16 jobs found in Tulsa

The Medical Review Supervisor is responsible for overseeing activities and personnel involved in the day to day operations of CommunityCare's medical claim review program. The Supervisor guides individuals in implementing auditing and monitoring functions aimed at identifying areas of risk and/or potential fraud, waste and abuse, as it relates to provider billing practices. KEY RESPONSIBILITIES: Provides technical expertise to Medical Review (MRE) staff including analysis, problem solving, and decision making of complex claim reviews. Identifies medical necessity and /or quality issues for further evaluation. Oversees triage of pended and high dollar claims. Collaborates with external vendors on cases meeting reinsurance thresholds and specific requirements for ASO lines of business. Works collaboratively with other departments in providing or seeking claims review and/or clinical guidance. Participates in company committees or work groups as assigned. Proactively...

Coding Auditor & Provider Educator NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states: Alabama Arizona Florida Georgia Idaho Indiana Kansas Michigan Missouri North Carolina Ohio Oklahoma Pennsylvania South Carolina Tennessee Texas Virginia The Coding Auditor & Provider Educator is a critical role responsible for ensuring the accuracy, completeness, and compliance of medical coding (CPT, HCPCS, ICD-10-CM) for professional services. This individual will conduct thorough coding audits, identify areas for improvement in documentation and coding practices, and develop and deliver targeted educational programs to physicians, advanced practice providers (APPs), and clinical staff. The primary goal is to optimize revenue integrity, mitigate compliance risks, and foster a culture of accurate and compliant documentation and...

Compliance Coding Auditor Hours: Variable Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $48.140 - $62.110 - $76.080 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit...

Job Summary How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Core Responsibilities and Essential Functions Accurately and completely assigns appropriate ICD-10-CM diagnostic and CPT-4/HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable Accurately and completely abstracts all required patient demographic data into the EMR Accurately assigns correct...

Him Coding/Compliance Auditor 2 Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals. The HIM Coding/Compliance Auditor 2 analyzes abstracted, coded data for the purpose of ensuring coding accuracy. Serves as a resource for expert knowledge...

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 4 days ago Be among the first 25 applicants Varsity Tutors, a Nerdy Company provided 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. Base pay range $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...

A higher education institution in Oklahoma is seeking a Billing Representative to manage medical billing and coding. This entry-level position requires a high school degree, 1-2 years of medical billing experience, and a Certified Professional Coder (CPC) certification. The role involves reviewing electronic medical records, ensuring proper charges, and attending seminars to stay current in the field. #J-18808-Ljbffr

An educational institution in Tulsa, Oklahoma, is seeking a Medical Coder to review coding in the Electronic Medical Records system and bill for hospital charges. The ideal candidate must possess a valid CPC certification and have 1-2 years of medical billing experience. Strong typing and organizational skills are essential for managing multiple tasks effectively. The position offers a competitive hourly rate ranging from $18.60 to $21.00. #J-18808-Ljbffr

A staffing agency in Tulsa, OK is seeking a Medical Billing Clerk to manage medical claims and billing processes. The ideal candidate has strong knowledge of medical billing and terminology, excellent organizational skills, and the ability to work in a fast-paced environment. This position offers a competitive pay rate between $18 and $20 per hour, along with benefits such as health insurance and a 401(k) plan. #J-18808-Ljbffr

Job Description Under the direction of the HIM Manager, the Coder will be responsible for chart review with experience in Inpatient and Outpatient coding within the hospital setting. Strong knowledge of ICD-10-CM, PCS, CPT/HCPCS coding, and CCI edits. Verify completeness of medical records to ensure documentation supports the assigned codes and modifiers. Knowledge of reimbursement systems and regulations pertaining to billing, documentation, and compliance standards including federal and state regulations. Maintain coding knowledge of current coding updates, medical terminology, updated changes in healthcare regulations, and maintain up-to-date coding certification. Attention to detail with excellent communication and interpersonal skills when working with healthcare providers, physicians, residents, and other departments within the hospital. Qualifications Associate Degree required Bachelors Degree preferred License/Certifications: CCS-Certified Coding Specialist, RHIT-...

