44 jobs found in Austin

A leading health data exchange company is seeking an experienced inpatient coder to join their fully remote team. The ideal candidate will possess a strong understanding of medical terminology and coding standards. Responsibilities include assigning codes using ICD-10, auditing coder work, and maintaining accurate records. This role offers a flexible schedule with competitive hourly pay ranging from $32 to $42. Candidates should have at least 3 years of experience and preferred certifications. #J-18808-Ljbffr

Job Title: Medical Claim Review Nurse Location: 100% Remote Duration: 3 months (possible extension) Schedule: Monday Through Friday 8am-5pm CANDIDATES MUST LIVE IN ONE OF THE PREFFERED 17 STATES (AZ, FL, GA, ID, IA, KY, MI, MS, NE, NM, NY (outside greater-NYC), OH, SC, TX, UT, WA (outside greater-Seattle), WI) Description: Focused review of professional claims related to Fraud Waste and Abuse, documentation review to support services provided from billing and coding perspective, ensure all state/federal guidelines are utilized, document findings, identify trends, this is a production environment, Top Skills Required: Coding certification with demonstrated experience in Fraud/Waste/Abuse audits, i.e. RAC audits, Special Investigation Units, etc. (able to distinguish approach to audits versus clinical/medical necessity review) . Clinical Validation Reviewer: Performs focused clinical reviews of inpatient and outpatient claims to verify that coded diagnoses, procedures, revenue...

Texas Mutual Insurance Company is seeking a Supervisor of Medical Management Claims for their Austin Corporate Office. In this role, you will leverage your medical knowledge and supervisory skills to manage the daily operations of claims processing, ensuring compliance with the Texas Workers' Compensation Act. You will work collaboratively with medical professionals and monitor performance metrics to enhance outcomes. The position offers a competitive salary, a flex-hybrid work environment, and a comprehensive benefits package including bonuses and health insurance. #J-18808-Ljbffr

A boutique ENT practice in Austin, Texas, is seeking a Medical Billing Specialist to manage insurance claims and billing processes. Candidates should have 1-3 years of relevant experience and strong knowledge of insurance plans, ICD-10, and CPT coding. The role requires excellent communication skills and the ability to work collaboratively within a team. Benefits include PTO, 401(k), and medical coverage in a supportive work environment. #J-18808-Ljbffr

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report findings and recommendations...

The Texas Workforce Commission is seeking a Bankruptcy Accounts Examiner for its RID Tax Collections Unit in Austin, Texas. This senior-level role requires a deep understanding of state and federal payroll tax regulations and bankruptcy law, along with expertise in examining financial records and filing bankruptcy claims. Key responsibilities include auditing financial reports, ensuring compliance with federal laws, and preparing Proofs of Claim for U.S. Bankruptcy Court. The position offers a competitive starting salary and various benefits including medical insurance and paid time off. #J-18808-Ljbffr

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this...

Medical Biller - Insurance A/R Specialist Responsibilities/Tasks include, but not limited to: Work rejects/denials, send corrected claims, appeals Electronic claims building and submission Stay up to date on CPT, ICD, and LCD guidelines Chart and coding review Check eligibility and benefits Obtain prior authorizations Call patients when necessary to verify insurance information Provide excellent customer service to patients paying their bill or inquiring about their account Work to reduce backlog of unpaid claims in legacy systems Read and analyze EOBs and ERAs Payment posting Maintains HIPAA patient confidentiality standards for medical and financial information Knowledge, Skills, and Abilities Knowledge of CPT, ICD, and LCD guidelines Ability to communicate clearly and concisely, both orally and in writing Competency with Microsoft Office and G Suite Excellent problem-solving skills and high attention to detail Adapt well to changes in...

About Our CompanyWe’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com,...

Medical Call Center Supervisor - Northwest Austin - Texas Orthopedics# Medical Call Center Supervisor - Northwest Austin - Texas OrthopedicsAustin, TX 78759## OverviewSalary Range$58,000.00 - $68,000.00 SalaryLevelManagementPosition TypeFull TimeCategoryHealth Care## Description**ABOUT TEXAS ORTHOPEDICS, A DIVISION OF ORTHOLONESTAR****Join the Team!**Since opening our doors in 1986, Texas Orthopedics has grown into one of Central Texas’s most trusted names in musculoskeletal care. For nearly four decades, we’ve been committed to delivering exceptional orthopedic, rheumatologic, and physical therapy services to our community. With multiple locations throughout the Austin area and a comprehensive team of highly skilled physicians, we continue to expand our reach and elevate patient experience. Texas Orthopedics is a proud division of OrthoLoneStar, the largest independent orthopedic practice in Texas.**Experience the Texas Orthopedics Work Environment**At Texas Orthopedics, we strive...

