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Full Time

AAPC Recruiting Services: External Client seeking an Inpatient Coder

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...

Full Time

AAPC Recruiting Services: External Client seeking a Certified Coder

AAPC Red Bluff, 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...

HC

Full Time

Health Plans Coder/Auditor

Health Choice Utah Remote (UT, USA)

Responsibilities Performs audits and reports on the accuracy of inpatient and outpatient coding and billing. Provides initial input and recommendations on all coding related appeals. Participates as an active member of medical policy and coding workgroup, medical policy committee and claims editing committee. Provides input to the system claims editing set up, provides input as it relates to AMA-CPT guidelines and Correct Coding Initiative. Assists in writing and revising Plan reimbursement policies. Manages the process for review of new CPT/HCPCS coding releases quarterly, provides recommendations for payment system set up of the codes and submits changes for system set up. Provides a review of coding on all new and established medical/administrative/reimbursement policies to assure they are up to date and consistent with policy intent. Oversees on-going projects that are within the scope of this position. Knowledge / Skills /...

Ca

Certified Professional Coder

Colon and Rectal Surgeons of Greater Hartford, LLC Bloomfield, CT, USA

Job Description Salary: Minimum Qualifications: Education and Experience * High school diploma or GED completion is required. * Certified Professional Coder with a minimum of two years' experience with CPT/ICD-10-CM coding of physician services preferred. * Good working knowledge of medical terminology and anatomy required. * Experience in EPIC EHR preferred but not required. Job Knowledge * Knowledge of current third-party billing and collection regulatory guidelines and requirements. * Good people skills and a basic understanding of team management concepts. * Ability to gather and interpret clinical data. * Ability to work independently in a fast-paced environment. Essential Duties * Performs initial charge review to determine appropriate ICD-10-CM and CPT codes to be used to report physician services to third party payers. * Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and...

CS

Medical Billing Specialist

Complete Staffing Solutions, Inc. Farmington, CT, USA

Job Description Job Description Accounts Receivable Analyst 26 week contract (3/10/2023 - 9/8/2023) Salary: $22-24/hour Department: Patient Financial Services Hours: 40 hour week, 7:30am-4:00pm Requirements: * At least 2 years of hospital billing experience * Knowledge of Epic a preferred * Comprehensives knowledge of third party payor policies & procedures * Knowledge of hospital claims adjudication & denials * Working knowledge of revenue cords, CPT/HCPCS codes * Strong knowledge of medical claims terminology * Knowledge of pay under and over payments Company Description Very reputable University Company Description Very reputable University

AM

Medical Biller

AMSURG Allentown, PA, USA

The Surgery Center of Allentown, located in Allentown, PA., is a freestanding ambulatory surgery center. At the Surgery Center of Allentown, we provide high quality outpatient surgical care to the people of the Lehigh Valley and surrounding areas in a pleasant and convenient environment. We are currently searching for a full-time Biller to work Mondays - Fridays who can work cooperatively with staff and physicians and perform a variety of tasks. Responsibilities Reviews and appeals denied and unpaid claims Analyzes, enters, and manipulates collections database Manages proper submission of all documents in a timely fashion Submits claims to insurance companies for payment Manages collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients if or when there is a lapse in payment Works directly with the insurance company, the patient, and the healthcare provider, to get a claim processed and...

PP

Risk Adjustment/Coder Supervisor

Private Posting Denver, CO, USA

Job Description A nonprofit accountable care organization formed around a statewide integrated network of federally qualified Community Health Centers offering comprehensive primary care services to patients has an immediate opening for a Risk Adjustment and Quality Supervisor. Job Summary: The Risk Adjustment and Quality Supervisor is responsible for day-to-day supervision of the Risk Adjustment and Quality team. This includes working with the team and management to customize plans tailored to each Community Health Center (CHC). In this role, the Supervisor will lead the team that integrates with the CHC staff to review medical records, arrange educational sessions with the providers and coding staff, set-up access to EMR systems, conduct pre-visit planning and gap closures and focus on quality of care and documentation improvements. Desired Qualifications: * Associate or Bachelor's degree in a related field or work equivalent in lieu of degree. * Minimum of one- year supervision...

