Jobs in United States | Healthcare Careers

Full Time

Manager, Business Practice - Queen's University Medical Group

Queen's Health System Honolulu, HI, USA

The Queen’s University Medical Group (QUMG) is an academic medical group practice consisting of 600+ providers, representing 17 specialties, including Physicians and Advanced Practice Providers (Advance Practice Registered Nurses, Physician Assistants, Psychologists, Certified Nurse Midwives). covering four hospitals --The Queen’s Medical Center, The Queen’s Medical Center – West O‘ahu, Molokai General Hospital, Queen’s North Hawaii Community Hospital -- and ambulatory clinical sites. We have a strong commitment to ethical business practices, sustainable growth, and delivering outstanding results for our clients. As we continue to expand and evolve, we are seeking a dedicated and experienced Manager, Business Practice to join our team and lead in the development and implementation of best practices. As the Manager, Business Practice, you will play a critical role in shaping the ethical and operational standards of our organization. You will oversee the...

Full Time

CDI Manager - Onsite in Orange County CA

AAPC Recruiting Services CA, USA

Position Summary: The CDI Manager oversees and manages the Clinical Documentation Improvement (CDI) Program, taking charge of budgeting, monitoring, and ensuring compliance with healthcare regulatory standards. They uphold ACDIS & AHIMA guidelines and hospital policies, striving for high-quality, accurate medical record documentation through thorough reviews. Proactively seeking clarity from healthcare providers for specific documentation needs, they also continuously educate senior leaders and physicians on documentation guidelines. SKILLS AND CERTIFICATIONS [note: bold skills and certification are required] Previous lead or supervisory experience Familiarity with Utilization Review criteria Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements CDI Credential (CCDS, CDIP) Electronic Health Record experience: 3M, Epic Minimum 7 years clinical RN experience 5 years’ experience as a CDI Specialist Knowledge of...

Full Time

Operations Manager

AAPC Recruiting Services Phoenix, AZ, USA

As the Operations Manager, you play a crucial role in ensuring the smooth functioning and efficiency of our organization. Your primary responsibility is to provide leadership to your assigned office and oversee its overall performance. You will work closely with the Director of Operations to drive process improvements, implement changes, and evaluate the success of new initiatives. Your role also involves managing employees in compliance with company policies and regulations, from recruitment and training to performance management and issue resolution. Key Responsibilities: Enhance Organizational Effectiveness: Streamline operational systems, processes, and policies to align with our mission. Improve management reporting, information flow, and organizational planning. Boost Operational Efficiency: Enhance the effectiveness and efficiency of operations in your assigned region. Foster collaboration and communication between support and...

Full Time

HCC Manager - Risk Adjustment

Lexington Medical Center Remote (SC, USA)

HCC Manager - Risk Adjustment Coding and CDI Full Time Day Shift 8a-5p, Mon-Fri ***Remote Position - Candidates MUST live in the state of SOUTH CAROLINA*** Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #2 in the state and #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina. The 607-bed teaching hospital anchors a health care network that includes five community medical centers and employs more than 8,000 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina’s first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and education. The network also features an...

Full Time

Compliance Educator (Cert. Professional Coder)

Lexington Medical Center West Columbia, SC, USA

Compliance Educator (Cert. Professional Coder) Corporate Compliance Full Time Day Shift 8:00am - 5:00pm, Mon-Fri Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #2 in the state and #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina. The 607-bed teaching hospital anchors a health care network that includes five community medical centers and employs more than 8,000 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina’s first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and education. The network also features an occupational health center, the largest skilled nursing...

Full Time

Outpatient Medical Coder - Groton CT - Onsite Only

AAPC Recruiting Services Groton, CT, USA

Responsibilities : Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for outpatient encounters in a US Government facility. Plays a significant role in coding compliance activities. Knowledge and Skill: Excellent computer/communication skills Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience. Ability to handle multiple projects and appropriately prioritize tasks to meet deadlines Education/Certifications: RHIT, RHIA, CPC, CCS-P Obtain the required CEU requirements to maintain current and proper certifications Experience: Minimum of 3 years in the...

