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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
WebTPA
Full Time
 
Claims Examiner
WebTPA Dallas, TX, USA
Job Summary: The Claims Examiner at WebTPA job includes claim processing and adjudication, with claims research where applicable. Incumbents must meet and/or exceed qualitative and quantitative production standards. Claims processing may range in level of complexity. Location: This is an onsite in-person position in Dallas, Texas or San Antonio, Texas 8500 Freeport Pkwy Irving, Texas 75063 19100 Ridgewood Pkwy San Antonio, TX 78259 What We Offer: Full time, Permanent position Paid Time Off + Holiday Pay 401k Match Medical, Dental, Vision and Voluntary insurance coverage.  Wellness Program Mentoring and Growth Opportunities Plus more   Essential Functions: The essential functions listed represent the major duties of this role, additional duties may be assigned. Day-to-day processing of claims for accounts: Responsible for processing of claims (medical, dental, vision, and mental health claims) Claims processing and adjudication Claims...

Mar 28, 2023
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...

Mar 28, 2023
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...

Mar 28, 2023
ML
Medical Billing Specialist
Mountain Land Physical Therapy & Rehabilitation Midvale, UT, USA
Job Description Billing Specialist Mountain Land Physical Therapy is seeking an Billing Specialist to join our Revenue Cycle team in Cottonwood Heights, Utah. Mountain Land has over 550 employees throughout Utah, Idaho, and Montana, and focuses on outpatient orthopedic treatment. Meaning if your favorite professional athlete dislocates their shoulder, they could come to one of our 40+ clinics to rehab and strengthen their shoulder. Don't have much experience in the medical setting? Don't worry about it! The perfect candidate would be someone interested in the billing side of the medical field, and is eager to learn and growth at Mountain Land long-term. You will be responsible for managing timely resolution of accounts by collecting money owed on outstanding balances. You will learn how to identify and correct overpayments, as well as resolve insurance denials so that patients can focus on their treatment, rather than their bills. If you can imagine yourself in a role like this at...

Mar 28, 2023
NH
Medical Billing Specialist
Natsu Healthcare Tooele, UT, USA
Job Description Nat-SU Healthcare has an immediate need for an experienced Medical Billing Specialist who is a subject matter expert in Medicaid and Medicare billing as well as other private insurance companies. Job Responsibilities * Meet with potential client to complete Medicaid application. * Knowledge of billing process * Use electronic EMR billing system. * Knowledge of commercial, Medicare and Medicaid policies and billing guidelines * Correct Medicaid claims in electronic billing system for missing or invalid insurance or patient information according to procedures. * Works closely with department heads to ensure claims information is being submitted accurately and timely. * Communicate with State Medicaid/Medicare officials and IHS Medicaid/Medicare officials when needed. * Keep management aware of issues and trends to enhance operations. * Maintains productivity standard as set forth by management team. * Monitor unpaid claims - making corrections as needed. * Report...

Mar 28, 2023
AM
Medical Coding Specialist: Psychiatry/ Mental Health
AIM Medical Consultant Services Magna, UT, USA
Job Description Salary: $9-$15 This is position that is 100% remote. Applicants hired into this position can work from most states. This will be discussed during the interview process. Responsibilities of the job include but are not limited to. · Process behavioral health billing in a timely manner · Verifies insurance eligibility · Work directly with insurance companies to get claims processed and paid · Review and appeal unpaid and denied claims · Research and follow up with billing discrepancies · Verify ICD-10 / CPT coding for accuracy and make adjustments as needed · Ensures all claims information remains confidential Must be aware of policies, as needed to maintain the regulations of the Division of Mental Health and the state of North Carolina guidelines in regard to Medicaid, and other insurances that are billed. KEY SUCCESS ATTRIBUTES: * Demonstrates strong collaboration skills * Has strong analytic and problem-solving abilities and techniques * Exhibit consistent...