Current Saint Francis Employees - Please click HERE (http://www.myworkday.com/saintfrancis/d/task/3005$4482.htmld) to login and apply. Full Time Days #ALDIND Day Shift Medical Technologist Supervisor - Saint Francis South Monday - Friday, 8a - 5p Job Summary: Responsible for the overall supervision of a laboratory section or shift, staff and proper performance of all lab procedures and reporting of test results. Minimum Education: Baccalaureate Degree in Medical Technology or in a related biological/chemical science from an accredited college or university. Licensure, Registration and/or Certification: Must have passed national certification exam as a laboratory scientist that is accredited by an approved agency. Work Experience: 2 years lab experience with high complexity testing. Knowledge, Skills and Abilities: Demonstrated skills in interpersonal relations, delegation and planning. Effective communication skills and leadership qualities. PC Skills to...

Environmental Compliance Auditor Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world's most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. We're one global team driven by our common purpose to deliver a better world. Join us. Job Description...

Job Description Job Description Job Title: Medical Billing Specialist Summary A healthcare office is seeking an experienced Medical Billing Specialist to join their team in a long-term role. This position focuses heavily on insurance claims, appeals, and denials, and is ideal for someone with recent hands-on billing experience who is detail-oriented and dependable. Primary Responsibilities Process medical insurance claims accurately and in a timely manner Handle appeals and denials to ensure proper reimbursement Follow up on unpaid or underpaid claims with insurance carriers Review EOBs and resolve billing discrepancies Maintain accurate patient and billing records Communicate with insurance companies regarding claim status and requirements Support general billing and administrative functions as needed Qualifications Recent experience in medical billing and insurance claims processing required Strong background in appeals and denials management Knowledge...

Job Description Job Description Benefits: 401(k) matching Company parties 401(k) Dental insurance Health insurance Paid time off Vision insurance Job Details Position Title: Medical Biller / Coder Job Type: Full-Time Compensation: $55,000-$75,000 annually Location: In-office position - 81st & Mingo area, South Tulsa, OK Where accuracy, accountability, and healthcare operations come together! Please note this is an in-office position; remote work is not available. **Pre-employment screening required.** About the Role Our team at CCF Group is seeking an experienced Medical Biller/Coder to support the financial and operational integrity of our healthcare services. This role is essential to ensuring timely reimbursement, accurate claim submission, and compliance with payer requirements.We are looking for a detail-oriented professional with a strong billing background, who understands the full revenue cycle and can confidently work with insurance portals,...

Job Description Job Description Job Description: Medical Coder – ENT Clinic-Tulsa, OK Position Title: Medical Coder (ENT Specialty) Pay Rate: $24-$27/hou r Reports To: Practice Manager or Director of Revenue Cycle Employment Type: Full-time Position Summary The Medical Coder serves a vital role in our ENT (Ear, Nose & Throat) clinic, ensuring accurate, compliant, and timely coding of all clinical and procedural services. You will work closely with providers, billing staff, and other revenue cycle team members to translate documentation from consultations, procedures (e.g., endoscopies, sinus surgeries, audiology services), and follow-ups into appropriate diagnosis (ICD-10), procedure (CPT/HCPCS) and service codes. Your work helps facilitate proper reimbursement, maintain regulatory compliance, and support the financial health of the practice. Key Responsibilities Review patient documentation from the physicians, physician assistants, audiologists and nursing/support...

Medical Billing Specialist The Medical Billing Specialist is responsible for the timely and accurate preparation of claims within their access for submission to Medicare, Medicaid and Third party carriers. Preparation of claims include, but are not limited to, researching, learning, maintaining and applying new and changing regulations as mandated by Federal and Third Party Payors to maximize reimbursement and ensure compliance. Providing education to other hospital personnel of regulations & requirements and the impact it has on reimbursement and billing. The Medical Billing Specialists are responsible for comprehensive follow-up with payers on timely reimbursements for accounts. The Medical Billing Specialist lives the Mission, Vision, Values and Philosophy of the department and Saint Francis Healthcare System. Constantly works with and maintains restricted or confidential information from many sources within the medical center. Any and all jobs as assigned by Assistant...