Title: Medical Coding and Billing Assistant 1 Location: Off Campus within Connecticut Remote Part-time Job Description: Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Overview Under the direction of Yale Medicine Administration (YMA) Coding and Billing, the Coding and Billing Assistant 1 is responsible for reviewing all aspects of charge submission for patient clinical services based on coding, documentation review, quality assurance, and compliance guidelines. Reviews charge submissions for compliance with established coding guidelines, all YMA policies and protocols, third party reimbursement policies, Federal payer regulations, and HIPAA guidelines. Performs effective workflow processes to file complete, accurate and timely billing of professional charges, while maintaining productivity to meet lag day expectations. May review and analyze documented medical services to verify accurate documentation and coding of services performed. Required Skills and Abilities 1. General/intermediate knowledge of ICD-10, CPT, HCPCs and modifier coding, medical terminology, human anatomy, and digital coding resources and software. Ability to analyze and interpret evaluation and management documentation guidelines as well as procedures and applicable coding guidelines. 2. Demonstrated ability with an electronic health record and practice application systems, electronic data entry, and web-based applications and websites. Intermediate proficiency with MS Word, Excel, Outlook (emails and calendars). 3. Demonstrated knowledge of Federal payer regulations, third party payers, HIPAA rules, reimbursement policies and procedures. Proven ability to interpret and apply guidelines. 4. Demonstrated strong interpersonal, verbal and written communication skills. Ability to effectively communicate with team members to resolve questions regarding collaboration and assignments. Communicate effectively with providers, following escalation processes with analytics team and manager. 5. Demonstrated ability to work independently; organize and prioritize own work with minimal supervision; ability to work in a fast-paced environment meeting timely deadlines while maintaining productivity and quality standards. Ability to work effectively as a team member with common goals. Preferred Education, Experience and Skills Previous Epic experience; experience within an academic medical environment or large multi-specialty practice; CPC certification preferred. Principal Responsibilities 1. Performs work queue resolution of medical billing charge sessions by reviewing clinical documentation to confirm diagnostic (ICD-10) and procedural (CPT/HCPCS) codes and modifiers, based on charge review edits for Yale Medicine patient clinical services filed to charge review work queues. May perform manual charge entry for non-Epic services. With an ability to navigate within the Professional Billing applications, ensures that all charge review edits are appropriately resolved in charge review work queues utilizing claim judgement and critical thinking skills. Draws valid conclusions to support decisions. 2. May verify all information required to submit a clean claim including provider, place of service, date of service, bill area, all codes and special billing procedures that may be defined by a payer, contract or YMA. Ensures compliance with Teaching Physician guidelines within an academic medical practice. 3. Pends charge sessions to seek corrective action for services not meeting documentation requirements in accordance with YMA policies and procedures. May identify that a provider should be contacted to clarify or amend a medical record, following communication and escalation procedures. May modify clinician’s selection. 4. Adheres to YMA policies and procedures and Yale Medicine’s Mission, Values and Guiding Principles. Actively participates in team and department training and education programs and staff meetings. Establishes and cultivates productive relationships among staff to support a positive team environment and professional interactions. Maintains professional and technical knowledge by participating in educational workshops and reviewing professional publications. 5. May perform other duties as assigned. Required Education and Experience Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate’s degree, or an equivalent combination of experience and education. Required License(s) or Certification(s) Certified Professional Coder Apprentice (CPC-A) through AAPC organization. Must maintain certification through annual education requirements and achieve CPC status within 2 years. Preferred Licenses or Certifications Certified Professional Coder (CPC) Physical Requirements Ability to push, pull, and lift in excess of 20 pounds as well as travel around the medical school campus. Job Category Administrative Support Bargaining Unit L34 Compensation Grade Labor Grade D Compensation Grade Profile Hourly Range $31.83 Time Type Part time Duration Type Temporary / Casual (Fixed Term) Work Model Remote Background Check Requirements All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks basedon the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer The hiring rate of a role is determined in accordance with the provisions outlined in the respective collective bargaining agreement. The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties throughtheir hiring department. The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note Yale University is a tobacco-free campus.

• Review and analyze clinical documentation to assign accurate diagnosis, procedure, and service codes for facility and professional billing • Code inpatient, outpatient, emergency department, observation, clinic, and ambulatory surgery encounters • Assign ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, and applicable modifiers in accordance with official coding guidelines • Ensure coding accuracy, completeness, and compliance with CMS, Medicare, Medicaid, commercial payer, and regulatory requirements • Query providers when documentation lacks specificity necessary for accurate code assignment • Participate in coding quality reviews, audits, and education initiatives • Maintain productivity and quality standards established by the organization • Research coding regulations, payer policies, and reimbursement guidelines • Assist in denial management, appeals, charge capture reviews, and revenue cycle optimization efforts • Support onboarding and mentoring of junior coding staff when assigned • Assist in other duties as assigned.

Remote Medical Biller Location: Houston United States Job Description: Location Houston, TX 77002 Job ID 14963 Employment Type Direct Hire Scion Staffing has been engaged to conduct a search for Remote Medical Biller for a growing healthcare services organization. This is a fully remote direct hire opportunity for candidates located in the Eastern or Central time zones. POSITION OVERVIEW: Scion Staffing is seeking detail-oriented Medical Billers to join a growing healthcare organization that specializes in orthopedic medical billing. This fully remote opportunity offers the chance to become part of a collaborative team focused on delivering accurate, timely revenue cycle services while supporting continued organizational growth. If you thrive in a fast-paced environment, enjoy problem-solving, and are passionate about healthcare administration, we'd love to hear from you. PERKS: - Fully remote opportunity for candidates located in Eastern or Central time zones. - Competitive hourly compensation of $20/hour, with up to $22/hour available for candidates with surgery billing experience. - Join a growing organization with long-term career stability and advancement opportunities. - Monday through Friday schedule with no travel required. - Comprehensive benefits package and paid time off available. RESPONSIBILITIES: - Process and submit medical claims accurately and efficiently while ensuring timely reimbursement. - Review insurance claims, payment postings, denials, and account balances to resolve billing discrepancies. - Follow up with insurance carriers regarding outstanding claims and appeals. - Maintain accurate patient billing records while adhering to HIPAA and payer guidelines. - Collaborate with internal team members to resolve billing issues and improve revenue cycle performance. - Support additional medical billing and revenue cycle functions as assigned. QUALIFICATIONS: - Experience in medical billing within a healthcare environment. - Knowledge of insurance claims processing, payment posting, and denial management. - Orthopedic and/or surgery billing experience is highly preferred. - Strong attention to detail with excellent organizational and communication skills. - Ability to work independently in a fully remote environment while managing priorities effectively. COMPENSATION AND BENEFITS: - $20.00/hour - Up to $22.00/hour for candidates with surgery billing experience - Fully remote work environment - Comprehensive benefits package - Paid time off and company-supported growth opportunities

• Determines Correct Codes For Diagnoses And Procedures For Office And Surgical Records • Assigns Cpt And ICD-10 Codes For Billing Reimbursement