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CC
Contract
 
Risk Adjustment Auditor
CSI Companies Remote
CSI Companies seeks interested candidates to join our growing Coding and Clinical Integrity Practice as a Medical Coding Team Lead/Auditor.  This is an incredible opportunity for an individual who enjoys managing and coaching, operations, creating and forming a team, and developing processes and procedures for maximum efficiency. Fully REMOTE position This Coding Team Lead is responsible for leading a team of coders in the identification, collection, assessment, and validation of claim/encounter information consistent with all regulatory and official coding guidance.  The Team Lead will also be responsible for quality review of the work of others and coaching and remediating performance related issues. Primary Duties May Include, But Are Not Limited To Leads Risk Adjustment and Coding operations including education, data analysis, audits and overseeing record review processes. Oversees day to day operations, including monitoring of performance and...

Mar 30, 2023
CC
Contract
 
Program Integrity Coding & Research Analyst CPC, CRC
CSI Companies Remote
The Program Integrity Coding & Research Analyst acts as a Medical Coding subject matter expert for complex coding concerns and serve as primary coding resource for Program Integrity. 100% Remote Contract, Full-Time Hours CPC or CRC Minimum 3 years Medical Coding experience Hourly Pay Position Details: Take a lead role to determine root cause of provider claim issues and resolve by analyzing system configuration, payment policy, and claims data Use concepts and knowledge of CPT, ICD10, HCPCS, DRG, REV coding rules to analyze complex provider claims submissions Manage quality audits of our internal coding validation analysts and produce monthly reports for the managers. Provide support to the claims pre-pay team to analyze and identify trends in claims Research, comprehend and interpret various state specific Medicaid, federal Medicare, and ACA/Exchange laws, rules, and guidelines Maintain knowledge and stay current with...

Mar 30, 2023
CC
Contract
 
REMOTE Risk Adjustment Medical Coder (CRC, CPC, CCS-P)
CSI Companies Remote
CSI is actively hiring for a REMOTE Risk Adjustment Medical Coder for full-time hours with a nationally recognized healthcare company that is known for championing innovation, leading from the front with technology, and transforming the healthcare system.  The What You Want to Know! 100% REMOTE -  Work from home Flexible working schedule PAY PER HOUR model Paid training Long term contract position- Benefits Offered! Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based) Pay: $22-28/hr based on experience In House Expert Coding Support - mentoring, coaching, QA Medicaid Charts The What Will You Be Doing? Assign appropriate ICD–10-CM codes, mapping to risk adjustment models as applicable Assign Event codes when documentation in the record is inadequate,...

Mar 30, 2023
United Health Services
Full Time
 
Primary Care Coder
United Health Services Binghamton, NY, USA
Primary Care Coder Binghamton, NY Shifts:  Days Hours per week:  40 Salary : $18.56-$25.10, depending on experience United Health Services is seeking full-time Primary Care Coders to join our Coding and Reimbursement team. United Health Services’ healthcare system features more than 20 primary care and walk-in locations, each with high patient volumes. Our Primary Care Coders will support these offices from our centralized HIM Department in Binghamton, New York. At United Health Services, you’ll join a healthcare system of 6,300+ employees and providers. We’re proud to continually invest in our workforce with excellent benefits and opportunities for career advancement. This position qualifies for: Up to a $5,000 sign-on bonus for candidates with 1+ years of experience Tuition forgiveness of $11,000 for recent RHIT graduates and $17,000 for recent RHIA graduates Market competitive wage of $18.56-$25.10/hour depending on experience Primary Care Coder...

Mar 27, 2023
United Health Services
Full Time
 
Coding Compliance Educator
United Health Services Johnson City, NY, USA
Coding Compliance Educator Johnson City, NY Shift:  Days Hours per week:  40 hours Salary range : $27.47-$41.21 Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness. United Health Services is seeking a Coding Compliance Educator to join our UHS team in Binghamton, NY. This position ensures that the coding of diagnoses, procedures, and data complies with all coding rules, laws, and guidelines. Coding Compliance Educator Overview The educator is responsible for the coordination of activities to monitor physician documentation in the medical record with regard to applicable regulations and billing to support services rendered. Provides education to physicians and coders regarding documentation improvement opportunities for both facility and/or professional billing. They will research, analyze, and respond to inquiries regarding coding and documentation...

