26 jobs found in Little Rock

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and identify opportunities for...

Signature Performance is seeking a remote-based Inpatient Professional Fee, Profee Medical Coder. Applicants can be located nationwide. You will assign diagnoses and procedures from medical records, ensure accurate coding for DRG/APC, and review for billing accuracy. Minimum 2 years of Professional Fee Coding experience and AHIMA or AAPC certifications (RHIT, RHIA, CCA, CCS, CCS-P, CPC) are required. Strong EHR skills and attention to detail are essential. #J-18808-Ljbffr

A leading health insurance company is seeking an Inpatient Medical Coding Auditor to extract and analyze clinical information from patient records, ensuring proper coding for reimbursement. This remote position requires a certification (RHIA, RHIT, or CCS) and experience with coding/auditing. The successful candidate will handle claims, contribute to cost reduction, and must have excellent communication skills. The role offers a competitive salary range of $71,100 to $97,800 per year along with a comprehensive benefits package. #J-18808-Ljbffr

Department: Patient Fin. Services Shift: Day Working Hours: 8:00 a.m. - 5:00 p.m. Summary: Works closely with the Revenue Integrity Coordinator, PFS and other revenue cycle departments to resolve issues, make recommendations and provide solutions related to patient charges, auditing and revenue management. Identifies revenue management opportunities, conducts charge reconciliation to ensure optimal charge capture, reimbursement, and compliant revenue. Other information: Minimum of one (1) of the following licenses or certifications required: LPN, CCS,CCA, CPC, or COC. Three years experience in health care industry, with at least one year experience in an accounting-type or financial position preferred. Knowledge of CPT, HCPCS and ICD-9 coding conventions. Knowledge of regulatory publications, how to access and interpret. Minimum of one year of hospital revenue cycle processes or prior exposure to the health care revenue cycle leadership and management experience highly...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Work Shift: Day Shift Time Type: Full time Department: CC017060 Health Information Management Summary: Monday to Friday, Full-time - Remote Must Reside in Arkansas Salary: Most new hires start between $20.50-$25.60 per hour, depending on experience and qualifications. Additional Information: The Clinical Coder is responsible for reviewing patient medical records and accurately assigning standardized codes using ICD and CPT/HCPCS classification systems. The primary goal is to ensure timely and accurate coding for billing, reimbursement, research, and statistical reporting purposes, while maintaining compliance with established coding guidelines and regulations. Must reside in Arkansas Required Education: Recommended Education: No education requirements Required Work Experience: Recommended Work Experience: Required Certifications: 1 certification from AAPC or AHIMA - American Academy of Professional Coders (AAPC) or...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Allegheny Health Network is seeking a Coding Supervisor to support the Coding Manager in daily operations, staff training, scheduling, payroll and work queue management. The role includes providing technical coding expertise, supervising coders, and driving process improvements to enhance accuracy and revenue results. You will assist in production coding as needed and collaborate with key stakeholders to implement corrective actions, monitor performance, and ensure high standards of quality #J-18808-Ljbffr

Humana, Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient records for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. You will collaborate with clinical reviewers and data analysts to identify anomalies, conduct retrospective audits, and document findings. Strong DRG knowledge and CDI/SOI concepts are essential, with 5+ years inpatient coding experience #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...

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...

Description We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing...

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...

A health data platform company is seeking an experienced inpatient coder to join their remote team. Candidates must have at least 3 years of inpatient coding experience and relevant qualifications such as CCS or RHIT. Responsibilities include assigning diagnostic codes and ensuring coding accuracy. The position offers flexible hours and a comprehensive benefits package, including medical, dental, and a 401k savings plan. #J-18808-Ljbffr

Medical Billing Specialist We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy...

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...

Job Type Full-time Description We are seeking a dedicated and organized Medical Billing Associate to join our team. This position involves various tasks aimed at supporting the Revenue Cycle process and ensuring the smooth operation of the clinic and surgical center. The ideal candidate will have a thorough knowledge of health insurance coverage, deductible, co-insurance, out of pocket, referrals, and prior authorizations. The candidate will verify benefits and obtain referrals / prior authorizations, generate estimates, read ledgers, collect payments, set up payment plans, identify mistakes and make corrections on claims. The schedule will be Monday through Friday- 7:30 am-4:00 pm. Key Responsibilities: Review and Update Demographics and Insurance: Verify patients personal and insurance information and make any corrections to reduce errors in claims processing. Insurance Verifications: Verify insurance for all surgery center appointments prior to appointments....

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: Billing Specialist Position Overview Responsible for efficient performance of job functions, including processing all invoices to accounts receivable and follow through for payment. Knowledge of company policies. Answer the phone and assist customers as necessary. Knowledge of reimbursement by third-party payors, including prior authorization requirements. This position reports directly to the Billing Department Manager. Responsibilities and Duties Process claims for payments for all payment sources. Follow up on prior authorizations, claim denials, requests for additional information and non-payment in a timely manner. Work aging reports and review with management on a timely basis....

Ptcoa is seeking a detail-oriented Medical Billing Specialist in Little Rock, Arkansas. This role involves accurately processing medical claims, performing coding for various procedures, and communicating with patients about billing issues. Candidates should have at least two years of experience in medical billing and coding, ideally with certifications such as CPC or CCS. Hands-on experience with EHR systems like Epic and Meditech is a plus. This position may allow for remote work based on experience and performance. #J-18808-Ljbffr