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  4. (Current) ICD Coding Specialists
  • $20 hourly

    • 4.9/5
    • (28 jobs)
    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 ICD Coding
    EMR Data Entry
    Microsoft Excel
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Accounts Receivable
    Medical Condition Coding
    Electronic Medical Record
    Healthcare Common Procedure Coding System
    Accounts Receivable Management
    Medical Terminology
    Medical Procedure Coding
    Electronic Health Record
    Medical Transcription
  • $14 hourly

    • 5.0/5
    • (9 jobs)
    I have backed with 15+ years of extensive experience in US Healthcare Revenue Cycle Management. I worked on multiple specialties such as Oncology & Hematology, Cardiology, Vascular Surgery, Pain Management, Internal medicine, Cervical/Thoracic/Lumbar Spine Surgery, General Surgery, Gynecology & Obstetrics, Pain Management, Chiropractic, Physical Therapy, Speech Therapy, Home Health, Mental Health & Substance Abuse, Acute Inpatient (DRG-Group), Independent Clinical Laboratory, Radiology & Imaging. I am comfortable working in any PMS/EHR software, such as Athena, DrChrono, Advanced MD, Kareo, GE Centricity, NextGen, Practice Perfect, Therapy Notes, eCW, EPIC, PracticePerfect, CareCloud, LIS, etc. Thoroughly experienced in all Microsoft programs, google-suite management, insurance portals like Navinet, Gateway, Availity, Emdeon (Change), NGS Connex, Noridian, Optum, Emblem/GHI/HIP/Beacon, Magellan, etc. worked with Clearinghouses such as Change Healthcare, Trizetto, Availity, Emdeon & Office Ally. Worked with all payers such as Medicare, Medicaid, Commercial, PPO, HMO, POS, EPO, Workers Comp, auto no-fault. I am offering the following services to my clients: 1. Appointment Scheduling 2. Prior Authorization Request 3. Eligibility & Benefits Verification 4. Charge Entry 5. Claims Scrubbing & Submission 6. AR Follow-up 7. Denial/Rejection Management 8. Appeals 9. Payment Posting 10. Patient statements & collection 11. Reporting- Including AR Aging, Financial Dashboards, Monthly Charge vs Payments, underpayments, etc. 12. Credentialing. I use to serve my clients single-handedly with complete end-to-end support. I used to take challenges in a reduction in Overall Aging at 15-20 % within 30 calendar days and turn dead collections into revenue. I hope my expertise will help the practice to get improved revenue cycle management. I am excited to work with you, to provide reliable, constant, and High-Level solutions to your challenges. Please contact me, so we can discuss how we can work together to sufficiently meet your business needs. Thank you & have a great day!
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Microsoft Excel
    Medical Report
    Healthcare Management
    Google Docs
    Virtual Assistance
    Accuracy Verification
    Medical Billing & Coding
    Medical Procedure Coding
    Data Entry
    Healthcare Common Procedure Coding System
    Electronic Medical Record
    Database
  • $15 hourly

    • 4.5/5
    • (19 jobs)
    🌟 𝑾𝒆𝒍𝒄𝒐𝒎𝒆 𝒕𝒐 𝑴𝒚 𝑼𝒑𝒘𝒐𝒓𝒌 𝑷𝒓𝒐𝒇𝒊𝒍𝒆! 🌟 I am a 𝗛𝗜𝗣𝗔𝗔-𝗖𝗲𝗿𝘁𝗶𝗳𝗶𝗲𝗱 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗕𝗶𝗹𝗹𝗲𝗿/𝗖𝗼𝗱𝗲𝗿 and 𝗖𝗿𝗲𝗱𝗲𝗻𝘁𝗶𝗮𝗹𝗶𝗻𝗴 𝗘𝘅𝗽𝗲𝗿𝘁 with over 20 years of comprehensive experience. As a seasoned virtual assistant for physicians, I specialize in streamlining the medical billing process, patient scheduling, Eligibility & Benefits Verification, payment posting, and Accounts Receivable (AR) follow-up. My expertise extends to credentialing with both government programs (Medicare/Medicaid) and commercial insurances (Aetna, Cigna, UHC, Tricare, Humana, and many others), including credentialing for Medicare/Medicaid HMO & PPO Plans across various regions. 𝑺𝒆𝒓𝒗𝒊𝒄𝒆𝒔 𝑰 𝑶𝒇𝒇𝒆𝒓: 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 & 𝗖𝗼𝗱𝗶𝗻𝗴 𝗖𝗿𝗲𝗱𝗲𝗻𝘁𝗶𝗮𝗹𝗶𝗻𝗴 & 𝗥𝗲-𝗖𝗿𝗲𝗱𝗲𝗻𝘁𝗶𝗮𝗹𝗶𝗻𝗴 𝗣𝗮𝘁𝗶𝗲𝗻𝘁 𝗦𝗰𝗵𝗲𝗱𝘂𝗹𝗶𝗻𝗴 & 𝗘𝗹𝗶𝗴𝗶𝗯𝗶𝗹𝗶𝘁𝘆 𝗩𝗲𝗿𝗶𝗳𝗶𝗰𝗮𝘁𝗶𝗼𝗻 𝗔𝗥 𝗙𝗼𝗹𝗹𝗼𝘄-𝗨𝗽 & 𝗗𝗲𝗻𝗶𝗮𝗹𝘀 𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝗜𝗻𝘀𝘂𝗿𝗮𝗻𝗰𝗲 𝗖𝗿𝗲𝗱𝗲𝗻𝘁𝗶𝗮𝗹𝗶𝗻𝗴 𝘄𝗶𝘁𝗵 𝗠𝗲𝗱𝗶𝗰𝗮𝗿𝗲, 𝗠𝗲𝗱𝗶𝗰𝗮𝗶𝗱, 𝗮𝗻𝗱 𝗖𝗼𝗺𝗺𝗲𝗿𝗰𝗶𝗮𝗹 𝗣𝗮𝘆𝗲𝗿𝘀 𝑺𝒑𝒆𝒄𝒊𝒂𝒍𝒕𝒊𝒆𝒔 𝑰 𝑯𝒂𝒗𝒆 𝑾𝒐𝒓𝒌𝒆𝒅 𝑾𝒊𝒕𝒉: My expertise spans across multiple specialties, including but not limited to: Cardiology Oncology & Hematology Nephrology Pediatrics Covid-19 Internal Medicine & Geriatrics Psychiatry Chiropractic Sports Medicine & Rehabilitation Independent Labs Physical Therapy 𝗖𝗿𝗲𝗱𝗲𝗻𝘁𝗶𝗮𝗹𝗶𝗻𝗴 𝗘𝘅𝗽𝗲𝗿𝘁𝗶𝘀𝗲: I provide full-service credentialing for both government (Medicare/Medicaid) and commercial insurance providers, including HMO & PPO plans. Whether you need initial credentialing or re-credentialing, I will ensure your practice meets all necessary payer requirements, reducing delays and improving cash flow. 𝗘𝗛𝗥 & 𝗣𝗿𝗮𝗰𝘁𝗶𝗰𝗲 𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝗦𝘆𝘀𝘁𝗲𝗺𝘀: With a deep understanding of medical billing guidelines for both government and commercial payers, I have worked extensively on various EHR (Electronic Health Records) and Practice Management Systems such as: eClinicalWorks AdvanceMD Practice Fusion MyDoctorsChart Mobilemediclaim CureMD OfficeAlly Powerchart DrChrono CollaborateMD RxNT Kareo 𝗪𝗵𝘆 𝗖𝗵𝗼𝗼𝘀𝗲 𝗠𝗲? With two decades of hands-on experience, I am committed to helping healthcare providers streamline their practice operations, enhance revenue cycle management, and minimize denials. My focus on accurate and efficient medical billing and credentialing ensures compliance and maximizes revenue for your practice. I am well-versed in the nuances of insurance plans and bring a wealth of knowledge to your practice's unique needs. 𝑳𝒆𝒕’𝒔 𝑾𝒐𝒓𝒌 𝑻𝒐𝒈𝒆𝒕𝒉𝒆𝒓! If you’re seeking an expert in medical billing, coding, or credentialing, let’s connect. I am here to help your practice thrive with precision, reliability, and results-driven solutions. Best regards,
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Data Entry
    Microsoft Excel
    Customer Service
    Administrative Support
    Medical Records Research
    Medical Records Software
    Customer Support
    Accounts Receivable
    HIPAA
    Healthcare Management
    Medical Transcription
    Bookkeeping
    Medical Terminology
    Virtual Assistance
  • $15 hourly

