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Hire the best Medical Condition Coding specialists

Check out Medical Condition Coding specialists with the skills you need for your next job.
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  • $85 hourly

    • 5.0/5
    • (34 jobs)
    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.
    Featured Skill Medical Condition Coding
    Medical Informatics
    Medical Billing & Coding
    Education
    Financial Audit
    ICD Coding
    Medical Terminology
    Insurance Consulting
    Electronic Health Record
  • $10 hourly

    • 5.0/5
    • (14 jobs)
    I am an enthusiastic and dedicated professional with extensive experience across all areas of Health Care / Medical Billing & Provider Credentialing – Revenue Cycle Management and collections management. An exceptional leader with potential management skills who is able to develop and motivate others to achieve targets and meeting the client’s requirements. I can demonstrate a strong ability to manage projects from conception through to successful completion. A proactive individual with a logical approach to challenges, I perform effectively even within a highly pressurized working environment. I am responsible for directing and coordinating the overall functions of the medical billing and coding office to ensure maximization of cash flow while improving patient, physician, and other customer relations. I have strong managerial, leadership, and business office skills, including critical thinking and the ability to produce and present detailed billing activity reports.  I have 9 Years of experience in Revenue Cycle Management in all parts of this domain.  Having experience of 6 years in Team handling, for Billing and Account Receivable and Patient Services.  Working as process leader to complete the transition of new clients and coordinating with onshore team to complete new clients Transition and Implementation. I also Participates in the development and implementation of operating policies and procedures.  Ensuring the Claims Relaying to payers from different Practice Management Tools smoothly and monitoring the rejection ratio from payer and clearing houses.  Having good exposure in understanding of EDI setups also worked on multiple software as Claims Remedy, Relay Health, Office Ally, Emdeon, Optum.  Analyzing billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues with the Billing and AR Team.  Ensuring the complete process followed by all teams as Payment Posting / Charges / Correspondence for different specialties and Account receivable.  Maintaining the SLAs for Team - Patient Services / Patient Statement client’s co-coordinating the collections to reduce the Patient AR.  Monitoring the Collections process to ensure the Collection of Patient AR in co-ordination with client for collections agencies.  Handling the client's with specialties as Radiology, lab Billing, Ophthalmology, Internal medicine, Ambulatory services, Gastroenterology, Physical Therapy, Surgery clients, Pediatric, Chiropractic.  Analyze trends impacting charges, coding, collection, and accounts receivable and take appropriate action to  Completing the Enrolment/Credentialing application on Paper, online for the Hospital providers and individual solo providers and sending to the payers via Fax, Email, Payer portal, by mail etc.  Verifying the applications, demographic update requests from the payer including Medicare/Medicaid direct and CMOs/Advantage Plans.  Creating & Managing the CAQH profile and doing the Re-attestation at every 90 days so provider profile is not expired.  Generating notification report to Providers/Account Managers (Administrators) about License, COI, Certification updates and expiration.  Working on Regular follow-up with Insurances about status of application in every 15 days to get the progress on the application.  Managing CMS revalidation/attestation for the providers.  Completing EDI Enrolment for the providers on the EDI platform.  Submitting Appeals for the Area/State where the panel is closed and provider is unable to get credentialed.  Creating credentials for the provider portal and submitting online application for faster processing.  Getting Approval letter, Effective date, provider id, plan types (credentialed with) and sharing with provider so they can start seeing patients and get reimbursed.
    Featured Skill Medical Condition Coding
    Medical Records Software
    Data Entry
    ChiroTouch
    Customer Service
    Accounts Receivable
    Medical Translation
    Medical Procedure Coding
    Medical Billing & Coding
    Accounts Payable
    Accounts Receivable Management
    Payment Processing
    Electronic Medical Record
    Administrative Support
  • $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.
    Featured Skill Medical Condition Coding
    Augmented Reality
    Insurance Policy Analysis
    ICD Coding
    Medical Transcription
    Customer Service
    Medical Billing & Coding
    Revenue Management
    Data Entry
    Data Analysis
  • $18 hourly

    • 5.0/5
    • (17 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.
    Featured Skill Medical Condition Coding
    ICD Coding
    Medical Procedure Coding
    Medical Translation
    Medical Records Software
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Electronic Health Record
    Healthcare IT
    Medical Records Research
    Data Entry
    Revenue Management
    Administrative Support
    Healthcare Common Procedure Coding System
  • $135 hourly

    • 5.0/5
    • (68 jobs)
    Certified medical coder partnering with provider organizations to optimize outcomes by - Outsourced medical coding and medical billing (CIRCC, I/P, O/P, PHP, ASC, HH, SNF, CC, ED, Imaging, Cath Lab, Interventional Cardiology) - Credentialing with Medicare, Medicaid and Commercial payers (including delegated groups) - Performance measures documentation - Streamlining practice workflows - Engaging stakeholders through education - Providing feedback via periodic chart audits - Re-engineering templates through CDI - Reimbursement analysis to identify gaps - Development of periodic executive level reports - Reports generation for presentation to Board - Revenue Cycle Improvements - Electronic health record template creation / updates - Compliance program - Staff training, development and mentoring - Cost reporting file support - wRVU reporting - Data analysis - Charge master Analysis of your productivity and customization of reporting from your system. Certifications: CCS, CCS-P, CIRCC, CDEO, CMARS, CICA, CPC-I, CPC Datasets: CPT-4, ICD-10-CM, ICD-10-PCS, ICD-9-CM, HCPCS Level II, RXNORM, NDC, LOINC, SNOMED CT, HL7, HSLOC, ICF, CVX, IS-A, HCPCS Level III, SDOH SYSTEMS: EPIC, CPSI, 3M, HBO, GE patient management systems IDX and GPMS, Allscripts/Touchworks, TES, Ingenix Claims Manager, Medinformatix, Meditech, eClinicalWorks, NextGen, Athena, Charm, AdvancedMD, SMS Signature, Cycare, BCA, OXFORD, MEDCAT, PM2000, Medical Manager, Mestamed, Medisoft, RIMS, NICE, HCPS, CSS, Dairyland, OfficeAlly, ClearCare. Web-page experience: HTML 5.0, CSS, Python, Microsoft FrontPage, Visio. Rate negotiable based on the project.
    Featured Skill Medical Condition Coding
    Error Detection
    Medical Records Research
    Medical Procedure Coding
    Medical Translation
    Healthcare Management
    Healthcare Common Procedure Coding System
    ICD Coding
    Electronic Medical Record
    Medical Billing & Coding
  • $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
    Featured Skill Medical Condition Coding
    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
  • $15 hourly

