30 jobs found in Colorado Springs

Clinical Risk Adjustment Coder Alpine Physician Partners partners with independent physician groups to deliver coordinated, value-based care that improves outcomes and lowers the total cost of care. Our clinical and coding teams support providers with the accurate, compliant documentation and coding practices that make value-based care possible. The Clinical Risk Adjustment Coder reviews medical records and provider documentation to identify, validate, and accurately code chronic conditions and diagnoses in accordance with Hierarchical Condition Category (HCC) risk adjustment models. This role plays a key part in ensuring accurate risk score capture, supporting provider education, and maintaining compliance with CMS and payer coding guidelines. Review medical records, encounter notes, and provider documentation to identify and validate diagnosis codes relevant to HCC and other risk adjustment models. Conduct in-home or virtual health assessments with patients, evaluating and...

The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed and LTACH services. This position queries providers regarding documentation, resolves intermediate coding edits, completes analysis and evaluation of documentation. Assignment is based on documentation in the medical record and utilization of coding guidelines, knowledge of clinical disease processes, and treatments. Provides education to coders. Responsibilities Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding...

Job Description Job Description Description:        Basic Dimensions The Billing Specialist is responsible for processing, reviewing, and submitting billing claims for home health services accurately and in a timely manner. This role ensures compliance with federal, state, and agency regulations, including Medicare and Medicaid requirements. The Billing Specialist collaborates with clinical and administrative staff to resolve billing issues, maintain accurate patient financial records, and support efficient revenue cycle operations. This is a remote role open to Colorado residents only.        Essential Functions · Claims Processing: Prepare, review, and submit   accurate billing claims for home health services to insurance providers,   Medicare, and Medicaid. · Prior Authorizations: Submit and track prior   authorizations as required for patient services. · Electronic Visit Verification   (EVV): Perform EVV   audits, verify visits, and correct discrepancies...

Align yourself with an organization that has a reputation for excellence. Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an amazing benefits package that includes paid time off, health care and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals. What you will be doing in this role: Working under the general direction of a coding supervisor, the Hospital Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. The Facility Inpatient Coder identifies the principal diagnosis,...

Government Jobs - Part-Time - $39,750.88 - $57,780.32 Annually Join the Public Health Agency as a part-time Medical Billing Specialist, where we're seeking a candidate who embodies initiative, independence, and expertise. With a system that demands proactive problem-solving and critical thinking, we're looking for a self-starter who can navigate complexities with ease. Extensive experience with various coding sets, including a strong command of medical ICD-10 codes and CPT medical billing codes, is essential. Excellent communication skills are paramount for interactions with patients, insurance companies, and stakeholders. Our ideal candidate exhibits robust problem-solving and decision-making abilities, capable of managing multiple tasks and deadlines...

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and...

Medical BillerWe are seeking a detail-oriented and organized Medical Biller to join our healthcare organization in Colorado Springs, United States. In this role, you will play a crucial part in our revenue cycle management by accurately processing medical claims, managing patient accounts, and ensuring timely reimbursement from insurance providers. Your analytical skills and commitment to accuracy will directly impact our organization's financial health and operational efficiency.Process and submit medical claims to insurance companies with precision and attention to detailReview patient accounts and verify insurance coverage prior to service deliveryAnalyze claim denials and rejections, identify root causes, and implement corrective actionsFollow up on outstanding claims to ensure timely payment and resolutionEnter and maintain accurate patient billing information in medical billing software systemsApply appropriate ICD-10 and CPT coding to ensure proper claim...

Logan Health is seeking a Certified Professional Coder to join its remote coding team. The role involves assigning ICD-10-CM and CPT-4 codes for outpatient records and ensuring accurate data capture for billing and reimbursement. A national coding certificate is required, with at least one year of coding experience. The position offers a full-time remote schedule, with pay ranging from $26.25 to $35.50 per hour depending on experience. Residency in approved states is required, including Colorado. #J-18808-Ljbffr

Our Mission Quality, compassionate care for all. Our Vision Reimagine health care through connection, service and innovation. Our Core Values Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence. Join Our Professional Coding Team! Logan Health, a growing health system located in Northwest Montana, is looking for an experienced Certified Professional Coder to be part of their team! Location: Remote (see approved states list)Schedule: Day Shift - 8 Hours | Full Time - 40 Hours Pay details:Pay for this position ranges from $26.25per hour to $35.50 per hour depending on prior related work experience. Who you are Our ideal candidate will have at least one year of professional coding work experience, and you must hold a nationally recognized coding certificate. What you'll be doing This position accurately assigns appropriate ICD-10-CM and CPT-4 codes to outpatient records. It involves abstracting essential data elements for tracking,...

