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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
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 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...

Mar 09, 2023
UH
Full Time
 
Senior Manager, Regulatory Audit Compliance
UMWA Health and Retirement Funds
The United Mine Workers of America Health and Retirement Funds (the Funds) has an opening for a Senior Manager, Regulatory Audit Compliance.   The Funds is a group of six multi-employer plans that provide health and pension benefits primarily to retired coal miners and their eligible dependents.     The Senior Manager, Regulatory Audit Compliance will be responsible for managing and leading the Funds’ Centers for Medicare and Medicaid Services (CMS) Audit program.   Duties include, but are not limited to, the following:   ·        Provides industry expertise for best practices in audit procedures and CMS audit compliance ·        Envisions and implements enhancements to the Funds CMS Audit program ·...

Mar 22, 2023
NE
Full Time
 
Assistant Director Credentialing, Northeast Ohio Medical University
NEOMED Other
The Assistant Director (AD) of Credentialing is responsible for the efficient, effective, and centralized process of ensuring student credential opportunities, verification, compliance and remediation for all NEOMED students.   Participates in the development and implementation of credentialing processes and procedures; oversees the Credentialing Review Committee responsible for approving and implementing all student credentials; and interfaces with the colleges to ensure that appropriate credential opportunities are provided, and compliance is met for students to meet the eligibility requirements for any academic and clinical opportunities and that accreditation and college requirements are met. Recommends policies pertaining to the collection, maintenance and reporting of credentials and credential compliance and ensures that FERPA and...

Mar 22, 2023
LL
Full Time
 
Certified Professional Coder
LifeLinc Anesthesia Other
Summary: Under general supervision, a Certified Professional Coder is responsible for correctly coding professional anesthesia claims to obtain reimbursement from private insurance companies and government healthcare programs. Responsibilities may include any and/or all the following: Abstract charts to assign appropriate codes for anesthesia services in endo, general surgery, and a wide variety of ASC and hospital inpatient cases Ensures all cases are accurately coded and/or accounted for on each date of service Performs charge entry corresponding to respective codes, as required Maintains files and properly follows processes for task completion Identifies problems with documentation and effectively communicates all issues with leadership Maintains and updates missing information spreadsheet for assigned sites daily Follow up on monthly reconciliation, as...

Mar 22, 2023
CM
Full Time
 
Medical Coder II
CHLA Medical Group
Primary Purpose of the Position: The Revenue Cycle Medical Coder II is responsible to assign diagnosis, procedural and modifier(s) codes for medical billing purposes which includes verification of charge capture. Position also performs a wide variety of duties which may include coding accuracy and completeness prior to tickets being processed for billing, insurance filing, and revenue reporting.   Monitors daily flow of charge tickets to ensure claim accuracy.   Essential Duties:   ·          Reviews charge tickets, identifies and corrects errors, prepares tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two. ·          Abstracts all surgical and designated diagnostic...

Mar 22, 2023
AA
Full Time
 
Senior Manager, Health Policy & Coding
American Academy of Pediatrics Partial Remote
The nation’s leading advocacy organization for children’s healthcare seeks an individual to direct the American Academy of Pediatrics (AAP) coding and code valuation activities and manage related health care finance initiatives, as well as staff the Committee on Coding and Nomenclature. Some responsibilities include: ·         In collaboration and alignment with the goals and mission of AAP, lead staff in providing coding assistance and resources to AAP members, including oversight of the AAP coding support product and services portfolio. ·        Collaborate with AAP staff, committees, sections, and councils in the identification of issues related to code valuation and coding activities and resources and to inform the AAP Board of Directors and other senior leadership....

Mar 22, 2023
BC
Full Time
 
Revenue Integrity Data Analyst - Urology
Boston Children's Hospital Other
This Revenue Integrity Data Analyst will be responsible to: Perform data analyses. Identify data trends in order to accomplish department goals and objectives. Compile, extract, and analyze denials reports directly out of Epic in order to deliver trends to root cause owners and denials steering committee. Analyze charge capture and reconciliation data and provide trending information on missed and inaccurate charging. Monitor and correct inaccuracies routed to revenue integrity work queues. Responsible for correcting assigned errors and clearing work queues regularly. Proactively communicate issue identification and resolution status to stakeholders. Escalate issues appropriately to Revenue Integrity Specialists. Maintain reports and dashboards. Compile, reconcile and distribute dept reports timely to the appropriate teams and clinical leadership. Support Revenue...

