2019 jobs found

MISSION Through a collaborative and positive approach, the Compliance Specialist/Auditor will promote ongoing organizational compliance, revenue integrity, and efforts to provide efficient and effective services to patients. Using the results of audit/monitoring activities, this role will improve identification of opportunities to mitigate risks of potential non-compliance with regulations, policy, and industry standards, while facilitating process improvement. OUTCOMES Perform regular and ad hoc reviews of key organizational risks (e.g. policies, processes, clinical documentation, statutory and regulatory changes) to promote ongoing organizational accuracy, compliance, and risk mitigation. Provide individualized and actionable feedback based on audit results. Develop appropriate educational and resource materials. Assist with audit & compliance   related special projects as requested . Use strong written, verbal, and “people”...

Lead a team of 8 reports in a busy women's healthcare practice.  Friendly practice culture, excellent benefits and very competitive salary. This position is for management level candidates only and would report directly to the Chief of Operations and Chief Executive Officer

We are looking for a motivated and compassionate leader with impeccable attention to detail and exceptional people management skills. This rare opportunity has not been vacant for over 20 years, reflecting the incredible stability and dedication of our team. The ideal candidate is a go-getter who inspires and empowers others to perform at their best while fostering a healthy work-life balance. If you thrive in a dynamic environment and are passionate about making a difference, we’d love to hear from you! GET TO KNOW US: Founded in 1999 through the merger of two established cardiology practices, AHVI has grown into a leading provider of cardiovascular care in Alaska. What started with about 10 founding physicians and have expanded to a team of over 40 providers, 20+ physician members, and 300+ dedicated employees. With four locations across Alaska, we remain committed to delivering high-quality, patient-centered care backed by decades of expertise and a strong foundation in...

Medical Coding Auditor Are you passionate about making a difference in the health of rural communities? Community Health of Central Washington has an opening for a Medical Coding Auditor to train new and existing Providers on accurate coding. You will be responsible for reviewing and auditing medical coding for accuracy, compliance and completeness to ensure adherence to coding standards, guidelines and regulatory requirements. Qualifications: ·       HS Diploma or equivalent and 3 years of medical coding experience is required ·       Associate or Bachelor degree in related field is preferred ·       Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) is required ·       Certified Professional Medical Auditor (CPMA) with prior auditing experience is highly desirable ·       Valid Driver’s license and auto insurance is required Immunizations are required prior to start...

Hello! Are you passionate about helping businesses streamline their insurance verification processes? Do you find it rewarding to accurately verify coverage and resolve eligibility issues? If you enjoy tackling unique challenges and using your problem-solving and analytical skills, we have the perfect opportunity for you! Join pMD as a flexible contract specialist, where you can enjoy: Complete Flexibility : No minimum working hours or daily requirements. Work as much or as little as you want! First Come, First Serve : Secure work on your schedule, based on availability. Meet Your Goals : Balance your workload to meet your compensation targets. Take control of your work-life balance and make a meaningful impact in the world of medical billing. Ready to jump in? We are currently only accepting applications through our website . Please click the application link below if you'd like to be considered. (Contract) Medical Insurance Verification Specialist...

Hello! Are you passionate about helping businesses clean up their old claims? Do you find it rewarding to efficiently resolve billing issues? If you love tackling unique challenges and using your problem-solving and analytical skills, we have the perfect opportunity for you! Join pMD as a flexible contract specialist, where you can enjoy: Complete Flexibility : No minimum working hours or daily requirements. Work as much or as little as you want! First Come, First Serve : Secure work on your schedule, based on availability. Meet Your Goals : Balance your workload to meet your compensation targets. Take control of your work-life balance and make a meaningful impact in the world of medical billing. Ready to jump in? We are currently only accepting applications through our website . Please click the application link below if you'd like to be considered. (Contract) Medical Claims Resolution Specialist The (Contract) Medical Claims Resolution...

