383 jobs found

Seasonal assignment of July 17 through December 15, 2023.  Completion of the seasonal assignment includes a bonus of $1,500. Medical Record Coder duties include performing audits of health status by performing primary source validation comparison of medical record documentation to the corresponding paid claim to ensure all risk adjusted diagnosis in the medical record and on the claim align and originate from a valid source.  Successful Looks Like: Accurate validation of health status elements, service codes, and quality assurance reviews Timely and efficient review of medical records. Maintain required individual interrater reliability rate. Core duties and responsibilities include the following: Performs quality reviews on records to validate coding according to the International Classification of Diseases Manual (ICD-10) for diagnoses and coding guidelines. Review medical records to validate diagnosis on the claim are supported by the...

Your Role   The Medi-Cal Operations team is responsible for Claims processing and ensuring Medi-Cal benefits are applied. The Medical Coder Auditor Senior will report to the Director of Medi-Cal Performance. In this role you will Serve as an expert Medi-Cal resource in the areas of coding, documentation, auditing, including CMS/HHS regulations and compliance issues surrounding requirements for risk adjustment. Review and monitors all Medi-Cal, HIPAA and CMS regulations for updates and changes pertaining to Medi-Cal programs. Determine and implement changes needed for systems and processes.   Your Work   In this role, you will: Perform audit projects, including and not limited to Government RADVs, and internal compliance audits Support and implement prospective, retrospective and auditing project strategy to support improved clinical documentation and coding Be responsible for facilitating and/or performing an audit of the providers’ medical...

Grady Health System offers many career paths for your professional growth. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding position at Grady!  SUMMARY Supervises the coding function and corresponding staff and manages auditing and quality control and improvement initiatives. Investigates, diagnoses, and corrects problem accounts that impede the billing/revenue cycle. Coordinates and reviews the work of designated coding staff. Oversight of Coding Staff training and professional development and assumes full responsibility for the charge capture, coding, and charge entry of all assigned surgical cases into the practice management system. Responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of...

Description - External SUMMARY The Coder III is responsible for reviewing for physician services and interpreting physician documentation, CPT and diagnosis coding, coding claim edit, and coding denial management utilizing ICD-10-CM and CPT-4/HCPCS coding systems. Codes highly complex surgical, special procedures, observation records, inpatient records, medical, diagnostic, procedural, and/or recurring records within established productivity and coding accuracy guidelines. Highly complex surgeries may require research and reference checking to ensure accuracy of problematic coding. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to Emergency Room, observation, inpatient, outpatient, ambulatory surgery, and other ancillary services.   QUALIFICATIONS High School Diploma or GED is required....

Patient First is accepting applications for Patient Accounts Insurance Representative in the Glen Allen, VA area. Patient First provides a friendly work environment that promotes a team-oriented philosophy. Sign-on Bonus! The responsibilities of this job include, but are not limited to, the following: Reviewing processed claims to ensure proper payments received according to the payers' contract; Reviewing unprocessed claims within the payer's timely filing limits for re-submission of claims for payment; Verifying eligibility, benefits, plan type, patient responsibility and insurance payments; Correcting registration errors on patients' accounts; Researching insurance Eligibility of Benefits (EOB) to verify correct payment and adjustments are posted to patients accounts; Verifying that claims are filed according to the contracted agreement; Effectively communicating insurance trends or issues to the appropriate persons, including but not...

Patient First is accepting applications for Medical Records Release Information Specialist in the Glen Allen, VA area. Patient First provides a friendly work environment that promotes a team-oriented philosophy. The responsibilities of this job include, but are not limited to, the following: Retrieving mail as directed, and sorting and distributing incoming departmental mail; Date stamping and logging in all (MR) requests and scanning associated paperwork into the CorTrak database; Following departmental check list, reviewing all MR requests for proper authorization;  Responding to all requests for MRs that are not HIPAA compliant, do not provide necessary information to locate the patient, through via written correspondence within the appropriate time frames according to state laws; Printing requested MRs, matching them with their corresponding requests, updating the materials list and preparing and mailing out the billing as appropriate; Updating MR...

Patient First is accepting applications for Coding & Reimbursement Analyst in the Glen Allen, Virginia area. Patient First provides a friendly work environment that promotes a team-oriented philosophy.  The responsibilities of this job include, but are not limited to the following: Completing a periodic review of Physicians’ and Physician Extenders’ charts; Preparing and distributing feedback to Physicians and Physician Extenders after the review process is completed; Coordinating and providing additional training to Physicians and Physician Extenders on E&M and ICD-10 coding as needed; Ensuring ICD-10, CPT (including E&M), and HCPCS coding is performed properly by Physicians and Physician Extenders; Ensuring the coding is performed according to current industry standards and according to commercial payers’ coding guidelines; Monitoring changes in ICD-10, CPT (including E&M), and HCPCS coding guidelines regularly, reporting changes to the Compliance...

