Medical Biller Coder jobs at Guidehouse

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Title: Certified Medical Coder Shift: 8:00 AM - 4:00 PM Work Arrangement: Onsite Training (1-2 weeks) → Remote Pay: $35/hr to $37/hr Contract: 3-month assignment with possible extension Start Date: 12/01/2025 - 03/07/2026 Position Summary: We are seeking an experienced and detail-oriented Certified Medical Coder to join our team. This role begins onsite for initial training before transitioning to remote work. The ideal candidate will have strong inpatient coding experience in an acute care setting and be proficient with ICD-10, CPT coding, EPIC, and 3M Encoder tools. Key Responsibilities: Perform accurate and compliant inpatient coding using ICD-10, ICD-9-CM, CPT-4, and Encoder systems Review medical records and ensure proper documentation supports code selection Research and resolve coding-related questions and discrepancies Maintain coding accuracy and productivity standards Apply current coding guidelines, payer requirements, and regulatory rules Collaborate with clinical staff as needed to clarify documentation Support outpatient and ED coding tasks as needed (preferred, not required) Requirements: CCS Certification (required) EPIC and 3M Encoder experience (required) Minimum 3-4+ years of inpatient coding experience, preferably in an acute care setting Strong knowledge of ICD-10, ICD-9-CM, CPT-4, and Encoder systems Experience with outpatient and ED coding (preferred) Proficient computer skills, including MS Word, Excel, and coding applications Skills & Role Expectations: Strong understanding of coding guidelines, payer rules, and federal billing regulations Solid knowledge of anatomy, physiology, and disease processes Ability to work independently and efficiently after training Ability to research issues and resolve coding questions Experience mentoring or training coders is a plus Seeking candidates with strong inpatient coding backgrounds If Interested, you can reach me on my number ************** or email me at ******************************* Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Scion Staffing has been engaged to conduct a search for a Billing and Coding Specialist for an established clinic in Rochester, NY. This position is 100% onsite at the clinic's Rochester office. This Billing & Coding Specialist position supports daily billing operations for a high-volume clinic, handling claims, insurance follow-up, and coding for routine and interventional procedures. The role is ideal for someone with strong billing, denial management, and revenue cycle experience seeking long-term stability. This is a direct hire opportunity. PERKS: Competitive compensation at $30-$34/hr Hands-on training and mentorship in interventional psychiatry billing All equipment provided onsite Collaborative and inclusive clinic culture Long-term conversion opportunity with room to grow RESPONSIBILITIES: Process claims, manage insurance follow-up, and resolve denials Code and submit claims for psychiatric and interventional procedures Assist with backlog cleanup and recurring billing issue resolution Monitor cash flow trends and escalate problem areas Coordinate with clinicians on documentation, copays, and authorizations Maintain accurate records in EHR and clearinghouse platforms QUALIFICATIONS: Experience with medical billing, coding, or RCM workflows Knowledge of insurance portals and denial management practices Strong attention to detail, accuracy, and problem-solving Ability to manage high-volume billing with steady, reliable execution Comfortable learning systems such as Jane App, ClaimMD, and clearinghouses COMPENSATION AND BENEFITS: This role offers $30-$34/hr, depending on experience level. Benefits are available and may include health, dental, vision, 401(k), sick time, and additional offerings based on eligibility. ABOUT OUR SEARCH FIRM: Scion Staffing is a national award-winning staffing firm! Since 2006, we have had the pleasure of successfully placing thousands of talented professionals with amazing career opportunities. Through our innovative team building and recruiting solutions, we bridge the gap in executive leadership searches, direct hire recruiting, interim leadership placement, and temporary professional staffing. We are proud to be part of the Forbes lists of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a ClearlyRated Best of Staffing firm as well as a top recruitment firm by The Business Times. Additional information about our firm can also be found online. Scion Staffing, Inc. is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation or belief, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent. For opportunities located in a region that have enacted fair chance, arrest or conviction-based employment ordinances, Scion Staffing proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records. We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour

