3013 jobs found

About Our Company AccuMed Healthcare Research is a rapidly growing data analytics organization that focuses on providing transparency into the cost of healthcare throughout the United States. We specialize in determining the reasonable value of medical services using our large proprietary databases of provider charge data. The company primarily serves the legal industry where we partner with attorneys to help determine medical damages in civil litigation. Job Overview As a contractor, you will review and verify that all codes are accurately assigned and properly sequenced in our internal report, based on our methodology and the provided medical bills and records, to ensure accuracy of the final product. Qualifications & Skill Set: 3-5 years’ experience in medical coding and billing AAPC Certified Professional Medical Auditor (CPMA) certification CPC, CBCS, CCA certifications Ability to read and understand medical bills, records IME reports and...

Summary: The Senior Billing Compliance Analyst is responsible for ensuring compliance with applicable internal policies and procedures as well as State and Federal regulations specific to documentation, charging, coding, and billing for multiple product lines (Medicaid, Medicare and Commercial). Position will coordinate compliance activities, including but not limited to: conducting retrospective coding and billing compliance audits, ensuring contractual and regulatory requirements are met, preparing documents for program integrity and payor audit responses, prepare and provide internal education and training on billing compliance requirements, provide research and investigation support for billing compliance consults, and contribute to regulatory change management process. Responsibilities: * Maintains knowledge of system policies and organizational processes that support the seven (7) elements of an effective compliance program as defined by the Office of the Inspector General...

Nemours is seeking a Professional Fee Abstractor , Full-Time, to join our Nemours Children's Health team.     This is a REMOTE position.   Assesses each professional session (i.e. claim) for all documented conditions and application of M.E.A.T. criteria (i.e. monitoring, evaluation, assessment, treatment) to accurately apply ICD 10 CM codes to capture diagnoses, evaluation & management CPT codes, procedure codes, HCPCS codes and modifier application per payer specific guidelines.       * Ability to comprehend medical record documentation to assign codes for each active session, in multiple specialties.  (i.e. Codes assigned by provider are evaluated and modified with the approval of the provider)      * Codes a minimum of 60-100 sessions per shift.  The number of lines per session varies, therefore, “Coding Required” sessions are completed daily.      * Works collaboratively in a team setting with providers, allied health staff, business office staff throughout...

Title of Job: Remote Certified Medical Coder (Entry-Level) The CSI Companies is hiring an Certified Medical Coder for our Fortune 100 healthcare client. As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest. Benefits of the Position: Excellent training under one of the top companies in the world Feedback on performance, coding coaches, and supervisors that want you to succeed. Access to learning resources and CEUs HOURLY pay as well as overtime pay New equipment shipped to you prior to your first day (laptop, monitor, and keyboard/mouse). Pay: Hourly pay will be $22 an hour plus any overtime will be paid at 1.5 times the normal hourly pay rate.  Schedule Training during first...

POSITION SUMMARY: This position provides education to providers to ensure compliance with coding and regulatory guidelines.   Develops and provides onboarding training, as well an on-going training based on audit findings, noted trends and/or changes in coding/documentation updates.  Establishes positive working relationships as the subject matter expert with all parties. Assists Coding Team to complete charging/coding for HOPD clinics. Ensures accurate submission of all coding data for reimbursement purposes. Ensures regulatory compliance and follows all Federal regulations for all payment systems. POSITION REQUIREMENTS: Minimum Education High School Diploma or equivalent. Certificate Required: One of the following Coding Certifications: CCS-Certified Coding Specialist CPC-Certified Professional Coder and  CPMA-Certified Professional Medical Auditor or ability to obtain within first year of employment. Minimum Work...

Empower Healthcare and Compliance is looking to add to our team a Certified Compliance Officer. Work From Home Opportunity for Certified Compliance Director This job is responsible to lead compliance projects for clients to ensure a compliance strategy, which reinforces strong compliance responsibilities, processes, and procedures. Work across the client organization to assess, develop or implement a client compliance program, employee training, risk assessments, and reporting and measure the effectiveness of the program and to refine as necessary. Service as the primary client compliance contact.    Responsibilities Related to Client Engagement as Necessary : Develop the compliance strategy for the organization to ensure there is a strong compliance culture, processes, and procedures that support this culture. Oversee and monitor the compliance program throughout the organization (all clinics, surgery center, and corporate locations) including policy...

Compensation: Competitive Pay (Based on Experience) Position Summary: We are seeking a detail-oriented and organized Medical Biller to join our healthcare team. The ideal candidate will be responsible for managing billing processes, ensuring accurate coding of medical records, and facilitating timely collections. This role requires a strong understanding of medical terminology, coding systems, and the ability to work effectively in a medical office environment. Experience with No-Fault and Workers' Compensation billing is required, as these are an important part of our patient population.  Key Responsibilities: Prepare, review, and submit medical claims to insurance companies and patients. Handle billing for No-Fault and Workers’ Compensation claims, including proper documentation and compliance with related regulations. Follow up on unpaid claims and resolve claim denials. Verify insurance eligibility and benefits. Post...

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit  www.centaurihs.com .   Role Summary: The...

Community Health Center of Snohomish County offers competitive wages and a comprehensive benefits package designed to address health, time off, retirement and career-advancement needs.  Benefits available include health insurance (medical/dental/vision), up to 120 hours of vacation time pro-rated by FTE every 12 months, paid sick leave, 10-paid holidays, 403(b) Safe Harbor retirement plan with employer match, disability and life insurance, and more! We also offer $0.75/hour for those who test proficiently in a second language. This job is 100% onsite in Everett, WA.  Job Summary The Coding Supervisor is responsible for overseeing daily operational activities within their assigned department. They play a vital role in ensuring productivity and financial goals are met by the individual employees, department, The Supervisor establishes and maintains systems to ensure that the department meets company financial and operational objectives. Provides supervision, training and...

Work From Home Opportunity for Certified Professional Healthcare Coder This job is responsible for the successful delivery of detailed and complex medical record reviews for Client Audits. The incumbent is responsible for interfacing with clients and staff. The incumbent is responsible for completion of coding audit reviews of medical records and coding for appropriate interpretation and designations including chart documentation review, ICD10 and CPT coding audit, and creating detail oriented, appropriate findings report for the client. Ensures compliance with required Regulatory Audit guidelines are being met with regards to coding and documentation. ESSENTIAL RESPONSIBILITIES Ensures completion of projects to meet departmental deadlines. Communicates and collaborates with management and coding/audit team(s) to ensure deliverables are met or exceeded. Conducts coding and documentation reviews: review documentation and coding for all services...

Work From Home Opportunity for Certified Professional Healthcare Coding Supervisor This job is responsible for overseeing the coding team’s successful delivery of detailed and complex medical record reviews for Client Audits. The team is responsible for interfacing with clients and staff, in addition to the completion of coding audit reviews of medical records and coding for appropriate interpretation and designations including chart documentation review, ICD10 and CPT coding audit, and creating detail oriented, appropriate findings report for clients. The manager and coding team ensures compliance with required Regulatory Audit guidelines are being met with regards to coding and documentation. Manager Key Duties and Responsibilities: Provides guidance and direction to team members. Communicate expectations clearly and effectively. Monitors project progress and adjusts work as needed. Assigns tasks based on team members’ skills and capacities....

Medical Practice Manager Wanted! We are seeking a highly organized and detail-oriented individual to join our growing medical practice. The successful candidate will be responsible for overseeing day-to-day operations, managing staff, and ensuring the smooth running of the practice. If you are passionate about healthcare and have a proven track record of successful practice management, we would love to hear from you. Medical Practice Manager Responsibilities & Duties Supervising and training staff Managing budgets and financial records Overseeing appointment scheduling and patient flow Maintaining equipment and supplies Ensuring compliance with healthcare regulations Managing relationships with insurance providers and vendors Improving practice efficiency and productivity Providing excellent customer service to patients and families Medical Practice Manager Qualifications & Skills Associate's degree in healthcare...

OUR COMPANY AGS Health is more than a revenue cycle management company–we’re a strategic partner for growth. With expert services complemented by AI-enabled technologies and high-touch support, AGS Health is the premier revenue cycle partner for leading health systems, physician groups, and academic medical centers in the U.S. With expert insight into modern revenue cycle practices, the company pairs cutting-edge technology with college-educated, trained RCM experts to help clients optimize workflows, maintain compliance, prevent revenue leakage, and achieve a high-performance revenue cycle. AGS Health employs more than 13,000 team members globally and partners with more than 150 clients across a variety of care settings, specialties, and billing systems. For more details, please visit http://www.agshealth.com You can also visit us at https://www.linkedin.com/company/ags-health   Job Description AGS Health is seeking a highly motivated and dedicated coding...

Job Summary 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. Responsibilities Learn and become proficient with the premiere pediatric system in the industry - Physician’s Computer Company (PCC) Billing. Efficiently analyze insurance claims throughout the submission process, insuring claims are accurately coded in a timely fashion, and for optimum reimbursement and compliance. Ensure that all claims reach the payers, and independently resolve any issues (underpayments, denials, etc.) with the claims so they are paid fully and on time. Post payments, organize processing of patient correspondence and statements. Answer phone inquiries from patients regarding...

Seeking experienced talent in the state of Florida for Surgery and/or Anesthesia Billing and Coding Note- we do not hire residence outside of the state of Florida. We have more than one opening at this time and looking to add to our RCM and Coding Teams. A Leadership role may be considered for the right candidate. Coding Certification: for Certified Coder Positions; preferrable CASC COC, CANPC Coding and Charge Capture Payment Posting Insurance Claims Billing/Resolve to rejections Coding reviews and denials appeal assistance Coding reviews of documentation in question by the coding team Management of payor chart audits/ Internal Audits Insurance overpayment reviews/issuance or disputes as needed. Ability to assist in aging follow through and unpaid claims Address physician documentation matters Month end closing/Utilization of reports Insurance Credentialing EDI/ERA/EFT Enrollments Seeking experienced billers with full knowledge of RCM and...

