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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
Optum
Full Time
 
Ambulatory Observations (SDS) Certified Medical Coder
Optum Remote
The  Ambulatory Observations (SDS) Certified Medical Coder  position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work our business hours and will have the opportunity to choose between Tuesday – Saturday or Sunday – Thursday (1 weekend day is required). It may be necessary, given the business need, to work occasional weekends and overtime.  You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Mar 30, 2023
Optum
Full Time
 
Emergency Department (ED) Medical Coder
Optum Remote
Healthcare isn’t just changing. It’s growing more complex every day. ICD – 10 Coding replaces ICD – 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that’s what fueled these exciting new opportunities. Who are we?  Optum360 . We’re a dynamic new partnership formed by Dignity Health and  Optum  to combine our unique expertise. As part of the growing family of  UnitedHealth Group , we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. This position is full-time (40 hours/week). Employees will have the opportunity to choose between Tuesday – Saturday or Sunday – Thursday (1 weekend day is required). It may be necessary, given the business need, to work occasional overtime. You’ll enjoy the flexibility...

Mar 30, 2023
Optum
Full Time
 
Senior Inpatient Facility Medical Coder
Optum Remote
We’re focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high quality health services. This S enior Medical Coder  position assigns the diagnosis and procedure codes through utilization of ICD-10-CM for diagnoses and ICD-10-PCS for medical/surgical procedures. Must determine the principal diagnosis (PDx) to assign the correct diagnosis-related group (DRG) to the inpatient stay. Abstracts data from the medical record and enters it into the hospital information abstracting system. This is a virtual, remote position that requires candidates to be highly organized, self-starters, well-versed in technical applications. Previous success in a remote environment is preferred.  

Mar 30, 2023
Optum
Full Time
 
Senior Inpatient Facility Certified Medical Coder
Optum Remote
We’re focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high – quality health services. As  Senior Inpatient Facility Medical Coder  you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met.  The  Senior Inpatient Facility Medical Coder  functions as the first line management for the Coding Department and provides oversight for the coding staff and operations. This includes education to the Coders, Providers and Staff on coding and proper documentation for Ambulatory services. Responsibilities within the department include: coding, audits, project management, staff development, quality management and training.  This is a virtual, remote, position that requires candidates to be highly organized, self – starters, well – versed in technical applications. Previous...

Mar 30, 2023
Optum
Full Time
 
Senior (IP) Acute Edits Certified Medical Coder
Optum Remote
As a  Certified Sr. (IP) Acute Edits Medical Coder  you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts of all patient types in addition to periodic coding. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and procedures as well as medical terminology and technology, you will be responsible for providing documentation feedback to physicians under the direction of the Coding Operations Manager or Quality Management personnel. Schedule:   This position is full-time, Monday – Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.

Mar 30, 2023
Optum
Full Time
 
Senior Outpatient Medical Coder (CCI-Edits)
Optum Remote (Fully Remote)
As a  Senior Outpatient Medical Coder,  you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts of all patient types in addition to periodic coding. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and procedures as well as medical terminology and technology, you will be responsible for providing documentation feedback to physicians under the direction of the Coding Operations Manager or Quality Management personnel.  Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a  Senior Outpatient Medical Coder,  you will determine and record the correct medical codes for all treatments and health services. Ensuring proper records is just one...

Mar 30, 2023
Southeast Technical College
Part Time
 
Adjunct Medial Coding and Billing Instructor
Southeast Technical College Remote (Sioux Falls, SD, USA)
Position Summary The adjunct instructor will provide instruction and assess student learning in the area of Medical Coding and Billing at Southeast Technical College (STC) to prepare students for an entry-level position in that field. The adjunct instructor will continually assess and enhance the curriculum to meet the program’s educational requirements, the rules and regulations of its accrediting bodies, and the most current industry standards. Essential Functions Develop and teach relevant curriculum that provides classroom theory and laboratory application and prepares students for entry-level positions in the field.  Facilitate class instruction in accordance with learning objectives and session plan outlines specified by STC. Teach the course in ways and methods that engages student learning.  Establish a positive student learning environment that promotes retention, accountability, diversity, equity, excellence, innovation, collaboration,...

Mar 30, 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 30, 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 30, 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 30, 2023
CS
Medical Records Supervisor - Elm Womens & Peds
Clinica Sierra Vista Fresno, CA, USA
Job Description Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? * Competitive pay which matches your abilities and experience * Health coverage for you and your family * Generous number of vacation days per year * A robust wellness plan and health club discounts * Continuing education assistance to grow and further your talents * 403(B) plan with company matching Intrigued? We'd love to hear from you! Please review the job details...

Mar 30, 2023
AG
Medical Biller
Addison Group Philadelphia, PA, USA
Job Description Job Description An LGBTQ+ non-profit health center is looking for a medical biller to join their team. This candidate would be responsible for creating claims, following up on denials, and claims clean up Pay rate: $18-20/hr Location: Philadelphia, PA - This position is remote. You would report to the office once a month. Required 1) One year of billing experience 2) Familiarity with claim creation, denial management, or claim clean up Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company...

Mar 30, 2023
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