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US 4w PTO

  • Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers.
  • Track and resolve denials, rejections, and underpayments with follow-up and resubmission.
  • Collaborate with providers and operations to optimize coding, documentation, and billing workflows.

Excel ICD-10 HEDIS

20 jobs similar to Medical Coding & Billing Specialist

Jobs ranked by similarity.

$59,000–$98,000/yr
US

  • Review inpatient pediatric medical records to assign accurate ICD-10-CM and ICD-10-PCS codes for a range of cases including surgical, cardiac, trauma, and maternal/newborn.
  • Maintain a minimum coding accuracy of 95% while meeting productivity expectations of approximately two inpatient charts per hour.
  • Collaborate with coding, clinical documentation, billing, IT, and facility teams to uphold compliance, reimbursement integrity, and timely chart processing.

A healthcare services provider specializing in inpatient pediatric medical coding. The company emphasizes accuracy, compliance, and professional development, offering a fully remote work environment.

$100,000–$130,000/yr
US 4w PTO

  • Lead day-to-day billing and coding operations across multiple markets, payers, and service lines.
  • Coach and develop Billing and Coding Supervisors to drive performance and accountability.
  • Own Revenue Cycle KPIs, process improvements, and cross-functional partnerships.

Imagine Pediatrics is a tech-enabled, pediatrician led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans.

US 17w maternity 9w paternity

  • Review and abstract professional medical records to ensure accurate code assignment.
  • Assign ICD-10-CM, CPT, HCPCS, and modifiers per national and payer-specific guidelines.
  • Maintain coding quality, compliance, and productivity standards while staying current on updates.

Sprinter Health reimagines access to care by bringing it directly to patients' homes via technology. It has supported 2M+ patients across 22 states, completed 130,000+ visits, raised over $125M, and maintains a 92 NPS.

US

  • Assign and verify CPT, ICD-10 CM coding and modifiers based on documentation, ensuring compliance with official coding guidelines.
  • Resolve claim edits and denials, monitor charge capture volumes, and work with providers and clinic staff to ensure accurate charge capture.
  • Act as a subject matter expert in one or more specialties, identify trends and educational opportunities, and may train other coders.

Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children, providing a wide range of care from routine visits to life-saving treatments. The organization fosters a diverse and inclusive culture and seeks individuals committed to its vision of the healthiest kids in the country.

US

  • Conduct audits of medical records for compliance with federal coding regulations and guidelines.
  • Provide education and training to providers on CPT, ICD-10, and HCPCS codes.
  • Act as an internal expert to ensure coding compliance with state and federal regulations.

Privia Health is a technology-driven national physician enablement company collaborating with medical groups, health plans, and health systems. It aims to optimize physician practices and improve patient experiences through cloud-based technology and scalable operations.

US

  • Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for allergy and asthma services.
  • Prepare and submit clean claims electronically, monitor claim status, and process insurance and patient payments.
  • Ensure compliance with payer guidelines, HIPAA, and federal regulations while supporting revenue cycle performance.

Modena Health is a leading, rapidly growing physician-led medical practice specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona. The team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research.

US

  • Work from home and set your own schedule as a pediatric medical billing specialist.
  • Use EPIC EMR to submit claims, post payments, and research denied claims.
  • Ensure every patient visit is paid and exceed client collection expectations.

Altus Pediatric Billing provides specialized pediatric medical billing services, focusing on maximizing client collections and delivering exceptional service. They offer a flexible, work-from-home culture that prioritizes work-life balance and supports their team of billers.

  • Assigns ICD-10-CM, CPT/HCPCS codes and modifiers for outpatient encounters such as clinic, diagnostics, and EMS.
  • Ensures compliance with official coding guidelines, payer policies, and facility requirements while meeting quality benchmarks.
  • Collaborates with CDI, billing, and revenue integrity teams to improve documentation and optimize reimbursement.

Capital Health is a dynamic healthcare network that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. With more than 600 physicians and providers, the organization is accredited by DNV and emphasizes attracting top talent through competitive compensation and a collaborative culture.

US

  • Interpret clinical documentation to accurately assign diagnosis and procedure codes for outpatient encounters.
  • Maintain current knowledge of ICD-10 and CPT coding systems and ensure documentation supports assigned codes.
  • Manage daily work queues and perform data and charge entry within patient accounting systems.

This partner company operates within an academic medical environment, providing healthcare services and supporting accurate outpatient coding. Their culture is supportive and collaborative, with a focus on high-quality healthcare operations and continuous learning.

US

  • Reviews and codes medical records for general surgical specialties using ICD-10, CPT, and HCPCS codes.
  • Abstracts demographic and coding data, audits orders and claims, and reviews documentation for medical necessity.
  • Provides technical guidance to physicians and staff and develops stakeholder relationships.

Piedmont Healthcare is a healthcare system providing medical services across Georgia. It fosters a shared purpose and recognition, with wellness programs and comprehensive benefits for employees.

