18 jobs found in Huntington

Coder II 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. 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.

Health Information Management This position is located in the Health Information Management (HIM) section at the Hershel Woody Williams VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers.

RECOVRY Physical Therapy PLLC is seeking a highly organized Medical Biller in Huntington, NY, to manage patient billing operations. Responsibilities include accurate coding, claim submissions, and resolving billing discrepancies. Candidates should have a high school diploma, experience in Out-of-Network Physical Therapy billing, and proficiency in medical terminology. Certifications like CPC or CCS are preferred. This is a full-time role with competitive hourly pay, working Monday to Friday, with potential weekends as needed. #J-18808-Ljbffr

RECOVRY Physical Therapy is seeking a highly organized Medical Biller to join their healthcare team in Huntington, NY. The ideal candidate will manage accurate and timely billing for patient services and oversee billing operations while ensuring excellent patient care and financial health of the organization. This full-time position requires proficiency in medical coding, experience in Out-of-Network Physical Therapy billing, and strong analytical skills. Benefits include health insurance, retirement plans, and paid time off. #J-18808-Ljbffr

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

4 days ago Be among the first 25 applicants This range is provided by PrismHR. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $24.00/hr - $2,428.00/hr Direct message the job poster from PrismHR Huntington Valley Healthcare Center is a 140-bed facility centrally located in Huntington Beach, CA. We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing. About the Role Responsibilities Process and submit claims for Skilled Nursing Facility services Manage billing for Cal Optima, Medi-Cal, Medicare, and HMO plans Follow up on claims to ensure timely reimbursement Resolve billing discrepancies and denials Verify patient insurance eligibility and benefits Maintain compliance with industry regulations and payer guidelines Work closely with facility staff and insurance providers to ensure accurate billing Qualifications Must have experience in SNF billing (applications...

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.

Medical Records Technician (Coder - Inpatient/Outpatient) The Medical Records Technician (Coder - Inpatient/Outpatient) assigns alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation. Major duties include, but are not limited to: Selects and assigns codes from current versions of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS classification systems to both inpatient and outpatient records. Inpatient duties consist of the performance of a comprehensive review of documentation within the health record to assign ICD-10-CM and ICD-10-PCS codes for diagnosis, complications/major complications, comorbid/major comorbid conditions, surgery, and procedures for accurate assignment of DRGs. Outpatient duties consist of the...

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...

USA Government Jobs - - Responsibilities: Assign ICD-10-CM/ICD-10-PCS, CPT, and HCPCS codes for inpatient and outpatient records; Review health records to ensure documentation supports assigned codes; Query clinicians to clarify documentation for coding accuracy; Enter and correct coding data in encoder software and transmit data; Assist in education related to coding and documentation

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...

Coder Analyst II – Cabell Huntington Hospital 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. Seniority level Entry level Employment type Full-time Job function Engineering and Information Technology Industries Hospitals and Health Care Location Huntington, WV #J-18808-Ljbffr

This position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County. 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. Who Are We? 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 healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation. Job Summary The Risk Adjustment Coding Auditor is responsible for conducting...

Clever Care Health Plan is hiring a Risk Adjustment Coding Auditor to conduct retrospective and prospective coding audits, validate diagnoses, and monitor CMS RADV compliance. The role focuses on HCC coding, documentation improvement, and education for providers across a fast-growing Medicare Advantage program. Candidates should have 5+ years in MA risk adjustment or related audits, with strong knowledge of ICD-10-CM guidelines and MEAT criteria. #J-18808-Ljbffr

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: 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 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....

Coder Analyst II St. Mary's Medical Center - Huntington, WV 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. Seniority level: Entry level Employment type: Full-time Job function: Business Development and Sales Industries: Hospitals and Health Care #J-18808-Ljbffr