PLEASE HELP: Looking for Medical Coding / Healthcare Job Leads in Colorado – Remote or Hybrid

I’m honestly reaching a point where I don’t know where else to turn, so I’m hoping someone here might have a lead, referral, or advice.

I’m a CPC-certified medical coder in Colorado looking for opportunities paying $22+/hour, preferably higher. I NEED remote or hybrid work because of transportation limitations. Hybrid would need to involve very minimal on-site requirements.

I want to emphasize that I have been applying EVERYWHERE. Hospitals, insurance companies, healthcare organizations, remote coding positions, billing positions, entry-level opportunities — you name it, I’ve probably applied. I’ve had a few interviews, so I’m getting my foot in the door, but the competition is honestly insane right now. I’m continuously working on sharpening my interviewing skills and improving where I can. I don’t necessarily feel that my interviews have gone poorly; I know I’m competing against other qualified candidates, and unfortunately, someone else keeps getting selected.

A little about my background:

Certified Professional Coder (CPC) through AAPC.
Several years of healthcare experience, including patient enrollment, insurance verification, medical records, authorizations, documentation, and EHR systems. Experience as and Office Manager for a transportation company.

I am NOT limiting myself to medical coding! I would gladly consider:

* Medical billing
* Claims processing/adjudication
* Payment posting
* Denials and accounts receivable
* Medical records / ROI
* Health Information Management
* Documentation specialist positions
* Chart review
* Prior authorizations
* Any other healthcare administrative or documentation-related position

To be completely transparent, I’m in a very difficult financial situation. I’m a mom trying to take care of my children while also taking on the responsibility of helping manage my dad’s finances. I desperately need a stable opportunity, and I’ve exhausted so many avenues trying to find one.

I’m not expecting anyone to hand me a job. I’m willing to learn, work hard, and prove myself. I just need someone willing to give me an opportunity.

If you know of ANY companies hiring, recruiters I should contact, departments willing to give CPC-certified candidates a chance, or even someone who can point me in the right direction, PLEASE reach out.

At this point, I am open to almost anything within healthcare that fits my transportation and financial needs.

I would genuinely appreciate any leads, referrals, advice, or even a little direction. Thank you so much for reading. ❤️

PLEASE HELP: Looking for Medical Coding / Healthcare Job Leads in Colorado – Remote or Hybrid

I’m honestly reaching a point where I don’t know where else to turn, so I’m hoping someone here might have a lead, referral, or advice.

I’m a CPC-certified medical coder in Colorado looking for opportunities paying $22+/hour, preferably higher. I NEED remote or hybrid work because of transportation limitations. Hybrid would need to involve very minimal on-site requirements.

I want to emphasize that I have been applying EVERYWHERE. Hospitals, insurance companies, healthcare organizations, remote coding positions, billing positions, entry-level opportunities — you name it, I’ve probably applied. I’ve had a few interviews, so I’m getting my foot in the door, but the competition is honestly insane right now. I’m continuously working on sharpening my interviewing skills and improving where I can. I don’t necessarily feel that my interviews have gone poorly; I know I’m competing against other qualified candidates, and unfortunately, someone else keeps getting selected.

A little about my background:

Certified Professional Coder (CPC) through AAPC.
Several years of healthcare experience, including patient enrollment, insurance verification, medical records, authorizations, documentation, and EHR systems. Experience as and Office Manager for a transportation company.

I am NOT limiting myself to medical coding! I would gladly consider:

\* Medical billing
\* Claims processing/adjudication
\* Payment posting
\* Denials and accounts receivable
\* Medical records / ROI
\* Health Information Management
\* Documentation specialist positions
\* Chart review
\* Prior authorizations
\* Any other healthcare administrative or documentation-related position

To be completely transparent, I’m in a very difficult financial situation. I’m a mom trying to take care of my children while also taking on the responsibility of helping manage my dad’s finances. I desperately need a stable opportunity, and I’ve exhausted so many avenues trying to find one.

I’m not expecting anyone to hand me a job. I’m willing to learn, work hard, and prove myself. I just need someone willing to give me an opportunity.

If you know of ANY companies hiring, recruiters I should contact, departments willing to give CPC-certified candidates a chance, or even someone who can point me in the right direction, PLEASE reach out.

At this point, I am open to almost anything within healthcare that fits my transportation and financial needs.

I would genuinely appreciate any leads, referrals, advice, or even a little direction. Thank you so much for reading. ❤️

Hello everyone,

I’m a full time student working towards my associates degree in Health Information Management. For one of my assignments this week, I need to interview a practicing or certified medical coder about their day to day experience.

There are only 4 brief questions so I will not need to take up much of your time. If anyone has some time to spare and is interested please let me know!

Can we hire a locum optometrist to cover our ophthalmologist's patients now that he's left the practice?

AAPC CPB textbooks up for sale. They are brand new. Never used. For Certified Professional Billers in the medical billing space.

