Hire the best Healthcare Common Procedure Coding System specialists

Check out Healthcare Common Procedure Coding System specialists with the skills you need for your next job.
  • $12 hourly
    Detail-oriented Medical Billing/AR Specialist and QA Analyst with 9+ years of experience managing complete Medical Billing Revenue Cycle Management. I have diversified experience working on different provider specialties, EHR, and PM software for many clients with full satisfaction. Our expertise is listed below. • Patient Scheduling • Prior Eligibility • Prior/Retro Authorization • Charge Creation with Verifying LCD, NCCI, Coding, and Eligibility • Coding and Billing • Charges verification and Submission • Payment/Denial Posting • Patient Payment Posting • AR Follow-up and Denial Fixation • Creating and sending appeals (if required) • Quality Assurance of AR • Patient Statements • Audit and Consultation • Financial & RCM Reports Software and Applications Expertise - CureMD - AdvancedMD - eCW (Eclinicalworks) - Kareo - Practice Mate – Office Ally - Care Cloud - Athena - EPIC - Therapy Notes - Encoder Pro - Trizetto, Avality, Navinet & Emdeon Further, I have worked with Different clients and helped Medical Billing Companies as a Medical Biller, AR specialist, and Billing Supervisor. I have also experience communicating with US doctors and other third-party healthcare staff i.e. insurances, doctors, clearing houses, and other third-party payers. I am also specialized in Medical Billing QA with overall Financial & RCM Reports.
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Accounts Receivable Management
    EMR Data Entry
    Medical Mastermind Medical Billing Services
    Revenue Management
    Electronic Medical Record
    Medical Transcription
    Medical Terminology
    Medical Report
    Medical Procedure Coding
    Medical Records Software
    Medical Records Research
    Microsoft Excel
    Medical Billing & Coding
    ICD Coding
  • $60 hourly
    As an EDI Developer, I am working in a US Based Clearing-House that processes the provider claims, patient eligibility, era retrieval from/to the corresponding insurance. I have expertise in following EDI transactions. - 837 Professional/Institutional/Dental - First level Reports - 999, 277CA (Claim Acknowledgment) - Real-time/Batch Patient Eligibility 270, 271 - Real-time/Batch Claim Status 276, 277 - Payment Posting 835 I have created my own EDI Framework, which is capable of following transactions. - Claim Transaction (837) Generation and Sending it to the Vendor - Retrieval of Reports 999, 277CA and linking reports to the submitted claims. - Showing rejections in claims, received from vendors - Patient Eligibility 270/271 transaction, that will show the eligibility status (Active/InActive), patient benefits, copay, deductible, co-insurance. - Claim Status 276/277, that will show the current status of claim from Payer Adjudication System. - Retrieval of Payment Reports (835/ERA) and will link to the corresponding payer. The system will show the details as Claim Submitted Amount, Allowed Amount, Paid Amount, Patient Responsibility etc. Denial details will also show in case of denial claims. - Many more features to come Please review my EDI Framework in my portfolio (named: The Easy EDI) section.
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Health Level 7
    ASC X12
    Electronic Data Interchange
    Medical Billing & Coding
    Visual Basic
    PHP
    ASP.NET MVC
    C#
    AngularJS
  • $15 hourly
    I am an experienced CPC Certified, and Certified Risk Adjustment Coder (CRC) with excellent knowledge of ICD-10 CM/PCS, HCPCS, MIPS, and CPT. Skilled in all types of Radiology Coding (Interventional and diagnostic) and Anesthesia coding and has a good understanding of E/M, Pathology and Laboratory, Medicines and Surgery coding required skills with the highest accuracy. Strong Research skills with a Master of Philosophy in Bioinformatics. Software's and Applications Expertise -Encoder Pro -Meditech -Kareo -ECW -EPIC -TalkEHR -Medics Premier -Cerner -AthenaOne -Vertex -Power Chart -EMR/EHR Billing software's -Remote Desktop Work -Office Suit -Slack -Asana
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    Medical Records Software
    Medical Condition Coding
    Medical Billing & Coding
    ICD Coding
    Medical Transcription
    Medical Procedure Coding
    Blog Content
    Data Extraction
    Medical Report
    Electronic Medical Record
    Virtual Assistance
    Medical Informatics
  • $16 hourly
    Ex -Education Officer for AAPC Local Chapter Pakistan Qualification: Pharm-D (Doctor of Pharmacy) CERTIFICATIONS ● CPC (Certified Professional Coder) ● CPMA (Certified Professional Medical Auditor) OFFERING SERVICES I can provide complete RCM services including but limited to. ● Appointment Scheduling ● Eligibility & Benefits Verification ● Medical Coding ● Demographic & Charge Entry ● Insurance claims submission ● Claim Rejection ● Payment & Posting ● Secondary Claims Submission ● Account Receivable or Denial Management ● Medical Appeals ● Refunds (Insurance and Patient) ● ICD-10, CPT mapping ● Medical Scribing ● Credentialing ● Emails, and calls handling ● Virtual Assistant ● Front Office Services PROFESSIONAL SUMMARY ● 10+ years of multispecialty experience in the field of medical billing & coding ● Credit of establishing coding department in multiple US based RCM companies ● Diversified experience of dealing in multiple specialties/settings including but limited to Urgent Cares, Emergency Rooms (Freestanding), Ambulatory Surgical Centres, Hospitals (Profee - Micro to Tertiary care) Laboratories (General + Pathology + Genetic Testing), Diagnostic Radiology, Skilled Nursing Facilities, Wound Care Centres and other solo practices. ● Highly energetic and goal-oriented professional with promising managerial, teaching and training skills. ● Self- motivated