Certified Medical Specialist

Job Title: Medical Coding SpecialistWe are seeking a skilled Certified Medical Biller and Coder to excel in accurate and timely submission of medical claims, optimizing revenue cycles while maintaining compliance with regulatory standards.Key Responsibilities:Analyze and abstract medical information from patient records for physician/NP visits and home...

Medical Coding SpecialistThe Medical Coding Specialist will be responsible for conducting thorough research and analysis of Medicare, Medicaid, and other medical coding documents to identify claim denial or covered criteria. This role involves providing written and oral presentations to clinical colleagues to obtain consensus on proposed denial criteria.This...

Key Role SummaryThe Medical Billing Specialist is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities. This position requires a deep understanding of various eligibility requirements and payment methodologies.Job DescriptionMonitor medical claim...

At a leading healthcare solutions provider, we are dedicated to delivering exceptional business and workforce solutions. Our in-depth market expertise enables us to serve businesses efficiently.We are seeking a skilled Inpatient Coding Professional to support the development and delivery of comprehensive training programs related to medical coding and...

Role OverviewA highly skilled Certified Medical Coder is required to review and assign accurate codes for clinical documentation, ensuring clean claim submission and compliance with payer and regulatory guidelines.The ideal candidate will have strong coding expertise, analytical skills, and problem-solving abilities to support a dynamic team.Coding Accuracy:...

Medical Coder PositionOur organization is seeking an experienced and detail-oriented Medical Coder to support our primary care services. The ideal candidate will have extensive experience in coding for primary care services and a thorough understanding of medical coding guidelines and regulations.Key Responsibilities:Accurately code diagnoses, procedures,...

Medical Coding SpecialistThe professional in this role functions under the direction of a coding director and is responsible for assigning medical codes by abstracting and reviewing medical documentation according to established coding guidelines, payer guidance, and government regulations. This specialist must possess a high level of integrity, requiring a...

We are seeking a Medical Claims Specialist to join our team. As a key member of our organization, you will be responsible for maximizing insurance reimbursement, identifying root causes for claim denial, and interacting with US-based insurance carriers.About the RoleMaximize insurance reimbursement for healthcare practice owners by ensuring accurate and...

Job Opportunity: Medical Compliance SpecialistWe are seeking a detail-oriented and organized individual to assist our Compliance team in maintaining the most current laws, procedures, and guidelines for all assigned states. This role requires strong research skills, excellent verbal and written communication, and the ability to plan and prioritize tasks to...

Job Title: Healthcare SpecialistA clinical review nurse is responsible for conducting thorough assessments of medical cases to ensure they meet the necessary criteria.This involves performing clinical intake and adjudicating (closing) cases, as well as requesting additional information or escalating to medical directors as needed.