    • 5.0/5
    • (4 jobs)
    Career Profile: The following are my strengths on the working environment Detail-oriented, efficient and organized professional with extensive experience in accounting systems Possess strong analytical and problem solving skills, with the ability to make well thought out decisions Excellent written and verbal communication skills Highly trustworthy, discreet and ethical Resourceful in the completion of projects, effective at multitasking I am also a writer of reports especially the accounting reports and the Tax compliance from monthly, quarterly and annual tax returns. My aim is to have a report which can be relied on. And to lessen the collusion among the employees.
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Revenue Management
    Medical Procedure Coding
    Data Entry
    Google Docs
    Google Sheets
    Bookkeeping
    Report Writing
    Accounts Payable Management
    Invoicing
    Tax Preparation
    Financial Accounting
    Financial Audit
    Microsoft Excel
    Intuit QuickBooks
  • $15 hourly

    • 4.8/5
    • (104 jobs)
    Hi, I am Mueed Abdullah, (CPC) (CPB) (R.ph), a Certified Medical coder, biller and credentialing spcialist with HIPAA compliant, having 9+ years of experience in the US healthcare system, handling complete RCM of verious medical specialties all over the US. Who I am? -Certified Medical Biller -Certified Medical Coder -Medical Auditor holding CPC and CPB from AAPC, -RCM manager and Account Receivable specialist --credentialing specialist -Medical research writer, QA, and Regulatory pharmacist, What I offer? 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 Expertise: Coding (ICD-10-CM, ICD-10-PCS, DRG, HCPCS level II, CPT, modifier) Behavioural and mental health Primary care Internal Medicine Chiropractic Emergency Ambulatory Labs DME Cardiology Orthopedics Radiology Telemedicine Telehealth Software that I have used: Nextgen Citrix Cerner AdvancedMD ECW CollaborateMD Kareo Practice fusion Office Aly Athena health Simple practice Meditech
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    EMR Data Entry
    Medical Billing
    Medical Records Software
    Electronic Health Record
    Revenue Management
    Accounts Receivable
    Insurance Claim Submission
    Insurance Verification
    Medical Mastermind Medical Billing Services
    Medical Procedure Coding
    Administrative Support
    Healthcare Common Procedure Coding System
    Medical Billing & Coding
    Data Entry
  • $15 hourly

    • 5.0/5
    • (8 jobs)
    I'm a Certified Professional Coder, Certified Medical Reimbursement Specialist, Certified Medical Coding Instructor, Certified Risk Adjustment Coder and Certified Professional Medical Auditor. I have more than 10 years of experience about the US RCM process. I have experience to Facility, Office, Home Health, HCC & Ambulance coding. I'm looking for jobs that will perfectly match my credentials. I'm fluent in English and I have a fast Internet connection.
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Augmented Reality
    Insurance Policy Analysis
    Medical Condition Coding
    Medical Transcription
    Customer Service
    Medical Billing & Coding
    Revenue Management
    Data Entry
    Data Analysis
  • $10 hourly

    • 4.3/5
    • (15 jobs)
    10 years of experience in the Medical Billing Industry with different Healthcare Companies and an Experienced Professional with Complete Medical Billing Freelancing Services MEDICAL BILLING & RCM SERVICES - Patient Eligibility, Benefits, and coverage verification of patients - Patient Demographics, Charge Entry, and Payment Posting. - Insurance Claim submission, Payment Posting, ERA, and EOB. - Denials Management, AR- Follow UP, Late filing appeals with payers - Customer service, handling insurance/patient calls. CREDENTIALING SERVICES - New Practice Start-up /Enrollment and EIN Linkage: - CAQH / NPPES/NPI Profile Creation and Maintenance. - Credentialing, Contracting, and Enrollment with all Payers. - Demographics Update, Address Change. - ERA, EDI, and EFT Enrollment. SOFTWARE EXPERIENCE (PM AND EMR) - Waiting Room Solutions - AdvancedMD - Zen desk - Xifin - Phicure - Trizetto - EZ Claim - Office Ally - Kareo - Simple Practice - Care Cloud - Brightree - Collaborate MD - Ipatient Care - Limbs MAJOR FOLLOW-UP INSURANCE - Medicare - Medicaid - BCBS - Aetna - UHC - Cigna - Molina (Medicare, Medicaid) - Tricare - ChampVA - Humana - Guardian - Oxford - Workers Compensation
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Virtual Assistance
    Medical Procedure Coding
    Customer Service
    Medical Billing & Coding
    Insurance Verification
    Appointment Scheduling
    eClinicalWorks
    Administrative Support
    Insurance Claim Submission
    Data Entry
    Claim Listing
    Insurance Software
  • $10 hourly

    • 4.5/5
    • (12 jobs)
    I am a highly skilled and HIPAA Certified Medical Biller with over 7 years of extensive experience in the US healthcare industry. Specializing in medical billing and coding, insurance claim processing, and reimbursement procedures, I have developed a deep understanding of the intricacies involved in managing billing tasks for a diverse range of medical specialties. One of my key strengths lies in my proficiency with various billing software systems, including eCW (eClinicalworks), AdvancedMD, KAREO, Nextgen, CareCloud, Brightree, AdvancedMD, CureMD, Medisoft, Mod-Med, DrChrono, Niko Health and Athena. This expertise allows me to navigate these platforms seamlessly and efficiently. I have gained hands-on experience working with many medical specialties, such as Internal Medicine, Pathology, Orthopedic, Anesthesia, DME, Nephrology, Chiropractic, Allergy and Immunology, Dermatology, Diagnostic radiology, Emergency medicine, Family medicine, and Medical genetics. In my role, I excel in executing a wide range of billing tasks with utmost precision and accuracy. These include verifying eligibility through insurance portals for each patient, generating and submitting claims daily, whether electronically or on paper, for all payers, including government, commercial, workers' compensation, personal injury protection, out-of-network, and in-network providers. I ensure that all billing entries adhere to ICD-10 coding guidelines and state LCD regulations, allowing for swift and error-free billing procedures. My expertise extends to addressing unpaid claims and denials promptly, ensuring timely payment and a steady cash flow. I handle patient, insurance carrier, and employer queries with efficiency and professionalism. I possess the ability to apply payments and adjustments accurately, resolve immediate denials, work on denied/rejected claims based on EDI reports, and update patient and insurance demographics accordingly. Central to my approach is a strong commitment to maintaining compliance with HIPAA regulations and safeguarding the confidentiality and security of patient information. I possess exceptional communication skills, which enable me to foster effective collaboration with healthcare providers, insurance companies, and patients alike. If you are seeking a dependable and seasoned HIPAA Certified Medical Biller who can expertly manage all aspects of your medical billing process, I invite you to reach out to me. I would be delighted to discuss how I can contribute to streamlining your medical billing operations and optimizing your revenue cycle management.
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Customer Service
    Scheduling
    Accuracy Verification
    Medical Terminology
    Medical Referrals
    Administrative Support
    Form Completion
    Medical Billing
    Microsoft Excel
    Phone Communication
    Data Entry
    Revenue Cycle Management
    Accounts Receivable
    Insurance Verification
    Medical Billing & Coding
  • $14 hourly