and skilled individual equipped with knowledge and experience of team developing, strong decision making, leading and controlling coding tasks of 150+ providers of different specialties. ● Certified Professional Coder and Certified Professional Medical Auditor from AAPC, with profound knowledge of ICD-10 CM, CPT, HCPCS and modifiers and utilizing them efficiently. ● Developed and managed a sole medical coding department at a US based healthcare billing and IT Company, being the very first of its kind and by far the biggest coding facility of the country. ● Experience of efficient management of backlogs and claims denial. SUCCESFUL PROJECTS AND ACHEIVEMENTS ● NCD and LCD based cross walk to validate claim for medical necessity. ● Successfully developed and implemented NCCI based RBS rules and Modifier cross walk for appropriation of claims to be submitted. ● Conducted Coding audit campaign efficiently, based on 2012 OIG work plan. ● Introduced prescription verification for Sure script certification. ● Coordinated with Web EHR, MTBC soft and android development team, in ICD-9 to ICD-10 mapping module resulting in best android app of the time. ● Actively involved in process automation and verification of MTBC EHR (client end) MTBC soft (operations). ● Efficaciously revamped MTBC EHR according to the requirements of Meaningful Use (MU1, MU2 and MU3) Certification. ● Effectively managed incorporation of updates and changes in medical coding annually or when required. CORE COMPETENCIES AS MEDICAL BILLER, CODER & AUDITOR ● Extensive knowledge of medical terminology human anatomy and physiology, diagnostics, and pharmacology across a broad range of medical practice areas. ● Experience of dealing in multiple specialties including anesthesia, radiology, pathology, internal medicine and surgery. ● Certified proficient and experienced in ICD-10 requirements and procedures ● Comprehensive knowledge and utilization of CPT and HCPCS coding ● Working knowledge of compliance regulations HIPAA and PHI requirements. ● Ability to efficiently manage claim denials ● Experienced and efficient in backlogs management. ● Complete understanding of Managed care contract ● Knowledge of MCO, Medicare, Medicaid and commercial insurances. ● Working experience of changing and fast-paced medical care environments. ● Detail-oriented and competent at reviewing records for accuracy, completeness and compliance with regulations. ● Expertise in Electronic Medical Record (EMR) software ● Medical Insurance Claims processing & denials ● EHR- All scripts, Next Gen, Cerner, Practice Fusion
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    EMR Data Entry
    Microsoft Excel
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Accounts Receivable
    ICD Coding
    Medical Condition Coding
    Electronic Medical Record
    Accounts Receivable Management
    Medical Terminology
    Medical Procedure Coding
    Electronic Health Record
    Medical Transcription
  • $10 hourly
    I do love medical billing jobs because it is fully related to my skill set which I had polished with multinational medical billing companies. I worked with a US provider as a medical billing specialist, I also communicated with US medical doctors and other third-party healthcare staff i.e. insurance, doctors, clearinghouses, and other third-party payers. I have solid medical billing experience with well-established companies so I was a part of a top medical billing company’s management mostly involved in making marketing strategies and guiding marketing. 1, MEDICAL BILLING SERVICES 1- Eligibility & Benefits verification. 2- Appointments Scheduling. 3- Credentialing guidelines with payers. 4- Patient Demographics and Charge entry. 5- Insurance claims submission via clearinghouse and Paper submission. 6- Accounts receivable and Denial management. 7- Payment Posting. 8- Patient billing for PR -1,2,3. 9- Claims F/U on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS, Managed care, and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford, etc...) 10- Claim status from insurance Portal and calls. 11- Submitting appeals for denied claims. 12- ICD 10, CPT, and HCPCS Coding review. 2. MEDICAL SPECIALITIES, Ambulatory Surgery, Cardiology, Emergency Medicine, Endocrinology, Family Practice, General Surgery, Internal Medicine, Acupuncture, Radiology, Podiatry, Radiotherapy 3. SOFTWARE WORKED: Simple Practice, AdvancedMD, Collaborate MD, Practice Suit, Kareo, Office Ally, ECW, Dr. Chrono, Athena Health, Raintree, Nextgen, Mod Med. I believe in hard work and honesty. I am always interested in making long-term professional relationships with my clients and will never complete the project until the client is 100% satisfied. Thank you for viewing my profile. Best Regard Muhammad Siddiq Akbar
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Medical Records Software
    Medical Referrals
    Electronic Health Record
    EMR Data Entry
    Insurance Claim Submission
    Virtual Assistance
    ICD Coding
    Medical Condition Coding
    Medical Terminology
    Medical Report
    Accounts Receivable Management
    Electronic Medical Record
    Medical Procedure Coding
    Medical Mastermind Medical Billing Services
    Medical Billing & Coding
  • $70 hourly
    Physician (OB/GYN), expert medical/scientific writer and communicator. I can explain any subject so that a 10-year-old understands (OK, well maybe a very smart 10-year-old). Knowledgeable about many topics, very concise sentence structure. I do medical blogs, endorse products, re-write medical topics, review and write research, and improve understanding. BTW, for every job I am hired, I complete it 100% of the time--Job completion score is affected by this. I have many long-term clients. I am a retired, University-trained physician (OB/GYN) from the United States with 19-years of clinical experience and inventor of medical devices.
