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Medical Coding Specialist

Connexion Systems & Engineering

Bedford, Massachusetts, USA

Contract

Purpose: To ensure accurate coding for diagnosis documentation and services provided and evaluate medical records determined as unable-to-code by production coders. Duties and Responsibilities:Assign ICD-10 diagnosis and CPT procedure codes while upholding accuracy standards/rationales regarding E/M leveling, diagnosis sequencing and procedure selectionIdentify error trends in coding and elevate to applicable production management teamsPerform accuracy checks on UAC (Unable to Code) charts to i

Senior Certified HB Resolute Analyst

TEKsystems c/o Allegis Group

Fort Myers, Florida, USA

Full-time

This position can sit 100% remote with occasional travel onsite. Ideally, candidates will reside in Florida but candidates outside of Florida will be considered Only candidates that meet the minimum requirements will be considered (Epic HB Resolute Certified, General Ledger Build, at least 3 years of hands on build experience with Epic HB Billing module) Description The Application Analyst - Epic Resolute HB/PB G/L & Financial Analyst Position Responsibilities May Include But Are Not Limited To:

Medicare Billing Specialist

Prosum

Edmond, Oklahoma, USA

Full-time

Job Title: Medicare Billing SpecialistLocation: Edmond, OK (Onsite) Overview:We are seeking a detail-oriented Medicare Billing Specialist to join our team in Edmond, OK. In this role, you will be responsible for reviewing billing data, following up on unpaid claims, communicating with insurance providers, and ensuring timely and accurate reimbursement. The ideal candidate will have strong knowledge of medical billing practices, Medicare guidelines, and experience handling insurance denials and c

Charge Description Master (CDM) Senior Solution Tech Expert

Guidehouse

San Antonio, Texas, USA

Full-time

Job Family: Strategy & Transformation Consulting Travel Required: Up to 25% Clearance Required: Ability to Obtain Public Trust What You Will Do: Guidehouse is currently seeking Revenue Cycle Management (RCM) professionals in support of our Military Health System client. These teammates will bring a vast range of experiences across RCM within an electronic health record (EHR). The candidate should have experience working in Federal Healthcare space, and preferably the Defense Health Agency,

RCMI Senior Solution Technical Expert - PathNet

Guidehouse

San Antonio, Texas, USA

Full-time

Job Family: Strategy & Transformation Consulting Travel Required: Up to 25% Clearance Required: Ability to Obtain Public Trust What You Will Do: Guidehouse is currently seeking Revenue Cycle Management (RCM) professionals in support of our Military Health System client. These teammates will bring a vast range of experiences across RCM within an electronic health record (EHR). The candidate should have experience working in Federal Healthcare space, and preferably the Defense Health Agency,

RCMI Senior Solution Technical Expert - Order Alerts

Guidehouse

San Antonio, Texas, USA

Full-time

Job Family: Strategy & Transformation Consulting Travel Required: Up to 25% Clearance Required: Ability to Obtain Public Trust What You Will Do: Guidehouse is currently seeking Revenue Cycle Management (RCM) professionals in support of our Military Health System client. These teammates will bring a vast range of experiences across RCM within an electronic health record (EHR). The candidate should have experience working in Federal Healthcare space, and preferably the Defense Health Agency,

Data Warehouse Architect w/ AI & R Python

GreyCell Labs, Inc

New York, New York, USA

Contract, Third Party

84 months Data Modeling experience in designing and creating DataMart, Data warehouse using Star & Snowflake Schemas in Insurance industry 84 months experience with designing and implementing ML, Predictive and AI systems. 84 months experience with Spotfire Analyst, Web Player using Iron Python, Python, Java Scripts, and R 84-month experience in developing, documenting, maintaining end to end ETL data pipeline using IBI Data Migrator (or similar tools) 24 months experience in developing data war

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

Remote or Austin, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

Remote or Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

Remote or Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Bill Coder Payer side- Fulltime-Remote

Pegasus Knowledge Solutions

Remote

Full-time

Job Title : Medical Bill Coder Location : Remote Type : Full-time Position SummaryWe are seeking a detail-oriented and knowledgeable Medical Bill Coder who can review, validate, and apply appropriate coding to medical bills in compliance with state-specific regulations and industry standards. The ideal candidate will ensure billing accuracy, improve claims efficiency, and reduce compliance risk. Key ResponsibilitiesReview incoming medical bills for completeness and accuracy.Assign proper CPT,

Director of Medical Case Management

Caracole Inc

Cincinnati, Ohio, USA

Full-time

Job DescriptionPOSITION TITLE: DIRECTOR OF CASE MANAGEMENT REPORTS TO: CHIEF PROGRAM OFFICER SUPERVISES: Clinical Supervisors POSITION SUMMARY: This position leads Caracole s Case Management program and oversees and manages all aspects of planning and service delivery of Case Management services. The goal is to provide best practice case management services for individuals living with HIV. RESPONSIBILITIES: Assure that the mission of Caracole is evident in Caracole s Case Management programs.