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 documentation information as needed Audits...

Are looking for your first medical coding position? Are you recently certified through the AAPC or AHIMA and would love the opportunity to train and work under a Fortune 500 healthcare company in a FULL TIME REMOTE position? Then please read on! The CSI Companies is hiring an Entry Level Medical Coder for our Fortune 100 healthcare client. As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest. Benefits of the Position: Excellent training under one of the top companies in the world Feedback on performance, coding coaches, and supervisors that want you to succeed. Access to learning resources and CEUs HOURLY pay as well as overtime pay New equipment shipped to you prior to...

Essential Job Functions: 100% remote Full-time, permanent opportunity Perform quality assurance audits on internal coders, clients, and procedures, as assigned. Serve as a trusted asset to answer all Coder questions, as they relate to Interventional Radiology Coding. Will accurately perform audits on coders. Will perform any other audits needed as assigned. Perform MIPS Audits as assigned. Assigning CPT, HCPCS, ICD-10-CM and ASA codes. Ensuring compliance with medical coding policies and guidelines. Performs other related duties as assigned. Required Skills: Ability to communicate in a clear, professional, and timely manner with all staff members. Proficient in Microsoft Office Suite. Ability to work independently and in a fast-paced environment. Strong problem-solving skills. Strong analytical skills. Excellent organizational skills and attention to detail. Education and Experience: High school diploma or equivalent required....

Organization benefits for position: 100% remote but candidate  must reside in California These are full-time opportunities Full Benefits - Health/Dental/Vision/Life/AD&D/FSA Basic Term Life Insurance and accidental death insurance 401(k) contributions  Client to p rovide Codify Equipment supplied Position – OP Ancillary Physician Coder: CPC or CCS required   CGSC preferred Minimum of  3 years of current experience  in a hospital or physicians office as a medical coder Expert knowledge of ICD10-CM, CPT, and HCPCS EPIC software experience  required Proficient with Microsoft Purpose Statement / Position Summary Under the direction of the Manager, Coding Compliance, the OP Ancillary/Physician Coder will play a key role in reviewing and analyzing billing and coding for processing. This role will be responsible for reviewing and...

Organization benefits for position: 100% remote but candidate  must reside in California These are full-time opportunities Full Benefits - Health/Dental/Vision/Life/AD&D/FSA Basic Term Life Insurance and accidental death insurance 401(k) contributions  Client to p rovide Codify Equipment supplied Position – OP Ancillary Physician Coder: CPC or CCS required   CHONC preferred Minimum of  3 years of current experience  in a hospital or physicians office as a medical coder Expert knowledge of ICD10-CM, CPT, and HCPCS EPIC software experience  required Proficient with Microsoft Purpose Statement / Position Summary Under the direction of the Coding Compliance Manager, the Pro-Fee Oncology Physician Coder will play a key role in reviewing and analyzing billing and coding for charge processing, specifically with Hematology/Oncology....

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...

PRINCIPAL DUTIES AND RESPONSIBILITIES Reviews both handwritten and electronic anesthesia records and interprets documentation to identify all procedures and diagnoses Assigns proper CPT and ICD10 codes in accordance with coding guidelines and posts charges Stays informed of coding regulations and insurance plan polices and effectively applies this knowledge Performs reconciliation of all posted charges to OR schedules Runs concurrency reports for any anesthesia time discrepancies and escalates complex overlaps to Coding Supervisor Maintains 95% accuracy standards and meets daily productivity expectations Communicates to appropriate staff regarding any issues or concerns pertaining to coding Conforms to all HIPAA and billing compliance requirements   QUALIFICATIONS Certification requirement: Certified Professional Coder (CPC) through the American Academy of Professional Coding (AAPC) or Certified Coding Specialist (CCS) through the...

Who We Are Led by highly successful physician executives with a mission to improve health care quality for underserved populations. Rendr is a primary care-driven, multi-specialty medical group serving approximately 200,000 patients through its forty locations in Brooklyn, Manhattan, and Queens. Rendr is a growing physician practice dedicated to serving the Chinese American population throughout the New York metropolitan area. We bring together a group of world-class physicians with a proven executive leadership team and a robust care management platform to deliver the best care possible to this underserved population. Department: Billing Location: New York, NY (open to fully remote)  Position: Senior Coding Manager Rendr is looking for a Senior Coding Manager to manager and oversee daily operations, including but not limited to, overseeing the entire coding department and staff, data collection, analysis and reporting to meet the department’s...