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    Proofreading
    Medical Transcription
    Medical Device
    Cover Letter Writing
    Medical Translation
    Resume Writing
    Copy Editing
  • $10 hourly
    Over 09 years of experience in the Medical Insurance Billing and Coding field. Knowledge of multiple EHR/EMR's (Web PT, AdvanceMD, Practice Fusion, Office Ally, Aprima, OpenMP, and Kareo). Experienced in all aspects of the RCM, including collections, and credentialing. Member of the AAPC, and continuously receiving updated emails from insurance companies. I have been handling Internal Medicines, General practice, Family practice, surgery clients, Cardiologist, Neurologist, Physical therapist, Foot care, Gynecologist, Behavioral therapist, Podiatry, Pediatrics, Urgent care, Chiropractor, Infectious disease, Psychiatric, Speech therapy, etc. ✅ Medical billing services: ✅ Patient demographic entry ✅ Eligibility verification with payers ✅ Charge Entry in billing software ✅ Claim submission to payers ✅ Medical claim scrubbing. ✅ Primary, Secondary and tertiary payers claim to process. ✅ Denial Management ✅ Account Receivable follow up ✅ Payment posting and adjustment management ✅ Patient billing for patient’s responsibility ✅ Customized financial reports. ✅ Scheduling calendar ✅ Data Reconciliation ✅ Account Management I look forward to hearing from you soon. Thank you. Regards Waqar Baig
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Virtual Assistance
    Revenue Management
    Accounts Receivable
    Data Entry
    Accounts Payable
    Medical Billing & Coding
    ICD Coding
    Accuracy Verification
    HIPAA
    Computer Skills
    Accounts Receivable Management
    Microsoft Excel
    Customer Support
    Healthcare Management
  • $15 hourly
    Top-performing professional with 10+ years of healthcare experience, including: Medical Billing, practice management, operations, management, project management and different administrative roles. I am here to leverage my expertise to help you improve your business and day to day operations. I specialize in working with small, medium and large medical practices. Not only do I provide day-to-day help and support, I can provide unique insights into various ways to improve the running of your business. I provide a high level of reliability, accountability, and knowledge backed by over 10 years of experience in medical billing and administrative roles. As a medical billing and administrative consultant, I can not only do work for you but help you work better, help you start up a new business and streamline your policies and procedures JOB RESPONSIBILITIES: -Provider Credentialing -Medical Billing and coding - Patient Registration/patient management. - Insurance Verification and benefits. - Claim submission. - Obtaining prior and retro authorizations. - Applying payments to accounts from ERA/EOB/websites and also patient payments. - Aging report/Followup/Appeals. - Denial management. - Handling patient concerns/invoicing. - Bookkeeping/QuickBooks - Daily, Weekly, Monthly or Quarterly Reconciliation - Medical Documentation review and Auditing - Customer services, DATA ENTRY and administrative assistance. PROVIDER SPECIALITIES: Urgent care, Home healthcare, Physical therapy, Occupational therapy, Speech therapy, Cognitive and Behavioral Therapy, Mental health, Acupuncture, Family practice, Internal medicine, Cardiology, Radiology, Podiatry, Dietitians, Inpatient billing for Surgeons/Assistant Surgeons, Gynecology, Oncology etc BILLING SOFTWARES and EMR/EHRs Simple Practice AdvancedMD kareo PM/ERH OfficeAlly PM/EHR Docutap Athena, Therabill ECw EZclaim Candid Theranest CMD, ClinixPM Ethomas Healthie Intergy Therapy Notes, NextGen Iclinic, Webpt, Practice Fusion HelloNote, Salesforce, DaisyBill, ICANotes, Experity, Nexttech cloud RXNT Chirofusion ChiroHD ChiroSpring Kinnser KaneTime INSURANCE CARIERS Medicare/Medicaid, Tricare, HMO/PPOs/IPAs, UHC, BCBS, Cigna, Aetna, Humana, WellCare and Magnacare etc Insurance and authorization Webportals Availity, Navinet, Medicare/Medicaid portals, UHC/Optum. Provider Express, Cigna, Ash,Fidelis, Eblue,RadMD.com, AIM, specialty health,Echo, CLEARING HOUSES Navicure / ZirMed, Officeally, Availity, ClaimMD, Emdeon,Trizetto Provider Solutions, Athenahealth, Change healthcare, Eligible, Inc I strive for perfection in all areas of my work. I work hard to produce steady high-performance work to ensure my clients get my very best outcome. I am here to be that extra set hands when there are just not enough hours in the day for you to do it all. I want your business to succeed above and beyond the average business. I am a quick learner and willing to learn new platforms. When learning something new I try and take in all there is to learn about that program. I will reach out with questions and I will also do self-research to better understand how a program works and ways to be more efficient within that program. Please feel free to read through the feedback my previous clients have left on past work. Professionally Momin Shah
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Medical Billing
    ICD Coding
    EMR Data Entry
    Medical Terminology
    Phone Communication
    Insurance Verification
    Scheduling
    Administrative Support
    Electronic Medical Record
    Medical Mastermind Medical Billing Services
    Medical Billing & Coding
    Email Communication
    Data Entry
    Medical Records Software
  • $18 hourly
    A Certified Medical Coder/Biller/Auditor and HCC-Risk adjustment coder with over 9 years of experience and command over CPT, ICD-10-CM, HCPCS-II codes, and HCC V24 & V28 risk adjustment models. Highly skilled in analyzing and validating patient information, diagnoses, and procedures and coding them with the highest level of specificity and accuracy. Have complete understanding and knowledge of compliance regulations HIPAA/HITECH and PHI requirements Distinguish combination of CPC, CPMA, CRC, and Pharm-D is my strength benchmark in extracting information and assigning/Auditing specific Codes related to E/M, medicine, surgery, radiology, pathology, podiatry, rheumatology, psychiatry, cardiology, anesthesiology, Gynecology, DRG’S, HCC and PQRS. Working knowledge on multiple EHRs and other Software's utilized in the industry including Optum 365,TalkEHR,Kareo,Athena One, Cozeva, EPIC, Advanced MD, UroChart EHR, Medics Premier, eClinical Works,
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    ICD Coding
    Medical Procedure Coding
    Medical Translation
    Medical Records Software
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Electronic Health Record
    Healthcare IT
    Medical Condition Coding
    Medical Records Research
    Data Entry
    Revenue Management
    Administrative Support
  • $10 hourly
