6 jobs found in Hampton

IPA Consultative Coding Professional Become a part of our caring community and help us put health first. The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while collaborating...

Humana Inc. in the United States is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and create education plans tailored to each assigned provider. You will arrange educational sessions, analyze coding quality trends with data visualization, prepare reports, provide on-site education, and collaborate with market provider-facing teams. 40 hours per week; travel up to 5% to provider offices. Work from home option available. #J-18808-Ljbffr

IPA Consultative Coding Professional Become a part of our caring community and help us put health first. The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while...

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Description Position Summary: The Medical Biller and Accounts Receivable Specialist is a key member of the revenue cycle team. They participate in the data entry of billing information to ensure accurate and timely billing submissions as well as reviewing unpaid, rejected or underpaid claims; identifying the errors and submitting formal appeals. Responsibilities: • Knowledge of Medical Terminology, ICD-10 and CPT codes • Report missing charges/documentation to supervisor and/or provider • Enter charge data into Patient Keeper billing interface • Maintain Patient Keeper files for validity errors • Review and work TES Work Files • Work rejections from the Clearinghouse to...

Medical Biller/Accounts Receivable Specialist EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Position Summary: The Medical Biller and Accounts Receivable Specialist is a key member of the revenue cycle team. They participate in the data entry of billing information to ensure accurate and timely billing submissions as well as review unpaid, rejected or underpaid claims; identify the errors and submit formal appeals. Responsibilities Knowledge of Medical Terminology, ICD-10 and CPT codes Report missing charges/documentation to supervisor and/or provider Enter charge data into Patient Keeper billing interface Maintain Patient Keeper files for validity errors Review and work TES Work Files Work rejections from the Clearinghouse to correct errors...

Responsibilities Provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates Analyzes trends, triages, and answers questions in real-time Delivers ongoing education, supports coding workflows Conducts quarterly chart reviews for assigned providers Supports daily operations of internal coding solutions Participates in a daily coder helpdesk providing real-time support to providers Requirements 3+ years of risk adjustment Medical Coding or risk adjustment Provider Education Intermediate/advanced competency with MS Office based programs (Excel, Word, PowerPoint) Must be certified at least one of the following: CCS, CRC, or CPC Must reside and be able to travel within the assigned MSO market or region. #J-18808-Ljbffr