30 jobs found in Des Moines

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...

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...

Coding Auditor - Professional Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Physician coding Hours: Full-Time, 40 hours a week required Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire Pay: Based on experience, starting at $23.87/hour Location: Remote or onsite: At this time, you must reside in one of the following locations: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas Responsibilities Assists coders with coding questions.,...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

This is a remote based position. Applicants can be located nationwide Back 1d Outpatient Coding Auditor #2814 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...

Datavant is seeking an Inpatient Auditing Specialist to join their remote team. This role involves performing auditing functions focused on coding quality and compliance. Ideal candidates should have at least 5 years of facility inpatient coding experience and proficiency in rebill reviews and auditing standards. The position offers a salary ranging from $35 to $45 per hour, along with a sign-on bonus and comprehensive benefits including medical, dental, vision, and professional development stipends. #J-18808-Ljbffr

Hybrid | Des Moines, IA (Onsite Tues–Thurs, Remote Mon/Fri) $40/hour | 6-Month Contract with Potential for Conversion We are seeking a Certified Risk Adjustment Coder (CRC) to support Medicare Risk Adjustment initiatives through detailed HCC medical record reviews and direct provider engagement. This role is ideal for someone confident, collaborative, and comfortable working onsite with provider teams to drive documentation accuracy and performance improvement. This position requires onsite presence Tuesday–Thursday in Des Moines, IA with 10% local travel , and remote flexibility on Mondays and Fridays. Position Overview This role performs concurrent medical record reviews to ensure accurate capture of HCC conditions and appropriate documentation reflecting patient severity of illness. The coder will collaborate closely with physicians, clinical leadership, and provider engagement teams to improve documentation practices and support compliance with CMS guidelines. Key...

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...

Wellmark, Inc. is seeking a Medical Policy & Coding Support Coordinator to provide essential support for medical policy functions. The role involves coding analyses, system configuration and managing operations for the Medical Policy Team. Candidates should have strong critical thinking, communication skills, and must possess a Certified Professional Coder (CPC) certification. The position is remote eligible, suitable for candidates in Iowa or South Dakota, with a preference for those having claims experience and familiarity with SAP BusinessObjects. #J-18808-Ljbffr

Humana Inc is seeking a Medical Coding Coordinator for remote work across the US. This position entails extracting clinical information, assigning procedural terminology, and financial recovery dispute resolution related to claims. The ideal candidate will possess AAPC CPC coding certification, a minimum of 3 years’ experience, and strong data entry skills. This role demands attention to detail and the capability to manage multiple tasks within a fast-paced environment. Humana Inc offers a competitive benefits package, including medical, dental, and vision benefits, along with a salary range of $48,300 - $65,900 per year. #J-18808-Ljbffr

Signature Performance is hiring an Outpatient Coding Auditor to perform quality audits and reviews. This remote position requires advanced knowledge of coding systems like ICD-CM and CPT-4, along with at least 5 years of coding experience. The auditor will create audit reports and deliver educational feedback to the coding staff. Signature Performance offers competitive pay ranging from $28 to $30 per hour, along with a benefits package that includes health insurance, paid life insurance, and a 401(k) program. #J-18808-Ljbffr

A healthcare data collaboration company is seeking an Inpatient Auditing Specialist to conduct coding audits and improve documentation practices. This fully remote role requires a minimum of 3 years of experience in coding, as well as an Associate or Bachelor's degree from an accredited program. The candidate should be proficient in ICD-10-CM, CPT, and various auditing software. A strong focus on accuracy and productivity standards is essential, along with the ability to provide education on coding practices. #J-18808-Ljbffr

Datavant, a leader in healthcare data collaboration, is seeking a detailed-oriented outpatient coder to join their remote team. This role requires expertise in medical terminology, ensuring accurate coding for diagnoses and procedures while maintaining high accuracy rates. The successful candidate will have AHIMA or AAPC credentials and a minimum of two years' coding experience in a hospital setting. Datavant offers competitive pay, comprehensive training, and a vibrant team environment focused on transformative healthcare change. #J-18808-Ljbffr

Overview 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...

Serco is seeking a Compliance/Fraud Specialist to join our Advisory Services team in Des Moines, Iowa. This role involves conducting compliance reviews and fraud risk management for federal programs assisting those with government health insurance coverage. The ideal candidate will have a Bachelor's degree and 3 years of relevant experience in compliance or fraud identification. Benefits include medical insurance, 401(k) matching, and flexible work arrangements. #J-18808-Ljbffr

A leading international life sciences company in Des Moines is seeking a Lead Auditor for Consumer Products Assurance. The role involves executing social compliance audits, managing audit teams, and providing technical input for procedure development. Candidates should have a Bachelor's degree in Business or Finance, along with at least 5 years of experience in auditing and team management. This position offers comprehensive benefits, including medical coverage and a 401(k) plan. #J-18808-Ljbffr

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,...

Humana Inc is seeking a Medical Coding Auditor to join the SIU clinical review team in Des Moines, Iowa. This role involves reviewing medical records for coding accuracy, applying Evaluation & Management coding principles, and communicating findings to stakeholders. Candidates must have CPC certification and acute outpatient coding experience. The position offers a remote work environment with occasional office visits for training or meetings. Benefits include medical, dental, vision, and a retirement plan. #J-18808-Ljbffr

A community service organization in Des Moines is looking for a dedicated Medical Billing Specialist to ensure timely claims submission for various programs. You will manage accounts receivable and assist in the billing process. Required qualifications include an ICD-10 coding certification, at least two years of medical billing experience, and a high school diploma or GED. The role offers a starting wage of $20/hour and a comprehensive benefits package, including subsidized insurance and PTO. #J-18808-Ljbffr

Overview Join Our Expanding Team! As an onsite Medical Billing Specialist at On With Life, you can be a part of something greater. This position is responsible for generating and submitting claims for our various programs in a timely manner and managing the accounts receivable. The goal is to generate clean claims for payments to allow persons served, families and clinicians more time to focus on treatment and recovery. Responsibilities Generate and submit claims for On With Life programs in a timely manner and manage accounts receivable to generate clean claims for payments, enabling persons served, families and clinicians to focus more on treatment and recovery. Assist in billing and accounts receivable functions for various On With Life programs. Post payments and maintain accurate postings to ensure correct receivable balances. Assist with admission diagnosis coding and insurance setup. Follow up on claim denials in a timely manner in accordance with payer guidelines. Submit...