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Lexington Medical Center
Full Time
 
Compliance Educator (Cert. Professional Coder)
Lexington Medical Center West Columbia, SC, USA
Compliance Educator (Cert. Professional Coder) Corporate Compliance   Full Time Day Shift  8:00am - 5:00pm, Mon-Fri Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #2 in the state and #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina. The 607-bed teaching hospital anchors a health care network that includes five community medical centers and employs more than 8,000 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina’s first   HeartCARE CenterTM  and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and education. The network also features an occupational health center, the largest skilled nursing...

Dec 01, 2023
Illinois Life & Health Insurance Guaranty Association
Full Time
 
Claims Technician & Administrative Support
Illinois Life & Health Insurance Guaranty Association Hybrid
JOB DESCRIPTION CLAIM TECHNICIAN / ADMINISTRATION SUPPORT - FULL TIME The Illinois Life & Health Insurance Guaranty Association Claim Technician and Administration Support complements team members in various ways including the investigation of medical, behavioral, and long-term care health claims and death benefit claims.  This position works in conjunction with the claims team and utilizes policies and procedures to perform adjudication, adjustments and audits of claims, ensuring accuracy of payment details.  This position is the point person to ensure that claim benefit payments are distributed properly and includes such assistance as claims intake, TPN issues, document handling and maintenance of electronic folders and processes, including procurement. To be successful as a Claim Technician / Administration Support , candidates should be professional, polite, and attentive while also being accurate. The Claim Technician/ Administration Support should...

Nov 15, 2023
AAPC
Contract
 
Multi-Specialty Professional Coder - Contractor
AAPC Remote
AAPC is seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder. This position is a fully remote contract role. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will possess the following: Minimum 5 years of coding experience Extensive coding in multiple specialties including: all primary care specialties, anesthesia, general surgery, dermatology, and orthopedics. Excellent written and verbal communication skills Detail oriented and deadline driven attitude Sound knowledge of medical terminology Strong computer skills (Excel, Word, and internet) Ability to multitask and keep a sense of urgency Excellent customer service skills Strong time management, organization skills, and work ethic Job Duties:...

Oct 09, 2023
AAPC Recruiting Services
Full Time
 
Medical Coding Modernization Specialist (CDIS) - Onsite Only
AAPC Recruiting Services Portsmouth, VA, USA
Summary: This position will support coding operations and compliance as part of the Medical Modernization Program. The coding professional will conduct internal audits; monitor coding practices and documentation deficiencies to identify, develop, deliver training and monitor effectiveness of efforts to ensure improvement to documentation, coding completion, timeliness and accuracy rates for the MTF. Knowledge and Skills: Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-CM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and, Resource Based Relative Value...

Jun 20, 2023
AAPC Recruiting Services
Full Time
 
Medical Coding Compliance Specialist - Onsite Only - Jacksonville FL - Relocation assistance available for US citizens
AAPC Recruiting Services Jacksonville, FL, USA
Summary: The position will reduce inpatient  facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload  surges, manning shortages, or computer system issues. This position will conduct focused audits for coding  compliance or training purposes; develop standardized coding training; deliver coding education/training to  individuals or groups; and identifying/educating on clinical documentation improvement opportunities. Knowledge and Skill: Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICDCM), procedural coding, healthcare common procedure coding system (HCPCS)/current  procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and  physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related  Groupings...

Jun 20, 2023
SH
PHP MEDICAL AUDITOR
Sparrow Health System Lansing, MI, USA
Job Opportunity Job ID: 40845 Positions Location: Lansing, MI Job Description General Purpose of Job: Position Description: Positions Location: Lansing, MI Job Description General Purpose of Job : Position responsible for supporting the efforts of the PHP Compliance Department and executing the annual Compliance Plan which includes the following components: Education, Monitoring/Auditing and Processing Compliance related requests, Regulatory Compliance and Investigation/Enforcement. Support Senior Corporate Compliance Analyst in the identification, analysis, and performance of audits in all service settings, consistent with clinical criteria and documentation standards required by current coding procedures in order to, but not limited to, detect billing error, fraud, waste and abuse. Essential Duties : This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by...

