Source Job

US 5w PTO 12w maternity 12w paternity

  • Manage and resolve claims rejections and denials, escalating trends as identified.
  • Verify patient eligibility and benefits, and coordinate with insurance payers.
  • Maintain compliance with HIPAA regulations and meet productivity standards.

Medical Billing Claims Processing Excel Customer Service

20 jobs similar to RCM Specialist / Certified Professional Coder (CPC)

Jobs ranked by similarity.

Philippines

  • Perform precise coding of telemedicine visits using CPT, ICD-10-CM, and HCPCS Level II codes in compliance with US healthcare standards.
  • Manage insurance claims processing, including submission, tracking, and resolution of denials or rejections.
  • Maintain accurate patient billing records and verify insurance eligibility and benefits.

Dr House is a trusted leader in telemedicine, providing high-quality virtual healthcare services across the United States. The company is a dynamic and fast-growing telemedicine firm that seeks to make healthcare more accessible and convenient for patients nationwide.

US

  • Provide medical coding, system configuration, and administrative support for medical policy functions.
  • Perform coding analyses and utilization reporting to recommend updates to medical policies and system configuration.
  • Participate in cross-functional meetings to align with enterprise strategic priorities and support team operations.

Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, built on over 80 years of trust. We prioritize member well-being over profits, with a focus on sustainability and innovation.

$85,000–$95,000/yr
US

  • Validate accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on outpatient and inpatient facility claims.
  • Apply CMS guidance, coding guidelines, and industry standards during claim review, including hospital bill audits and itemized bill reviews.
  • Prepare appeal responses using applicable coding guidance and maintain required certifications and continuing education.

Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve access to healthcare. They are a dynamic growing organization promoting a collaborative and innovative work environment.

$34–$38/hr
US 3w PTO

  • Perform daily audits on client data for completeness and accuracy of coding using clinical knowledge.
  • Respond to provider appeals and meet client turnaround time and KPI goals.
  • Utilize coding validation training to become familiar with claims payment policies and regulations.

Cotiviti is a healthcare analytics company that uses data-driven solutions to improve payment accuracy and quality in healthcare. The company offers a competitive benefits package and fosters a collaborative, fast-paced work environment.

US 17w maternity 9w paternity

  • Review and abstract professional medical records to ensure accurate code assignment.
  • Assign ICD-10-CM, CPT, HCPCS, and applicable modifiers following national and payer-specific guidelines.
  • Maintain coding quality metrics and participate in coding audits.

We reimagine how people access care by bringing it directly into their homes. We have supported over 2 million patients across 22 states, completed over 130,000 in-home visits, and raised over $125M from top investors.

Philippines

  • Manage the full medical billing and Revenue Cycle Management (RCM) process, including AR follow-up and claim denial resolution.
  • Complete provider credentialing and recredentialing, verify insurance eligibility, and maintain accurate records within Athena.
  • Ensure HIPAA compliance and communicate with insurance companies regarding claims, credentialing, and payment issues.

SnappyCX connects skilled professionals with growing healthcare practices. They seek self-motivated individuals to support financial and administrative operations in a remote, fast-paced environment.

$24–$24/hr
US

  • Manage the complete revenue cycle for Wisconsin payors, including claim submission, denial resolution, and follow-up.
  • Investigate and resolve claim denials and payment discrepancies by collaborating with internal teams and payors.
  • Prepare weekly AR reports and support departmental KPIs to optimize reimbursement.

LEARN Behavioral is a national organization dedicated to nurturing children with autism and special needs through evidence-based applied behavior analysis. With 20 years of clinical insights, the company focuses on personalized treatment plans and is an Equal Opportunity Employer.

United States 5w PTO 12w maternity 12w paternity

  • Create and maintain credentialing and renewal information for Workit providers, ensuring accuracy in payor directories and online systems.
  • Work closely with the Credentialing Manager and billing staff to resolve denials or authorization issues related to provider credentialing.
  • Complete revalidation requests issued by payers and maintain up-to-date data for each provider in the credentialing database.

Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care for addiction, offering FDA-approved medication and online recovery groups. The company has a vibrant, democratized culture with multiple ERG groups and opportunities for internal mobility, committed to closing health disparity gaps.

$23–$31/hr
US

  • Assign and sequence ICD-10-CM, ICD-10-PCS, and CPT-4 codes for inpatient, outpatient, ambulatory, and emergency room records.
  • Review medical records for DRG/APC assignment, verify charge accuracy, and abstract clinical data.
  • Collaborate with providers and hospital departments to ensure proper documentation and regulatory compliance.

Logan Health is a growing health system in Northwest Montana that provides quality, compassionate care through connection, service, and innovation. As a healthcare organization, they employ a team-oriented staff and value kindness, trust, collaboration, and excellence.

