1820 jobs found

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...

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...

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,...

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...

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...

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...

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...

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...

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....

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...

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...

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...