6 jobs found in Kissimmee

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Job Description Job Description Job Description About the Role: We are seeking a detail-oriented and highly organized Medical Biller to join our growing team. In this role, you will be responsible for managing the full medical billing lifecycle: from eligibility verification and claim submission to payment posting and follow-up, while providing excellent service to both patients and internal stakeholders. This is a great opportunity for someone who thrives in a collaborative, fast-paced environment and takes pride in accuracy, compliance, and patient advocacy. Key Responsibilities: Verify patient insurance eligibility and benefits Review medical coding prior to claim submission to ensure accuracy and compliance Prepare, review, and submit medical claims using billing software, including both electronic and paper claims Review patient invoices for accuracy Follow up on unpaid or underpaid claims within designated timeframes Review insurance payments for...

Position Summary The MEDICAL BILLING SPECIALIST performs clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third-party billing records, and resolution of problems. Follows up on submitted and patient billing; resubmit claims or corrects inaccuracies. May handle cash items and accounts receivable posting. Works with others in a team environment. Principal Duties and Responsibilities Psychiatry Office: Processes billing to patients and third-party insurance companies. Maintains supporting documentation files and current patient addresses. Researches and responds by telephone and/or in writing to patient inquiries regarding billing issues and problems. Monitors submitted claims, follows up on unpaid claims, and initiates dialogue with insurance companies. Resubmit claims to insurance companies as necessary. May receive and receive cash items and third-party reimbursements. Posts and reconciles payments to...

Clinical Data Analyst Same Day Surgery/Observation Coder Be a part of a world-class academic health-care system at UChicago Medicine as a Clinical Data Analyst Same Day Surgery/Observation Coder. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area. In this role, the Clinical Data Analyst Same Day Surgery/Observation Coder, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient and outpatient medical records for optimal and timely reimbursement and quality reporting. Essential Job Functions Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts Abstracts key data elements required for billing Reviews records for clinical pertinence Interacts with providers for clarification of documentation/education Abstracts and codes records, for patient currently in...

Emerus Coding Specialist The purpose of this position is to review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes are attached and to capture charges for laboratory, radiology, supplies and medical procedures within the following types of records: Emergency Facilities, Inpatient, Observation and Ancillary services. Essential job functions include: Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and CPT-4 to include IV infusion and injection codes Review clinical documentation and diagnostic results to extract data and apply HCPCS and facility level Evaluation & Management codes for billing Abstract and code diagnoses and procedures from health records by using appropriate classification systems Other job functions include: Attend staff meetings or other company sponsored or mandated meetings as required Perform...

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It’s no wonder 98% of patients report being fully satisfied with Upward Health! Job Title & Role Description: The Certified Medical Coder is responsible for analyzing provider documentation to accurately select ICD-10 and CPT/HCPCS codes, ensuring compliance with coding...