    • 4.0/5
    • (31 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
    Featured Skill 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
  • $25 hourly

    • 4.9/5
    • (88 jobs)
    I have over 15 years of experience in the medical billing (RCM) and coding field, including 7 years as an auditor. My multi-tasking abilities help me stay organized, and I pride myself on being dependable with strong customer service skills. I am recognized for my flexibility, self-motivation, and effective communication. My experience spans all aspects of the revenue cycle, including compliance, coding, auditing, physician education, credentialing, and billing. On the insurance side, I have worked with HCC coding, auditing, and educating physicians on denials, E/M coding, DME, COVID-19 reporting, and telehealth. Recently, I have been involved in developing an AI program for real-time physician coding. My responsibilities include applying comprehensive knowledge of industry-standard billing and coding rules to ensure accurate medical claims for services in multi-specialty clinics, urgent care, and outpatient settings. I conduct follow-ups and audits to analyze root causes of NCCI edits and denied claims, collaborating closely with the appeals and grievance department. I have coordinated RADV audits for Medicare and provided follow-up education for delegate groups. Additionally, I deliver team and physician training, webinars, and corporate-wide articles on auditing, billing, and coding. I also address patient inquiries regarding billing and coding by liaising with customer service, physician offices, and financial services teams. My work requires proficiency with coding resources such as ICD-9/10, CPT, and HCPCS Level II, along with software like Athena Health, Encoder Pro, Super Coder, ECW, Allscripts, CAC, 3M, IBM, NextGen, Centricity, Heartland, ICanotes, Office Ally, and Epic. I have developed and led training for providers and staff based on audit findings, CMS HCC coding requirements, and prospective health reviews. Recently, I authored a billing and coding course for Behavioral Health Providers with the American Physicians Institute. I hold certifications in ICD-10 Proficiency and CMRS from AMBA, and I have completed coursework in E/M Auditing through NAMAS and AAPC, as well as Denials Certification and Behavioral Health Certification through AAPC. Currently, I am working on short- and long-term contracts through Upwork. Additional documentation and references are available upon request.
    Featured Skill 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
  • $30 hourly

    • 5.0/5
    • (32 jobs)
    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, insurance payment posting, investigative medical billing, working unpaid claims (aged reports), data entry, and maintaining financial records. I have experience with most insurance portals and many EHR systems.. 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 • Investigative Medical Billing * Researching insurance payments • Eligibility of Benefits (EOB) Data Inputting • Medical Front-Office Operations • Data Mining Specialist • Insurance and Patient Collections • Microsoft Office Experience • Data Entry
    Featured Skill Medical Condition Coding
    Medical Records Research
    Medical Billing & Coding
    Medical Procedure Coding
    Data Mining
    Data Entry
  • $75 hourly

    • 3.6/5
    • (87 jobs)
    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.
    Featured Skill Medical Condition Coding
    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
  • $50 hourly

    • 5.0/5
    • (15 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.
    Featured Skill Medical Condition Coding
    Medical Billing & Coding
    Financial Audit
    Revenue Management
    Customer Support
    Accounts Receivable Management
    Electronic Medical Record
    ICD Coding
    Microsoft Word
    Google Docs
    Data Entry
  • $12 hourly