st

Full Time

Inpatient Medical Record Coder

stonybrooku Commack, NY, USA

Description: Position Summary At Stony Brook Medicine, the Medical Record Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Duties of a Medical Record Coder may include the following but are not limited to\: Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance. Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services. Follow all HIPAA regulations and uphold a higher standard around privacy requirements. Demonstrates the technical competence to use the facility encoder as it interfaces with...

st

Part Time

Per Diem Outpatient Medical Record Coder

stonybrooku Commack, NY, USA

Description: Position Summary At Stony Brook Medicine, the Coding Specialist will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM/PCS, CPT and HCPCS codes. Duties of a Medical Record Coder may include the following but are not limited to\: Assign and sequence ICD-10-CM/PCS, CPT, and HCPCS diagnostic and procedural codes with modifiers for services provided in the facility environment. Use APC/EAPG grouping logic to accurately reflect the diagnosis/procedures documented in the medical record Assign ICD-10- CM/PCS, CPT and HCPCS codes Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Utilize coding resources along with any other applicable reference material available to...

UH

Medical Reception Supervisor

United Health Centers of the San Joaquin Valley Sanger, CA, USA

We are recruiting for an exciting leadership opportunity as a Medical Reception Supervisor (MRS) at one of our new state of the art clinics. Under the direction of the Health Center Manager, individual will direct, supervise, and coordinate staff and day-to-day operations for assigned center to provide outstanding customer service, quality and cost effective care. The MRS can expected to manage the daily operations of the front office/receptionist area of the health center. Responds to issues as appropriate (i.e., scheduling errors, patient flow bottlenecks, patient concerns, employee relations issues, etc.) and forwards information to appropriate supervisor and to Health Center Manager as needed for formal follow-up. Consistently conducts operations and decision-making base on using UHC policies and procedures. Approaches work in a consistent and timely manner and as directed by the Health Center Manager. Works closely with the Health Center Manager and other members...

CF

Medical Billing Specialist

Creative Financial Staffing (CFS) Denver, CO, USA

Job Description A growing non-profit organization in Denver seeking a sharp Billing Coordinator to join their team. The successful candidate will have at least 5 years of medical billing experience, knowledge of Medicaid, Medicare, and eligibility standards, and be proficient with MS Office. The Billing Coordinator will work remotely after 2-3 days of training and report to the Accounts Receivable Manager. Responsibilities: • Prepare and submit electronic and paper claims to Medicare, Medicaid, and other Third Party Payers in accordance with prescribed standards. • Communicate with AR Manager and AR team of any issues that interfere with claim submission/payment remittance. • Post receivables and reconcile AR accounts. • Contact payers to resolve claims payment discrepancies. • Research and handle claims payment appeals and denials. • Maintain accurate billing records in accordance with prescribed standards. • Prepare accurate AR reports as necessary. • Work with AR Manager to...

AJ

Claims Supervisor - Medical Only Work Comp

Arthur J Gallagher & Co Oklahoma City, OK, USA

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Under moderate management, supervises a team of claims adjusters.Actively drives adjuster hiring and leads adjuster training. Actively manages assigned adjuster workloads and performance. Participates in compliance and best practice reporting.Demonstrates a thorough understanding of corporate policies and procedures. Essential Duties & Responsibilities: Uses various metric driven tools such as FOCUS, the Claim Operation Tool Kit to evaluate performance and identify problem areas in advance of them becoming service issues. Reviews findings with manager to jointly develop a plan for corrective...

