Hire the best Medical Condition Coding specialists

Check out Medical Condition Coding specialists with the skills you need for your next job.
  • $15 hourly
    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.
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    Augmented Reality
    Insurance Policy Analysis
    ICD Coding
    Medical Transcription
    Customer Service
    Medical Billing & Coding
    Revenue Management
    Data Entry
    Data Analysis
  • $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
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    EMR Data Entry
    Microsoft Excel
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Accounts Receivable
    ICD Coding
    Electronic Medical Record
    Healthcare Common Procedure Coding System
    Accounts Receivable Management
    Medical Terminology
    Medical Procedure Coding
    Electronic Health Record
    Medical Transcription
  • $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.
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    Medical Informatics
    Medical Billing & Coding
    Education
    Financial Audit
    ICD Coding
    Medical Terminology
    Insurance Consulting
    Electronic Health Record
  • $25 hourly
    I am a detail-oriented medical office professional with 20+ years of experience dealing with fast-paced hospitals and medical offices. My expertise includes electronic and paper medical billing, working unpaid claims, data entry, and maintaining financial records. I am fluent in Google Sheets. I am an effective contributor to teamwork with the ability to work well independently. I also take the initiative to accomplish tasks within deadlines. SKILLS • HIPAA Certified • Medical Billing and Coding • Eligibility of Benefits (EOB) Data Inputting • Medical Front-Office Operations • Data Mining Specialist • Insurance and Patient Collections • Investigative Medical Billing • Microsoft Office Experience • Data Entry
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    Medical Records Research
    Medical Billing & Coding
    Medical Procedure Coding
    Data Mining
    Data Entry
  • $10 hourly
    Over the last 10 years, I have worked with medical billing company as a Medical Biller and A/R specialist. I love to see the finished result of a project I've worked on! I would like to use my skills to help companies get those projects crossed off of there to-do lists, while expanding my own knowledge and experience. I have worked in different fields of medical billing. Data Entry Billing,submission, Payment posting, Follow-up with insurance companies for claims, prepare late file claim's appeals and also expert in following softwares, Office Ally Practice Mate, Kareo, Practice Fusion, eClinicalWorks, Medisoft 16,17,19 version, Dr,chrono, CGM Daqbilling, Total MD, Icanote, Open Dental and some other's. a) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website. - 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 - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto response unit - ICD9, CPT and HCPCS Coding and/or review, - Daily, Monthly and annual AR Financial reports preparation - Patient billing (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 (C) Credentialing with Government payers, commercials and EFT setup as well. (D). 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 DME
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    General Transcription
    Accounts Receivable
    Medical Records Software
    Medical Mastermind Medical Billing Services
    Medical Billing & Coding
    ICD Coding
    Call Center Management
    Medical Records Research
    Customer Support
    Administrative Support
    Medical Transcription
    Data Analysis
    Healthcare Management
    Data Entry
  • $130 hourly
    Highly organized, accomplished, detailed oriented and focused professional medical billing manager offering 15 years of experience in challenging business environments requiring strong organizational, analytical, and follow-through capabilities. Dynamic problem solver with proven effectiveness in identifying system inefficiencies and implementing corrective measures to improve cash flow, reduce costs and strengthen business relationships. Demonstrate exceptional interpersonal and communication skills in relating to management, colleagues, vendors, and customers. Consistently achieves outstanding results in fast-paced, deadline-driven environments. I also operate my medical billing and coding company HealthCare Right. We specialize in all aspects associated with revenue cycle management. Please reach out by email at @healthcareright2016@outlook.com.
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    Critical Thinking Skills
    Medical Procedure Coding
    Medical Mastermind Medical Billing Services
    Management Skills
    Medical Billing & Coding
    Revenue Management
    Business Analysis
    Electronic Medical Record
    ICD Coding
    Accounts Receivable Management
    Medical Records Software
    Microsoft Excel
  • $60 hourly
    Physician (MD) - double specialty (Endocrinology and Diabetes) treating a vast array of endocrine and metabolic disorders: adrenal, thyroid, pituitary disease, disorders of puberty and growth in children and adolescents, osteoporosis, dyslipidemia and diabetes. Degree in nutrition - for weight loss, diabetes management and dyslipedemia. Experience in medical data annotation and ML for artificial intelligence. Experience in outreach and marketing for pharmaceutical companies. Experience in ICD 9 and ICD 10 coding. Proficient in thyroid/neck/lymph node ultrasound and Thyroid FNAB. Experience in clinical trials (recruitment of patients and long-term follow-up): A Study of Two Different Doses of Cabozantinib (XL184) in Progressive, Metastatic Medullary Thyroid Cancer (EXAMINER) 2014-2022 Experience in scientific/academic work and medical research. I successfully completed my medical training at the National Institute of Endocrinology in Bucharest "C.I. Parhon", the leading hospital dedicated to endocrine illnesses, under the guidance of Prof. Badiu Corin, member of the New York Academy of Sciences and associate professor at "Francois Rabelais” University in Tours, France and Friedrich Alexander University in Nürberg, Germany. Participated in the recruitment and follow-up of pacients in major clinical studies such as: 1) Cabozantinib (XL184) in Progressive, Metastatic Medullary Thyroid Cancer (EXAMINER study - Tirozin kinase inhibitor) 2) A new method of testosterone administration in men with hypogonadism (Intranasal Testosterone)
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    Nutrition
    Medical Terminology
    Medical Imaging
    Fact-Checking
    Medical Records Research
    Outreach Strategy
    Scientific Literature Review
    Medical Editing
    Critical Thinking Skills
    Scientific Writing
    Science & Medicine
    Medical Translation
    Medical Report
  • $55 hourly
    Price and terms negotiable. 1 hour minimum charged on all accepted contracts for each visit. No contract/No work will be completed. I have been in the medical billing/coding/auditing arena for over 13 years now. I have worked production coding, special projects, education for staff and physicians, helping to "bulletproof" documentation against audits. I worked with a billing company with several of their clients to help bill, code, audit and complete denials. I have worked with two AI companies helping them develop coding programs for their software.
    vsuc_fltilesrefresh_TrophyIcon Medical Condition Coding
    Medical Records Research
    Medical Procedure Coding
    Customer Service
    Microsoft Office
    Electronic Medical Record
    Medical Informatics
    Medical Billing & Coding
    Office Administration
    Adult Education
    Data Entry
    ICD Coding
    Epic Systems Medical Software
    Compliance
  • $40 hourly
    20 years of experience in Medical Coding, Billing Collection, Auditing, Compliance and Practice Management with CPC, CPCO, CPMA, CRC, CPC-I certifications. In-depth knowledge of Federal, State and other Commercial insurance companies billing and reimbursement policies. Proficient in International Classification of Diseases Codes ICD-9, ICD-10 CM, ICD10, PCS, HCPCS, MS- DRG and Procedural Terminology CPT-4. Exceptional knowledge of OIG rules and regulations, OPPS, IPPS methodologies, different Risk adjustment Models and their coding and billing guidelines. Expert in auditing E/M codes level and provider’s education as a Certified Professional Instructor. Superb in credentialing and practice management workflow. Excellent leader and strategy planner, outstanding team player
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    Data Entry
    Data Mining
    Light Bookkeeping
    Revenue Management
    Insurance Consulting
    Medical Procedure Coding
    Medical Mastermind Medical Billing Services
    Computer Skills
    Medical Billing & Coding
    Healthcare Common Procedure Coding System
    Medical Records Software
    Electronic Medical Record
    Accounts Receivable Management
    Draft Correspondence
    ICD Coding
  • $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
    vsuc_fltilesrefresh_TrophyIcon Medical Condition Coding
    Medical Records Software
    Medical Billing & Coding
    ICD Coding
    Medical Transcription
    Medical Procedure Coding
    Blog Content
    Data Extraction
    Medical Report
    Electronic Medical Record
    Virtual Assistance
    Healthcare Common Procedure Coding System
    Medical Informatics
  • $50 hourly