    • 5.0/5
    • (24 jobs)
    Detail-oriented Medical Billing/AR Specialist and QA Analyst with 10+ 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 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 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. insurance, doctors, clearing houses, and other third-party payers. I also specialize in Medical Billing QA with overall Financial & RCM Reports.
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Accounts Receivable Management
    EMR Data Entry
    Medical Mastermind Medical Billing Services
    Revenue Management
    Healthcare Common Procedure Coding System
    Electronic Medical Record
    Medical Transcription
    Medical Terminology
    Medical Report
    Medical Procedure Coding
    Medical Records Software
    Medical Records Research
    Microsoft Excel
    Medical Billing & Coding
  • $20 hourly

    • 4.7/5
    • (11 jobs)
    🌟🌟Need a Seasoned VA with a proven track record of quality work and efficiency?🌟🌟 👑 Top Rated Plus on Upwork ✨ 100% Job Success Score 🏆 7+ years Experience in the US Healthcare industry 🎖️ HIPAA-certified ⚡️ Leadership & Management Skills 💗 Results and Goal Driven Here’s how I can help your business 👇👇👇 ✅Credentialing and Contracting ✅Prior Authorization & Precertification ✅Eligibility & COB Verification ✅Benefits Verification ✅Medical billing and coding ✅Charge Entry ✅Insurance claim submission ✅AR Follow up on claims status via call or portals ✅Appealing denied claims for reimbursement ✅Patient/Insurance payment collections ✅Medical records request and retrieval ✅Data Entry ✅Chat/Email Support ✅Patient/Payer payment posting ✅EDI/ERA/EFT enrollments ✅Manage/Training Teams ✅Building SOPs and Guidelines 💎 𝗘𝗛𝗥 / 𝐏𝐌𝐒 𝗦𝘆𝘀𝘁𝗲𝗺𝘀 𝗜'𝗺 𝗙𝗮𝗺𝗶𝗹𝗶𝗮𝗿 𝗪𝗶𝘁𝗵 ♦ Advanced MD ♦ Kareo ♦ Office Ally ♦ Athena ♦ ECW ♦ Simple Practice ♦ Dr Chrono ♦ NextGen (Formerly HealthFusion) ♦ Practice Fusion ♦ Aprima, and more. 💎 𝗣𝗥𝗢𝗝𝗘𝗖𝗧 𝗠𝗔𝗡𝗔𝗚𝗘𝗠𝗘𝗡𝗧 ♦ Click Up ♦ Notion ♦ Monday.com ♦ Hubspot ♦ Slack ♦ Asana ♦ RingCentral I'm eager to discuss how I can contribute to your practice's success. Let's chat! 💬 send me a DM via Upwork Message 🟢 𝘾𝙇𝙄𝘾𝙆 "𝙃𝙄𝙍𝙀", send an 𝙄𝙉𝙑𝙄𝙏𝙀 or send an 𝙊𝙁𝙁𝙀𝙍 on Upwork #Medicalcoder #medicalbiller # #insuranceverification #Verificationofbenefits #VOB #credentialing #insurancecredentialing #enrollment #medicalbilling #medicalcoding #accountsreceivable #AR #denial #denialmanagement #insurancedenial #paymentposting #medicalcoder #claimsfollowup #AdvancedMD #eclinicalworks #medicalvirtualassistant
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Healthcare Software
    Medical Records
    Administrative Support
    Revenue Management
    Office Administration
    eClinicalWorks
    Accounts Receivable
    Insurance
    Revenue Cycle Management
    Insurance Claim Submission
    Insurance Verification
    Medical Billing
    Medical Procedure Coding
    Medical Billing & Coding
  • $20 hourly

    • 4.9/5
    • (11 jobs)
    Motivated medical billing specialist with over 8 years of experience in : Health operations management Billing AR (Accounts Receivable) follow ups Virtual Assistant Customer Service I am specialized in Anesthesiologist, Internal Medicine, Family Medicine, Pediatrics, Nephrologist, Hospitalist and, Urgent care. I have used following Software eCW, Kareo, Medisoft, Aprima, Advance MD, Collaborate MD, Office Aly. Highly skilled in analyzing and validating patient information, diagnoses, billing data, Payment Posting AR (Accounts Receivable) Follow-up. Responsible for following up on claims, calling and collecting money from insurance companies. • Resolved billing issues identified by insurance carriers and patients. • Reviewed claim denials and payer requirements for corrective action and prevention in the future. • Researched and replied in a timely manner to insurance, patient, and internal customer inquiries. • Kept accurate records of all activity and conversations for each file. I have experience working in the hospital & health care industry. Skilled in Healthcare Information Technology (HIT), Hospitals, Healthcare, U.S. Health Insurance Portability and Accountability Act (HIPAA), and Health Insurance.
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Virtual Assistance
    Medical Billing & Coding
    Content Writing
    Invoicing
    Medical Writing
    Medical Referrals
    Medical Device User Manual
    Administrative Support
    Scheduling
    Medical Mastermind Medical Billing Services
    Microsoft Excel
    Data Entry
  • $15 hourly

    • 4.9/5
    • (14 jobs)
    ✨ Welcome to my profile! With 7 years of cross-functional operations, revenue cycle, and medical billing experience in US-based healthcare, I offer expertise in handling billing for various specialties including Internal Medicine, General Practice, Surgery, Cardiology, Neurology, Physical Therapy, and more. Services I Provide: ✔️ Patient Demographic Entry ✔️ Charge Entry in Billing Software ✔️ Eligibility Verification with Payers ✔️ Medical Claim Scrubbing ✔️ Claim Submission to Payers ✔️ Denial Management ✔️ Account Receivable Follow-up ✔️ Payment Posting & Adjustment ✔️ Customized Financial Reports ✔️ Data Reconciliation ✔️ Laboratory Order Entry & Dispatches ✔️ Account Management As a highly organized and detail-oriented professional, I excel in identifying system inefficiencies and implementing corrective measures to optimize cash flow, reduce costs, and strengthen business relationships. I'm well-versed in multiple EHR/EMR systems like WebPT, AdvanceMD, WayStar, Practice Fusion, and more. In addition to medical billing, I possess knowledge in dental billing, including specialties like General Dentistry, Orthodontics, Periodontics, and more. Proficient in dental software such as Open Dental, Dentrix, and Denticon. Let's discuss how I can help streamline your billing processes and boost your revenue. Contact me now!
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Medical Billing
    Accounts Payable Management
    Dental Technology
    Accounts Receivable Management
    Healthcare Management
    Insurance Claim Submission
    Insurance Policy Analysis
    Account Reconciliation
    eClinicalWorks
    Team Management
    Revenue Cycle Management
    Medical Billing & Coding
    Invoicing
    HIPAA
  • $25 hourly

