20 jobs found in Carson City

Humana Inc. seeks a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. You will review records, identify anomalies for audits, apply ICD-10-CM/PCS guidelines, assess reimbursement impact, and collaborate with clinical reviewers. The role offers a home or hybrid work option and a comprehensive benefits package. #J-18808-Ljbffr

A leading health data exchange company is seeking experienced inpatient coders to join their remote team. The role requires a minimum of 3 years of coding experience and expertise in medical terminology. Responsibilities include assigning codes, ensuring documentation accuracy, and overseeing junior coders. The firm offers competitive pay and benefits, with a flexible schedule to support a great work-life balance. Ideal candidates will excel in communication and have a strong attention to detail. #J-18808-Ljbffr

Job Description Job Description Salary: $18-23 The Ophthalmic Billing & E/M Coding Specialist is responsible for accurately posting clinic and hospital charges, with a primary focus on ophthalmologyrelated Evaluation & Management (E&M) coding. This role includes reviewing documentation from ophthalmologists, ensuring correct use of CPT and ICD10 codes specific to ophthalmic services, drafting appeals for denied claims, assisting patients with understanding their accounts, and payment posting. Essential Job Functions Accounts Receivable (A/R):Monitor and follow up on aging reports to reduce outstanding, delinquent balances for both patients and insurance. Denial Management: Review and appeal denied rejected claims communicating directly with insurance payers. Verify coding accuracy by reviewing provider documentation against ophthalmologyspecific coding guidelines, payer rules, and reference materials. Communicate with providers when documentation,...

A leading pharmaceutical company is seeking an Associate Director, Scientific Communications to manage the execution of the medical communications strategy. The successful candidate will oversee content creation, manage the global publications plan, and ensure compliance with scientific accuracy. They must have an advanced scientific degree and at least 7 years of experience in Medical Affairs or Scientific Communications, with a focus on managing complex data and leading teams. Competitive compensation and benefits are offered. #J-18808-Ljbffr

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviews medical records to report conditions that map to HCCs by reviewing medical record documentation and applying the appropriate ICD-10 diagnosis codes. Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works on projects that may include making phone calls to providers. Works within broad guidelines with...

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

A leading health data exchange company is seeking experienced inpatient coders to join their fully remote team. The ideal candidate will have a minimum of 3 years of inpatient coding experience, as well as strong communication skills. Responsibilities include assigning codes using ICD-10 standards, auditing coder work, and maintaining high coding accuracy. Competitive pay ranges from $32 to $42 per hour, along with various employee benefits. #J-18808-Ljbffr

Highmark Health is seeking candidates for a hospital coding position in Carson City, Nevada. The chosen candidate will review medical information, abstract required data, and manage coding submissions. A minimum of one year of hospital coding experience along with relevant certifications such as CCS or CIC is required. The role offers a competitive pay range of $23.73 to $37.14 per hour and includes a $10,000 sign-on bonus with a two-year commitment. The position’s commitment is crucial for maintaining accurate coding practices. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

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. Datavantes 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...

Humana Inc is seeking a Senior Market Consultation / Partnership Professional (Nurse Medical Coder) to promote best practices in clinical documentation and coding. This role involves supporting Clinical Support Team initiatives by ensuring accurate ICD-10-CM coding and compliance with CMS-HCC models. The ideal candidate will possess an active RN license, CPC certification, and strong expertise in coding guidelines. Join our team to make a significant impact in risk adjustment processes, with remote flexibility and occasional travel to our offices. #J-18808-Ljbffr

The State of Nevada (NV) is seeking an Insurance Examiner 1 to work within the Insurance Division. The role involves reviewing financial records, conducting audits, and providing regulatory insights. Candidates should have a relevant degree and certifications, alongside strong analytical skills. This position can be based in either Las Vegas or Carson City, providing opportunities for professional growth and involvement in crucial regulatory processes. #J-18808-Ljbffr

A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work primarily from home. In this role, you'll be responsible for reviewing and coding inpatient hospital claims, ensuring accuracy for reimbursement. The ideal candidate will have a strong background in medical coding with a focus on MS-DRG, certifications like RHIA or CCS, and the ability to work independently. The position offers a competitive salary, a bonus incentive plan, and comprehensive benefits, fostering a supportive work environment. #J-18808-Ljbffr

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

Datavant is seeking a Professional Fee Auditing Specialist to perform coding audits and ensure compliance. The ideal candidate will have over 5 years of experience, a CPC certification, and proficiency in software like Epic and Cerner. This fully remote position offers flexibility, comprehensive benefits including medical, dental, vision, and a supportive team environment. The estimated pay ranges from $35 to $45 per hour based on experience and skills. #J-18808-Ljbffr

Option Care is looking for an entry-level candidate to manage billing and reimbursements in Carson City, NV. Duties include submitting invoices for services/products, verifying payment accuracy, and ensuring timely follow-ups with payers. The ideal candidate has a High School Diploma and basic skills in Microsoft Excel and Word. Benefits include medical insurance, paid time off, and a 401K retirement plan. This opportunity promises career growth and exposure to the healthcare billing process. #J-18808-Ljbffr

Option Care Health - - Responsibilities: Submits timely, accurate invoices to payer for products and services provided.; Evaluates payments received and applies payments accurately to the patient account.; Follows-up with responsible parties to ensure the receipt of timely payments.; Assists with Billing and Collection Training and completes second level appeals to payers.; Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.