Dec 03, 2023
MH
Medical Auditor
Methodist Health System Dallas, TX, USA
Hours of Work : 40 Days Of Week : 5 Work Shift : Job Description : Job Description Perform audits of documentation integrity and coding compliance by regulatory standard for professional evaluation and management & surgical services for the coding compliance department of Methodist Medical Group. Job Requirements Education High school education or equivalent; some college credit; Bachelor degree preferred. Certifications Certified Professional Medical Auditor ( CPMA ) certification from AAPC preferred. Certified Professional Coder ( CPC ) certification from AAPC or Certified Coding Specialist - Physician-based ( CCS-P ) certification from AHIMA with 2+ years of experience in auditing and abstracting. Experience/Knowledge 2+ years of multispecialty auditing medical documentation for appropriate E&M level and CPT assignment. Thorough knowledge of medical terminology. Proficient with Microsoft Word and Excel. Experience with Epic preferred. Ability to...

Nov 30, 2023
CA
Medical Auditor-Quality Analyst
Coding Advantage, LLC Chardon, OH, USA
Job Description Job Description Medical Auditor/Quality Control Analyst Summary of Position: Ideal candidate will have several years’ experience auditing medical charts and records for compliance with CPT and ICD-10 code assigned, industry standard coding guidelines, federal regulations, and various third-party carrier guidelines. Uses knowledge and experience to quality check as a second level on other coding and auditing professionals, ensuring that all quality control is in place for our organization. Reviews, develops, and/or modifies our internal procedures, systems, and protocols to achieve and maintain quality and consistency throughout our auditing and coding engagements. This position will also provide guidance to other auditing contractors and will hold true our internal auditing and coding compliance standards. Duties and Responsibilities: Audits medical record documentation to identify deficiencies in documentation in direct relationship to codes billed...

Nov 28, 2023
Coding Advantage, LLC
Contract
 
Medical Auditor/Quality Control Analyst
Coding Advantage, LLC Remote (Remote, OR, USA)
Medical Auditor/Quality Control Analyst Summary of Position: Ideal candidate will have several years’ experience auditing medical charts and records for compliance with CPT and ICD-10 code assigned, industry standard coding guidelines, federal regulations, and various third-party carrier guidelines. Uses knowledge and experience to quality check as a second level on other coding and auditing professionals, ensuring that all quality control is in place for our organization. Reviews, develops, and/or modifies our internal procedures, systems, and protocols to achieve and maintain quality and consistency throughout our auditing and coding engagements. This position will also provide guidance to other auditing contractors and will hold true our internal auditing and coding compliance standards. Duties and Responsibilities: Audits medical record documentation to identify deficiencies in documentation in direct relationship to codes billed to carriers. Prepares reports...

Nov 27, 2023
NC
Research Quality Assurance Medical Auditor
Nationwide Children's Hospital Columbus, OH, USA
The Clinical Research Quality Assurance Medical Auditor will work within the Office of Research Compliance and Integrity relying on their medical/clinical experience to conduct internal audits on clinical trials to ensure subject safety and to review research billing activity to ensure compliance with federal, state, and local regulations and internal policies and guidelines. Written reports and oral presentations of audit findings will be completed, presented to the Principal Investigator and Team, and action items followed to resolution. Train Study Team Staff on identified clinical trial compliance issues as needed. Why Nationwide Children's Hospital? The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose . Here, Diversity, Equity and Inclusion are integrated into our core...

Nov 23, 2023
Hudson Physicians
Full Time
 
Director of Revenue Cycle Management
Hudson Physicians Hudson, WI, USA
About Us A better way to be treated. We operate differently at Hudson Physicians. Our personalized approach to care connects us to our patients and builds lasting relationships. Our expertise ensures our community can expect an unparalleled level of care. Our independence allows us to be both better supporters and better innovators. And together, it means a better way to be treated. Mission Hudson Physicians exists to give our community a higher level of care and convenience than they can get anywhere else. We’re passionate about our specialties and devoted to treating patients better. We’re here because we believe there is no better place and no better way to care for patients. Vision We won’t stop until the people of this region get the best possible care right here in our community. We’ll do it by being the most respected and sought-after healthcare providers around and by working as a united team to stay true to our belief in...

Nov 17, 2023
ST
Full Time
 
Medical Coder ONSITE
Standard Technology Groton, CT, USA
OUTPATIENT MEDICAL CODER POSITION 100% ONSITE ! PHYSICAL LOCATION: 1 Wahoo Ave, Groton CT, 06349 SUMMARY : Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Education/Certification . The following are recognized certifications from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC): Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), CCS-P (Certified Coder Specialist – Physician (CCS-P) with the appropriate level of experience. Experience . A minimum...

Nov 03, 2023
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