Careers Integrated Resources Inc

Specialty Physician Coder Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing. This role is responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. The Specialty Physician Coder works with the Coding Compliance Manager on discovered coding trends, irregularities, and needed action items. Job Responsibilities: Achievement of productivity standards as established by management. Achievement of quality standards as established by management. Analyze and interpret medical information in the medical record and assign and sequence the correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical...

Hospital Care Investigator | Medical Biller Location: New York, NY 10037 Duration: 3+ months with very high possibility of extension Shift Time: 9:00 AM5:00 PM | 8.00 Hours/Day | 40.00 Hours/Week Pay: $28/hr. -$30/hr. on w2 Schedule Notes Experience in medical billing, billing edits, denials, and claims follow-up required. Hands-on experience with EPIC and insurance billing processes required. 1 year of experience with a bachelor's degree or associate/GED with a minimum of 4 years of relevant experience. Interviews will be conducted onsite. Duties & Responsibilities Review accounts, correct claim edits, prepare and complete claims for submission to payers. Post all types of payments and update patient accounting systems. Complete both paper and electronic claims in a timely manner. Effectively use computer systems. Document patient information clearly and completely in systems. Interact with other departments to complete billing on accounts. Process rejections, denials, and...

Hospital Care Investigator | Medical Biller Location: New York, NY 10037 Duration: 3+ months with very high possibility of extension Shift Time: 9:00 AM–5:00 PM | 8.00 Hours/Day | 40.00 Hours/Week Pay: $28/hr. -$30/hr. on w2 Schedule Notes Experience in medical billing, billing edits, denials, and claims follow-up required. Hands-on experience with EPIC and insurance billing processes required. 1 year of experience with a bachelor's degree or associate/GED with a minimum of 4 years of relevant experience. Interviews will be conducted onsite. Duties & Responsibilities Review accounts, correct claim edits, prepare and complete claims for submission to payers. Post all types of payments and update patient accounting systems. Complete both paper and electronic claims in a timely manner. Effectively use computer systems. Document patient information clearly and completely in systems. Interact with other departments to complete billing on...

Specialty Physician Coder Fully remote role - Must reside in CA - CPC, CCS, or equivalent certification required. Specialty coding certification is highly desired. Role Requirements: Surgical breast oncology (including plastic reconstructive breast surgery), Hematology/Oncology Must be able to abstract the chart review to capture all billable charges EPIC experience: charge entry and charge review experience required Strong Evaluation and Management (E/M) inpatient and outpatient coding experience Must reside in CA but can be remote Profee ONLY NOT HCC/risk adjustment, ASC, or facility coding Desire to convert to full-time employment Bonus/Nice to Have: GYNONC coding experience Experience working on denials GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more) Job Description: Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty...

Coder II Location: Remote Duration: 6 Months Payrate: $21.66/hr. on W2 (hourly payrate) Will this role be fully remote?: Role is fully remote Are there any specific locations the candidates should be in (i.e., do they need to live in IL): Anywhere US (approved Client States) CANDIDATES MUST LIVE IN ONE OF THE PREFFERRED 17 STATES ((AZ, SC, MI, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle), WI) What are the day to day job duties?: Coding for multiple concepts to determine principal diagnosis as well as working with repricing the claims Top Skills Required: CIC or CCS coding certification Is there potential for this to extend past 6 months and/or convert to an FTE?: yes, potential to extend past 6 months Job Description: Directly responsible and accountable for performing chart reviews, physician education, and maintaining comprehensive knowledge of coding rules and regulations. Provide overall coding expertise as well as...

Hcc | Risk Adjustment Coder Location: Newark, NJ (100% Remote) Duration: 6 months (possible extension) Pay Rate: $30 - $35/hr. on W2 Schedule: Regular Business Hours. Important Details: Candidates can be located in any one of the five states: NJ, NY, PA, CT, and DE. You will be required to travel for the pickup and return of equipment, and/or laptops that need servicing. Job Summary Responsible for reviewing, auditing, coding, and analyzing medical records to ensure accurate diagnosis documentation and HCC abstraction. Supports Medicare, Medicaid, Commercial Risk Adjustment programs, and RADV audits while ensuring compliance with ICD-10 coding guidelines and risk adjustment regulations. Key Responsibilities Review medical records for coding accuracy, completeness, and compliance Abstract and validate HCC diagnoses using ICD-10, CPT, and HCPCS coding systems Support Medicare Advantage, Medicaid, Commercial, and ACA risk adjustment initiatives Participate in...

Coder II Location: Remote Duration: 6 Months Payrate: $21.66/hr. on W2 (hourly payrate) Will this role be fully remote?: Role is fully remote Are there any specific locations the candidates should be in (i.e., do they need to live in IL): Anywhere US (approved Client States) CANDIDATES MUST LIVE IN ONE OF THE PREFFERRED 17 STATES ((AZ, SC, MI, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle), WI) What are the day to day job duties?: Coding for multiple concepts to determine principal diagnosis as well as working with repricing the claims Top Skills Required: CIC or CCS coding certification Is there potential for this to extend past 6 months and/or convert to an FTE?: yes, potential to extend past 6 months Job Description: Directly responsible and accountable for performing chart reviews, physician education, and maintaining comprehensive knowledge of coding rules and regulations. Provide overall coding expertise as...