    • 10 years of cross-functional operations, revenue cycle, and Medical billing experience in a US-based healthcare billing company. • Sound knowledge of medical billing for medium to large healthcare clients. • I have been handling Internal Medicines, General practice, Family practice, surgery clients, Cardiologist, Neurologist, Physical therapist, Footcare, Gynecologist, Behavioral therapist, Podiatry, Pediatrics, Urgent care, Chiropractor, Infectious disease, Psychiatric, Speech therapy, Dietitians billing, DME Shoe invoicing & orders, etc. • Medical billing services: • Patient demographic entry • Charge Entry in billing software • Eligibility verification with payers • Medical claim scrubbing. • Claim submission to payers • Primary, Secondary and tertiary payers claim to process. • Denial Management • Account Receivable follow up • Payment posting and adjustment management • Patient billing for patient’s responsibility • Customized financial reports. • Scheduling calendar • Data Reconciliation • Account Management • Data Reconciliation • Account Management • Laboratory Order Entry and Dispatches • Lab-results management
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Filing
    ICD Coding
    Medical Billing & Coding
    HIPAA
    Electronic Medical Record
    Insurance Claim Submission
    Staffing Needs
    Laboratory Equipment Skills
    Medical Procedure Coding
    Insurance Verification
    Medical Report
    drchrono
    Data Entry
    Microsoft Excel
    Error Detection
  • $35 hourly
    To work as a Medical Billing Project Manager or in another Healthcare position which, fully utilizes my skills and experience while offering an opportunity for advancement. I have worked 20 years in a US-based company. From a Medical billing specialist, AR, EDI Analyst to Management level had almost performed all the tasks related to Medical billing. As Manager Operations I lead the group of 120 employees and look after all of their administrative and operational tasks. As a Manager Special Projects, Manager CPI and a Strategic Analyst I have worked on Company top priority projects. I have also made company's Business and strategic plans and also worked on highest priority projects and acquisitions assigned by company CEO and GM. I was the part of company's top managements so in that way mostly involved in making marketing strategies and guiding marketing executives in their projects. Financial analysis also been done for different projects. I have also experience to communicate with US doctors and other third party healthcare staff i.e. insurances, doctors, clearing houses and other third party payers. I have also visited US and visited doctors’ offices and hospitals to completely know about their processes. a) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto response unit and via live calls. - To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Super bill review - Appeals (b). Medical Coding - To research the right DX and CPT code according to medical records - Provide right DX pointers for the first time to avoid payment delays - Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version (c). Specialties Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General surgery Geriatrics Gynaecology and obstetrics Internal Medicine Pneumology Orthopaedic Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapist Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Medical Records Research
    Medical Records Software
    Medical Billing & Coding
    Accounts Receivable Management
    ICD Coding
    Insurance Policy Analysis
    Customer Support
    Insurance Document Production
    Insurance Consulting
    Administrative Support
    Microsoft Excel
  • $10 hourly
    Motivated medical billing and coding specialist with over 8 years of experience in health operations management, billing, and coding. Expertise in ICD-10, CPT, and HCPCS coding. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals. EXPERIENCE: MEDICAL BILLING AND REIMBURSEMENT SPECIALIST • Responsible for processing payments, adjustments, and denials according to established guidelines (Payment Poster) • Knowledge of HCFA 1500 and UB4 1450 forms. • Responsible for submitting electronic claims and paper claims to primary, secondary, and third-party insurance companies. • Knowledge of prior authorizations and cash posting. Able to read and interpret EOB's. • Review medical record documentation to identify services provided by physicians and mid-level providers as it pertains to claims that are being filed. • Ensure accurate entry of work into designated billing systems. • Assist with training materials and training staff members. • Communicate with the Clinics to provide or obtain corrected or additional data. • Performs corrections for patient registration information that includes, but is not limited to, patient demographics and insurance information. • Responsible for working on EDI claim rejections in a timely manner. • Prepare and submit billing data and medical claims to insurance companies. • Collect and review referrals and pre-authorizations. • Follow up on missed payments and resolve financial discrepancies. • Investigate and appeal denied claims. • Register patients in the EHR system • Work with insurance companies to handle any "problem" claims that have trouble getting paid. • Send inpatient and outpatient claims to insurance companies for our clients with an emphasis on accuracy in coding. • Many various activities that included data entry, verifying insurances, follow-up, authorizations, and many more. Familiar with Software: I’m good at using different Billing cloud base software: • Advanced MD. • Office Ally. • CareCloud • Crystal PM • WayStar • Simple Practice • Drchrono • Kareo(Tebra) • Medisoft • ECW (E-clinical Works). • Athena Net • Care Tracker • Icanotes • Emdeon EHR/EMR system • EPM (Electronic Practice Management). I have worked on the following Billing specialties: • Mental Health. • Chiropractic. • Cardiology. • Ophthalmology. • Optometry • Internal Medicine. • Family Medicine. • Gastroenterology. • Radiology. • Oncology. • Acupuncture etc. • Physical Therapy. I have also experience communicating with US doctors and other third-party healthcare staff i.e. insurance, doctors, clearinghouses, and other third-party payers. Credentialing With insurance for All Payers. I have good experience for the credential of the provider with insurance for Medicare, Medicaid, And Commercial Payers. KEY SKILLS: • Ability to calculate figures and compute rate, ratio, and percent to draw and interpret bar graphs and the ability to apply basic algebraic concepts. • Ability to work quickly. • Ability to read an explanation of benefits (EOB) and assigned patient liability including secondary/tertiary assignments. • Ability to read accounts receivable. • Knowledgeable in personal computer software and general office procedures. • Knowledge of Accounts Receivable. • Strong knowledge of medical terminology. • Excellent verbal and written communication skills, including the ability to effectively communicate with internal and external customers. • Knowledge and experience with Hospital & Professional Billing. • Medicare Part A billing experience included the Medicare DDE system. • Sound knowledge of EOB and ERA. • Working knowledge of basic computer functions, with an emphasis on typing. • Knowledge of Medicare/Medicaid billing (UB4). • HCFA 1500 • Denial Management. • Hospital Billing • Home Health Billing/Medicare Part A billing. • Office Billing • Strong teamwork skills • Critical thinking and problem-solving abilities. • Effective verbal and written communication skills.