Mar 28, 2023
JM
Medical Billing Specialist
Juno Medical Tulsa, OK, USA
Juno Medical is an entirely new kind of doctor's office. We provide a one-stop solution for you and your family's everyday care needs that features exceptional hospitality, modern technology, and transparent prices that won't break the bank. Juno brings the best of high-quality pediatrics, adult primary care, women's health, and same-day care under one roof - with labs, imaging, and wellness also on-site. You will join an exceptionally talented team that's on a mission to create a healthier world. We believe Juno can make healthcare more convenient, connected, and effective by combining the best technology and design with the highest quality care. In the Medical Billing Specialist role, you will be a critical part of our revenue operations team. You'll serve as an expert on all things billing, this includes: updating the clinicians on significant changes to medical code sets, submitting claims daily, problem-solving denials, and more. As a Medical Billing Specialist you will:...

Mar 28, 2023
CT
Inpatient PTF Coder - Remote
Cooper Thomas Washington, DC, USA
Job Description Remote Inpatient Facility Fee (PTF) Medical Coder Summary As a result of recent new contracts awarded in the last month under the VHA National Medical Coding BPA, Cooper Thomas, LLC, a leading provider of medical coding services to the Department of Veterans Affairs (VA), has immediate openings for experienced Inpatient PTF Coders with at least 2 years of experience for part-time (W-2) or part-time (1099) remote coding positions, with the opportunity for a flexible schedule. Previous experience with the Department of Veterans Affairs (VA) is required , either as a VA employee or a contractor working for VA . You should have experience working in a productivity-driven environment with a government contractor and will be expected to code at an accuracy level of at least 95% . All coders are responsible for correcting their own errors without further payment. This work will be performed remotely in your home office at your convenience as long as you meet the required...

Mar 28, 2023
WC
HCC Medical Coder (remote)
W3R Consulting Inc. Denver, CO, USA
Job Description Hi this is the job description for the opening. If you know someone who would be interested please forward this for you to earn up to $800. JOB DESCRIPTION: JOB TITLE: Senior Medical Coder CONTRACT: 6- months contract **High potential to extend** * Can work from 30 hours to 40 hours a week* Remote work Senior Medical Coder 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 models. 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 with Medicare, Medicaid, and Commercial risk adjustment guidelines with precision. • Understands, respects, and applies client-specific guidelines • Adheres to audit and medical record...

Mar 28, 2023
iI
Medical Coding Specialist - IVR Coder
iMedX, Inc. Atlanta, GA, USA
Job Description iMedX is immediately hiring a Full-Time IVR Coding Specialist. The position is full-time, hourly paid, and you work from home! CIRCC credential preferred, minimum acceptable credentials are RHIA, RHIT, or CPC. PURPOSE The Medical Coding Specialist abstracts clinical information from health records and assigns accurate and complete codes in accordance with Official Coding Guidelines and iMedX's standards as appropriate. Reports To: Coding Manager The Medical Coding Specialist will focus primarily on ensuring accurate and complete work based on departmental objectives while ensuring client satisfaction to include the following responsibilities: KEY RESPONSIBILITIES * Codes complex cardiac and interventional radiology coding. * Ability to post and/or validate appropriate charge and device codes as may be required. * Adheres to company and/or client-specific coding guidelines in addition to quality and productivity standards. * Abstracts relevant clinical information...

Mar 28, 2023
iI
Coding Specialist - Ancillary Coder
iMedX, Inc. Atlanta, GA, USA
Job Description iMedX has an immediate opportunity for an Ancillary Coder. This is a remote, Full or Part-Time Employee position. Purpose The Medical Coding Specialist abstracts clinical information from health records and assigns accurate and complete codes in accordance with Official Coding Guidelines and iMedX standards as appropriate. Organizational Structure: The Coding Specialist reports to the Coding Manager. Key Responsibilities: * Abstracts relevant clinical information from the health records. * Identifies the principal and secondary diagnoses based on the Coding Guidelines. * Assigns ICD-10-CM codes to the principal and secondary diagnoses. * Identifies procedures based on Coding Guidelines. * Assigns ICD-10 codes to the procedures. * Assign principle diagnoses for DRG reimbursement. * Assigns correct principal and secondary ICD-10-CM codes with attention to accurate sequencing. * Complies with the Clinical Coding Initiative (CCI) edits when assigning codes. * Meets or...