    • 5.0/5
    • (9 jobs)
    MEDICAL CODER - Over 9 years work experience in medical coding specializing in various medical specialties including but are not limited to: 📌 Evaluation and Management ( Office visits, Consultation, Home visits, Telehealth, etc.) 📌 Same Day Surgery. ( Cardiothoracic, ENT, Plastic Surgery, Orthopedics, Podiatry, OB-Gyne, Ophthalmology, etc. ) 📌 Emergency Department ( coding and auditing ) 📌 Radiology ( X-rays, Ultrasound, MRI, CT-Scan, etc.) Medical Biller • Charge entry – preparing claims and checking CPT and ICD-10 codes before sending to insurances • Payment posting • Checking denied claims for any coding discrepancies and resend claim to insurances. Medical Data Annotator • Identify and highlight medical conditions or diagnoses. • Labels clinical summaries with ICD-10 codes to help AI algorithms learn and make predictions. Medical Transcriptionist • Converts audio recordings of clinical visits into written reports. EMR/EHR software used: 📍eClinicalWorks 📍EPIC 📍Citrix 📍Medgen 📍Athena 📍Practice Fusion Coding Tools used: - Optum CAC - 3M ✅ Registered Nurse ✅ Medical Transcriptionist ✅ Certified Professional Coder (AAPC) ✅ Certified Coding Specialist (AHIMA) ✅ Medical Data Annotator ✅ Medical Biller ✅ Coding researcher ✅ Medical Data Annotator ✅ Coding Auditor ✅ Medical Data Entry ✅ Chart review ✅ CPT, ICD-9, ICD-10, HCPCS ✅ Claims review
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Epic Systems Medical Software
    Electronic Medical Record
    Medical Condition Coding
    Medical Records Research
    Medical Billing
    HIPAA
    Data Annotation
    Data Entry
    Medical Procedure Coding
    Medical Records Software
    Medical Transcription
    Healthcare Common Procedure Coding System
    Medical Translation
    Medical Billing & Coding
  • $16 hourly

    • 5.0/5
    • (13 jobs)
    A Certified Medical Coder/RCM Expert/Auditor/HCC-Risk adjustment coder with over 13 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, diagnosis, 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/Billing and auditing specific Codes related to E/M, internal medicine, Emergency, surgery ( Ambulatory ), Radiology, Pathology, Podiatry, Rheumatology, Pain Management, Ortho Upper and lower Extremities, Psychiatry, Cardiology, EP Studies, Anesthesiology, Gynecology, HCC Risk Adjustment and PQRS. Working knowledge on multiple EHRs and other Software's utilized in the industry including TalkEHR, Kareo, Athena One, Cozeva, EPIC, Advanced MD, UroChart EHR, Medics Premier, eClinical Works, Optum 365, Practice Fusion and many more.
    vsuc_fltilesrefresh_TrophyIcon 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
    Healthcare Common Procedure Coding System
  • $15 hourly

    • 5.0/5
    • (6 jobs)
    Thank you! For visiting my profile. "Being into Medical Billing industry is not only my job or career but it's my passion. Doctors are serving humanity by going above and beyond so being their Medical Biller, I always put my 100% to make sure that they are collecting every cent for their services." I am a HIPAA compliant medical Billing specialist having an extensive experience of 8 years in US Healthcare industry. In which I have served to different specialties including: Internal Medicine Family Practice Pediatrics Radiology Hospitalist Pain management Urgent Care Behavioral Health I have also have a strong grip on different EMR/EHR and Billing Softwares including. eCW Kareo Advanced MD Dr. Chrono Athenahealth Practice EHR Collaborate MD Nextgen Practice Fusion Office Ally I hope that after reviewing my credentials that you see my professional experience can help your business get to the next level and accomplish what you as the client needs. I look forward to every project and give my full effort at all times. All projects are completed thoroughly and within the time lines given.
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Customer Service
    Electronic Medical Record
    Healthcare Common Procedure Coding System
    Administrative Support
    Communications
    Medical Procedure Coding
    Medical Records Research
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Accounts Receivable
    Data Entry
  • $30 hourly

    • 4.9/5
    • (17 jobs)
    ✅ Rewarded as 🏆 𝗧𝗢𝗣 𝗥𝗔𝗧𝗘𝗗 𝗣𝗟𝗨𝗦 🏆 by Upwork (𝗧𝗼𝗽 𝟯%) ✅ 100+ Successful Projects ✅ $30K+ Earned ✅ 1 Months of Free After Launch Support 👋 With 6+ years of hands-on experience in LinkedIn Lead Generation. LinkedIn Marketing & B2B Lead List Specialist Hi there! I’m Faryad Ali, a results-driven LinkedIn marketing and B2B lead generation specialist with over 6+ years of hands-on experience helping businesses unlock their growth potential. Whether you’re looking to build a high-quality B2B lead list, optimize your LinkedIn presence, or generate actionable sales opportunities, I’m here to deliver measurable results. What I Offer: ✅ LinkedIn Marketing & Optimization: Profile optimization for personal and company pages to maximize visibility and credibility. LinkedIn content strategy to engage your target audience and build thought leadership. Sponsored InMail campaigns and LinkedIn Ads management for lead generation. ✅ B2B Lead List Building: Customized, highly targeted B2B lead lists tailored to your ideal customer profile (ICP). Data scraping and enrichment using advanced tools like LinkedIn Sales Navigator, Apollo.io, Lusha, and more. Verified and accurate contact information (emails, phone numbers, LinkedIn profiles). ✅ Lead Generation & Outreach: Multi-channel outreach campaigns (email, LinkedIn, cold calling) to generate qualified leads. CRM integration and lead management to streamline your sales process. A/B testing and performance tracking to optimize outreach strategies. ✅ Sales Funnel Development: End-to-end sales funnel creation, from prospecting to closing. Nurture campaigns to convert leads into paying customers. Regular reporting and analytics to track ROI. Why Choose Me? ✨ Proven Track Record: 🏆 Rewarded as Top Rated Plus by Upwork (Top 3%). Successfully completed 100+ projects with a 100% client satisfaction rate. Generated $30K+ in revenue for clients through targeted lead generation and LinkedIn marketing strategies. ✨ Data-Driven Approach: I use the latest tools and technologies to ensure accuracy, efficiency, and scalability in every campaign. ✨ Client-Centric Focus: Your success is my priority. I take the time to understand your business goals and tailor strategies to meet your unique needs. ✨ Transparent Communication: I provide regular updates, detailed reports, and actionable insights to keep you informed every step of the way. ✨ 1 Month of Free After-Launch Support: I’m committed to your long-term success and offer ongoing support to ensure your campaigns continue to perform. Tools I Use: 🔧 LinkedIn Sales Navigator 🔧 Apollo.io 🔧 Lusha 🔧 Hunter.io 🔧 HubSpot 🔧 Salesforce 🔧 Zapier 🔧 Canva (for LinkedIn content) 🔧 Google Workspace Industries I’ve Worked With: SaaS & Technology Real Estate Consulting & Professional Services E-commerce & Retail Healthcare & Wellness Finance & Insurance Let’s Grow Your Business Together! If you’re ready to take your LinkedIn marketing and B2B lead generation to the next level, let’s connect! I’m passionate about helping businesses like yours achieve their goals through targeted, data-driven strategies. 📩 Send me a message today to discuss your project! Skills: LinkedIn Marketing | B2B Lead Generation | LinkedIn Ads | Email Outreach | CRM Integration | Sales Funnel Development | Data Enrichment | Cold Calling | Content Strategy LinkedIn Marketing & Optimization: LinkedIn marketing expert LinkedIn profile optimization specialist LinkedIn Ads campaign manager LinkedIn content strategy consultant LinkedIn Sales Navigator expert LinkedIn lead generation specialist LinkedIn InMail campaign specialist LinkedIn company page optimization LinkedIn thought leadership content creator LinkedIn organic growth specialist B2B Lead Generation & List Building: B2B lead generation expert B2B lead list building specialist Targeted B2B lead generation B2B email list building B2B data scraping specialist B2B contact list building B2B lead enrichment specialist B2B prospecting expert B2B LinkedIn lead generation B2B cold email list building
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Data Entry
    Google Sheets
    Canva
    PostScript
    Content Strategy
    Sales Lead Lists
    Data Cleaning
    B2B Lead Generation
    Company LinkedIn Profile
    LinkedIn Profile Optimization
    LinkedIn Profile Headline & Summary
    LinkedIn Profile Creation
    LinkedIn Profile
    LinkedIn Lead Generation
    LinkedIn Marketing
  • $10 hourly

