912 jobs found

Department of Orthopedic Surgery at Columbia University Irving Medical Center is looking for a CPC Coding & Billing Specialist! Job Type: Officer of Administration Bargaining Unit: Regular/Temporary: Regular End Date if Temporary: Hours Per Week: 35 Standard Work Schedule: Building: Salary Range: $63,700 - $65,000 The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.   Position Summary The CPC Coding & Billing Specialist will be responsible for the review and resolution of all coding related prebilling edits and/or rejections to ensure prompt and accurate reimbursement. This position initiates medical record reviews and recommends...

HCCS currently has full-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).  The position requires a commitment to working 40 hours per week. Equipment is provided.        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...

Are you passionate about transforming data into actionable insights and driving software solutions forward? Alpha II seeks a skilled Healthcare Billing & Coding Research Analyst to join our dynamic team! In this role, you will be instrumental in the growth and maintenance of our software solutions by researching industry trends, analyzing data sets, and identifying opportunities for enhancement. Your role will involve quantitative and qualitative analysis, a process-oriented mindset, and collaborative teamwork.  Ideal candidates will bring at least 3 years of hands-on experience in Healthcare Billing and Coding or AR Recovery, demonstrating strong technical skills and a deep understanding of the healthcare and health insurance sectors.  If you excel at interpreting complex technical information and defining business requirements, we invite you to contribute your expertise and help us innovate in a fast-paced environment. Responsibilities: • Work closely with...

We're GROWING! Ready to make a difference for hospitals while working from home? Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We’re powered by people, driven by technology, and dedicated to our clients and employees. If you’re looking for a collaborative and diverse culture with a great work/life balance, look no further.    Revecore Perks:   We offer paid training and incentive plans Our medical, dental, vision, and life insurance benefits are available from the first day of employment   We enjoy excellent work/life balance  Our Employee Resource Groups build community and foster a culture of belonging and inclusion  We match 401(k) contributions  We offer career growth opportunities   We celebrate 12 paid holidays and generous paid time off    Location: Remote –...

MEDICAL BILLING SPECIALIST Are you a detail-oriented professional with a passion for making a difference? Join our team as a Medical Billing Specialist!  In this role, you will play a vital part in our mission to provide care and healing to children who have experienced abuse or trauma, as well as support their families. The Medical Billing Specialist role demands an experienced and dynamic professional with a deep understanding of efficient claim processing, reimbursement optimization, and denial management. Ensuring accuracy and compliance with all relevant regulations is crucial in this position, as it directly impacts our ability to provide essential services to children in need. QUALIFICATIONS Three (3) years in the healthcare industry Education Requirements Preferred: Associate degree Required: High School Diploma or GED Preferred Certifications Medical billing and coding Certified Medical...

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.    As our Revenue Integrity Facility Coding Auditor , you will review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on services provided (CPT/HCPCS codes). The Auditor must have a comprehensive understanding of medical terminology, coding, contractual agreements, and various payment methodologies.   This position requires good time management skills and the ability to work independently.   Here’s what you will experience working as a Revenue Integrity Facility Coding Auditor...

3-physician General Surgery office in rural northern Idaho seeking a certified coder/biller with experience in coding and billing operative reports from the hospital, surgery center and office.  Some coding/billing of hospital evaluation & management records will also be necessary. JOB DESCRIPTION Review and abstracting of medical record documentation to enable accurate assignment of ICD-10 diagnoses and CPT codes and modifiers.  This will include operative reports and procedures performed in the hospital, surgery center and office locations.  Will also include hospital E&M encounters and consultations. Follow standard coding and billing guidelines. Adhere to all compliance regulations. Creation of claim forms with correct billing & coding information, and transmission of these claims via clearinghouse. Familiarize and adhere to payers' medical policies, guidelines, and billing requirements. Contact physician when conflicting, ambiguous, or missing...

Job Title: CIRCC Coder/Auditor (Must have an active CIRCC Certification) Department: Operations Reports To: Coding Manager FLSA Status: Non-Exempt/ Full-Time Salary: $36-40 per hour Job Summary StreamlineMD is seeking a highly skilled and detail-oriented CIRCC Coder to join our coding team. The CIRCC Coder is responsible for accurately coding and abstracting interventional radiology, cardiovascular procedures, and related services from medical records, ensuring compliance with established coding guidelines and regulations. This role is critical in supporting the revenue cycle by ensuring the correct coding and billing for complex procedures.   Essential Duties and Responsibilities Accurately code interventional radiology, cardiovascular procedures as assigned using CPT, ICD-10, and HCPCS coding systems in compliance with coding guidelines and payer requirements. This includes working knowledge of LCD, NCDs, NCCI manual and edits, MUE...

