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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
RU
medical billing specialist
Randstad US Louisville, KY, USA
medical billing specialist. + louisville , kentucky + posted march 8, 2023 **job details** summary + $18 - $20 per hour + temp to perm + high school + category healthcare support occupations + referenceAB_4192203 job details Do you have at least two years of Medical Billing experience? Are you knowledgeable of a variety of insurance carriers including Medicare and Medicaid? If you answered yes to both questions, this may be the position for you! Randstad has a contract-to-hire opportunity for an onsite Medical Billing Specialist for our client that is located in the East End of Louisville. Working hours are Monday-Friday, 7AM-3PM. Apply today! For more information please call Angela Thompson at 502.583.1237 or email angela.thompson@randstadusa.com salary: $18 - $20 per hour shift: First work hours: 7 AM - 3:30 PM education: High` School Responsibilities + Review radiology reports and correct CPT/ICD codes for denied claims + Review...

Apr 01, 2023
CE
Medical Billing/Coding Specialist
Coastal Ear, Nose and Throat, LLC Neptune City, NJ, USA
Job Description Qualifications * 3-5 years billing experience. Ambulatory Service Center (ASC) experience preferred. * Experience with CPT and ICD 10 coding, Coding for otolaryngology preferred. * Medical Terminology * Strong customer service skills. * Experience filing claim appeals with payors to ensure maximum entitled reimbursement. * Experience with in house chart auditing preferred. Educational Requirements * High School Diploma required * Coding Certification preferred Company Description Coastal Ear, Nose and Throat is committed to providing the highest quality, state-of-the-art medical care in a compassionate and professional manner. Our physicians come from high-level training programs with expertise in treating both basic and complex problems in children and adults. We pride ourselves on providing a unique level of compassion and care. All physicians are board certified in Pediatric and Adult Otolaryngology. In addition, we have fellowship trained surgeons that...

Apr 01, 2023
MC
Medical Laboratory Scientist Technical Supervisor-Hematology/Coagulation- Full Time
MCMC The Dalles, OR, USA
Mid-Columbia Medical Center believes in providing exceptional health services and experiences through person-centered care. Our hospital, specialty clinics, physicians and employees make up a one-of-a-kind healthcare system that is unique to the Gorge. With a philosophy built around person-centered care, you can look with confidence to MCMC as we redefine what it means to be a healthcare employee in the 21st century. We are seeking a Medical Laboratory Scientist Technical Supervisor to join our Laboratory department. This position is Full-Time, scheduled 40 hours per week and is eligible for a comprehensive benefits package. We're looking for compassionate, enthusiastic, and dependable candidates that are team players with a positive attitude. Perks of working with us: amazing work-life balance with flexible schedules. The best part is that you work with great people daily! If you want to be a part of a fantastic team and experience an uplifting, and gratifying work...

Apr 01, 2023
MS
Certified Billing Coder
Mobile Staff Solutions Lakewood Ranch, FL, USA
Job Description Mobile Staff Solutions is hiring for a Certified Billing Coder for our client in the Lakewood Ranch area. Pay Range for this position is $16.00 to $22.00 an hour Depending on Experience and Certification. Work Hours are Monday through Friday 8am to 5pm with 1 hour for lunch This position is responsible for reviewing, interpreting, and documenting information from the medical record and assigning correct code(s) utilizing CPT and ICD-10 diagnosis codes for physician services. Assists Professional Billing clients to organize and perform chart documentation audits as requested, and helps handle coding review requests for Billing and Collection activities. QUALIFICATIONS: • Associates degree or equivalent experience. * Must be AAPC Certified OR • Must have passed the CPC Exam receiving CPC-A credential, apprenticeship standing. Can obtain the 2 year experience requirement working with this client. • Minimum of 2 years of experience in a Medical Coder role in...

Apr 01, 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...

Apr 01, 2023
LC
Associate Director, Market Access and Medical Policy, Oncology
Laboratory Corporation Raleigh, NC, USA
LabCorp has an opportunity for an Associate Director of Market Access and Medical Policy. The position has the responsibility of working collaboratively across Labcorp’s clinical, marketing and business development areas to develop market access strategies for Labcorp’s menu of oncology tests. In addition, this position will work collaboratively with Labcorp’s National Director of Market Access and Medical Policy, Oncology, to develop and implement a comprehensive payer strategy that optimizes brand strategy and value proposition of LabCorp's oncology offering . The Associate Director of Market Access and Medical Policy will report to the Vice President, Payor Solutions, Market Access - Specialty Testing. The selected candidate will work independently under general guidance usually with some latitude for independent judgment and initiative. Principal FunctionalResponsibilities: Serve as oncology managed care SME in new test development initiatives, informing of reimbursement and...

Apr 01, 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. ·...

Apr 01, 2023
HH
Medical Billing Specialist
Home Health Care, Inc. Golden Valley, MN, USA
Job Description Job Title: Medical Billing Specialist Company: Twin Cities Physicians Location: Golden Valley, MN Compensation: $23- $24 an hour Schedule: Full-Time (Mon. - Fri.) Twin Cities physicians is growing and is looking for a new addition to our fabulous billing department! As a Medical Billing Specialist, you will be responsible for generating and submitting Medicare, Medicaid and third-party claims. Accountable for accounts receivable, collections, cash postings, as well as other miscellaneous billing. With your keen attention to detail and accuracy, this will create a positive impact on your work! Medical Billing Specialist Qualifications: * Minimum 2 years of medical billing experience * Understanding of insurance requirements * Understanding of medical terminology * Ability to organize, monitor, and track claims in relation to Revenue Cycle Management * Familiarity with payer provider portals and the ability to navigate multiple software applications * Excellent...

Apr 01, 2023
RH
Medical Billing Specialist
Robert Half Accountemps Danville, KY, USA
Description Are you an ambitious, independent worker who wants to break into the healthcare industry as a Medical Billing Specialist? Robert Half is seeking a talented Medical Billing Specialist with an eye for details and a strong set of technical skills. Apply today if you're interested in this exceptional long-term contract / temporary to hire opportunity, based in the Danville, Kentucky area. Key responsibilities - Submit bills to insurance organizations and patients - Manage elements of specific patient accounts, such as billing and reimbursement - Coordinate with numerous working teams to guarantee quality of data and uniformity Requirements - Strong communication and interpersonal skills (verbal, written, and listening) - Proven knowledge of explanation of benefits (EOBs) - Medicaid Billing experience - Proven knowledge of Third Party Billing - Experience with medical claims - Deep understanding of Medicare Billing - Medical billing experience required...

Apr 01, 2023
Ih
Medical Billing Specialist
Invision health Cheektowaga, NY, USA
Job Description Medical Billing Specialist Multispecialty medical practice is looking for medical billers with experience in Commercial claims to join our team. Duties and Responsibilities: * Tracking of claims * Posting payments and reconciliations * AR follow-up to include resubmission/claim appeals 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 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 perfecting our health care delivery model. It is the force that drives us to make Invision Health a new standard for health care delivery. It is...

Apr 01, 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,...

Apr 01, 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...

Apr 01, 2023
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