55 jobs found in Portland

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 and outpatient...

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...

What we offer Excellent health benefits plan, which includes medical, vision and dental options 401(k) with company match Company profit sharing plan Generous paid time-off and paid holidays Paid parental leave 2 free on-site fitness rooms Employee Assistance Program Employee Resource Groups Personal and professional development program Job Summary The Senior Franchise Auditor provides training, guidance, and support to Franchise Audit Staff. Serving as a subject matter expert on SERVPRO royalty processes and policies, this role conducts complex royalty audits and contributes to the development of training, communications, and departmental documentation. The position also supports audit planning, departmental initiatives, and continuous process improvement. You will Train, mentor, and provide ongoing oversight to Franchise Compliance Auditors and Interns, ensuring audit work meets departmental standards and support their continued professional...

A healthcare organization is seeking a Senior Inpatient Medical Coder for a remote position in Portland, Oregon. This role requires expertise in ICD-10 coding and experience with acute care settings. You will be responsible for coding inpatient services accurately and providing valuable feedback to healthcare providers. The position offers comprehensive benefits, including a sign-on bonus for external applicants and flexible telecommuting options. #J-18808-Ljbffr

Job Description Job Description Medical Billing Specialist Pay: $23.00-$25.00/hr. (Depending on experience) Schedule: Monday-Friday Hours: 8:00am-5:00pm About the Employer- Our client is a well-established, multi-site healthcare practice serving patients throughout the Portland metro area. Known for its commitment to exceptional patient care, the organization combines clinical excellence with a supportive, team-oriented culture. Employees enjoy working in a professional environment where collaboration, compassion, and continuous improvement are highly valued. This growing practice offers the opportunity to make a meaningful impact while supporting a diverse patient population in a fast-paced medical setting. Position Summary- Our client is a well-established healthcare organization seeking an experienced Medical Billing Specialist to join their team. This is an excellent opportunity for a detail-oriented professional who enjoys working in a fast-paced...

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and reimbursement...

Nexus Family Healing is seeking a Nursing Supervisor for our PRTF program in Portland, Oregon. This role requires monitoring healthcare services for youth aged 10-17, ensuring effective medical service delivery, and supervising staff in a collaborative environment. Applicants should have a valid RN license, at least five years of experience, and strong leadership qualities. Nexus offers comprehensive benefits, including four weeks paid time off and multiple insurance options. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING:Bonus IncentivesPaid CertificationsTuition ReimbursementComprehensive BenefitsCareer AdvancementThis position will pay between $29.75and $3270hrbased on experienceSpecialized Coders Wanted—$3,000 Sign-On Bonus Awaits -- We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties.TheSpecialized Coderis a certified coder with expert knowledge in physician codingforCardiology,Cardiovascular Thoracic Surgery or Vascular Surgery. This positionis responsible forreviewing physician charges to accurately code encounters, correct coding edits, andassistwith research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education.Job Responsibilities: Code claims directly from the medical record/operative report according to coding guidelines. Accurate andtimelycompletion of work queues as assigned. Track andidentifytrends...

Senior Inpatient Medical Coder Position: This virtual, remote position requires a highly organized self‑starter with strong technical application skills. Candidates must have previous success in a remote environment and be willing to perform coding services for providers in a hospital setting. Schedule: Full‑time (40 hours/week), Monday‑Friday, 8‑hour shifts. Telecommute from anywhere within the U.S. Primary Responsibilities Identify appropriate assignment of ICD‑10‑CDM codes and CPT‑4 for observation services provided in a hospital setting. Abstract additional data elements during the chart review process as needed. Adhere to the ethical standards of coding as established by AAPC and/or AHIMA. Maintain required performance levels in coding quality and productivity as established by Optum360. Proficiency in coding infusions and injections based on coding guidelines and hierarchy. Provide documentation feedback to providers and query physicians when appropriate. Keep...