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    General Ledger
    Financial Report
    HIPAA
    EMR Data Entry
    Insurance Verification
    ICD Coding
    Medical Mastermind Medical Billing Services
    Accounts Receivable Management
    Phone Support
    Accounts Receivable
    Medical Procedure Coding
    Medical Billing & Coding
    Virtual Assistance
    Data Entry
  • $10 hourly
    I am a well-rounded, versatile VA with experiences in different fields. My jobs include teaching English, medical billing and coding, content writing, graphic designing, and data mining. I have been teaching for over 5 years and have been certified in TESOL and TEFL. I have assisted thousands of students during my career. I have helped people of different ages and levels sharing the depth of my English knowledge with them online and face-to-face. During my college years, I did some volunteer work in assisting high school and college students succeed in their English learning. My experiences have helped me hone, not only teaching skills but my people skills. It is fulfilling to know and see progress in the people I have assisted, and it adds to my joy knowing that my efforts were not in vain and that I was able to help others grow until now. With my many experiences, I dedicate and commit myself to the work I do to ensure that client expectations are met. I also deliver quality services on time. I am also flexible and adaptable. When work is laid before me, I make sure to follow instructions well and finish it cleanly. If work requires me to do something out of my skillset, I readily learn it enthusiastically and give my best performance for the job, and always do what is expected of me. I also finish tasks on: - Microsoft Office - Google Workspace - Photo Editing (Canva, Photoshop) - Web Design (WordPress, HTML, CSS) - Web Development (PHP, ASP.NET, C#) - Content Writing (Blog, Email) - Social Media Managing - Admin Support - Medical Billing
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Medical Billing & Coding
    Teaching English
    Content Writing
    User Acceptance Testing
    PHP
    Data Mining
    Web Design
    Data Entry
    Adobe Photoshop
  • $16 hourly
    Welcome to my profile. Are you looking for medical coding and billing expert? If so you are in the right place. I’m certified professional coder & biller by AAPC, having more then 10 years experience in medical coding & billing. I have been handling complete RCM, including Patient Demographics, advance eligibility and benefits, charts review, CPT, ICD-10 CM & HCPCS correction, Insurance claims submission, Charge Creation, Claims Follow up, Appeals, Patient Calling, Patient Statements, Monthly and Annual Reports, Transition, Credentialing, Coding & Billing Audit. I have used following Software eCW, Kareo, Medisoft, Aprima, Advance MD, Collaborate MD, Office Aly. I have worked on Internal Medicines, surgery clients, Cardiologist, Neurologist, Physical therapist, Footcare, Gynecologist, Behavioral therapist, Podiatry, Pediatrics, Urgent care, Chiropractor, Infectious disease, Psychiatric, Speech therapy, Dietitians billing, DME Shoe invoicing & orders, etc. Give me chance to do my best for your practice and I’ll try to give output 100% according to your requirement. Thank you!
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Medical Records Research
    CMS Development
    Medical Procedure Coding
    Bill.com Accounts Payable
    Customer Support
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Accounting Principles & Practices
    Electronic Medical Record
    Account Reconciliation
  • $10 hourly
    🔥 🔥 🔥 Are you feeling overwhelmed with your day-to-day tasks? I'd love to help! 😉 ✅ Top Rated on Upwork ✅ 100% Job Success Score Hi there! I’m an experienced Virtual Assistant specializes on providing assistance to clients on any task related to Healthcare billing/claims, Eligibility verification & Prior Authorization, Medical payment postings and other related task to Healthcare Management. I’m a self-motivated and reliable person with high attention to details and punctuality at work. I have more than 3 years’ experience working with United Healthcare (UHC) as Claims Rep. managing Medicare, Medicaid and Commercial plans respectively. I’ve earned quality hands on experience & knowledge in field of the following; 1. Billing/Claims filling & processing. 2. Prior Authorization creation & processing. 3. Medical coding (ICD-10, CPT/HCPCS) 4. Eligibility Verification (Primary to Tertiary policy) 5. HIPAA compliance 6. High familiarity to EMR/EHR. 7. Inpatient/Outpatient case management. 8. Coordination of benefits & Copay 9. Admission scheduling. I have worked as Medical biller, my primary roles are medical billing form completion/submission and payment postings from EOP/EOB from insurance providers to designated hospital billing & RCM software. I used my comprehensive data entry and high attention to detail skills to complete and exceed set goals in this project. I’m an experienced Top Performer Customer Service Representative for more than 3 years providing Email and chat support to our US based clients mostly in healthcare industry. Great knowledge and experience in Data Entry, Data Validation & Analysis as well as report generation. If you need a good freelancer, I’m ready to go! I can start as soon as the client need. I’m looking forward to hearing from you soon. Thank you!
