2224 jobs found

The Remote Coding Denials Specialist- Pro Fee must be proficient in working denials for multispecialty coding, along with E&M coding for all places of services.  Will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. The coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets.  The coder scope will involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines.     Qualifications CPC or CCS certification required...

Job Summary: The Ophthalmology Billing Specialist plays a key role in managing the full revenue cycle process for eye care providers. The ideal candidate has a strong background in medical billing with AAPC certification (CPB, CPC, or equivalent) and a specific understanding of ophthalmology-related procedures, modifiers, payer policies, and coding guidelines. Key Responsibilities: • Submit accurate and timely ophthalmology claims to Medicare, Medicaid, and commercial payers via electronic and paper submission. • Apply appropriate coding (CPT, ICD-10, HCPCS) for ophthalmology services, including office visits, diagnostic testing (OCT, visual fields, fundus photography), minor and major surgical procedures (e.g., cataract surgery, laser procedures). • Utilize ophthalmology-specific modifiers (e.g., -RT/-LT, -51, -25, -59, -24, -78, -79) accurately. • Review and correct claim denials or rejections; follow up with insurance companies to resolve unpaid claims. • Post insurance...

Shriners Children's is the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center.  We have an opportunity for a remote Senior Professional Coder reporting into our Corporate Headquarters location. The Senior Professional Coder performs at an advanced level medical coding position and serves as an expert utilizing ICD-10 and CPT4 classification system coding to all diagnoses, treatments and procedures in all types of Hospital, Clinic and Ambulatory Surgical Center (ASC) locations at stated minimum performance levels. In addition, the Senior Professional Coder provides coding insight and guidance to clinical staff, Clinical Documentation Improvement (CDI), Professional Coder 1 and Professional Coder II positions as well as Revenue Cycle leadership. Responsibilities: Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure Coding (HCPC) and modifier codes for services rendered accurately and...

Shriners Children's is the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center.  We have an opportunity for a remote Professional Coder II reporting into our Corporate Headquarters location. The Professional Coder II performs at an advanced level medical coding position and serves as an expert utilizing International Statistical Classification of Diseases (ICD-10) and Current Procedural Terminology (CPT 4) classification system coding to all diagnoses and procedures on a variety of encounter types including but not limited to Profee Evaluation and Management (E/M) and Profee in-office simple surgery at stated minimum performance levels. Responsibilities: Interpret health record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology and medical terminology to identify diagnoses and procedures Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure...

Busy Medical clinic is looking for medical biller who has extensive billing experience. We are looking for biller that submit claims to insurance companies in daily basis, ensuring all information is accrae and complete. Follow up claim that got denied or unpaid claims with insurance companies. Post insurance payments and patient payments to the appropriate accounts. Verify patient insurance eligibility and benefits. Maintain and update patient acccounts, including managing outstanding balances, payment plans, and collection efforts.

We currently have two openings for Internal Audit Billing and Coding Managers. One on the Inpatient Team https://careers.hcahealthcare.com/search/jobs?cfm7%5B%5D=3055526 One for Physician Coding and Billing Compliance https://careers.hcahealthcare.com/search/jobs?cfm7%5B%5D=3069296 This is a Manager that assists the Director with Managing the audit plan, not managing people on the team.   Salary is based on experience.  

We are seeking a detail-oriented and experienced Supervisor / Surgical Specialty Coder – with Specialty in Spinal Surgery who will be a part of the Revenue Cycle Management team.  The surgical specialty coder will be responsible for accurately reviewing and coding surgical procedures and related diagnoses, reviewing and correcting claims that have been denied by the insurance payor for coding related issues, ensuring compliance with all applicable coding standards, regulations, and guidelines, as well as communicating and supporting coding rationales to physicians and leadership. Your expertise in surgical specialties, attention to detail, and understanding of medical terminology will support the financial health of the organization and facilitate accurate reimbursement. Key Responsibilities Medical Coding: Assign accurate CPT, ICD-10-CM, and HCPCS codes for surgical procedures, diagnoses, and related services. Review clinical documentation to ensure coding...

