11 jobs found in Troy

Coding Specialist Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Education/Experience Required: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding experience. One to two...

Job Description Job Description GENERAL SUMMARY: The Billing Follow-Up Specialist is responsible for participating in billing activities that involve the follow-up process for denied claims, coding errors, and other issues. Additionally, the Billing Follow-Up Specialist monitors the department's incoming materials (mail, deliveries, etc.) and seeing to day-to-day tasks of the greater billing department. Under direct supervision the billing specialist performs general departmental job functions, related clerical tasks including opening and sorting mail, scanning, and the organization and mailing of correspondence.   TYPICAL DUTIES AND RESPONSIBLITIES: Reads incoming materials and sorts according to filing and record keeping system. Opens incoming mail and accurately sorts for distribution. Prepares and maintains various schedules to allow for payment posting (receipt posting log, missing EOB log, settlement documents, etc.) Post patient payments in the PM system....

A leading health care organization seeks an Outpatient Complex Coder to work remotely, reviewing and coding diagnostic information from patient medical records. The ideal candidate will have a high school diploma, coding certification, and at least two years of coding experience. Responsibilities include ensuring adherence to coding guidelines and managing medical record information for patient care and research. Competitive health plans and various benefits are provided to team members, emphasizing overall well-being and support. #J-18808-Ljbffr

*Outpatient Complex Coder/Full Time/Remote Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding...

Description Medical Biller - Full Time Location : Troy, Michigan We are seeking an experienced and detail-oriented Medical Biller to join our team in our Troy, Michigan office. The ideal candidate will have prior healthcare billing experience, strong computer skills, and the ability to work efficiently in a fast-paced medical environment. Position Responsibilities: • Perform charge entry and ensure accurate coding of diagnoses and procedures • Submit claims to insurance carriers and third-party payers • Post EOBs and payments accurately • Monitor and reduce accounts receivable (A/R) • Follow up on denied or unpaid claims within standard billing timeframes • Verify insurance eligibility • Respond to patient inquiries regarding billing and account balances • Communicate with providers and staff to clarify documentation and ensure accurate billing • Maintain organized and up-to-date billing records • Perform additional duties as assigned...

General Summary Using established coding principles and procedures, the coder reviews, analyzes and codes diagnostic and/or procedural information from the patient’s medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, promotes provider/patient continuity, accurate database information and the ability to optimize reimbursement. It also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Education/Experience Required High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding experience. One to two (1–2) years...

A prominent healthcare provider in Michigan is seeking a medical coder to review, analyze, and code diagnostic information from patient medical records for billing purposes. This position requires a high school diploma, coding certification, and at least two years of coding experience. The coder will ensure compliance with established coding guidelines while supporting patient care evaluation and administrative decision-making. Strong knowledge of medical terminology and coding systems is essential in this role. #J-18808-Ljbffr

Job Description Job Description About Us: ICPC - NJ Psychiatric Centers - is dedicated to providing high-quality patient care. We are seeking an experienced and detail-oriented Accounts Receivable Supervisor to lead our AR, billing, and support staff team, ensure timely collections, and optimize revenue cycle processes. Position Summary: The Accounts Receivable Supervisor plays a critical role in managing the accounts receivable department, ensuring timely and accurate billing and collections. The AR Supervisor will oversee daily operations of a team of Accounts Receivable department, monitor performance, and implement strategies to reduce denials and outstanding balances. This role requires a strong understanding of medical billing, payer regulations, and insurance follow-up. \This position also requires strong leadership skills, attention to detail, and the ability to analyze financial data. The ideal candidate will foster a collaborative environment while maintaining...

General Summary Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. Education/Experience Required Degree in Medical Record Sciences preferred but not required or successful completion of a certification program with certification as a Registered Health...

Troy Regional Medical Center has an opening for a Coder. Our family environment offers support in a collaborative team atmosphere. Come and check out what TRMC can do for your career! As a Coder at TRMC, your primary responsibility will be to accurately code diagnoses and procedures across all specialties, particularly in the Emergency services. This role is crucial in generating indices and statistics, ensuring proper billing and reimbursement, and, most importantly, supporting our mission to deliver the highest quality of patient care economically and efficiently. Education: A high school diploma or equivalent is required. Must have completed an accredited coding education program. Experience: At least two years of coding experience in an acute hospital environment is required. Must be proficient in ICD-10 and DRG optimization if required for assigned specialty. Must have a working knowledge of medical terminology, anatomy, and physiology. Experience with APC Claims,...

At Gilead, we're creating a healthier world for all people. For more than 35 years, we've tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer - working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world's biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead's team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we're looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating...