2153 jobs found

Are you passionate about driving excellence in medical coding and documentation? As a Medical Record & Coding Auditor , you will play a key role in ensuring the quality and accuracy of coding and documentation for a multi-specialty provider group, including inpatient and outpatient services. This role involves performing audits, collaborating with providers to improve documentation practices, and delivering training to enhance compliance and performance. You'll also contribute to process improvement and program development, making a meaningful impact on healthcare quality in a dynamic and collaborative environment. Job Duties Performs medical record audits with a primary focus on coding and medical documentation regulatory compliance. Performs documentation audits for both Evaluation and Management Coding (E&M coding) for outpatient and inpatient services and surgical procedures to ascertain the accuracy and completeness of the Providers E/M and Procedure coding....

Job Duties Accurately assigns ICD-10 codes within the established coding guidelines, rules and regulations. Types of Coding may include but not limited to, Coding of Diagnoses and PCS procedures of complex hospital accounts performed in the inpatient setting, including both concurrent coding and coding of discharged accounts. Ensures the data integrity of coded patient records by reviewing the medical documentation and validating that documentation is sufficient to support the assigned codes. Acts as a resource by researching patient accounts in response to questions and/or errors. Consistently complies with established department productivity and accuracy standards. Collaborates with the CDI nurse to identify query opportunities for documentation improvement and to ensure accurate DRG assignment. Works in collaboration with team members and other departments to meet departmental monthly goals which may include one or more of the following: DNFB, Pre-AR, Denials and...

Healthcare Coding and Consulting Services, LLC (HCCS) is excited to announce full-time opportunities for dedicated, certified remote Pro Fee / Pro Clinic Auditors. We are seeking candidates who are enthusiastic about professional growth and eager to learn new specialties. Ideal candidates should be independent, adaptable, and thrive in dynamic settings. The role involves auditing coders and providers to ensure compliance with accuracy standards and to identify potential risks to clients.   Key Responsibilities:    Audit Inpatient, Same Day Surgery, Observation, and Pro Clinic charts.   Specialize in at least three of the following areas: Primary Care, Rural Health Clinics, Cardiology, Obstetrics, Behavioral Health, IVR, General Surgery, Spinal Surgeries, or Podiatry.   Position Requirements:    Minimum of 3 years' experience in auditing Inpatient, Same Day Surgery, Observation, and Pro Clinic charts....

HCCS currently has multiple full-time and part-time openings for experienced and certified Pro Fee and Pro Clinic/Outpatient Coders. The ideal candidate will need to have three plus years of current medical coding experience in coding Pro Fee/Clinic charts, along with a current coding credential from AHIMA or AAPC (CCA and CPC-A credentials are not accepted).   Full-time candidates will be expected to work 40 hours per week, M-F.  Position Requirements:   Current coding certification from AHIMA or AAPC   CCA and CPC-A not accepted   Three or more years of coding experience in Pro Fee IP/OBS/SDS and/or Clinic/Outpatient Coding   Three or more years of E/M Leveling experience   Recent experience in production coding within the past six months   Proficiency in coding using the 2023 coding guidelines and MDM       Specialty Areas (one or more of the following are required):...

Aptarro (Alpha II + RCxRules) is a rapidly growing, acquisitive, private-equity-backed software company that is revolutionizing precision across the healthcare revenue cycle for healthcare professionals, clearinghouses, and government entities. We are looking for a driven candidate to join our team, bringing extensive experience in private equity, including M&A integrations, and buy-side and sell-side due diligence. This is an exciting opportunity to roll up your sleeves, work on innovative solutions, collaborate directly with the Executive Team and Board of Directors, and play a key role in shaping our platform for growth. If you’re passionate about driving change and innovation, we want to hear from you! Position Overview: The Sr. Director of Content Management, Healthcare Coding & Billing Compliance will lead the development, organization, and strategic oversight of content related to coding compliance, billing requirements, and other payer...