    • 4.0/5
    • (22 jobs)
    For over 15 years, I've helped medical and mental health providers—including clinics, facilities, and individuals—grow their revenue through effective revenue cycle management. As a specialist, growth partner, and strategy analyst, I bring a results-oriented approach to the healthcare industry. Are you a healthcare provider struggling with medical billing and coding challenges? I can help! With over the decade experience and medical coding certification, I offer a range of services to streamline your processes and improve your financial outcomes: **Expert in ICD-10-CM, CPT, and HCPCS codes for all specialties, ensuring accurate coding for maximum reimbursement. **Efficient claims submission, aggressive denial management, and appeals expertise to recover lost revenue and maximize your reimbursement potential. **Comprehensive analysis of your payer mix, fee schedule, and processes to identify areas for improvement and optimize your revenue cycle management. **HIPAA-compliant practices and thorough coding audits to identify and correct errors, reducing your compliance risk. **Experienced with various medical billing and coding software, EHR systems, and practice management platforms, ensuring seamless integration with your existing systems. By partnering with me, you can expect increased revenue, reduced claim denials, and improved compliance. Let's discuss how I can customize my services to meet your specific needs. Contact me today for a free consultation! Here’s what I specialize in: • Credentialing, re-credentialing • EDI, ERA and EFT setups • Enrollment (Govt. and Commercial payers) • Laboratory Order Entry and Dispatches • Covid SOAP Notes • Emails and Fax Handling • Patient's eligibility & benefits verification • Prior authorizations • Medical coding • Fee schedule • ICD-CPT Linking • Charges entry, scrubbing and submission • Claims Follow-up to get paid in time • Insurance portals creation and maintenance • Rec/ins reconciliation • Rejection handling • Payment hunt and payer payment posting • Denials management • Patient balance accuracy verification • Patient statements • Patient payment posting • Accounts Receivable follow-up • Insurance calls • Patient calls • Refund handling • Bank Deposit reconciliation • Customized Reporting To ensure HIPAA regularities I can work on any EMR/eHR software client is already using; You will find an expert on following software. • EClinicalWorks • Kareo • Practice fusion • Office ally • Practice mate • Advancedmd • Dr.Chrono • EZClaim • MDLand IClinic • TheraOffice • Allscripts • Elation Clearinghouse I used: • Availity • Trizetto GatewayEDI • PayerPath • Navicure • ApexEDI • Change Healthcare • Experian Health • Greenway Health • Healthcare Data Exchange • HealthFusion • Optum • PracticeSuite • RelayHealth Below are the practices for which I have served my services. • Internal Medicine • Family Physician • Urgent Care • Hematologist & Oncologist (Infusion, chemotherapy and radiation) • Neurologist • Cardiologist • Laboratory Billing • Gastroenterologist • Anesthesiologist • Pediatrics • Psychiatrist • Psychologist • Chiropractor. • Home Health • Skilled Nursing Facilities • Radiologist • Ambulatory Surgical Centers • General Surgery I’ve already worked for below US States and finding some more to work for. NM, NY, NJ, OHIO, AZ, TX,AR,MA,GA,NC,SC,TN,VA,MI “Send me a note with a bit about your practice, your business volume, and your project. If it seems like a good fit, we’ll schedule a time to talk” Visit my website: healthtoinsurance.com Thank You.
    Featured Skill Medical Condition Coding
    Medical Mastermind Medical Billing Services
    Customer Service
    Insurance Policy Analysis
    Account Reconciliation
    Electronic Medical Record
    Financial Analysis
    Content Writing
    Financial Audit
    Accounts Receivable Management
    Medical Billing & Coding
    ICD Coding
    Data Entry
  • $160 hourly

    • 5.0/5
    • (23 jobs)
    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.
    Featured Skill Medical Condition Coding
    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
  • $65 hourly

    • 5.0/5
    • (18 jobs)
    Patrascanu Flaviu - physician (MD) with a double specialty in Endocrinology and Diabetes, Nutritional and Metabolic Disorders. I completed my medical training at the National Institute of Endocrinology C.I. Parhon and the National Institute of Diabetes, Nutrition, Metabolic Diseases Prof. Dr. N.Paulescu, both in Bucharest. I also completed training in Craiova (Clinical Emergency Hospital Craiova) and Cluj-Napoca. Fluent in English, German and Romanian and have also completed part of my training in medical school in Germany (Waldbröl Kreikrankenhaus, Nordrhein-Westfalen, Germany - Internal Medicine / Cardiology). One of my passions is AI, and I am currently the lead medical advisor at a stealth US MedTech AI startup. My areas of expertise include a vast array of endocrine and metabolic disorders: diabetes, CGMs, modern diabetes treatment, insulin pumps, nutrition, obesity, adrenal disorders, thyroid conditions (including FNAB), pituitary disease, disorders of puberty and growth in children and adolescents, osteoporosis, dyslipidemia. Degree in nutrition - for weight loss, diabetes management and dyslipidemia, as well as particular dietary restrictions. Experience in medical data annotation and ML for artificial intelligence. Experience in outreach and marketing for pharmaceutical companies. I worked for an American pharmaceutical company as outreach consultant for the Romanian market. Experience in ICD 9 and ICD 10 coding. Proficient in thyroid, neckand lymph node ultrasound and Thyroid FNAB. Proficient in vascular (Doppler) ultrasound. Experience in clinical trials (recruitment of patients and long-term follow-up): 1) A Study of Two Different Doses of Cabozantinib (XL184) in Progressive, Metastatic Medullary Thyroid Cancer (EXAMINER) 2014-2022 2) A new method of testosterone administration in men with hypogonadism (Intranasal Testosterone) Experience in scientific/academic work and medical research. I currently do not work in academia, I work in a clinical setting (public and private healthcare sectors). 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 Nuremberg.
    Featured Skill Medical Condition Coding
    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
  • $15 hourly

