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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
CB
Medical Billing Specialist
CLS Billing Services Inc Largo, FL, USA
Our company is looking to fill the role of medical billing A/R position. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience. Range $18-22 per hour Level of qualifications and skills for medical billing include: • Medicare/Medicaid Insurance; Health Insurances; ability to apply relevant current education methodologies and techniques • Coding and/or billing certificate is a plus, but not a requirement. • Electronic Health Record (EHR) and ECW; CollaborateMD; Practice Fusion software experience is a plus, but not required. • Ability to research, analyze data and resolve issues. Responsibilities for this position include: · Daily activities revolving around the accuracy receipt of all accounts receivable. · Maintains daily queue and account follow up per Management. · Post payments manually or...

Mar 31, 2023
TA
Medical Biller
Titusville Area Hospital Titusville, PA, USA
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. Job Type: Full-time Pay: Up to $15.00 per hour Schedule: * 8 hour shift * Day shift * Monday to Friday Work Location: One location

Mar 31, 2023
MP
A/R Medical Billing Insurance Follow-Up and Collections Supervisor
Maryland Primary Care Physicians Hanover, MD, USA
Physicians Management Group, which provides all administrative services for Maryland Primary Care Physicians LLC, has an opportunity for a Billing Supervisor of Insurance Follow-Up and Collections Representatives. This position oversees the day-to-day operations and activities of the Insurance Follow-Up and Collections Representatives and reports to the Billing Manager. Responsibilities and daily work activities include but are not limited to the following: · Promote a positive, fair, and open environment within the department. Must be proficient in conflict resolution, group interaction, and team building. · Serve as the first point of contact for Insurance Follow-Up and Collections Representatives and with other staff regarding operational processes and issues. · Respond to e-mail and phone inquiries from individual practice sites. · Manage and resolve escalated customer communications, concerns, conflicts, or issues. · Inform management if there is a problem...

Mar 31, 2023
AP
Medical Biller
Avery Partners Duluth, GA, USA
Job Description Our client is seeking a qualified Medical Biller in the Duluth Area. M-F 8:00-5:00. Pay starts at 23 dollars an hour depending on experience. Candidates are expected to have experience and knowledge in billing, claim appeals, benefit verifications, and other medical billing skills. Please inquire soon. This is a hybrid position. 4-month contract with the possibility to go permanent.

Mar 31, 2023
MC
Full Time
 
Coding & Compliance Specialist Auditor - Mount Carmel Medical Group
Mount Carmel Health System Whitehall, OH, USA
Employment Type:Full timeShift:Description:At Mount Carmel, we provide our colleagues with the support and learning opportunities they need to truly grow and thrive. This commitment to professional excellence is just one way in which we’re empowered to make a meaningful difference in the lives of our patients and communities.Why Mount Carmel?With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years. As a proud member of Trinity Health, one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide. We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in...

Mar 31, 2023
UnitedHealth Group
Full Time
 
Medical Coder 2 - Remote
UnitedHealth Group Boston, MA, USA
Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.   As a Medical Coder, you will abstract clinical information from a variety of medical records and assign appropriate ICD 10CM and/or CPT codes to patients records according to established procedures. You will analyze, enter data and manipulate database, confirming appropriate DRG assignments.  Work Location: Fully Remote - U.S You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some...

Mar 31, 2023
CJ
Medical Biller
CHI-Johns Hopkins Medicine Herndon, VA, USA
CHI-Johns Hopkins Medicine is recruiting a full-time billing professional. Requirements: 1. Knowledge of standard industry practices and procedures within an outpatient medical office (billing dept, front office, eligibility, benefits, prior authorizations), required 2. Experience and ability to work with electronic medical record systems 3. Experience submitting compliant claims, posting payments and adjustments, required 4. Experience with following up on claim status, resolving denials, submitting appeals, required 5. Experience utilizing CPT & ICD10 coding, required 6. Ability to work accounts receivables and aging report 7. Ability to organize and communicate clearly 8. Ability to maintain strict confidentiality of patient and employee information *Benefits Offered:* * Health insurance * Dental insurance * Vision insurance * Excellent vacation and time off package. * Education and carrier advancement. *Pay & Work Schedule:*...