Mar 27, 2023
United Health Services
Full Time
 
Coding Auditor
United Health Services Binghamton, NY, USA
Coding Auditor Binghamton, NY Weekly hours: 40 Shift: Days Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness . Position Overview This auditor performs quarterly internal coding and documentation audits for CDI and inpatient coders. They will research, analyze, and respond to inquiries regarding coding and documentation compliance in accordance with all coding guidelines and Medicare/Medicaid regulations. This position works closely with the Cobius Team to review all denials and submits written appeals, when appropriate. They are responsible for monthly education for the CDI and inpatient coding staff. They also assist with coding, documentation, and billing questions to ensure compliant coding and billing. This auditor will develop final audit reports based on findings/observations during the audit process to present to providers or other...

Mar 27, 2023
AAPC
Full Time
 
AAPC Recruiting Services: Medical Billing Specialist
AAPC Remote (USA)
Remote Medical Billing Specialists provide best-in-class billing services to our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late, underpaid or denied; work closely with providers, practice managers and staff to implement best practice protocols. Requirements: This is a full-time position (no part-time availability) during normal business hours.  This would need to be the primary position for the candidate.  Minimum of 4 years of current billing experience required. CPB Certification Required  Knowledge of Partner Billing System by Physician’s computer company preferred. Effectively analyze insurance claims and coded in a timely fashion. Ensure all claims reach the payers, and independently resolve any issues with the claims. Post payments, organize the processing of patient correspondence and statements. Answer phone inquires...

Mar 24, 2023
AAPC
Full Time
 
AAPC Recruiting Services: OP Ancillary/Physician Coder - CA Residents ONLY
AAPC Remote (CA, USA)
Candidate MUST live in CA Multiple positions needed with the following experience: Breast surgery/breast plastic reconstructive surgery/general oncology Oncology (chemo infusion and expert chemo medication knowledge a must) E/M with bonus specialty experience in Hospitalists, GI, OBGYN, Oncology, and/or Pulmonology/Critical Care Epic experience needed 3-years’ of current experience working in a hospital or physician’s office as a medical coder and interacting with physicians. Purpose Statement / Position Summary Under the direction of the Coding Compliance Manager, the OP Ancillary/Physician Coder will play a key role in reviewing and analyzing billing and coding for charge processing.  This role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement, as well as ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and...

Mar 24, 2023
AAPC
Full Time
 
Sales Development Representative (AAPC Audit Services)
AAPC Hybrid (Salt Lake City, UT, USA)
AAPC Audit Services is seeking a highly motivated and results-driven Sales Development Representative (SDR) to join our growing team. The SDR will be responsible for generating new business opportunities by proactively identifying and qualifying leads through outbound prospecting using tools like Zoominfo, LinkedIn Sales Navigator, and Rollworks. The ideal candidate will have a strong desire to hunt net new business and be able to effectively communicate the value proposition of AAPC Audit Services to potential clients. This position reports to the Sales Manager and requires working from our office in Salt Lake City, UT.  Responsibilities: Perform high volume outbound prospecting activities (cold calling, emailing, social media outreach) to generate new business opportunities and build a pipeline of qualified leads. Qualify leads using PACTT (Problem, Authority, Consequence, Timeline, and Talk-Track) to ensure that they meet the criteria for AAPC Audit Services....