Hello! Are you passionate about helping businesses clean up their old claims? Do you find it rewarding to efficiently resolve billing issues? If you love tackling unique challenges and using your problem-solving and analytical skills, we have the perfect opportunity for you! Join pMD as a flexible contract specialist, where you can enjoy: Complete Flexibility : No minimum working hours or daily requirements. Work as much or as little as you want! First Come, First Serve : Secure work on your schedule, based on availability. Meet Your Goals : Balance your workload to meet your compensation targets. Take control of your work-life balance and make a meaningful impact in the world of medical billing. Ready to jump in? We are currently only accepting applications through our website. Please click the application link below if you'd like to be considered. (Contract) Credentialing Specialist: (Contract) The Credentialing Specialist Contractor role at...

The State University of New York College of Optometry seeks a skilled Medical Billing Specialist to work in our Patient Financial Services department. This position is onsite at 33 West 42nd Street New York, NY 10036 Responsibilities /Job Functions: • Reviews and analyzes “Explanation of Benefits” (EOBs), payer correspondences to identify denials. • Resolve issues with pending, rejected, or underpaid claims. • Review and resolve uncollected accounts by contacting patients regarding outstanding balances and setting up payment options. • Communicate denial trends/issues to management. • Perform daily tasks in assigned work queues. • Clearly document actions taken on accounts. • Perform other duties as assigned. Requirements: • Experience in denial management required. • A minimum of 3 years billing experience is required, optometry preferred. • Knowledge of Nextgen electronic billing system preferred. • Ability to review and troubleshoot edits through insurance portals and clearing...

PS2 Practice Management is recruiting on behalf of the employer BASIC FUNCTION : University of Pittsburgh Physicians (UPP) is seeking an experienced plastic surgery coder to serve as the primary liaison between our plastic surgeons and the revenue cycle management (RCM) team. This pivotal role will ensure accurate coding, identify billing opportunities, and provide expert guidance and training to surgeons. The ideal candidate will have 5-10 years of experience specifically in plastic surgery billing and coding and may manage a small team of coders pending physician caseload. ESSENTIAL DUTIES: Physician Liaison Act as the primary point of contact for plastic surgeons, addressing all coding and billing inquiries. Collaborate closely with physicians to ensure accurate documentation and compliant coding practices. Proactively identify areas for coding improvement and communicate opportunities for optimized reimbursement. Revenue Cycle Support and...

Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of   Love   and   Excellence   and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare has an exciting opportunity for a passionate, and hardworking healthcare coding professional to join our team. The   Compliance Coding Auditor   supports the department through assigned auditing activities to ensure effective documentation as well as accurate coding and billing. Through communication and training activities, they deliver information or clarification on audit results, compliance inquiries, coding, documentation standards, guidelines, and regulatory requirements. They provide operational, technical, and auditing and coding support for the Office of Compliance & Privacy. The successful candidate will have proven experience with medical claims' billing/payment systems, provider billing guidelines, payer...

As a full-time ProFee Interventional Radiology Coder, you will be responsible for the review, interpretation and coding of medical records for assigned specialty. Duties Include: Assign appropriate diagnosis, procedure, modifier and other codes, such as quality codes, based on clinical documentation, utilizing correct coding conventions and established policies and procedures for assigned specialty. Meet or exceed departmental productivity and quality standards. Research and resolve client coding and documentation questions utilizing appropriate resources. Resolve pre-billing coding related edits for assigned clients. Interact with the client to resolve documentation insufficiencies prior to code assignment, when appropriate, for assigned clients. This is a full-time position with benefits. KEY SELECTION CRITERIA: Candidate qualifications :   Certified through AHIMA or AAPC (CCS, CIRCC or CPC) Minimum 2 years coding leadership position....

AGS Health is seeking an Inpatient Coding Specialist who will be responsible for coding all requested inpatient medical records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment, while meeting specified productivity and accuracy standards. The coding specialist will also be responsible for abstracting key data required from the medical information consistent with UHDDS requirements and other regulatory coding guidelines. JOBS-TO-BE-DONE ( JTBDs): Codes all requested Inpatient records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment in accordance with coding guidelines. Abstracts, codes and assigns necessary demographic and clinical data elements required.    Writes appropriate, non-leading queries. Maintains quality and productivity according to client requirements.   KEY SELECTION CRITERIA: Candidate qualifications :  Certified through AHIMA or AAPC (CCS, CPC, or CIC) Minimum 2 years...

