2302 jobs found

Job Ref:71404 https://www.houstonmethodistcareers.org/job/107886/senior-compliance-coding-analyst-audit-compliance-bus-prac-medical-center-finance-and-legal-houston-methodist-specialty-physician-group/ At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party payments and internal policies. Responsibilities for this position include serving as subject matter expert, performing complex and high risk-based and baseline compliance reviews and identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and billing practices to identify potential risk and identify and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims and records and serves as a mentor to more...

Fusion Anesthesia Solutions has been dedicated to providing the highest quality medical billing, accounting, and practice management services to anesthesiologists since 1974.   Located in Brookfield, Wisconsin, Fusion Anesthesia Solutions provides anesthesia and pain management billing services nationwide.   Fusion Anesthesia is currently seeking qualified candidates to supervise certified coding staff and coding workflows.   Candidates should be self-motivated and possess excellent written and verbal communication skills.   A minimum of 5 years of anesthesia-specific coding experience with at least 3 years in a supervisory role is required. Responsibilities include: ·        Provide supervision and guidance for staff of certified coding professionals ·        Monitor and assess coding department workflows ·        Implement coder training and development activities ·        Lead all pre- and post-billing coding audit activities ·        Participate...

Your Job:   In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement. They establish an accurate database for case mix indices which provide statistical reporting and trend analysis. The Coder 2 is proficient in coding DRG based records as well as all other payers. Your Job Requirements: High school graduate or its equivalent Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder Proficient in detailed work Maintain a professional image in handling confidential patient information Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and...

Company Description Founded by Dr. Matthew Holder and Dr. Henry Hood of the Lee Specialty Clinic, Kramer Davis (KD) Health is a transdisciplinary clinic that is reimagining the healthcare space for persons with Intellectual and Developmental Disabilities (IDD).   The KD model of care includes clinicians from across multiple disciplines providing exemplary care in areas including primary care medicine, psychiatry, dentistry, therapeutic services, and behavioral health.  As leaders in innovative, holistic, and compassionate healthcare for individuals with IDD, the KD team will establish the new standard of healthcare excellence in the Nashville area and beyond.  Our goal is to ensure our patients feel accepted, maximize their abilities, and live happy and fulfilled lives.     Responsibilities The Certified Medical/Dental Coding Specialist will verify diagnoses, CPT/CDT codes, modifiers and HCPCS codes prior to claims being submitted to the insurance company....

Manager Medical Coding- AGS Health  Lead 3-5 direct reports, 60- 90 total reports to drive business delivery at a project level by managing team performance, driving process improvements to meet SLAs, implementing talent initiatives focused on employee engagement, satisfaction, retention, and coaching needs. 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 , we are the premier revenue cycle partner for leading health systems, physician groups, and academic medical centers in the U.S. Our global team of more than 12,000 specialists serves more than 150 customers across a variety of care settings, specialties, and billing systems. Delivery/ Operations   ·       Subject matter expertise in at least one specialty in coding ·       Perform training needs analysis based on internal and external feedback...

Join Our Team and Earn a $5,000 Sign-On Bonus!   Who we are:   At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint's healthcare delivery network.   Our network includes 60+ community hospitals, 60+ rehabilitation/behavioral health hospitals, and 250 additional sites of care across the United States.   As an organization, we are dedicated to serving communities nationwide by providing exceptional care. We believe in the power of our talented teams and strive to create environments where employees find purpose and fulfillment.    What you’ll do:   As a n IP Coding Specialist , you will be   responsible for Assigning diagnosis and procedure codes using the appropriate coding classification system on all episodes of care inpatient encounters according to coding conventions, guidelines, and hospital policy, analyzing...

The Medical Billing and Claims Associate is responsible for accurately and timely analysis medical records and assigning standardized codes to diagnoses, procedures, and services for billing and record-keeping. The Medical Billing and Claims Associate accurately translates patient information into alphanumeric codes using systems like  ICD ,  CPT , and  HCPCS , ensuring proper reimbursement and maintaining data integrity, and processing patient health insurance enrollment/waiver verification, in-office and third-party billing, and claims while providing outstanding customer service.  The Medical Billing and Claims Associate reviews billing reports and insurance claims for accuracy, updating and editing Electronic Medical Records software. This position processes billing functions in the  POS  and  EMR  systems, Student Health Insurance submission and verification, and claims. Under the direction of the Assistant Director of Health Insurance, Billing, and Claims, the...

