Top 25 Laboratory Coding Specialist Jobs

Utilization Review & Quality Assurance Specialist
ExamWorks —Rockford, IL
- $45 - $52 an hour
- Full-time
- Remote
- Anatomy knowledge
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
8d
Denial Specialist – Laboratory & Medical Billing (Onsite)
Insightful ROI LLC —Buford, GA
- $18.00 - $19.50 an hour
- Full-time
- Background check
- Writing skills
- Mid-level
- Paid time off
- Opportunities for advancement
Quick Apply
Laboratory Business Operations Specialist
Phoenix Children's Hospital —Phoenix, AZ
- Full-time
- Mid-level
- GAAP
- Children
Laboratory Applications and Billing Specialist
Covenant Management Systems, L.P. —Austin, TX
- Rotating weekends
- OSHA
- Computer literacy
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Quality Improvement Specialist
Evergreen Nephrology —Remote
- $20 - $24 an hour
- Remote
- Microsoft Outlook
- HIPAA
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
Research Business Services Specialist-Medical Billing and Coding
Minneapolis Heart Institute Foundation —Minneapolis, MN
- $55,000 - $65,000 a year
- Customer service
- 5 years
- HIPAA
- Health savings account
- Paid holidays
Quick Apply
Payment Research Specialist
Unified Women's Healthcare —Texas
- Full-time
- Remote
- Customer service
- 5 years
- Writing skills
- Commuter assistance
- Paid parental leave
Laboratory Billing Specialist
Diagnostic Laboratory Science —Garden Grove, CA
- From $21 an hour
- Full-time
- Background check
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
10d
Billing Research Specialist - Journal Center, (946)
TriCore Reference Laboratories —Albuquerque, NM
- Full-time
- Hybrid work
- Mid-level
- 1 year
- Paid holidays
- Health insurance
Clinical Billing Manager (Path & Lab)
UTHealth Houston —Houston, TX
- 5 years
- Mid-level
- University
- Health insurance
- Employee discount
Billing Research Specialist - Journal Center, (946)
TriCore —Albuquerque, NM
- Monday to Friday
- Medical office experience
- Research
- Mid-level
- Paid holidays
- Health insurance
Laboratory Support Specialist
McLaren Health Care —Flint, MI
- Full-time
- Office
- High school diploma or GED
- Data entry
2d
Medical Records Technician (Clinical Documentation Improvement Specialist) CDIS-Outpatient
US Veterans Health Administration —El Paso, TX
- $61,722 - $80,243 a year
- Online Application
- Background check
- Anatomy knowledge
- High school
- Paid parental leave
- Paid holidays
7d
Director of Laboratory Revenue Cycle Services
Adaugeo Healthcare Solutions —Oregon
- Full-time
- Hybrid work
- 7 years
- Finance
- Analysis skills
Quick Apply
Insurance Billing Specialist - Laboratory
Med-Lake Laboratory —Milledgeville, GA
- From $20 an hour
- Full-time
- Writing skills
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
2d
Medical Billing Specialist – Laboratory Billing (Experienced)
Novalab Corp —Wayne, NJ
- From $26 an hour
- Full-time
- Laboratory experience
- Mid-level
- Office
- Health insurance
- Paid time off
Quick Apply
5d
Billing Specialist-Laboratory
UnityPoint Health —Dubuque, IA
- Full-time
- Computer literacy
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
22h
Clinical Documentation Specialist/Educator (RN or CVT)- Cath Lab (FT)
ARKANSAS HEART HOSPITAL LLC —United States
- Full-time
- Nursing
- RN License
- Hospital
Supervisor, Quality Improvement
Avalon Administrative Services LLC —United States
- Full-time
- Remote
- Nursing
- Office
- SQL
Quick Apply

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Utilization Review & Quality Assurance Specialist

ExamWorks -
Rockford, IL

Quick Apply

Job Details

Full-time
$45 - $52 an hour
8 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Anatomy knowledge
Confidential information handling
Microsoft Outlook
RN License
Change management
Medical treatment knowledge
Medical terminology
Customer complaint resolution

Full Job Description

Are you passionate about clinical quality, accuracy, and continuous improvement -and looking for a role that allows you to make a meaningful impact while working from home?

