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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...

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...

Full Time

QA and Compliance Manager

Tidewater Physicians Multispecialty Group Newport News, VA, USA

The Quality Assurance and Compliance Manager is responsible for managing, directing and monitoring reimbursement/ coding activities on all services, including securing, maintaining and distributing the most current coding information and implementing changes. Major Duties and Responsibilities Plans, directs, and supervises coding staff to ensure timely, accurate and complete processing of clinic services. Reviews samples of coded services on a daily basis for accuracy and completeness. Develops new coding policies, procedures, and fee slips. Oversees coding reviews with physicians. Codes services of questionable or new items and reviews proper coding with those involved. Monitors reimbursement of selected procedures on a continuous basis reimbursement patterns. Gathers and considers patient reimbursement data, analyzes results, and prepares reports. Investigates in reimbursement from identical codes and investigates instances of low reimbursement....

Full Time

Revenue Integrity Coordinator/Certified Inpatient Coder

RemX Hybrid (Nashville, TN, USA)

Revenue Integrity Coordinator- Nashville, TN Competitive Salary up to 130K! Great Opportunity for Stability and Growth! Health, Dental, and Vision Insurance Retirement Plan and Generous PTO Director Level Role-Hybrid 2 days home after on-boarding. Are you interested in the business side of healthcare? The Revenue Integrity Coordinator is responsible for ensuring the integrity of the revenue cycle process. You will be responsible for reviewing the billing, collections, and reimbursement processes to ensure that they are being conducted correctly, and identify areas where improvements are needed. You will ensure that all financial records, records of potential fraud and coding compliance are up-to-date and maintained. Responsibilities: · Monitor, review, and audit all department billing, collections and reimbursement processes for accuracy and compliance with all laws, regulations, and guidelines. · Prepare and...

CS

Denials Coder

CommonSpirit Health Omaha, NE, USA

REMOTE WORK OPPORTUNITY Your time at work should be fulfilling. Rewarding. Inspiring. Thats what youll find when you join one of our non-profit CHI facilities across the nation. Youll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together well create healthier, stronger communities. JOB SUMMARY / PURPOSE Under direct supervision, this position is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances related to coding denials in accordance with established standards, guidelines and requirements. The incumbent conducts follow-up process activities through review of medical records and contact with providers, phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices, researching denial reasons...

CF

Medical Billing Specialist

Creative Financial Staffing (CFS) Denver, CO, USA

Job Description A growing non-profit organization in Denver seeking a sharp Billing Coordinator to join their team. The successful candidate will have at least 5 years of medical billing experience, knowledge of Medicaid, Medicare, and eligibility standards, and be proficient with MS Office. The Billing Coordinator will work remotely after 2-3 days of training and report to the Accounts Receivable Manager. Responsibilities: • Prepare and submit electronic and paper claims to Medicare, Medicaid, and other Third Party Payers in accordance with prescribed standards. • Communicate with AR Manager and AR team of any issues that interfere with claim submission/payment remittance. • Post receivables and reconcile AR accounts. • Contact payers to resolve claims payment discrepancies. • Research and handle claims payment appeals and denials. • Maintain accurate billing records in accordance with prescribed standards. • Prepare accurate AR reports as necessary. • Work with AR Manager to...

CC

Lead Medical Biller 30/hr

Company Confidential New Bedford, MA, USA

Job Description Contract to Hire 25-30/hr M-F, 8AM-4PM 5 years of Medicare/ Medicaid billing experience required Supervisory experience needed We are searching for a Team Leader- Patient Accounts- 3rd Party. Responsibilities include: * Recommendations on employee activities including hiring, monitoring productivity, training, and disciplinary action decisions. * Review websites, seminars, and/or online training to stay current with all regulatory and insurance requirements for Third-Party Payers. * Ensure timely, compliant submission of all claims, review denials, and ensure claims follow up meets department requirements. * Implement new procedures as needed. * Maintain updated training manuals and tip sheets in shared drive. * Review audit requests from payers. * Meet with payer representatives on a regular basis. * Work with IT and ancillary departments to improve revenue cycle performance, compile reports and provide data as needed to resolve issues. * Provide immediate...

SO

Medical Billing Specialist

System One Tulsa, OK, USA

System One is in search of a Medical Billing Specialist for a midsized Tulsa, OK specialty clinic. This company is proud to be the leader in their area of expertise in eastern Oklahoma and surrounding states. Employees are treated with respect and have the ability to grow and expand their skills. Responsibilities : Responsible for full collection procedures on all patients. Processes claims daily. Answers insurance correspondence and responds to all requests from payers to receive full payments in a timely manner. Works closely with the Medical Records department to have correct records submitted if requested. Answers patient phone calls and establishes possible payment plans if appropriate and agreeable Requirements : Minimum of two years of experience in medical office; billing and collections experience preferred. High school diploma or equivalent. Compensation Range: $16.00 - $18.00 Per Hour

AC

Inpatient Coder

Aston Carter Orlando, FL, USA

Description: Looking for coders with any of the following experience: + Inpatient or outpatient coding + Specialties: cardiology, ER, oncology, orthopedic, neurology, surgical, evaluation & management, radiology, or internal medicine + ICD & CPT coding Coding certification required Skills: Coding, Insurance verification, Medical claim, Medical terminology, Medical coding, Insurance claim, Medical billing, Medical records software, Epic, ccs, RHIT, Rhia, ahima, AAPC, Data entry, Medical, Epic certified, Patient care, Health care, Schedule appointments, Communication and people skills, Medical scheduling About Aston Carter: Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you. At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team...

VP

Medical Biller

Virginia Pediatric Eye Center Chesapeake, VA, USA

Job Description Busy ophthalmology/Optometry practice with multiple locations seeking experienced Medical Billing Specialist. Duties include, but are not limited to: * Posting charges and payments. * Checking eligibility and benefits verification for treatments and procedures. * Reviewing patient bills for accuracy and completeness, and obtaining any missing information. * Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. * Following up on unpaid claims within standard billing cycle time frame. * Checking each insurance payment for accuracy and compliance with contract discount. * Calling insurance companies regarding any discrepancy in payments if necessary * Identifying and billing secondary or tertiary insurances. * Reviewing accounts for insurance of patient follow-up. * Researching and appealing denied claims. * Answering all patient or insurance telephone inquiries pertaining to assigned accounts. * Setting...

TU

Medical Biller

The US Oncology Network Virginia Beach, VA, USA

Overview: Employment Type : Full Time In-Office Position Benefits : M/D/V, Life Ins., 401(k) Norfolk, Virginia JOB SCOPE: With minimal supervision, is responsible for payer and patient account balances being paid timely and remaining current. Performs collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering routine to complex account inquiries. Performs responsibilities within standard procedures and pre-established guidelines to complete tasks. A certain degree of creativity and latitude is required. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and The US Oncology's Shared Values The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the...

AL

Medical Billing Specialist \ $21.50 Per Hour - HYBRID

A-Line Staffing Solutions Monroeville, PA, USA

Job Description A-Line Staffing is now hiring Medical Billing Specialists in Monroeville, PA. The Medical Billing Specialist would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. Medical Billing Specialist Compensation · The pay for this position is $21.50 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 Billing Specialist Highlights · This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs · The required availability for this position is Monday-Friday 7:30 am to 4:00 pm Medical Billing Specialist Responsibilities Medical Billing Specialist will be responsible for qualifying, preparing and submitting...

RS

Medical Coder [2] [Certified and Non-Certified]

Resource Staffing Houston, TX, USA

Job Description Medical Code r [Certified and NonCertified] $28 - $35/hr. | Houston, TX Monday - Friday 8 am - 4:30 pm Temp-To Hire We are seeking two (2) detail-oriented, organized medical coders to join a growing major medical organization. This is a temp-to-hire opportunity! You will play a key role in reviewing and analyzing medical billing and coding for processing while working with a well-respected organization. Medical Coding Basic Duties: * Review and accurately code office and hospital procedures for reimbursement. * Reviews of claim line details to support the Risk Adjustment and HEDIS programs and work with Risk Adjustment and HEDIS vendors * Coordinate the appropriateness of diagnosis and procedure codes found in administrative and medical claims * Review data elements to support the submissions for Risk Adjustment and HEDIS * Review and validate the accuracy of identified suspecting and RADV audit medical records, and develop reports of findings and recommendations...