US

  • Code inpatient professional and nursing home services using CPT, ICD-10-CM, and HCPCS.
  • Apply E/M categories, NCCI edits, and modifiers accurately for surgical and evaluation services.
  • Maintain 95% accuracy and meet productivity standards while working with clinical documentation.

This partner company provides medical coding and billing services for healthcare facilities, including Veterans Affairs medical centers. It is an equal opportunity employer with a remote team focused on accuracy and compliance.

$25–$30/hr
US

  • Code a high volume of outpatient encounters, including clinic visits, ancillary services, diagnostic testing, and outpatient surgery.
  • Assign E/M levels, apply NCCI edits and modifiers, and review clinical documentation in VA systems like CPRS and VistA.
  • Maintain 95% coding accuracy, protect patient information, and complete federal background investigation requirements.

Our partner is a healthcare organization that provides medical coding services for Veterans Affairs facilities. The company emphasizes mission-driven work, accuracy, and confidentiality while supporting veteran healthcare services across the United States.

US

  • Assign ICD-10 and CPT/HCPCS codes to patient encounters based on medical documentation.
  • Analyze medical records to extract pertinent coding information.
  • Ensure compliance with AMA, CMS, and other regulatory coding guidelines.

Mass General Brigham is a not-for-profit integrated health care system supporting patient care, research, teaching, and community service. We believe high-performing teams drive groundbreaking medical discoveries and foster a welcoming community focused on changing lives.

US

  • Apply senior-level expertise to code inpatient and outpatient professional fee services across multiple specialties, assigning CPT, HCPCS, and ICD-10 diagnosis codes.
  • Review documentation to resolve edits in work queues and analyze denials for corrected claims or appeals.
  • Collaborate with clinic supervisors, providers, and Revenue Management to resolve coding issues and ensure compliance.

CommonSpirit Health is a nonprofit health system with more than 700 care sites across the U.S., serving nearly one out of every four U.S. residents. The organization is committed to building healthy communities and innovating healing both inside hospitals and in the community.

US

  • Manage accounts receivable, including analysis of aged AR and identification of root cause issues.
  • Investigate, resolve, and appeal insurance claim denials, contacting payer representatives as needed.
  • Collaborate with internal teams and care center staff to drive optimal revenue cycle performance.

Privia Health is a technology-driven physician enablement company that partners with medical groups and health systems to optimize practices and improve patient experiences. It is led by top industry talent and physician leadership with a focus on scalable operations and cloud-based technology.

US

  • Accurately assign and sequence ICD-10-CM, CPT, and HCPCS codes for outpatient medical records and encounters.
  • Ensure coding compliance with legal, regulatory, and organizational standards while initiating physician queries for documentation clarity.
  • Maintain productivity, quality, and confidentiality standards while supporting team collaboration and professional development.

CommonSpirit Health is a nonprofit Catholic healthcare organization delivering integrated health services. With more than 157,000 employees, 45,000 nurses, and 25,000 physicians across 24 states, it fosters a culture of compassion, innovation, and community service.

US

  • Assigns ICD-10-CM and CPT-4 codes to complex outpatient encounters, including Observation stays and Same Day Surgery.
  • Reviews medical records thoroughly to ensure accurate diagnosis and procedure codes with at least 95% accuracy.
  • Resolves NCCI edits, queries physicians for documentation clarification, and utilizes 3M Encoder for coding accuracy.

Northwestern Medicine is a healthcare system focused on providing patient-first care and improving healthcare outcomes. As a large employer, it offers competitive benefits and a culture centered on taking care of its employees.

US

  • Manage provider credentialing and re-credentialing with commercial payers, Medicare, Medicaid, and managed care organizations.
  • Prepare and submit accurate medical claims with proper CPT, HCPCS, and ICD-10 coding to minimize denials and delays.
  • Reconcile payments, investigate denials, and maintain compliance with HIPAA and payer requirements.

US

  • Assigns ICD-9 and/or ICD-10 codes to inpatient encounters with the highest accuracy following official coding guidelines.
  • Works closely with physicians, clinical documentation specialists, quality, and patient finance teams to ensure accurate DRG assignment and data extraction.
  • Plays a key role in billing, research, regulatory compliance, and reporting to support patient acuity and quality outcomes.

Emory Healthcare is a comprehensive health system providing patient care, research, and education across multiple hospitals and clinics. They foster a supportive culture with mentorship, leadership programs, and a focus on professional growth, serving a large and diverse workforce.

$52,000–$58,000/yr
US Unlimited PTO 12w maternity 12w paternity

  • Review clinical documentation and ensure accurate charge entry in the billing system.
  • Submit insurance claims, monitor status, and resolve denials to maintain a clean billing cycle.
  • Support families with billing questions and assist with accounts receivable monitoring.

InStride Health delivers specialty anxiety and OCD care for kids, teens, young adults, and families through evidence-based clinical care and technology. The company is a mission-driven startup focused on expanding access to insurance-based care, with a collaborative culture grounded in values like heart, humility, and community.