Mar 22, 2023
SP
Full Time
 
Medical Coding Specialist
SaraPath Diagnostics Other
MEDICAL CODING SPECIALIST Immediate position available with large Medical Group in Sarasota, Florida. CPT & ICD-10 certification and experience. Prefer CPC certification; knowledge of pathology coding (cytology, surgical pathology) and/or medical insurance billing experience.   Position is o n-site / full-time,  Mon - Fri 8:00am to 5:00pm Experience: ICD-10: 1 year+ (Preferred) CPT Coding: 1 year+ (Preferred) Medical Billing: 1 year+ (Preferred)  

Mar 22, 2023
NH
Full Time
 
Revenue Cycle Coding Specialist
Neighborhood Health Center Partial Remote
Who We Are: Neighborhood Health Center is a non-profit organization local to Portland, OR serving underserved patients in the areas of primary care, internal medicine, dental services and more. Our patient-centered approach to care honors the unique needs and circumstances of each individual patient. NHC sees people, not problems, and recognizes that the time spent as a patient in a doctors office is only one factor in a persons overall health. Our leading edge, integrated clinical teams work in partnership with patients, their families, and the communities we serve to provide whole-person care, prevention, and ongoing support. NHC is an Equal Opportunity Employer. We celebrate differences in the workplace and do not discriminate in employment opportunities or practices on the basis of race, color, religion, gender (sex), national origin, age, veteran...

Mar 22, 2023
CP
Full Time
 
Medical Coder
Cardiology Physicians Memorial Other
F/T CPC for Large Interventional Cardiology practice. Responsible for proper coding and billing of all daily office and hospital visits and procedures by reviewing electronic medical records to substantiate the level of coding, and accurately optimize all services documented for billing. Reviewing and assist with any daily denials from insurance companies.

Mar 22, 2023
QH
Temporary Credentialing Specialist
Quilted Health
Temporary Credentialing Specialist Quilted Health exists because we believe that the entire maternity care experience before, during, and after birth should be better and that pregnant people and their families want high quality care that is more accessible and personal.  We envision a world where equity and access are at the center of reproductive care for all people - a world where all people, regardless of race, gender, geography, ability, or income have access to evidence-based, inclusive, and delightful care. At a time when the US ranks the worst among OECD countries for maternal health outcomes, this work is unquestionably important and necessary.   We are designing our services to meet the needs of pregnant people and their families, and to bring the most innovative and evidence-based care model to them. We are also thoughtfully designing our model to scale to...

Mar 22, 2023
MM
Full Time
 
Coding Educator
MyMichigan Health Other
General Summary This position is responsible for providing  on-going  coding, documentation and compliance education to providers and their office staff. They are then responsible for monitoring coding and documentation performance through random chart audits and regular meetings to communicate findings with providers and staff; follow up as necessary (additional reviews, analysis of benchmarking profiles, etc.). The position must also provide continual coding and payer updates and research coding issues that will arise. Essential Duties & Responsibilities (35%)* Orientation of new providers and staff (including locum tenens and new residents);  on-going  review and training for up to six (6) months.  (25%)* Conduct provider (physician and non-physician) and staff education on an  on-going  basis. Once per month minimum. Education will include...

Mar 22, 2023
BM
Full Time
 
Coding Auditor (Full-time) - Multi-Specialty Outpatient Clinic (Boulder, CO - Remote)
Boulder Medical Center, P.C. Partial Remote
Do you enjoy working with friendly and helpful people in a positive work environment? Are you ready to embrace a career that offers a variety of learning opportunities? Are you looking to make a positive impact on peoples' lives in our community? Consider a career at Boulder Medical Center (BMC). We are 100% privately owned and Physician operated, we provide care in over 20 different specialties, have 90+ providers practicing today, we employ 325+ Healthcare Professionals, and we have locations through-out Boulder County, CO. Summary: Boulder Medical Center (BMC) is currently recruiting for Coding Auditor candidates to join our Business Office Team! This position will work full-time 40 hours per week Monday - Friday, working 20% remote and 80% in the office in Boulder, CO. All applicants are required to be a...

Mar 22, 2023
CC
Part Time
 
Billing Coordinator
Cornerstone Coding & Compliance, Inc
Part time position, 20 hours a week, to work remote after training. Hours:   Somewhat flexible, but hours will be M-F during business hours   Seeking a self-starter with ability to multitask, establish and rearrange priorities in a fast-paced environment while demonstrating a team-oriented mindset. Compensation commensurate to experience   Company Description Cornerstone Coding & Compliance is a niche medical billing & physician consulting company that provides full cycle revenue management, provider medical coding guidance, front end office consulting, and compliance assistance.   We serve private pediatrics practices associated with Boston Children’s Hospital.   Required: At least 5 years medical billing experience At least 2 years’...