AO

Medical biller

Advanced Orthopedics and Sports Medicine Institute Freehold Township, NJ, USA

Job Description The AR Billing and Collection Representative I is responsible for analyzing assigned past due accounts and coordinating between third party payers and internal parties to resolve payment discrepancies and delayed payments. The AR/Collection representative I core responsibility includes but not limited to minimizing financial risk and takes appropriate action to recover overdue payments and litigated claims to ensure timely and efficient resolution. Benefits Medical insurance, Prescription drug coverage, Voluntary Dental insurance, Voluntary Vision Insurance, 401K, Paid holidays Culture Health Plus Ortho Management / Advanced Orthopedics Sports Medicine - a leader in providing quality orthopedic and sports medicine care. Together as one, we are making a real difference in people's lives. The combined practice allows us to draw on our complementary strengths to deliver exceptional patient-centered, patient-focused care for a better overall patient experience....

SP

Payroll Compliance Auditor

Schultheis & Panettieri LLP Hauppauge, NY, USA

Job Description Hauppauge CPA firm specializing in labor union audits seeks Payroll Compliance Auditors to visit contractors and ensure they are in compliance with union contracts. Background in Auditing not essential. We will train the right candidates, recent college graduates encouraged to apply! Multiple positions available. Particularly looking to staff our Floral Park and Iselin NJ offices. Car required . Great atmosphere and excellent benefits.

Ra

Medical billing specialist

Randstad Louisville, KY, USA

Do you have at least two years of Medical Billing experience? Are you knowledgeable of a variety of insurance carriers including Medicare and Medicaid? If you answered yes to both questions, this may be the position for you! Randstad has a contract-to-hire opportunity for an onsite Medical Billing Specialist for our client that is located in the East End of Louisville. Working hours are Monday-Friday, 7AM-3PM. Apply today! For more information please call Angela Thompson at 502.583.1237 or email angela.thompson@randstadusa.com salary: $18 - $20 per hour shift: First work hours: 7 AM - 3:30 PM education: High` School Responsibilities Review radiology reports and correct CPT/ICD codes for denied claims Review rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice Input missing data as required and corrects registration and other errors as indicate Reconcile/review denied claims Maintain up-to-date...

TP

Medical Billing Specialist/Coordinator

Tenafly Pediatrics, P.A. Tenafly, NJ, USA

Job Description Daily tasks include: posting medical charges, posting payments from both insurance companies and patients, managing phone inquiries from patients and office staff, checking patient eligibility, calling insurance companies regarding outstanding claims, calling patients regarding outstanding balances. Experience in medical billing preferred, coding certificate not required. Friendly work environment, joining a billing team of 8.

AH

Lead Medical Billing Specialist -HYBRID

Alliance Health System Bloomfield, NJ, USA

Job Description Alliance Health Systems is looking for a full time Medical Billing Specialist to join our rapidly growing company. If you are the Medical Billing Specialist we are looking for, you will * Be professional, enthusiastic and conscientious and possess strong communication, organization, and problem-solving skills * Have at least 3 years experience working medical accounts receivable from all payer types: commercial, government, W/C and PIP/MVA. * Be well spoken and articulate as this position requires a high volume of communication with insurances, legal offices and patients as well as other staff * Like collaborating with patients, physicians, and other team members. * Look forward to growing professionally with advancement opportunity. * Be viewed by others as dependable, punctual and honest. Experience & Education Requirements * Proficiency with technology, including experience with EMR, EHR, Navinet and other programs used in medical billing is required. Medi...

pa

Full Time

Per Diem Medical Coder

partners Boston, MA, USA

Description: GENERAL SUMMARY/ OVERVIEW STATEMENT\: The Coding Specialist reports to the Coding Manager and is responsible for correct coding of professional services and upholding compliance standards. PRINCIPAL DUTIES AND RESPONSIBILITIES\: The Coding Specialist I is required to\: § Perform coding and related duties using established Professional Billing Office and Coding Services policies in an accurate and timely manner. Review medical documentation and system generated charges or paper encounter forms. Appropriately assign CPT®, ICD-9/ICD-10, HCPCS II, and modifiers based on documentation and payor requirements. § Demonstrate a commitment to integrating coding compliance standards into daily coding practices. Identify, correct and report coding problems. § Maintain current knowledge of coding, compliance and reimbursement procedures. Review current literature, newsletters, payor policy updates and coding...