Remote Medical Coder (Inpatient Facility) - VA Federal Contract Location: 100% Remote (Work from Home) Schedule: Monday - Friday | 8:00 AM - 4:30 PM CT Employment Type: Full-Time Federal Contract We are seeking an experienced Medical Records Technician - Coder for a high-volume inpatient facility within the VA healthcare system. This is a fully remote, investigative coding position requiring high accuracy and a deep understanding of complex inpatient documentation. Core Responsibilities Review inpatient medical records for accurate and complete coding. Assign ICD-10-CM, ICD-10-PCS, DRGs, CPT, and HCPCS codes. Perform 100% data validation of assigned encounters. Query clinicians for documentation clarification and ensure support for coded diagnoses. Utilize VA-specific software including CPRS, VistA, and VIRR. Required Qualifications Credential: Must hold one of the following: RHIT, RHIA, CCS, CCS-P, or CPC. Experience: Minimum of three years of continuous inpatient coding experience in a large facility (tertiary care or academic medical center). Technical Skills: Proficiency in ICD-10 CM/PCS, DRGs, and CPT/HCPCS. Citizenship: Must be a U.S. Citizen with proficient English skills. Why Apply? 100% Remote: Work from home with VA-provided secure access. Stability: Predictable M-F daytime schedule with no weekends or holidays. Mission: Support the health records and diagnostic integrity for U.S. Veterans. Interested in joining a mission-driven team? Apply today!

Remote Inpatient Coding Team Lead - VA Federal Contract Location: 100% Remote (Work from Home) Schedule: Monday - Friday | 8:00 AM - 4:30 PM CT Employment Type: Full-Time Federal Contract (GS-9 Equivalent) We are looking for a Medical Records Technician - Team Lead to oversee inpatient coding operations for the VA. This role combines high-level inpatient coding with supervisory duties, including workflow management, staff training, and quality oversight. Key Responsibilities Leadership: Oversee coding accuracy and timeliness; provide guidance and education to the coding team. Workflow Management: Assign cases, monitor productivity, and resolve coding-related denials. Training: Mentor new coders and students; develop training materials for staff. Clinical Coding: Perform inpatient coding duties (ICD-10 CM/PCS, DRGs, HCPCS) and support audit resolution. Collaboration: Work closely with the Inpatient Coding Supervisor and VA clinicians. Required Qualifications Credential: Must hold one of the following: RHIT, RHIA, CCS, CCS-P, or CPC. Experience: Minimum of three years of continuous inpatient coding experience in a large, complex facility. Leadership Exp: Demonstrated experience in mentorship, reporting, or supervisory roles within a coding environment. Citizenship: Must be a U.S. Citizen with proficient English skills. Why Apply? Professional Growth: Opportunity to move into a leadership role within a stable federal environment. Work-Life Balance: 100% Remote work with a consistent Monday-Friday, 8:00 AM - 4:30 PM CT schedule. Meaningful Work: Lead a team dedicated to safeguarding the medical records of our nation's Veterans. Ready to lead a remote coding team? Apply now!