We’re seeking a Utilization Review & Quality Assurance Specialist to join our fully remote team. This role offers a consistent 8:00am-4:30pm EST schedule, providing structure and work-life balance while you contribute to high‑quality clinical review operations.

In this role, you’ll be at the center of ensuring excellence - leveraging strong knowledge of group health plans, clinical criteria sets, leadership, and change management to review clinical documentation, uphold regulatory and client standards, and drive quality across medical review processes.

Responsibilities may include:

Evaluate clinical information received, write and/or review various reports including, but not limited to: Medical Record Reviews, Medical Record Chronologies, Provider Bill Reviews, Coding Reviews, Hospital Bill Reviews, List of Missing Records, Medical Bill Apportionments, Mock Billing Invoice and Medical Summary Statements.
Perform quality assurance reviews of peer review reports, correspondences, addendums or supplemental reviews to ensure they meet company standards for content, clarity, evidence-based rationale, formatting, and professional presentation.
Ensure all client instructions and specifications have been followed, all questions have been answered, and all recommendations or determinations are supported by clear, concise, and evidence-based rationales.
Verify that each review includes appropriate clinical citations when applicable, and ensure all references cited are current and obtained from reputable medical journals and publications.
Identify inconsistencies within reports and contact the reviewer to obtain clarifications, modifications, or corrections needed.
Assist in the resolution of customer complaints and quality assurance issues as appropriate.
Ensure all federal ERISA and applicable state mandates are adhered to.
Provide ongoing feedback and recommendations to management regarding consultant performance, quality trends, and compliance with internal and client specific requirements.
Participate in the development and implementation of policies and procedures to improve efficiency and quality across operations.
Develop and lead formal and informal training sessions -individually or in groups -that promote high-quality utilization review practices and reinforce company standards.
Develop and document new or improved operational processes to support continuous improvement.
Promote effective and efficient utilization of company resources across all responsibilities.
Participate in or lead various continuing education and training activities related to clinical knowledge, industry standards, and company processes.
Perform other duties as assigned.

Must hold and maintain a Registered Nursing License.
Strong knowledge of group health/criteria sets/leadership/change management.
Must have strong understanding of medical terminology, anatomy and physiology, treatment protocols, medications and laboratory values.
Must be proficient in Microsoft Office Suite, Outlook, internet navigation and general office equipment.
Must have the ability to follow instructions and respond to upper managements’ directions accurately.
Ability to work independently, prioritize tasks, and manage time efficiently in a fast-paced environment.
Ability to demonstrate accuracy, thoroughness, and commitment to producing high quality work; actively monitor own performance and seek opportunities for improvement.
Ability to demonstrate flexibility and remain composed under pressure or in stressful conditions; adapts well to change and promotes a positive team environment.
Must be able to maintain confidentiality.
Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.

Quick Apply

Refine Your Search

Laboratory Coding Specialist jobs

Utilization Review & Quality Assurance Specialist

Denial Specialist – Laboratory & Medical Billing (Onsite)

Laboratory Business Operations Specialist

Laboratory Applications and Billing Specialist

Quality Improvement Specialist

Research Business Services Specialist-Medical Billing and Coding

Payment Research Specialist

Laboratory Billing Specialist

Billing Research Specialist - Journal Center, (946)

Clinical Billing Manager (Path & Lab)

Billing Research Specialist - Journal Center, (946)

Laboratory Support Specialist

Medical Records Technician (Clinical Documentation Improvement Specialist) CDIS-Outpatient

Director of Laboratory Revenue Cycle Services

Insurance Billing Specialist - Laboratory

Medical Billing Specialist – Laboratory Billing (Experienced)

Billing Specialist-Laboratory

Clinical Documentation Specialist/Educator (RN or CVT)- Cath Lab (FT)

Supervisor, Quality Improvement

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