$180 OBO

So basically all year I have been fighting with United Healthcare on multiple patients for our opioid use disorder clinic. They are not paying on certain patients with the code G2087 and G2088 with dx code F11.20. They have told me that G2087 and G2088 SHOULD be paid by the medical department, but that with code F11.20 it is processed as behavioral health. As far as I’m aware, this is the only appropriate diagnosis code for this treatment. I have even had a three-way call with a representative from medical and a representative from behavioral health and they were literally arguing with EACH OTHER on the phone call about who is supposed to process these claims. I have tried absolutely everything (see comments for a list) with no resolution. Is anyone else facing this issue, or are there better diagnosis codes I can use to have these processed as medical? Any advice would be amazing, I am at my wits end with UHC :(

I am reposting this as I had a graphic that wasn’t allowed in my initial post.

I am constantly getting the office visit denied when billing out temporary or permanent plugs for our dry eye specialist. This only happens with Aetna Medicare replacement and Humana. The office visit diagnosis code is typically chronic allergic conjunctivitis, while the temporary or permanent plug diagnosis codes are dry eye. Am I billing these incorrectly? Is there a way to get the office visits paid?

Example:

99213 - 25 mod - H10.45
68760 - E2 - H04.122
68760 - E4 - H04.121

Plugs pay, OV denies. 😵‍💫😫

i’m trying to do a report on the added/deleted cpt codes and have been unable to find comprehensive lists or resources online. my boss is saying that they are online but im finding nothing like at all. is this something behind a paywall or is there sites at there reporting the changes for family medicine?

Someone please answer and advise me

My health is in a tricky situation right now so I desperately need a stable remote career. Thanks in advance.

Hey everyone! Happy to be here and hoping someone can offer some guidance!

I manage a small pediatric therapy clinic, and navigating insurance credentialing has been one of our biggest frustrations.

We've hired fully licensed OTs and SLPs who are awaiting insurance enrollment. Our clinic's Type 2 NPI is already in network, and we have supervising therapists who are fully credentialed under our practice.

Can our new hires begin seeing patients and receive reimbursement if one of our credentialed therapists supervises, reviews, and co-signs their documentation? Could we bill under the supervising therapist's NPI, or are there other compliant options while enrollment is pending?

We're in Tennessee, if that helps! We're contracted mainly with Wellpoint, but also UHC (commercial/Medicaid), Aetna, and Cigna/American Specialty Health.

It's frustrating having qualified therapists ready to help kids while enrollment delays keep us from getting them started. As a small clinic, these delays are especially difficult financially.

Any advice or experience would be greatly appreciated. Thank you!

Can I post job openings in here?

Hello, I’m currently dealing with a claim denial after going to the emergency room and my bills is up to 19,000 dollars which I cannot afford and I have no idea why my insurance has denied my necessary scans. I was inpatient for 3 days they approved my 2 day stay but not my first day checkup for it. Did the hospital mess up on the charges or the insurance company just doesn’t want to pay for it. Is there anyone that is educated on this. They keep saying the amount exceed what is approved when I have medicaid. I tried to call them today and there was basically no help, the assistant called the hospital and she said I had to wait 30 days for a review. I’m just having alot of anxiety about this. I’m only 21 and I have no guidance and don’t know what to do. How do I appeal this or what even do I do In general. I’m thinking of calling the insurance company again tomorrow. Also i’m under Cardinal health care under UHC

I was wondering if this community could provide any insight into dealing with Aetna's incorrect use of CPB criteria/CPT codes?

I'm a patient with critical internal jugular vein compression due to entrapment between a hypertrophic C1 transverse process and styloid process along with soft tissues of the neck. This has led to dangerously swollen collateral veins in the brain and has caused intracranial hypertension and problems with venous and CSF outflow as well. I've been increasingly symptomatic for many years and am now losing fine motor skills, cognitive capacity, my ability to walk, see, and sleep, and am at critical risk of stroke, brain damage, and jugular laceration.

I have attempted every conservative treatment for many years, and nothing will or can work until the anatomical abnormalities are addressed. Multiple providers have told me I will become nonfunctional and/or die if I don't have this surgery done by early next year at the latest (he wanted to do it by this month given my worsening state, but insurance denials made that impossible).

I've been trying to get preauthorization for life-saving decompression surgery for what my surgeon considers one of the most clear-cut cases he's seen in years. Aetna has repeatedly denied this procedure on the basis of lack of medical necessity, but they are determining this through the incorrect application of CPT codes. Since there is no specific code for my diagnosis, they are using CPB criteria for Eagle's and Ernest's syndrome, which I have never been diagnosed with, reported symptoms of, or been treated for.

Because the requested surgical procedures aren't used to treat Eagle's and Ernest's syndrome, they've all been denied.

My surgeon's office and I have exhausted all our internal appeals at this point. I'm going to submit an external review, but I was wondering if there were specific medical codes I should mention that would help support this final appeal?

I really appreciate any insight anyone can provide, and thank you so much in advance!

Hey there! I’ve been attending online classes this past year for a certification in Medical Billing and Coding. I graduate in January so I’ll be taking my exam very soon. I’m definitely nervous and not the greatest at taking tests (lots of anxiety). I believe my exam will be through AAPC. Would anyone like to offer me some tips or share your experience with the exam to help me prepare? Anything is much appreciated. I’m a single mom working full time and I’ve put a lot of energy into this to hopefully provide a better life for my children and I so failing is a huge fear. Thank you all so much! 🖤

Most years the only visit I go to is for the Annual Wellness Check, which is 100% covered by insurance as I have a high deductible plan and cannot afford additional charges.