Mar 23, 2023
University of Florida, Department of Orthopaedic Surgery and Sports Medicine
Full Time
 
Coding and Reimbursement Supervisor
University of Florida, Department of Orthopaedic Surgery and Sports Medicine Hybrid (The incumbent may work remotely and in-office, dependent upon the needs of the team and the department. In-office work may be necessary for training new personnel.)
The University of Florida’s Department of Orthopaedic Surgery and Sports Medicine is seeking a self-motivated, collaborative, analytical, detail-oriented individual to lead its Revenue Cycle team. This full-time position reports to the Assistant Director, Healthcare Administration and is responsible for ensuring departmental compliance with coding and reimbursement guidelines and maximizing reimbursement outcomes.   Ranked among America’s five best public universities, the University of Florida is not only a top university, it’s also a great place to work! We offer competitive salaries,  a diverse benefits package , and generous leave plans.  Responsibilities include the following: Daily supervision/oversight of revenue cycle personnel including Training and development Qualitative/quantitative analysis Provider education Provides guidance to front-end staff for insurance authorization Provides strategic analysis and advise to ensure maximum...

Mar 22, 2023
AAPC
Full Time
 
AAPC Recruiting Services: External Client seeking an Inpatient Coder - NY Residents ONLY
AAPC Remote (New York, NY, USA)
This established, competitive revenue cycle company is looking for a full-time Inpatient Coder . One year of inpatient coding experience and CIC or CCS certification is required. The ideal candidate is reliable, organized, team-oriented and self-motivated. Applicants must also be able to multi-task, communicate effectively, problem solve and meet production goals. Our company offers an 8-hour 5 day a week schedule with a comprehensive Benefit Package including Paid Time Off (PTO), Health, Vision, Dental and 401K with match.   We offer flex scheduling after your 90-day probationary period is completed.  Under general supervision, follow established physician billing procedures to ensure clean insurance claim generation leading to prompt payment of claims. PRINCIPLE DUTIES AND RESPONSIBILITIES: Comply with all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is accurate and precise Assign and...

Mar 15, 2023
AAPC
Full Time
 
AAPC Recruiting Services: External Client seeking an On-Site Certified Coder in CA
AAPC 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...

Mar 09, 2023
SF
Supervisor - Food - Rockledge Regional Medical Center
Sodexo Frontline Rockledge, FL, USA
 Location: US-FL-ROCKLEDGE System ID: 946510 Category: Food Service Employment Status: Full-Time Unit Name: ROCKLEDGE FOOD Unit Contact: (321) 636 2211 ext 2741 Target Hourly Rate: Start Hourly Rate $17.50 UNIT DESCRIPTION OFFERING ALL NEW FULL TIME AND PART TIME HIRES SIGN ON BONUSES!! $1,000 for Full Time, and $500 for Part Time "COVID-19 vaccination required to work at this location" Sodexo @ Rockledge Regional Medical Center is seeking for a Full Time Supervisor to work varied schedule from 6:00 am to 8:30 pm including weekends and holidays. Rockledge Regional Medical Center is the leading, fully integrated and comprehensive health care provider on the Space Coast. Our primary care doctors and specialists prioritize preventive care and put the patient first. They work as a collaborative team to manage chronic health issues, so patients spend less time in the hospital and more time with their loved ones leading healthy, active lives. This is your...

Mar 31, 2023
MM
Medical Biller and Coder
Mendham Medical Practice Mendham Township, NJ, USA
Job Description Medical Billing and Coding In office medical biller and coder for small Internal Medicine practice in Mendham, NJ. We are looking for someone to work 30 to 35 hours per week. No evenings or weekends We offer a competitive salary, We do not offer health benefits. Will train the right person. Responsibilities * Preparing electronic and paper claim submissions * Maintaining patient accounts * Follow up with insurance companies and third party billers * Billing patients for balances due and follow-up collections * Updating fees in the system. Benefits * Paid Vacations and holidays Qualifications * Medical terminology * computer skills * 1 year of medical billing and coding We are an equal opportunity employer and consider all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status or disability status. Company Description Mendham Medical Practice LLC is a small Internal Medicine...

Mar 31, 2023
PG
Medical Biller
PSG Global Solutions Chicago, IL, USA
Job Description The Opportunity Description We're looking for a Medical Biller , working in the Healthcare Systems & Services industry in Chicago, Illinois, United States . * Performs back-end revenue cycle processes including billing, posting of payments, and follow up on pending claims or denied in conjunction with the Billing Coordinator. * Edits claims, payer rejections and clean claim submission on a daily basis. * Monitors payer trends based on rejections and non-payment. * Works claim follow up and claims denials to ensure maximum reimbursement for services provided. * Posts charges and completion of claims to payers in a timely fashion. * Submits appeals according to payor requirements. * Performs insurance verifications to confirm member eligibility. * Responds to account inquiries submitted by the Customer Service Department. * Conducts claim and eligibility inquiries through Connex and Medi System for government plans. * Assists with claim resolution according to...