Essential Functions Demonstrate a contribution to the department’s operation (Practice Assessments, retrospective &/or concurrent documentation reviews) and goals/targets for the year. Maintain monthly log of activity. Prioritize workload and maintain control over interruptions. Develops educational materials to conduct classroom and/or Individual training/education to all providers and staff on coding, documentation, and CMS/Federal guidelines. Researches, analyzes, and responds to inquiries regarding inappropriate coding, denials, and billable services in accordance with all CMS/Federal and state guidelines. Reviews Hospital and Clinic notes.  Conducts coding and documentation reviews: review documentation and coding for all services (including but not limited to; E & M level of service, Surgical procedures, modifier usage, diagnosis code supporting medical necessity, labs and radiologic examinations). Review all reimbursement tools for...

Job Description: We are seeking a detail-oriented and experienced Front Office Medical Biller to join our team. The ideal candidate will have a strong understanding of medical billing processes and insurance guidelines, with a minimum of two years working in a physician’s office or certification as a Certified Professional Biller (CPB). Key Responsibilities: •    Verification and Calculating Patient Responsibility: Ensure all required patient demographic and insurance information is accurate, verify eligibility, coverage, referrals, and authorizations are on file, and check patient accounts for balances due before check-in. •    Entry of Medical bills, Payment Posting, and Reconciliation: Identifying patient responsibility based on benefits and collecting balances due at checkout, enter medical billing data from the physician's superbills, including CPT, HCPCS, and ICD-10 codes with the appropriate modifiers based on Medicare, Commercial, and Workers Comp guidelines,...

Now Hiring – Coding Technician Ambulatory       University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high quality compassionate patient care, innovation, education and discovery. We are currently looking for a talented health professional to join us as a Coding Technician. This is an exciting opportunity to join a company with a reputation for exceptional service and patient care.   The Position :   Works under the direct supervision of the Ambulatory Outpatient Coding and Reimbursement Manager, Health Information Management.   Codes Ambulatory Outpatient clinical visits for the Outpatient setting. Utilizes the ICD-10-CM, CPT, and CPT Category II coding classification systems.   Ensures proper assignment and...

Now Hiring – Coding Specialist, Revenue Integrity      University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high quality compassionate patient care, innovation, education and discovery. We are currently looking for a talented health professional to join our team as a Charge Review Analyst. This is an exciting opportunity to join a company with a reputation for exceptional service and patient care.   The Position : Works under the direct supervision of the Coding and Reimbursement Manager, Health Information Management. Codes inpatient, outpatient surgery and observation visits utilizing the ICD-9-CM and CPT coding classification systems. Assists in the training of new coding technicians when appropriate. Promotes...

University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high quality compassionate patient care, innovation, education and discovery. We are currently looking for a talented health professional to join our team as a Coding Educator & Auditor for our Revenue Integrity department . This is an exciting opportunity to join a company with a reputation for exceptional service and patient care.   The Position : Works under the direct supervision of the Coding Education & Audit Manager. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding...

The Medical Coding Site Manager-Inpatient is responsible for overseeing the daily operations of the medical coding department, ensuring accurate and timely coding of Inpatient medical records. Communicate effectively and professionally with site staff. Oversee and work with auditors to maintain accuracy and provide education to coders. This role involves assigning work, managing the coding team, and addressing client needs, to ensure high-quality service delivery. Assign work daily from site assignments. The Medical Coding Site Manager-Inpatient is a team player who supports peers, meets goals and deadlines, handles multiple tasks, works well under pressure, and adapts to changing projects and deadlines. Position Responsibilities: Lead, mentor, and manage a team of medical coders Conduct regular team meetings to discuss performance, updates, and any issues.  Provide training and development opportunities to team members.  Monitor and evaluate team...

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.  Hartford HealthCare’s unified culture enhances access, affordability, equity and excellence. Its care-delivery system- with more than 500 locations serving 185 towns and cities- includes two tertiary-level teaching hospitals, an acute-care community teaching hospital, an acute-care hospital and trauma center, three community hospitals, a behavioral health network, a multispecialty physician group, a clinical care organization, a regional home care system, an array of senior care services, a mobile neighborhood health program and a comprehensive physical therapy and rehabilitation network. On average, Hartford HealthCare touches more than 27,000 lives every single day. The unique, system-wide Institute Model offers a unified high standard of...

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 a motivated  Medical Coding Auditor (Pathology)  to join our Audit, Compliance & Education team. The Auditor will provide formal and informal coding and regulatory education to all CU Medicine coding/charge capture staff, billing staff, all attending physicians, residents and APP providers involved with the billing for professional services as directed by...

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...