Medix

A healthcare coding firm is looking for a candidate to validate coding and prepare reviews from state and federal agencies. This role requires excellent communication skills, a minimum of two years' experience in medical coding, and necessary certifications like RHIA or CCS. It's primarily onsite but offers some remote work after training. Full-time hours, competitive pay, and benefits are provided, including a 401k plan. #J-18808-Ljbffr

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 efficiently and accurately code diagnoses and procedures using ICD-10 for hospital medical records. The role involves ensuring compliance with regulatory standards and meeting productivity and accuracy goals. Key Responsibilities Coding via work queues using EPIC and 360 as an EM coder. Analyze complex hospital medical records to assign accurate ICD-10 diagnosis and procedure codes. Ensure regulatory compliance. Meet productivity and accuracy standards. Qualifications CCS, RHIT, HEMA, or AAPC/APC credentials required. Experience 3+ years of experience in inpatient coding from a large organization, preferably a Level II trauma center. Candidates must have consistent employment tenure with more than a couple of years at one place. Skills Proficiency...

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 lead and oversee the coding team. The primary responsibilities include reviewing accounts after coders, responding to coding escalations, and ensuring compliance with federal and state regulations. Key Responsibilities Oversee a team of 11 coders. Review accounts post-coding and work with Claimedics. Provide support and conduct research for provider office staff on coding-related questions. Ensure compliance and revenue related to reimbursement is coded and billed within appropriate timelines. Maintain departmental standard work and stay updated on coding and billing guidelines. Assign ICD-10-CM diagnostic and procedure codes accurately for professional or facility coding. Qualifications Working-level knowledge of the English language is required. High School Diploma...

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....

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...

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 a CPC Coder to join their team in a centralized business office environment. The primary responsibilities include managing the billing process by researching necessary information, coding procedures and diagnoses, assisting with insurance claims, and maintaining confidentiality while performing other related tasks. Key Responsibilities Research necessary billing information from physicians. Code procedure and diagnosis information on charges. Assist in processing insurance claims, including Medicaid/Medicare. Handle all insurance provider correspondence and forms. Facilitate patient form completion and address inquiries. Input charge information into the billing system and produce billings. Manage bank deposits and relevant record-keeping. Follow-up and resolve issues with insurance...

Medical Biller / Payment Poster Specialty Clinic - Northwest Houston, TX (77065) About: We are partnering with a specialty clinic in Northwest Houston to hire a Medical Biller / Payment Poster to join their Revenue Cycle team. This is a great opportunity for someone with a solid understanding of the full revenue cycle who can work both independently and collaboratively in a fast-paced environment. Position Details: Location: Fully onsite - Houston, TX (77065) Pay: $17-$21/hour (DOE) Schedule: Monday-Friday, 8:00 AM - 5:00 PM Dress Code: Business casual Type: Contract-to-hire (520 hours) Key Responsibilities: Liaison Work: Handle claim clarifications Audit dispensed DME and injections Generate monthly provider reports Payment Posting: Post settlement payments from Letters of Protection (LOPs) Process rheumatology infusion payments (under company Tax ID) Administrative Support: Participate in shared voicemail rotation Respond to...

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 Facilities Manager to oversee coding responsibilities within a hospital setting. The primary responsibilities include assigning Interim DRGs, attending mandatory meetings, adhering to coding guidelines, and meeting productivity standards across various hospital records. The role also involves resolving billing issues and expediting the billing process. Key Responsibilities Assign Interim DRGs as requested by hospital departments such as finance and medical management. Attend standard, scheduled, and mandatory meetings/education sessions. Follow coding guidelines and ensure the quality of coding for accurate reimbursement. Meet productivity standards for emergency, outpatient, day surgery, and series accounts. Assist with resolution of OCE, medical necessity, discharge status, missing procedure...

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...

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 proficient Coder to accurately assign ICD-10, CPT, and HCPCS codes for outpatient surgical procedures across multiple specialties. The role involves conducting coding audits, providing virtual education, reviewing clinical documentation, and collaborating with various stakeholders to resolve coding-related questions. Key Responsibilities Accurately assign ICD-10, CPT, and HCPCS codes for outpatient surgical procedures across multiple specialties. Perform coding audits to identify missed revenue, compliance risks, and coding trends. Provide virtual coding and documentation education to physicians and practice managers. Review clinical documentation and payer policies to ensure timely and accurate reimbursement. Conduct research and data analysis on coding and billing issues, recommending process...