Mar 31, 2023
PR
Medical Biller/Collector
PT Recruiters San Antonio, TX, USA
      Clinic Name:  Momentum Physical Therapy Position:  Medical Biller and Collections Specialist Location:  San Antonio, Texas Employment Type:  Full-Time                             Experience: 1 Year Preferred     We Are Seeking:   Momentum Physical Therapy is seeking a dynamic and energetic Medical Biller and Collections Specialist to join us at our unique and exciting Central Business Office in San Antonio, Texas. Join our dynamic team!   Company Perks: Competitive compensation Excellent benefits package including 401k, health, dental, vision, disability insurance, generous paid time off, and more Multiple opportunities for professional development, specialization, and leadership Employee discount plans Employee Assistance Program (EAP) Investment from a company that wants you to succeed and thrive   Job Duties: Rebill, follow-up, and collection activity for assigned payers...

Mar 31, 2023
FS
Lease Compliance Auditor
Field & Stream Coraopolis, PA, USA
Description Finance at DICK'S Sporting Goods - we're more than just a team of people behind excel spreadsheets. We are fiduciaries driving financial excellence for our teammates, athletes and shareholders. We are trusted business partners guiding decisions & strategy, delivering meaningful business insights, and leading with innovative ideas. Here at DICK'S, we're building a diverse Finance culture that differentiates us as a career destination that will consistently challenge and reward. On our team, you'll focus on relentless improvement and innovation to support our growing business. Learn more about #DSGFinance here: https://bit.ly/3nnLkvG The Lease Compliance Auditor will primarily be responsible supporting our lease compliance efforts. They will collect and maintain tenant rosters within our internally developed co-tenancy database. They will also perform a first-level review for any potential lease compliance violations, which will require a detailed review of our...

Mar 31, 2023
Co
Physician Associate Director of Medical Operations Sacramento CA
Concentra Sacramento, CA, USA
Overview: Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process. Associate Leadership Opportunity! From our Dallas corporate headquarters to our clinics and worksite locations, Concentra colleagues remain focused on our driving purpose: to provide superb patient and employer experience by delivering the highest quality healthcare in an efficient, affordable, caring manner. We do this by putting all customers (internal and external) first and by displaying: A healing focus A selfless heart A tireless resolve Position Summary Functions as a full-time treating clinician as either a CMD or Market Float and works with Director of Medical Operations to ensure consistency of clinical care delivery and market staffing. Assumes CMD responsibilities within center(s) while acting in ADMO Market Float position....

Mar 31, 2023
pa
Full Time
 
Per Diem Medical Coder
partners Boston, MA, USA
Description: GENERAL SUMMARY/ OVERVIEW STATEMENT\:    The Coding Specialist reports to the Coding Manager and is responsible for correct coding of professional services and upholding compliance standards.   PRINCIPAL DUTIES AND RESPONSIBILITIES\:     The Coding Specialist I is required to\:   §  Perform coding and related duties using established Professional Billing Office and Coding Services policies in an accurate and timely manner.  Review medical documentation and system generated charges or paper encounter forms.  Appropriately assign CPT®, ICD-9/ICD-10, HCPCS II, and modifiers based on documentation and payor requirements. §  Demonstrate a commitment to integrating coding compliance standards into daily coding practices.  Identify, correct and report coding problems.  §  Maintain current knowledge of coding, compliance and reimbursement procedures.  Review current literature, newsletters, payor policy updates...

