PRIDE Health

  • downey, CA, United States
PRIDE Health Dover, DE, USA
Pride Health is hiring a Medical Coding Auditor to support our client’s medical facility in Dover, DE . This is a 13-week assignment (Possibility of extension or conversion) opportunity and a great way to start working with a top-tier healthcare organization! Job Title: Medical Coding Auditor Shift: Days, Full-Time Location: Dover, DE Annual Salary Range: $53,000 - $81,000 with benefits General Summary: The Medical Coding Auditor is responsible for performing data quality reviews on provider records to ensure accurate ICD-10 and CPT coding, as well as proper clinical documentation. This role involves auditing medical records for accuracy, ensuring compliance with documentation requirements, and educating providers, coders, and billing staff on proper coding practices. Key Responsibilities: Audit medical records to validate accurate CPT and ICD-10 codes. Compile and analyze audit reports, ensuring selected CPT codes align with clinical...

PRIDE Health Hartford, CT, USA
Pride Health is looking for a Medical Coder (Certified Coding Specialist) to support our client’s medical facility, which is 100% remote . This is a great role with a 4+ month contract to hire with the possibility of extension and a great way to start working with a top-tier healthcare organization! It's an 100% remote Job Title: Medical Coder (Certified Coding Specialist) Rate: $20 to 26/hr. (Depends upon Years of experience) Duration: 4+month contract to hire (Depends on performance) Shift: 1st Shift Location: Hartford, CT (100% REMOTE) Position Overview: We are seeking an experienced Certified Coding Specialist (CCS) to join our team in a remote position, with the potential for temp-to-hire. This role involves reviewing inpatient clinical documentation to assign accurate diagnostic and procedural codes for statistical reporting, regulatory compliance, and reimbursement purposes. The ideal candidate will have at least 3 years of progressive...

PRIDE Health Dallas, TX, USA
Job Description Job Description Pride Health is hiring a Certified Medical Coder to support our client’s medical facility based in Dallas, TX. This contract opportunity is a great way to start working with a top-tier healthcare organization!     *REMOTE POSITION* Job Type: Contract Duration: 13 weeks Location: Dallas, TX - 75235 Schedule: 8 am - 5 pm CST, scheduling at the discretion of the Department / 40 hours/week - weekend requirements to be decided at the interview Pay Range: $22.00 - $27.70 / hour *Offered pay rate will be based on education, experience, and healthcare credentials.      Requirements: Strong understanding of Coding and CPT Guidelines for E/M (Evaluation and Management) Ability to demonstrate coding knowledge through questions Experience in clinic coding, including office-type procedures, vaccinations, and E/M leveling Familiarity with modifiers used in the clinic setting Risk Adjustment experience is acceptable but must...

PRIDE Health Costa Mesa, CA, USA
Pride Health is hiring a Medical Biller to support our client’s medical facility based in Costa Mesa, California .This contract opportunity is a great way to start working with a top-tier healthcare organization! Responsibilities: Act as the account representative for Hoag, working with insurance companies, government payors, and patients to resolve payments and accounts. Complete assigned accounts and ensure maximum reimbursement by evaluating claims at contract rates (APC, DRG, APRDRG). Initiate appeals for underpayments and follow timely requirements to secure reimbursement. Review and respond to payor and patient correspondence in a timely manner. Escalate accounts requiring appeals due to billing, coding, or underpayment issues. Report new billing edits for review and resolution. Understand Revenue Cycle processes, managed care contracts, and payor rates, including Federal and State requirements. Interpret Explanation of Benefits (EOBs) and Electronic...