    Hello, My name is Pat and I’m a detail-focused Healthcare, Credentialing, Contracting and RCM and Marketing consultant with over 40 years of experience in the medical field and business environment. I have extensive billing knowledge in the follow specialties: • Psychiatry and Psychotherapy • Urgent Care • Family Practice • Internal Medicine • Acupuncture • Chiropractic Medicine • Podiatry • Orthopedics • Plastic Surgery • OB-GYN, Surgery • Sports Medicine • Surgery of all types • Physical Therapy • Radiology • Other medical specialties. I have extensive experience optimizing RCM and credentialing, contracting as well as management strategy, medical consulting and more… Simply put, if there is a way for a medical practice to become more effective for it’s patients and more profitable for (you) the owner, I’ll find it and I’ll implement it quickly and safely. It’s my mission to help as many owners as I can to build their practice so that it works as hard for them as they do for it. As every practice owner someday comes to realize, to get to the next level they’re going to need some expert help. That’s where I come in. I am very well versed in multiple practice management software programs such as: • E-Clinical Works 10e (brand new) one of the few to implement this program from inception • Athena • Advanced MD • Allscripts Professional PM and EHR • Meditouch • Ingenix Caretracker • Dr Chrono • Next Gen • Practice Fusion • Chiro Touch • Lytec • Allscripts My Way • Medical Manager • Sage Intergy • Kareo •Simple Practice and many more I am an expert level in navigating the programs. I also know Trizetto, PayerPath, Office Ally and ETT for clearing house process of claims and follow-up with their programs to make sure claims have been received by the insurance carriers. I have over 40 years’ experience in medical billing and am highly competent in the review of aging reports for patients and insurance companies. I know the appeals process, claim management and processes of medical billing that results in significant improvements in the aging of accounts receivable and higher ratios of approved fees and insurance reimbursement. I have increased revenue in my previous positions by at least 50 percent monthly. Credentialing is an integral part of a physician's practice. I have credentialed physicians, PA’s, and Nurse Practitioners for State Licensing in multiple states in the US, for government contracts, commercial insurance carriers, state run health care carriers. I am extremely knowledgeable in PECOS, NPPES, CAQH and other agencies. I have been credentialing and re-credentialing providers for the past twenty-five plus years. I am proficient in current computer office software such as Microsoft Office, and QuickBooks. I know how to leverage QuickBooks reporting to produce monthly cost analysis in PowerPoint. This has proven instrumental in helping management/owners manage their business / practice. With QuickBooks I have been responsible for A/R, A/P, filing all tax forms on time and correctly. I have worked with ADP, Paychex, and QuickBooks for the processing of payrolls of up to 150 employees for many different facilities. I have worked closely with the companies’ accountants to supply the business information for them to complete tax filings and other government requirements in a timely fashion. I am highly skilled in Excel and can navigate excel to work for the client with pivot tables. My other proficiencies are Word, Power Point, Outlook and QuickBooks. I am certified in QuickBooks. I hope that after reviewing my credentials you can see how my professional experience can help your business get to the next level and accomplish what you need. 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. If you'd like me to take a look at a project then just send me a message and we'll arrange a call. (Please be aware, my lead times can vary based on demand). Let's connect. Send me a message. Pat P.S. My job score has been affected by clients who failed to provide me with the amount of time and resources I required in order to complete the task to the best of my ability.
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    Internal Auditing
    Medical Procedure Coding
    Compliance Consultation
    Contract Management
    Healthcare Management
    Medical Billing & Coding
    Insurance Consulting
    Business Analysis
    Company Policy
    Management Consulting
    Organizational Design & Effectiveness
  • $10 hourly
    I have more than 13 years of experience in the US, UK, and European markets as a recruiter, Jobboard resourcer, LinkedIn resourcer, CV formatter/CV Editor, and lead generator. I offer services like LinkedIn Recruiting, Resourcing, Job Posting, Lead Generation, Web Searching, Email Handling, and Finding Email IDs and Contact Information. Industries: SAP, IT, Telecom Oil and Gas, Construction, Finance, Medical, Hospitality, Sales and Marketing - Business Development, etc.......
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    Data Entry
    Formatting
    Lead Generation
    Sourcing
    Data Mining
    Virtual Assistance
    Boolean Search
    IT Recruiting
    Candidate Evaluation
    Recruiting
    LinkedIn Recruiting
    Candidate Sourcing
    Resume Screening
  • $250 hourly
    Medical Doctor specializing in occupational & environmental medicine as well as non-operative musculoskeletal medicine. Medical writing and editing experience. Qualified medical/clinical consultant. Certified Independent Medical Examiner. Expertise in: clinical occupational medicine, worker's compensation, medical-legal reviews, disability management, sports medicine, urgent care, clinical epidemiology, clinical environmental medicine, environmental health, health risk assessments, public health practice, travel medicine, hospital infection control and prevention, cancer prevention and control, ergonomics, workplace safety, clinical data analytics, clinical informatics, population health management, health plan design, employee health, population health, employee wellness, telemedicine, telehealth, wearable devices, mobile health.
