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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
LH
Medical Billing Specialist
LHH FL, USA
LHH Recruitment Solutions is seeking a full-time Medical Billing Specialist for a dynamic healthcare organization in Orange County, FloridaPay: $17-$19/hr based upon experience. Full-Time: On-SiteGeneral Description: As the Medical Billing Specialist, your main responsibilities will include preparing and submitting billing documents, entering charges, posting payments and communicating with community providers for problem resolution. You should possess an in-depth understanding of billing Medicaid, third-party payers and EOBs.Required QualificationsHigh School Diploma and one year of related experience/training. Familarity with accounting systems and willingness to learn new software. Strong attention to detail, time management, and communication skills. Proficiency with Microsoft Outlook, Word, and Excel. LHH Recruitment Solutuions benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits...

Mar 30, 2023
FC
Medical Billing Specialist
Family Care PA Green Brook Township, NJ, USA
Job Description * At least 2 years experience in Medical Billing required * Knowledge of CPT coding, ICD10 * Understanding of medical claims process * Ability to review doctors charts for proper coding * Knowledge of HIPPA * Good communication skills * Knowledge of patient and insurance collection process Candidate must be able to work in a high volume office. Strong work ethic and organizational skills required. Company Description Family Care provides primary and urgent care in a warm friendly environment staffed by health care professionals with decades of experience. Our staff are highly trained, family medicine, emergency medicine, and internal medicine specialist, with you, our patient, in mind. Company Description Family Care provides primary and urgent care in a warm friendly environment staffed by health care professionals with decades of experience. Our staff are highly trained, family medicine, emergency medicine, and internal medicine specialist, with you, our...

Mar 30, 2023
TT
Medical Biller and Office Manager
To The Point Billing Solutions LLC Loxahatchee Groves, FL, USA
Job Description Medical Insurance billing company for multi-practices is seeking a medical biller/office assistant to start immediately. This is part-time position leading to full for the right person. The right candidate must be detail-oriented, highly organized, and self-motivated with the ability to multi-task effectively. Job Responsibilities include: Minimum of 6 months experience as a medical biller or working in an office setting with experience in verifying Insurance eligibility & benefits and appeals. Working knowledge of CPT and ICD-10 codes a plus. Experience with EOB reconciliation and balancing patient ledgers is a plus. Willingness to assist in other areas of the office. Benefits - 401(K), Aflac, paid holidays and paid time off. Requirements: Good communications & computer skills. MediSoft and Kareo experience is highly preferred - and a plus Microsoft office and outlook email experience required. Must be a quick learner EMR preferred, but not required...

Mar 30, 2023
BC
Physician Clinic RN Supervisor/Case Manager-Wymore Medical
BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER Beatrice, NE, USA
Job Description Full-Time; M-F; 7:30a to 4:30p, as needed. Under the direction of the Director of Clinic Practice the Clinic Nurse Supervisor is responsible for ensuring successful day-to-day clinical operations and delivery of clinical services to assigned clinic(s). The Clinic Nurse Supervisor will be primarily responsible for overseeing the operational efficiency and quality of clinic services at assigned clinic(s), including direct supervision of assigned clinic staff. In addition this position will have Case Management duties for the patients of the Wymore Clinic. The Case Manager is responsible for organizing and coordinating patient care within the practice who are most at risk for health deterioration, hospital re-admission, sentinel events, multiple comorbidities who are identified by the provider or registry. Currently licensed as an RN in the State of Nebraska; current CPR/BLS. Benefits: Medical | Dental | Vision Flexible Spending | Health Savings Basic Life and...

Mar 30, 2023
RF
Medical Billing Specialist
Redmon Family Practice Farragut, TN, USA
Job Description We are seeking a qualified and dedicated medical biller to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. To succeed in this role, you must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job. Medical Biller Responsibilities: Preparing and submitting billing data and medical claims to insurance companies. Ensuring the patient's medical information is accurate and up to date. Preparing bills and invoices, and documenting amounts due for medical procedures and services. Collecting and reviewing...

Mar 30, 2023
GS
Medical Biller Lead
GEORGIA SURGICARE, LLC Loganville, GA, USA
Job Description IBI Healthcare/Georgia Surgicare is looking for a Bilingual Medical Billing Lead (Spanish-English) with extensive billing cycle experience to join our growing team in our Loganville, GA location. Duties & Responsibilities * Insurance/Provider Credentialing * Obtain Claim Status via the Telephone, Internet and/or Fax * Post daily incoming paper and electronic insurance payments * Obtain Supporting Documentation Regarding Insurance Follow-up * Follow up on submitted claims/ Revenue Cycle * Identify Contractual and Administrative Adjustments * Billing via Electronic and Hard copy Submission Professional Requirements * Surgical Billing Experience * Extensive billing cycle experience * Athena EHR experience (asset) * High school diploma or equivalent. * A minimum of two years previous work experience as an insurance follow-up representative is required. * Must have full understanding of insurance follow-up processes (i.e. Billing, Collections, Managed Care,...