JOB SUMMARY: Management and 24-hour responsibility for the planning, organizing, staffing, coordinating, and controlling of all functions of the Health Information Management Department comprising of inpatient and outpatient coding, chart abstracting, release of information, scanning, deficiency analysis, data integrity and tumor registry. Schedule: 1.0FTE (40 hours) Mon-Fri 8a-5p ESSENTIAL FUNCTIONS, DUTIES, AND RESPONSIBILITIES: Prepares and administers the department’s annual operating and capital budget within financial expectations; accounts for variance. Recruits, develops, retains, and leads an appropriate number of personnel to meet department needs and the goals and objectives of Livingston HealthCare. Develops an annual education plan to include updates and continued education specific to medical coding, release of information, chart abstracting and analysis, privacy, and regulatory rules and guidelines....

As the Coding and Billing Supervisor, you are adaptable, communicative, and a self-starter. You will play a crucial role in managing the coding and billing team as well as the processes that ensure accuracy and compliance. The Coding and Billing team reviews documentation, accurately codes and keys medical procedures for reimbursement, and regularly interacts with providers and members of the Accounts Receivable team. The Coding and Billing Supervisor provides regular updates to the Revenue Cycle Manager, prioritizes and assigns work for the Coding and Billing team, identifies training needs, manages resources, and resolves escalated issues.  This supervisory position requires strong leadership skills, proficiency in oral and written communication, attention to detail, and a strong understanding of medical coding and billing practices. This role is full-time, in office.   Responsibilities  Supervise, mentor, and train a team of coding and billing...

Northwest Anesthesia Physicians is currently accepting applications for a full-time Certified Coding/Charge Entry Specialist. The coding professional must be detail oriented, possess excellent time management and problem-solving skills. Our practice provides services to several local medical facilities, and we are looking for a team member who is proficient in all aspects of CPT and DX coding to meet our high-volume needs and accuracy requirements. The position is offered in an in-office setting, with potential hybrid capabilities after skills have been fully demonstrated in the office.   Responsibilities Perform accurate medical coding using CPT, and ICD-10 systems for medical billing. Enter charges and process medical information efficiently while adhering to compliance standards. Verify and review all work for government and health payer policies. Utilize accurate keyboard typing skills to maximize productivity in charge entry tasks....

Ensures complete, accurate, timely and consistent coding, while adhering to published coding guidelines and system compliance policies. Actively supervises and monitors coding quality and accuracy. Assists manager ensuring employee work schedules sufficiently meet the requirements of the organization and the physician practices. Facilitates problem solving and collaboration within functional area(s) and/or physicians. Works closely with manager in addressing issues related to accurate/timely coding and documentation, and unbilled services. Responsible for ensuring accurate, complete, and timely coding of all professional services.  Responsibilities include but not limited to; performing provider/coder audits, education to coders, and attend provider meetings.  Reviews denials related to coding and assist with resolving issues. Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations. Demonstrates the...

JOB TITLE: Medical Coding Specialist (Certified) DEPARTMENT: Business Office GENERAL SUMMARY OF DUTIES: This is a nonexempt position. Responsible for coding and posting all billable services by Alaska Heart & Vascular Institute providers. Accurately assign CPT and ICD-10 codes by analyzing and abstracting information from dictated reports to achieve timely billing. Ability to maintain strict confidentiality. Able to set priorities and manage time in a fast paced, high-volume environment, while exercising critical thinking skills. Perform audits as needed. Stay current and updated with coding guidelines and payer regulations. Flexible for overtime and weekend work. ESSENTIAL FUNCTIONS: Clean claim submission for all billable services performed by Alaska Heart & Vascular Institute (AHVI) providers Research all information to insure a complete and accurate coding and billing process Investigate coding problems and formulates solutions,...

Medical Billing Coder Job Summary This position requires one to work on-site Monday-Friday, 7:30-4:30, in Emeryville, CA Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating. Working under direct supervision the incumbent acquires knowledge of revenue cycle coding practices and concepts. Developing proficiency to manage 500 - 1000 code combinations to include Evaluation and Management Services as well as simple to moderately complex testing and procedural code services. The Medical Billing Coder will work to acquire and master all entry-level coding functions including assigning appropriate CPT and Dx codes, associated modifiers, appropriate NCCI edits, resolving coding edits and RFIs...