RCMI Senior Solution Technical Expert - Patient Access

Guidehouse

San Antonio, Texas, USA

Full-time

Job Family: Strategy & Transformation Consulting Travel Required: Up to 25% Clearance Required: Ability to Obtain Public Trust What You Will Do: Guidehouse is currently seeking Revenue Cycle Management (RCM) professionals in support of our Military Health System client. These teammates will bring a vast range of experiences across RCM within an electronic health record (EHR). The candidate should have experience working in Federal Healthcare space, and preferably the Defense Health Agency,

Revenue Cycle Senior Solution Technical Expert

Guidehouse

San Antonio, Texas, USA

Full-time

Job Family: Strategy & Transformation Consulting Travel Required: Up to 25% Clearance Required: Ability to Obtain Public Trust What You Will Do: Guidehouse is currently seeking Revenue Cycle Management (RCM) professionals in support of our Military Health System client. These teammates will bring a vast range of experiences across RCM within an electronic health record (EHR). The candidate should have experience working in Federal Healthcare space, and preferably the Defense Health Agency,

Epic Professional Billing Claims Analyst III

Community Care Cooperative (C3)

Boston, Massachusetts, USA

Full-time

Title: Epic Professional Billing Claims Analyst Reports to: Manager of Professional Billing and Claims Classification: Individual Contributor Location: Boston (Hybrid) Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization fou

Billing Operations Specialist

Infotree Service Inc.

San Francisco, California, USA

Contract

Role: Billing Operations Specialist Location: San Francisco, CA (Hybrid) Duration: 5+ Months Job description: As a Billing Operations Specialist, you will support and maintain billing processes that are essential to Company Business and Company Media s financial operations. Your role will focus on ensuring accurate and timely billing, supporting customer satisfaction, and contributing to process improvements. You ll collaborate with cross-functional teams, including finance (FP&A, accounting), s

Sr. Project Manager (working experience on Billing projects required - Onsite job)

Vertex Computer Systems

King of Prussia, Pennsylvania, USA

Contract

The IT Senior Project manager implements and monitors a variety of medium to large scale projects, working with IT team members and the end user community. Works under the general direction of the IT Director of Applications and has specific application areas assigned. Primary Responsibilities (Essential Functions): Manage medium to large scale enterprise-wide projects - mobilizing resources from different teams, define milestones, create project plans, define project structure, monitor project

Epic Resolute Professional Billing & Claims and Remittance Analyst

Tranzeal, Inc.

Remote or Oakland, California, USA

Contract

Role- Epic Resolute Professional Billing & Claims and Remittance Analyst Location- Oakland, CA (Remote) Required certifications: Epic Resolute Role Description: We are seeking a skilled and experienced Application Analyst with expertise in Epic Resolute, and Claims and Remittance modules to join our dynamic team.This Epic Applications Analyst plays a critical role in the implementation and installation of Epic applications, module upgrades, new components, and modifications.This position is res

Guidewire Developer with Billing Center || (W2 or Self Corp only)

Sibitalent Corp

Remote

Contract

Role: Guidewire Developer with Billing Center Location: 100% Remote Duration: 12+ months Interview: PH/Skype Req Qual Notes Must have 8 or more years of developer experienceRequires 4+ yrs of either BillingCenter or PolicyCenter developer experience with integration and configuration experienceStrong communication skillsGuidewire certifications preferredAuto insurance application experience preferred (not boats, workers compensation, general liability, agriculture ) Position Responsibilities: P

Allscripts Billing Specialist

Prosum

Norman, Oklahoma, USA

Full-time

Job Title: Allscripts Billing SpecialistLocation: Norman, OK (Onsite) Overview:We are looking for a dedicated and detail-oriented Billing Specialist with experience in medical billing and collections to join our team in Norman, OK. This is an onsite role requiring a strong understanding of Medicare/Medicaid claims processing, third-party payer procedures, and the ability to handle insurance denials. Experience with Veradigm EMR (formerly Allscripts) is a plus but not required. Key Responsibiliti