    • 4.6/5
    • (23 jobs)
    Detail-oriented Medical Billing Specialist/Manager with 12+ years of experience managing complete Medical billing Revenue Cycle Management. Investigates and resolves insurance claims, Aging Report, Recovery from denied claims, and disputes and communicates with patients and insurances/third parties regarding claims balances resulting major increase in Provider Monthly reimbursement. About me- I am MBA and my Medical billing RCM experience includes: 1- Scheduling 2- Eligibility Benefits 3- Referral Authorization 4- Coding and Billing 5- Denial Management/Aging Report 6- Payment Posting 7- Credentialing services 8- Payers and Patients AR collections services. 9- Reporting and analysis 10-Audit and Consultation. By utilizing experience and skills i offer special services: Old Aging maintenance by strong follow up/Appeals. I started my carrier as Medical Biller/Coder, AR follow up - Credentialing specialist and Billing Manager. HIPAA privacy rules & compliance awareness. I have also provided my services about Healthcare Articles and news letters writing on various issues. From a Medical billing specialist, AR, EDI Analyst to Management level had almost performed all the tasks related to Medical billing. I have good communication and managerial skills, virtual assistant task via Zoom/Go to meeting, quick learner, ability to follow instructions and multitask to meet deadlines. Further I have worked with Different clients and helped Medical billing Companies as Medical biller, AR specialist, and Billing manager. As a Manager Special Projects, Manager CPI and a Strategic Analyst Financial analysis also been done for different projects. I have also experience to communicate with US doctors and other third party healthcare staff i.e. insurances, doctors, clearing houses and other third party payers. A) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto response unit and via live calls. - To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Super bill review – Appeals B) Medical Coding - To research the right DX and CPT code according to medical records - Provide right DX pointers for the first time to avoid payment delays - Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version C) Billing types i have worked on: - Diagnostic, Pathology, Toxicology Labs. - Multi-specialist Doctors - Nursing Home - Home Health - Hospitals D) Softwares i have worked on: - Eclinicalworks - Kareo - AdvancedMD - Medisoft Network Professional - Care Cloud - Practice mate (Office Ally)
    Featured Skill Medical Condition Coding
    Payment Processing
    Financial Audit
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Accounts Receivable Management
    Marketing Management
    Medical Procedure Coding
    ChiroTouch
    Ehealth
    Medical Transcription
    Revenue Management
    ICD Coding
  • $10 hourly

    • 4.7/5
    • (45 jobs)
    Hello, I'm Sumit. I’m a seasoned medical billing and coding specialist with 16 years of experience in healthcare revenue cycle management. I’ve worked with a broad range of specialists—including cardiologists, OB-GYNs, pediatricians, psychiatrists, therapists, chiropractors, and more—delivering tailored billing solutions that drive revenue, reduce denials, and streamline operations. What I Offer: Expert Coding & Billing: Proficient in ICD-9/ICD-10, CPT, and HCPCS coding to ensure accurate, compliant claim submissions and optimal reimbursement. Diverse Specialty Experience: Deep understanding of billing nuances across specialties like internal medicine, surgery, mental health, weight loss, and laboratory/pathology services. Leadership & Team Building: Successfully led billing teams (up to 24 members), enhancing workflow efficiency, proactive denial management, and timely follow-ups. Software Proficiency: Extensive experience with leading billing and EHR systems—Office Ally, Practice Mate, Kareo, AthenaHealth, AdvanceMD, eClinicalWorks, AdvanceClaim, Collaborate MD, Emed, Dr Chrono, Open PM, and Trimed. Process Optimization: Developed and implemented process improvements that consistently reduced claim denials, improved cash flow, and generated significant profit increases. Core Attributes: Hardworking, adaptable, and a quick learner with a keen eye for detail, strong communication skills, and a passion for continual improvement. I’m dedicated to excellence in health operations and ready to bring modern, innovative billing solutions to your team. Let's work together to optimize your revenue cycle and drive success in your healthcare practice.
    Featured Skill Medical Condition Coding
    Customer Service
    Medical Translation
    Accounts Receivable
    Revenue Management
    Electronic Medical Record
    Accounts Receivable Management
    Medical Records Research
    Medical Billing & Coding
    ICD Coding
    Medical Mastermind Medical Billing Services
    Data Entry
    Medical Records Software
    Microsoft Excel
  • $15 hourly

    • 5.0/5
    • (3 jobs)
    I am a dedicated, skilled, and competent registered nurse with broad range of health care/ medical experience. I have been working for 14 years in both medical and non-medical field specializing in customer service, medical coding, utilization/medical reviews and prior- authorization. I worked as a Utilization Nurse Reviewer for 5 years summarizing medical records to determine medical necessity of the treatment. I have a quality assurance experience for 5 years in BOTH utilization review and prior authorizations. I also worked as a medical virtual assistant/medical nurse reviewer in a US Law Firm for 1 year ( Nurse Paralegal).
    Featured Skill Medical Condition Coding
    Medical Translation
    Data Analysis
    Documentation
    Adobe Acrobat
    Translation
  • $10 hourly

    • 5.0/5
    • (44 jobs)
    I bring over 14 years of extensive experience in recruitment and talent acquisition across the US, UK, and European markets. My expertise spans various roles, including recruiter, reverse recruiter, job board Resourcer, LinkedIn Resourcer, CV formatter/CV editor, and lead generator. In my professional journey, I have sharpened my skills in several key areas: 1. LinkedIn Recruiting 2. Sourcing 3. Job Posting 4. Lead Generation and Email List Building Specialist 5. Web Searching 6. Email Handling 7. Finding Email IDs and Contact Information 8. CV/Resume Formatting/Editing 9. Data Entry Specialist My diverse background and comprehensive skill set make me a valuable asset in the recruitment and talent acquisition field. Industries: SAP, IT, Telecom Oil and Gas, Construction, Finance, Medical, Hospitality, Sales and Marketing - Business Development, etc.......
    Featured Skill Medical Condition Coding
    Data Entry
    Formatting
    Lead Generation
    Sourcing
    Data Mining
    Virtual Assistance
    Boolean Search
    IT Recruiting
    Candidate Evaluation
    Recruiting
    LinkedIn Recruiting
    Candidate Sourcing
    Resume Screening
  • $15 hourly

