I'm a HIPAA Certified Medical Biller and Credentialing Specialist with over 6 years of hands-on experience providing end-to-end medical billing, coding support, credentialing, and revenue cycle management services for private practices, clinics, solo providers, group practices, and healthcare organizations across the United States.
I help healthcare providers streamline their billing operations, increase collections, minimize claim denials, and maintain compliance with HIPAA regulations, Medicare, Medicaid, and commercial insurance payer guidelines. My focus is on accuracy, timely claim processing, faster reimbursements, and maximizing practice revenue while allowing providers to concentrate on patient care.
Medical Billing & Revenue Cycle Management (RCM) Services
I provide complete medical billing and practice management support, including:
Medical Billing & Revenue Cycle Management (RCM)
Medical Coding Support (ICD-10, CPT, HCPCS Level II, Modifiers)
Patient Registration
Patient Demographics Entry
Appointment Scheduling
Insurance Eligibility & Benefits Verification
Prior Authorization & Referral Management
Charge Entry
Electronic Claim Submission
Paper Claim Submission
Claim Scrubbing
Claim Auditing
Claims Management
Clearinghouse Management
Insurance Claim Tracking
Rejection Analysis & Correction
Denial Management
Appeal Letter Preparation
Payment Posting (ERA & EOB)
Insurance Payment Reconciliation
Patient Payment Posting
Credit Balance Resolution
Refund Processing
Accounts Receivable (A/R) Follow-up
Aging A/R Recovery
Insurance Follow-up
Claim Status Investigation
Appeals & Dispute Resolution
Patient Billing
Patient Statements
Collections Support
Monthly Financial Reports
Revenue Analysis
Practice Performance Reporting
Provider Enrollment
Provider Credentialing
CAQH Profile Maintenance
PECOS Enrollment
Medicare Enrollment
Medicaid Enrollment
Commercial Insurance Credentialing
Provider Revalidation
ERA/EFT Enrollment
Revenue Optimization
End-to-End Practice Management Support
Medical Specialties
I have successfully supported providers in multiple specialties, including:
Family Medicine
Primary Care
Internal Medicine
Cardiology
Behavioral Health
Mental Health
Psychiatry
Psychology
Pediatrics
Urgent Care
Hospital Medicine
Critical Care
Anesthesiology
Nephrology
Physical Therapy
Occupational Therapy
Chiropractic
Acupuncture
Pain Management
Clinical Laboratories
Diagnostic Services
EHR, EMR & Practice Management Software
I am proficient in industry-leading medical billing software and electronic health record (EHR/EMR) systems, including:
Epic
Athenahealth
eClinicalWorks (eCW)
Kareo / Tebra
AdvancedMD
CollaborateMD
CareCloud
Office Ally
SimplePractice
TherapyNotes
PracticeQ
IntakeQ
Insurance Portals, Clearinghouses & Payment Platforms
I regularly work with major payer portals and clearinghouses, including:
Availity
Waystar
TriZetto
Change Healthcare
NaviNet
Noridian
NGS Connex
WPS
Palmetto GBA
Echo Health
Optum Pay
Zelis
PaySpan
UMR
GEHA
Fidelis Care
Healthfirst
MetroPlus Health Plan
Why Clients Choose Me:
HIPAA Certified Medical Billing Professional
6+ Years of Practical Medical Billing Experience
Strong Knowledge of Medicare, Medicaid, and Commercial Insurance
Expertise in Revenue Cycle Management (RCM)
Extensive Claim Denial Management Experience
Accurate Medical Billing and Coding Support
Experienced with Insurance Verification and Prior Authorization
Skilled in Accounts Receivable (A/R) Recovery
Provider Credentialing and Enrollment Specialist
Excellent Communication with Insurance Representatives, Providers, and Patients
Detail-Oriented and Deadline-Driven
High-Speed Internet and Dual-Monitor Workstation
Reliable, Confidential, and Quality-Focused
Keywords
Medical Billing, Medical Billing Specialist, Medical Biller, Medical Coding, Medical Coder, Revenue Cycle Management, RCM Specialist, Medical Claims, Insurance Claims, Claims Processing, Claim Submission, Claim Scrubbing, Denial Management, Denial Resolution, Appeals, Accounts Receivable, A/R Follow-up, Aging A/R, Payment Posting, ERA Posting, EOB Posting, Patient Billing, Insurance Verification, Benefits Verification, Prior Authorization, Credentialing, Provider Enrollment, Provider Revalidation, CAQH, PECOS, Medicare Billing, Medicaid Billing, Commercial Insurance, CPT Coding, ICD-10 Coding, HCPCS Coding, Healthcare Administration, Practice Management, Medical Office Support, EMR, EHR, HIPAA Compliance, Clearinghouse Management, Revenue Recovery, Medical Practice Support, Virtual Medical Assistant, Healthcare Virtual Assistant.
If you're looking for a dependable Medical Billing, Credentialing and Revenue Cycle Management Specialist who can improve your collections, reduce denials, recover outstanding claims please reach out.