RESPONSIBILITIES & QUALIFICATIONS   Responsibilities: - Managing accounts payable, accounts receivable - Accuracy of monthly Profit and Loss (P&L) Summary reporting - Balance sheet account reconciliations - Adherence to Sunrise business process controls - Maintaining resident administration/financial files - Oversight of support staff as applicable and adherence to Sunrise policy and procedures and Sarbanes-Oxley requirements. Qualifications: - Bachelor's degree or Associate degree in Accounting or related field preferred; or extensive experience (5 years) in the accounting field with exposure to accounting services within a senior housing and/or healthcare environment - Experience and working knowledge of third party billing/Medicare and Medicaid preferred - One (1) year supervisory and management experience which may include recruiting staff, coaching, performance management, responsibility of daily department operations - Ability to handle multiple...

ESSENTIAL FUNCTIONS AND BASIC DUTIES: Supervisory-Specific Performance Expectations, Duties, and Responsibilities: Demonstrates 100% commitment to high performance in accordance with the CHOICE values of MRH and represents the organization in a positive and professional manner. Provide direct supervision to the billing staff, ensuring performance expectations are met, including training and onboarding of new staff to ensure proficiency in the billing processes. Foster a collaborative and accountable work environment. Conduct regular staff meetings to communication updates, policies, and goals. Develop training programs to ensure staff remains current on billing regulations, payer policies, and claim submission best practices. Conduct employee evaluations, bi-weekly timesheet approvals, and attend monthly management meetings. Position-Specific Performance Expectations, Duties, and Responsibilities: Oversee the accurate and timely submission of claims...

Position Requirements Coding certification Minimum 3 years multi-specialty Ambulatory Surgery Center/Outpatient coding experience. Skills and abilities: Advanced knowledge of Medical Terminology, Anatomy and Physiology, strong analytical and auditing skills, experience with appropriate coding and billing practices, ability to implement policies and standards with proficiency, expertise with requirements of third-party payors, experience with differing reimbursement systems, strong written and verbal communication skills, ability to work independently with minimal supervision. Primary position responsibilities: Provide coder audits. Answer coding questions from coding teammates. Provide educational teleconferences on correct coding. Write educational material on correct coding. Assist with coding presentations at annual coding team meeting. Review center coding denials and assist with the appeal of coding denials....

A Brief Overview Performs a variety of tasks related to coding professional services including abstraction and assigning valid CPT, ICD10, and HCPCS codes for complex surgical cases, and/or coding verification and review to ensure coding accuracy and appropriate reimbursement in accordance with federal, state, and private health payer policies. Essential Functions 1. Review complex surgical reports for assign specialty, assigning and sequences CPT codes, modifiers, and diagnosis codes according to regulation (e.g., ICD10CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines) and/or abstract accurate clinical information to assign the most specific code possible to ensure an accurate health information database. Surgical Specialties to include Cardiothoracic, Neurosurgery, Orthopedics, Ophthalmology, Pediatric Surgery, Urology, Plastics, Cardiology (Cath/EP). • Appropriate assigning of surgical modifiers is critical as these impact reimbursement and provider compensation. •...

Fusion Anesthesia Solutions has been dedicated to providing the highest quality medical billing, accounting, and practice management services to anesthesiologists since 1974.   Located in Brookfield, Wisconsin, Fusion Anesthesia Solutions provides anesthesia and pain management billing services nationwide.   Fusion Anesthesia is currently seeking qualified candidates to supervise certified coding staff and coding workflows.   Candidates should be self-motivated and possess excellent written and verbal communication skills.   A minimum of 5 years of anesthesia-specific coding experience with at least 3 years in a supervisory role is required. Responsibilities include: ·        Provide supervision and guidance for staff of certified coding professionals ·        Monitor and assess coding department workflows ·        Implement coder training and development activities ·        Lead all pre- and post-billing coding audit activities ·        Participate...