    • 4.9/5
    • (15 jobs)
    With over 11 years of expertise in professional medical billing and coding, I have worked with renowned firms such as CureMD, Exponere, and Transcure. My proficiency lies in revenue cycle management services, analyzing operations, and identifying areas for improvement. Key Skills: Billing & Coding: Expert in handling patient eligibilities, submitting clean claims electronically or on paper for both professional and institutional services. Payment Posting: Skilled in posting payments using ERA's, EOB's, and patient payments. Denial Management: Efficient in resolving denied claims, working on aged claims, and retrieving updated statuses from web portals. Communication: Proficient in making insurance calls, generating patient statements, and communicating via faxes, emails, and appeals. Reporting: Provides detailed reporting of charges, payments, and other requested reports according to client specifications. Software Proficiency: Experienced with a wide range of software applications including ECW, NextGen, AdvancedMD, Kareo/Tebra, CureMD, Trizetto, HealthFusion, Practice Fusion, Prognosis, EzDerm, Athena, ChiroFusion, Therapynotes, Theranest, OfficeAlly, Intake Q, Epaces, Navinet, and all other commercial insurance portals. Specialties: Experienced with Cardiac Surgeons, Dermatologists, Podiatrists, Psychiatrists, Pediatricians, OB/GYN, Speech Pathologists, Neurologists, Urologists, ENT specialists, internal/family medicine, and Dental practices. Compliance: Strict adherence to HIPAA Compliance and HITECH Laws, ensuring 100% protection of sensitive patient information. Why Choose Me? Over a decade of industry experience. Proven track record of improving billing operations and increasing revenue. Commitment to client satisfaction and delivering high-quality results. Let’s work together to streamline your medical billing processes and enhance your revenue cycle. Contact me today to discuss how I can help your practice succeed.
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    EMR Data Entry
    Revenue Management
    Typing
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Electronic Medical Record
    Payment Processing
    Microsoft Excel
  • $12 hourly

    • 3.9/5
    • (17 jobs)
    With over 10 years of experience in Medical Insurance Billing and Coding, I bring a wealth of knowledge and expertise to your practice. I am proficient in multiple EHR/EMR systems, including WebPT, AdvanceMD, Practice Fusion, OfficeAlly, Aprima, OpenMP, Kareo, Healthie, TherapyNotes, and Raintree. My comprehensive understanding of the Revenue Cycle Management (RCM) process ensures efficient handling of collections, credentialing, and all other aspects of medical billing. Professional Expertise: As a dedicated member of the AAPC, I stay updated with the latest industry changes and insurance company updates. My experience spans various specialties, including: ✅ Internal Medicine ✅ General Practice ✅ Family Practice ✅ Surgery ✅ Cardiology ✅ Neurology ✅ Physical Therapy ✅ Foot Care ✅ Gynecology ✅ Behavioral Therapy ✅ Psychotherapy ✅ Podiatry ✅ Pediatrics ✅ Urgent Care ✅ Chiropractic ✅ Infectious Disease ✅ Psychiatry ✅ Speech Therapy ✅ Nutrition and Dietetics Proactive Approach: I prioritize post charges, fix rejections, and post payments efficiently. My proactive approach and attention to detail ensure that billing issues are resolved promptly, maximizing revenue and minimizing denials. Services Offered: Let’s work together to optimize your practice’s billing processes and improve your financial performance. Contact me today to discuss how I can contribute to your success. ✅ 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 processing ✅ Denial management ✅ Account receivable follow-up ✅ Payment posting and adjustment management ✅ Patient billing for patient responsibility ✅ Customized financial reports ✅ Scheduling calendar ✅ Data reconciliation ✅ Account management Best Regards, Waqar Baig
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Virtual Assistance
    Revenue Management
    Accounts Receivable
    Data Entry
    Accounts Payable
    Healthcare Common Procedure Coding System
    Medical Billing & Coding
    Accuracy Verification
    HIPAA
    Computer Skills
    Accounts Receivable Management
    Microsoft Excel
    Customer Support
    Healthcare Management
  • $10 hourly