Vista Community Clinic is a private, non-profit, multi-specialty outpatient clinic providing care in a comprehensive, high quality setting. Located in San Diego, Orange and Riverside counties, we work to advance community health and hope by providing access to premier health services. Join a team of dedicated, motivated, enthusiastic team players who make a difference in the community. Our competitive compensation and benefits program includes health, dental, vision, company-paid life, flexible spending accounts and a 403(B) plan, for eligible employees. VCC is an equal opportunity employer. Accurately review, interpret, audit, code and analyze medical records for diagnosis accuracy, clear documentation, and Hierarchical Coding Condition (HCC) abstraction according to ICD-10 CM coding guidelines and risk adjustment model regulations. Coordinate and collaborate with operational and clinical leadership to assist in identification of clinical best practices. Implement process...

We are a very busy psychiatric practice looking for a full-time medical billing professional to join our team. This position is an in office position. ·         Salary range depends on experience ·         Willing to take CPC-A or CPC ·         Applicants should be comfortable posting payments according to insurance fee schedule as well as patient payments. ·         Submit medical claims to insurance carriers accurately and timely ·         Verify and review patients’ insurance benefits ·         Work independently on assigned tasks ·         Follow up on unpaid claims and denials ·         Speak to patients regarding balances both in person and on the phone ·         Work aged accounts monthly ·         Send appeals as needed ·         Identify incorrectly paid claims ·         Heavy phone volume ·         Credentialing and Recredentialing ·         Feel comfortable asking questions ·         Applicants should be...

We are seeking an experienced and detail-oriented Medical Biller and Coder to join our team in Miami, Florida . This is an in-person position , and we are looking for someone who is fully committed to their role and eager to grow with our company. The ideal candidate will have 4+ years of experience in medical billing and collections, with a strong background in Coding and Billing, Pre-Authorization, and Insurance Certification . Job Responsibilities: Accurately process and submit claims to insurance companies. Follow up on unpaid claims and handle denials or rejections. Manage pre-authorization processes to ensure timely approval of services. Ensure timely collection of outstanding balances from patients and insurance companies. Maintain detailed records of billing activities and collections. Collaborate with healthcare providers to resolve billing discrepancies. Stay updated with the latest healthcare billing regulations and practices. Ensure...

Professional Fee Coder Educator Job Summary The Professional Fee Coding Educator (CE) is responsible for providing education and training for physicians, staff, and other providers on professional fee coding and clinical documentation standards. The CE will conduct coding quality reviews, analyze findings, and provide follow-up education to coding staff and providers; will outline and annotate applicable laws and coding compliance mandates applicable to the coding being reviewed and provide written and verbal teaching, training, or policies to affected parties. The CE must be facile and knowledgeable of all applicable billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff. The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on several factors including your work...

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado.   We are seeking a motivated Education Specialist to join our Audit, Compliance & Education team.    This job can be performed 100% remotely and out of state candidates will be considered.   The Medical Coding & Regulatory Education Specialist will primarily focus on the content creation of educational materials related to coding and documentation...

We are seeking  an experienced and versatile Medical Billing & Coding Specialist to join our in-house billing division and support our growing team of multi-specialty providers. ERHC personnel must be able to learn quickly, adapt to change, and maintain flexibility while ensuring a quality healthcare experience. The ideal candidate will be able to excel in a dynamic, highly patient-centered environment.   Essential Job Duties Support billing to a variety of third-party payers, to include to commercial insurance, Workers’ Compensation agencies, and public emergency agency departments Work directly with ERHC clinical providers to assist with chart review and coding optimization; provide timely and accurate review of E&M and CPT billing codes to ensure accuracy; and consult with clinical providers to clarify missing or inadequate claim information Assign appropriate codes (ICD, CPT, HCPCS) into the practice EMR for diagnoses, treatments, and...