Physician and Outpatient Medical Coder Job Listing     2 Fully remote positions available. One Profee coder one Facility coder to review coding denials and correct/validate CPT, ICD-10, HCPCS and modifiers for inpatient and outpatient professional and facility services.  Our coders will review medical records, research payer policy, and NCDs to make coding corrections and resubmit corrected claims in an accurate and timely manner. We work closely with other team members and management to translate clinical documentation consistently and accurately into ICD-10 and CPT codes with proper sequencing and modifiers. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors.     Job Requirements     At least one active...

An opportunity to join and grow with the Pro-Fee Coding Team at The University of Rochester! We are currently recruiting for an experienced professional coder to join our team. Our coders are detail and goal-oriented professionals who are responsible for extracting CPT, ICD, HCPCS and applicable modifiers from the provider’s operative notes and entering them into our Electronic Medical Record system (Epic). Please send resume and cover letter of interest to Carolyn_Harter@URMC.Rochester.edu Job duties include: ·         Read and interpret medical record documentation to identify accurate coding for the encounter.   ·         Communicate regularly with the providers to ensure that documentation requirements are being met; to clarify conflicting or ambiguous information as needed; and to provide feedback on identified trends.   ·         Resolve any applicable coding related pre-billing system edits   ·         Resolve any applicable coding related...

INSPIRING HEALTHY LIVES through community   At Natividad, our dedication to the people of Monterey County is at the heart of everything we do—from the health care services we provide to the specialized programs we promote. This commitment to our community spans more than 130 years and, more importantly, has touched countless lives. It has also earned us a Joint Commission ranking in the top percentile of hospitals nationwide. If you believe in inspiring healthy lives by focusing on community-based care, consider joining Natividad today.   TRAUMA REGISTRAR   Natividad may offer up to a $10,000.00 sign-on bonus to candidates hired into permanent, full-time positions.   Natividad is currently seeking two permanent, full-time Trauma Registrars in the Trauma Services Department. Under general supervision, successful candidates will identify, collect and abstract data for the trauma registry, National Trauma Data Bank (NTDB), Trauma...

SUMMARY:  The Certified coder I is responsible for properly reviewing provider documentation and can perform all coding functions.  Possesses a solid understanding of the professional billing workflow and assists with general billing duties as necessary to include claim edits, claims processing, claim rejections, data entry, and queries and communicates with physicians on documentation issues related to code assignment and provides feedback to physicians and the physician billing entity on variances between hospital and physician CPT coding as needed.  Helps identify and resolve incorrect claims issues and is responsible for drafting letters to coordinate appeals as well as other areas related to billing as assigned by the manager. EXPERIENCE: Related experience or RHIT certificate preferred. ICD-10 CM/PCS and CPT-4 coding experience with outpatient surgery medical records preferred. Anesthesiology coding experience preferred. Ability to work independently with...

General Purpose of Job: Ensures that coding compliance initiatives are met with all record types. Reviews and analyzes medical records and abstracted data submitted by the coding staff to determine the accuracy of code assignment and adequacy of clinical documentation according to regulatory requirements. Performs frequent internal reviews and education maintenance long-term to ensure accuracy in the ever-changing environment of coding, documentation, quality initiatives, and impact to reimbursement. Can code, train, and educate on all types of outpatient medical records to provide timely coverage in all coding areas helping to ensure accuracy, stability, and efficiency in our revenue cycle. Code surgeries, clinic and hospital visits. Attach diagnosis and CPT codes for billing. Assist with auditing by pulling medical records and billing records, research correct coding rules, keep up with audit schedule including re-audits and new physician education. Assist with productivity...

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.   This job can be performed 100% remotely and out of state candidates will be considered.   We are seeking a highly motivated Coding Expert (SME) to take on a leadership role and support our Surgical Specialties team.   The Coding SME is responsible for coordination, planning and education of newly hired coders as well as supporting on-going education to...

Are you someone who thrives on thinking outside the box ? Do you feel constrained by the complexities of a larger organization or limited by traditional business environments? Let’s connect and explore how we can create real change together! Send us your resume along with a one-liner on what you want to change! Company Description Valley Steer is a dynamic healthcare technology startup leveraging AI and machine learning to revolutionize the risk adjustment process for large national health plans and other risk-bearing entities. Our agile team disrupts traditional approaches by streamlining chart review, clinical documentation improvement, coding extraction, and payment acceleration to maximize revenue and accuracy. We are dedicated to enhancing the efficiency and satisfaction of primary care physicians (PCPs) in value-based care settings by building strong, supportive relationships that allow providers to focus on exceptional patient care while ensuring they receive...

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 3,500 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 2 motivated Medical Coding Auditor to join our Audit, Compliance & Education team.  The specialty areas we are targeting are: Psychiatry Pathology Anesthesiology   This job can be performed 100% remotely. The Auditor will provide formal and informal coding and regulatory education to all CU Medicine coding/charge...

