Medix

Job Summary Coder to perform professional coding for ENT (Otolaryngology) procedures and general surgery cases. The role involves reviewing and interpreting operative reports, pathology reports, and supporting radiology documentation, assigning CPT, ICD-10-CM, and HCPCS codes accurately, and maintaining productivity and accuracy standards. Key Responsibilities Perform professional coding for ENT and general surgery cases. Review and interpret operative, pathology, and radiology reports. Assign CPT, ICD-10-CM, and HCPCS codes accurately. Work directly with assigned physicians via EMR messaging. Maintain productivity and accuracy standards and undergo monthly quality audits. Code approximately 55 surgical encounters. Qualifications Active CCS (AHIMA) or CPC (AAPC) certification; CCA or CPCA considered with relevant surgical experience. Experience in ENT and/or general surgery coding. Strong knowledge of CPT, ICD-10-CM, HCPCS, surgical documentation, and...

Job Summary Inpatient Coder to perform professional coding for cardiac surgery, cardiac catheterization procedures, and heart and vascular surgical services. The role involves accurately reviewing and interpreting operative notes, pathology reports, and radiology documentation, assigning appropriate CPT, ICD-10-CM, and HCPCS codes, and ensuring compliance with payer and regulatory guidelines. This position requires the ability to work independently while collaborating with assigned physicians. Key Responsibilities Perform professional coding for cardiac surgery, cardiac catheterization procedures, and heart and vascular surgical services. Review and interpret operative notes, pathology reports, and radiology documentation. Assign CPT, ICD-10-CM, and HCPCS codes as per payer and regulatory guidelines. Utilize EMR messaging (InBasket) for documentation clarification in EPIC. Maintain productivity and quality standards, including participating in monthly quality...

We are seeking a detail-oriented Remote Medical Biller to join our team in White Salmon, WA. This role is central to the revenue cycle, handling everything from initial patient registration and insurance verification to final claim transmission and denial management. You will serve as a vital link between the hospital and the patient, ensuring that financial accounts are accurate, transparent, and resolved efficiently. The ideal candidate thrives in a fast-paced environment, possesses strong critical thinking skills, and has a deep understanding of CMS guidelines and Critical Access Hospital billing. Overview of Responsibilities: Revenue Cycle Management: Manage all aspects of patient accounts within assigned insurance groups, including billing, payment collection, and account updates. Patient Access & Registration: Process pre-registrations and registrations accurately; prepare patient ID cards and necessary hospital forms. Financial Counseling: Confirm...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a detail-oriented Orthopedic Coder II (Remote) to be responsible for accurately reading and interpreting medical record documentation. This position involves assigning accurate and complete CPT®, HCPCS, and ICD-10 codes, as well as modifiers and units, to source documents for claim submission. Key Responsibilities Read and interpret medical record documentation in support of surgical procedures, office encounters, diagnostic and pathological services. Assign accurate and complete CPT®, HCPCS, and ICD-10 codes, as well as modifiers and units. Respond to provider's questions and provide written communication to educate providers in correct coding and documentation. Work on specialty specific work queues, Orthopedics. Review and correct edits for timely submission to payers. Participate in education...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is looking for a Coding Auditor to join their team. The primary responsibilities include developing expertise in CPT, HCPCS, and ICD-10 coding guidelines, efficiently performing policy updates or audits on medical records or claims, and drafting written communications to providers. Key Responsibilities Develop and maintain expertise on CPT, HCPCS, and ICD-10 Coding guidelines and billing requirements. Perform thorough and complex policy updates or audits on medical records or claims. Document findings clearly for both clinical and non-clinical audiences. Create reports and reference guides for team communication and efficiency. Assist in drafting provider communication about audit findings. Participate in educational calls with providers. Train new team members. Develop and document team efficiency and...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an Outpatient Coder responsible for accurately coding outpatient medical records, assisting with coding for inpatient cases, generating reports, and ensuring documentation compliance. Key Responsibilities Accurately code outpatient medical records in accordance with ICD-10 CM/PCS, CPT, and internal coding guidelines. Assist with coding for inpatient cases, including daily visits and hospitalist documentation, with training provided as needed. Generate and monitor reports to support financial oversight and quality assurance initiatives. Identify documentation deficiencies and collaborate with physicians, CDI specialists, and healthcare staff to ensure clarity and compliance. Adjudicate rejected or denied claims related to coding and documentation, ensuring accurate reimbursement. Stay current on...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a Medical Biller to manage the entire claim lifecycle, ensure data accuracy, verify insurance, and facilitate communication across multiple functions. The ideal candidate will be responsible for ensuring successful submission of claims by managing interface errors and resolving upfront rejections. Responsibilities / Job Duties Claim Lifecycle Management: Proficiency in generating electronic and paper claims, managing interface errors, and resolving upfront rejections to ensure successful submission. Data Accuracy & QC: High attention to detail for performing quality control on Salesforce orders, transferring data to billing systems, and extracting precise data from pathology reports. Insurance Verification & Coding: Expertise in verifying patient eligibility and medical benefits, identifying...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an experienced Medical Billing Specialist with a strong background in submitting claims, possessing knowledge of ICD and HCPCS codes, chart review, and editing. The ideal candidate should have practical billing experience, focusing on billing responsibilities rather than A/R. Key Responsibilities Secure prior authorizations for injectable medications. Check insurance eligibility before visits. Post electronic payments, credit card payments, and window payments. Post charges and work through denials. Manage collections through the Medicaid portal. Work with specialty pharmacies to acquire injectables. Perform posting charges in the electronic practice management system. Resolve payer issues and answer patient invoice questions. Conduct internal audits comparing encounter forms with medical...