AHPCO is seeking a Senior Inpatient Medical Coder to work remotely. The role involves coding services for providers in a hospital setting, requiring a high degree of organization and technical skills. Candidates must have significant coding experience and relevant credentials. The position is full-time with a schedule of 40 hours per week, Monday to Friday. Benefits include paid time off, medical plans, and a 401(k) savings plan with company match. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced...

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Reviews patient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use. Job Requirements: Education and Work Experience: High School Education/GED or...

Medical Coder - Hematology/Oncology Clinic Duration: 12 Weeks Location: 100% Remote Job Description Review documentation of professional services in EPIC, obtain copies of chart notes, reports (i.e., admission/discharge records, patient medical records) and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services' (CMS) documentation of professional services and assign correct CPT, ICD-9-CM, and HCPCS codes. Utilizes ICD-9-CM, ICD-10, CPT codebook and Coding Clinic references to verify code specificity and follow ICD-9-CM Official Guidelines for Coding and Reporting and AMA Official Guidelines for CPT. Enter billing information into EPIC Resolute. Establish and maintain procedures and other controls necessary in carrying out all insurance billing activity. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). Coordinate all...

Department Overview This level 2 coding position provides support to the Enterprise Coding Department for coding of physician fees. This position requires experience in coding and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS). Assign correct CPT, ICD-10-CM, and HCPCS codes for professional charges, which could include all E&M services including outpatient and inpatient; diagnostic services; procedural services; and/or Charge Routers and Charge entry. Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned professional services at OHSU. Monitor activity for compliance with federal and/or state laws regarding correct...

Overview The Area Supervisor is responsible for managing the daily scheduling of the ROI Specialists at specified client sites. The Area Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations and are completed in a timely manner. Responsibilities Manages workflow among on-site employees at multiple client sites to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies at the staffed hospital sites. Provides coverage in event of backlogs, illness, vacation or leave of absence of ROI Specialists. Performs Quality Assurance monitoring of work performance for the ROI Specialists. In conjunction with and under the direction of the Area Manager, conducts productivity and work performance reviews for ROI Specialist in accordance with MRO/customer policies and...

Description TSP Talent Solutions has been retained by a global biopharmaceutical company specializing in severe orphan diseases to recruit an Associate Director, Medical Affairs – West Coast. This role will serve as a key liaison to the medical and scientific community, focusing on building and maintaining relationships with leading experts in pediatric neurology and epilepsy across the West Coast. This position reports to the Medical Officer, North America within the North America subsidiary. Responsibilities Build, maintain, and manage professional relationships with Key External Experts (KEEs) to organize networks at state levels within their designated region Ensure the appropriate dissemination of clinical and scientific information regarding marketed and pipeline compounds in a timely, ethical and health care provider (HCP)-focused manner Implement clinical and educational strategies in collaboration with other company colleagues for designated HCPs/KEEs. This includes...

About Optum Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Position Overview This is a full‑time position. Employees are required to have flexibility to work during our normal business hours (24 hours a day, 7 days a week). The candidate will work a total of 40 hours a week with 2 days off. Overtime and occasional weekend work may be necessary based on business need. Location: 75 Four River Parkway, Portland, ME 04102. We offer 4 weeks of on‑the‑job...

Signature Performance in Portland, Maine, is seeking a full-time Medical Coder to manage and review medical records for accurate coding. Candidates should have at least 2 years of experience in Medical Coding and relevant certifications like RHIT or CPC. The role involves ensuring compliance with coding guidelines, abstracting information, and meeting quality expectations. Signature Performance offers a supportive work environment, competitive pay, and excellent benefits including health #J-18808-Ljbffr

Opportunities at Northern Light Health , in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being...

Fora Health in Portland, Oregon is seeking a Billing Specialist II to join the Finance team. The ideal candidate will manage claims for assigned accounts, ensuring timely authorizations, accurate coding, and addressing any claims issues with insurance companies. This position requires a minimum of 3 years billing experience in a medical field and a coding certification. The role also includes the potential for remote work after an initial period, providing flexibility in a supportive environment. #J-18808-Ljbffr