    • 5.0/5
    • (5 jobs)
    Greetings, I am Wahid, a highly accomplished and versatile medical billing and coding specialist with a wealth of experience spanning over 5+ years. My journey in the healthcare industry has been nothing short of extraordinary, working with esteemed professionals across various specialties, including Cardiologists, Pediatrics, Psychiatrists, Therapists, Chiropractors, Orthopedics, Weight loss practices, Family Medicine, Internal Medicine, General Surgery, Ophthalmologists, Ambulance billing, Laboratory Pathology, and Drug Testing. Throughout my career, I have been deeply committed to excellence in health operations management, billing, and coding. My expertise in ICD-9 and ICD-10, CPT, and HCPCS coding has been instrumental in accurately analyzing and validating patient information, diagnoses, and billing data, all while achieving remarkable revenue generation goals. Having successfully navigated diverse medical specialties, I possess invaluable insights into the intricacies of each field, allowing me to provide tailored and effective billing solutions. From the fast-paced world of surgery to the delicate care in pediatrics, I have honed my skills to adapt seamlessly to every practice. Specialization: ✅ Account receivable ✅ Insurance Verification ✅ Medical Billing ✅ Appointment Setter/Scheduler ✅ Chat/Email Support ✅ Data Entry ✅ Authorization ✅ Medical Billing ✅ Medical Scribing ✅ Medical Transcription Tools: ✅ Excellent Typing skill, Typing speed of 35-50 wpm ✅ MS Office, Microsoft Excel, Google Docs, Spreadsheet, Dropbox and Basecamp Job Responsibilities: ✅ Patient Registration/demographics/insurance information ✅ Checking patient eligibility and benefits verifications ✅ Creating and submitting clean claims to insurance companies. ✅ Obtaining prior and retro authorizations for services ✅ Payments are posted from ERA/EOB/websites and also patient payments. ✅ Denials management ✅ Aging report/Follow-up/Appeals ✅ Customer services and administrative assistance. ✅ Handling patient calls regarding payments and billing records ✅ Sending invoices to different offices and clients. The specialties I have been working for are as follows: ✅ General Pediatric ✅ Chiropractic ✅ Psychiatric ✅ Mental Health ✅ Home healthcare ( CCM, RPM, and HHC) ✅ Family practice ✅ Internal medicine ✅ Cardiology ✅ Radiology ✅ Pain Care ✅ Pain Management Medical Billing software ✅ AdvancedMD ✅ ECW (eClinical work) ✅ Kareo (Tebra) ✅ Collebrate MD ✅ EPIC ✅ Office Ally ✅ Apex Clearing Houses ✅ Trizetto ✅ Availity ✅ ClaimMD ✅ Zermid ✅ Office Ally Insurance web portals that I have used: ✅ CGS(Medicare) ✅ WPS (Medicare) ✅ Palmetto GBA (Medicare) ✅ Noridian (Medicare) ✅ Novitas (Medicare) ✅ Navigate ✅ Availity ✅ UHC ✅ Cigna ✅ Optum ✅ Payspan ✅ Humana ✅ Molina Healthcare ✅ Health First ✅ HRSA uninsured Core Skills and Competencies ✅ ICD-10 codes ✅ CPT codes ✅ HCPCS codes ✅ Medical Terminology ✅ Medicare and Medicaid Guidelines ✅ Knowledge of Payer Reimbursement Characteristics and Billing Policies ✅ Medical Documentation review and Auditing ✅ Daily/Weekly/Monthly/Quarterly Reconciliation ✅ Performs well with little supervision Thank you.
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Invoicing
    Insurance Verification
    EMR Data Entry
    Healthcare Common Procedure Coding System
    File Management
    HIPAA
    Medical Billing & Coding
    Medical Procedure Coding
    Revenue Management
    Email Communication
    Data Entry
  • $10 hourly

    • 5.0/5
    • (11 jobs)
    Hello! I am a Medical Biller and Coding Specialist who can manage the important administrative work of coding and billing to ensure healthcare providers are reimbursed for their services. You can expect me to properly code services, use valid Current Procedural Terminology and appropriate ICD-10 code. Following up with patients and/or insurance companies regarding outstanding charges. Review the reason/s behind any denied or rejected claims prior to correcting and resubmitting. Capable of creating and submitting good cause argument letter and/or formal letter of appeal for incorrectly denied claims. Track and post insurance payments. Excellent ability to communicate effectively and professionally. Proficient level of computer literacy. With Six years of experience as Customer Service Representative for one of the biggest Medical Insurance, I am knowledgeable with insurance guidelines and strictly follows HIPAA regulations. Two years of experience as an Account Receivable (AR) Specialist and a Subject Matter Expert (SME) for major payers Medicare and Medicaid Health Plans. Benefits/Services I previously worked: • All Medical Benefits (including Preventive Services) • Behavioral and Mental Health • Substance Abuse Few Major Insurances and their States I previously worked: • Medicare Health Plan (MI, IL, OH, TX, GA, CA, AZ) • Medicaid Health Plan (MI, IL, OH, TX, GA, CA, AZ) • Humana, Aetna, Anthem Inc., Illinicare, Cigna Health, Meridian/Wellcare, Molina Healthcare Inc., UnitedHealth Care Has Experience working with software • CallCare Browser • Phicure • Citrix/Trizetto *Familiar with all areas of CMS 1500 form and its guidelines. *Adaptive and can easily learn to navigate in working with a new software Can manage multiple assigned task by determining its level of urgency. Will make sure target levels are meet timely. I am willing to be trained and looking forward to working with you.
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Medical Condition Coding
    Phone Communication
    Medical Procedure Coding
    Electronic Medical Record
    Insurance Verification
    Insurance Policy Analysis
    Insurance & Risk Management
    Administrative Support
    Medical Billing & Coding
    Accuracy Verification
    Microsoft Excel
  • $15 hourly

    • 4.0/5
    • (30 jobs)
    I am a highly experienced CPC and CRC with a robust knowledge base in ICD-10 CM/PCS, HCPCS, MIPS, and CPT coding systems. My expertise spans across all domains of Radiology Coding—both interventional and diagnostic—as well as Anesthesia coding. I also possess a deep understanding of Evaluation and Management (E/M), Pathology and Laboratory, Medicine, and Surgery coding, ensuring the highest levels of accuracy and compliance. Key areas of expertise include: Radiology and Anesthesia Coding: Extensive experience in accurate coding for interventional and diagnostic radiology, as well as anesthesia, ensuring precise billing and optimal reimbursement. E/M, Pathology, Laboratory, Medicine, and Surgery Coding: Comprehensive skills in a wide array of coding areas, backed by meticulous attention to detail and adherence to the latest coding standards and guidelines. ICD-10 CM/PCS, MIPS, HCPCS, CPT: Proficient in all major coding systems, ensuring compliance and optimization in capturing the complexity of medical conditions and procedures. Research Skills: Strong analytical capabilities, bolstered by a Master of Philosophy in Bioinformatics, enabling advanced research. As a Certified Risk Adjustment Coder (CRC) with 5 years of experience, I specialize in the intricate analysis and accurate coding of medical records to ensure precise HCC (Hierarchical Condition Categories) coding and accurate ICD-10-CM coding. My proficiency in understanding CMS guidelines and risk adjustment models has enabled me to significantly contribute to the financial and clinical performance of healthcare organizations. Key areas of expertise include: HCC Coding: Deep understanding of the HCC model such as V28 and V24 Model, ensuring accurate representation of patients' health statuses. ICD-10-CM Coding: Proficient in ICD-10 coding, with a keen eye for detail to ensure compliance with the latest coding standards. Documentation Review: Skilled in thorough documentation review and gap analysis to ensure all relevant diagnoses are captured. Compliance and Quality Assurance: Experienced in conducting audits to maintain compliance with federal regulations and enhance data quality. Software Proficiency: Adept at using coding software and tools such as AAPC, CMS-HCC, 3M Encoder, and EPIC, ensuring efficient workflow and accuracy. Achievements: Successfully improved coding accuracy rates by 99% through meticulous reviews and targeted training sessions. Played a pivotal role in a project that resulted in a 100% increase in risk adjustment factor scores. Consistently recognized for attention to detail and accuracy, receiving commendations from supervisors and peers. As a Certified Professional Coder (CPC) with 5 years of experience, I bring extensive expertise in accurately coding medical procedures and diagnoses across various specialties. I am adept at ensuring compliance with healthcare regulations and facilitating efficient revenue cycle management. My detailed-oriented approach and comprehensive knowledge of coding standards contribute significantly to the operational success of healthcare providers. Key areas of expertise include: CPT & ICD-10 Coding: Proficient in CPT, ICD-10-CM, and HCPCS level II coding, ensuring precise and compliant coding for medical services. Documentation Review: Skilled in conducting meticulous reviews of clinical documentation, ensuring all pertinent information is captured and correctly coded. Billing and Reimbursement: Experienced in navigating insurance claims, utilizing electronic health record (EHR) systems, and optimizing billing processes to maximize reimbursement. Compliance and Auditing: Proven track record in performing internal audits to maintain adherence to compliance standards and improve coding accuracy. Software Proficiency: Proficient in using coding and billing software such as AAPC, Meditech, Epic, and 3M Encoder, streamlining workflows and enhancing productivity. Achievements: Enhanced coding accuracy rates by 99% through targeted audit initiatives and continuous education programs. Successfully resolved billing discrepancies, resulting in a 100% improvement in claim acceptance rates and reducing denials. Recognized for exceptional attention to detail and accuracy, earning accolades from peers and supervisors for coding excellence. Led training sessions for coding staff, fostering a collaborative environment focused on achieving high standards in coding and billing practices. I am dedicated to maintaining up-to-date knowledge of coding regulations and best practices. My commitment to precision and efficiency ensures that healthcare organizations can achieve optimal operational performance while delivering high-quality patient care. Software's and Applications Expertise -Encoder Pro -Meditech -Kareo -ECW -Medserve -Health Fusion Next Gen -EPIC -TalkEHR -Medics Premier -Cerner -AthenaOne -Vertex -Power Chart -EMR/EHR Billing software's -Remote Desktop Work -Office Suit -Slack -Asana
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Medical Records Software
    Medical Condition Coding
    Medical Billing & Coding
    Medical Transcription
    Medical Procedure Coding
    Blog Content
    Data Extraction
    Medical Report
    Electronic Medical Record
    Virtual Assistance
    Healthcare Common Procedure Coding System
    Medical Informatics
  • $30 hourly