Medical Terminology
Medical Billing & Coding
Insurance Verification
Medical Billing
Insurance Claim Submission
Revenue Cycle Management
Appointment Scheduling
Customer Service
Accounts Receivable
Medical Records Research
Electronic Medical Record
Phone Communication
Microsoft Excel
PowerPoint Presentation
Following Procedures
Awais A.
Islamabad, Pakistan
$15/hr
5.0
6 jobs
Hi,
I am a Registered Pharmacist (R.Ph) and Certified Professional Coder (CPC) with more than 12 years of experience in revenue cycle management, specializing in medical coding, billing, and reimbursement processes.
With my background in medical terminology, anatomy, physiology, and pharmacology, I bring a distinct advantage to medical coding. Combined with my AAPC Certified Professional Coder (CPC) certification, I am well-equipped to provide expert revenue cycle management services. My primary goal is to help optimize your billing processes, minimize claim denials, and ensure accurate and timely payments. I am dedicated to maintaining strict confidentiality and adhering to HIPAA compliance in all aspects of my work, and I take great pride in my meticulous attention to detail and accuracy.
I am HIPAA compliant, detail-oriented, and proficient in ICD-10, CPT, and HCPCS coding systems and am well-versed in electronic health records (EHR) platforms and medical billing software, including like eCW, Mod Med, Epic, Cerner, Cure MD and others.
In my previous role as a Subject Matter Expert, I provided support to a range of healthcare providers, including Ambulatory Surgical Centers (ASC), Urgent Care centers, genetic and COVID testing labs, and other outpatient services. I conducted internal coding audits, assessed external audit quality, and trained and onboarded new coding professionals.
Competencies:
● 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
● Comprehensive knowledge of NCCI policy, PTP edits and rules established by AMA and CMS.
● Working knowledge of compliance regulations HIPAA and PHI requirements.
● Ability to efficiently manage claim denials
● Experienced and efficient in backlogs management.
● 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
Let’s connect today to discuss how I can help you streamline your medical coding and billing needs
Medical Terminology
Medical Billing & Coding
Medical Procedure Coding
Insurance Claim Submission
Revenue Cycle Management
HIPAA
Compliance
eClinicalWorks
Epic Systems Medical Software
Healthcare Common Procedure Coding System
Medical Translation
Accounts Receivable Management
Accounts Receivable
EMR Data Entry
Electronic Health Record
Muhammad Z.
Islamabad, Pakistan
$5/hr
5.0
8 jobs
Hello!
I have extensive experience in Medical Billing, Mental/ Dental Billing, Physician Billing Homehealth Billing and Hospice Billing, coding and credentialing expert with nearly 6 years of experience. I am friendly, loyal, and dedicated, to my work. My Solution & Expertise:
Specialization:
* Insurance Verification
* Medical Billing
* Medical Scrubbing
* Credentialing PECOS/CAQH
* Appointment Setting/Scheduler
* Chat/Email Support
* Data Entry
* Medical Transcription
* Customer services
Tools:
* Excellent Typing skill (35-50wpm).
* MS Office.
* Microsoft Excel.
* Google Docs.
* Google Spreadsheet.
* Dropbox.
* Teams
* Slack
Job Responsibilities:
* Patient Registration/demographics/insurance information
* Checking patient eligibility and benefits verification
* Creating and submitting clean claims to insurance companies.
Weekly, monthly, annually billing and coding audit services. .
* Obtaining prior and retro authorizations for services
* Payments posting from ERA/EOB/websites and also patient payments.
* Denials management
* Aging report/Follow-up/Appeals
* Handling patient calls regarding payments and billing records
* Sending invoices to different offices and clients.
* EDI 835/837 enrollment
* Charge posting and Demographic entry. 5.Payment posting on claims through ERA/ EOB/ Web site, IVR, Fax.
* Billing primary and Secondary Claims and to patients where required.
* Resolve/ Repair the claims rejected by clearing house in electronic submission.
* follow up on unpaid claims within standard billing cycle timeframe.
* prepare appeals for denied claims.
* Telephonic conversation with insurance companies for issue resolution and claim status 11.A/R Management.
And much more...
Specialties I have been working for are as follow:
* Urgent care
* General Pediatric
* Skilled Nursing
* Physical Therapy
* Psychiatric
* Mental Health
* Home healthcare
* Internal medicine
* Pain Care
* Pain Management
* Medical Billing
* Physician Billing
Insurance web portals that I have used:
* CGS(Medicare)
* WPS (Medicare)
* Palmetto GBA (Medicare)
* Noridian (Medicare)
* Novitas (Medicare)
* UHC
* Cigna
* Optum
* Humana
* Molina healthcare
* BCBS
* Aetna
* Delta Dental
Resources :
I have all the resources available like USA Phone, Computers/Laptop & High-speed Internet Connection.
Why You Should Hire me ? Fast and accurate service 100% Accuracy 100% Satisfaction If you have any questions, feel free to ask me anything. Looking forward to hearing from you.
