209 Other jobs

ResponsibilitiesEvaluates coding based on Coding Guidelines.Reviews records for all care settings.Identifies high volume, high risk coding, and reimbursement and quality problems.Responsible for accurate assessment, analysis and summary of findings for coding validation.Provide auditing and feedback that is incorporated into training education programs.This position offers a fully remote work opportunity.Employees in this role must reside in one of the following states to be considered for fully remote positions :Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina or Louisiana.QualificationsRequired :One year coding in healthcare settingOne of :CCA or CCS or CPCDesired :DiplomaCertified Coding Associate OR Certified Coding Specialist OR Certified Professional CoderJ-18808-Ljbffr.

Job DetailsJob LocationAmberwell Hiawatha - Hiawatha, KSRemote TypeFully RemotePosition TypeFull TimeEducation LevelOtherJob Shift8 Hour DayJob CategoryHealth Information ManagementDescriptionBASIC FUNCTION :Reviews patient records and assigns accurate codes for each diagnosis and procedure on the accounts assigned to coder.Applies knowledge of medical terminology, disease processes, and pharmacology.Demonstrates tested data quality and integrity skills.Performs chart verification as assigned.Performs final chart reviews as necessary.SHIFT DAYS / HOURS :Remote PositionFull-Time :40 Hours per Week, Monday through Sunday.Hours and Days are Subject to change based on business necessity.ESSENTIAL FUNCTIONS :Review and abstract patient medical records.Report diagnoses, treatments, as well as surgical and non-surgical procedures for CAH facility medical services.Perform coding duties of discharged patient medical records using AHA Coding Clinic for ICD-10-CM and ICD-10-PCS, AHA Coding...

Experienced International Compliance Auditor (HITRUST / NATO)Insight Assurance is a security and compliance firm trusted by over 1200 organizations for their SOC 2, PCI DSS, ISO 27001, and HIPAA audit needs.Insight Assurance is a licensed CPA firm, PCI Qualified Security Assessor (QSA), and ISO 27001 Certification Body founded by former Big-4 professionals (Former EY) looking to simplify the world of IT compliance.Job Purpose We are seeking a highly skilled compliance auditor who has secured their CMMC Certified Professional (CCP) certification or would be able to secure their CCP within six months, to join our secure team which assesses client's ability to safeguard government data.The ideal candidate will have demonstrated experience leading compliance initiatives in regulated environments, ensuring adherence to complex regulatory frameworks, and knowledge of CMMC and NIST.Due to the legal requirement of this role, applicants must hold full or dual citizenship in the U.S.,...

City / State Norfolk, VA Work Shift First (Days) Overview :Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator / Certified Professional Coder (CPC) Remote! Status :Full-time, permanent position (40 hours) Work hours :8am to 5pm EST, M-F Location :This position is remote for candidates that live in the following states :VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year.Job Responsibilities :Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products.Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits.Contribute to the review of reimbursement systems relating to health insurance claims...

Join to apply for the Remote Ambulance Coder role at Pafford Medical Services1 day ago Be among the first 25 applicantsJoin to apply for the Remote Ambulance Coder role at Pafford Medical ServicesGet AI-powered advice on this job and more exclusive features.Job Title :Remote Ambulance CoderWork Location :Pafford Medical Services, Inc.- Oklahoma CityDivision / Department :PMBSReports To :Director of Pafford Medical Services BillingFull-TimeNonexemptJob DescriptionResponsible for charge validation and assigning appropriate ICD-10 and HCPCS codes to ambulance claims.Responsible for reviewing ambulance trip reports to determine medical necessity and to assign the appropriate level of care.Includes fulfilling assigned duties and responsibilities for the accurate submission of all ambulance transports in order to process third party claims and patient bills.Essential Duties And ResponsibilitiesResearches all information to complete accurate billing processes including assignment of...

ResponsibilitiesThe Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement.Assign and sequence ICD-10-CM / CPT codes by applying regulatory coding guidelines.Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books.Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record.Queries physicians for diagnoses or missing / ambiguous information for accurate coding.Apply organizational documentation policies and procedures in conjunction with official coding guidelines.Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement.Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and / or clinic records in a consistent, accurate and timely manner.Ensures the final diagnosis...

Job DescriptionJob DescriptionMedical Records Coder / Certified - Full Time (PARTIAL REMOTE / IN OFFICE FOR MTGS)POSITION SUMMARY :Codes medical records using diagnostic coding.Ensures accurate submission of all coding data for reimbursement purposes.Ensures Regulatory Compliance and follows all Federal regulations for all payment systems.POSITION REQUIREMENTS :Minimum EducationHigh School Diploma or equivalentCertificate Required :One of the following Coding Certifications :CCS-Certified Coding SpecialistCPC-Certified Professional CoderCPC-H-Certified Professional Coder-HospitalCOC-Certified Outpatient CoderCIC-Certified Inpatient CoderCMC-Certified Medical CoderMinimum Work ExperienceAbility to read and communicate in English; Bilingual preferredGood communication and multi-tasking skillsMinimum of 2 years' experience with ICD-10 and CPT / HCPCS coding in an acute facility and / or physician's office preferredKnowledge of computer applications for codingKnowledge of medical...

Job Overview Are you an experienced inpatient coder looking to work fully remotely, with a team that values accuracy, continuous learning, and work-life balance? Fairview is hiring-you'll work Monday through Friday, handling 80 hours per pay period.What You'll Do Review and code inpatient clinical records using ICD-10-CM and ICD-10-PCS in alignment with coding guidelines, MS-DRG / APR-DRG reimbursement rules, and Fairview protocols.Validate computer-assisted coding (CAC) output and ensure thorough, accurate coding.Analyze clinical documentation and drill down on severity of illness (SOI), risk of mortality (ROM), HAC, and POA indicators.Collaborate with CDI (Clinical Documentation Integrity) staff to drive provider education and documentation quality.Assist in provider queries to improve documentation specificity.Partner with revenue cycle teams to support prompt claim submissions and optimize financial performance.Required Qualifications (must be met to be considered) :Certificate...

