20 jobs found in Portland

Lead Medical Coding Specialist The Lead Medical Coding Specialist works in conjunction with the Coding Supervisor to ensure accuracy, consistency and efficiency in relation to code assignment for reimbursement and reporting purposes. The Lead Medical Coding Specialist will complete quality reviews for coding staff in order to validate code and reimbursement assignments. This position is a "working" Lead position and is expected to work alongside staff as well as provide direction. Essential Job Functions Assist Coding Supervisor in the supervision of Medical Coding staff for Emergency Facilities, Inpatient, Observation and Ancillary services coding Assists in managing staffing schedule and departmental overtime Performs quality review of staff for accuracy/efficiency and identifies charge capture opportunities Completes metric reporting as required by agreed upon deadlines and assists in month end close processes In conjunction with the Coding Supervisor, ensures standard...

Department Overview This level 2 coding position provides support to the Enterprise Coding Department for coding of physician's fees and/or facility fees. This position requires experience in coding and requires certification with AAPC or AHIMA. For Professional Services coding positions: This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to evaluation and management services and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines. For Facility Services coding positions: This position is responsible for reviewing documentation of outpatient diagnostic and ancillary services for diagnostic radiology, pathology, and other ancillary facility services at OHSU. This position...

Job Summary: In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, and ambulatory medical records to identify elements to be abstracted, as well as diagnostic and procedure codes, and beginning to review inpatient records. Essential Responsibilities: Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources...

The Site Supervisor is responsible for managing the daily scheduling of the ROI Specialists at specific client site. The Site 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. This is an On Site position TASKS AND RESPONSIBILITIES: Manages workflow among on-site employees to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies. Prioritizes work to ensure completion of ROI function. 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 medical record staff. Performs Quality Assurance monitoring of work performance for the ROI Specialists. Conducts productivity and work performance...

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates...

Department Overview The Coding Trainer is responsible for constructing and implementing coding training programs for coding specialists. Creates presentations, develops learning material, handbooks and other training materials as needed. Conducts regular audits to ensure understanding and retention of basic and advanced coding concepts. Represents Enterprise Coding as coding expert in specialty projects. Function/Duties of Position Primary Responsibilities: Trains and instructs coders on CPT, Diagnosis, modifiers, CCI edits and documentation requirements as appropriate regarding all industry standards for each clinical department across OHSU Reviews, develops, modifies, and/or adapts relevant training materials, presentations and curriculum Audits medical record documentation to identify under-coded and up- coded services; prepares reports of findings and meets with coders and leadership to provide education and training on accurate coding practices and...

Department Overview This level 2 coding position provides support to the Enterprise Coding Department for coding of physician's 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 facility and/or professional charges, which could include E&M services; 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 coding set forth by CMS...

Job Description Job Description Certified Medical Coder (Remote Production Role) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! *** We are accepting applications for potential future opportunities and do not currently have an open position *** Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical...

Outpatient Coding Auditor Join UASI today and work with the top HIM experts in the industry! We are currently seeking an experienced Facility Outpatient Coding Auditor to join our team working remotely from a home office. Responsibilities include: Performs coding quality audits and reviews on a variety of facility outpatient records including but not limited to: same day surgery, observations and ED Provides feedback and education to coding staff 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 Assists in developing educational training content and materials for coding staff Presents educational seminars to clients and staff Work with other members of the Consulting Division on Senior Level Projects such as assessment and analysis, development of tools to assist in the audit process, develop coding test material for applicants and develop coding content...

DRG Coding Auditor This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for...

Ajilon - JobID: 49582AC2-03AA-4CCC-85B7-B851725AC81F [Billing Clerk / Invoice Creator] As a Medical Billing Specialist at Ajilon, you'll: Be responsible for the timely and accurate posting of electronic and manual cash receipts, adjustments and denials to patient accounts; Assist in the resolution of outstanding credit balances and over payment packages; Generate and analyze diverse reports and work lists to identify and resolve routine patient account issues...Hiring Immediately >>

Job Description Job Description HOURS: M-F; 8am - 5pm (Option to work remotely two days a week after 90 day probationary period) JOB SUMMARY: Code for all medical and dental office visits and surgeries for Oral & Maxillofacial Surgery practice. Gather charge information from Epic to prepare for billing. Enter demographic and insurance information into the patient’s account, as needed. RESPONSIBILITIES INCLUDE: Researches all information needed to complete the billing process, including getting charge information from physicians. Provides CPT codes needed for pre-authorization, based on surgery sheets from physicians. Codes information about procedures performed and diagnosis, including office visits, hospital charges, and trauma cases. Keys charge information into entry program and produces billing. Creates new and/or updates patient accounts by entering accurate demographic and insurance information. Assists with error resolution. Maintains required billing...

