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32 Other jobs

Marin Community Clinics
Full Time
 
Medical Claims Payment Poster
Marin Community Clinics Novato, CA, USA
Responsibilities Review and interpret explanation of benefits (EOB) from insurance carriers to post appropriate payment, adjustment, and denial codes. Accurately and timely post payments received from third-party payers and patients through electronic and paper remittances, online payment portal, and patient payments to patient accounts and ensure that accounts are properly balanced and reconcile payment data to ensure consistency and accuracy. Post zero pays received from third-party payers through electronic and paper remittances. Identify and research discrepancies in payment postings and work with insurance companies to resolve any issues. Reconciling unapplied account balances. Sort and distribute mail to appropriate parties. Managing electronic remittance advice and insurance correspondences. Understand and follow payer guidelines and policies related to payment processing. Maintain/run daily, weekly and monthly payment logs and...

May 12, 2023
United Health Services
Full Time
 
Coding Auditor
United Health Services Binghamton, NY, USA
Coding Auditor Binghamton, NY Weekly hours: 40 Shift: Days Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness . Position Overview This auditor performs quarterly internal coding and documentation audits for CDI and inpatient coders. They will research, analyze, and respond to inquiries regarding coding and documentation compliance in accordance with all coding guidelines and Medicare/Medicaid regulations. This position works closely with the Cobius Team to review all denials and submits written appeals, when appropriate. They are responsible for monthly education for the CDI and inpatient coding staff. They also assist with coding, documentation, and billing questions to ensure compliant coding and billing. This auditor will develop final audit reports based on findings/observations during the audit process to present to providers or other...

Apr 27, 2023
United Health Services
Full Time
 
Coding Compliance Educator
United Health Services Johnson City, NY, USA
Coding Compliance Educator Johnson City, NY Shift:  Days Hours per week:  40 hours Salary range : $27.47-$41.21 Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness. United Health Services is seeking a Coding Compliance Educator to join our UHS team in Binghamton, NY. This position ensures that the coding of diagnoses, procedures, and data complies with all coding rules, laws, and guidelines. Coding Compliance Educator Overview The educator is responsible for the coordination of activities to monitor physician documentation in the medical record with regard to applicable regulations and billing to support services rendered. Provides education to physicians and coders regarding documentation improvement opportunities for both facility and/or professional billing. They will research, analyze, and respond to inquiries regarding coding and documentation...

Apr 27, 2023
Ka
Lead Coder
Kaiser CA, CA, USA
Under indirect supervision, the Lead Coder is regularly assigned to lead, train, coordinate, and review the work of assigned coders and/or others who need assistance, advice, instruction, training and in-service education in coding and abstracting.In addition, the Lead Coder is also expected to code inpatient and all categories of outpatient services, diagnoses, procedures and conditions working from appmpriate documentation in the medical record uhen assigned or needed, using the appropriate coding classification system. Classification systems include ICD-CM (PCS, CPI*, HCPCS as well as odier specialty systems as requited by diagnostic and pmceduralAll work must be performed in accordance with the rules, regulations and coding conventions of the current ICD-CM//PCS official guidelines for coding and repotting Coding Clinic published by the American Hospital Association , the current ICD-CM/PCS code book, CPT, CPT Assistant, CMS, NCCI edits, OSHPD, and Kaiser Permanente's...

May 27, 2023
Ka
HIM Coder II
Kaiser WA, WA, USA
HIM Coders are responsible for coding a variety of services including: Ambulatory Surgery, hospital professional visits and procedures, clinic visits and procedures (including Urgent Care), Pathology and EKGs. Both ICD-9 and ICD-10 coding is performed, depending on the date of service. Coders read and interpret medical record documentation to identify codeable diagnoses, services and supplies, and assign codes as appropriate. They follow industry-standard coding and payor guidelines and KFHPW policy and procedures in the application of coding methodologies and medical record interpretation. Coders also are required to have knowledge of the KFHPW billing system to assure the coded data produces a clean claim. Coding is critical for billing and reimbursement of services provided by Kaiser Foundation Health Plan of Washington providers and staff. Coded data is also used in practice management and in managing patient populations. Coding is required to submit compliant bills, and for...