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Accounts Receivable Management
    Medical Records Research
    Electronic Medical Record
    Quality Assurance
    Healthcare Management
    Medical Billing & Coding
    Clerical Procedures
    Data Science
    Social Media Marketing
    Customer Service
    Data Entry
    Microsoft Excel
  • $15 hourly
    I am HIPAA certified Medical Biller/Coder and Credentialing expert, having over 20 years of work experience. I work as a virtual assistant for physicians as a Medical Biller, to schedule their patients, complete Eligibility & Benefits Verification, payments posting, accounts receivable (follow-up). I am also expert in Credentialing with Government (Medicare/Medicaid) and commercial insurances (Aetna, Cigna, UHC, Tricare, Humana and many more), additionally can also credentialed with Medicare/Medicaid HMO & PPO Plans in your area. I have worked for providers with different specialties. Such as: Cardiology Oncology & Hematology Nephrology Pediatrics Covid-19 Internal Medicine & Geriatrics Psychiatric Chiropractic Sports Medicine & Rehabilitation Independent Labs Physical Therapy I have extensive knowledge of medical billing guidelines from commercial as well as government insurances (Medicare & Medicaid). I have a vast knowledge of insurance plans and their specifications. During my job tenure, I have worked on several EHRs (Electronic Health Records) and Practice Management Systems such as: eClinicalworks AdvanceMD Practice Fusion Mydoctorschart Mobilemediclaim CureMD OfficeAlly Powerchart DrChrono CollaborateMD RxNT Kareo
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Electronic Medical Record
    Medical Referrals
    Patient Care
    Scheduling
    Mental Health
    EMR Data Entry
    HIPAA
    Medical Procedure Coding
    Accounts Receivable Management
    Medical Billing & Coding
    ICD Coding
    Electronic Data Interchange
    Accounts Receivable
    Microsoft Excel
  • $15 hourly
    Hi, I am Mueed Abdullah, (CPC) (CPMA) (R.ph), a Multispecialty virtual assistant in the Medical Field, with 8+ years of experience in the US healthcare system, Performing various duties as Medical Biller and Virtual assistant in the RCM cycle, from patient scheduling and reminders to Financial reports: -Registered pharmacist -Certified Medical Coder -Medical Auditor holding CPC and CPMA from AAPC, -Account Receivable specialist -Medical research writer, QA, and Regulatory pharmacist, • Patient demographic entry • Charge Entry in billing software • Eligibility verification with payers • Medical claim scrubbing. • Claim submission to payers • Primary, Secondary and tertiary payers claim to process. • Denial Management, Emails, and calls handling * Insurance and eligibility verification • Account Receivable follow up • Payment posting and adjustment management • Patient billing for patient’s responsibility • Customized financial reports. • Scheduling calendar Benefitted from Pharm-D, I have profound knowledge of medical terminology, human anatomy and physiology, diagnostics, and pharmacology across a broad range of medical practice areas. I have a working knowledge of compliance regulations HIPAA and PHI requirements, as well as have a complete understanding of Managed care contracts, MCO, Medicare, Medicaid, and other commercial insurances. Furthermore, I have complete knowledge and expertise in Electronic Medical Record (EMR) software, Optum 360 Encoder, Citrix & RDP’s, NextGen, Cerner, Practice Fusion, Ms. Office, Ms. Excel. Medical Billing : I have Medical Billing experience for almost eight years. During these 8 years, i have worked on many specialties. I do know the complete RCM flow, i have been doing charge entry, payments posting, and AR follow-up. Have worked as Team Leader in different organizations. I have a working knowledge of Charge entry, claims submission, working on rejections, Benefits verification, ERAs/EOBs posting, Insurance Call for doing a follow-up on unpaid claims/denial management, and getting referral information using different resources. In addition to these, i can also handle patient calls; by this provider, the office can focus more on their patients' care. Expertise: #Account receiveables, #Collection management , #Outpatient and inpatient Billing, #ICD-10-PCS, #ICD-10-CM, #HCPCS, #CDT, #CPT, #ICD-10-AM a) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi-Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto-response unit, and via live calls. - To make on-call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly, and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Superbill review - Appeals (c). Specialties Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General surgery Geriatrics Gynecology and obstetrics Internal Medicine Pneumology Orthopedic Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapist Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Healthcare Management
    Medical Records Software
    Electronic Medical Record
    Electronic Health Record
    Revenue Management
    Accounts Receivable
    Insurance Claim Submission
    Insurance Verification
    Medical Mastermind Medical Billing Services
    Medical Procedure Coding
    Administrative Support
    Insurance & Risk Management
    Medical Billing & Coding
    Data Entry
    ICD Coding
  • $20 hourly
    Anna Cecilia Mangalus, RN I specialize in: 1. General Transcription (Medical, Legal, etc.) - experienced a variety of accents (Australian, Indian, Singaporean, Japanese, etc.) Projects done: - Medical transcription (medical reports, medical chronology/summary, psychiatric reports, lectures, interviews, etc.) - Legal transcription (interviews, conferences, dictations: letters, chronology, etc.) - General transcription (politics, Japanese artifacts, entrepreneur, travel, theology, real estate, music interviews, etc) 2. Data Entry - order data entry, medical data entry, data entry to EMR, medical records review, medical chronology, data lookup, serial number data entry, categorizing websites, etc.)