Best Regards
Muhammad zulfiqar
Data Entry
Medical Records Software
Microsoft Word
Microsoft Excel
Accuracy Verification
Google Docs
Database
Clerical Procedures
Customer Service
Adeel K.
Islamabad, Pakistan
$18/hr
5.0
37 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.
Data Entry
ICD Coding
Medical Billing & Coding
Medical Condition Coding
Medical Procedure Coding
Medical Records Software
Healthcare Common Procedure Coding System
Administrative Support
Revenue Management
Medical Records Research
Healthcare IT
Electronic Health Record
Medical Mastermind Medical Billing Services
Medical Translation
Maria R.
Islamabad, Pakistan
$8/hr
5.0
1 jobs
Part A and Part B Medical Coder | Medical Billing - US Healthcare
If you are a Medical or Mental Heath Provider and seeking a detailed Oriented Certified Medical Coder with active AAPC Membership, Look no further .... !
📌 Professional Summary:
Detail-oriented and AAPC-certified Certified Professional Coder (CPC®) with 5+ years of experience in medical coding, compliance, and claims management. Adept at translating clinical documentation into standardized codes to ensure accurate billing, streamline reimbursements, and support healthcare operations. Passionate about maintaining coding accuracy and supporting ethical medical practices.
🏥 Industry Experience:
Specialized in ICD-10, CPT®, HCPCS Level II coding. Accurate CPT, ICD-10-CM, and HCPCS, ICD-10-PCS and DRG coding
Worked across multi-specialty practices, including outpatient, physician, and ambulatory care
Expertise in E/M coding and denial management
Reducing coding errors & increasing claim acceptance
Chart audits & clinical documentation improvement (CDI)
✅ Professional Skills:
Claims Review & Auditing
Coding Compliance & Documentation Improvement
EMR/EHR System Proficiency (e.g., eCW, AdvancedMD)\
HIPAA Compliance & Data Confidentiality
Precision-driven approach to coding
Excellent communication with providers and billing teams
Clean, compliant, and payable claims
Knowledge of payer-specific guidelines & modifier usage
Ethical, HIPAA-compliant documentation practices
🛠️ Tools & Platforms:
EMR/EHR Systems: Advanced MD, eClinicalWorks, Cerner, Epic
Coding Tools: EncoderPro, Codify, SuperCoder, Find-A-Code, 3M, Encompass
Compliance Tools: Audit Manager, AAPC Practicode
Microsoft Excel | Google Workspace | PDF Annotators
📚 Certifications & Affiliations:
Certified Professional Coder (CPC®) – AAPC
Active AAPC Member
Ongoing commitment to continuing education and CEUs
🤝 Let’s Connect!
Whether you're seeking accurate coding solutions, audit readiness, or compliance support—I'm here to contribute with professionalism and precision. I'm eager to expand my expertise in risk adjustment, telehealth coding, or even medical auditing (CPMA®). Open to collaboration, freelance opportunities, or full-time roles where I can contribute to accurate and ethical revenue cycle success.
ICD Coding
Medical Billing & Coding
Medical Condition Coding
Medical Procedure Coding
Healthcare Common Procedure Coding System
Medical Billing
Medical Transcription
Electronic Medical Record
Electronic Health Record
Preauthorization
Insurance Verification
Insurance Claim Submission
Accounts Receivable Management
EMR Data Entry
HIPAA
Shah A.
Islamabad, Pakistan
$15/hr
5.0
12 jobs
I am a CPC-certified medical coder (ID: 02146003) with 6+ years of proven experience in medical billing, coding, auditing, and clinical documentation improvement (CDI). With a dual background as a licensed Physical Therapist (Master’s in Neuromuscular PT) and a certified coder, I bridge the gap between clinical care and financial accuracy, ensuring providers get faster reimbursements, fewer denials, and compliant documentation.
✨ What I Deliver:
✔️ Accurate CPT, ICD-10-CM & HCPCS coding (multi-specialty)
✔️ End-to-end medical billing & clean claim submissions
✔️ Denial management & revenue cycle optimization
✔️ Clinical documentation review & improvement (CDI)
✔️ Confidential, HIPAA-compliant healthcare documentation
💡 Specialties & Settings:
Outpatient | Inpatient | ED | Same-Day Surgery
Orthopedics | Pain Management | Cardiology | Pediatrics
OB/GYN | Internal Medicine | Radiology | Surgery | Lab | E/M
📈 My goal: To help healthcare practices maximize revenue, reduce claim rejections, and maintain 100% compliance through precise coding and billing.
🔹 If you need a trusted coding & billing partner who understands both clinical care and revenue cycle management, let’s work together to streamline your practice’s success
ICD Coding
Medical Billing & Coding
Medical Condition Coding
Medical Procedure Coding
Medical Billing
Healthcare Common Procedure Coding System
Medical Transcription
Medical Interpretation
Healthcare IT
Electronic Health Record
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