15 jobs found in Tulsa

CommunityCare HMO, Inc. is seeking a Clinical and Risk Adjustment Auditor in Tulsa, OK. This role involves conducting audits for clinical and risk adjustment documentation for Medicare Advantage and ACA Programs, ensuring coding accuracy and regulatory compliance. The ideal candidate will hold a coding certification, have extensive coding experience, and be proficient with CMS guidelines. The position requires strong analytical skills and a meticulous approach to auditing. #J-18808-Ljbffr

Coder III Specialist Job Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA. Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam. Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient and inpatient coding exam. Essential Functions and Responsibilities: Codes ER's, outpatients, outpatients surgeries, observations and inpatients. Works CCI/medical necessity edits as needed. Monitors unbilled for all patient types coded on a day-to-day basis. Maintains quality equal to or greater than 95%. Maintains productivity equal to or greater than 95%. Completes continuing...

Dormont Manufacturing Co is looking for a Claims Auditor to ensure claims are processed in compliance with standards. This role involves auditing claims processing activity, documenting findings, and driving continuous improvement efforts. The successful candidate should have a high school diploma, at least 2 years of experience in claims processing, and strong attention to detail. Competitive pay and a robust benefits program are offered. #J-18808-Ljbffr

Basic Function HF Sinclair Midstream is seeking a Compliance Auditor Lead. The position is open to Dallas, TX; Tulsa, OK; Artesia, NM or Salt Lake City, UT. The Compliance Auditor Lead ensures compliance with regulations and conducts moderate to complex regulatory compliance and auditing assignments for assigned areas under general supervision. Job Duties Reviews, interprets, and ensures compliance with applicable federal, state, and local regulatory requirements for all assigned locations. Plans, conducts, and leads regulatory compliance and operational risk-based audits, including evaluations and review of internal policies and procedures of the company operations. Serves as the primary liaison to regulatory agencies and as the Company's point of contact for general inquiries, audits, and on-site evaluations. Leads and coordinates follow-up activities associated with regulatory inspections, audits, and enforcement actions by tracking corrective actions, conducting gap...

Job Posting 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-...

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-...

About HireRight HireRight is the premier global background screening and workforce solutions provider. We bring clarity and confidence to vetting and hiring decisions through integrated, tailored solutions, driving a higher standard of accuracy in everything we do. Combining in-house talent, personalized services, and proprietary technology, we ensure the best candidate experience possible. PBSA accredited and based in Nashville, TN, we offer expertise from our regional centers across 200 countries and territories in The Americas, Europe, Asia, and the Middle East. Our commitment to get it right every time, everywhere, makes us the trusted partner of businesses and organizations worldwide. Overview This role is to support the review of DOT and company policy for completeness and compliance to applicable DOT agency or company statement of work. To determine an individual's ability to work based upon those regulations under the guidance of the Director of Medical Services,...

Job Posting 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-...

HireRight is seeking an experienced medical professional in Tulsa, Oklahoma, to support the review of DOT and company policies for medical qualifications. This role requires an LPN or RN with at least 4 years of nursing experience. Responsibilities include reviewing examinations and enhancing examiner processes. HireRight offers a comprehensive benefits package including medical, dental, vision, and generous time off, ensuring a supportive work environment for its employees. #J-18808-Ljbffr

About HireRight HireRight is the premier global background screening and workforce solutions provider. We bring clarity and confidence to vetting and hiring decisions through integrated, tailored solutions, driving a higher standard of accuracy in everything we do. Combining in‑house talent, personalized services, and proprietary technology, we ensure the best candidate experience possible. PBSA accredited and based in Nashville, TN, we offer expertise from our regional centers across 200 countries and territories in The Americas, Europe, Asia, and the Middle East. Our commitment to get it right every time, everywhere, makes us the trusted partner of businesses and organizations worldwide. Overview This role is to support the review of DOT and company policy for completeness and compliance to applicable DOT agency or company statement of work. To determine an individual's ability to work based upon those regulations under the guidance of the Director of Medical Services, Chief...

OU Health in Tulsa, OK, is seeking a Professional Coding Specialist III responsible for complex coding portfolios and mentoring junior staff. The role requires at least 5 years of experience in physician coding and a CPC or CCS-P certification, along with other specialty credentials. This position offers flexible remote options and a comprehensive benefits package. Your role will involve coding high-risk encounters, supporting documentation improvements, and ensuring compliance with industry standards. #J-18808-Ljbffr

A healthcare provider is looking for a Vascular Specialized Coder for a full-time, onsite position in Tulsa, OK. The role requires extensive coding experience, particularly in Cardiovascular Thoracic Surgery, with responsibilities including coding claims and assisting in provider education. Key qualifications include a CPC certification and strong knowledge of medical terminologies. The position offers a comprehensive benefits package, including tuition reimbursement and bonus incentives. #J-18808-Ljbffr

Saint Francis Health System in Tulsa, Oklahoma, is seeking a Pro Fee Coding Specialist responsible for reviewing documentation, diagnosing, and coding procedures. Applicants need a GED or high school diploma and are required to obtain specific coding certifications within one year of hiring. This position involves coordinating with providers and ensuring compliance with coding and billing regulations while working in a fast-paced environment. #J-18808-Ljbffr

Your future role at a glance Location: Tulsa, OK (on-site) Facility: Ascension Medical Group - South Harvard Department: Revenue Cycle Management Schedule: Full Time, Days, Monday-Friday 8am-5pm Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter. Benefits that help you thrive Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and...

Now Hiring: Medical Billing Specialist (Medicare & Medicaid) Full-Time | Onsite in Tulsa | Monday–Friday A respected healthcare organization is looking to add a skilled Medical Billing Specialist to their team. If you enjoy digging into details to solving billing issues, this could be a great fit. What You’ll Do: Manage end-to-end Medicare and Medicaid billing, from submission through resolution Investigate outstanding A/R and follow up on denied or underpaid claims Analyze discrepancies and collaborate with payers to resolve issues Review EOBs to ensure accurate payments and identify errors Submit corrected claims and handle appeals as needed Keep thorough and organized documentation on all accounts Communicate professionally with patients, payers, and internal teams What We’re Looking For: At least 2 years of hands‑on medical billing experience Strong understanding of Medicare and Medicaid processes Proven success with claims follow‑up, denials, and collections...