Wo

Full Time

Auditoría - Digital Assurance and Transparency - Seniors Supervisor - Olivos

Workday Los Olivos, CA, USA

Line of Service Assurance Industry/Sector Not Applicable Specialism Risk Management Level Senior Associate Job Description & Summary A career within Process Assurance services, will enable you to assist clients in optimising control activities, organisational strategy, and policies and procedures. You’ll conduct transaction testing, perform readiness assessments, and leverage various technical Information Technology controls (e.g. databases, operating systems, data warehouses, and reporting tools) in order to help our clients achieve optimal operational efficiency. To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on...

NC

Patient Account Rep./Medical Biller

North Carolina Specialty Hospital Durham, NC, USA

Join Our Team! NC Specialty Hospital is looking for a Patient Account Representative/Medical Biller (Full-Time 37.5 - 40/hrs.) Position is open to remote work. GENERAL SUMMARY OF DUTIES : Prior success working in a hospital's Billing Department. Understanding of hospital facility billing rules and the UB-04 hospital claim form Understanding of standard CPT, HCPCS & ICD10 coding nomenclature. Knowledge of HMO/PPO, Medicare, Medicaid, and other payer guidelines and systems. Thorough understanding and experience of hospital medical insurance claims processing including follow up of denials and appeal workflows for all major payers. Good verbal and telephone demeanor; comfortable making outbound calls to third party insurance companies. Overall Microsoft Office experience, with a focus on Excel and spreadsheets Knowledge of Meditech, Waystar or other hospital-based practice management software a plus. Excellent analytical skills, including problem...

pa

Full Time

Surgical Coder II

partners Boston, MA, USA

Description: GENERAL SUMMARY/ OVERVIEW STATEMENT\: The Coding Specialist II reports to the Supervisor/Coding Manager/Senior Coding Manager and is responsible for correct coding of professional services and upholding compliance standards. PRINCIPAL DUTIES AND RESPONSIBILITIES\: The Coding Specialist II is required to\:  Perform coding and related duties of moderately complex work using established Professional Billing Office and Coding Services policies and procedures in an accurate and timely manner. Review medical documentation and system generated charges or paper encounter forms. Appropriately assign CPT®, ICD-10, HCPCS II, and modifiers based on documentation and payor requirements as defined in Billing Area Instructions or Standard Operating Procedures. (May occasionally code high or low complexity work as deemed capable and requested by manager)  Research billing rules and regulations for moderately...

AO

Medical biller

Advanced Orthopedics and Sports Medicine Institute Princeton, NJ, USA

Job Description The AR Billing and Collection Representative I is responsible for analyzing assigned past due accounts and coordinating between third party payers and internal parties to resolve payment discrepancies and delayed payments. The AR/Collection representative I core responsibility includes but not limited to minimizing financial risk and takes appropriate action to recover overdue payments and litigated claims to ensure timely and efficient resolution. Benefits Medical insurance, Prescription drug coverage, Voluntary Dental insurance, Voluntary Vision Insurance, 401K, Paid holidays Culture Health Plus Ortho Management / Advanced Orthopedics Sports Medicine - a leader in providing quality orthopedic and sports medicine care. Together as one, we are making a real difference in people's lives. The combined practice allows us to draw on our complementary strengths to deliver exceptional patient-centered, patient-focused care for a better overall patient experience....

SS

Medical Biller/Receptionist

Search Solution Group Raleigh, NC, USA

Job Description Medical Biller / Receptionist - Raleigh, NC WHO OUR CLIENT IS: Our client is in the healthcare industry dealing with imaging. WHAT YOU WILL DO: As our Medical Biller / Receptionist you will have the following responsibilities: * Switchboard & Routing of Non-Queue Calls * Reception of Visitors * Work Patient Service Duties not requiring outgoing calls * Primary response and follow through on incoming patient calls to Billing Queue * Take Patient payments * Answer General Questions (nature of bill, insurance processing & patient responsible balances, payment options, requesting charitable care, etc.) * Documenting and routing Complaints / Concerns * Ticklers - research in billing/hospital systems to correct insurance plans, demographics & ensure proper account work and flow * WRDI & WRC Correct Insurance (249) * WRDI & WRC Correct UNC REX Express (1227) * Verify Workers Comp (272) * Generic Other Party (978) * Patients with "Baby" name (Patient...

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