Peak View Behavioral Health seeks a Billing Specialist to join our on-site team in Colorado Springs. This role focuses on accurate billing and reimbursement processes for patient accounts, including insurance and self-pay, with emphasis on timely follow-up and reporting. Responsibilities include auditing billing records, managing accounts receivable, and processing secondary claims. Strong knowledge of electronic billing and A/R procedures is required, preferably in a medical/psychiatric setting. #J-18808-Ljbffr

Integrative Emergency Services (“IES”) LLC, is a physician founded, owned, and led company whose goal is to empower physician leaders to create the best places to give and receive care. We are a clinically integrated and outcomes-based organization with a commitment to doing the right thing for our clinicians, patients, and communities. Through our commitment to patient care and reinvestment in our physicians, IES has a proven track record of improving patient outcomes and producing results that uphold the hospitals' reputations in which we operate. We strive to create a culture of continuous improvement, community, and recognizing our Physician leaders. To learn more, visit our website IES.Healthcare and click to see a highlight of our12th Annual Quality Summit. Integrative Emergency Services, LLC (“IES”) is seeking a certified Medical Coding Specialist with emphasis on surgical services. The Medical Coding Specialist responsible for accurate professional fee coding and...

Colorado ENT & Allergy is seeking a Financial Representative to manage accounts receivable and optimize collections for patients and insurers. The role focuses on accuracy in billing, timely follow-up, and communication with physicians regarding outstanding balances. Responsibilities include handling incoming/outgoing mail, appealing underpayments, and ensuring compliance with OSHA, HIPAA, and related regulations, while delivering professional service and accountability during staff meetings and #J-18808-Ljbffr

Cedars-Sinai is seeking a skilled Coder II to assign ICD-10-CM and CPT codes for patients across services. You will ensure proper modifiers for optimal reimbursement and adhere to official coding guidelines. Qualified candidates have CPC certification, with COSC/CIRCC preferred, and a minimum of 2 years of surgical coding experience in a multi-specialty setting. Remote states are approved for eligibility. #J-18808-Ljbffr

Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. We provide an outstanding benefit package that includes healthcare, paid time off and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals. What are your responsibilities? Under general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures performed at CSMC and Cedars-Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately assigns all applicable modifiers for all patients to assure optimal reimbursement and...

Clinical Risk Adjustment Coder Alpine Physician Partners partners with independent physician groups to deliver coordinated, value-based care that improves outcomes and lowers the total cost of care. Our clinical and coding teams support providers with the accurate, compliant documentation and coding practices that make value-based care possible. The Clinical Risk Adjustment Coder reviews medical records and provider documentation to identify, validate, and accurately code chronic conditions and diagnoses in accordance with Hierarchical Condition Category (HCC) risk adjustment models. This role plays a key part in ensuring accurate risk score capture, supporting provider education, and maintaining compliance with CMS and payer coding guidelines. Review medical records, encounter notes, and provider documentation to identify and validate diagnosis codes relevant to HCC and other risk adjustment models. Conduct in-home or virtual health assessments with patients, evaluating...

Mosaic Life Care is seeking an Inpatient Coder II to assign ICD-10-CM/PCS codes for acute care services including LTACH, rehabilitation, and swing bed. You will query providers for documentation improvements and ensure compliance with coding guidelines. This role supports education for coders, collaborates with CDI and revenue teams, and participates in ongoing professional development. Remote eligibility is offered for several states; in-office expectations may apply depending on assignment. #J-18808-Ljbffr

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders specializing in Risk...

Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. These professionals will review medical records and clinical documentation to accurately assign ICD-10-CM diagnosis codes that support risk adjustment and HCC reporting. Ideal candidates will have strong experience with medical record review, coding compliance, and CMS guidelines, ensuring all diagnoses are fully supported by clinical evidence. #J-18808-Ljbffr

GeBBS Healthcare Solutions , a nationally recognized leader in Health Information Management (HIM) and Revenue Cycle Management (RCM), is seeking an Profee Coder - Internal Med (per diem) . We are seeking coding professionals with a proven ability to work in a fast-paced, quality-driven environment for a W-2 position on a part time, remote basis. Schedule & Availability: Availability up to 15–20 hours per week required Pay for this role is around $25.50/hr at production for edits and $26.16/hr at production for Coding. Hours scheduled based on business needs (not guaranteed weekly) Coverage needs include planned PTO and fluctuating volumes Opportunity to pick up additional “call-in” hours on a first-come, first-served basis Must be available Monday–Friday between 6:00 AM – 6:00 PM PST Key Responsibilities: Perform Profee Internal Medicine coding for outpatient/clinic encounters Ensure accurate assignment of CPT, modifiers, and ICD-10 codes Meet productivity and quality...

GeBBS Healthcare Solutions is seeking a Profee Coder – Internal Medicine (per diem) for remote, part-time coverage. The role supports outpatient coding with EPIC experience preferred, and requires maintaining productivity and coding accuracy. The schedule is up to 15–20 hours weekly, Monday–Friday 6:00 AM–6:00 PM PST, with production pay around $25.50 for edits and $26.16 for coding. W-2 per diem position with remote work and potential path to future full-time openings. #J-18808-Ljbffr