Duration :: 13 Weeks Contract Seeking experienced Professional Fee (Pro Fee)-focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives. These roles are high-visibility and require strong communication and presentation skills to engage directly with clinicians and support client revenue cycle, audit, and education functions. Candidates must live within the client geographic footprint and be available for occasional on-site work and local travel. Positions are structured as 13-week temp-to-hire with conversion opportunities. Key Responsibilities Coding Education & Training Deliver physician and coder education for assigned groups, with emphasis on Pro Fee (ASC, surgery, outpatient) environments. Facilitate individual and group training sessions; must be comfortable presenting to clinicians. Address provider and coder questions related to documentation standards, audit findings, and coding requirements. Audits & Accuracy Monitoring Perform focused coding audits and detailed chart reviews to validate CDI opportunities and coding accuracy. Identify coding trends, discrepancies, and risks; partner with leadership to build targeted education plans. Support revenue cycle initiatives tied to audit readiness, pipeline goals, and CLARO engagement. Documentation & Compliance Support Improve documentation integrity and reduce variation in coding practices across the organization. Implement education initiatives to strengthen documentation quality and coding accuracy. Collaborate with coding leads to develop education aligned with compliance expectations and organizational standards. Required Qualifications Certifications (must have; strong preference for Pro Fee experience): CPC (AAPC) CCS or CCS-P (AHIMA) Experience: Demonstrated success in Pro Fee coding, education, and audit environments. Proven ability to engage directly with physicians and present complex coding concepts clearly. Experience conducting chart reviews and coding accuracy audits. Work Model Requirements: Must reside within the client footprint (California). Able to support occasional on-site needs and local travel. Willing/eligible to convert to a permanent role after the 13-week assignment. Preferred Qualifications CDEO or CDIP (documentation/education alignment) Bachelor's degree About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************ US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruiter Details: Recruiter name: Ajeet Kumar Recruiter's email id : ***************************** JobDiva ID :: JobDiva # 25-54020

Medical Claims/ Appeals Specialist Duration: 6 months+ temp-to-hire!!! Pay rate: $24/hr on W2 Note: REMOTE role with possibility The schedule for the training period will be a set schedule: 8:00am to 4:30pm EST time. Training will be 5-6 weeks. After training, the candidates may choose to flex start time of 6:00 AM EST to 10:00 AM EST. Candidates can work from 50 miles (or 1 hour) from any NGS or PulsePoint locations (EXCEPT the state of CA). These are not HYBRID requirements while working temp. However, if/when they convert temp-hire, they must be willing to work onsite depending on what the HYBRID requirements for FTE associates are at the time of conversion (usually 1-3 days per week). JOB DESCRIPTION: This is an entry level position in the Appeals Department that reviews, analyzes and processes non-complex pre-service and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (Part A & B) related to clinical and non-clinical services, quality of service, and quality of care issues to include executive and regulatory grievances. The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and other internal departments. Requires a High school diploma or GED; up to 2 years' experience working in grievances and appeals, claims, or customer service or any combination of education and/or experience which would provide an equivalent background. Familiarity with medical coding and medical terminology, demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, all of the company's internal business processes, and internal local technology strongly preferred. Preferred Skills: Medical Terminology, Letter Writing, Claims Experience, Appeals Experience Primary duties may include, but are not limited to: Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable language. Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing and/or medical staff for review. The grievance and appeal work is subject to applicable accreditation and regulatory standards and requirements. As such, the analyst will strictly follow department guidelines and tools to conduct their reviews. Analyzes and renders determinations on assigned non-complex grievance and appeal issues and completion of the respective written communication documents to convey the determination. Responsibilities exclude conducting any utilization or medical management review activities which require the interpretation of clinical information. I'd love to talk to you if you think this position is right up your alley, and assure a prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you. Recruiter Name: Gurjant “Gary” Singh Title: Lead Recruiter Email: **********************************

Job Details: Job Title: Billing Specialist I - Patient Account Services Coordinator Duration: 6+ Months Fully Remote - but needs to be close to the office in case there is any technical issues with equipment. Questionnaire: CW must live less than 1 hour from the Monroeville office, how far is their commute? Provide internet speed screen shot at the top of the resume. Do they have a quiet place at home to work every day with no distractions? How many years of MS Office do they have? Comfortable with Excel? Availability 8:00 AM-8:00 PM M-F. Onsite foundations training 3 days 12/16-12/18 8:30 AM-5:00 PM Position Summary An Inbound Patient Account Services Specialist advocates for the patient and portrays “Putting People First” by taking a hands-on approach to help people on their path to better health. In this role, an Inbound Patient Account Services Specialist will provide a high level of customer service, resolve patient billing questions, and report potential trends to Leadership for review. We will support you by offering all the tools and resources you need to be successful in a collaborative team environment. Key Responsibilities of the Inbound Patient Account Services Coordinator: • Develop a deep understanding of Specialty processes and learn how customer service impacts a patient's journey from order to reimbursement for services. • Helping patients to navigate complex billing and reimbursement processes to assure efficient and timely billing and reimbursement for services. • Build a trusting relationship with patients by engaging in meaningful and relevant conversation. • Manage difficult or emotional situations, responding promptly to patient needs, and demonstrating empathy and a sense of urgency when appropriate. • Accurately and consistently document each interaction in the appropriate Revenue Cycle system. • Record, review, and take next steps to follow-up and resolve patient concerns. • Gather and examine patient information to determine eligibility for payment plans. • Meet call center metrics that include call volume and call quality. • Use technology to effectively liaison with other departments across Specialty. • Demonstrate an outgoing, enthusiastic, professional, and caring presence over the telephone. Required Qualifications: • 6 months experience in healthcare billing, reimbursement, collections practices, and/or infusion services. • Experience with computers, including 1+ years working with Microsoft Word, Outlook, and Excel. • Effective written and verbal customer service skills. • Ability to work independently and on a team. • Ability to offer emotional support and empathy. • Flexibility with work schedule to meet business needs, including but not limited to 8-hour work shifts from 8:00am - 8:00pm EST (Monday - Friday). Shifts will be decided by at the end of training-based business needs. Preferred Qualifications: • 1 year experience in healthcare billing, collections practices, and/or infusion services. • 1 year experience in pharmacy billing and reimbursement. Education • Verifiable High-school diploma or GED required About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************ US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruiter Details: Name: Shabbir Ansari Email: ************************************* Internal Id # 25-54874

Medical Claims/ Appeals Specialist Duration: 6 months+ temp-to-hire!!! Pay rate: $24/hr on W2 Note: REMOTE role with possibility The schedule for the training period will be a set schedule: 8:00am to 4:30pm EST time. Training will be 5-6 weeks. After training, the candidates may choose to flex start time of 6:00 AM EST to 10:00 AM EST. Candidates can work from 50 miles (or 1 hour) from any NGS or PulsePoint locations (EXCEPT the state of CA). These are not HYBRID requirements while working temp. However, if/when they convert temp-hire, they must be willing to work onsite depending on what the HYBRID requirements for FTE associates are at the time of conversion (usually 1-3 days per week). JOB DESCRIPTION: This is an entry level position in the Appeals Department that reviews, analyzes and processes non-complex pre-service and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (Part A & B) related to clinical and non-clinical services, quality of service, and quality of care issues to include executive and regulatory grievances. The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and other internal departments. Requires a High school diploma or GED; up to 2 years' experience working in grievances and appeals, claims, or customer service or any combination of education and/or experience which would provide an equivalent background. Familiarity with medical coding and medical terminology, demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, all of the company's internal business processes, and internal local technology strongly preferred. Preferred Skills: Medical Terminology, Letter Writing, Claims Experience, Appeals Experience Primary duties may include, but are not limited to: Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable language. Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing and/or medical staff for review. The grievance and appeal work is subject to applicable accreditation and regulatory standards and requirements. As such, the analyst will strictly follow department guidelines and tools to conduct their reviews. Analyzes and renders determinations on assigned non-complex grievance and appeal issues and completion of the respective written communication documents to convey the determination. Responsibilities exclude conducting any utilization or medical management review activities which require the interpretation of clinical information. I'd love to talk to you if you think this position is right up your alley, and assure a prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you. Recruiter Name: Gurjant “Gary” Singh Title: Lead Recruiter Email: **********************************

Schedule: Monday-Friday | 8:00 AM - 4:30 PM Growing pain clinic seeking a Bilingual Medical Billing & Collections Representative to support back-end revenue cycle operations. This is a great entry-level opportunity for candidates with medical billing, collections, or insurance follow-up experience who are seeking long-term growth in a smaller, hands-on environment. Responsibilities Follow up on open claims including commercial, workers' compensation, personal injury, and Medicare/Medicaid Contact insurance payers, patients, and attorneys to resolve outstanding balances Perform claim follow-up via internal billing system and phone Enter charges, submit paper claims, and track claim status Write appeal letters independently (no templates) Document all account activity accurately Participate in hands-on, on-site training Required Qualifications Bilingual in Spanish and English (proficiency will be tested) 1-2 years of experience in medical billing, collections, charge entry, payment posting, or insurance follow-up Knowledge of medical insurance (commercial, government, workers' comp) Strong written and verbal communication skills Computer savvy and detail-oriented

