Skip to main content
Post your resume and find your next job on Indeed!

Medical Coding Specialist jobs

Sort by: -
    • Familiarity with medical terminology, medical records management, and medical coding including CPT, ICD-9, ICD-10, and ICD coding standards.
    • Familiarity with CPT and ICD coding standards.
    • Proficiency with medical billing platforms such as:
    • Enter and process medical claims accurately using billing…
    • Review and organize incoming medical documents in eClinicalWorks.
    • Experience handling, categorizing, and routing medical documents in a U.S. healthcare setting.
    • Strong understanding of medical billing workflows, claim submission, and coding fundamentals.
    • Resolve coding-related issues including CPT modifiers, diagnosis…
    • Identify and correct medical billing errors impacting claim payment.
    • Collaborate with coding, billing, and quality teams for issue resolution.
    • Collect and distribute coding related information and billing issues.
    • Identifies and reports areas of concern with respect to improper coding and documentation.
    • Maintaining and updating medical records with accurate and timely coding using ICD-10 and CPT coding systems.
    • Reviewing and analyzing medical records to ensure…
    • Familiarity with medical billing, coding, or healthcare revenue cycle management.
    • We are seeking a *highly experienced and detail-oriented Radiology Pre-…
    • Surgical Billing Acumen: Proven experience working inside a surgical or specialty medical practice; comfortable with multi-tier surgical coding rules.
    • O Participate in intensive foundational training covering the basics of Revenue Cycle Management (RCM), key terminology, medical billing, and claims processes.
    • Certifications with coding and leadership?
    • Ability to train and educate clinical staff on coding best practices.
    • Home health technical QA: 1 year (Preferred).
    • Track trends in denials by payer, authorization, coding, documentation, or eligibility issues.
    • We’re looking for candidates based outside of the United States,…
    • Minimum of 1 year experience in home health medical coding.
    • As a Home Health Medical Coder, you will be responsible for accurately coding medical records to…
    • Verify coding accuracy and identify opportunities for documentation improvement.
    • Review patient files, treatment plans, and medical records to determine…
    • Proactively update content based on evolving medical knowledge.
    • Preferably with experience in clinical research, pharmacovigilance, medical affairs, or clinical…

Job Post Details

Prior Authorization Specialist - job post

Hygieia
Work from Home

Location

Work from Home

Full job description

Overview
Join our dynamic healthcare team as a Prior Authorization Specialist, where your expertise will drive efficient patient care and streamline insurance processes. In this vital role, you will serve as the key liaison between healthcare providers, insurance companies, and patients to secure necessary approvals for medical services. Your proactive approach and attention to detail will ensure timely authorization, reducing delays and enhancing patient satisfaction. This position offers an exciting opportunity to make a meaningful impact in a fast-paced, supportive environment dedicated to excellence in healthcare administration.

Responsibilities

  • Review medical documentation and verify insurance coverage to determine eligibility for prior authorization requests.
  • Prepare and submit accurate prior authorization requests using appropriate managed care protocols and coding standards.
  • Collaborate with healthcare providers to gather necessary medical records, clinical notes, and supporting documentation for authorization submissions.
  • Utilize medical terminology, CPT (Current Procedural Terminology) codes, ICD-9/ICD-10 (International Classification of Diseases) codes, and ICD coding guidelines to ensure precise claim processing.
  • Track and follow up on pending authorizations, ensuring timely responses from insurance carriers.
  • Maintain strict compliance with HIPAA regulations to protect patient confidentiality during all stages of the authorization process.
  • Document all communications, approvals, denials, and appeals accurately within medical records systems.

Qualifications

  • Proven experience in managed care or medical office settings with a strong understanding of insurance verification processes.
  • Familiarity with medical terminology, medical records management, and medical coding including CPT, ICD-9, ICD-10, and ICD coding standards.
  • Prior experience working in dental or other specialty medical offices is a plus.
  • Knowledge of HIPAA regulations to ensure confidentiality and privacy of patient information.
  • Strong organizational skills with the ability to manage multiple requests simultaneously while maintaining attention to detail.
  • Excellent communication skills for effective collaboration with healthcare providers and insurance representatives.
  • Office experience involving medical records management or insurance processing is highly desirable. This role is perfect for motivated professionals eager to contribute their expertise in a collaborative environment that values accuracy, efficiency, and compassionate patient care. Join us in making a difference by facilitating seamless access to essential healthcare services!

Work Location: Remote

Let Employers Find YouUpload Your Resume