May 27, 2023
Ka
Lead Coder
Kaiser CA, CA, USA
Under indirect supervision, the Lead Coder is regularly assigned to lead, train, coordinate, and review the work of assigned coders and/or others who need assistance, advice, instruction, training and in-service education in coding and abstracting.In addition, the Lead Coder is also expected to code inpatient and all categories of outpatient services, diagnoses, procedures and conditions working from appmpriate documentation in the medical record uhen assigned or needed, using the appropriate coding classification system. Classification systems include ICD-CM (PCS, CPI*, HCPCS as well as odier specialty systems as requited by diagnostic and pmceduralAll work must be performed in accordance with the rules, regulations and coding conventions of the current ICD-CM//PCS official guidelines for coding and repotting Coding Clinic published by the American Hospital Association , the current ICD-CM/PCS code book, CPT, CPT Assistant, CMS, NCCI edits, OSHPD, and Kaiser Permanente's...

May 27, 2023
UnitedHealth Group
Surgery Coding Auditor - National Remote
UnitedHealth Group CT, CT, USA
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together. As part of our centralized quality assurance team, this role will be responsible for performing coding quality assurance reviews for our Surgery coders. This will involve being responsible for understanding not only coding guidelines from CMS, AMA and AHA but will also be required to become familiar with client -...

May 27, 2023
UnitedHealth Group
Surgery Coding Auditor - National Remote
UnitedHealth Group Fort Lauderdale, FL, USA
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together. As part of our centralized quality assurance team, this role will be responsible for performing coding quality assurance reviews for our Surgery coders. This will involve being responsible for understanding not only coding guidelines from CMS, AMA and AHA but will also be required to become familiar with client -...

May 27, 2023
Ka
IP Facility Coder
Kaiser OR, or, USA
To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding directives. Ability to communicate...

May 27, 2023
UnitedHealth Group
Surgery Coding Auditor - National Remote
UnitedHealth Group Aiken, TX, USA
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together. As part of our centralized quality assurance team, this role will be responsible for performing coding quality assurance reviews for our Surgery coders. This will involve being responsible for understanding not only coding guidelines from CMS, AMA and AHA but will also be required to become familiar with client -...

May 27, 2023
Ka
HIM Coder II
Kaiser WA, WA, USA
The position is remote and candidates must live in the Seattle area. HIM Coders are responsible for coding a variety of services including: Ambulatory Surgery, hospital professional visits and procedures, clinic visits and procedures (including Urgent Care), Pathology and EKGs. Both ICD-9 and ICD-10 coding is performed, depending on the date of service. Coders read and interpret medical record documentation to identify codeable diagnoses, services and supplies, and assign codes as appropriate. They follow industry-standard coding and payor guidelines and KFHPW policy and procedures in the application of coding methodologies and medical record interpretation. Coders also are required to have knowledge of the KFHPW billing system to assure the coded data produces a clean claim. Coding is critical for billing and reimbursement of services provided by Kaiser Foundation Health Plan of Washington providers and staff. Coded data is also used in practice management and in managing patient...

May 27, 2023
Ka
Lead Coder
Kaiser CA, CA, USA
Under indirect supervision, the Lead Coder is regularly assigned to lead, train, coordinate, and review the work of assigned coders and/or others who need assistance, advice, instruction, training and in-service education in coding and abstracting.In addition, the Lead Coder is also expected to code inpatient and all categories of outpatient services, diagnoses, procedures and conditions working from appmpriate documentation in the medical record uhen assigned or needed, using the appropriate coding classification system. Classification systems include ICD-CM (PCS, CPI*, HCPCS as well as odier specialty systems as requited by diagnostic and pmceduralAll work must be performed in accordance with the rules, regulations and coding conventions of the current ICD-CM//PCS official guidelines for coding and repotting Coding Clinic published by the American Hospital Association , the current ICD-CM/PCS code book, CPT, CPT Assistant, CMS, NCCI edits, OSHPD, and Kaiser Permanente's...

