5 jobs found in Waynesboro

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor education plans for assigned providers, reporting to the Manager, Medicare Risk Adjustment. Responsibilities include arranging educational sessions, identifying needs from reports, and preparing reports on coding quality trends using data visualization tools. The role involves on-site education, collaboration with market provider-facing teams, and data-driven interventions #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

QuickVisit Urgent Care is seeking a Medical Billing and Coding Specialist for our urgent care clinics. As a Medical Biller and Coder you will support a culture of delivering the highest quality, most affordable, and accessible healthcare in the rural communities we serve. Essential Responsibilities Performs daily posting of payments. Reconciles payments and imports remits. Post & creates claims to send to insurance. Must have experience working with and billing for Rural Health Clinics (RHC). Review and correct invalid claims from the clearing house and handle accordingly. Review rejected claims from the insurance payers and handle accordingly. Perform claims follow‑up by working aged balances in accordance with timely filing deadlines. Stays current with payer requirements for billing and shares best practices. Is involved with root cause analysis of denied claims and communicates trends and suggestions for improvement. Communicate with providers to resolve coding...

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities for documentation improvement and tailor education plans for assigned providers. The role reports to the Manager, Medicare Risk Adjustment and emphasizes data-driven education using analytics tools. Responsibilities include coordinating sessions, analyzing coding quality, and delivering on-site education while collaborating with cross-functional teams. #J-18808-Ljbffr

Medical Billing And Coding Specialist QuickVisit Urgent Care is seeking a Medical Billing and Coding Specialist for our urgent care clinics. As a Medical Biller and Coder you will support a culture of delivering the highest quality, most affordable, and accessible healthcare in the rural communities we serve. Essential Responsibilities: Performs daily posting of payments. Reconciles payments and imports remits. Post & create claims to send to insurance. Review and correct invalid claims from clearing house and handle accordingly. Review rejected claims from the insurance payers and handle accordingly. Perform claims follow-up by working aged balances in accordance of timely filing deadlines. Stays current with payer requirements for billing and shares best practices. Is involved with root cause analysis of denied claims and communicates trends and suggestions for improvement. Communicate with providers to resolve coding issues or when additional information...