SO

Medical Billing Specialist

System One Holdings, LLC Tulsa, OK, USA

System One is in search of a Medical Billing Specialist for a midsized Tulsa, OK specialty clinic. This company is proud to be the leader in their area of expertise in eastern Oklahoma and surrounding states. Employees are treated with respect and have the ability to grow and expand their skills. Responsibilities : Responsible for full collection procedures on all patients. Processes claims daily. Answers insurance correspondence and responds to all requests from payers to receive full payments in a timely manner. Works closely with the Medical Records department to have correct records submitted if requested. Answers patient phone calls and establishes possible payment plans if appropriate and agreeable Requirements : Minimum of two years of experience in medical office; billing and collections experience preferred. High school diploma or equivalent. Compensation Range: $16.00 - $18.00 Per Hour

sc

Senior Compliance Auditor

scripps San Diego, CA, USA

Description: At Scripps Health, you will experience the pride, support, and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work. You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So, if you’re open to change, go ahead and unlock your potential. As a Senior Compliance Auditor your duties will require you to independently perform a variety of operational and regulatory related audit projects. Plans and conducts coding and claims audits of specialized services, as well as process reviews, the results of which are documented and communicated to key stakeholders, including Senior Leadership. Conduct root cause analysis by identify operational and documentation gaps based on complex coding and regulatory guidelines, and provide solutions for improvement and/or remediation. Researches, summarizes and communicates complex...

TU

Medical Biller

The US Oncology Network Portsmouth, VA, USA

Overview: Employment Type : Full Time In-Office Position Benefits : M/D/V, Life Ins., 401(k) Norfolk, Virginia JOB SCOPE: With minimal supervision, is responsible for payer and patient account balances being paid timely and remaining current. Performs collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering routine to complex account inquiries. Performs responsibilities within standard procedures and pre-established guidelines to complete tasks. A certain degree of creativity and latitude is required. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and The US Oncology's Shared Values The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the...

CA

Medical Biller

CAPITAL AREA HEALTH NETWORK Richmond, VA, USA

Job Function : Responsible for preparation and submission of claims and following up with insurance. Responsible for collecting, posting and managing account payments. Duties: Prepare and submit clean claims to various insurance companies either electronically or manually Answer inquiries from patients, clerical staff, attorneys and outside lab services Identifies and resolves patient billing complaints Prepares, reviews and sends patient statements; Post all payments from personal payments to insurance payments Process credit balances and patient refunds as necessary Prepares payments for further processing by AR Reviews accounts for possible problems and makes recommendations to Billing Manager Download vendor edit report Update the CPT codes annually against new procedure guidelines Monitor front-end error rate to keep front-end informed of entry progress Maintain strictest confidentiality; adheres to all HIPPA guidelines and regulations Perform other duties as...

Uo

Medical Billing Supervisor - Hybrid (Taunton, MA)

University of Massachusetts Medical School Taunton, MA, USA

GENERAL SUMMARY OF POSITION: The Public Provider Reimbursement (PPR) Department within the Center for Health Care Finance Solutions conducts statewide business services for several health and human services agencies of the Executive Office of Health and Human Services (EOHHS) to maximize revenue for the Commonwealth of Massachusetts. Revenue is obtained from private, state and federal resources to reimburse the Commonwealth for the costs of health care and related services provided by public institutions and community-based programs. The PPR Supervisor is responsible for managing day-to-day business services and operations including medical billing and health insurance identification and access activities, and supervising, training and evaluating staff. MAJOR RESPONSIBILITIES: Supervise and train staff and participate on hiring and performance evaluation activities. Conduct individual supervisory meetings regularly with staff including meeting quarterly to review...

AC

Remote Medical Biller (Contract)

Aston Carter Providence, RI, USA

Remote Medical Biller (Contract) *Must reside within the New England Area - MA, VT, NH, MA, CT, RI* | Contract This role offers Medical Billing/AR professionals the ability to work with a reputable cancer institute in the Northern New England Region! Further explore this exciting opportunity below... Benefits of this Role: + Working alongside a prestigious cancer institute and gaining insightful knowledge within the field of work + Work/Life Balance - Remote log-in, and work at the comfort of your home + Laid-back management style, with open-door policy Core Experience: + 1-2+ Years of medical billing/AR/Denial management experience + Working knowledge of industry standard medical coding conventions + Knowledge of third-party billing regulations, as well as of hospital and/or professional operations, and third-party payer requirements. + Commercial payor experience + Must have Covid-19 Vaccination + Must have high speed internet at home, ability to work with no...

