Senior Specialist, Coding Auditor to join our Payment Integrity. 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: You will support issue resolution in the Oscar claim environment. You will be responsible for the end-to-end claims repayment quality, process improvement and supporting root cause analysis. You will report into the VP, Payment Integrity. Work Location: This is a remote position, open to candidates who reside in: Tempe, Arizona; Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; New York City, New York; Philadelphia, Pennsylvania; Salt Lake City, Utah. 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 in New York City is: $65,412 - $85,853 per year. The base pay for this role in all other locations is: $58,870 - $77,267 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Develop and maintain a depth of expertise on CPT, HCPCS, and ICD-10 Coding guidelines and other insurance billing submission requirements., • Efficiently perform thorough and complex policy updates or audits of assigned documentation (i.e. medical records or claims) on both a prepayment and/or post payment basis to determine accuracy of claims submitted to Oscar., • Explicitly document findings including reference to sources used to support decision making and in a way that can be easily understood by non clinicians or coders., • Create reports and reference guides that can be used by other team members to communicate findings or more effectively perform similar reviews., • Assist in drafting written communications to providers to convey findings., • Participate in educational calls with providers., • Assist in the training of new team members., • Develop and document processes to improve the efficiency and effectiveness of the team., • Compliance with all applicable laws and regulations, • 1+ years of coding or auditing experience across multiple specialties., • Certified Professional Coder (CPC) designation or similar certification, • Bachelor's degree or 4+ years of work experience, • Certified Professional Medical Auditor, • Payment Integrity audit experience, • Demonstrated experience translating technical jargon to non-technical end users., • Experience with HIPAA, data privacy, and/or data security processes 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.

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

The Dallas Animal Urgent Care Client Experience Specialist is primarily responsible for care of our human clients.A successful candidate has the ability to direct, prioritize, and manage multiple patients simultaneously.Soft skills include working with clients, patients, veterinarians, animal care s

Our client, a Global Fortune 50 organization and one of world’s largest distributors of Healthcare systems, Medical supplies & Pharmaceutical products, seeks an accomplished.Position: Clinical Coding Specialist.Location: Houston, TX (REMOTE).Duration: 6 months+ Contract with high possibility of ex

CSI Companies is seeking an experienced Professional Fee (ProFee) Coder with a strong background in Mental Health and/or Primary Care coding. This opportunity is ideal for certified Professional Fee coders with hands-on experience in mental health and/or primary care who are confident navigating E/M

The Member Services Specialist serves as a frontline ambassador for the health plan, insurance, delivering high-quality, resolution-focused support to members, providers, and brokers across multiple lines of business.

Call Center / Remote] - Anywhere in U.Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Planet Home Lending, you will: Respond to borrower inbound calls concerning their account, ensuring high quality service and adhering to productivity and regulatory requiremen

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

This role requires the ability to work lawfully in the U.Does this sound like you? If so, consider starting your career at Spectrum as a professional Customer Service Representative on our billing team.Now hiring for new training classes starting in May 2026!.At Spectrum, we keep our customers conne

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

This role requires the ability to work lawfully in the U.Does this sound like you? If so, consider starting your career at Spectrum as a professional Customer Service Representative on our billing team.Now hiring for new training classes starting in May 2026!.At Spectrum, we keep our customers conne

Bank Clothiers - 4009 West Airport Freeway, Irving, TX, United States, 75062 [Customer Service Representative] As a Customer Service Representative at JoS.Bank Clothiers, you'll: Handle and accurately follow standard operating procedures for all customer purchases, returns, exchanges, store credits

VortexWorks provides customer-experience and support solutions for nationally recognized brands across multiple industries.We connect motivated professionals with flexible, remote opportunities where performance, professionalism, and communication truly matter.Handle customer-service or sales calls

Luxottica Group - [Customer Service Representative] As a Customer Service Representative at Luxottica, you'll: Answer customer calls through a phone queue process; Process orders for plano and prescription products that are being returned; Correctly identify and calculate discount amounts, restockin

Customer Support / Remote] - Anywhere in U.Medical, dental & vision / PTO / Paid training - As a Customer Service Rep at Assurant, you will: Handle inbound customer calls and/or e-mails with empathy and professionalism; Resolve issues, answer questions, and provide proactive solutions; Document inte

Spectrum - - Responsibilities: Answer inbound phone calls related to billing inquiries; Empathize with customers while addressing their billing needs; Establish and grow professional relationships with Spectrum customers; Collaborate with management on customer issue escalations; Work in a fast-pac

Plumber + Air - JobID: 100-171573045 [Customer Service Representative] As a Customer Service Representative at 1-800-Plumber + Air, you'll: Greet visitors to the building; Take inbound calls being the first impression for the customer; Ensure the customer is satisfied and all needed information is r

Born from Loloi Rugs – an industry leader that has been trusted by thousands of the world's top designers and retail stores –.Our online selection of furniture, rugs, lighting, and décor is a combination of exclusive in-house design, signature trademarks, and expertly curated pieces for every r

Luxottica Group - [Customer Service Representative] As a Customer Service Representative at Luxottica, you'll: Answer customer calls through a phone queue process; Process orders for plano and prescription products that are being returned; Correctly identify and calculate discount amounts, restockin

Bilingual English/Spanish Call Agents Needed.Currently hiring to fill Bilingual openings for a national financial Call Center in Irving, TX.Come grow with the company, we only promote from within.Bilingual Call Center Representatives needed.NO SALES, NO COMMISSION!! Paid weekly.Must be fluent in Eng

Mass Markets - JobID: 13722 [Customer Service Representative] As a Customer Service Representative at Mass Markets, you'll: Handle inbound and outbound contacts in a courteous, timely, and professional manner; Ensure first call resolution through problems solving and effective call handling; Researc

Lithia Motors - - Responsibilities: Deliver customer website support and coordinate customer vehicle purchases; Serve as customer concierge to answer questions and advance digital transactions; Coordinate virtual inspections using the inspection application; Coordinate pickup of purchased vehicle f

Provide clerical and administrative support for ABC District.Create and maintain files, records and reports.Timekeeping for various employees.Interact with all levels of employees.Work with a minimum of detail supervision and guidance.Handle administrative duties of a confidential nature.Order and m

Voluntary and Long-term disability insurance.

The McAlear Group offers a full range of benefits for eligible employee including 401k, health and life insurance, Employee Assistance Program (EAP), disability coverage, and PTO.

A leading global financial services organization is seeking a polished and highly organized.Executive Wealth and Central Operations teams.This is an excellent opportunity to gain exposure to a fast-paced, high-performing environment where precision, professionalism, and collaboration are key.You'll

Jain Law & Associates PLLC is a service-driven litigation, general business, subrogation, and commercial bankruptcy firm, representing a diverse range of clients including insurance companies, creditors, debtors, trustees, financial institutions, individuals, and businesses.

GEODIS - 3700 Pinnacle Point Drive - Responsibilities: Interacts with customers by phone, email, or in person and receives orders or changes in service; Processes and inputs all customer orders and receipts; Coordinates special, last minute shipping requests with the transportation departments, expe

Customer Support / Remote] - Anywhere in U.Medical, dental & vision / 401k - As a Customer Service Rep at DGI Supply, you will: Handle customer and sales interactions via phone, email and tickets within the Customer Care Box; Process requests for quotations, order entry and product questions from cu

Johnson Controls - - Responsibilities: Serve as a role model for safety, integrity, and customer satisfaction; Lead the 180-Day Renewal Process; Assess Planned Service Agreement (PSA) performance and contract health; Build and maintain long-term customer relationships through on-site visits, calls,