FlexStaff Careers

Revenue Cycle Audit Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position Job Responsibility 1. Leverages clinical expertise to identify and validate DRG code assignment. 2. Full review of CDI suggested code changes 3. Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 4. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5. Applies coding rules and regulations to the validation review process. 6. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7. Communicates DRG changes and rationale to the coding and CDI staff. 8. Identifies...

Revenue Cycle Coding Specialist Conducts concurrent and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with medical directors and staff to enhance the quality of physician documentation, ensuring a precise representation of the patients' severity of illness, anticipated risk of mortality, and the complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric patient encounters. Strives to optimize coding practices, minimize denials, and maintain the highest standards of data integrity. Job Responsibility 1. Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses, procedures, and appropriate levels of service, adhering to established coding guidelines (ICD-10-CM, CPT, HCPCS). 2. Applies advanced knowledge of pediatric anatomy, physiology, and medical terminology to interpret clinical documentation and...

Health Information Management Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1. Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3. Utilizes resources and reference materials to identify appropriate codes and reference code applicability, rules and guidelines. 4. Applies the Uniform Hospital Discharge Data Set definitions as well as any additional regulatory guidelines and/or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable), as documented in the medical...

Job Description FlexStaff is seeking a Medical Billing Specialis t for our client, an ambulatory surgery clinic, located in Manhattan, NY. Schedule: Monday - Friday, 8:00AM-4:00PM. This is temp-to-hire role. In this role you will be responsible for performs various billing, collection and third-party reimbursement functions. Prior third-party insurance billing experience is required. Responsibilities include, but not limited: Enters charges, payments, and adjustments into department computer system and/or posts to manual records. Reviews batches to ensure accuracy. Verifies patient demographics, third-party coverage, codes, allowances, etc. Prepares bills and/or correspondence to third-party carriers and/or patients for reimbursement for services rendered. Attends to telephone inquiries, audits and mail applicable to accounts receivable. Sets up financial agreements with patients, as required. Keeps billing files organized. Maintains daily, weekly and...

Job Description Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in Chappaqua, NY 3 days a week. Are you a seasoned compliance professional with a passion for anesthesia and healthcare auditing? Do you thrive in fast-paced environments where your expertise can make a real impact? FlexStaff is seeking a dynamic, detail-oriented Lead Compliance Auditor to join our client's team and lead the charge in safeguarding healthcare integrity and regulatory excellence! Position Summary: As a Lead Compliance Auditor, you will leverage your extensive anesthesia auditing experience to oversee comprehensive compliance reviews, develop training programs, and collaborate with senior leadership to enhance our compliance framework. Your expertise will ensure the organization remains at the forefront of regulatory adherence, risk mitigation, and quality improvement. Ready to make a difference in...

Job Description We are looking for a Medical Biller with experience in multispecialty billing and strong knowledge of medical billing and insurance reimbursement processes to work for our external client, a world leading out-patient medical center, located in Manhattan, NY. In this role you will be responsible for full cycle claims processing, managing denials, and assisting with billing-related reporting and audits. This is a full-time, permanent job. Monday - Friday, 9:00am-5:00pm, 100% working from the office. Requirements: 2+ years of experience in medical billing and claims processing, and insurance follow-up. Certification in medical billing and coding preferred (e.g., CPC, CPA, or equivalent). In-depth knowledge of CPT, ICD-10, and HCPCS coding systems. Responsibilities: Timely and accurately submit claims to both private and public insurance carriers, including Medicare, Medicaid, and commercial plans. Investigate and resolve denied or unpaid...

Job Description FlexStaff - Head Surgical Coding Manager & Compliance Auditor Are you a seasoned coding professional with a passion for accuracy, compliance, and team leadership? Do you thrive in a fast-paced healthcare environment and want to make a real impact? FlexStaff wants you to lead our client's anesthesia and procedural coding efforts! The Head Surgical Coding Manager & Compliance Auditor play a pivotal role in ensuring the organization's coding excellence, compliance, and revenue integrity. Ready to lead the charge in healthcare coding excellence? Don't miss this incredible opportunity to make a difference! Responsibilities: Must have Leadership & Surgical Coding Experience. Lead and inspire a team of Coding Team Leads, fostering a culture of accuracy and continuous improvement Oversee all anesthesia and procedural coding, ensuring compliance with the latest regulations and payer guidelines Conduct meticulous audits, identify...