Role Description We are a US-based Virtual Assistant staffing company seeking an experienced Healthcare Claims & Billing Specialist to support a client with ongoing healthcare billing, bookkeeping, and invoice coordination tasks. We’re looking for candidates with experience in healthcare billing and insurance claims processing, particularly HCFA/CMS-1500 and UB-04 forms, Medicaid billing workflows, reconciliation, and accurate invoice handling. A strong background in bookkeeping/accounting and high attention to detail are essential for this role. Work Schedule - 18 hours per week | Monday, Wednesday, Friday - 9:00 AM – 3:00 PM ET Key Responsibilities - Process healthcare billing and insurance claims accurately - Handle HCFA/CMS-1500 and UB-04 forms - Support Medicaid billing workflows, reconciliation, and invoice handling - Ensure accuracy and compliance with US accounting and billing standards Qualifications - Experience in healthcare billing and insurance claims processing required - Experience with HCFA/CMS-1500, UB-04, and Medicaid billing workflows - Strong bookkeeping/accounting background with reconciliation experience - Exposure to healthcare, insurance, or claims compensation environments is highly preferred - Strong organizational skills and attention to detail - Ability to work independently and meet deadlines How to Apply - Updated Resume - Short Video Introduction Apply here: Application Link

Role Description The Coder Lead acts as trainer, resource and mentor for other coders and staff. Is responsible for coordinating the daily coding workflow in assignment of ICD-10 and CPT codes. Monitors and assesses quality and production standards of coding staff. Serves as a resource for complex coding/billing issues. - Train staff on processes, policies, coding, including new hire training and shadowing - Assist with coder continuing education; development and presentation - Daily coordination of coding staff assignments, volume, and workflow - Perform coder quality reviews - Act as a subject matter expert and resource for staff, troubleshooting difficult problems and finding solutions - Act as a liaison between physicians and support staff to resolve issues involving coding, billing, and documentation requirements and procedures - Provide input on employee evaluations - Reporting - Charge lag weekly report out, Bi-weekly report out to clinics, quality reporting, production reporting, running special reporting as requested by clinic or revenue cycle leaders - Monitor Customer Service WQ for coding concerns - Fill in for coding when areas are short Qualifications - Associates in related field upon hire Requirements - 5 – 7 years coding experience in a health care organization - Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology

Evaluate and coordinate patient care in the Emergency Department and Clinical Decision Unit, manage patient complaints, and collaborate with the Emergency Medicine team to improve community health outcomes.

• Assign appropriate codes to reflect all diagnoses and procedures extrapolated from physician documentation • Abstract required data to input into the Medical Center's computerized database • Converts patient visits into appropriate DRG assignments • Review patient medical records and abstract medical data • Code diagnoses, procedures, and appropriate modifiers • Assign grouper codes to each record • Enters coded/abstracted information in grouper • Maintain accuracy rate of 95% or better • Maintain productivity standards • Assist in training new personnel in department coding procedures