14 jobs found in Huntington

Job Responsibilities Abstracts information from a variety of medical records and assigns appropriate codes based on medical documentation using the current guidelines for CPT codes and/or ICD standards. Addresses billing/coding related questions for providers as needed. Performs internal audits and provides feedback to health care providers within their department as directed. Performs any follow-up audits from either initial internal or external audits. Assists as needed to complete the professional fee reimbursement process. Attends various meetings and professional development programs to maintain certification. Serves on various committees and performs other duties as assigned. Performs other duties as assigned or requested. Education and Experience High school diploma or GED. Certified Professional Coder certification is required. Experience: One year of billing experience in a health care organization preferred. Knowledge of medical terminology, CPT-4 and...

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance 401(k) matching Employee discounts RECOVRY is seeking a highly organized and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will have Out-of-Network Physical Therapy experience and be responsible for ensuring accurate and timely billing and coding for patient services as well as oversee our billing operations. This role will include administrative patient services. This role is a crucial part of our medical office, and we are looking for someone who is passionate about providing excellent patient care while also ensuring the financial well-being of our organization. Duties: Utilize medical coding skills to assign accurate ICD-10 and CPT codes to patient records and submit claims to insurance companies Verify patient insurance coverage and obtain necessary authorizations for services Analyze and resolve billing...

Pharmacy Compliance Auditor Huntington Beach Office - Huntington Beach, CA 92647 Overview Salary Range $80,000.00 - $90,000.00 Salary Position Type Full Time Description This position operates on a hybrid work schedule. This position will require 3 days onsite at the Monrovia or Huntington Beach office. Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth. Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members' culture and values. Why Join Us? We're on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you'll have the opportunity to make a real difference, shape the future of...

Clever Care Health Plan in Southern California is seeking a Pharmacy Part D Oversight Auditor to lead independent auditing of Part D clinical compliance, MTM elements, and delegated PBM controls, ensuring timely, accurate, audit-ready documentation. You will coordinate with UM/Part C on benefit coordination, prepare dashboards, and deliver Board-level reporting while adhering to CMS requirements. Requires PharmD or RPh preferred, BS in Pharmacy, and 3–5+ years of Part D auditing. #J-18808-Ljbffr

Job Details Location: Huntington Beach Office, Huntington Beach, CA 92647. Position Type: Full Time. Salary Range: $72,800.00 – $80,000.00. This position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County. Job Summary The Risk Adjustment Coding Auditor is responsible for conducting retrospective and prospective coding audits, diagnosis validation reviews, provider documentation assessments, and compliance monitoring activities to support accurate Medicare Advantage risk adjustment reporting and CMS audit readiness. This role reviews medical record documentation and ICD-10-CM diagnosis coding to ensure compliance with CMS Risk Adjustment program requirements, Official Coding Guidelines, AHA Coding Clinic guidance, and organizational policies. Functions & Responsibilities Conduct retrospective, prospective, and targeted coding audits to assess the accuracy, completeness, and compliance of ICD-10-CM diagnosis coding and HCC capture....

St. Mary's Medical Center is seeking a full-time Clinic Coder for our Central Business Office. Under the supervision of the Director of Health Information Management, you will review clinical documentation and diagnostic reports to extract data and apply ICD, CPT codes, modifiers, and other coding schemes to medical records for billing, reporting, and regulatory compliance. This role requires a high school diploma or equivalent, with an Associate’s degree in Medical Coding preferred. #J-18808-Ljbffr

The Coder II must accurately code and abstract diagnoses and procedures occurring during the patient’s episode of care, in a timely manner, in order for the facility to receive proper reimbursement. Associates Degree strongly preferred. One year of direct position related experience required. Experience required as follows: Coding in hospital, clinic or physician office. Basic computer knowledge required with evidence of Windows training and/or experience with demonstrated competency. Maintenance of certification through continuing education is required. Must be skilled in the application of coding guidelines set up by various third party payors. Required Certifications/Registrations RHIT or RHIA credential from the American Health Information Management Association Physical Demands: Prolonged sitting. Some standing, lifting (50 lb.), carrying, stooping, reaching. Periods of prolonged work at a computer terminal. Prolonged periods of reading, deciphering handwriting....

Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance 401(k) matching Employee discounts RECOVRY is seeking a highly organized and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will have Out-of-Network Physical Therapy experience and be responsible for ensuring accurate and timely billing and coding for patient services as well as oversee our billing operations. This role will include administrative patient services. This role is a crucial part of our medical office, and we are looking for someone who is passionate about providing excellent patient care while also ensuring the financial well-being of our organization. Duties: Utilize medical coding skills to assign accurate ICD-10 and CPT codes to patient records and submit claims to insurance companies Verify patient insurance coverage and obtain necessary authorizations for services Analyze and resolve billing discrepancies and denials in a...

RECOVRY Physical Therapy is seeking a highly organized Medical Biller to join our healthcare team in Huntington, NY. You will ensure accurate and timely billing and coding for patient services, oversee billing operations, and support administrative patient services. The role requires ICD-10 and CPT coding proficiency, experience with out-of-network PT billing, and a focus on compliance and patient care. This is a full-time, in-person position with competitive pay based on experience. #J-18808-Ljbffr

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

A healthcare organization in Huntington, NY is seeking a highly organized Medical Biller. The successful candidate will manage billing and coding for patient services, ensuring accuracy and compliance with regulations. Responsibilities include verifying insurance, resolving discrepancies, and maintaining medical records. Ideal candidates will have experience in Out-of-Network billing, strong analytical skills, and proficiency in medical coding. This full-time role offers competitive pay and comprehensive benefits including health insurance and 401(k). #J-18808-Ljbffr

Clinic Coder St. Mary's Medical Center is seeking a full time Clinic Coder for our Central Business Office. Under the supervision of the Director of Health Information Management or authorized designee, is responsible for reviewing clinical documentation and diagnostic reports to extract data and apply appropriate ICD, CPT codes, modifiers, discharge dispositions, and other coding schemes to medical records for billing, internal and external reporting, research and regulatory compliance activities. Education Requirements: High school diploma or equivalent required. Associate's degree in Medical Coding preferred but not required. Experience: Background in medical billing, terminology, and anatomy is strongly recommended. Certifications/Skills: CPC-A, COC-A, CPC or COC required. Additional specialty certifications will be used to show proficiency and count as experience in the certified specialty.

Coder IIThe Coder II must accurately code and abstract diagnoses and procedures occurring during the patient's episode of care, in a timely manner, in order for the facility to receive proper reimbursement.Experience required as follows:Coding in hospital, clinic or physician office.Basic computer knowledge required with evidence of Windows training and/or experience with demonstrated competency.Maintenance of certification through continuing education is required.Must be skilled in the application of coding guidelines set up by various third party payors.Required Certifications/RegistrationsRHIT or RHIA credential from the American Health Information Management AssociationPhysical Demands:Prolonged sitting.Some standing, lifting (50 lb.), carrying, stooping, reaching.Periods of prolonged work at a computer terminal.Prolonged periods of reading, deciphering handwriting.

Marshall Health is seeking a Health Information Representative for Marshall Internal Medicine in Huntington, WV. You will determine the release of medical records and respond to requests while maintaining strict confidentiality. Responsibilities include organizing, indexing, locating, and delivering medical records; assisting with copying and distributing records; and training junior staff. A high school diploma or GED is required with general clerical experience and medical terminology exposure #J-18808-Ljbffr