Medix

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 Coding Auditor. The position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based on documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. The role includes performing data quality reviews to ensure data integrity, coding accuracy, and revenue preservation. Additional duties involve participating in quality review and performance improvement projects throughout the department and/or facility. Key Responsibilities Ensure accuracy in code assignment of diagnosis and procedure for outpatient and inpatient encounters. Maintain compliance with established rules and regulatory body guidelines. Conduct data quality reviews to ensure data...

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 Physician Coder to join their team. The primary responsibility of this role is to provide coding services for a Level 1 trauma facility, which includes coding for cardiac, NICU, cancer, and spinal surgeries. Key Responsibilities Perform coding for Level 1 trauma facility. Handle coding requirements for cardiac, NICU, cancer, and spinal surgeries. Qualifications Experience in Level 1 trauma coding. Proficiency in working with CDI teams. Hours Per Week 40 Benefits Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances). Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits...

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 Coder to manage the full A-Z cycle for out-of-network billing across multiple practices. The candidate will play a critical role in overseeing and directing offshore staff to ensure tasks such as medical records delivery, appeal drafting, and payment posting are executed efficiently. A key responsibility will be interpreting Explanation of Benefits (EOBs) and identifying cases eligible for arbitration under the Federal No Surprises Act. Key Responsibilities Managing the complete cycle for out-of-network billing for eight practices. Overseeing and directing ten offshore staff members. Ensuring the delivery of medical records, drafting of appeals, and posting of payments. Interpreting EOBs and identifying cases eligible for arbitration under the Federal No Surprises Act. Qualifications...

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,...

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...

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,...

We are currently hiring a fully remote Inpatient Facility Coder for a great healthcare organization! Equipment is provided Schedule: M- F 8am-5pm Day to day responsibilities: Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition Ensures appropriate DRG assignment Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record Consistently meet productivity and quality performance requirements Responsible for utilizing applications to enter charts coded in real-time throughout the scheduled shift As an experienced coder, you will be responsible for providing coding and abstracting services for clients' inpatient charts You will use established coding principles and your knowledge and experience to...

A leading healthcare organization is seeking a fully remote Inpatient Facility Coder. This role involves reviewing medical records to ensure correct coding and DRG assignment while maintaining coding credentials. Candidates must have at least 3 years of experience, including knowledge of ICD-10-CM and CPT coding. The position allows for flexibility across multiple clients and supports coding education within the team. A proficiency test is required for candidates. Equipment is provided, with a standard schedule of Monday to Friday, 8 AM to 5 PM. #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 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 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 Inpatient Coder responsible for reviewing and analyzing inpatient medical records from admission through discharge. The primary goal of this role is to ensure completeness and accuracy in assigning appropriate ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and DRGs, while maintaining compliance with federal regulations and payer guidelines. Key Responsibilities Review and analyze inpatient medical records for completeness and accuracy. Assign appropriate ICD-10-CM diagnosis and ICD-10-PCS procedure codes. Identify and sequence principal and secondary diagnoses. Ensure accurate assignment of DRGs for reimbursement. Evaluate documentation for severity of illness and risk of mortality. Query physicians for clarification of incomplete or conflicting documentation. Collaborate with...

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...

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 We are seeking detail-oriented and adaptable Medical Coder for a unique, project-based opportunity at the intersection of healthcare and advanced technology. This role focuses on reviewing and validating AI-assisted coding outputs to ensure accuracy, compliance, and timely claim submission. Coders in this role will primarily work within an AI-driven auditing system, reviewing flagged encounters, validating medical decision-making, and optimizing coding quality within the Electronic Health Record (EHR). This is an excellent opportunity for individuals who enjoy problem-solving, high-volume workflows, and working in an evolving, tech-enabled environment. Key Responsibilities Review and assign accurate codes for Evaluation & Management (E&M) services using medical decision-making and time-based guidelines Perform...

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 high-volume coding and billing work queues within Athena and Epic environments. The position involves facilitating first-pass resolution of claims, reviewing and resolving coding-related denials, and acting as a subject matter expert for billing and coding inquiries, ensuring rigorous adherence to regulatory compliance. Responsibilities / Job Duties Manage high-volume coding and billing work queues within Athena and Epic environments, adhering to strict productivity and quality benchmarks. Facilitate first-pass resolution by ensuring all claims are billed accurately and timely; identify and route documentation gaps for provider clarification. Review and resolve coding-related denials, medical necessity challenges, and payer rejections to reduce rework and support prompt...

Job Description We are seeking a detail-oriented and motivated Medical Biller/Collector to support a fast-paced healthcare organization. This role is responsible for managing billing operations, following up on accounts, and communicating with insurance providers and patients to ensure timely and accurate reimbursement. This position is fully onsite in West Hollywood, CA. Candidates must reside in Los Angeles County and be able to reliably commute to the worksite. Responsibilities/ Job Duties: Process and review medical claims for accuracy and completeness prior to submission Perform high-volume account follow-up (100+ daily touches including calls, claim reviews, and updates) Handle both inbound and outbound calls with insurance companies and patients Work with a variety of payers including commercial, HMO, and government plans Review and interpret EOBs (Explanation of Benefits) and communicate findings to patients when needed Resolve...

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 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...