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    Health & Wellness
    Editing & Proofreading
    Telemedicine
    Healthcare Management
    Health Level 7
    Public Health
    Ehealth
    Environmental Science
    Occupational Health
    Employee Engagement
    Epidemiology
  • $47 hourly
    I am your one stop if you need someone to design and develop your Funnel, Website, Landing Page or if You need any kind of digital form assistance. Please refer to the specialized profile for more specific descriptions. I am a Survey & landing page expert. I find this very interesting, and this is my passion also. I love to work with forms, landing pages. I have built various complex forms involving advanced calculations, logic, and custom CSS styling for many companies. I also provide high converting landing pages using different platforms or if you have a design with you I can develop that for you. For landing pages please refer to web design profile needed. I am specialized in various most popular platforms along with different kind of integrations needed. ⭐Jotform Forms | Jotform Apps | Jotform Workflows | Custom Jotform Reports | Jotform Email Notifications (HTML Design also) | PDF documents generation | Integrations (Sheets, Calendar etc) ⭐ WordPress, Squarespace, Wix, Unbounce, Clickfunnels ⭐Typeform Forms | Third Party Integrations | Email Notifications & More ⭐Survey Monkey | Integrations | Email Notifications | Custom CSS Templates & More ⭐Cognito Form | Workflows | Emails Notifications | Documents Templates Data Merge & More ⭐Wufoo Forms | Email Notifications | CSS Template & More ⭐SurveyGizmo | Email Notifications | Custom Coding & More ⭐Google Forms ⭐Formstack | Document Template | Data Merge | Notifications | Custom CSS & More ⭐Fillable PDF Forms ⭐Platoforms ⭐Formsite ⭐ZOHO Survey | Data Merge to different zoho modules & More ⭐Third Party Integrations & More You can request an alternate platform to work on. I can also integrate third-party apps like payment gateway, Mailchimp, Aweber, Zapier, etc., with forms. I am reliable and have strong communication skills. I am honest, forward thinking, and always aim to go above and beyond the call of duty for your satisfaction. My past clients consider me to be an advisor, consultant, and partner. I want to assume that role with your company. Your success is my success. You can see satisfied client on my profile.
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    Web Design
    User Interface Design
    UX & UI Design
    UX & UI
    UI Animation
    UI Graphics
    Figma
    Google Forms
    SurveyMonkey
    Typeform
    Jotform
    Formstack
    Landing Page
    Unbounce
    Elementor
  • $50 hourly
    Grow your Skin Care brand 🧴or Community 👩🏻👩‍🦰with a Top Rated Dermatologist, creating a customized Skin Wellness Roadmap. ⭐️Let me step in with 9 years of proven expertise in diagnosing and treating a variety of skin conditions, tailored to different skin types, issues and goals. 👩🏻‍⚕️I’m thrilled to introduce myself as a Certified Consultant Dermatologist and Skin Care Professional with extensive experience in Dermatology, Cosmetology and Laser. 👩‍🏫 Working as a Lecturer of Dermatology in an academic institution, Cairo University, I have the passion for content education, tutoring and simplifying complex medical terms in a digestible and approachable way with proven research ability and strong interpersonal communication skills both oral and in writing. 📸 During my journey, I discovered my ultimate love with camera, being passionate about video creation and speaking in front of the camera either for online tutoring or providing skin care tips and endorsing the best skin care products and practices. Not only medical, I've been also involved as a Video Spokesperson in projects endorsing some startups and software companies. 🩼Having worked for years in the aesthetics field, I’m skilled at providing the most appropriate skincare products and practices tailored to different skin types and goals. During my training, I developed expertise in conducting skin examinations, performing biopsies, and administering various dermatological procedures. I am skilled in interpreting laboratory tests and diagnostic imaging and Dermoscopy, ensuring accurate diagnoses and effective treatment plans. What sets me apart is my commitment to delivering personalized care to each patient. I believe in establishing strong doctor-patient relationships built on trust, empathy, and open communication. In addition to my clinical skills, I am dedicated to staying updated with the latest advancements in dermatology. As a team player, I collaborate effectively with colleagues, nurses, and support staff to ensure streamlined patient care.