Full Time

Patient Accounts Claims Submission Representative

Patient First Glen Allen, VA, USA

Responsibilities include, but are not limited to, the following: Preparing claims for electronic claims submission through a clearinghouse or direct submission to the insurance payer; Preparing paper claims for submissions via mail; attaching medical records when necessary for claim processing; Retrieving correspondence received from the clearinghouse or insurance company via mail and resolving all rejected claims for resubmission; Updating the billing system with necessary corrections for claims submission; Troubleshooting claims submissions; Maintaining a daily log of all uploaded, sent, and rejected claims; Establishing and maintaining a professional relationship with the clearinghouse and all insurance Electronic Data Interchange (EDI) department personnel and co-workers; Working with the Insurance Specialists to ensure proper filing of claims; Operating, using, and maintaining office equipment as trained. Minimum education and professional...

Full Time

Medical Coder - Physician Practice

Children's Hospital of Philadelphia Philadelphia, PA, USA

Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP’s Commitment to Diversity, Equity, and Inclusion CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children. We strongly encourage all candidates of diverse...

Full Time

Medical Coding and Billing Specialist in West Palm Beach, Florida

AAPC Recruiting Services West Palm Beach, FL, USA

AAPC Recruiting Services is working on behalf of organization that has provided patients with unmatched quality care. This is a stable, private practice that offers personal care and focuses on building relationships with all the patients they serve. If you are detailed oriented, looking for a fantastic work culture, and like to be flexible...then read on! Currently, they are seeking a certified medical billing professional with the following qualifications: Able to work ON-SITE in the West Palm Beach (Florida) area Has 2+ years of experience in medical coding Has obtained and currently holds either Certified Professional Coder (CPC), Certified Risk Coder (CRC), and/or the Certified Professional Biller (CPB) The responsibilities include: Updates patient data, developing payment plans, and preparing invoices Ensures that patients are billed quickly and accurately Processes insurance claims, denials, and verifications within the standard monthly billing...

Full Time

Eligibility Billing Specialist - Hybrid

Pathology Billing Services Phoenix, AZ, USA

JOB SUMMARY: Hours: Monday - Friday 7am-5pm (Flexible) - Transitioning to hybrid soon Location: North Phoenix. 1929 W Lone Cactus Dr., Phoenix, AZ 85027 The Eligibility Billing Specialist provides comprehensive advanced billing support to Pathology Billing Services, LLC to enhance the generation of accurate billing of insurance claims and patient statements. All employees are responsible for supporting the company’s goals and mission by following all company policies and procedures. ESSENTIAL FUNCTIONS: Work assigned client workload in a timely manner. Review and resolve any front-end eligibility edits for clean claim submission(s) (i.e., patient demographics, insurance, etc.) Ability to research and obtain specific insurance plan information such as payor address, clearinghouse data and other field requirements. Maintains productivity and accuracy metrics per department expectations. Complete status...

Full Time

Pro-Fee Oncology Physician Coder - CA Residents Only

AAPC Recruiting Services Hybrid (CA, USA)

Organization benefits for position: 100% remote but candidate must reside in California These are full-time opportunities Full Benefits - Health/Dental/Vision/Life/AD&D/FSA Basic Term Life Insurance and accidental death insurance 401(k) contributions Client to p rovide Codify Equipment supplied Position – OP Ancillary Physician Coder: CPC or CCS required CHONC preferred Minimum of 3 years of current experience in a hospital or physicians office as a medical coder Expert knowledge of ICD10-CM, CPT, and HCPCS EPIC software experience required Proficient with Microsoft Purpose Statement / Position Summary Under the direction of the Coding Compliance Manager, the Pro-Fee Oncology Physician Coder will play a key role in reviewing and analyzing billing and coding for charge processing, specifically with...

Full Time

Certified Coder in Northern CA - Onsite Only

AAPC Recruiting Services CA, USA

Certified Coder is a nonexempt position responsible for front office and general coding billing duties. Responsible for Coding Audits, Claim, Billing review and compliance. Performance Requirements Knowledge Knowledge of billing practices and clinic policies and procedures. Knowledge of coding and clinic operating policies. Knowledge of medical terminology Knowledge of health care insurance claim practices and compliance. Knowledge of computer systems, programs, and applications. Skills Proficient skills in computer programs. Skill in using a calculator. Abilities Ability to understand and interpret policies and regulations. Ability to read and interpret medical charts. Ability to examine documents for accuracy and completeness. Ability to communicate effectively and work with others. Major Duties and Accountabilities Coordinates with clinical staff to verify charge and/or documentation information as needed...