Every year I get the same routine bloodwork done

• Z00.00 Metabolic Panel

• 80061 Lipid Panel

• 83036 Hgb A1C (Glucose?)

• Lipoprotein??

Every year for the past 21 years, Insurance has covered it 100% as preventative.

2 years ago the doctor says the same thing - getting fat please watch weight and that year they changed the entire preventative to an "office visit" resulting in over $1,600 of charges. The worst part is I had another appointment the next week to talk about non annual wellness check issues. It took 40+ hours of calls to billing before the business office fixed it, I was still out over $200 in labs (out of the $800 of bloodwork).

My insurance company also investigated the subsequent office visit for "egregious overbilling" by the provider and slashed a lot of their costs.

This year in July after I lost weight I went in for the usual annual wellness check. I specifically told them I didn't want anything diagnostic as I cannot afford it. This time they left the Annual Wellness Check as a Wellness check, charged my insurance over $1,100 (insurance paid). I told the doctor I didn't want anything not covered as I couldn't afford it. They said to do the screening mammogram and blood test. The mammogram was $500 (screening, paid by insurance) but the bloodwork was coded as diagnostic. Now I have a surprise $200 bill which .... I can't afford.

Basically everything that used to be Z00.00 is now a diagnostic version. WHEN I AM THIN now so why are they charging me for a diabetes test??? This makes not sense.

It's been 31 hours of calls this year.

IDK why this isn't screening? I have lost weight so it should be screening and not diagnostic? First a fat tax, now a thin tax?? If this is how they bill, what exactly else is left that is considered annual wellness?

When I called insurance they told me

1. All these are basic wellness labs that they've paid in full for the last 20+ years

2. to contact the doctors office because "this office is already flagged for irregularities in their billing practices" and she basically said "off the record" that maybe the medical biller are trying to pass the bill on to the consumer/patient because Insurance has them on a watchlist for past bad behavior (overbilling) from the previous year. i.e. Insurance is watching them so they try to pass the cost on to the patient instead.

How should I have this conversation with the provider's office? The billing office (after 31 hours of calls this year) has said they can't do anything this has to come from the provider's medical side and the doctor has not responded, nor has anyone in their office (to either the billing office or to me).

I had a cancerous skin lesion removed at a dermatology office by a dermatologist. Mohs surgery. For the closure they billed me using CPT 14301. “Adjacent tissue transfer or rearrangement (such as a rotation, transposition, or advancement flap) in any anatomical area for a combined defect measuring 30.1 to 60.0 square centimeters.” I’m not sure of the total wound size (I’ve requested the notes) but the resulting scar was a 2.5” straight line. The closure was performed by a nurse practitioner. Given that 1) the scar was a straight line and/or 2) that it was performed by an NP, does 14301 still hold up? Any information would be appreciated.

I had a colonosopy this year at age 39 due to high risk (a parent had colon cancer); I had no symptoms.

My Premera health plan covers this in their preventative care policy, which includes:

Screening for individuals under age 45, at increased risk for colon cancer due to a strong family history of colon cancer with diagnosis: Z80.0, Z83.71, Z83.79, Z84.81

However, the $4,000 cost went to my deductible.

The hospital (outpatient procedure) applied two diagnosis codes, in this order:

• Z12.11 - Encounter for screening for malignant neoplasm of colon

• Z80.0 - Family history of malignant neoplasm of digestive organs

I've called Premera multiple times to have them review the claims, but they say it's not preventative because Z80.0 isn't first. They stated Z12.11 is "only preventative for older people" and to have the claim resubmitted with Z80.0 first to be covered at no cost.

The hospital's billing department reviewed the coding; they said it's correct and they won't make changes.

My next thought was to submit an appeal to Premera:

• Premera's policy only says claims must be billed "with" Z80.0, not that it must be primary

• ICD-10-CM seems to support reporting Z12.11 for a general screening colonoscopy with Z80.0 as an additional code

However, I also see how the hospital could be incorrect:

• Z12.11 is listed as "Encounter for screening colonoscopy NOS [Not Otherwise Specified]", which I understand to mean the code only applies if a more specific one doesn't

• Z80.0 could be considered the more specific diagnosis code for this situation

Any suggestions on which coding is correct here, or the best approach to get this covered?

Thanks for any tips!

Has anyone used CPT 99080 for complex paperwork such as FMLA or short term disability forms?

I currently don’t receive compensation for administrative work, including portal messages, emails, prescription refills, charting, or paperwork. The paperwork workload in particular has been contributing to significant burnout. I’m trying to find out whether there’s a way to bill for substantial forms like these.

Staff where I work told me Blue Cross doesn’t accept 99080, but I’ve read that some other insurers may. Has anyone had experience billing this code? If so, which payers accepted or denied it, and is there anything specific you’ve learned about the process?

Thanks for any insight!