Job Posting: Medical Billing and Coding Specialist Company: South Shore Billing Services, LLC Position: Medical Billing and Coding Specialist Type: Contract / Part-Time Location: Remote Sign-On Bonus: $500 About Us: At South Shore Billing Services, we are dedicated to providing exceptional billing and coding solutions tailored to the healthcare industry. Our team is committed to accuracy and efficiency, ensuring our clients receive the best financial management services. Position Overview: We are seeking a detail-oriented and experienced Medical Billing and Coding Specialist to join our remote team. The ideal candidate will hold credentials as a Certified Professional Coder (CPC) and Certified Professional Biller (CPB) and possess a strong understanding of medical billing and coding practices. Key Responsibilities: - Accurately code and bill medical procedures and services using current coding systems. - Ensure compliance with all relevant regulations...

This role assists our customers in performing, auditing and validating medical coding while complying with accepted standards and legal requirements. Your work ensures that all professional services rendered are documented and properly coded for billing.     You will work under moderate supervision and direction as you continue to increase your proficiency and apply your skills to the completion of assigned tasks.     The role you play   Performing medical coding and abstracting of patient encounters, identifying diagnostic and procedural information, reportable elements, complications, and other procedures    Following coding conventions, assigns codes for reimbursements   Reviewing the medical record and identifying professional services in it to accurately optimize all professional services documented for billing    Comparing physician-chosen CPT and ICD-10 codes to the physician’s documentation to...

We are seeking a detail-oriented and experienced In house Surgical Facility Coder to join our team. This role will specialize in coding Ambulatory Surgical Center. Coding for spine and General Orthopedic procedures, ensuring accurate and timely coding for surgeries, outpatient visits, and other related services. The ideal candidate will have in-depth knowledge of orthopedics and spine surgical codes, including ICD-10, CPT,  and HCPCS, PCS and will be proficient in working with insurance companies to resolve claims and ensure accurate reimbursement. Inpatient/Outpatient certified coder preferred.

Barrington Orthopedic Specialists   is looking for a full-time Certified Coder/Surgery Coder. Applicant must have worked according to payer-specific guidelines, validate documentation, and work with the physicians to assure proper coding. A disciplined individual with the ability to prioritize and multi-task with attention to detail, and the ability to maintain productivity at a consistent pace will be most successful. Responsible for coding Orthopedic, Podiatric, Spine and Hand services   (specifically surgeries). This is a full-time position (40 hours per week), based out of our Schaumburg location.  Essential Function(s) of the Position: Ensure clean and timely data entry, charge posting and billing of claims Verify accuracy of medical record documentation and assign appropriate CPT codes Review ICD10 codes for accuracy, sequencing and specificity Add modifiers as appropriate Educate the medical staff regarding coding issues Stay current...

Interventional radiology experience is strongly preferred. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physicians office/clinic settings.Adheres to coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer-specific coding guidelines.

Barrington Orthopedic Specialists   is looking for a full-time Accounts Receivable Specialist. Applicant must have knowledge of insurances, EOB's, and collections, and have the ability to analyze data. A disciplined individual with the ability to prioritize and multi-task with attention to detail, and the ability to maintain productivity at a consistent pace will be most successful. This is a full-time position (40 hours per week), based out of our Schaumburg location. Essential Function(s) of the Position : · Build accounts receivable aging report · Research and follow up on insurance claims · Research and work correspondence from payers, attorneys, and patients · Prepare and submit documentation for additional information requests, reconsiderations, and appeals · Contact payers regarding denials, payment issues and claims questions · Work closely with insurance provider representatives for complex claims issues · Locate and upload explanation of...

To apply for this position, please send your resume and cover letter to GReynoso@csumb.edu. This is a temporary, non-benefited position. 10-20 hours per week. All positions are open until filled. The University Corporation at Monterey Bay (“Corporation”): The Corporation is constantly looking for motivated employees with great organization and teamwork skills to join our team. The Corporation is a non-profit institution that is related and affiliated with the California State University, Monterey Bay. The University Corporation at Monterey Bay is a nonprofit 501(c)(3) public benefits corporation that is a recognized auxiliary organization of California State University and was established in July 1994. The University Corporation’s mission is to further the educational purposes of the University. The University Corporation at Monterey Bay is an equal opportunity employer and is committed to building a pluralistic university by hiring personnel with competencies and...