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    Health & Wellness
    Spokesperson Video
    Academic Writing
    Testimonial Video
    Fashion & Beauty
    Beauty & Personal Care
    Medical Terminology
    Online Research
    Healthcare
    Medicine
    UGC
    Content Creation
    Cosmetics
    Skin Care
    Arabic
  • $25 hourly
    I will provide you variety of smart, user friendly and attractive online forms that will help you to attract your target audience and will be helpful to grow your business. I can also deliver your work within 2 or 3 hours and you will get Unlimited Revisions. Services Offered! · Survey · Feedback · Questionnaire · Quiz with logical Calculations · Email Notifications · Customize Thank You Page · Custom Coded Jotform using CSS · Pricing Calculations · Complete Responsive for all devices · Multiple Choice Questions
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    Survey Design
    Typeform
    JavaScript
    Jotform
    Internet Survey
    Bootstrap
    Online Market Research
    HTML5
    CSS 3
    jQuery
    Data Analysis
    Tableau
    Data Analytics & Visualization Software
    Microsoft Power BI
    Google Forms
    Zapier
    Website
    Visual Communication
  • $22 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 Medical Condition Coding
    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
    Healthcare Common Procedure Coding System
    Medical Billing & Coding
    Data Entry
    ICD Coding
  • $30 hourly
    حَسْبُنَا اللَّهُ وَنِعْمَ الْوَكِيلُ ---- “Allah (Alone) is Sufficient for us, and He is the Best Disposer of affairs (for us).” –Surah Al ‘Imran (3:173) ...................................................................................................................................................... I am a Medical Doctor and writer in all fields of writing with over 3 years of experience. As an Academic & Professional Writer, my aim is to generate unique content as per client’s requirements. I can produce quality content for my clients, my specializations are; **Summaries** **Health and Fitness** **Medical Transcription** **Public Health** **Powerpoint presentations** **Pharmaceutical Presecription detailing** **Report Writing** **Essay Writing** **Case Study** **Proofreading/editing** **Blogs & Content Writing** **Article Writing** .................................................................................................................................................. In referencing and formatting style, I have expertise in OSCOLA, APA, Harvard, Chicago, MLA, IEEE & Vancouver. ................................................................................................................................................. Qualification: MBBS Doctor - Karachi - 2010 MSC Healthcare Management - Cambridge/Chelmsford - 2018 Six Sigma Black Belt in Healthcare - USA - 2015 PAHM- American Health Insurance Plans - 2015 IELTS Band 8
    vsuc_fltilesrefresh_TrophyIcon Medical Condition Coding
    WordPress
    SEO Keyword Research
    Medical Records Research
    Policy Development
    Medical Informatics
    Insurance Policy Analysis
    Insurance & Risk Management
    ICD Coding
    Editing & Proofreading
    Article Writing
    Blog Writing
    Health & Fitness
    Website Content
    Medical Transcription
  • $80 hourly
    OBJECTIVE EDUCATION Collaborative, strengths-based, and trauma-informed doctoral level licensed professional counselor seeking an opportunity to advance skillset and provide meaningful leadership.
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    Writing
    Content Writing
    Psychology
    Mental Health
    Professional Tone
    Research Methods
    Business Management
    Sociology
    Risk Management
    Counseling
    Healthcare
    Patient Care
    Customer Service
    Management Skills
    Social Work
  • $10 hourly
    I am a bilingual medical doctor who graduated from Universidad de Los Andes in Mérida, Venezuela. Currently, I work as a General Surgery Assistant Resident.
    vsuc_fltilesrefresh_TrophyIcon Medical Condition Coding
    Data Mining
    Data Scraping
    Data Extraction
    Data Collection
    English to Spanish Translation
    Medical Transcription
    Blog Writing
    Medical Translation
    Content Writing
    HIPAA
    Spanish to English Translation
    Proofreading
  • $80 hourly
