Medical Billing and Coding Remote Jobs in New York (US)

Medical Biller

GoLean Health

GoLean To Grow Fast | We Place Reliable & Cost-Effective Virtual Medical Assistants In Your Healthcare Practice

Medical Billing and Coding12 hours ago

Full Time Remote Mid LevelTeam 1-10H1B No Sponsor

View details: Medical Biller

Role Description The Virtual Benefits Coordinator is responsible for obtaining and documenting insurance eligibility and benefits for patients receiving infusion therapy. This position plays a critical role in ensuring accurate insurance verification, identifying coverage requirements, and supporting timely patient care by maintaining complete and up-to-date benefit information within the practice's systems. The Virtual Benefits Coordinator works primarily within the WeInfuse platform, prioritizing the verification queue, and collaborates closely with the infusion, billing, and clinical teams to ensure seamless communication regarding patient insurance coverage and authorization requirements. This position is co-managed by the Billing Manager and the Infusion Manager. Essential Duties and Responsibilities - Insurance Verification - Verify patient insurance eligibility and benefits for infusion services. - Contact commercial insurance companies, Medicare, Medicaid, and other payers to obtain accurate benefit information. - Utilize insurance carrier portals and payer websites to verify eligibility and benefits whenever available. - Determine coverage for both: - Infusion drug (J-code or applicable HCPCS code) - Drug administration (CPT administration code) - Identify and document payer requirements including: - Prior Authorization - Medical Necessity requirements - Pre-determination - Referral requirements - Coverage limitations - Deductibles, coinsurance, copays, and out-of-pocket responsibilities - Documentation - Maintain accurate and detailed documentation within the WeInfuse platform. - Complete all required verification fields manually and update each patient's verification status. - Prioritize and manage the WeInfuse Verification Queue to ensure timely completion of insurance verifications. - Document detailed notes regarding insurance conversations, reference numbers, representative names, and benefit information. - Enter and maintain insurance information within eClinicalWorks (eCW). - Update patient insurance information in eCW when new or changed coverage is identified. - Patient Communication - Contact patients when clarification regarding insurance coverage is needed. - Obtain updated insurance information from patients as necessary. - Communicate patient financial responsibility when directed by practice policies. - Maintain professional and courteous communication with patients at all times. - Team Collaboration - Communicate benefit verification findings promptly with: - Infusion Nurses - Billing Department - Billing Manager - Infusion Manager - Other Benefits Coordinators - Additional infusion staff as needed - Escalate insurance concerns or coverage issues to appropriate leadership. - Collaborate with the billing and infusion teams to resolve insurance-related issues that may impact scheduling or treatment. - System Management - Maintain proficiency in: - WeInfuse - eClinicalWorks (eCW) - Insurance carrier portals - Medicare and commercial payer websites - Ensure all documentation is accurate, complete, and entered in a timely manner. - Follow HIPAA guidelines and maintain patient confidentiality at all times. Qualifications - High school diploma or equivalent. - Minimum of one year of medical insurance verification, benefits coordination, or medical billing experience. - Experience verifying medical insurance benefits. - Strong understanding of medical terminology. - Experience working with electronic medical records (EMR). - Excellent written and verbal communication skills. - Strong organizational and time management skills. - Ability to prioritize multiple tasks in a fast-paced environment. - Attention to detail and high level of accuracy. Preferred Qualifications - Experience with infusion therapy benefit verification. - Experience using WeInfuse. - Experience using eClinicalWorks (eCW). - Knowledge of HCPCS (J-codes) and CPT administration codes. - Experience with prior authorizations and payer medical policies. Core Competencies - Insurance verification expertise - Critical thinking and problem-solving - Excellent documentation skills - Effective communication - Team collaboration - Time management - Attention to detail - Customer service - Confidentiality and professionalism Reporting Structure - Co-Managed By: - Billing Manager - Infusion Manager Work Environment - Remote/Virtual position. - Extensive computer and telephone use throughout the workday. - Regular interaction with insurance companies, patients, providers, and internal staff. - Must maintain a secure and HIPAA-compliant remote work environment. Performance Expectations - Timely completion of insurance verifications. - Accuracy of benefit documentation. - Effective prioritization of the WeInfuse verification queue. - Accurate maintenance of insurance information within eCW. - Clear and timely communication with infusion and billing teams. - Reduction in treatment delays related to insurance verification. - Compliance with practice policies, payer requirements, and HIPAA regulations.