May 27, 2023
University of Florida, Department of Orthopaedic Surgery and Sports Medicine
Full Time
 
Clinical Coding Specialist
University of Florida, Department of Orthopaedic Surgery and Sports Medicine Hybrid (The incumbent may work remotely and in-office, dependent upon the needs of the team and the department.)
The University of Florida’s Department of Orthopaedic Surgery and Sports Medicine is seeking a self-motivated, collaborative, analytical, detail-oriented individual to be part of the Revenue Cycle team. This full-time position reports to the Coding supervisor and is responsible for ensuring departmental compliance with coding and reimbursement guidelines and maximizing reimbursement outcomes. Ranked among America’s five best public universities, the University of Florida is not only a top university, it’s also a great place to work! We offer competitive salaries,  a diverse benefits package , and generous leave plans.  Responsibilities include the following: ·         Perform comprehensive review of record to assure accuracy and assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures for documented information in orthopaedic setting for inpatient rounding, surgeries, and...

May 26, 2023
University of Florida, Department of Orthopaedic Surgery and Sports Medicine
Full Time
 
Coding and Reimbursement Supervisor
University of Florida, Department of Orthopaedic Surgery and Sports Medicine Hybrid (The incumbent may work remotely and in-office, dependent upon the needs of the team and the department. In-office work may be necessary for training new personnel.)
The University of Florida’s Department of Orthopaedic Surgery and Sports Medicine is seeking a self-motivated, collaborative, analytical, detail-oriented individual to lead its Revenue Cycle team. This full-time position reports to the Assistant Director, Healthcare Administration and is responsible for ensuring departmental compliance with coding and reimbursement guidelines and maximizing reimbursement outcomes.  Ranked among America’s five best public universities, the University of Florida is not only a top university, it’s also a great place to work! We offer competitive salaries,  a diverse benefits package , and generous leave plans.  Responsibilities include the following: Daily supervision/oversight of revenue cycle personnel including Training and development Qualitative/quantitative analysis Provider education Provides guidance to front-end staff for insurance authorization Provides strategic analysis...

May 26, 2023
LC
Clerk-Billing/Coder PRN
Lake Cumberland Regional Hospital KY, KY, USA
Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Minimum Education• High School graduate or equivalent.Minimum Work Experience• Two years experience in billing, insurance, office procedures in a medical setting preferred.Required SkillsRequires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.Language Skills: Able to communicate effectively in English, both verbally and in writing.Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

May 26, 2023
UnitedHealth Group
Senior Inpatient Facility Certified Medical Coder
UnitedHealth Group AZ, AZ, USA
$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTSOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.(sm) We’re focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Facility Medical Coder you will provide coding  services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being...

May 26, 2023
Ka
Outpatient Coder Specialist
Kaiser HI, HI, USA
Job Summary:Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD- 10CM (may include PCS), and HCPCS/CPT.All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT)  National Correct Coding Initiative (NCCI), and Kaiser Permanente...

May 26, 2023
Ka
Coder
Kaiser HI, HI, USA
Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements and complications. Researches and analyzes data needs for reimbursement. Analyzes medical record and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff.Essential Responsibilities: Reviews and verifies documentation supports diagnoses, procedures and treatment results.  Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues.  Researches, analyzes, recommends and facilitates plan of action to correct...

May 26, 2023
DH
Medical Records Coder II-Inpatient
Duke Health Burnsville, NC, USA
 PRMO:, established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke PrimaryCare. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke’s reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.  Please note: This is NOT a remote work opportunity for out-of-state candidates. All Duke medical coding opportunities require candidates to have a North...

May 26, 2023
UnitedHealth Group
Ambulatory Observations (SDS) Certified Medical Coder
UnitedHealth Group Minneapolis, MN, USA
$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTSOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.SMThe Ambulatory Observations (SDS) Certified Medical Coder position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work our business hours and will have the opportunity to choose between Tuesday – Saturday or Sunday – Thursday (1 weekend day is required). It may be necessary, given the business need, to work occasional weekends and...

May 26, 2023
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