Risk Adjustment Medical Coder Location: Remote Schedule: Monday-Friday, 8:30 AM - 5:00 PM Duration: April 1 - June 26 About the Role We are seeking an experienced Risk Adjustment Medical Coder to support coding accuracy and compliance initiatives related to risk adjustment and reimbursement. This role focuses on reviewing clinical documentation, assigning appropriate diagnosis codes, and ensuring adherence to regulatory guidelines. The ideal candidate thrives in a remote environment and consistently delivers high-quality, accurate work. Key Responsibilities Review medical records and encounter data to assign accurate diagnosis codes in alignment with risk adjustment and regulatory standards Analyze clinical documentation for completeness and specificity to ensure proper code assignment Identify and resolve coding discrepancies while maintaining compliance with established guidelines Document coding decisions and maintain organized, detailed records...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary We are seeking a Full Cycle Recruiter for our client who will manage the billing process for mobile service sites. Your goal will be to ensure accurate coding for maximum reimbursement and collaborate with the integration team for seamless service launch. Key Responsibilities Manage the full-cycle billing process specifically for our mobile service sites. Transition existing workflows from the Integration Manager, identifying efficiencies. Ensure all mobile health encounters are coded accurately to maximize reimbursement and minimize denials. Coordinate with the integration team to ensure the mobile service launch scales smoothly. Qualifications 3+ years of full cycle billing experience. CPC certification. Preferred experience in mobile or ambulatory environments. Schedule Monday - Friday, 8AM - 4:30PM...

SUMMARY: We're looking for a Coder to join the Cost Outlier Review team. These coders are working with NY Medicaid to review high cost claims (people that have been in the hospital for a long time) and may be up to multimillion dollar claims. They are looking through the codes to ensure that everything is coded correctly before the nurses review to ensure care was delivered properly. It is a team of 3 coders. Must have a very strong understanding of Inpatient coding and NY Medicaid. It is a 6 month contract with the ability to extend further as needed. GENERAL RESPONSIBILITIES: This individual will utilize his/her knowledge and expertise of the review program and coding guidelines to ensure that the assignment of coding/DRG is appropriate and consistent with ICD-10-CM Official Guidelines for Coding and Reporting and AHA Coding Clinic regulations. DUTIES: Review (re-abstract and recode) hospital medical records to validate that data received is...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an experienced Certified Medical Coder to join a high-volume Revenue Cycle team supporting ophthalmology and ambulatory surgery services. This role is ideal for a coder who thrives in a fast-paced environment, handling both professional and surgical coding, and managing revenue-impacting workflows beyond coding. Key Responsibilities Assign accurate ICD-10, CPT, and modifier codes for physician and ASC services. Perform detailed chart reviews to validate documentation and ensure compliant charge capture. Code surgical cases, including modifier review and application. Resolve coding-related claim rejections and denials. Review and edit charges entered by clinic staff to ensure accuracy. Post payments and assist with deposit application as needed. Support charge reconciliation and ensure all...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a dedicated Patient Accounts Representative - Billing responsible for accurately reconciling payments from patients, insurance companies, and third-party payers to patient accounts. This position ensures timely and accurate allocation of payments, contractual adjustments, and denials while maintaining the integrity of the organization's financial records and supporting a smooth revenue cycle. Key Responsibilities Accurately apply payments to correct accounts, dates of service, and line items per payer guidelines. Identify and post insurance denials with correct codes and notify supervisor of denial trends. Reconcile daily deposit reports and balance payment batches with bank deposits and internal records. Maintain proper documentation of all payment activity to ensure audit readiness and compliance....