Job Opportunity: Experienced Certified Medical Coder/Biller We are seeking a highly skilled and experienced Certified Medical Coder/Biller to join our friendly and fun team. The ideal candidate will possess a strong background in medical coding and billing, along with certification from a recognized body (such as AAPC or AHIMA). Key Responsibilities: Accurately code medical diagnoses, procedures, and services using ICD-10, CPT, and HCPCS codes. Process claims and ensure compliance with insurance regulations and policies. Work closely with healthcare providers to ensure the accuracy of documentation. Review and resolve billing discrepancies. Maintain up-to-date knowledge of coding guidelines, insurance regulations, and industry standards. Qualifications: Certified Medical Coder (CPC, CCS, or equivalent certification). Minimum of 2+ years of experience in medical coding and billing. Knowledge of medical...

Fusion Anesthesia Solutions has been dedicated to providing the highest quality medical billing, accounting, and practice management services to anesthesiologists since 1974.   Located in Brookfield, Wisconsin, Fusion Anesthesia Solutions provides anesthesia and pain management billing services nationwide.   Fusion Anesthesia is currently seeking to expand its certified coding staff.   Candidates should be self-motivated and possess strong written and verbal communication skills.   A minimum of 5 years of anesthesia-specific coding experience is required. Responsibilities include: ·        Coding and data entry for anesthesia services using a variety of record formats ·        Perform pre-billing coding audits ·        Review and resolve coding-related claim payment issues ·        Maintain and apply knowledge of CPT, ICD-10, and HCPCS coding conventions, medical terminology and human anatomy ·        Maintain and apply knowledge of coding rules...

CORE RESPONSIBILITIES: Risk Adjustment Develops, manages, implements, and supports risk Adjustment programs and manages Risk Adjustment related activities. Evaluates risks and outcomes associated with Risk Adjustment Program goals and objectives and escalating issues to the Director of Compliance, as appropriate. Supports key objectives designed to build and strengthen patient care delivery and Risk Adjustment documentation and reporting capabilities, as well as driving continuous improvement efforts. Coordinates with Business Intelligence on analytics and data submissions to insurances and vendors as determined in InterMed Contracts. Responsible for outcomes payer projects related to risk adjustment validation and recapture including pre-visit chart review procedures, post-claims review and audit and supplemental data procurement processes related to risk adjustment. Represents InterMed in collaboration with Insurance Representatives. Education...

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking 2 highly motivated Coding Quality Assurance Specialists to join our Coding Services department. This job can be performed 100% remotely.  Preference may be given to individuals residing in Colorado , but out of state applicants will also be considered . The primary responsibility of the Coding Quality Assurance Specialist is supporting and...

Full-time, goal-oriented, revenue-driven, highly accurate and motivated billing team member. Primary duties include, but are not limited to: Pre insurance work up Denial management Insurance follow up Generating daily, weeks and monthly reports REQUIREMENTS - Must have minimum 2 years billing experience, preferably in pain management - Epic EMR experience is preferred but not required - Coding experience, 2 years Additional consideration will be given to candidates that demonstrate: Ability to multitask, prioritize, and manage time efficiently Self-motivated and self-directed; able to work without supervision Excellent verbal and written communication skills Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software a plus Strong customer service skills and comfortable answering both patient and insurance company questions Able to analyze problems and strategize for better...

Physician Facilitator Services is looking for a full time Medical Biller. The position would be remote with an occasional on-site training. Experience preferred, no benefits, competitive pay, flexible hours. We are located in Naples / Fort Myers FL area. Duties and Responsibilities include the following.  Other duties may be assigned. 1.    Demographic Entry and Maintenance.* 2.    Charge posting.* 3.    Insurance claim submission.* 4.    Payment posting.* 5.    Appeals and working denials.* 6.    Review of aging charges for insurance and patient responsible accounts.* 7.    Act as liaison between provider and patients.* 8.    Work with collection agency to collect delinquent accounts.* 9.    Arrange payment schedules with patients.* 10.  Keep abreast of coding and billing policies from payers and government entities reporting such findings of changes to provider.* 11.  Report to supervisor any concerns for...