Professional Medical Coder II CCG Talent Management is not only a business solutions company but a company that believes success starts with the individual. CCG Business Solutions has been consulting and providing talent placement services since 2007. Our team understands the principles of connecting purpose to business. We are currently recruiting for a Professional Medical Coder II. Job Description Remote Role - Must be located in the Portland, OR Metro Area. The Professional Medical Coder II will focus on review of documentation and coding. The Professional Medical Coder II will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Responsibilities: Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding. Maintain current knowledge to ensure that coding and documentation meets regulatory...

A leading health care provider in Portland, Oregon is seeking a Medical Coder responsible for reviewing medical records and ensuring accurate coding according to established standards. Candidates should have at least two years of coding experience and relevant certification. This position promises an opportunity to collaborate with a dedicated team and support the coding process in compliance with health regulations. #J-18808-Ljbffr

Department Overview This level 3 coding positions provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding, and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Coding at 95% or above accuracy for Complex Surgical coding, General Surgery, Palstics Sugery, Bariatrics Surgery, GI, Potential other Surgical areas depending on needs of dept. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases.Work assigned charge sessions in assigned EPIC charge router work queues. Assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or Surgical coding. Monitor activity for compliance with...

A leading healthcare organization in Portland seeks a medical coding specialist to review and code outpatient services and ensure compliance with established standards. Candidates should have at least two years of coding experience, preferably in a healthcare setting, and hold relevant certifications. This full-time position offers the opportunity to contribute to patient care through accurate coding and documentation. #J-18808-Ljbffr

CPC - Certified Professional Coder (Medical Billing) Tutor Join to apply for the CPC - Certified Professional Coder (Medical Billing) Tutor role at Varsity Tutors, a Nerdy Company . Pay Range This range is provided by Varsity Tutors, a Nerdy Company. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. $25.00/hr - $40.00/hr The Varsity Tutors Live Learning Platform has thousands of students looking for online CPC tutors nationally. As a tutor on the Varsity Tutors Platform, you’ll have the flexibility to set your own schedule, earn competitive rates, and make a real impact on students’ learning journeys—all from the comfort of your home. Why Join Our Platform? Earn incrementally higher pay for each session with the same student—reaching up to $40/hour. Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions you conduct and invoice. Set your own hours and tutor as much as you’d like....

Overview Medical Billing Specialist job at Northwest ADHD Treatment Center, Inc. Portland, OR. Job Title: Medical Billing Specialist Job Status: Full-time, non-exempt Job Location: This job is physically located in Portland, OR. The candidate we hire will be working in-office Monday through Friday, standard daytime hours Summary: We are a busy and growing behavioral health clinic seeking a detail-oriented and experienced Medical Biller to join our healthcare team. The ideal candidate will be responsible for accurately and efficiently submitting claims to insurance companies and other payers, posting payments, and resolving any billing discrepancies. The Medical Billing Specialist will also be responsible for following up on unpaid claims and working to ensure timely and accurate reimbursement for services. Responsibilities Complete Day sheets and confirm patient insurance eligibility Verify patient cost estimates Review and accurately submit claims to insurance companies and...

A highly reputable and respected radiology group is looking for a Medical Billing Specialist to join their small but mighty team! The primary focus of the Medical Billing Specialist will be account follow up. The ideal candidate will either have medical billing/ medical coding experience or have at least completed a medical billing learning program. Candidates must have a great eye for detail! This position is 100% onsite located in Portland, OR with the possibility of moving to a hybrid schedule after 1 year of employment. Duties and Responsibilities: Review all demographic files for accuracy Answer incoming patient phone calls regarding account questions Update PHI as needed: insurance, name, guarantor, accident information, phone number, etc. Process credit card payments received over the phone Work ticklers as assigned, utilizing online resources (insurance web sites) and EPIC computer system Mail paper claims on a daily basis Process mail returns...