US

  • Assign accurate medical codes for inpatient/outpatient professional fee records with 95% or greater quality.
  • Work independently from a remote home office while meeting client productivity targets.
  • Maintain technical proficiency with VPN, multi-factor authentication, and office software.

UASI is a medical coding and auditing company with over 40 years of experience in the healthcare information management industry. They have been recognized as a Top Workplace for three consecutive years and emphasize professional growth and a supportive team culture.

$28–$33/hr
US

  • Assign ICD-10-CM, CPT, and E/M codes for hospital-based encounters with high accuracy.
  • Review clinical documentation to ensure compliance with coding guidelines and payer requirements.
  • Collaborate with internal teams and client stakeholders while managing multiple assignments.

The partner company provides medical coding services for hospital-based care, ensuring accurate documentation and revenue cycle management. The team emphasizes compliance, accuracy, and a quality-focused culture.

US 6w PTO

  • Complete billing tasks daily and monitor assigned accounts to minimize write offs.
  • Submit clean claims to insurance companies electronically or by paper according to guidelines.
  • Research, correct, and resubmit rejected and denied claims, and prepare appeals.

Enhabit Home Health & Hospice provides home health and hospice services. It is a large corporate agency with a focus on employee growth and competitive benefits.

$18–$26/hr
US

  • Manage high-value medical claims, denials, and appeals to ensure accurate and timely reimbursement.
  • Analyze unpaid/underpaid claims, investigate billing errors, and communicate with insurance payors via portals, phone, and email.
  • Maintain detailed documentation, process updates, and collaborate with internal teams to resolve complex accounts receivable issues.

Our partner operates within the healthcare revenue cycle, ensuring accurate reimbursement for medical services. They are a collaborative team focused on improving financial outcomes and maintaining compliance with healthcare regulations.

US

  • Reconcile daily payment batches in Candid against bank deposits and resolve unapplied items.
  • Audit claim and payment data for accuracy, proper denial status, and correct payer assignment.
  • Validate reimbursement amounts against contracted fee schedules and expected payments.

Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services. Since 2019, we have served thousands of clients and are a fast-growing, fully remote team dedicated to parent-focused intervention and improving outcomes.

US

  • You process patient payments and manage payment plans with accuracy and empathy.
  • You handle insurance verification, claims support, and billing education for patients.
  • You research account issues and resolve billing discrepancies while maintaining professionalism.

Privia provides healthcare billing and payment solutions, helping patients with insurance claims and financial responsibilities. They operate with a remote team and emphasize compassionate, compliant service.

$30–$30/hr
US

  • Review and validate medical codes for accuracy and compliance with ICD-10, CPT, HCPCS, and other coding systems.
  • Provide expert coding guidance and support to clinicians and departments, serving as a resource for complex coding questions.
  • Conduct coding audits, generate productivity reports, and collaborate with IT and billing teams to resolve system issues.

Mission Healthcare is a home health and hospice company serving seven states, the largest of its kind in the western United States. They emphasize a culture of compassion, accountability, respect, excellence, and service (CARES) and are committed to diversity and inclusion.

$75,000–$90,000/yr
US 4w PTO

  • Review medical records and clinical documentation to ensure accurate, compliant coding per CMS, federal, state, and payer policies.
  • Conduct routine and focused coding audits, collaborate with clinical leadership and revenue cycle teams, and provide actionable recommendations.
  • Serve as a subject matter expert on pediatric, Medicaid, telehealth, and behavioral health coding, interpreting state-specific billing requirements.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual and in-home medical, behavioral, and social care, and are a remote-first, high-growth environment.

Philippines 17w maternity

  • Provide clerical expertise to ensure all patients receive high-quality, efficient care.
  • Handle payment posting, charge entry, and follow up on information requests.
  • Work remotely Monday to Friday from 9 PM to 6 AM, supporting a U.S. healthcare team.

This premier medical billing firm is one of the best revenue cycle management companies in the U.S., focusing on excellence in all they do. They foster a fun and relaxed environment with a supportive team, offering comprehensive training and career development programs.

$35–$49/hr
US 40w PTO

  • Perform advanced coding for outpatient surgical and observation records with 95% or above accuracy.
  • Monitor compliance with federal and state coding laws and coordinate billing information.
  • Serve as a resource and mentor to coding staff on billing policy and procedure issues.

OHSU is Oregon's only public academic health center, providing patient care, leading groundbreaking research, and training healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance within a system of hospitals and clinics across Oregon and Southwest Washington.

US

  • Submit commercial insurance claims accurately and in a timely manner.
  • Monitor claim status and proactively resolve denials, rejections, and unpaid claims.
  • Verify insurance eligibility and benefits and post insurance payments.

LivWell Behavioral Health Services is a licensed outpatient behavioral health organization committed to improving the lives of youth and families through accessible, high-quality mental health care. They partner with schools and communities in the Chandler/Mesa, AZ area and continue expanding into additional states.