    • 5.0/5
    • (13 jobs)
    COC, CPC, CPMA, Certified Coder, Auditor, and Outpatient Coding specialist. I have 15 years of medical billing and coding experience, Credentialing, data analysis, and Denial Management. The Medical billing and coding policies and procedures are constantly changing, and keeping up with these changes is something Medical A/R Services, LLC takes seriously. I have high expertise in government (Medicare, Medicaid, Tricare) and all commercial insurance companies websites, multiple EMR, EHR systems, including Athenahealth, Medisoft, Healthie, office ally, Availity, Emdeon/changehealthcare, Kalix, EPIC and fully fluent in Microsoft Office. I maintain efficient and accurate work and also focus on policies and regulations per insurance companies. I have worked with multiple physician specialties including, Urology, MNT, General Surgery, Bariatrics, Colorectal Surgery (noninvasive), Podiatry, OBGYN and Internal Medicine. I have worked cleaning up A/R for all specialties stated above and including behavioral health, ophthalmology.
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Medical Billing & Coding
    Financial Audit
    Revenue Management
    Customer Support
    Accounts Receivable Management
    Electronic Medical Record
    Microsoft Word
    Google Docs
    Data Entry
  • $15 hourly

    • 4.8/5
    • (20 jobs)
    Hello, I extend my best wishes for your well-being and health. My name is Saqib Gardezi, and I specialize in practice revenue recovery, credentialing and medical billing services with 99.9% successful result . Also, I am providing comprehensive credentialing services for all specialties like mental health and substance use disorder, dental, emergency rooms, diagnostic laboratories, home health and hospice, primary care physician and specialist clinics with a decade of experience in various states. My focus is on securing 100% in-network approvals with all insurance companies across any state, all at competitive rates. I am a research analyst ✅Medical Billing and Coding I have worked on all functions of medical billing and also did quality checks for the same. I have also prepared a training manual for AR and payment posting. I have great experience working on the below-mentioned functions of Medical billing. ✅Patient Registration ✅Insurance Verification ✅Pre Authorization Request and verification ✅Charge Posting / Superbill review ✅Evaluation of valid HCPCS codes, ICD 9-10 and Modifier ✅Fixing Rejected Electronic claims ✅Checking clearinghouse reports (Phicure, Trizetto, availity and Navinet) ✅Provider PIN calling (for verifying provider TAX id, NPI, and billing address) ✅EOB and check search via websites and batches ✅Payment Posting of Insurance and Patient ✅AR Follow up on denied claims via call or websites ✅Appeal project ✅Collection / Refund / Over-Payment ✅Scheduling new patients Project Specialization ✅Credentialing & Enrollment Experience Practice and provider credentialing, re-credentialing with all US government, commercial, managed-care payers/insurances of any provider or practice specialty. ✅Medicare, Medicaid, Medicare & Medicaid plans and commercial insurance and plans enrollment ✅Follow up on submissions of all enrollment every week ✅Getting Type 1 and Type 2 NPI through NPPES registry ✅ERA and EFT enrollments ✅Contract negotiations and fee schedule settlements ✅CAQH up to date, NPPES up to date and weekly track the issues and communicate with front office and providers. ✅Provider Directory maintenance ✅Maintain spreadsheet with following dates tasks regarding progress enrollment follow-up. ✅Daily & Weekly basis provider communication regarding enrollment concerns, missing information, and latest updates on enrollments. ✅Providers and NP’s/PA’s Hospital affiliation paper work and approval with any of desired hospital ✅Software Experience (PM and EMR) Work Experience of Software I have work experience with the below software mentioned in medical billing. I have excellent grasping power, so it does not take much time to navigate new software. I am comfortable and adaptive with using many different types of medical billing software. 1. Waiting Room Solutions 2. AdvancedMD 3. Zen desk 4. Xifin 5. Phicure 6. Trizetto 7. EZ Claim 8. Office Ally 9. Kareo 10. Simple Practice 11. Care Cloud 12. Brightree 13. Collaborate MD 14. Ipatient Care 15. Limbs ✅Major follow up Insurance 1. Medicare 2. Medicaid 3. BCBS 4. Aetna 5. UHC 6. Cigna 7. Molina (Medicare, Medicaid and marketplace plans) 8. Tricare 9. ChampVA 10. Humana 11. Guardian 12. Oxford 13. Workers Compensation Ability to control multiple assignments and tasks by identifying their level of importance • I have the ability to listen, writing and speaking effectively. • I have excellent interpersonal abilities that help me maintain a good relationship between my employer and colleagues. I am willing to be trained and open to learning new things. I am a fast learner and self-motivated. Looking forward to working with you
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Legal Practice Management
    Insurance Verification
    Insurance Claim Submission
    Insurance
    Telemedicine
    Medical Referrals
    Software
    Medical Procedure Coding
    Medical Report
    Medical Billing & Coding
    Electronic Data Interchange
    Medical Mastermind Medical Billing Services
    Electronic Medical Record
    Electronic Funds Transfer
    Data Entry
  • $10 hourly

    • 4.0/5
    • (1 job)
    Hi! My name is Sharla, Registered Radiologic Technologist by profession, Hardworking has a full understanding of ICD-10-CM, CPT and HCPCS coding procedures. Excellent data entry skills allow for accurate coding of medical information and provided care. Extensive knowledge in Medical Billing, Coding and medical terminology. Certification as a Medical Coding, and total of 4 years plus of experience. I have been working on Multi Specialties: •E&M Inpatient and Outpatient •Invasive and Non-invasive Cardiology •Cardiothoracic Surgery •Orthopedic Surgery •Bariatric Surgery •Neurospecialist •Anesthesia •OBGYN •Urgent Care •Laboratory •Radiology/ Interventional Radiology •Denial Management •Claim Analyst •Medical Billing I have been working on different EMRs and Applications like: •3M •E Clinical Work (ECW) •Meditech •Epic •Athena •Kindred •Cerner •Encoder Pro •Codify I appreciate this opportunity, and I'm enthusiastic about collaborating for the success of this venture. I look forward to our professional partnership. Thank you for visiting my profile :)
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Medical Condition Coding
    Medical Terminology
    Medical Procedure Coding
    Medical Billing & Coding
    Microsoft Office
    Healthcare Common Procedure Coding System
  • $15 hourly