    • 4.1/5
    • (39 jobs)
    Do you need someone to handle Customer Support, Technical Support, Video Editing, or a Virtual Assistant for your business? Then, I am that person you need. I am tech savvy, fast learner, self starter and versatile. I am proficient in using different applications and software like AWS, BeyondTrust, RDP, Connectwise, Freshdesk, Cisco, Slack, Webex, Vonage, RingCentral, Azure, O365, Exchange, Active Directory, Microsoft Office Suite and more. I will ensure to utilize my skills and capabilities to make the project successful. I look forward in talking to you. April
    Featured Skill Medical Condition Coding
    Adobe Photoshop
    Video Production
    Video Editing
    Data Entry
    End User Technical Support
    Amazon PPC
    Video Editing & Production
    Graphic Design
    Technical Support
    Adobe Premiere Pro
    Photo Editing
    Administrative Support
    Email Support
    Online Chat Support
  • $250 hourly

    • 4.9/5
    • (21 jobs)
    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.
    Featured Skill Medical Condition Coding
    Health & Wellness
    Editing & Proofreading
    Telemedicine
    Healthcare Management
    Health Level 7
    Public Health
    Ehealth
    Environmental Science
    Occupational Health
    Employee Engagement
    Epidemiology
  • $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.
    Featured Skill Medical Condition Coding
    EMR Data Entry
    Revenue Management
    Typing
    Medical Billing & Coding
    ICD Coding
    Medical Mastermind Medical Billing Services
    Electronic Medical Record
    Payment Processing
    Microsoft Excel
  • $10 hourly

    • 4.9/5
    • (4 jobs)
    I am a skilled medical biller with 7 years of experience in the field, specializing in full Revenue Cycle Management (RCM). I am reaching out to introduce myself and offer my expertise in optimizing billing processes for healthcare providers like yourself. With years of hands-on experience, I am proficient in all aspects of RCM, including but not limited to: * Patient Registration: Accurate collection of patient data and insurance verification. * Charge Entry: Submitting claims with precision to ensure reimbursement. * Coding: Proper ICD-10, CPT, and HCPCS code selection for maximum reimbursement. * Accounts Receivable Management: Tracking claims, following up with insurers, and reducing denials. * Payment Posting: Ensuring accurate payment allocation and minimizing errors. * Denial Management: Identifying, appealing, and resolving denied claims. * Reporting: Providing insightful and actionable reports to optimize financial performance. My goal is to ensure that your billing process is as efficient as possible, minimizing claim rejections, denials and maximizing your revenue cycle. ***************************************************************************** Experience with US Healthcare Industry: I have served the US healthcare industry for the past four years, working across different states, including FL, MO, CO, OK, CA, TX, MN, NJ, NY, OH, NV, and more. I have worked with the following specialties in provider claims: * Gastroenterology * Renal * Physical Therapy * DME * Chiropractic * Surgical * Internal Medicine * Behavioral and Mental Health * Podiatry * Lab Billing (including Covid) ***************************************************************************** EHR Software Expertise: I have extensive experience working with various EMR/EHR and billing software, including: * Advanced MD PM * Office Ally Practice Mate * eCW * Kareo * CareCloud * DrChrono * Simple Practice * iPatientCare * CareTracker * MD Vision * CarRisk (For Worker’s Compensation) * Athena * Talk EHR * ChiroTouch (Server & Cloud-Based) ***************************************************************************** Clearinghouse Portal Experience: I am also proficient in using clearinghouse portals, including: * Change Healthcare * Office Ally * Availity * TriZetto * Zirmed * WayStar
    Featured Skill Medical Condition Coding
    EMR Data Entry
    Medical Mastermind Medical Billing Services
    Medical Billing & Coding
    Insurance Verification
    Accounts Receivable
    Medical Terminology
    Medical Records Software
    Medical Procedure Coding
    ICD Coding
    Electronic Medical Record
    Healthcare Common Procedure Coding System
    Virtual Assistance
    Data Entry
    Microsoft Office
  • $10 hourly