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Administrative Support
    Electronic Medical Record
    Google Workspace
    Transcription Timestamping
    English
    Typing
    Medical Transcription
    General Transcription
    Accuracy Verification
    Legal Transcription
    Data Entry
  • $35 hourly
    FREELANCE HEALTHCARE CONTENT WRITER AND EDITOR Multi-faceted RN with 2 decades of healthcare experience aspiring to pivot into a Health Content Writer Role As a Registered Nurse with a Bachelor of Science in Nursing (BSN) and a Bachelor of Arts in Psychology, my education and clinical experience have equipped me with a profound understanding of health-related topics and a deep appreciation for the significance of accurate and informative healthcare reporting. Recently, I have honed my ability to translate complex medical concepts into easily understandable content for a broad audience. My extensive background in healthcare enables me to verify facts and data with the highest level of accuracy, ensuring that the public receives reliable and trustworthy information. SKILLS SUMMARY: Digital Tools and Software Proficiency: -Proficient in MS Office and Google Workspace. Content Creation and SEO: -Skilled in creating SEO-optimized healthcare content using tools such as Keywords Everywhere, Ahrefs, and Grammarly. -Familiar with AI-based tools (ChatGPT, Bing Create) for content enhancement without replacing original content. Content Editing and Quality Assurance: -Capable of editing existing content to produce accurate, polished, error-free, and fact-checked articles. -Proficient in conducting research and citing authoritative sources. Content Structure and Formatting: -Experienced in structuring articles and blog posts with clear headings (H1, H2, H3, etc.). Medical Information Simplification: -Ability to simplify complex medical information for a layperson audience. Work Skills: -A fast learner with great attention to detail. -Strong communication, documentation, and interpersonal skills. -Adept at working both independently and as part of a team. For the past few years, I have been working from home as a Healthcare Virtual Assistant on a freelance basis because I enjoy the freedom to travel while continuing to work in healthcare. Currently, I am looking for an opportunity whereby I may continue to work remotely, from any location. I am available for health content writing and editing, remote medical office support, medical research, data mining, health and wellness blog articles, and other related projects. Please feel free to contact me with any suitable opportunities. Thank you for your time and consideration.
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    AI Image Generator
    Canva
    Healthcare
    Content Research
    Mental Health
    Medical Writing
    Article Writing
    EMR Data Entry
    Electronic Medical Record
    Telemedicine
    Medical Condition Coding
    Medical Transcription
  • $115 hourly
    Health Content Writer & Strategist | Author | Blogger | Nursing Consultant | Home Health Expert | Helping businesses develop strategy and compelling digital content with a nurse's voice. Hello, I’m Sarah 👋🏼 I am a registered nurse (RN) and freelance writer, providing professional expertise through: Blogging Creating healthcare-oriented content: articles, white papers, ebooks Editing & proofreading healthcare-related subject matter Consulting on nursing practice, home health, and nursing management and leadership as a subject matter expert (SME) I am a curious person with a passion for helping others. I am excited to work with people who love what they do. My ideal clients are like-minded professionals looking to build and grow. Let's schedule a call to discuss your project!. Take Care 💙
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Nursing Management
    Health & Wellness
    Health & Fitness
    Content Writing
    Science & Medicine
    SEO Writing
    Medicine
    Writing
    Blog Writing
    Article Writing
    Healthcare Management
    COVID-19
  • $35 hourly
    Healthcare Credentialing and Rate Negotiations SERVICES: Medical Office, Data Entry, Credentialing - Health Plans - Private Practice - Hospitals - Start Up Consultations and More -
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    Customer Service
    Insurance Consulting
    Administrative Support
    Medical Billing & Coding
    Email Communication
    Communications
  • $149 hourly
    I am a Registered Nurse with several years of clinical experience in Emergency Nursing and Intensive Care Nursing. I have been an expert nurse consultant for the last two years and create high-end medical content that is tailored to each client's individual needs. My previous work includes reviewing and editing medical content, writing healthcare blogs, creating discharge care plans, and even reviewing medical textbook. With an Ivy League educational background and several years of clinical experience, you can rely on me to provide scientifically accurate information that is based on a combination of in-depth research, high-quality education, and a wide range of clinical experience. Thank you for your interest in my skills, and I look forward to working with you.
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    Research Papers
    Writing
    White Paper Writing
    Healthcare Management
    Medical Records Research
    Human Science
  • $85 hourly
    I am a seasoned professor of Health Information Management with a strong background in healthcare revenue cycle management, EHR programming, coding, and auditing. With over twenty years of experience in the field, I possess a deep understanding of various aspects of healthcare operations and compliance. My expertise lies in auditing company claims, identifying compliance weaknesses, and increasing revenue through accurate coding practices. I can assist your organization in optimizing its revenue cycle by ensuring proper coding and adherence to industry regulations. With my proficiency in inpatient, outpatient, and risk adjustment coding, I bring a comprehensive understanding of coding requirements across various healthcare settings. In addition to revenue cycle management, I offer classes on R, Python, and Tableau, empowering individuals and organizations to leverage these powerful tools for data analysis and visualization. Classes I teach: Healthcare statistics and data mining ICD-10-CM Coding Procedure Coding Data Analytics for Healthcare Information Governance Healthcare Informatics EHR development AAPC: CPC AHIMA: RHIA CompTIA: Project+ MBA in Healthcare Management M.S. in Data Analytics Whether you require assistance with data analytics, revenue cycle management, compliance auditing, coding practices, or training on relevant tools and methodologies, I am here to help. With my extensive experience and diverse skill set, I am committed to delivering high-quality solutions tailored to your specific needs.
