3026 jobs found

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...

JDL Access provides patient appeals support for innovative technologies. We are bringing on new medical device clients in the cardiovascular space and require a senior Vascular Coding Specialist and Patient Advocate to work with these clients by providing: a) support to patients through all phases of the prior authorization process, from benefit verification through independent review, for denied prior authorizations and claims; and b) reimbursement and coding support to providers, facilities, and client contacts. Key Responsibilities - Facilitate appeal requests for patients - Coordinate with providers and patients to obtain necessary documentation related to the appeals process - Follow-up and track all requests to insurance companies - Provide frequent and ongoing communication to all parties - Address reimbursement and coding questions

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...

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

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

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

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

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

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

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

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

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

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

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

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

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

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