Job Family: Health Travel Required: None Clearance Required: None The Multispecialty Surgery Coder II will Code for Multispecialty Surgery physicians primarily Single Path Coding. Multi-specialty surgical coding experience, any Trauma, Urology, ENT, Plastics, GenSurg, OB/GYN, Cardiovascular, Interventional Radiology, etc. Ability to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager-the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines. This position is full time as and 100% remote. Responsibilities: Demonstrates the ability to perform quality surgical coding and multispecialty chart types as assigned Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing. Assures that all services documented in the patient's chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards Achieves and maintains 97% accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews either within the facility Ability to maintain average productivity standards as follows Works the review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process. See re-bill policy in facility guidelines Coder downtime must be reported immediately to the administrative staff to ensure turnaround is met Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility Provides accurate answers to physician's/hospitals coding and/or billing questions within eight hours of request Responsible for coding or pending every chart placed in their queue within 24 hours It is the responsibility of the coder to notify administrative staff in the event they cannot meet the twenty-four hour turn around standard Coders are responsible for checking the Guidehouse email system at least every two hours during coding session Coders must maintain their current professional credentials while working for Guidehouse Coders are responsible for becoming familiar with the Guidehouse coding website and using the information contained in the website as a daily tool to correctly code and abstract for each facility Coders are responsible for maintaining HIPAA compliant workstations (reference HIPAA workstation policy) It is the responsibility of each coder to review and adhere to the coding division policy and procedure manual content Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services Communicates problems or coding principle discrepancies to their supervisor immediately Communication in emails should always be professional What You Will Do: Demonstrates the ability to perform quality E/M coding and surgical as appropriate on assigned Hospitalist encounters. Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing Assures that all services documented in the patient's chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards Achieves and maintains 97% accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews either within the facility Ability to maintain average productivity standards as follows Works the review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process. See re-bill policy in facility guidelines Coder downtime must be reported immediately to the administrative staff to ensure turnaround is met Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility Provides accurate answers to physician's/hospitals coding and/or billing questions within eight hours of request Responsible for coding or pending every chart placed in their queue within 24 hours It is the responsibility of the coder to notify administrative staff in the event they cannot meet the twenty-four hour turn around standard Coders are responsible for checking the Guidehouse email system at least every two hours during coding session Coders must maintain their current professional credentials while working for Guidehouse Coders are responsible for becoming familiar with the Guidehouse coding website and using the information contained in the website as a daily tool to correctly code and abstract for each facility Coders are responsible for maintaining HIPAA compliant workstations (reference HIPAA workstation policy) It is the responsibility of each coder to review and adhere to the coding division policy and procedure manual content Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services Communicates problems or coding principle discrepancies to their supervisor immediately Communication in emails should always be professional (reference e-mail policy) What You Will Need: High School Diploma/GED One of the following recognized professional coding certifications: Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training EMR experience Must maintain credential throughout employment What Would Be Nice To Have: Recognized E&M coding certifications: Certified Evaluation and Management Coder (CEMC), or National Alliance of Medical Auditing Specialists' (NAMAS) Certified Evaluation and Management Auditor (CEMA) Must be able to work independently, multi-task well and interface with all levels of personnel as well as clients Knowledge & experience with Federal & State Coding regulations and Guidelines to include DHA or Military Health Coding experience Multiple EMR and/or Practice Management systems experience Single path coding experience The annual salary range for this position is $46,000.00-$76,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. About Guidehouse Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at ************** or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or ************************. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact *************************. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.