Who We Are Led by highly successful physician executives with a mission to improve health care quality for underserved populations, Rendr is a primary care driven multi-specialty medical group serving approximately 100,000 patients through its 40 locations in Brooklyn, Manhattan and Queens. Job Position : Physician Coding Liaison Essential Functions / Responsibilities: Works closely with the Coding Manager/Coding Team and serves as the liaison between the Coding Manager/Coding Team and Providers to offer in-person coding support to the providers Regularly travels to sites to personally conduct one-on-one educational coding sessions. Conducts online training sessions Communicates all coding related issues/questions coming from the Providers to the Coding Manager/Coding Team and vice versa Helps Coding Manager with creating educational coding materials and training presentations Maintains Provider Coding Education Portal in Intranet Other duties...

Who We Are Led by highly successful physician executives with a mission to improve health care quality for underserved populations. Rendr is a primary care-driven, multi-specialty medical group serving approximately 100,000 patients through its forty locations in Brooklyn, Manhattan, and Queens. Rendr is a growing physician practice dedicated to serving the Chinese American population throughout the New York metropolitan area. We bring together a group of world-class physicians with a proven executive leadership team and a robust care management platform to deliver the best care possible to this underserved population. Department: Coding Location: New York, NY (Fully remote) Position Summary A Certified Risk Adjustment Coder works to improve the quality of coding documentation and data in the HCC database. This position collaborates in providing expertise in the use and application of coding classification such as ICD-10-CM. Essential Functions...

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, ambiguous, or otherwise unclear...

The Program Integrity Coding & Research Medical Coder acts as a Medical Coding subject matter expert for complex coding concerns and serve as primary coding resource for Program Integrity. The Program Integrity Coding & Research Medical Coder Functions as a Subject Matter Expert for Risk Adjustment and Professional Coding at CSI and is allocated to projects that require a coding professional with significant technical acumen in coding conventions for both CAI and CDPS.  This teammate is key to assisting a technology vendor validate software tools that are business enablers, and when improperly functioning, can have a detrimental impact to the public persona and profitability of the vendor.  The Medical Coder is in a position of high visibility for CSI, and has access to proprietary tools in a position requiring high trust and confidentiality. The What you Want to Know: 100% Remote Contract, Full-Time Hours ( 30 hour minimum commitment) Active,...

Essential Skills of The Certified Professional Coder (CPC) Obtains operative reports for all posted surgeries and scans them into patient record. Uses correct coding guidelines to appropriately code surgical cases and posts surgical charges. Specializes in Workman’s Compensation claims, including obtaining authorizations as needed. Assists with review, assessment and retraining on provider audits. Prepares quarterly Assistant Surgeon Report. Trains and instructs providers and staff on appropriate coding and compliant documentation. Collects and enters patient’s insurance information into data base when appropriate. Responds to telephone calls from patients regarding account information, balances and insurance questions. Trains personnel new to the practice as necessary. Provides cross coverage for other billing personnel as required to ensure workflow is consistent. Additional duties as assigned and necessary for the function of both...

NMA is a unique , niche medical industry. We provide professional services associated with intraoperative neuromonitoring. We value our employees and recognize and reward hard work. We offer our employees a full benefits package that includes: Medical, Dental, Vision, Life, 401k with matching, and more.   Job Responsibilities   We are currently looking for a full-time Certified Medical Coder to work out of our McKinney, Tx office. Duties and responsibilities include, but are not limited to the following:   Serve as an expert in all matters related to coding and billing.   Verify accuracy of billing data and audit claims. Review chart elements including face sheet, operative reports, History and Physical (H&P), Professional and Technical Reports and Superbills   Consult with Technologists, Surgeons, and Physician Reader’s as needed to obtain information required for Coding.   Create CMS...

A Career in Healthcare has Purpose. PBOA offers candidates of all experiences the opportunity to break into, or continue, a strong career in the healthcare industry. With various open positions available, qualified candidates will realize: The opportunity to break into the healthcare industry with zero experience; A pathway for professional growth and opportunity; Comprehensive certifications in safety, privacy, compliance and ethics; A sense of fulfillment by supporting local orthopedic care; The development of new skills and education; A supportive and collaborative team environment. We might be a great match if You: Find Empathy and Kindness are important; Have an enthusiastic personality with a desire to help others; Name problem-solving as part of your daily fulfillment; Retain a strong ability to communicate kindly and directly with co-workers; Embrace technology and systems are part of your life (i.e. a basic understanding of Microsoft...