Worldwide

Coding Specialist III, Professional Billing

UMass Memorial Health

The Relentless Pursuit of Healing

Medical Billing and Coding13 hours ago

Full Time Remote Mid LevelTeam 10,001+Since 1884H1B No Sponsor

View details: Coding Specialist III, Professional Billing

Role Description Responsible for interpreting medical record data in order to process physician and/or facility charges. Assigns appropriate ICD-CM (current edition), CPT codes and modifiers as appropriate. Coordinates and performs work of assigned Coding Specialists and monitors progress and work quality. Trains employees, provides employee performance data, and fosters process improvements. - Distributes and monitors the flow of work for coding staff. - Provides training and technical assistance to employees within the assigned work area. - Assists supervisor in ensuring that assigned employees are provided with appropriate resources, materials, and methods. - Provides recommendations to manager or supervisor for the most efficient utilization of assigned personnel. - Relays work instruction from the supervisor. - Reviews coded records for coding quality assurance. - Provides instruction and feedback to coding staff regarding proper coding assignment as necessary. - Acts as a point person/department resource for special projects/programs and responds to coding related questions and issues. - Assists in MD, Resident and Nursing documentation reviews, audits, and educational sessions as applicable. - Performs analysis on medical record documentation to include review of tests/reports, and determines appropriate codes, as defined by coding guidelines and other recognized reference materials. - Abstracts and enters all codes and required demographic information into the UMMHC computer system and/or onto encounter forms. - Assists in resolving incomplete and missing chart documentation in order to expedite chart abstraction and billing. - Participates in improvement efforts and documentation training for medical and clinical staff as it relates to coding practices and guidelines. - Participates in quality assurance and performance measurement reviews and reporting. - Communicates to supervisor when backlog situations arise or necessary documents are either incorrect or are not being received in a timely manner. - Informs management of any coding irregularities or trends contrary to policy or procedure, and communicates with clinical staff if necessary and appropriate. - Maintains direct and ongoing communications with other coding and billing personnel to maximize overall effectiveness and efficiency of the operation. Qualifications - High School education, plus medical coding certification and training in medical terminology from an accredited program. Recognized programs include: AHIMA, NHA, and AAPC. Requirements - Five years of medical abstraction and coding experience or related work experience. - Knowledge of ICD-CM (current edition) and CPT HCPCS coding systems, 3rd party payer requirements and federal/state guidelines and regulations pertaining to coding and billing practices. - The ability to lead, organize, and support the work of less senior Coding Specialists is a primary function of this position. - Requires good interpersonal and communications skills and maintains a professional manner when working with team members, management and other staff members. - Requires intermediate level computer skills with the ability to use standard office software applications, such as Microsoft Office Excel and Word. - Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Benefits - This position may have a signing bonus available; a member of the Recruitment Team will confirm eligibility during the interview process.

United States

$26 - $38 / hour

Hospital Coding Specialist

Infinx

AI-Powered Patient Access & Revenue Cycle Solutions

Full Time Remote SeniorTeam 1,001-5,000H1B Sponsor

View details: Hospital Coding Specialist

• 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.

Oracle

United States

Medical Biller

Scion Staffing

Founded in 2006, Scion Staffing is an award-winning national staffing and recruiting firm and a member of the American Staffing Association (ASA). Scion insists

View details: Medical Biller

Full Time Remote Senior

Company Site

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

Michigan + 37 more

$20 - $22 / hour

Lead Medical Record Technician (Coder-Outpatient and Inpatient)

Marion VA Medical Center

View details: Lead Medical Record Technician (Coder-Outpatient and Inpatient)