MI

Medical Billing Specialist (Adecco)

Mitchell International, Inc. Cottonwood Heights, UT, USA

The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. We’re seeking several talented individuals to join the team as Medical Billing Specialists. Our Medical Billing Specialists provide administrative support in the collections process working with our customers (insurance companies, prescribers, patients and pharmacies) on billing related to prescription processing. Responsibilities include but are not limited to the following: Inquire to and correspond with...

NH

Medical Biller

NOMS Healthcare Amherst, OH, USA

Job Summary: This is a clerical position that involves the filing and tracking of insurance claims and informing patients of their account status. Work is performed in accordance with NOMS policies and procedures/applicable federal and state laws. Effective performance requires independent action under general supervision. Essential Functions: 1. Process insurance and disability claims in a timely manner. 2. Follows up with insurance companies ensuring that claims are paid correctly. 3. Follows up with patient on balances, sets up payment plans if needed. 4. Maintains strict confidentiality related to medical records and other data. 5. Participates in professional development efforts to ensure currency in health care practices and trends. 6. Answers patients' inquiries regarding account balances. 7. Daily use of phone. 8. Provide monthly summary reports to physicians, CEO, CFO, and Director-CBO. 9. Other duties as assigned. Competencies: 1. Knowledge of NOMS...

us

Medical Records Technician (Coder Inpatient and Outpatient)

usagov Memphis, TN, USA

Summary Vacancy Identification Number (VIN): CBTG-26994-11834198-23-AL. Please read this announcement in its entirety before beginning the application process to ensure you submit all the required documents. See Required Document sections in this announcement before applying. Please read the application questionnaire before applying: https://apply.usastaffing.gov/ViewQuestionnaire/11834198. Federal Resume Tips, Please READ This job is open to Internal to an agency Current federal employees of this agency. Clarification from the agency 1st current, permanent, Memphis Department of Veterans' Affairs VHA employee 2nd all other current, permanent, Department of Veterans' Affairs employee Videos Duties This position is located in the Health Information Management (HIM) section in the Business Office at Memphis VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician...

EM

Remote Medical Coder, Professional (Certified through AAPC or AHIMA)

Enhanced Medical Revenue LLC Chicago, IL, USA

Job Description Job Summary The Professional Fee Coder is part of a team which has full responsibility for the efficient and accurate flow of coded professional and technical charges. Coder applies the appropriate diagnoses and procedural codes and applicable modifiers to individual patient health information for data retrieval, analysis and claims processing. Works closely with clients to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers. Provides physicians routine feedback on documentation and compliance standards. - Conducts training for coding staff and providers. Resolves pre-bill edits and appropriate follow-up. Provide statistical data and/or trending to management. Exercises judgment within defined procedures and practices to determine appropriate action. Receives general instructions on routine work, detailed instructions on new assignments. Coding positions are remote. Coder is responsible for providing their own...

UL

Certified Coder, Central Business Office

UofL Health Louisville, KY, USA

We are hiring at UofL Physicians: Certified Coder Locations:300 E. Market St. Louisville, KY 40202Shift: 1st Shift, (7a-7p) About UsUofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at theUofL School of Medicine, teaching tomorrow’s physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient.JOB SUMMARYThe team member performs highly technical and specialized functions for the Central Business Office. The team member reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments. The primary function of this...

WC

Remote Medical Coder

W3R Consulting Inc. Chicago, IL, USA

Job Description Senior Medical Coder The role is 100% remote with a flexible schedule (at least 30 hours per week required) and with a start date pushed to first week of June. Responsible for reviewing medical records to abstract ICD-10 codes that map to HCCs from a variety of different CMS Hierarchy models including Medicare Advantage, PACE, Commercial, and Medicaid CDPS model. In addition to abstracting diagnosis codes, the Clinical Review Specialist also audits medical records and validates entries that have been submitted to CMS. RESPONSIBILITIES: * Conducts audits of medical records (paper, EMR, hybrid) * Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision. * Understands, respects, and applies client specific guidelines * Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines * Regularly participates in peer review; provide and receive feedback * Ensures accurate...

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