    • 5.0/5
    • (37 jobs)
    𝗟𝗼𝗼𝗸𝗶𝗻𝗴 𝗳𝗼𝗿 𝗮 𝗺𝗲𝗱𝗶𝗰𝗮𝗹 𝗯𝗶𝗹𝗹𝗶𝗻𝗴 𝗽𝗿𝗼 𝘄𝗶𝘁𝗵 𝗴𝗿𝗲𝗮𝘁 𝗸𝗻𝗼𝘄𝗹𝗲𝗱𝗴𝗲 𝗮𝗻𝗱 𝗰𝗼𝗺𝗺𝘂𝗻𝗶𝗰𝗮𝘁𝗶𝗼𝗻 𝘀𝗸𝗶𝗹𝗹𝘀 ? 𝗔𝗻𝗱 𝘀𝗼𝗺𝗲𝗼𝗻𝗲 𝘁𝗼 𝗵𝗮𝗻𝗱𝗹𝗲 𝘆𝗼𝘂𝗿 𝗲𝗻𝗱-𝘁𝗼-𝗲𝗻𝗱 𝗯𝗶𝗹𝗹𝗶𝗻𝗴 𝗽𝗿𝗼𝗰𝗲𝘀𝘀 𝗮𝗻𝗱 𝗺𝗮𝗸𝗲 𝘀𝘂𝗿𝗲 𝗲𝘃𝗲𝗿𝘆𝘁𝗵𝗶𝗻𝗴 𝗿𝘂𝗻𝘀 𝘀𝗺𝗼𝗼𝘁𝗵 ? I'm a seasoned medical billing manager, boasting a track record of assisting over a hundred providers in streamlining their billing processes and boosting their cash flows. I have experience working with over a 15 practices/clinics, 20+ individual healthcare practitioners and laboratories. I worked for 03 major billing companies prior to start working in Upwork as a Freelancer. With a solid 06 years of hands-on experience in the medical billing industry, I worked with large scale billing companies for over 05 years and recently started freelancing on Upwork. I've got the chops to handle all your end-to-end medical billing needs. From insurance credentialing & enrollment to claims entry, eligibility verification, prior authorization, and all the way through to denial management and collections – I've got it covered. I've collaborated with a diverse range of healthcare professionals, including physicians, mental health providers, psychiatric clinics, family medicine practices, and laboratories. Over the past half-decade, I've served a whopping 100 providers, and here's a snapshot of what I bring to the table: 𝗘𝗛𝗥 / 𝐏𝐌𝐒 𝗦𝘆𝘀𝘁𝗲𝗺𝘀 𝗜'𝗺 𝗙𝗮𝗺𝗶𝗹𝗶𝗮𝗿 𝗪𝗶𝘁𝗵: Advanced MD Kareo / Tebra Office Ally Simple Practice Headway Chirotech EClinicals / ECW / Eclinicalworks I-CANotes Athena ECW Simple Practice Therapy Appointments Candid Healthie NextGen Practice Fusion Therapy Notes, and more. 𝗖𝗹𝗲𝗮𝗿𝗶𝗻𝗴 𝗛𝗼𝘂𝘀𝗲𝘀: Waystar Change Healthcare Office Ally Trizetto Zirmed 𝗛𝗲𝗿𝗲`𝘀 𝘀𝗼𝗺𝗲 𝗼𝗳 𝗺𝘆 𝗺𝗮𝗶𝗻 𝘀𝗲𝗿𝘃𝗶𝗰𝗲𝘀. Medical coding Medical billing Accounts Receivable and Collections: Verification of Benefits and Eligibility: Payment Posting: Credentialing and Enrollment: Denial Management: Insurance follow ups; EDI set up; ERA set up; Staff trainings - Billing related; EHR software setup, Data migration; I'm eager to discuss how I can contribute to your practice's success. Let's chat! #Medicalcoder #medicalbiller # #insuranceverification #Verificationofbenefits #VOB #credentialing #insurancecredentialing #enrollment #medicalbilling #medicalcoding #accountsreceivable #AR #denial #denialmanagement #insurancedenial #paymentposting #medicalcoder #claimsfollowup #AdvancedMD #eclinicalworks #medicalvirtualassistant
    Featured Skill Medical Condition Coding
    Medical Mastermind Medical Billing Services
    Electronic Medical Record
    Insurance Consulting
    Revenue Management
    eClinicalWorks
    Accounts Receivable
    Revenue Cycle Management
    Office Administration
    Medical Procedure Coding
    ICD Coding
    Insurance Claim Submission
    Insurance Verification
    Insurance
    Medical Billing & Coding
    Medical Billing
  • $50 hourly

    • 5.0/5
    • (20 jobs)
    Mbbs- gold medalist MD dermatology Fellowship in cosmetology Publications in international journals Various paper and poster presentation Awards in quiz Delivering online lectures and services from past 3 years Successful practice
    Featured Skill Medical Condition Coding
    Elearning LMS Consulting
  • $25 hourly