    I am a "Matt-of-all-trades" who thrives off of taking on new challenges and helping clients make an impact. I'm passionate about social impact, patient advocacy, and the use of technology to improve patient outcomes in healthcare and medicine. Whether it be building out a comprehensive market analysis report, helping you think through your new product, or designing up a sleek pitch deck for your product or firm, I'm always happy to help. I offer the following services: ▻ Market Research ▻ Industry Reports ▻ Desk Research: specialties in medical/healthcare, science/math, and finance. ▻ Startup research and consulting ▻ Graphic design: One-pagers, presentations/pitch decks, business cards, logos, you name it. ▻ Data entry and analysis ▻ Branding and marketing strategy and materials ▻ Due diligence for private equity/investment firms Thanks again for stopping by and I sincerely hope that we get to work together. Cheers! Client Testimonials: 🎉 "Matt continues to do the excellent work for which I have come to rely on as a freelancer. Attention to detail, timely meeting of deadlines, and a willingness to take on additional work if needed during the course of a project." - VP at Esteemed Higher Education Consulting Firm 🎉 "Matt is thoughtful and an expert at company research! I can't wait to work with him again soon." - UpWork Sales Team 🎉 "Fully satisfied with Matts work! Great communicator and attention to detail. Would definitely recommend him to anyone!" - Startup Founder
    vsuc_fltilesrefresh_TrophyIcon Medical Condition Coding
    Graphic Design
    Microsoft Excel
    Topic Research
    Market Research
    Presentations
    Quantitative Research
    Competitive Analysis
    Data Analysis
  • $10 hourly
    I have an extensive 8 years of experience in medical practice management. I'm a highly-skilled, self-motivated, and specialized in delivering high-quality services on time concerning strict deadlines and high expectations. What do I provide to my client? 1- Provide Reliable & Cost-Effective Solutions 2- Provide First Time Resolution (FTR) 3- Service Delivery within Turn Around Time (TAT) 4- Innovative & Continuous Improvement in service. 5- Provide Quality work & unlimited Customer Support. In these years, I was dealing with small & large group practices as well as individual providers. I had performed all the tasks related to billing, such as Eligibility verification, Prior authorizations, Patient Data entry, creating claims (Office/Hospital/Nursing Home/Diagnostics Claims). Posted payments (ERA/EOBs), Electronic claims submission, EDI rejections, Insurance calls, follow-up on denied claims, worked on AR, prepare appeals, Insurance credentialing, EDI enrollments etc. I believe in providing quality services and client satisfaction, which is the only reason for my success. Job Responsibilities: 1: Patient Registration/Face sheet/demographics/insurance information. 2: Checking patient eligibility and benefits 3: Creating and submitting clean claims to insurance companies. Credentialing and enrollments with payers. 4: Obtaining prior and retro authorizations for services 5: Applying payments to accounts from ERA/EOB/websites and also patient payments. 6: Aging report/Follow-up/Appeals 7:Customer services and administrative assistance. 8: Denials & Rejections management 9: Handling patient concerns regarding billing 10: Bookkeeping 11: QuickBooks 12: Sending invoices to different offices and clients 13. Patient assistance (Inbound & Outbound) Core Skills And Competencies: • HIPAA Compliance • ICD-10 codes • CPT codes • HCPCS codes • Medicare and Medicaid Guidelines through CMS • Knowledge of Payer Reimbursement Characteristics and Billing Policies • Documentation review and Auditing • Daily, Weekly, Monthly or Quarterly Reconciliation • Performs well in complex environments with little direction Specialties I have been working for are as follow:- Nephrology Urgent care Physical therapy Chiropractic Assisted Living Facility Psychology & Psychiatrists Cardiology Radiology In-patient & Out-patient hospital billing Nursing & Skilled Nursing billing Gynecology Pain Management & Rehabilitation Softwares i can worked. Practice Fusion PrognoCis Simple Practice AdvancedMD Kareo OfficeAlly Athena ECW NextGen & Health Fusion Presidio FILEVINE EHR/EMRs/Clearinghouse:- Trizetto (Gateway) Kareo EHR HelloNote Athena Emdeon Imagine MedCapp My focus points:- 1. Daily audit of sample size. 2. Publishing weekly /monthly dashboard, production, and accuracy report to clients. 3. Working on new projects to improve process accuracy and productivity. 4. Doing calibration with QCA, Team leader, and SME to reduce process variances. 5. Tracking or identifying root causes and process variances. 6. Conducting PKT (Process knowledge test) to bridge the knowledge gap. 7. Suggesting corrective actions, implementing solutions, and reviewing implementation 8. Providing feedback and refresher training to individuals and teams. 9. Doing remotely and side by side audit of associates
    vsuc_fltilesrefresh_TrophyIcon Medical Condition Coding
    Phone Communication
    Medical Mastermind Medical Billing Services