The Professional Fee Abstractor will provide research for the department responding to questions regarding the assignment of correct codes.  This position will also be responsible for the coding of complicated medical documentation and procedures which requires clinical knowledge and education.  The coding process will use physician notes and the researched data to properly assign codes to all services performed utilizing appropriate ICD-10 CM, CPT, HCPCS codes and modifiers.   Participation in coding training and education is also required as well as maintaining yearly certification as a Certified Professional Coder.  Specialty certification in Orthopedic Surgery is preferred.     1. Additional miscellaneous duties and responsibilities, as may be assigned from time to time by employee’s supervisor.     2. Code complex procedures and notes which require a high level of clinical and coding knowledge using appropriate procedure and diagnosis codes.     3. Research coding queries...

We are an independently owned multi-specialty surgical practice looking to add to our billing team. We provide Trauma Surgery, Burn Surgery, General Surgery, Plastic Surgery, Advanced Wound Care and Foot and Ankle Surgery. The best applicant will have extensive experience in professional claims analysis in the medical outpatient setting. They will have experience in claim appealing, follow-up and denial management.  We are open to consider candidates remotely but require that the candidate has a strong desire to work as a team and collaborate often to ensure cohesiveness. 

We are an independent multi-specialty practice looking for an experienced coder in the Idaho Falls, ID area. This will entail coding for general surgery, podiatry, plastic surgery, wound care, trauma surgery and burn surgery.  The ideal candidate will have extensive experience in coding for a busy practice and is up to date on recent LCD guidelines and works well with a multi-faceted team. Willing to consider remote opportunity. The job comes with benefit package, including 401k. 

Positions Available: Medical Biller - Team Leader Medical Biller - Support Staff (2-3 positions) Position 1: Medical Biller (Dermatology) - Team Leader Job Description: As the Team Leader, you will be pivotal in guiding our pilot clinic through the transition from traditional billing to a  new billing platform. Your leadership and extensive experience will ensure a seamless transformation and the efficient management of our billing processes. Key Responsibilities: Transition Management: Oversee and direct the transition of billing processes from manual to automated systems. Team Leadership: Lead and mentor a team of billing professionals, ensuring effective implementation of new processes and addressing any issues that arise. Expert Billing: Utilize your expertise in private practice medical billing to manage and process complex claims, including those related to orthopedic and physical therapy services....

PRIMARY PURPOSE  The primary purpose of the Coding Specialist III is to code and verify data necessary to ensure correct coding, abstracting, and billing on inpatient (IP) encounters. This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS. HCC, HEDIS CAT II and modifier codes for both professional and hospital charging, coding and billing. Demonstrates the ability to provide direction to coding staff as it relates to coding integrity, established coding guidelines and Parkland's policies to ensure accuracy of recorded patient medical information and appropriate reimbursement for services rendered.   MINIMUM SPECIFICATIONS   Education - High school diploma required. - Must have successfully completed an approved coding program. - OR Must be a graduate of a health Information Management program. Experience - Must have three (3) years of coding experience in an acute care Level I trauma hospital...

Job description Job Title: RCM Lead – The RCM Wizard We’ve Been Looking For About Us: We’re a leading rheumatology practice with seven providers under one roof and plans to expand. Our current processes work, and we’re looking for the right leader to transform them into a high-performing, growth-ready system. If you’re the kind of person who sees a functional operation and thinks “I can make this even better,” keep reading. The Opportunity: You won’t just be handling claims—you’ll be orchestrating an entire revenue cycle upgrade. Start with an existing framework, refine it into a seamless, efficient operation, and build a team—both onsite and offshore—that can support our growing footprint. Over time, you’ll guide the department at a strategic level, ensuring we evolve in step with new locations, payer changes, and industry best practices. Immediate Focus: - Evaluate current RCM workflows, identify improvement areas, and implement best practices....