Mar 31, 2023
AL
Medical Biller
A-Line Staffing Solutions Lauderhill, FL, USA
Job Description Seth Klein with A-Line Staffing is now hiring a Medical Billing Specialist in Lauderhill, FL. The Medical Biller would be working in a specialized clinic that offers career growth potential. This would be full time / 40 hours per week. Medical Biller Compensation * The pay for this position is between $20.00-$21.00.per hour * Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance * A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Medical Biller Highlights * This position is a Contract to Hire * The required availability for this position is Monday through Friday 8:00am to 5:00pm The essential duties and responsibilities for the Medical Biller * Monitors delinquent accounts and performs collection duties * Reviews reports, identifies denied claims, researches, and resolves issues, may perform a detailed...

Mar 31, 2023
De
Privacy and Compliance Auditor (TS/SCI/Polygraph)
Deloitte Fort Meade, MD, USA
Are you looking to make an impact by helping agencies meet their mission goals through successful implementation and operation of their regulatory, mission or compliance programs? Are you ready to help our clients mitigate risks that arise from transformational core business operational change or ongoing operations? Are you interested in helping clients transform how they operate their business to be more effective? If so, Deloitte's Regulatory Compliance team could be the place for you! Our team brings professionals with diverse skillsets including deep experience in industry, AI-enabled data analytics, statistical modeling, and cloud technologies to help our clients preserve their reputation and public trust of their agencies while managing regulatory demands. Work you'll do Data collection and aggregation - requiring that all data is tagged with the proper legal authorities (e.g., FISA, EO12333) for compliance. In this role, support the mission compliance organization to...

Mar 31, 2023
SC
Medical Billing Specialist / Medical Collections Specialist
Specialty Care Clinics Farmers Branch, TX, USA
Medical Billing Specialist - Follow up and denial experience preferred. Candidates should have knowledge of calling payers of all sorts including commercial, Medicare/Medicaid, Workers Compensation for claims follow up. Comprehensive billing and A/R follow up and denials experience; Dedicated follow up to claim resolution. Selected candidates have to achieve the required quality and productivity metrics. *Job Description* Validate charges for clinical visits, reviewing documentation to ensure all revenue is captured. Ensure ICD-10 codes are coded to the highest specificity and accurate based on the medical documentation. Comply with insurance carrier guidelines to ensure submission of clean claims. Comply with all legal requirements regarding coding procedures and practices. Partner with insurance companies, patients and healthcare providers to ensure claims are processed and paid accurately and maximum reimbursement is achieved. Post insurance and patient...

Mar 31, 2023
GI
Medical Billing and Coding Specialist
Georgia Interventional Medicine Chamblee, GA, USA
*Description* * Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations * Complying with medical coding guidelines and policies * Receiving and reviewing patients’ charts and documents for verification and accuracy * Following up and clarifying any information that is not clear to other staff members * Collecting information made by the Physician from different sources to prepare monthly reports * Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results * Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence *Skills & Qualifications:* *Certified Medical Coder* * A strong understanding of physiology, medical terms, and anatomy * Proficiency in computer skills including typing speed and accuracy * Excellent written and verbal...

Mar 31, 2023
TP
Medical Biller
The Plus Group Atwater, CA, USA
Job Description PRIMARY RESPONSIBILITIES: 1. Account Representative for assigned location. 2. Data entry of patient, provider, and payer type information with speed and accuracy. 3. Ability to bill private insurance, Medi-Cal, Medicare, Medicare/Medi-Cal crossovers, Workers Compensation and private paying patients, billing primary and secondary payers. 4. Ability to prioritize tasks and complete assignments in a timely manner. 5. Precise adjudication of claims for members who are seen at clinics; the correct administration of benefits; paying attention to adjudication problems and errors and solving associated problems. 6. Post and balance payments into the Electronic Patient Management billing software system. 7. Responsible for the correction of monetary amounts posted incorrectly to patients' accounts or over payments as they appear on patients' accounts. When possible, the credit amounts are reapplied to the account; refunds are issued where necessary. 8. Correspond with...

Mar 31, 2023
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