    Customer Support
    Phone Support
    Medical Procedure Coding
    Healthcare Management
    Revenue Management
    Accounts Receivable Management
    Ehealth
    Data Management
    Medical Billing & Coding
    Accounts Receivable
    Accuracy Verification
  • $25 hourly
    I am a AAPC certified Medical Coder (CPC) and Biller with expertise in multiple practice management softwares. I work on upwork projects and run Medical billing business for small practices. I follow HIPAA regulation and industry practices in Medical billing. I enjoy working with people and have extensive knowledge in denials, appeals and grievances. I am organized and give importance to accuracy and timely completion and can to be your to go person for any Medical Practice Management services. Services Offered: Complete Medical Practice Management Patient Demographics Projects - Data Entry Practice Management Migration projects Medical Coding - ICD-10, CPT (E/M) and HCPCS Provider credentialing Denial Management Revenue Cycle management Practice Management Softwares - Kareo, Advanced MD, Office Ally - Practice Mate and others Please send me a message about your project I assure that you would get your expectations met. Thanks
    vsuc_fltilesrefresh_TrophyIcon Medical Condition Coding
    Healthcare Common Procedure Coding System
    Electronic Medical Record
    ICD Coding
    Virtual Assistance
    Medical Procedure Coding
    Healthcare Management
    Office Administration
    Social Media Account Setup
    Medical Mastermind Medical Billing Services
    Medical Billing & Coding
    Accounts Receivable
    Medical Translation
    Microsoft Office
    Medical Records Software
  • $10 hourly
    Hello and welcome! My name is Asfand, and I am a HIPAA-certified medical billing expert with over 14 years of experience in the industry. I am passionate about helping medical practices and providers optimize their billing processes and achieve their goals. As a virtual assistant, I specialize in providing creative solutions to facilitate the strategic growth of startups and small healthcare organizations. My core competencies include medical billing, coding, credentialing, and provider enrollment, making me a one-stop solution for all your billing needs. I offer a range of services, including patient registration, insurance verification, claim submission, payment processing, prior authorization, appeal management, customer service, administrative assistance, denial management, billing issue resolution, invoice generation, and credentialing. I am well-versed in ICD-10, CPT, and HCPCS coding and proficient in medical billing software such as eCW, Kareo, and Office Ally. As a self-starter, I excel in complex and fast-paced environments, and I am goal-oriented and comfortable working independently. I am committed to delivering high-quality work that exceeds my clients' expectations and is always looking for ways to improve and innovate. If you are looking for a reliable and experienced medical billing specialist or healthcare virtual assistant, I would love the opportunity to discuss how I can support your practice. Please don't hesitate to reach out and learn more about my services. Let's work together to achieve your business goals!
    vsuc_fltilesrefresh_TrophyIcon Medical Condition Coding
    HIPAA
    Medical Mastermind Medical Billing Services
    Medical Billing & Coding
    Medical Records Research
    ICD Coding
    Medical Records Software
    Healthcare Management
    Healthcare Common Procedure Coding System
    Electronic Medical Record
  • $15 hourly
    ◉ 𝐅𝐢𝐫𝐬𝐭 𝐩𝐥𝐚𝐜𝐞 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞 𝐏𝐡𝐚𝐫𝐦𝐚𝐜𝐢𝐬𝐭𝐬 𝐀𝐬𝐬𝐨𝐜𝐢𝐚𝐭𝐢𝐨𝐧'𝐬 (𝐏𝐏𝐡𝐀) 𝐒𝐭𝐮𝐝𝐞𝐧𝐭 𝐑𝐞𝐬𝐞𝐚𝐫𝐜𝐡 𝐂𝐨𝐦𝐩𝐞𝐭𝐢𝐭𝐢𝐨𝐧 𝐥𝐚𝐬𝐭 𝐍𝐨𝐯𝐞𝐦𝐛𝐞𝐫 𝟏𝟗 𝟐𝟎𝟐𝟏. ◉ 𝙊𝙪𝙧 𝙩𝙝𝙚𝙨𝙞𝙨 𝙞𝙨 𝙖𝙗𝙤𝙪𝙩 𝙎𝙮𝙣𝙚𝙧𝙜𝙞𝙨𝙩𝙞𝙘 𝙀𝙛𝙛𝙚𝙘𝙩 𝙤𝙛 𝙩𝙝𝙚 𝙏𝙖𝙗𝙡𝙚𝙩 𝙎𝙚𝙢𝙞-𝙋𝙪𝙧𝙞𝙛𝙞𝙚𝙙 𝙁𝙡𝙖𝙫𝙤𝙣𝙤𝙞𝙙𝙨 𝙛𝙧𝙤𝙢 𝘽𝙖𝙪𝙝𝙞𝙣𝙞𝙖 𝙥𝙪𝙧𝙥𝙪𝙧𝙚𝙖 ◉ Pharmacy Graduate with written research for numerous health industries such as: ◉ I’ve written research for numerous health industries such as: ⊛ Leukemia Research ⊛ Pancreatic Cancer ⊛ CBD clinical trials for illnesses such as Parkinson's ⊛ CBD's medical use ⊛ U.S. Healthcare Market Research ⊛ Research writing about Prednisone Drug ⊛ Ureteroscope & Ureteroscopy Research ⊛ Undergrad Thesis about Synergistic Effect of the Tablet Semi-Purified Flavonoids from Bauhinia purpurea ⊛ B-Cell Acute Lymphocytic Leukemia Research ⊛ Behavioral Health Agency ⊛ Pneumonia Evaluation ⊛ Top US Medical School program that incorporates virtual reality ⊛ Oncology Market Prospects List and Market Size ⊛ Medical/Surgical/Mental Symptoms ⊛ Articles about Medical Cannabis Research ⊛ Top 100 Clinical Trial List ⊛ Pharma Biotech Companies I've been a Medical Writer/Researcher for three years, and I'm about to become a licensed pharmacist.