Department / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20This position is Fully RemoteProfessional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.Act as an expert for the HCC / Risk adjustment coding.This position is remote but does require onsite education to providers as needed.Essential Duties and ResponsibilitiesReview, analyze, and validate CPT and ICD-10 diagnosis codes and...

remote typeRemotelocationsGreenville, SCtime typeFull timeposted onPosted 13 Days Agojob requisition idR-102143Crossroads Treatment Centers is an equal opportunity employer.We celebrate diversity and are committed to creating an inclusive environment for all employees.Crossroads is a leading addiction treatment provider of outpatient medication-assisted treatment (MAT).We treat patients with opioid use disorder (OUD) using medications such as methadone andsuboxone / buprenorphine.We pride ourselves in supporting our patients medical and personal recoveries from substance use disorder.Starting our fight against the opioid addiction crisis in 2005, Crossroads has remained physician led and patient focused as weve grown to 100clinics across nine states.As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.Day in the Life of a Medical CoderAssign ICD-10-CM and CPT / HCPCS codes with modifiers for services...

Job DescriptionJob DescriptionAbout Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and 130medical providers, who care for more than 200,000 patients statewide.Our mission is to improve the quality of life throughout Arizona by helping communities Live Better, Live Longer through personalized healthcare, with a focus on preventing the nation's top leading causes of death.We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management and other specialty health services.We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.Optima is currently seeking a HCC Risk Coder Specialist to join our team.As the Risk Adjustment Coder you will perform medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM official...

Our promise to you :Joining AdventHealth is about being part of something bigger.It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team.All while understanding that together we are even better.All the benefits and perks you need for you and your family :Benefits from Day One :Medical, Dental, Vision Insurance, Life Insurance, Disability InsurancePaid Time Off from Day One403-B Retirement Plan4 Weeks 100% Paid Parental LeaveCareer DevelopmentWhole Person Well-being ResourcesMental Health Resources and SupportPet BenefitsSchedule :Full timeShift :Day (United States of America)Address :900 HOPE WAYCity :ALTAMONTE SPRINGSState :FloridaPostal Code :32714Job Description :Education...

Reports to the Manager, Coding & Records.Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system.Assigns DRGs to Medicare, Medicaid, and other required payors.Determines DRG and APC assignment on outpatient and inpatient records.Maintains productivity and accuracy levels for the assigned job code.This is a remote position; however, candidates must reside in one of the following states:Indiana, Michigan, Illinois, Kansas, Ohio, Georgia, Kentucky, Florida, Idaho, Minnesota, Tennessee, Wisconsin, Colorado, South Carolina, North Carolina, or Texas.MISSION, VALUES and SERVICE GOALS MISSION:We deliver outstanding care, inspire health, and connect with heart.VALUES:Trust.Respect.Integrity.Compassion.SERVICE GOALS:Personally connect.Keep everyone informed.Be on their team.Reviews and analyzes discharged patient medical records to ensure all applicable patient data is available for coding and...

Exam Compliance Auditor / CoordinatorFull time; ExemptLocation; Lake Zurich, IL, USDepartment :Internal AuditDovenmuehle Mortgage, Inc.(Dovenmuehle) is the leading mortgage subservicing firm in the United States with several hundred financial institution clients nationwide.General Description :Assisting on state examinations and other regulatory audits of Dovenmuehle.Essential Functions and Duties :Actively participate on the state examination team responsible for managing state examinations and other regulatory audits.Analyzing data, processes and controls.Identifying improvement opportunities.Preparing work papers.Assist in the preparation of reports to communicate the results and recommendations to management.Develop positive working relationships throughout the organization.Develop understanding and knowledge of the mortgage industry and Dovenmuehle to help identify risks and opportunities.Actively participate in identifying process improvement opportunities.Successfully...

Job DetailsDescriptionJob Summary :Codes, enters charges and abstracts records for clinic and hospital encounters.Responsible for tracking missing reports and charges for clinic encounters and hospital procedures and rounding.Assists in updating codes in the EHR.Assists in coding education for providers and staff.Provides coding coverage for other clinics and providers, as needed.Provides telephone coverage, as needed.Education and Training :High school diploma or GED required.Courses in typing, medical terminology, anatomy and physiology preferred.Licensures / Certifications :Credentialed through AHIMA or AAPC required or within 1 year of hire.Experience :Previous medical coding experience preferred.Skills and Abilities :Ability to accurately code diseases and procedures using standard classification systemsAbility to accurately abstract data and enter chargesability to meet productivity requirements set forth by the HIM Department.Benefits Overview :Paid Time OffMedical, Dental...

Job DescriptionJob DescriptionMUST ATTEND ORIENTATION IN PERSON IN ARCATA, CALIFORNIASUMMARY :The primary function of this position is to review ICD, CPT and HCPCS coding for data and reimbursement.The coding function is a primary source for data and information used in health care today, and promotes quality client care, captures accurate reporting numbers and optimizes reimbursement.The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.Other duties may be assigned.Level IPerforms comprehensive review of the health record, evaluates the record for documentation, consistency, accuracy and correlation of recorded data.Ensures the final diagnosis as stated by the provider is valid, complete and accurately reflects the care and treatment rendered.Consults with provider when conflicting or ambiguous documentation is...