Mar 30, 2023
SD
Medical Billing Specialist
Surgical Dermatology Group Vestavia Hills, AL, USA
Job Description Surgical Dermatology Group is looking for a full-time Medical Billing Specialist. We offer competitive compensation and benefits. Minimum 1 year experience is preferred. The ideal candidate will be personable and friendly with exceptional communication skills. We are a talented team of dermatologists, surgeons and healthcare providers offering comprehensive dermatology services including medical dermatology, skin cancer surgery, and cosmetic services in over a dozen locations throughout the state of Alabama. We value quality patient care and excellence in service. Job Requirements: • Understanding of insurance guidelines including the majority of private insurance companies, Medicare, HMO companies, and PPO companies • Familiarity with ICD-10 and CPT coding • Ability to use 10 key calculators, financial software, and computers • Ability to communicate and resolve issues with insurance representatives • Customer service skills when interacting with patients and...

Mar 30, 2023
Ih
Certified Medical Coder
Invision health Amherst, NY, USA
Job Description Senior Medical Billing Specialists and Coders Multispecialty medical practice is seeking Senior medical billers and coders with experience in Commercial claims to join our team. Duties and Responsibilities: * Function as working team leaders in various specialties * Manage/train junior billers * Manage AR and Denials * Posting payments and reconciliations * Analyze team data for optimal performance Qualifications: * Strong analytical and customer service skills * Ability to work in a fast-paced team environment * Ability to provide close attention to detail * Experience with Medent EMR preferred Education: * Associates in Medical Billing * Coders will be certified Benefits: * Competitive pay * Daytime hours Monday - Friday * Medical, Dental, Vision and Life Insurance * Paid time off * 401k Match * MGMA standards highly valued Company Description We believe our patients deserve peace of mind We are passionate about better health care. This is what drove years of...

Mar 30, 2023
EH
Coding Auditor
Elevance Health Lauderdale Lakes, FL, USA
Coding Auditor Location: This position would require the candidate to work onsite from our clinic location of 4850 W Oakland Park Blvd, Lauderdale Lakes, FL. The Coding Auditor is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD9 coding and compliance with risk adjustment requirements. Primary duties may include, but are not limited to: Collects and analyzes data to formulate recommendations and solutions based on audit trends and results. Provides regular feedback to Operations leadership on performance improvement opportunities as a result of performance gaps. Participates in and represents the department in business leadership groups. Assesses and identifies training opportunities. Assists the business with research and documentation of workflows, policies and procedures and other materials. Maintains current knowledge of requirements and guidance required in...

Mar 30, 2023
SS
Information Security Risk & Compliance Auditor - On Site Only - Local US Candidates Only
Stone Search Foxborough, MA, USA
Job Description Company Description Our corporate client is seeking an Information Security Risk & Compliance Auditor who will be responsible for building and implementing programs, policies and practices to ensure that the organization complies with industry and government regulatory compliance. You will liaise closely with internal business units, Legal, HR and other relevant departments to increase security awareness, assess compliance and where necessary, provide support in remediating non-compliant areas. This is full time only, 100% on-site. Job Description · Establish and manage a compliance calendar for training and attestations. Identify and coordinate the delivery of IT security training and awareness for both technical and non-technical audiences. · Document and communicate policies and procedures as they relate to IT security and risk management to all key stakeholders. Establish and maintain a repository of policies and procedures for internal constituent's use. ·...

Mar 30, 2023
AL
Medical Biller
A-Line Staffing Solutions Lauderhill, FL, USA
Job Description Seth Klein with A-Line Staffing is now hiring a Medical Billing Specialist in Lauderhill, FL. The Medical Biller would be working in a specialized clinic that offers career growth potential. This would be full time / 40 hours per week. Medical Biller Compensation * The pay for this position is between $20.00-$21.00.per hour * Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance * A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Medical Biller Highlights * This position is a Contract to Hire * The required availability for this position is Monday through Friday 8:00am to 5:00pm The essential duties and responsibilities for the Medical Biller * Monitors delinquent accounts and performs collection duties * Reviews reports, identifies denied claims, researches, and resolves issues, may perform a detailed...

Mar 30, 2023
PM
Ophthalmology Medical Billing Specialist
P.M. Medical Billing Tarpon Springs, FL, USA
Job Description P.M. Medical Billing, the original and largest National Ophthalmology Billing Company is once again hiring! We are a full-service medical billing firm specializing in Ophthalmology, providing clients all over the country with the most expert knowledge and service. We welcome you to join the original, fastest-growing and most successful national Ophthalmology specific medical Billing Company. Our rapid and continuous growth with multiple clients in every state has necessitated our need to hire enthusiastic, knowledgeable and dependable billers and assistants to help us bring our doctors excellent service. Our company has been in business over twenty years and longer than any other Ophthalmology Billing Company. We need to hire full time medical billers who are experienced preferably in Ophthalmology, however we will consider other specialties. Candidate must have a strong work ethic, able to multitask and is professional on the phone with insurance companies,...

Mar 30, 2023
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