Other Remote Lead

Role Description This position is located in the Health Information Management (HIM) in Health Administration Service (HAS) at the Marion, IL VA Medical Center. The Lead Medical Records Technician (Coder) Outpatient and Inpatient is skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based setting, such as physician offices, group practices, multi-specialty clinics, and specialty centers. The Lead MRT (Coder) monitors the status and progress of work and day-to-day adjustments in accordance with established priorities. The duties include but are not limited to: - Instructs employees in specific tasks and job techniques and makes available written instructions, reference materials, and supplies. - Gives on-the-job training to new coders and students to provide the individual with basic knowledge, skill, and ability to perform a full range of routine and non-routine responsibilities. - Trains and works closely with professional and administrative staff to assist in the development, maintenance, and use of ICD and CPT codes to ensure accurate data capture. - Conforms to standards and participates in the technical evaluation and validation of health records for compliance with The Joint Commission requirements, Center for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines. - Distributes and balances the workload among employees in accordance with established workflows or job specialization, assuring timely accomplishment of the assigned workload. - Reviews compliance monitors with supervisors and identifies training needs. - Reviews audits, trains, monitors, and completes special assignments within specified time frames. - Analyzes and recommends improvements in documentation systems used to provide patient care to optimize VERA workload, third-party reimbursement, and to manage resources. - Identifies training needs of individuals based on productivity and accuracy reports, rejects filing from billing, and spot checks. - Makes recommendations to supervisor concerning disciplinary actions due to insufficient performance and identifies continuing education needs. - Required to train others on the encoder products suite. Utilizes this system on an ongoing basis to perform core coding duties and audits. - Takes the initiative in one-on-one provider training to improve health record documentation for the episodes of care provided. - Has constant interaction with health care providers, evaluating, and communicating with the expectation of improving health record documentation, which will result in improved patient care and improved revenue generation. - Educates providers through feedback, email queries, or informal meetings. - Participates in the orientation of House Staff from affiliated medical schools and other personnel needed. - Other duties as assigned. Qualifications - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. - Experience/Education Combination: Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. Requirements - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either Apprentice/Associate Level Certification, Mastery Level Certification, or Clinical Documentation Improvement Certification through AHIMA or AAPC. - English Language Proficiency: Must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). - Mastery level certification is required for all positions above the journey level. Benefits - Work Schedule: Monday - Friday 8:00am - 4:30pm CST - Telework: Not Eligible - Virtual: This position is remote work eligible and is currently exempted from return to office requirements. - Relocation/Recruitment Incentives: Not Authorized - Permanent Change of Station (PCS): Not Authorized Physical Requirements Physical aspects associated with work required of this assignment are typical for the occupation and would generally not require a pre-placement examination.

United States

$61.7K / year

Center for Health Care Strategies

Senior Billing Liaison, Coder

Better care where it's needed most

Full Time Remote SeniorTeam 51-200Since 1998H1B No Sponsor

View details: Senior Billing Liaison, Coder

• Ensure 100% charge capture by reviewing physician dictated notes and operative reports and properly code all services performed utilizing appropriate CPT, ICD-10-CM codes and modifiers. • Daily review of EPIC Charge Review Work queues is essential. • Monitor and report on accounts receivable issues related to payer compliance and/or billing processes. • Act as a resource to providers, office staff, administration and the Central Business Office. • Participation in coding training and education is also required. • Maintain yearly certification as a Certified Professional Coder is required with the American Academy of Professional Coders.

Alabama + 15 more

Medical Billing Manager

Revive Bhs Llc

Revive Bhs LLC has been a trusted provider in the healthcare sector for over a decade, dedicated to delivering quality services to our community. Our commitment to excellence has earned us loyal customers and a supportive work environment where employees thrive and grow. This is a remote position.

View details: Medical Billing Manager

Full Time Remote LeadTeam 2-10

Role Description Revive Bhs LLC is seeking a dynamic Billing Manager to join our team in Glen Burnie, MD. This role is pivotal in ensuring accurate billing processes and enhancing our financial operations, contributing to our mission of providing exceptional service in the healthcare industry. - Oversee and manage a billing department, ensuring timely and accurate invoicing. - Develop and implement billing policies and procedures to improve efficiency. - Collaborate with healthcare providers to resolve billing discrepancies. - Analyze billing data and prepare reports for management review. - Train and mentor billing staff on best practices and compliance standards. - Perform and review authorizations timely and effectively. - Monitor accounts receivable and follow up on outstanding payments. - Ensure compliance with healthcare regulations and billing guidelines. - Utilize billing software to streamline processes and enhance accuracy. Qualifications - Bachelor’s degree in Finance, Accounting, or related field preferred. - Minimum of 3 years of experience in billing or revenue cycle management. - Strong knowledge of healthcare billing regulations and procedures. - Proficiency in billing software and Microsoft Office Suite. - Excellent analytical and problem-solving skills. - Strong communication and interpersonal abilities. - Detail-oriented with a focus on accuracy and compliance. - Ability to work independently and manage multiple priorities. - SUD Experience Preferred. Benefits - 401(k) matching - Dental insurance - Health insurance - Paid time off - Training & development Company Description Revive Bhs LLC has been a trusted provider in the healthcare sector for over a decade, dedicated to delivering quality services to our community. Our commitment to excellence has earned us loyal customers and a supportive work environment where employees thrive and grow. This is a remote position.

United States

$70K - $90K / year

Medical Receptionist

Remote Raven

Grow Your Business Seamlessly & Cost Effectively.