    • 5.0/5
    • (211 jobs)
    ⭐️ Top Rated Plus - Top 1% of talent on Upwork 🕒 1750+ hours on Upwork 🚀 150+ projects delivered Looking for a top-tier professional with extensive expertise in Jotform, Typeform, GHL, Zapier, Power BI, and Python development? 🎁 𝐇𝐞𝐫𝐞’𝐬 𝐰𝐡𝐚𝐭 𝐈 𝐨𝐟𝐟𝐞𝐫: I'm here to support you with your surveys or quizzes at every stage. Whether you need assistance designing surveys, integrating with other apps, understanding data, or making reports, I can help you with all of it. Additionally, if you require help with Go High Level integration, Power BI analysis, or Python development, I'm well-equipped to assist you. ✅ 𝐎𝐧𝐥𝐢𝐧𝐞 𝐅𝐨𝐫𝐦 𝐚𝐧𝐝 𝐐𝐮𝐢𝐳 𝐃𝐞𝐯𝐞𝐥𝐨𝐩𝐦𝐞𝐧𝐭: I provide online form services and quiz/assessment development for the following platforms: 𝗝𝗼𝘁𝗳𝗼𝗿𝗺, 𝗧𝘆𝗽𝗲𝗳𝗼𝗿𝗺, 𝗜𝗻𝘃𝗼𝗹𝘃𝗲.𝗺𝗲, 𝗙𝗼𝗿𝗺𝘀𝘁𝗮𝗰𝗸, 𝗜𝗻𝘁𝗲𝗿𝗮𝗰𝘁 𝗤𝘂𝗶𝘇𝘇𝗲𝘀, 𝗔𝗹𝗰𝗵𝗲𝗺𝗲𝗿, 𝗦𝗰𝗼𝗿𝗲𝗔𝗽𝗽, 𝗢𝘂𝘁𝗴𝗿𝗼𝘄, 𝗣𝗼𝗶𝗻𝘁𝗲𝗿 𝗣𝗿𝗼, 𝗙𝗶𝗹𝗹𝗼𝘂𝘁, 𝗪𝘂𝗳𝗼𝗼, 𝗖𝗼𝗴𝗻𝗶𝘁𝗼 𝗙𝗼𝗿𝗺𝘀, 𝗦𝘂𝗿𝘃𝗲𝘆 𝗠𝗼𝗻𝗸𝗲𝘆, 𝗙𝗼𝗿𝗺𝘀𝗼𝗿𝘁, 𝗮𝗻𝗱 𝗚𝗼𝗼𝗴𝗹𝗲 𝗳𝗼𝗿𝗺𝘀. 𝙁𝙤𝙡𝙡𝙤𝙬𝙞𝙣𝙜 𝙛𝙚𝙖𝙩𝙪𝙧𝙚𝙨 𝙬𝙞𝙡𝙡 𝙗𝙚 𝙥𝙧𝙤𝙫𝙞𝙙𝙚𝙙: Attractive and professional design, Mobile-responsive design, Custom CSS, Advanced calculations, Conditional logic for customized workflows, Multiple email scenarios, Customized PDF attachments, Form embedding, and Custom Thank You Page. ✅ 𝐙𝐚𝐩𝐢𝐞𝐫 𝐈𝐧𝐭𝐞𝐠𝐫𝐚𝐭𝐢𝐨𝐧𝐬: Seamlessly connect your online forms with other apps and services using Zapier. I specialize in configuring custom workflows, automating tasks, and streamlining processes to maximize efficiency and productivity. You will get integration with the following platforms such as Google Sheets, Hubspot, Salesforce, Mailchimp, Stripe, Paypal, Airtable, Monday.com, Make.com, Dropbox, Integromat, and many more. ✅ 𝐆𝐨 𝐇𝐢𝐠𝐡 𝐋𝐞𝐯𝐞𝐥 (𝐆𝐇𝐋): With my expertise, I can help you unlock the full potential of Go High Level (GHL). From setting up and optimizing your CRM system to streamlining workflow automation and effectively managing leads, I offer tailored solutions to align GHL with your unique business needs and objectives. Whether you're looking to enhance customer relationship management, automate repetitive tasks, or improve lead generation and conversion processes, I can provide expert guidance and support every step of the way. ✅ 𝐏𝐨𝐰𝐞𝐫 𝐁𝐈 𝐚𝐧𝐝 𝐏𝐲𝐭𝐡𝐨𝐧 𝐃𝐞𝐯𝐞𝐥𝐨𝐩𝐦𝐞𝐧𝐭: Leverage the potential of data with my expertise in Power BI and Python. I provide comprehensive services encompassing data visualization, analytics, and backend development. My goal is to empower you to derive actionable insights and facilitate informed decision-making through effective data utilization. Whether you need assistance with visualizing data, performing in-depth analysis, or developing backend solutions, I'm here to support you every step of the way. ✅ 𝐃𝐚𝐭𝐚 𝐕𝐢𝐬𝐮𝐚𝐥𝐢𝐳𝐚𝐭𝐢𝐨𝐧 𝐓𝐨𝐨𝐥𝐬 𝐚𝐧𝐝 𝐀𝐬𝐬𝐢𝐬𝐭𝐚𝐧𝐜𝐞: I offer services on the following tools: Power BI, Power BI, DAX, M-Language, Power Query, and Excel. Additionally, I provide assistance in various dashboard types (including KPI, sales, and profit/loss dashboards), storytelling, and presentation, as well as enhancing existing dashboards. If you're seeking a professional with a versatile skill set and a commitment to excellence, look no further. Let's collaborate to elevate your online forms and streamline your processes for success. If your needs aren't covered here, feel free to message me, and we can discuss further. 📞 I'm also available for Zoom calls or meetings on Upwork for detailed discussions. Looking forward to working on your amazing project!
    Featured Skill Medical Condition Coding
    Automation
    Website
    Data Analysis
    Microsoft Power BI Data Visualization
    Online Market Research
    Google Forms
    Zapier
    CSS
    Python
    Tableau
    Microsoft Excel
    Microsoft Power BI
    Outgrow
    Typeform
    Jotform
  • $58 hourly