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 Supervisor to oversee a team of inpatient coders at a teaching hospital. The primary responsibilities include managing the daily operations of the coding team, ensuring efficient staffing, fair work distribution, and accurate, timely completion of coding tasks. Key Responsibilities Oversee and manage a team of 11 inpatient coders and 4 leads. Coordinate work schedules, evaluate contract service coverage, and adjust staffing plans as necessary. Perform coding tasks, including assigning ICD-9-CM/ICD-10-CM/PCS and CPT codes, and conducting data entry and abstracting. Review and analyze health records for coding accuracy and completeness. Qualifications More than 1 year of experience in inpatient coding. Competency in complex procedure coding, specifically in Ortho,...

JOB TITLE: DRG/CPD Coder OVERVIEW: Seeking Coders to join the DRG Review team. These coders are working with NY Medicaid to review high cost claims and may be up to multimillion dollar claims. The target background is a medical coder with a strong DRG background. Candidates should have inpatient experience or open to someone with outpatient or a blend. Coder will be receiving claims that have already been decided and then it is up to them to review the claim and the decision and then be able to write a summary explaining why they are upholding or overturning the decision and be able to quote the chart or the coding guidelines to substantiate. Coder will be handling anywhere from 10-12 claims a day, depending on the complexity of the claim. DUTIES: Validate and verify submitted codes for DRG validation. Apply national coding standards and regulations to the claims and clinical data. Provide subject matter input and support agency-wide projects. Other duties as...

A medical academic center is looking for a REMOTE Outpatient Surgery Coder to join their team. Overview of Responsibilities: Review electronic health records and supporting documentation in Epic and/or Cerner to identify all billable ambulatory surgery procedures and services requiring facility fee coding through Epic Hospital Billing (HB) and 3M Computer Assisted Coding (CAC). Assign appropriate CPT, ICD-10-CM, and HCPCS codes for all ambulatory surgery procedures and related diagnoses. Review and resolve coding edits associated with procedures and services performed during ambulatory surgery visits in the operating room. Collaborate with physicians and clinical department representatives to verify services are rendered, properly documented, and meet requirements for outpatient/ambulatory coding. Maintain a three-day coding turnaround time for ambulatory surgery accounts based on date of service. Identify and escalate issues impacting timely coding,...

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 diligent and detail-oriented Medical Billing Specialist. The primary responsibility is to ensure accurate and timely submission of professional claims to insurance carriers and patients. The role involves maintaining compliance with payer requirements and optimizing reimbursement through proactive claim review and correction. Key Responsibilities Review and submit electronic and paper claims for assigned providers or specialties. Validate claim accuracy including CPT, ICD-10, HCPCS, modifiers, and provider information. Resolve claim edits and clearinghouse rejections prior to submission. Correct demographic, authorization, or insurance errors impacting claim submission. Monitor claim batching and transmission reports daily. Ensure compliance with payer-specific billing guidelines. Collaborate...

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 Medical Coders dedicated to Electronic Transaction Management (ETM) denial research. The primary responsibilities include reviewing claims denied by insurance companies, identifying root causes, such as incorrect coding or missing modifiers, and preparing them for correction. Position is 100% remote and open to candidates residing in select states. Key Responsibilities Conduct deep-dive research into high-volume denial queues with approximately 1,000 total claims pending. Perform initial reviews and identify necessary charge corrections or modifiers for implementation by the coding manager. Productivity Metric: Aim to process 20-25 claims per day, focusing on high-quality research. Utilize IDX as the primary system, with Epic and Athena as secondary resources. Qualifications Must hold a CPC or...

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...

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 a Medical Coder to accurately code professional fee encounters for Cardiology and/or Ophthalmology services. The primary goal is to ensure compliance with documentation standards and coding guidelines while maintaining productivity expectations. Key Responsibilities Review and accurately code professional fee encounters for Cardiology and/or Ophthalmology services. Assign CPT, E&M, and applicable modifiers in compliance with payer and regulatory guidelines. Review and thoroughly break down patient charts to ensure complete and accurate code assignment. Utilize EPIC efficiently, including reviewing charts and working within EPIC workflows/folders. Maintain productivity expectations of 70-75 encounters per day while upholding quality standards. Identify documentation gaps and communicate...

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...