Associate Director, Medical Affairs Location: Cambridge, MA (100% Remote) Duration: 6 Months+ Possible Extension Pay Range: $100-$120/hr Manager Notes: Hybrid preferred. But remote candidates can also be considered. If Hybrid, expected to visit the office at least twice a week. No specific days, depends upon the requirement. High likelihood of further extensions beyond the given end date. Summary & Purpose of the Position Reporting to the Senior Director, Medical Affairs (Adult Cholestatic Diseases), the Associate Director, Medical Affairs, will support and oversee select medical affairs activities related to biliary atresia. This role will contribute to the U.S. medical strategy for elafibranor and the broader Medical Affairs plan for cholestatic diseases. Responsibilities include medical review of non-promotional and promotional content, information responses (in collaboration with Medical Information), scientific communications including poster presentations and...

Medical Coder A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description Position Details: Client Direct Client Location Cambridge, MA Job Title Medical Coder Position Duration 9+ Months Must have skill-set [Job Description] Job Summary The Medical Coder is responsible for conduct of centralized medical coding activities. As part of the study management team (SMT), the Medical Coder works in partnership with the Clinical Data Project Manager (CDPM) and Clinical Programmer (CP) to ensure coding targets are identified during...

Certified Professional Coder Job Location: Hopewell, NJ Job Duration: 6 Months (possibility of extension) Payrate: $35 - $38/ hr. on w2 Job Summary: This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends. The role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. The position also provides education and guidance on ICD-10-CM coding, DRG assignment, payment methodologies, and auditing practices. Key Responsibilities: Lead hospital billing and coding audits, both on-site and remote Identify and present billing discrepancies and coordinate improper claim payment referrals Analyze trends related to documentation, billing errors, and provider contract interpretation issues Compile audit...

Specialty Physician Coder Fully remote role - Must reside in CA - CPC, CCS, or equivalent certification required. Specialty coding certification is highly desired. Role Requirements: Surgical breast oncology (including plastic reconstructive breast surgery), Hematology/Oncology Must be able to abstract the chart review to capture all billable charges EPIC experience: charge entry and charge review experience required Strong Evaluation and Management (E/M) inpatient and outpatient coding experience Must reside in CA but can be remote Profee ONLY – NOT HCC/risk adjustment, ASC, or facility coding Desire to convert to full-time employment Bonus/Nice to Have: GYNONC coding experience Experience working on denials GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more) Job Description: Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and...

Urgent Requirement - Certified Professional Coder Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right...

Provider Liaison - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description One of our direct client is looking for potential candidate with the below mentioned skills Direct Client: Immediate Interview Contract to Hire Position: Provider Liaison MUST HAVE: 5 years of experience into Project Management At least 2 years of experience after CPC or CCS certification Bachelor's degree is a must Certifications AAPC Certified Professional Coder (CPC) or...

Benefit Coder Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description The role is responsible for execution of requests related to benefit maintenance, additions and changes across all business units within the RxClaim system. Review, analyze and handle client benefit information requests received via SalesForce.com or email. Assess completeness and accuracy of data, resolve issues based on acquired learning and tools and escalate issues on a timely basis. Ensure that individual, team-specific and site-wide metrics are achieved. Activities include but...

Certified Professional Coder (CPC) Lead/Provider Liaison A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. This is Contract position with my direct client Job Description Direct Client Need- Immediate Interviews- We have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJ Duration: Contract to Hire Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational...

Job Title :Medical Coder Coordinator Location :Fully remote Duration :6 Monthscontract (possibilities of extension “ temp to perm) Shift :from Monday to Friday. 9 am to 5:30 pm Pay Rate:$21.42/Hour. on W2 Job Description:We are seeking a highly motivated and detail oriented professional to join our team and perform retrospective payment reimbursement reviews. The ideal candidate thrives in a fast paced, deadline driven environment and can effectively manage multiple priorities with accuracy and efficiency. This individual must have a strong understanding of how modifiers impact reimbursement and how CPT codes interact with one another. The candidate should also be proficient in reading and interpreting Explanations of Benefits (EOBs), including recoupments, corrections, and other claim adjustments. Additionally, a broad and in depth knowledge of CPT codes across all provider specialties is essential. Requirements: 1year of recent experience as a medical...

Coding Auditor (ICD-10)A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas:Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.Job DescriptionPosition:Coding Auditor (ICD-10)Duration:Full-TimeLocation:Newark/Wall NJJob Summary:This position is responsible for conducting on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit trends. Performs and finalizes multiple per diem, bill verification, DRG Validation (utilization review audits) and credit balance. Additionally provides guidance/instruction to various stakeholders on ICD9-...

Certified Medical Coder Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge...