Medical Coding Specialist
Albuquerque, NM · Remote
$20.45 - $24.70/hr
... outpatient claims in the billing system. * Responsible to maintain established productivity ... CPC-A, CPC, CCA or CCS #LI-MD1 #LI-REMOTE
New
Albuquerque, NM · Remote
$20.45 - $24.70/hr
... outpatient claims in the billing system. * Responsible to maintain established productivity ... CPC-A, CPC, CCA or CCS #LI-MD1 #LI-REMOTE
New
Albuquerque, NM · Remote
$20.45 - $24.70/hr
... outpatient claims in the billing system. * Responsible to maintain established productivity ... CPC-A, CPC, CCA or CCS #LI-MD1 #LI-REMOTE
New
Los Lunas, NM · Remote
$20.45 - $24.70/hr
... outpatient claims in the billing system. * Responsible to maintain established productivity ... CPC-A, CPC, CCA or CCS #LI-MD1 #LI-REMOTE
Los Lunas, NM · Remote
$20.45 - $24.70/hr
... outpatient claims in the billing system. * Responsible to maintain established productivity ... CPC-A, CPC, CCA or CCS #LI-MD1 #LI-REMOTE
Albuquerque, NM · Remote
$20.45 - $24.70/hr
... outpatient claims in the billing system. * Responsible to maintain established productivity ... CPC-A, CPC, CCA or CCS #LI-MD1 #LI-REMOTE
Quick apply
Albuquerque, NM · Remote
$20.45 - $24.70/hr
... outpatient claims in the billing system. * Responsible to maintain established productivity ... CPC-A, CPC, CCA or CCS #LI-MD1 #LI-REMOTE
Albuquerque, NM · Remote
This is a remote & field-based role that covers the following, but not limited to: El Paso, TX, ... claims processing, reimbursement, and integration of manufacturer support programs into a range of ...
Albuquerque, NM · Remote
This is a remote & field-based role that covers the following, but not limited to: El Paso, TX, ... claims processing, reimbursement, and integration of manufacturer support programs into a range of ...
Remote ( #LI-Remote ) This is a virtual position handling cases venued throughout the El Paso, TX ... Consults with Claims Executive team and renders legal strategy recommendations regarding the legal ...
Remote ( #LI-Remote ) This is a virtual position handling cases venued throughout the El Paso, TX ... Consults with Claims Executive team and renders legal strategy recommendations regarding the legal ...
Remote/After-Hours Coverage: Benefit from remote/digital frozensection diagnostic capabilities ... Claims Act * Annual Leave: Accrual of 21 days per year (252 hours maximum accrual) plus 15 days ...
Remote/After-Hours Coverage: Benefit from remote/digital frozensection diagnostic capabilities ... Claims Act * Annual Leave: Accrual of 21 days per year (252 hours maximum accrual) plus 15 days ...
Remote/After-Hours Coverage: Benefit from remote/digital frozensection diagnostic capabilities ... Claims Act * Annual Leave: Accrual of 21 days per year (252 hours maximum accrual) plus 15 days ...
Remote/After-Hours Coverage: Benefit from remote/digital frozensection diagnostic capabilities ... Claims Act * Annual Leave: Accrual of 21 days per year (252 hours maximum accrual) plus 15 days ...
Albuquerque, NM · Remote
$61K - $136K/yr
Knowledge of provider and facility contracting, products, and claims/processing systems ... This is Telecommute (Remote) role. #LI- LO1 #LI-Remote Are you being referred to one of our roles?
Albuquerque, NM · Remote
$61K - $136K/yr
Knowledge of provider and facility contracting, products, and claims/processing systems ... This is Telecommute (Remote) role. #LI- LO1 #LI-Remote Are you being referred to one of our roles?
Working closely with operational leaders across Claims, Prior Authorization, Utilization Management ... Work Arrangement: • Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH ...
Working closely with operational leaders across Claims, Prior Authorization, Utilization Management ... Work Arrangement: • Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH ...
Albuquerque, NM · Remote
$19/hr
These positions are 100% fully remote**** The first 4 weeks consist of training from 10:00 am to 6 ... Examine, review, process, calculate and (a) pay claims based on information, plan design, insurance ...
Albuquerque, NM · Remote
$19/hr
These positions are 100% fully remote**** The first 4 weeks consist of training from 10:00 am to 6 ... Examine, review, process, calculate and (a) pay claims based on information, plan design, insurance ...
Albuquerque, NM · Remote
$16.25 - $21/hr
This remote Contact Center Representative (CSR) position will be in support of a government agency ... claims-specific information. * Performing outbound calls to verify the authenticity of received ...
Albuquerque, NM · Remote
$16.25 - $21/hr
This remote Contact Center Representative (CSR) position will be in support of a government agency ... claims-specific information. * Performing outbound calls to verify the authenticity of received ...
Albuquerque, NM · On-site +1
$34.19 - $40.20/hr
Work on the settlement of complex damage claims with land owners (or their designees) relative to ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...
Albuquerque, NM · On-site +1
$34.19 - $40.20/hr
Work on the settlement of complex damage claims with land owners (or their designees) relative to ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...
... remote basis at the sole discretion of the hiring manager. This role will be responsible for ... OR * High School Diploma or Equivalent and 14 or more years of experience in the Claims or ...
... remote basis at the sole discretion of the hiring manager. This role will be responsible for ... OR * High School Diploma or Equivalent and 14 or more years of experience in the Claims or ...
Albuquerque, NM · On-site +1
$34.19 - $40.20/hr
Work on the settlement of complex damage claims with land owners (or their designees) relative to ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...
Albuquerque, NM · On-site +1
$34.19 - $40.20/hr
Work on the settlement of complex damage claims with land owners (or their designees) relative to ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...
Albuquerque, NM · On-site +1
$85/hr
Direct deposit every two weeks with no need to worry about unpaid claims * Rula pays you even when the patient no-shows, cancels late, or the claim is denied The amount of time you allocate to Rula ...
Albuquerque, NM · On-site +1
$85/hr
Direct deposit every two weeks with no need to worry about unpaid claims * Rula pays you even when the patient no-shows, cancels late, or the claim is denied The amount of time you allocate to Rula ...
This MSL-type role is a remote position that serves the territory of CO, NM, UT, AZ, & KS. This ... Scientific exchange does not include promotional claims about any drug, vaccine, or biologic ...
This MSL-type role is a remote position that serves the territory of CO, NM, UT, AZ, & KS. This ... Scientific exchange does not include promotional claims about any drug, vaccine, or biologic ...
This MSL-type role is a remote position that serves the territory of CO, NM, UT, AZ, & KS. This ... claims about any drug, vaccine, or biologic product. RMSDs have no sales objectives or ...
This MSL-type role is a remote position that serves the territory of CO, NM, UT, AZ, & KS. This ... claims about any drug, vaccine, or biologic product. RMSDs have no sales objectives or ...
Albuquerque, NM · Remote
$36K - $44K/yr
This is a Remote Position. The selected candidate must have a permanent address and live in New ... claims/bills/invoices. Duties and Responsibilities for an Accounts Receivable Tech 2 : * Processes ...
Quick apply
Albuquerque, NM · Remote
$36K - $44K/yr
This is a Remote Position. The selected candidate must have a permanent address and live in New ... claims/bills/invoices. Duties and Responsibilities for an Accounts Receivable Tech 2 : * Processes ...
Albuquerque, NM · Remote
$36K - $44K/yr
This is a Remote Position. The selected candidate must have a permanent address and live in New ... claims/bills/invoices. Duties and Responsibilities for an Accounts Receivable Tech 2 : * Processes ...
Albuquerque, NM · Remote
$36K - $44K/yr
This is a Remote Position. The selected candidate must have a permanent address and live in New ... claims/bills/invoices. Duties and Responsibilities for an Accounts Receivable Tech 2 : * Processes ...
Albuquerque, NM · On-site +1
$52K/yr
This is not a remote role; you will be required to work in the territory listed on the job posting ... Let GEICO teach you how to write estimates and adjust claims so you can directly assist our ...
Albuquerque, NM · On-site +1
$52K/yr
This is not a remote role; you will be required to work in the territory listed on the job posting ... Let GEICO teach you how to write estimates and adjust claims so you can directly assist our ...
$28.7K - $33.8K
1% of jobs
$33.8K - $38.9K
3% of jobs
$38.9K - $44K
5% of jobs
$48.5K is the 25th percentile. Wages below this are outliers.
$44K - $49K
17% of jobs
$49K - $54.1K
11% of jobs
The median wage is $58.6K / yr.
$54.1K - $59.2K
14% of jobs
$59.2K - $64.3K
13% of jobs
$69.3K is the 75th percentile. Wages above this are outliers.
$64.3K - $69.4K
11% of jobs
$69.4K - $74.5K
10% of jobs
$74.5K - $79.6K
9% of jobs
$79.6K - $84.7K
6% of jobs
$28.7K
$60.8K
$84.7K
| Aspect | Remote Claims | Remote Claims Adjuster |
|---|---|---|
| Required Credentials | Varies by role, often includes insurance knowledge | Licenses often required, such as state-specific adjuster licenses |
| Work Environment | Remote, office, or hybrid | Primarily remote, with some fieldwork possible |
| Industry Usage | Insurance companies, third-party administrators | Insurance companies, claims management firms |
| Common Search Intent | General claims roles, customer service, claims processing | Claims evaluation, damage assessment, settlement |
Remote Claims roles encompass a broad range of insurance-related positions, including claims processing and customer service, often without requiring specific licenses. Remote Claims Adjusters focus on evaluating claims, assessing damages, and may need state licenses. Both roles are remote-friendly and serve the insurance industry, but adjusters typically have more specialized credentials and responsibilities.

$20.45 - $24.70/hr
Full-time
This job post has expired today. Applications are no longer accepted.
6.5
Based on 239 frontline employees who took The Breakroom Quiz
140th of 148 rated financial services
CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position will pay between $20.45 - $24.70/hr based on experience
We are seeking candidates with experience in multiple pro-fee specialties: Hem/Onc, Interventional Radiology, CVTS, Ortho, Podiatry, Wound Care, Rad/ONC, General Surgery, Allergy and ENT, OBGYN, Radiology and Urology
The Medical Coding Specialist position reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. Follows Policies and Procedures and maintains required quality and productivity standards.
Job Responsibilities:
Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types. The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX.
Correctly abstract required data per facility specifications.
Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines.
Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis as a team, ensure timely, compliant processing of outpatient claims in the billing system.
Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards.
Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through.
Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy
Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth.
Experience We Love:
1 year of previous of coding experience
PC and Computer application knowledge and experience. Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint).
Excellent organization skills, communication, time management, trouble shooting and problem solving.
Ability to multi-task and prioritize needs to meet short- and long-term timelines.
Experience with EPIC and previous use of coding software tools.
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
Minimum Education:
High School Diploma or GED
Required Certifications:
AAPC or AHIMA Coding Certification: CPC-A, CPC, CCA or CCS
#LI-MD1
#LI-REMOTE
Get the full story on Breakroom
Sourced by ZipRecruiter
Health care and social assistance
5,001 - 10,000 Employees
Cincinnati, OH, US
2014