We are seeking a detail-oriented Medical Biller to join our healthcare team. The ideal candidate will have a strong understanding of medical billing and coding processes, Behavioral Health experience a plus, as well as experience in medical claims A/R. **Responsibilities:** - Follow up on unpaid claims within standard billing cycle time frame - Resolve billing issues and discrepancies - Utilize medical billing software to process claims Maintain patient confidentiality in compliance with HIPAA guidelines **Skills:** - Proficiency in medical billing and coding systems - Knowledge of medical terminology and coding (e.g., ICD-10, DRG) - Experience with medical collections and records - Strong attention to detail and accuracy - Excellent communication skills, both written and verbal - Ability to work effectively in a fast-paced medical office environment If you are a dedicated Medical Biller with a passion for accuracy and efficiency in healthcare billing, we...

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking 3 highly motivated Coding Quality Assurance Specialists to join our Coding Services department. This job can be performed 100% remotely.  Preference may be given to individuals residing in Colorado , but out of state applicants will also be considered . The primary responsibility of the Coding Quality Assurance Specialist is supporting and...

The Certified Coder I performs functions of coding diagnosis and procedures from outpatient center/clinic records utilizing International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes. (Hybrid - Fort Worth, TX) Typical Duties: Assigns codes to diagnosis and procedures of outpatient records, including clinics, Urgent Care and Emergency room, utilizing ICD and CPT codes in accordance with ICD Coding Guidelines, CPT Coding Guidelines, American Hospital Association (AHA) Coding Clinics and the JPS Outpatient Coding Policy and Procedures. These charts are typically less than one day stays and are of low to medium clinical complexity of service requiring knowledge of anatomy, physiology and basic pharmacology. Ensures codes are assigned accurately and sequenced correctly ensuring reimbursement is appropriate in accordance with government, insurance, and/or other payer regulations to include the coding of diagnoses and procedures and may...

Job Duties Accurately assigns ICD-10 codes within the established coding guidelines, rules and regulations. Types of Coding may include but not limited to, Coding of Diagnoses and PCS procedures of complex hospital accounts performed in the inpatient setting, including both concurrent coding and coding of discharged accounts. Ensures the data integrity of coded patient records by reviewing the medical documentation and validating that documentation is sufficient to support the assigned codes. Acts as a resource by researching patient accounts in response to questions and/or errors. Consistently complies with established department productivity and accuracy standards. Collaborates with the CDI nurse to identify query opportunities for documentation improvement and to ensure accurate DRG assignment. Works in collaboration with team members and other departments to meet departmental monthly goals which may include one or more of the following: DNFB, Pre-AR, Denials and...

Healthcare Coding and Consulting Services, LLC (HCCS) is excited to announce full-time opportunities for dedicated, certified remote Pro Fee / Pro Clinic Auditors. We are seeking candidates who are enthusiastic about professional growth and eager to learn new specialties. Ideal candidates should be independent, adaptable, and thrive in dynamic settings. The role involves auditing coders and providers to ensure compliance with accuracy standards and to identify potential risks to clients.   Key Responsibilities:    Audit Inpatient, Same Day Surgery, Observation, and Pro Clinic charts.   Specialize in at least three of the following areas: Primary Care, Rural Health Clinics, Cardiology, Obstetrics, Behavioral Health, IVR, General Surgery, Spinal Surgeries, or Podiatry.   Position Requirements:    Minimum of 3 years' experience in auditing Inpatient, Same Day Surgery, Observation, and Pro Clinic charts....

HCCS currently has multiple full-time and part-time openings for experienced and certified Pro Fee and Pro Clinic/Outpatient Coders. The ideal candidate will need to have three plus years of current medical coding experience in coding Pro Fee/Clinic charts, along with a current coding credential from AHIMA or AAPC (CCA and CPC-A credentials are not accepted).   Full-time candidates will be expected to work 40 hours per week, M-F.  Position Requirements:   Current coding certification from AHIMA or AAPC   CCA and CPC-A not accepted   Three or more years of coding experience in Pro Fee IP/OBS/SDS and/or Clinic/Outpatient Coding   Three or more years of E/M Leveling experience   Recent experience in production coding within the past six months   Proficiency in coding using the 2023 coding guidelines and MDM       Specialty Areas (one or more of the following are required):...