11 jobs found in Billings

Finance (Billings Clinic Main Campus) Responsible for researching and analyzing coding related pre-bill scrubber edits, denials, and requests for review from Patient Financial Services, and ensuring proper coding in compliance with government and third party payer regulations and CPT-4, ICD, and HCPCs guidelines. Responsible to appeal denials and follow up with payers until the denied claims are paid. Collaborates with multiple departments and participates in review of Recovery Audit Contractor and other government audits and appeals. Provides reports to Coding Resources Advisors for trending and research and clarification of coding (ICD, CPT-4/HCPCS) and abstracting of diseases and surgical procedures. Provides education to the Coding Resources teams based on findings. Ensures adherence to all applicable Billings Clinic and regulatory compliance policies and procedures governing medical records coding, insurance billing and reimbursement methodologies. Supports and models...

Claims Compliance Specialty Coder II Billings Clinic is a community-owned, not-for-profit, physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Your benefits include a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including medical, dental, vision, 403(b) retirement plan with employer matching, defined contribution pension plan, paid time off, employee wellness program, and much more. Billings Clinic is proud to be recognized for nursing excellence as a Magnet-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The redesignation process happens every four years. This position is responsible for researching and analyzing coding related pre-bill scrubber edits, denials, and...

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we\'ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and one of the nation\'s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare...

Community Hospitals Occupational Therapist, Benefis Missouri River Medical Center (Part Time) page is loaded## Community Hospitals Occupational Therapist, Benefis Missouri River Medical Center (Part Time)locations: Fort Benton, MTtime type: Part timeposted on: Posted Todayjob requisition id: JR105223**Benefis is one of Montana’s largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you!** Responsible for performing age and diagnosis specific assessment and treatment relevant to the patient’s/resident’s/client’s individual needs. This assessment may include cognitive, sensory, neuromuscular, perceptual motor skills, psychosocial skills, functional daily living and work-related...

A health services provider in the United States is seeking a qualified individual to supervise a team of Medical Reviewers. The ideal candidate will have a strong clinical background and proven leadership skills to ensure high-quality healthcare services. This role requires oversight of daily operations, team management, and ensuring compliance with healthcare guidelines. Must possess an active RN license and relevant experience in clinical settings. This position offers a daytime schedule with flexibility, promoting a healthy work-life balance. #J-18808-Ljbffr

Overview Internal Reference Number: R1049162 Summary: Why should you join the BlueCross BlueShield of South Carolina family of companies? We are the largest insurance company in South Carolina, a leading administrator of government contracts, and operate one of the Southeast's most sophisticated data processing centers. We are a diverse family of subsidiary companies that enables us to build on multiple business strengths and deliver outstanding service to our customers. This open position is within CGS Administrators, a subsidiary that provides administrative and business services to state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare providers, and medical equipment suppliers. We are expanding our Medicare Part A Medical Review team focused on Prior Authorizations, adding five new staff to enhance service to Medicare recipients. This position will lead a team of four to ten Medical Reviewers and...

A healthcare services organization seeks a detail-oriented professional skilled in medical coding and billing to work from home. Responsibilities include converting medical charts, offering coding education, and collaborating with other teams to enhance billing practices. The ideal candidate has at least 2 years of experience in chart auditing and is proficient in EHR systems. The position offers competitive pay, potential bonuses, and benefits designed to support employee well-being. #J-18808-Ljbffr

Job Title: Associate Director, Global Medical Procurement Business Partner Location: Gaithersburg, USA At AstraZeneca, we put patients first and strive to meet their unmet needs worldwide. Working here means being entrepreneurial, thinking big and working together to make the impossible a reality. If you are swift to action, confident to lead, willing to collaborate, and curious about what science can do, then you’re our kind of person. Recognizing the importance of individualized flexibility, our ways of working allow employees to balance personal and work commitments while ensuring we continue to create a strong culture of collaboration and teamwork by engaging face-to-face in our offices 3 days a week . Our head office is purposely designed with collaboration in mind, providing space where teams can come together to strategize, brainstorm and connect on key projects. Our dedication to sustainability is also central to our culture and part of what makes AstraZeneca a great...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2675 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge...

Job Description: The purpose of this position is to assign ICD-10 CM diagnosis and procedure codes with the appropriate DRG assignment for inpatient encounters, ICD-10-CM diagnosis and procedure codes, CPT-4 procedure codes, and APC assignment for outpatient encounters. This is to ensure a valid database used for research, reporting, quality improvement activities, reduce days not final billed (DNFB), and appropriate reimbursement. Scope 1.Assigns ICD, CPT and HCPCS coding classifications based on clinical documentationand/or physician orders. Utilizes appropriate tools, resources and guidelines to determine codes and assigns first listed diagnosis and secondary diagnoses. Obtains clarification from physicians, clinical departments and others on documentation questions, as needed. Performs coding at an advanced level of coding complexity. Codes complex diagnoses, CPT and assigns modifiers for multiple facilities. Codes combinations of outpatient hospital charts....

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you...