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Medical Informatics
    Medical Billing & Coding
    Education
    Financial Audit
    ICD Coding
    Medical Condition Coding
    Medical Terminology
    Insurance Consulting
    Electronic Health Record
  • $12 hourly
    I have been in the Medical billing field since ten years ago and I working with a reputed Medical Billing company, I do have the experience to handle different types of specialties such as: Mental Health Dental Billing Neurologists / Neurology Dermatologists / Dermatology Orthopedists / Orthopedics Internal medicine physicians / Internal medicine Family Practices OB GYNs / Obstetricians / Gynecologists / Obstetrics / Gynecology Emergency Medicine Doctors / Emergency Medicine Oncologists / Oncology Pediatricians / Pediatrics Cardiologists / Cardiology Gastroenterologists / Gastroenterology Podiatrists / Podiatry Radiologists / Radiology..... etc Softwares Experiences: Office Ally, Chiro Touch, Kareo, Advanced MD, eClinical Works (eCW), Simple Practice, AIRE Health, Practice Fusion, Athena, WellSky Kinnser, Medi Plus, Criterions, NextGen Healthcare, TherapyNotes, DrChrono. To be a part of a progressive and dynamic organization that provides ample opportunities for learning and growth in a challenging and innovative environment intending to contribute constructively toward the organization's goals and excel in my professional skills. About Communication Skills: • Leadership qualities, capable of working in a stressful environment. • Analytical skills. • Participates enthusiastically in the discussion. • Being able to motivate and direct others • Taking a positive attitude to frustration/failure. • Prepared to adapt to goals in the light of changing situations. Key Skills: • MS Office, MS Word, MS Excel, MS Access, MS PowerPoint • Window XP / 7 (can handle all problems of Windows XP /7) • Hardware Basic installation of systems and software Working Skills: • Assigned work to the team daily and get the productivity report by the end of the day. • Provide guidance to the team on how to work on billing and get the payments from insurance companies. • Check all practices EDI rejections, ERA, and EOBs on daily basis. • Maintain the daily financials, aging reports, invoices, etc. for all assigned practices. • Work on denial management and other insurance correspondences with insurances. • Communication with our clients regarding practice-related issues. • Schedule training sessions every week, do training about software and share billing knowledge. • Complete verification of claims and check eligibility prior to submission. • Create assigned practices invoices, aging reports, and financials reports at month-end. • Worked with the Front office team for Scheduling the patient's appointments and checking insurance benefits before performing service with the patient. Also, get prior authorization for doctors from different insurance companies.
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Medical Billing & Coding
    Accounts Receivable
    Medical Procedure Coding
    Database
    Lead Generation
    Microsoft PowerPoint
    Oracle
    Microsoft Excel PowerPivot
    Online Market Research
    Data Entry
    Data Migration
    Cold Calling
    Insurance Policy Analysis
  • $40 hourly
    Over 14 years of experience in the Medical Insurance Billing and Coding field. Knowledge of multiple EHR/EMR's (including E-Thomas, Epic, Greenway, Healthpac, NowMD, etc). I am experienced in all aspects of the RCM, including collections, and credentialing. Specialties of provided services include but are not limited to Vein and Vascular Surgery, Wound Care, Internal/Family Medicine, Cardiology, Dermatology, Pulmonology, and Neurology. With the 13 years in the field also comes the knowledge of the billing guidelines and procedures for multiple insurances including Medicare, Medicaid, VA, BCBS, Aetna, Humana, all Medicare and Medicaid plans, auto and workers comp, along with a vast of other private and commercial insurances. I am also experienced with Facility/UB04 billing—Member of the AAPC, and Certified Coder. CPC. I own my own billing software (NowMD) and am able to submit and work claims. I also already have sign ons to multiple insurance companies.
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Phone Communication
    Medical Billing & Coding
    ICD Coding
    Data Entry
  • $15 hourly
    🏆 WordPress Design & Development Specialist 🏆 ✔️ WordPress Specialization: → WordPress Theme customization and development from Scratch → Store Design & Development from Figma,Adobe XD,PSD → WooCommerce Integration/customization → Theme Customization (Frontend/Backend) → Plugin installation and customization → Custom Theme design/development → WordPress Plugin development → Custom Theme development → 100% responsive Design → API integration (3rd parties API's) → Dedicated custom plugin development → Setting up Shipping Rules → Custom programming → API integration ✔️ PHP Frameworks → Laravel, CodeIgniter, CakePHP, Yii2 ✔️ And I will Provide You:- • Daily Status Report • Immediate response • Extra Support after Completion of the Project. Looking forward to working with you! Gurmeet
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    Web Design
    Adobe XD
    Figma
    WordPress Landing Page
    WordPress e-Commerce
    Ecommerce Functionality
    WordPress Customization
    WordPress Bug Fix
    WordPress Development
    Website Redesign
    WooCommerce
    PHP
    Theme Customization
    Elementor
    Divi
  • $65 hourly
    Thanks for reading my profile! I have 25+ years of experience in public relations and marketing communications and have worked for clients in multiple industries, including healthcare, technology, financial services, transportation, manufacturing and more. I'm able to take complex subject matter and put it into layman's terms. Whether you're a small company looking for an additional marketing resource for your team or a large enterprise needing help with overflow projects, I can utilize my writing services to help you meet your goal(s). I have extensive experience in the healthcare IT industry, from writing blogs, web content, white papers, sales emails, e-newsletters and press releases to handling social media and developing strategic marketing plans. Please contact me with any questions. I provide additional project samples upon request. Have a blessed day!
    vsuc_fltilesrefresh_TrophyIcon Healthcare Common Procedure Coding System
    English
    Healthcare IT
    Writing
    Copywriting
    Blog Development
    Blog Writing
    AP Style Writing
    Marketing Communications
    Technical Writing
    Public Relations
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