2 jobs found in Fairfax

Job Purpose The Lead Coder will code all patient types as needed; inpatient, swing bed, same‑day surgery, ancillary, ambulatory and provider‑based clinics, and will mentor, train, and assist coding staff, including newly hired staff. They must review documentation to assign appropriate CPT/HCPCS and ICD‑10‑CM‑PCS diagnosis codes and procedures for hospital and physician (professional) services for inpatient and outpatient records based on knowledge of coding systems. Essential Functions Ensures that coding compliance initiatives are met with all record types. Conducts regular internal coding audits and quality assurance reviews to monitor coding accuracy, identify areas for improvement, and implement corrective measures and education as needed. Assists with productivity reporting and reducing DNFC. Coding complex outpatient or inpatient accounts utilizing encoder software and references in the assignment of ICD‑10‑CM/PCS, CPT/HCPCS codes, DRG, POA assignments, APC assignment...

Join to apply for the Hospice medical Biller role at Caregivers Home Health Services, Inc. Prepare and submit billing data and medical claims to insurance companies. Ensure the patient’s medical information is accurate and up to date. Prepare bills and invoices, and document amounts due to medical procedures and services. Collect and review referrals and pre-authorizations. Monitor and record late payments. Follow-up on missed payments and resolve financial discrepancies. Examine patient bills for accuracy and request any missing information. Investigate and appeal denied claims. Help patients develop patient payment plans. Maintain billing software by updating rate change, cash spreadsheets, and current collection reports. Requirements: Bachelor’s degree in business, health care administration, accounting or relevant field. A minimum of 2 years’ experience as a medical biller or similar role. Solid understanding of billing software and electronic medical records. Must have the...