21 jobs found in Carson City

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

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,...

United Cerebral Palsy of Georgia is searching for a skilled Inpatient Medical Coding Auditor to work from home. In this role, you'll review and code inpatient hospital claims to ensure precise reimbursement. The ideal candidate will have a robust background in medical coding, certifications like RHIA or CCS, and the ability to work independently with high standards of accuracy. Enjoy a competitive salary, a rewarding bonus incentive plan, and comprehensive benefits aimed at your growth. #J-18808-Ljbffr

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

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

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...

Become a part of our caring community and help us put health first The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

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

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...

Job Description Summary Applicants must currently reside in the Pacific Time Zone to be considered Responsible for the timely, accurate submission of invoices to responsible payer, of any type, for all services and products provided. Evaluates payments received and application to the patient account. Follows‑up with responsible parties to ensure the receipt of timely, accurate payments. Assists with Billing and Collection Training and completes "second level" appeals to payers. Job Responsibilities Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided. Evaluates payments received for...

Option Care Health is seeking a Billing Specialist in Carson City, Nevada. The role involves the timely submission of invoices for services and products, verifying payment accuracy, and following up on unpaid invoices. Candidates should have a High School Diploma and basic skills in Microsoft Excel and Word. They will enjoy comprehensive benefits like medical insurance, paid time off, a 401K plan, and more. Previous experience in Infusion Reimbursement is preferred. #J-18808-Ljbffr

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

Datavant is seeking an experienced Outpatient Coder to join our remote team in Carson City, Nevada. In this role, you will review medical records and ensure accurate coding for diagnoses and procedures, helping to drive transformative changes in healthcare. The ideal candidate will possess CCS certification and have at least 3 years of outpatient coding experience, particularly in emergency department coding and facility leveling. We offer competitive pay, comprehensive training, and a flexible work schedule. #J-18808-Ljbffr

Nevada Health Centers seeks a Medical Assistant in Carson City to deliver excellent medical services in a patient-centered environment. Responsibilities include preparing patients for examinations, administering medications, and supervising other staff members. The ideal candidate should have a high school diploma and certification in Medical Assistance. The role offers comprehensive benefits, including competitive compensation, medical plans, a retirement plan, and a generous time-off policy. #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.

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....

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,...

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...

Become a part of our caring community The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

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...