    vsuc_fltilesrefresh_TrophyIcon Medical Condition Coding
    Pharmacology
    Medical Records Research
    Medical Informatics
    Medical Device
    Pharmaceutical Industry
    Research & Strategy
    Research & Development
    Data Mining
    Medical Report
    Online Chat Support
  • $120 hourly
    Being a Top Rated Plus Attorney, I provide the experienced support businesses need -- in the areas of Intellectual Property, Mergers and Acquisitions, Contract Review and Negotiation, Trademark, Copyright, Terms of Service, Privacy Policies and much more. I have assisted Nationally and internationally -- developers, websites, online service providers, start-ups, businesses of all sizes -- to meet their legal needs as-needed or on an on-going basis. I routinely provides the following services: • Drafting of Service Agreements, Asset Purchase Agreements, Terms of Service, NDA, and other routine business documents. • Design and creation of legal policies, terms & conditions, licensing agreements for your app, website or online business • Contract review, red-lining, revision, and negotiation. Comprehensive contract management services. • Trademark registration and assistance with USPTO processes, responding to Trademark infringement demand letters. • Assistance in Copyright infringement matters, drafting or replying to cease & desist notices, or serving as DMCA agent. • Business formation, drafting By-Laws and Operating Agreements, recording transfers of shares and ownership interests. Inquire today regarding availability. • Drafting of reviewing Letters of Intent (LOI), assisting with Diligence process, reviewing or drafting Purchase Agreements (APA, SPA) and providing M&A support. • Providing legal support for Amazon Sellers.​ Please reach out to me for detailed discussion. Attn: I am not a registered attorney yet.
    vsuc_fltilesrefresh_TrophyIcon Medical Condition Coding
    Legal Assistance
    Law
    Corporate Law
    Legal Writing
    Regulatory Compliance
    Contract
    Copyright
    GDPR
    Legal Consulting
    Intellectual Property Law
    Contract Drafting
    Privacy Law
    Contract Law
    Legal
    International Law
  • $25 hourly
    Need an experienced Medical Biller/Coder? Have a backlog of claims that needs processing before timely filing? Not sure how to fill out a claim form? Have questions about billing tele health? Have records request? I am a 34 year old (AAPC) Certified Professional coder with over 6 years experienced in coding and over 10 years in the billing and insurance industry. I have worked in many specialties, such as OB/GYN, Family Medicine, Internal Medicine, Hospitalist coding, Hospital billing, denials, rejections and other billing related tasks. My background is listed below with a more detailed information: ✅Experienced Medical Coder/Biller with a demonstrated history of working in the major hospital systems and insurance industry. ✅Experienced with ICD-10, HCPCS, and coding related tasks along with denials/rejection of edits experience. ✅Auditing and reviewing medical documentation for appropriate ICD and CPT coding and documentation ✅Able to identify trends within a workflow that is causing an influx of edits. ✅Worked on backlogs for clients and have completed them by the deadline given ✅Skilled in Microsoft Excel, Customer Service, Insurance, Business Analysis, and Leadership. ✅ Strong healthcare services professional with a Associate’s Degree focused in Business Administration and Management, General from South University. Systems: ✅ EPIC ✅Cerner ✅Allscripts ✅Meditech
    vsuc_fltilesrefresh_TrophyIcon Medical Condition Coding
    Email Communication
    Medical Procedure Coding
    Microsoft Excel
    Customer Support
    Medical Mastermind Medical Billing Services
    Customer Service
    Accuracy Verification
    Medical Records Research
    Medical Billing & Coding
    Phone Communication
    Electronic Medical Record
    ICD Coding
    Data Entry
    Epic Systems Medical Software
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