Full Time

Medical Coding Modernization Specialist (CDIS) - Onsite Only

AAPC Recruiting Services Portsmouth, VA, USA

Summary: This position will support coding operations and compliance as part of the Medical Modernization Program. The coding professional will conduct internal audits; monitor coding practices and documentation deficiencies to identify, develop, deliver training and monitor effectiveness of efforts to ensure improvement to documentation, coding completion, timeliness and accuracy rates for the MTF. Knowledge and Skills: Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-CM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and, Resource Based Relative Value...

Full Time

Medical Coding Compliance Specialist - Onsite Only - Jacksonville FL - Relocation assistance available for US citizens

AAPC Recruiting Services Jacksonville, FL, USA

Summary: The position will reduce inpatient facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload surges, manning shortages, or computer system issues. This position will conduct focused audits for coding compliance or training purposes; develop standardized coding training; deliver coding education/training to individuals or groups; and identifying/educating on clinical documentation improvement opportunities. Knowledge and Skill: Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICDCM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings...

ST

Full Time

CDIS I

Standard Technology Portsmouth, VA, USA

Medical Coding Modernization Specialist (CDIS) This position will support coding operations and compliance as part of the Medical Modernization Program. The CDIS will conduct internal audits; monitor coding practices and documentation deficiencies to identify, develop, deliver training and monitor effectiveness of efforts to ensure improvement to documentation, coding completion, timeliness and accuracy rates for the MTF. Mandatory Knowledge and Skills. · Knowledge of The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-CM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment...

OS

PRN Corporate Coder

Other Staff Farmers Branch, TX, USA

The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC’s and/or other projects where indicated. Accurately and productively code/abstract patient health documentation for Tenet facilities. Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. Assisting in coding quality reviews/audits and second level reviews as needed. Attends Tenet coding educations and maintains coding credentials. #LI-CT1 Required: Associates or higher-level degree in a...

AC

Medical Records Record Coding Specialist

Aston Carter Saint Paul, MN, USA

Description: Coordinate and implement activities supporting accurate and timely document management, adherence to tight project timelines, and protection of PHI. Supports the team by requesting, retrieving, processing, tracking and organizing incoming Medical Records which will be reviewed by the clinical and/or coding teams. A Day in the Life: Conducts retrospective reviews of patient medical records to evaluate the completeness of documentation. Ensuring all notes are reflective and accurate in accordance with the claim data. Manage and maintain Medical records repository. Ensure accurate and timely record uploads, compliance with processes to protect PHI, and effective tracking of records and record requests. Retrieval of medical records via fax, mail, remote electronic medical record access or onsite visits at the provider location. Assist internal team and provider groups to troubleshoot any logistical or technical issues regarding records requests,...

AC

Remote Medical Records- Record Coding Specialist

Aston Carter Saint Paul, MN, USA

Description: Coordinate and implement activities supporting accurate and timely document management, adherence to tight project timelines, and protection of PHI. Supports the team by requesting, retrieving, processing, tracking and organizing incoming Medical Records which will be reviewed by the clinical and/or coding teams. A Day in the Life: Conducts retrospective reviews of patient medical records to evaluate the completeness of documentation. Ensuring all notes are reflective and accurate in accordance with the claim data. Manage and maintain Medical records repository. Ensure accurate and timely record uploads, compliance with processes to protect PHI, and effective tracking of records and record requests. Retrieval of medical records via fax, mail, remote electronic medical record access or onsite visits at the provider location. Assist internal team and provider groups to troubleshoot any logistical or technical issues regarding records requests, retrieval or...

OS

PRN Corporate Coder

Other Staff Balch Springs, TX, USA

The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC’s and/or other projects where indicated. Accurately and productively code/abstract patient health documentation for Tenet facilities. Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. Assisting in coding quality reviews/audits and second level reviews as needed. Attends Tenet coding educations and maintains coding credentials. #LI-CT1 Required: Associates or higher-level degree in a Health...

Senior Inpatient Facility Certified Medical Coder

UnitedHealth Group Chandler Heights, AZ, USA

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work. SM We’re focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Facility Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes...

1,824 jobs found in United States