Full Time Remote Mid LevelTeam 11-50H1B No Sponsor

View details: Medical Receptionist

Role Description We are a natural medicine clinic looking for a warm, organized, and professional Medical Receptionist to be the first point of contact for our patients. This is a remote, patient-facing role that handles the day-to-day flow of inbound and outbound communications — calls, texts, and emails — as well as data entry and a range of general administrative tasks that keep the clinic running smoothly. The right candidate brings a calm, caring energy to patient interactions while staying organized and responsive in a multi-channel communication environment. - Phone Communication — Primary Function - Answer inbound patient calls professionally and warmly, handling appointment requests, general inquiries, and patient questions. - Make outbound calls for appointment reminders, follow-ups, scheduling confirmations, and recall outreach. - Manage a steady daily call volume of approximately 20 calls with consistent quality and attentiveness on every interaction. - Triage calls appropriately — routing clinical questions to the provider while handling scheduling and administrative matters directly. - Document call outcomes and any required follow-up actions accurately after each interaction. - Text & SMS Communication - Monitor and respond to patient text messages in a timely and professional manner. - Send appointment reminders, confirmations, and follow-up messages via text as needed. - Maintain a warm, clear, and on-brand tone across all text communications. - Ensure all text-based interactions are documented appropriately in the patient record or communication log. - Email Management - Monitor the clinic inbox and respond to patient emails promptly and professionally. - Draft and send appointment confirmations, intake form instructions, and general clinic communications. - Triage emails by urgency and route clinical or complex inquiries to the appropriate team member. - Maintain an organized inbox with timely responses to all patient and administrative emails. - Scheduling & Appointment Management - Schedule, reschedule, and cancel patient appointments across the clinic calendar. - Confirm upcoming appointments and ensure patients have all necessary preparation information in advance. - Manage waitlists and fill cancellation slots proactively to keep the provider schedule optimized. - Coordinate scheduling across multiple communication channels so nothing is double-booked or missed. - Data Entry & Records - Perform accurate data entry of patient information, appointment details, and communication records into the practice management system. - Maintain organized and up-to-date patient records in compliance with applicable privacy regulations (HIPAA). - Process new patient intake information and ensure all required fields and documents are collected before the first appointment. - Update patient contact details, insurance information, and other record changes as they occur. - Ad Hoc Administrative Support - Support the clinic with general administrative tasks as they arise — this role requires flexibility and a willingness to pitch in where needed. - Assist with document preparation, filing, and general office organization as directed. - Handle miscellaneous front office tasks that keep daily clinic operations running without interruption. Qualifications - Prior experience in a medical receptionist, patient services, healthcare administrative, or similar patient-facing role. - Comfortable managing a steady daily call volume of approximately 20 calls with professionalism and consistency. - Warm, clear, and professional communication style across phone, text, and email. - Organized and detail-oriented with strong follow-through on all patient interactions and open tasks. - Comfortable with data entry and maintaining accurate records in a practice management or scheduling system. - Reliable and self-directed in a fully remote work environment. - Discreet and professional with patient information in compliance with HIPAA. Preferred Qualifications - Prior experience in a natural medicine, integrative health, functional medicine, wellness, or holistic care practice. - Genuine interest in natural and holistic health — familiarity with the space helps when speaking with patients about the clinic. - Experience with electronic health record (EHR) or practice management software in a clinical setting. - Background managing multi-channel communications including calls, texts, and emails simultaneously. - Experience with appointment scheduling and calendar management for a medical provider. Work Environment - This is a 100% Remote Work. - Up to $6/hr.

Worldwide

$6 / hour

Full Time Remote Mid Level

Medical Coder

UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Medical Billing and Coding3 days ago

Company Site

Role Description Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. - Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts - Assigns CPT and ICD-10 codes to all services - Monitors assigned work queues to ensure all records are charged/coded in a timely manner - Generates coding queries for clarification regarding physician documentation as needed - Stays abreast of all changes in coding conventions and coding updates - Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision - All other duties as assigned Qualifications - High School Diploma/GED - Professional coder certification with credentialing from AHIMA and/or AAPC (CPC, COC, CPC-P, CCS) to be maintained annually - 2+ years of experience with PCs in a Windows environment, including MS Excel and EMR systems - 2+ years of experience with ICD-10 and CPT coding with a focus in Family Med Requirements - 2+ years of post-certification medical coding experience - 2+ years of Outpatient Physician coding (Pro-Fee) experience - Experience with EMR systems (Epic) Benefits - Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays - Medical Plan options along with participation in a Health Spending Account or a Health Saving account - Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage - 401(k) Savings Plan, Employee Stock Purchase Plan - Education Reimbursement - Employee Discounts - Employee Assistance Program - Employee Referral Bonus Program - Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

View details: Medical Coder

United States

$20 - $36 / hour