10 jobs found in Pierre

Become a part of our caring community and help us put health first 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...

Datavant is seeking an experienced outpatient coder to join a passionate and collaborative remote team. The ideal candidate has at least 3 years of experience in outpatient coding, possesses an AHIMA or AAPC certification, and demonstrates a strong attention to detail and knowledge of medical terminology. Responsibilities include reviewing medical records, assigning accurate diagnoses and procedure codes, maintaining high coding accuracy, and collaboratively improving documentation. Comprehensive benefits and a flexible schedule are offered. #J-18808-Ljbffr

United Cerebral Palsy of Georgia is seeking an Inpatient Medical Coding Auditor for their team in Pierre, South Dakota. In this role, you will review inpatient hospital claims, manage provider disputes, and contribute to the cost reduction in the healthcare system. Candidates should have RHIA, RHIT, or CCS certification and experience with MS-DRG coding. This position offers competitive benefits, including medical and retirement plans, along with performance bonuses. #J-18808-Ljbffr

A prominent healthcare organization is seeking a skilled Inpatient Medical Coding Auditor to join their team. In this pivotal role, you will: Review inpatient hospital claims to ensure accurate reimbursement. Manage provider disputes effectively, ensuring resolution. Contribute to cost reduction in the healthcare system through accurate payment processes. To be successful in this role, candidates should possess: RHIA, RHIT, or CCS Certification. Experience with MS-DRG coding. This position offers competitive benefits including medical and retirement plans, along with performance bonuses. Exceptional communication skills and a keen eye for detail are essential for success. We invite you to apply and be part of a team committed to excellence in healthcare! #J-18808-Ljbffr

A leading healthcare organization seeks an Inpatient Medical Coding Auditor to work remotely. The role involves reviewing inpatient hospital claims for correct reimbursement and managing provider disputes. Candidates should have RHIA, RHIT or CCS Certification and MS-DRG coding experience. The position offers bonuses and competitive benefits including medical and retirement plans. Exceptional communication skills and attention to detail are essential. You will contribute to cost reduction by ensuring accurate payments in the healthcare system. #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 (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

About Otsuka We defy limitation, so that others can too. In going above and beyond—under any circumstances—for patients, families, providers, and for each other. It’s this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka’s opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for a Medical Omnichannel Data Scientist , with strong expertise in artificial intelligence, encompassing machine learning, data mining,...

A leading health data platform is seeking an Inpatient Auditing Specialist to conduct coding audits and provide coder education. This fully remote role requires 5+ years of experience in inpatient coding and a focus on customer satisfaction. Candidates must possess coding certifications and familiarity with software like Epic and Cerner. The position promises competitive compensation between $35 and $45 per hour, along with a comprehensive benefits package. #J-18808-Ljbffr

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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...