Our team members are the heart of what makes us better. At  Hackensack Meridian  Health  we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The  Outpatient Coder  is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare & Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information...

Job Description Major Responsibilities: Plans, develops, and implements the review.  Determines scope of review, such as number of patient services, sample sizes, mix of physician/facility services, etc.   Reviews professional and hospital claim form documents in conjunction with patient medical record to ensure appropriate coding and clinical documentation.  Also reviews reimbursement documents to validate appropriate reimbursement, identify overpayments and/or missed opportunities.  Prepares presentation of findings and recommends corrective actions to ensure compliance with applicable governmental regulations and organizational policies and procedures.  Presents to physicians, clinicians, and/or administrative staff to educate regarding coding, billing, and documentation requirements to meet government and third-party payer requirements.   Reviews and responds to external audit requests surrounding supervision, coding, billing, and documentation...

Start 2025 Off Right-Join our LexiCode Team! Inpatient Remote Medical Coder - Facility coding Job Summary As a Certified Inpatient Medical Coder at LexiCode, you will join a dynamic team of coding experts dedicated to delivering exceptional coding services to our valued clients. Your primary responsibility will be accurately assigning diagnostic and procedural codes to inpatient medical records, ensuring compliance with coding guidelines and regulations. LexiCode is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. Pay Disclosure: The pay range for this position starts at $28.00-37.00 per hour; however, base pay offered may vary depending on job-related knowledge, skills, and experience. Bonus opportunities may be provided as part of the compensation package, in addition to a full range of medical, financial, and/or other benefits, dependent on the position offered....

Job Description SUMMARY OF JOB DUTIES: The person handling this position is responsible for ensuring all risk ICD-10 codes are properly documented with appropriate treatment plans on the encounter and these specific risk codes are attached to the correct CPT code for all VBC plans. This person is also responsible for making sure that the claim is fully processed by the payor so that they receive the HCC diagnosis. ESSENTIAL JOB FUNCTIONS: Daily key punching into computer when needed to assure accuracy of billing for all services rendered in patients account in a timely manner. Ensure completion of documentation and coding on the EMR when needed on charges entered in patient's accounts for a correct and complete billing claim. Review clinical documentation and make sure accurate diagnosis codes and procedure codes are documented with the use of MEAT/TAMPER according to CMS guidelines Verify the appropriateness of the ICD-10 code to include...

Oklahoma City Indian Clinic (OKCIC) is a non profit corporation that provides culturally sensitive health care to the American Indian population. OKCIC services not only include basic medical care, but also dental, optometry, behavioral health services, fitness, nutrition and other family programs. Our mission is to provide excellent healthcare to American Indians. We do this by putting people first, providing quality services, and maintaining our Integrity and Professionalism. We are looking to add compassionate team players to our growing team as we continue to work toward our goal of becoming the national model for American Indian Health Care. The Clinical Documentation Improvement Specialist (CDIS) is responsible for competency in coordinating and performing day-to-day operations, providing concurrent and retrospective reviews, and improving documentation of all conditions, treatments, and care plans to ensure the highest quality of patient care. The CDIS will also...

At OrthoCarolina, our team is our greatest asset and the foundation of our success; we share a common passion for making lives better. We are a diverse group of individuals, accountable to each other through the backbone of our beliefs: trust, honesty and mutual respect; ensuring our voice is heard. Our positive environment supports individual growth and a sense of belonging. Our employees work together to uphold the standards of excellence and promote and environment of teamwork throughout the organization.    If these attributes align with the job culture you are seeking - then OrthoCarolina might be the right fit for you!   We are currently searching for a Coding Technician II to join our Coding Team at OrthoCarolina in Charlotte. This is a hybrid position.   The Coding Technician II is responsible for accurate coding of 600+ general orthopedic surgery cases for assigned physicians. A coding tech II must be knowledgeable...