Mar 28, 2023
PC
Oklahoma Certified Professional Coder - Remote Opportunity
PAA/CABS Yukon, OK, USA
Job Description Description: About Providence Anesthesiology Associates Headquartered in Charlotte, North Carolina, Providence Anesthesiology Associates (PAA) is an independent physician owned practice compromised of over 100 anesthesiologists. Founded in 1991, PAA provides anesthesia and perioperative care at numerous healthcare facilities throughout North and South Carolina, serving more than 150,000 patients annually. Why work for PAA? PAA continues to experience impressive growth and success. Our anesthesiologists are among the most elite in their field. Our physicians are committed to providing the best culture and experience to their employees. Awarded one of the Top Workplaces in 2021, PAA's core values include commitment, accountability, performance, integrity, transparency, adaptability, and leadership. We do what's right and don't compromise. What's in it for you? * Strong workplace culture. We care about each other as people. We build relationships and connections...

Mar 28, 2023
iI
Medical Coding Specialist - Inpatient ProFee
iMedX, Inc. Atlanta, GA, USA
Job Description iMedX is hiring Full-Time Medical Coding Specialists with an emphasis on Inpatient ProFee coding. The positions are full-time, hourly paid, and you work from home! Coding fluency in physician services in an inpatient setting or Coding fluency in inpatient accounts in a Skilled Nursing Facility coding experience a plus! PURPOSE The Medical Coding Specialist abstracts clinical information from health records and assigns accurate and complete codes in accordance with Official Coding Guidelines and iMedX's standards as appropriate. Reports To: Coding Manager The Medical Coding Specialist will focus primarily on ensuring accurate and complete work based on departmental objectives while ensuring client satisfaction to include the following responsibilities: KEY RESPONSIBILITIES * Abstracts relevant clinical information from the health records. * Identifies all appropriate diagnoses based on Coding Guidelines. * Identifies procedures based on Coding Guidelines. * Assigns...

Mar 28, 2023
BM
Medical Biller
Brown Medicine Providence, RI, USA
SUMMARY: Under the general direction of the Manager of Revenue Cycle, performs a variety of functions related to patient account charge entry. These financial transactions are to ensure stability of the organization's accounts receivable. PRINCIPAL DUTIES AND RESPONSIBILITIES: Maintain current knowledge of federal and state regulations regarding medical billing practices. Act as a resource to practice management and providers. Maintain knowledge of all applications including eClinical Works, Epic, Microsoft Word, Excel and on-line payer verifications/claims status. Review encounter forms to ensure accurate diagnostic/treatment codes are entered into billing system. Ensure data entry of encounter forms occur with two (2) business days of receipt. Process all necessary adjustments or changes, as needed, to insurance information (including priority changes), demographic information. Maintain patient confidentiality. Demonstrate flexibility to perform duties wherever...

Mar 28, 2023
iI
Inpatient Facility Coder/Auditor
iMedX, Inc. Atlanta, GA, USA
Job Description iMedX has an opportunity to join a winning team! We are hiring Inpatient Facility Coder / Auditors and these positions are remote, full-time or part-time, and hourly paid. PURPOSE The Coding Consultant ensures coders have assigned accurate and complete ICD-10-CM and PCS codes in accordance with Official Coding Guidelines, iMedX guidelines, and facility guidelines as appropriate. Reviews facility health records for accuracy and completeness of coding and DRG assignment. Reports To: Senior Core Measures & Registry Manager The Coding Consultant has significant impact on overall company strategy in that, as a service organization, the Company's success is dependent upon the performance of our employees: KEY RESPONSIBILITIES * Performs coding quality and accuracy audits on facility charts. * Identifies and verifies the principal and secondary diagnoses based on Official Coding Guidelines. * Identifies procedures based on UHDDS and Official Coding Guidelines and...

Mar 28, 2023
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