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a highly skilled CPC Coder responsible for reviewing medical bills and documentation to ensure accuracy and compliance with coding standards. This position involves interpreting medical documentation, assigning codes, reviewing billed services, and communicating outcomes professionally. Key Responsibilities Use various resources like CPT guidelines, CPT Assistant, Encoder Pro, and 3M Software to support reviews. Review medical bills related to Motor Vehicle Accident (MVA) injuries for NJ and NY-covered insureds. Ensure the accuracy of billed services by interpreting medical documentation and assigning the proper CPT and HCPCs codes. Review CPT codes for unbundled services and billed modifiers for accuracy. Crosswalk CPT codes per regulatory requirements for proper reimbursement. Apply fee...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an experienced Inpatient Coder to join their team. The primary responsibilities include assigning DRGs, ensuring quality coding for accurate reimbursement, and meeting productivity standards across various account types. Key Responsibilities Assign Interim DRGs as requested by hospital departments. Attend standard, scheduled, and mandatory meetings/education. Follow coding guidelines to ensure quality coding of diagnoses and procedures. Meet productivity standards for emergency, outpatient, day surgery, and other accounts. Assist with resolution of billing issues through interactions with various departments. Follow up on unbilled accounts promptly to expedite billing processes. Qualifications High school graduate or its equivalent. Coding Certification from AAPC or AHIMA (CPC, CSC, RHIA,...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an experienced Outpatient Coder to join a growing cardiology team. The primary responsibility is reviewing clinical documentation and verifying coding for cardiology services. This remote position offers a flexible schedule and the potential to transition into a permanent role. Key Responsibilities Review clinical documentation for cardiology services, including office visits and diagnostic tests. Verify and adjust CPT/HCPCS and ICD-10 codes as necessary. Ensure medical necessity and payer-specific requirements are met. Apply accurate E/M leveling. Communicate coding changes or documentation needs to providers. Assist with work queues based on volume. Stay updated on cardiology-specific coding guidelines and payer requirements. Qualifications Certification: AAPC or AHIMA (CPC, COC, CCS,...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an Inpatient Coder to handle charge entries, coding, and processing of various medical services. The primary responsibilities include working with specific coding specialties, managing shared work queues, and ensuring accurate coding of procedures and high dollar accounts. Key Responsibilities Process charge drops and dummy codes, ensure all CPT/modifiers are correctly applied. Work with GI CPT codes and handle high dollar hematology accounts. Collaborate with TCH coding team and follow supervisory directions for task assignments. Qualifications CPC, RHIT, or AHIMA Certification Proficiency in Epic software 3-5 years of experience in inpatient/DRG/HB/surgical coding with specialty experience Must have personal computer, Teams/Samantic VIP access on phone Skills Technical: Epic...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a Medical Biller to support the front end of the billing process. The primary responsibilities include patient demographic research and insurance verification, working extensively with insurance verification portals for both Commercial and Government payers. Key Responsibilities Support the front end of the billing process Conduct patient demographic research and insurance verification Navigate and work with insurance verification portals Handle information from both Commercial and Government payers Perform research to ensure completeness of information Contact insurance companies for additional information when necessary Qualifications Experience navigating payer portals Experience in insurance verification / prior authorizations High School Diploma or GED 1500 billing experience...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a Certified Medical Coder to join their Revenue Cycle Management department. The position involves assigning and sequencing diagnostic/procedural codes according to payer regulations and industry standards to verify the accuracy and compliance of billable services. The role also includes recommending and implementing strategic coding protocols to maximize revenue and minimize denials while providing training and support to the RCM team and clinical practitioners. Key Responsibilities Expertly assign and sequence diagnostic/procedural codes (ICD-10, CPT, etc.) per payer regulations and industry standards. Conduct thorough reviews of claims, configurations, and patient charts to verify the accuracy and compliance of billable services. Drive best practices, coding recommendations, and policy setting...