19 jobs found in Highland

Humana Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. The role involves reviewing inpatient records for coding accuracy and DRG validation, identifying anomalies for audits, applying ICD-10-CM/PCS guidelines, and collaborating with clinical reviewers and data analysts to ensure proper #J-18808-Ljbffr

Datavant is seeking a remote Inpatient Auditing Specialist to support coding quality and compliance across the healthcare ecosystem. You will help ensure accurate audits while providing support and education to coders on best practices. Ideal candidates will have over 5 years of inpatient coding experience, proficiency in both Epic and Cerner, and hold preferred certifications like CCS or RHIA. Join our collaborative team and shape the future of healthcare from your workspace! #J-18808-Ljbffr

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job...

A leading U.S. healthcare company is seeking a Medical Coding Auditor to review medical claims and ensure compliance with coding guidelines. This role involves analyzing medical documentation, confirming CPT coding assignments, and maintaining strict confidentiality. Ideal candidates will possess strong coding certifications and a minimum of 3 years of relevant experience. This position offers a remote work style with competitive benefits and a salary range of $59,300 - $80,900 per year. #J-18808-Ljbffr

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. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

A prominent health data platform seeks experienced inpatient coders to join their remote team. Ideal candidates must possess exceptional attention to detail and a profound understanding of medical terminology. Responsibilities include assigning diagnostic codes, ensuring high coding accuracy, and mentoring junior coders. Preferred qualifications include at least 3 years of inpatient coding experience with relevant certifications. This role offers a flexible schedule, enabling you to contribute from your own workspace while shaping healthcare's future. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

Baylor Scott & White Health in Annapolis, MD is seeking a Coding Auditor 1 to perform coding quality audits and provide feedback to coders. You will work with ICD-10-CM/PCS, HCPCS, CPT and other references to ensure accurate classifications. The role requires knowledge of HIPAA guidelines, strong attention to detail, and ability to communicate findings effectively. Certification in CCS/CPC/CCS-P or RHIA/RHIT is preferred along with 5 years coding experience. #J-18808-Ljbffr

A leading health data exchange company is seeking an Inpatient Auditing Specialist to perform coding audits and provide education in a fully remote setting. The ideal candidate will have at least 5 years of inpatient coding experience and relevant certifications. Responsibilities include conducting audits, staying updated on regulations, and enhancing coding quality. This role offers a flexible schedule and valuable experience in transforming healthcare through data-driven solutions. #J-18808-Ljbffr

Job Description Job Description Salary: $28-34 Hi! We are looking for a certified coder and biller for our Highland clinic. This is an in-person position for coding, billing, claims, payer follow-up, refunds, and billing queues. The job includes coding visits and entering charges within 48 hours of encounter completion. This person will also work Athena queues; missing slips, holds, messages, unpostables, denials, collections items, and related follow-up. We need someone who knows their stuff! Other work may include: insurance refunds, Medi-Cal and normal overpayment cases, credentialing support, payer enrollment, and contract submissions and related items. This position will also help keep billing spreadsheets updated for revenue, payments, fee-for-service, refunds, and reporting. If you have experience with these fields, please, apply! The person in this role may also answer billing questions from patients and staff, and assist with billing and chart audits. --- We...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership. Job Responsibilities: Complete root cause analysis of...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $29 .75 and $ 3 2 . 7 0 / hr based on experience Specialized Coders Wanted -$3,000 Sign On Bonus Awaits We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties. The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education. Job Responsibilities: Code claims directly from the medical record/operative report according to coding...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties.  Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient...

A leading pharmaceutical company is seeking an Associate Director of Scientific Communications to manage the global medical communications strategy. This role involves overseeing the creation of key scientific content and managing publication plans while ensuring compliance and scientific accuracy. Candidates should have a strong scientific background, extensive experience in medical affairs, and exceptional communication skills. The position offers a competitive salary and comprehensive benefits including health coverage and flexible leave policies. #J-18808-Ljbffr

A leading staffing organization is seeking a skilled Medical Coder to join their team in Highland Hills, Ohio. The successful candidate will be responsible for coding high complexity claims, reviewing medical records, and ensuring compliance with guidelines. Candidates must have at least 2 years of experience and possess relevant certifications. This is an excellent opportunity for detail-oriented professionals looking to further their career in the healthcare coding field. #J-18808-Ljbffr

Location: 2491 Industrial Court, Highland, IL 62249 Overview ApexNetwork Physical Therapy is looking for a passionate Medical Billing Specialist to join our team! With a patient-centered approach, we are recognized as one of Entrepreneur Magazine's top franchises. If you're dedicated, detail-oriented, and excited to work in the healthcare industry, this role could be perfect for you. Key Responsibilities Work individually and as a team to work through the billing cycle for all of ApexNetwork PT’s locations! Billing team members work with account auditing, payment posting, accounts receivable, and patient billing Adequately answer patient questions, including providing a benefit review Perform electronic and paper billing Handle phone calls professionally and with courtesy Collaborate with team members to problem solve and achieve team goals Understand Apex protocol and become proficient with our software systems What We’re Looking For Experience in medical or dental...

A healthcare provider in Highland is looking for a Medical Billing Specialist. The role involves managing the billing cycle, answering patient inquiries, and ensuring efficient billing practices. Candidates should have experience in medical or dental billing, possess excellent communication skills, and be detail-oriented. The position offers a full-time schedule, Monday to Friday, with no nights or weekends. Competitive perks include health insurance and a 401(k) plan. #J-18808-Ljbffr

Certified Coder and Biller We are looking for a certified coder and biller for our Highland clinic. The role is in‑person and involves coding, billing, claims, payer follow‑up, refunds, and billing queues. Coding visits and entering charges should occur within 48 hours of encounter completion. You will work Athena queues, handling missing slips, holds, messages, unpostables, denials, collections items, and related follow‑up. Other responsibilities may include insurance refunds, Medi‑Cal and normal overpayment cases, credentialing support, payer enrollment, and contract submissions. You will help keep billing spreadsheets updated for revenue, payments, fee‑for‑service, refunds, and reporting. The position may also answer billing questions from patients and staff, and assist with billing and chart audits. Qualifications CPC or equivalent coding certification Experience with medical coding, billing, charge entry, claims submission, and payer follow‑up Comfort working with...

Stallant Health Crescent City in Highland, California, is looking for a Certified Coder and Biller for in-person work at the clinic. The successful candidate will handle responsibilities including coding, billing claims, and follow-up with payers, as well as updating billing spreadsheets for revenue and payments. Qualifications include a CPC or equivalent certification, experience in medical coding and billing, and comfort working with spreadsheets. The role also offers competitive benefits such as completely covered health premiums, dental and vision insurance, a 401(k) with employer match, and generous PTO. #J-18808-Ljbffr