Mar 22, 2023
CorroHealth
Full Time
 
Profee Oncology Coder
CorroHealth
Team Member must be able to work from home and be independent in their coding skills. Provide various components of coding services to support our clients. Calculate ProFee E/M levels by using an algorithm created by our company Recognize critical care cases by patient acuity. Code surgical procedures typical of an ER setting to capture additional revenue when appropriate. Apply ICD-10-CM diagnosis codes to the highest level of specificity available. Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS Interpret coding guidelines for accurate code assignment Identify the importance of documentation on code assignment and the subsequent reimbursement impact. Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program. Comply with all internal...

Mar 22, 2023
United Health Services
Full Time
 
Coding Compliance Educator Sign on Bonus up to $5,000
United Health Services
Coding Compliance Educator Johnson City, NY Shift: Days Hours per week: 40 hours Salary range: $27.47-$41.21 Coding Compliance Educator 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...

Mar 22, 2023
Massachusetts Institute of Technology
Full Time
 
Coding Specialist
Massachusetts Institute of Technology Partial Remote
The Coding Specialist e valuates medical record documentation and coding to ensure that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines. Provides technical guidance to clinical providers and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. Interprets a wide variety of clinical and diagnostic documentation, including complex medical cases and treatments to identify diagnoses, complications, comorbidities, and procedures associated with outpatient visits.   Assigns current set of diagnosis, CPT, HCPC and modifier codes as...

Mar 22, 2023
SH
Full Time
 
REMOTE HB CODING EDUCATOR
Sparrow Health System
General Purpose of Job :   The Remote Hospital Billing Coding Educator/Auditor will coordinate coding audits and education functions of Sparrow Health System coding services. This individual will be responsible for managing and working the edit and denial coding work queues for the inpatient and outpatient areas and will provide coding feedback for education opportunities identified to the coding team. This individual will also work with our CDI Team to identify coding opportunities from Mortality Review meetings and other areas.  Prepares and presents educational programs related to coding. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes, reviews principal, secondary diagnoses and procedures for hospital services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and...

Mar 22, 2023
UnitedHealth Group
Full Time
 
Outpatient Medical Coder – Edits
UnitedHealth Group
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.  Primary Responsibilities: Identify appropriate assignment of CPT and ICD-10 Codes for outpatient surgery, observation, CVIR, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity accounts Understand the Medicare Ambulatory Payment Classification (APC) codes Abstract additional data elements during the chart review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and/or AHIMA Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360 Provide documentation feedback to...

Mar 22, 2023
CorroHealth
Full Time
 
Profee Coding Quality Specialist
CorroHealth
JOB SUMMARY: Performs complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies according to guidelines of the AHA, CMS, AMA, Clinic Coding Clinic and CPT. This role will act as a Subject Matter Expert in Radiology/ Oncology/ Surgical Oncology and Pathology Performs complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies according to guidelines of the AHA, CMS, AMA, Clinic Coding Clinic and CPT Assistant. Analyzes audit findings to identify potential root causes of coding errors and prevent their reoccurrence Provides second –level review of diagnosis, procedure and billing codes to ensure compliance with legal and procedural policies that ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other...

Mar 22, 2023
PM
Full Time
 
Credentailing
PMA
Looking to add to our current credentialing team. This is for carrier and facility credentialing. This is an onsite position. There are two different schedules available, Monday – Thursday 8am-7pm or Monday to Friday 8:30am-5:30pm. Full benefits, medical and dental. Retirement plan if you chose to participate, as well as life insurance. We are   located in Corpus Christi, TX. If you should have knowledge in CAQH and Availity please advise in your resume. 

Mar 22, 2023
CorroHealth
Full Time
 
Profee Surgery Coder
CorroHealth
JOB SUMMARY: Coding Specialists are an important part of the Team at CorroHealth. We are looking to hire a Profee Surgery Coder with experience in the following specialties: cardio surgery, transplant surgery, and vascular surgery. Team Member must be able to work from home and be independent in their coding skills. Provide various components of coding services to support our clients. Calculate ProFee and/or Facility E/M levels by using an algorithm created by our company Recognize critical care cases by patient acuity. Code surgical procedures typical of an ER setting to capture additional revenue when appropriate. Apply ICD-10-CM diagnosis codes to the highest level of specificity available. Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS Interpret coding guidelines for accurate code assignment Identify the importance of...

Mar 22, 2023
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