A coder assists the Central Billing Office with analysis and review of various medical coding activities of NOMS Healthcare. This job includes collaborating with providers on coding decisions and other relevant points of service coding and documentation questions and inquiries. We are looking for several coders and or medical billers for our growing practice. Epic experience is preferred but not required.  Experience with neurology coding and billing, particularly including infusions and J- codes  expertise is highly desired. We are also seeking individuals with other specialty experience for employment opportunities as well. Please visit our website for more information. Specialties | NOMS (nomshealthcare.com)

SCOPE OF WORK: 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,...

The surgical abstractor is responsible for obtaining surgical reports, tests, & evaluations and reviewing  them for compliance and coding by the most recent guidelines. The surgical abstractor will summarize  results to provide pertinent details to doctors and other medical professionals.  High School Diploma/GED AAPC or AHIMA • Knowledge of ICD-9 and CPT-4 coding systems • Knowledge of commercial insurance, and other third-party payor regulations • Codes complex surgical procedures to maximize reimbursement using CPT and HCPCS modifiers plus all CPT, ICD-9 and HCPCS codes • Abstract, interpret and analyze documentation to ensure coding appropriately reflects the documented service meets compliance guidelines • Know and apply all respective coding rules for services rendered, to include application of modifiers, diagnosis/procedure relationship, correct coding initiative, non-physician provider requirements to  ensure accuracy • Assist with pre-authorizations and any...

The Surgical Abstraction & Coding Lead is the first point of contact for daily operations, oversight and coding assistance. The lead will coordinate with the supervisor and/or manager for leadership guidance/direction of the surgical abstractors and medical coders workflow/processes. This role requires strong knowledge of medical coding guidelines, regulations, and best practices. The lead is responsible for assigning appropriate codes to medical procedures, surgeries, diagnoses, and treatments, ensuring accuracy and compliance with coding standards. The Lead also provides guidance and training to other coders to ensure coding and workflow accuracy. Highschool Diploma or GED  AAPC Certified Professional Coder (CPC) or equivalent AHIMA Certified Coding Specialist (CCS) • 4+ years of experience in surgical coding, preferably in a multi-specialty practice  • Extensive knowledge of anatomy, physiology, pathophysiology, and medical terminology  • Previous supervisory or...

Job description About us Prima Medicine has been rated as 'Top Doctors' in the Washington DC area, by the Washingtonian Magazine 5 years in a row. Our Primary care offices are located in Fairfax, Merrifield, Fair Oaks, and South Riding, Virginia. Our Urgent Care center is in Fair Oaks. Our work environment includes: Modern office setting Growth opportunities Work-from-home days On-the-job training Flexible working hours You can be part of a team of positive Healthcare professionals, where you will have a supportive work environment and a caring management team. We are looking for an experienced Medical Coder and Biller to join our team. The successful candidate will be responsible for accurately entering patient information into our billing system, submitting claims to insurance companies, and following up on unpaid claims. The ideal candidate will have excellent organizational skills, attention to detail, be able to work independently, be ethical,...

About Integrated Management Strategies (IMS) LLC We are  a women-owned small business and management consulting firm that provides an array of business and technical services. IMS is headquartered in  the Washington, D.C. metropolitan area, with employees across 24 US states. What We Do We support the mission critical needs of federal agencies and commercial businesses by leveraging our experience, talent and can-do attitude, and solve their strategic and operational challenges. How We Do It We earn our clients’ trust through our personalized approach and attention to detail, allowing us to collaborate and solve even the most complex problems. About the role Are you ready for your next career adventure?! Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced  Medical Coder...

*Though the position is considered remote, CommUnity Care/Central Health can only consider candidates residing in the following states: Arizona, Connecticut, Florida, Georgia, Michigan, North Carolina, Ohio, Texas* This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD‐10 codes on an annual basis. Listed below are additional duties of the role: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements. Identify coding discrepancies and formulate suggestions for improvement....

Reviews medical claims, records and other requested information for billing, coding and other compliance or reimbursement related issues; makes coding and documentation recommendations for adherence to risk adjustment models. Reviews medical documentation to ensure all key quality metrics are noted on claim, as provided during the encounter. Performs medical chart reviews to validate codes for quality monitoring, reporting, and analysis. Conducts coding reviews independently on all provider documentation to assign the correct ICD-10 codes and ensure all documentation is accurate, precise, and adherent to CMS guidelines pertinent to Risk Adjustment Hierarchical Condition Category (HCC) methodology. Assigns appropriate ICD10-CD, HCPCS and CPT codes as well as other codes necessary to process claims based on claim information submitted. Utilizes administrative policies, regulatory codes, legislative directives, and guidelines to inform decisions and appropriate coding....