We are seeking a full-time team member to handle daily insurance verification for scheduled appointments and walk-in patients. Responsibilities will also include working on insurance denials and reconciling claims on a weekly basis.  Preferably looking for a candidate bilingual in Spanish and English and has experience with the eClinicalWorks EHR system.

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...

Join the Leader in Complex Rehabilitation Technology – Become a Customer Care Coordinator at Numotion! At   Numotion , we are proud to be the nation’s   leading provider of Complex Rehabilitation Technology (CRT) , dedicated to improving the lives of individuals with disabilities. Our mission is to enable people to engage in everyday life with the help of personalized, medically necessary mobility products and services. From manual and powered wheelchairs to essential medical supplies, we empower thousands of people to live more independently. As an industry leader, we believe that our diverse workforce is the key to success. We foster an   inclusive environment   that values open communication, active listening, and continuous growth. When you join our team, you become part of a company committed to making a difference for those in need while supporting the personal growth and well-being of our employees. About the Role: Customer Care Coordinator We are seeking a...

The Company:  Pulmonary Associates of Richmond (PAR) has been around since 1974. That's 50 years of serving the greater Richmond community. We specialize in pulmonary medicine, sleep disorders and research. Our staff cares about our patients and delivers the utmost excellence in quality care and customer service. The Position:  PAR seeking three dynamic and enthusiastic full-time AR Billing Specialists for the Boulders location, to perform all aspects of the revenue cycle, and other tasks related to medical billing claims for the practice.      Benefits 401(k) Dental insurance Employee assistance program Employee discount Flexible spending accounts Employee referral program Health insurance Employer Paid Life insurance and LTD. Paid time off Vision insurance   Job Responsibilities Revenue Cycle Process. Apply Private Payer Policies. Apply Government Payer Policies. Follow up on Claim Statuses....

The Judge Group is seeking entry-level Medical Coders to join our Fortune 100 client's team on an ongoing contract basis. If you're new to the field and eager to gain hands-on experience, we encourage you to apply. Job Overview Job Title: HCC Coder Job Type:  Contract (Ongoing) Location: Fully Remote Hours:  40 hours/weekly (Monday - Friday) Rate: $22.00/hourly  Key Details All equipment will be provided. Flexible start time after initial 4 weeks of training. Please note training hours will be 8:00 AM - 5:00 PM CST (Monday - Friday) Attendance during training is mandatory. Training classes starting each Monday throughout the Summer. What You'll Do As a Medical Coder, you will work remotely to accurately assign ICD-10 codes for diagnoses in both outpatient and inpatient records, supporting risk adjustment for Medicare, ACA, and Medicaid. You'll be responsible for ensuring all coding is precise and compliant with established...

We are seeking a part time on-site biller/admin support at our San Francisco neuropsychology office. Example of job duties include, but are not limited to:  -Greeting and checking in patients -Answering office phone line/ inquiries -Verifying eligibility with Medicare and Kaiser coverage -Posting charges and payments -Making insurance claims inquiries and drafting appeals on denied claims  -Answering patient phone calls, reviewing accounts, and collecting payments. -Sending invoices and superbills. -Reviewing RA'S/ Explanation of payments and updating excel, conducting follow-up as needed -Logging and entering referrals -Administrative coverage as needed during other admin vacation/time off  Qualifications: -Experience working in medical office -Must be able to come in office at least 1 day per week Desired qualifications: -Bilingual Spanish -Office Ally/ EPIC experience -HIPAA training -Expertise in Microsoft Office Suite and...

As a full-time ProFee Interventional Radiology Auditor, you will be responsible for the review, interpretation and auditing of code assignment based upon the medical records for assigned specialty. Duties Include: Review appropriate diagnosis, procedure, modifier and other codes, such as quality codes, based on clinical documentation, utilizing correct coding conventions and established policies and procedures for assigned specialty. Provide feedback to coders. Meet or exceed departmental productivity and quality standards. Research and resolve client coding and documentation questions utilizing appropriate resources. Interact with the client to resolve documentation insufficiencies prior to code assignment, when appropriate, for assigned clients. This is a full-time position with benefits. KEY SELECTION CRITERIA: Candidate qualifications :   Certified through AHIMA or AAPC (CCS, CIRCC or CPC) Minimum 2 years coding leadership position....

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 Healthcare Compliance Manager 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)...

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....