Job Description Job Description Outpatient Professional Medical Coder Greenberg-Larraby, Inc. (GLI) is actively seeking a skilled Outpatient Professional Medical Coder to join our dynamic healthcare team based in Temple, TX This position is onsite in Temple, TX. In this role, you will be responsible for reviewing and coding outpatient medical records, ensuring adherence to coding standards and guidelines. Your expertise will play a vital role in ensuring accurate billing and compliance, contributing to the overall quality of patient care at GLI. You'll collaborate effectively with healthcare providers to clarify clinical documentation and ensure that all coding assignments align with the latest coding practices. If you are a detail-oriented professional ready to excel in a collaborative environment, we invite you to apply! Requirements Minimum Requirements: One active coding credential required: RHIT, RHIA, CCS, CCS-P, or CPC At least three (3) years of...

Job Description Job Description Description: Job Title: Certified Coder Job Type: Full-time Location: Remote Worker, Texas We are seeking a highly skilled Certified Coder to join our team. The successful candidate will be responsible for reviewing and analyzing medical records to ensure accurate coding of diagnoses and procedures. The ideal candidate will have a strong attention to detail, excellent analytical skills, and the ability to work independently. Strong background in pain management, orthopedic surgery, neurosurgery, and ASC billing. Responsibilities: - Review and analyze medical records to ensure accurate coding of diagnoses and procedures - Assign appropriate codes to medical procedures and diagnoses using ICD-10 and CPT coding systems - Ensure compliance with all coding guidelines and regulations - Communicate with healthcare providers to clarify diagnoses and procedures as needed - Maintain accurate and up-to-date records of all coding...

Job Description Job Description Inpatient Medical Facility Coder Greenberg-Larraby, Inc. (GLI) is seeking an experienced Inpatient Medical Facility Coder to join our healthcare team at a well-known medical facility. In this role, you will be responsible for reviewing and coding inpatient medical records for our facility in Temple, TX. This role is located on-site at the Temple, TX. Your expertise in coding will ensure accurate billing and compliance with regulatory guidelines while supporting optimal patient care. You will work closely with healthcare providers to clarify documentation and ensure that all coding assignments are completed accurately and efficiently. This position requires a strong knowledge of ICD-10-CM/PCS and CPT coding systems, as well as attention to detail and excellent analytical skills. If you are a proactive coder with a passion for quality healthcare, we encourage you to apply! Requirements Minimum Requirements: At least one credential required:...

Job Opportunity At Memorial Hermann At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Description Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school...

Bring More To Life Are you ready to accelerate your potential and make a real difference within life sciences, diagnostics and biotechnology? At Beckman Coulter Diagnostics, one of Danaher's 15+ operating companies, our work saves livesand we're all united by a shared commitment to innovate for tangible impact. You'll thrive in a culture of belonging where you and your unique viewpoint matter. And by harnessing Danaher's system of continuous improvement, you help turn ideas into impact innovating at the speed of life. As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention to elevate the diagnostic laboratory's role in improving patient health for more than 90 years. Our diagnostic solutions are used in routine and complex clinical testing, and are used in hospitals, reference and research laboratories, and physician offices around the world. Every hour around the world, more than one million tests are run on Beckman Coulter...

Medical Billing Specialist Department: Revenue Cycle Employment Type: Permanent - Full Time Location: Austin, TX Reporting To: Revenue Cycle Manager Description Join our team as a Medical Billing Specialist and play an important role in our Revenue Cycle department. In this position, you will serve as a primary point of contact for patient billing inquiries, assisting patients and clinic staff with questions related to statements, insurance processing, balances, and payments. The role involves handling inbound calls, responding to emails, reviewing patient accounts, and helping resolve billing questions. We’re looking for someone with a positive attitude who is comfortable managing high-volume patient interactions and thrives in a fast-paced environment. Strong communication skills, attention to detail, and a basic understanding of medical billing processes are key to success in this role. This position offers exposure to multiple revenue cycle functions and...

Fast growing Dermatology Office in South Austin, Texas is seeking a full-time Medical Biller - Insurance A/R Specialist to join our team. Responsibilities/ Tasks include, but not limited to: Work rejects/denials, send corrected claims, appeals Electronic claims building and submission Stay up to date on CPT, ICD, and LCD guidelines Chart and coding review Check eligibility and benefits Obtain prior authorizations Call patients when necessary to verify insurance information Provide excellent customer service to patients paying their bill or inquiring about their account Work to reduce backlog of unpaid claims in legacy systems Read and analyze EOBs and ERAs Payment posting Maintains HIPAA patient confidentiality standards for medical and financial information Knowledge, Skills, and Abilities Knowledge of CPT, ICD, and LCD guidelines Ability to communicate clearly and concisely, both orally and in writing Competency with Microsoft Office and...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Sr Med Bill Examiner - CJ10DN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. Successful candidates will be responsible for performing Medical Bill review and investigation of medical invoices to determine reimbursement based on applicable workers compensation statues and/or regulations including: -Analyzing of bill for proper assignment of detailed medical coding information -Interpreting workers compensation rules for repricing -Entering/correcting data of medical...

About Otsuka We defy limitation, so that others can too. In going above and beyond—under any circumstances—for patients, families, providers, and for each other. It’s this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka’s opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for a Medical Omnichannel Data Scientist , with strong expertise in artificial intelligence, encompassing machine learning, data mining,...