Mar 31, 2023
VT
Coder
VALiNTRY Technology & Financial Dallas, TX, USA
Location: 100% Remote Position: Inpatient Coder Salary: $33.00 /hr Hospital Inpatient Coder - Ability to review and abstract data with clear understanding of disease process, knowledgeable in identifying major complications and chronic conditions, and comprehension of present on admission. Initiate queries when appropriate. Review medical record documentation and effectively and accurately assigns MS- APR DRG, POA, ICD-10 CM/PCS, and PSI codes to hospital inpatient records when utilizing EPIC or coding books. Complies with the Standards of Ethical Coding set forth by the American Health Information Management Association (AHIMA) and adheres to the official coding conventions and guidelines Maintain quality standards of 90% or greater while meeting or exceeding the production standards of 1 chart per hour. Uphold HIPAA compliance rules and regulations Minimum of 1 Coding Certification from AHIMA or AAPC; RHIA, RHIT, CCS, CPC 3+ years Coder work experience EPIC/3M 360 (CAC)...

Mar 31, 2023
DH
Bilingual Medical Office Supervisor
Doral Health & Wellness New York, NY, USA
Job Description Doral Health and Wellness is a multi-specialty facility based in Brooklyn. We pride ourselves on providing high-quality care to the Brooklyn, New York Community. We are looking for a responsible Medical Office Supervisor to join our team. Duties and Responsibilities * Manages, oversees, and facilitates clinical and regulatory activities around medical programs * Lead the working group to maintain system-wide standards and guidance * Serve as liaisons between hospital-based ambulatory care and community-based ambulatory care sites * Train staff at sites on our platform and alternative patient care communication options * Work with our IT team to troubleshoot day-to-day technology problems * Understand our platform, texting, video, secure messaging technology and interoperability * Build Telemedicine metrics and pull reports on outcomes data * Lead interdisciplinary working group with Facility, IT, and DSRIP relationships * Develop telemedicine workflows, and...

Mar 31, 2023
us
Medical Record Technician(Inpatient/Outpatient Coder)
usagov East Orange, NJ, USA
Summary These positions are in the Health Information Management Service (HIMS) within the Business Office at the VA New Jersey Healthcare System located at either the East Orange or Lyons Campus. New Jersey Healthcare System is a Level 2 facility and ranks among a complex system in the Department of Veteran Affairs serving the New York/New Jersey VISN 2 Network. This job is open to Internal to an agency Current federal employees of this agency. Clarification from the agency 1st Area of consideration : Current Permanent Employees of New Jersey VA Healthcare System 2nd Area of consideration: Current Permanent VISN 2 Employees and VHA Videos Duties The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-04 to GS-08. Individual qualifications will determine the grade that candidates are selected for. At all levels: MRTs (Coder) may be assigned to a single facility or...

Mar 31, 2023
TB
Full Time
 
Private Company Services - Senior Supervisor de Auditoria Externa - Olivos - US Client
Taleo BE Los Olivos, CA, USA
Line of Service Assurance Industry/Sector Not Applicable Specialism Assurance Management Level Senior Associate Job Description & Summary A career within Private Company services, will provide the opportunity to help private companies with a range of business advisory needs such as audit, tax compliance, and planning to help improve their operational efficiency and to free up time that can be spent focusing on business strategy. You’ll have the opportunity to experience the entire business life cycle of a private company from inception to growth, maturity and transition. Our team helps our clients design and implement personal and customised service plans that are unique to privately owned entities, entrepreneurs, and high net worth individuals. You’ll be assisting the team focus on key issues like wealth management, compliance, cash flow management, equity expansion, divestiture and exit strategies. To really stand out and make us fit for the future in a...

Mar 31, 2023
TB
Full Time
 
Auditoría - Digital Assurance and Transparency - Seniors Supervisor - Olivos
Taleo BE Los Olivos, CA, USA
Line of Service Assurance Industry/Sector Not Applicable Specialism Risk Management Level Senior Associate Job Description & Summary A career within Process Assurance services, will enable you to assist clients in optimising control activities, organisational strategy, and policies and procedures. You’ll conduct transaction testing, perform readiness assessments, and leverage various technical Information Technology controls (e.g. databases, operating systems, data warehouses, and reporting tools) in order to help our clients achieve optimal operational efficiency. To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on...

Mar 31, 2023
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