    • 5.0/5
    • (52 jobs)
    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
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    Virtual Assistance
    Medical Billing
    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
  • $35 hourly

    • 5.0/5
    • (28 jobs)
    Hi! I am CPC certified Medical Coder and CPMB certified Medical biller with HIPAA compliant having more than 03 years of experience for US Healthcare Industry. QUALIFICATION : Pharm-D (Doctor of Pharmacy) CERTIFICATIONS ● CPC (Certified Professional Coder) ●CPMB (Certified Professional Medical Biller) - Certificate ID : 105301414  ● Basic IT (1-year diploma including MS Office complete,Typing,Google sheets & docs..etc ) I have attained vast experience on processing following mentioned nature of services: -Medical Coding: As a Coding Specialist with a Bachelors in Pharmacy (Pharm-D), I have extensive experience working with different multinational companies such as Medcare MSO, P3 care, Physician Revenue Group(PRG) in various roles such as in-patient and outpatient facility coding, physician coding, Skilled Nursing Facility, Wound Care Management, Gastro, Mental Health, Psychiatry, CPT/HCPCS coding, ICD-10-CM coding, medical policies reviewer and mapping specialist, making me an expert in medical revenue cycle management. With my expertise in ICD-10, CPT mapping, medical policy mapping, medical record reviewing and auditing, and presentation of upcoming and new policies for providers, I can help optimize your medical practice's coding process. -Medical Billing: With my knowledge and experience in medical billing, I can help healthcare professionals and medical facilities optimize their revenue cycle management. I am familiar with coding systems, insurance claim submissions, payment posting, and denial management. I can navigate billing software efficiently and provide accurate and timely billing services. I have also hand-on experience and proficient in patient demographic entry, charge entry in EHR/EMR, eligibility verification with payers, medical claim scrubbing, claim submission, denial management, account receivable follow up, email and call handling, payment posting and adjustment management, patient billing for patient's responsibility, medical scribing, patient scheduling, and calendar management. -Medical Transcription: My expertise in medical transcription ensures accurate and timely conversion of audio recordings into written documents. I possess a strong understanding of medical terminology, attention to detail, and excellent listening skills, which allow me to deliver high-quality transcriptions for medical professionals and organizations. -Virtual Assistant: As a virtual assistant, I excel at providing administrative support (google spreadsheets, excel, images, NetSuite, Products Categorization, Photoshop), managing calendars, handling emails, conducting research, data entry, organizing files, and coordinating tasks. With excellent organizational skills and attention to detail, I ensure efficient operations and seamless communication for my clients. I have worked extensively with different specialties such as Mental Health, Chiropractic, and Physical Therapy, Physician, etc. My hands-on experience with Codify, Optum Encoder, MCD coding coverage, MS Office(Word, Excel, Outlook etc), Google Docs, Google sheets and numerous software platforms like OfficeAlly, ECW, Practice Fusion, CareCloud, EZ Claim, Availity, Trizetto, and Kareo allows me to navigate various systems efficiently and effectively. My commitment to hard work and honesty is unwavering. I strive to foster long-term professional relationships with my clients and ensure their 100% satisfaction before considering any project complete. With my solid background in health operations management, billing, and coding, I am ready to bring my skills, dedication, and passion to your team. Best Regards, Muhammad Atif Javed (PharmD, CPC, CPMB)
    vsuc_fltilesrefresh_TrophyIcon ICD Coding
    Medical Transcription
    Medical Procedure Coding
    Insurance Claim Submission
    EMR Data Entry
    Medical Mastermind Medical Billing Services
    Electronic Health Record
    Medical Records Software
    Healthcare Common Procedure Coding System
    Medical Billing & Coding
    HIPAA
    Microsoft Word
    Microsoft Excel
    Data Entry
  • $10 hourly

    • 4.7/5
    • (44 jobs)
    Greetings, I am Sumit, a highly accomplished and versatile medical billing and coding specialist with a wealth of experience spanning over 15+ years. My journey in the healthcare industry has been nothing short of extraordinary, working with esteemed professionals across various specialties, including Cardiologists, Obgyn, Pediatrics, Psychiatrists, Therapists, Chiropractors, Orthopedic, Weight loss practices, Dieticians, Counselors, Family Medicine, Internal Medicine, General Surgery, Ophthalmologists, Ambulance billing, Laboratory Pathology, and Drug Testing. Throughout my career, I have been deeply committed to excellence in health operations management, billing, and coding. My expertise in ICD-9 and ICD-10, CPT, and HCPCS coding has been instrumental in accurately analyzing and validating patient information, diagnoses, and billing data, all while achieving remarkable revenue generation goals. Having successfully navigated diverse medical specialties, I possess invaluable insights into the intricacies of each field, allowing me to provide tailored and effective billing solutions. From the fast-paced world of surgery to the delicate care in pediatrics, I have honed my skills to adapt seamlessly to every practice. In my managerial roles, I have led teams with finesse, ensuring seamless processes, prompt claim follow-ups, and proactive resolution of billing issues. My negotiation prowess and exceptional customer service have significantly boosted collections, earning recognition and rewards for my contributions. Meticulous, resourceful, and dedicated to continual learning, I have stayed ahead of regulatory standards and compliance requirements, always delivering exceptional results for my clients and employers. Software/EHR experince - Office Ally Practice Mate Kareo AthenaHealth AdvanceMD Eclinical Works AdvanceClaim Collaborate MD Emed Dr Chrono Open PM Trimed Skills: - Inherently Hardworking and willing to go the extra mile, if required. - Quick Learner with excellent listening skills, always eager to explore new opportunities for growth and learning. - Trustworthy and reliable, committed to maintaining the highest level of integrity. - Proficient English Speaker with a keen eye for detail and unwavering focus. - Impressive typing speed of 85 WPM, ensuring efficient and accurate work. - Approach to projects is Fast, Flexible, and Friendly! 😊 - Available to start work immediately. Achievements: - Honored as the Employee of the Year for two consecutive years, in 2016 and 2017, showcasing my dedication and exemplary contributions to the organization. - Successfully managed and led a team of 24 individuals, fostering a collaborative and high-performance work environment. - Spearheaded projects resulting in an impressive profit generation of $878,233.10, a testament to my strategic acumen and leadership skills. - Recognized and promoted for consistently maintaining quality standards above 90%, reflecting my commitment to delivering excellence in every task. - Rewarded for my expertise in resolving complex claims and identifying valuable trends, further enhancing operational efficiency and revenue optimization. - Commended for exceptional interpersonal skills, fostering strong relationships with clients, colleagues, and healthcare professionals. - Implemented innovative process improvements, streamlining workflows and reducing claim processing time. - Received accolades for exceptional problem-solving abilities, swiftly addressing challenges and ensuring seamless operations. - Consistently achieved high levels of accuracy and productivity, meeting or exceeding targets consistently. - Proven track record of meeting tight deadlines and handling high-pressure situations with composure and efficiency.
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    Customer Service
    Medical Translation
    Accounts Receivable
    Revenue Management
    Electronic Medical Record
    Accounts Receivable Management
    Medical Records Research
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Data Entry
    Medical Records Software
    Microsoft Excel
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