    • 4.6/5
    • (155 jobs)
    Do you need help making your forms easier to use and automating your workflows? I’m here to help! With over 150 completed jobs on Upwork, I’ve spent 4 years helping businesses like yours save time and reduce mistakes by creating smart forms and automations. I work with tools like Jotform, Typeform, Google Forms, Gravity Forms, Ninja Forms, and many more. I also use Make.com and Zapier to connect your forms to other tools you use. This means your data moves automatically, and you don’t have to do it by hand anymore. Plus, I create custom reports that are sent to users based on their answers, so they can get the information they need right away. 𝐇𝐨𝐰 𝐈 𝐂𝐚𝐧 𝐇𝐞𝐥𝐩 𝐘𝐨𝐮: 𝘾𝙪𝙨𝙩𝙤𝙢 𝙁𝙤𝙧𝙢 𝘾𝙧𝙚𝙖𝙩𝙞𝙤𝙣: I build forms that collect the right data in a simple, easy-to-use way. These forms can change based on the answers users give and handle more complex steps. 𝘼𝙪𝙩𝙤𝙢𝙖𝙩𝙚𝙙 𝙒𝙤𝙧𝙠𝙛𝙡𝙤𝙬𝙨: I create workflows that automatically send approvals, notifications, or next steps without you having to lift a finger. This keeps things moving smoothly! 𝙍𝙚𝙥𝙤𝙧𝙩𝙨 𝘽𝙖𝙨𝙚𝙙 𝙤𝙣 𝘼𝙣𝙨𝙬𝙚𝙧𝙨: I set up custom reports that are sent to form users based on what they submit. They get helpful info right in their inbox after completing a form. 𝘿𝙖𝙩𝙖 𝙄𝙣𝙩𝙚𝙜𝙧𝙖𝙩𝙞𝙤𝙣 𝙬𝙞𝙩𝙝 𝙈𝙖𝙠𝙚.𝙘𝙤𝙢 & 𝙕𝙖𝙥𝙞𝙚𝙧: I connect your forms to other apps you use, like CRMs or email tools. This means data gets sent automatically where it needs to go, saving you time. 𝗣𝗹𝗮𝘁𝗳𝗼𝗿𝗺𝘀 𝗜 𝗪𝗼𝗿𝗸 𝗪𝗶𝘁𝗵: Jotform, Typeform, Cognito, Formstack, Google Forms, Gravity Forms, Survey Monkey, Form Doctor, Fillable PDF forms and more. 𝗔𝘂𝘁𝗼𝗺𝗮𝘁𝗶𝗼𝗻 𝗧𝗼𝗼𝗹𝘀: Make.com and Zapier for automating data movement and workflows. 𝗪𝗵𝘆 𝗖𝗵𝗼𝗼𝘀𝗲 𝗠𝗲? 𝙋𝙧𝙤𝙫𝙚𝙣 𝙎𝙪𝙘𝙘𝙚𝙨𝙨: With over 150 completed jobs and 95% success rate on Upwork, you can trust that I’ll get the job done right. 𝘾𝙪𝙨𝙩𝙤𝙢 𝙎𝙤𝙡𝙪𝙩𝙞𝙤𝙣𝙨 𝙅𝙪𝙨𝙩 𝙛𝙤𝙧 𝙔𝙤𝙪: I build forms, automations, and reports that fit your exact needs, making your work easier and more efficient. 𝙁𝙤𝙘𝙪𝙨𝙚𝙙 𝙤𝙣 𝙔𝙤𝙪𝙧 𝙎𝙪𝙘𝙘𝙚𝙨𝙨: My goal is to help you save time, reduce manual work, and get the right information when you need it. Let’s make your forms and workflows smarter and easier! Message me today, and I’ll help you automate your processes and send reports that keep your users informed. Best regards, Sana Your Trusted Form Automation & Workflow Expert 𝗣.𝗦. Tired of doing everything by hand? Let’s set up automated forms and reports that work for you. Contact me today to get started!
    Featured Skill Medical Condition Coding
    Advanced Survey Logic
    Survey Flow
    Survey Branding
    Survey Design
    Form Development
    Email Copywriting
    Automated Workflow
    Automation
    Google Forms
    SurveyMonkey
    Typeform
    Jotform
    Formstack
    CSS
    Email Automation
  • $25 hourly

    • 4.2/5
    • (21 jobs)
    I am Medical biller, VA and help providers as a consultant with more than 10 years of professional experience. Distinguished medical billing specialist with superb medical collections expertise.I performed all the tasks related to Medical billing. As Senior Operations Manager in different MedicalBilling companies I lead the group of 200+ employees and look after all of their administrative and operational tasks. I am CPB and CPC and have participated and successfully completed Medicare educational activity in 2015 for “HIPAA EDI Standards” and “Medicare Fraud and Abuse. Medal Billing Specialties include Outpatient,Inpatient, independent laboratory ,home health and DME medical billing services with different specialties likewise “ Sleep Medicine Internal Medicine and Family Practice Radiology,Cardiology Ophthalmology Dermatology Gynecology Urology Rheumatology Physical Therapy Neurology Pain Management Psychiatry Pediatric Podiatry Psychology Gastroenterology Urgent Care Mental & Behavioral Health Technician Pathology phlebotomy Billing Cpap and Bipap, Telemedicine NP and ANP Physical Therapist OT and ST, and Covid billing. Insurance and State : Alslo have working experience with all major payers including Medicare Medicaid BCBS United Healthcare Aetna Humana Cigna Worker Comp. and other commercial payers of different states including Alaska,Arizona,Colorado,Connecticut,Idaho,Iowa,Maryland,Massachusetts,Minnesota,Montana,New Mexico,Vermont,Washington,Alabama,Illinois,Indiana,Kentucky,New Jersey,New York,Ohio,California,Florida,Georgia,Michigan,Missouri,North Carolina and Oklahoma. Core Skills : HIPAA Compliance, HIPAA Certified, ICD-10 codes CPT codes HCPCS codes Medical billing Terminology Medicare Medicaid and commercial Guidelines Knowledge of Payer Reimbursement Characteristics and Billing Policies Medical Documentation review, provider credentialing, and Auditing Daily bi Weekly Monthly or Quarterly Reconciliation Performs well in complex environments with little direction. Software I deal with are : Simple Practice AdvancedMD. kareo, OfficeAlly, Docutap, Athena, Therabill ,ECW, EZclaim Theranest, CMD, ClinixPM, Ethomas,Intergy, Therapy Notes Waiting Room Solutions. Zendesk, Xifin, Phicure, Trizetto ,Care Cloud, Brightree, CollaborateMD, IpatientCare, Medisoft and health nautica. In short am offering complete Revenue cycle management. I can take care of your Credentialing, Enrollment, Coding, Claims entry, Rejections and Denials management, Appeals, Patient calls, and Appointment booking Providing Customized plan that fits client needs.
    Featured Skill Medical Condition Coding
    HIPAA
    Healthcare Common Procedure Coding System
    Account Reconciliation
    EMR Data Entry
    Medical Billing & Coding
    Accounts Receivable
    Vast Conference Conference Calling
    Medical Mastermind Medical Billing Services
    Data Entry
    Invoicing
    Virtual Assistance
    Email Support
    Phone Support
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