15 jobs found

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Medical Coder , working in Healthcare Systems and Services industry in Bloomington, Indiana, United States . Conducts audits of medical records (paper, EMR, hybrid) Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision. Understands, respects, and applies client specific guidelines Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines Regularly participates in peer review; provides and receives feedback Ensures accurate documentation to support all audits Assures adherence to and currency with internal and external regulatory guidelines (CMS/HHS, DOH, HIPAA, HITECH, and Fraud Waste & Abuse, Medical coding protocols) Maintains coding credentials as required by credentialing agency Takes initiative to establish...

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Medical Coder , working in Healthcare Systems and Services industry in Alpharetta, Georgia, United States . Conducts audits of medical records (paper, EMR, hybrid) Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision. Understands, respects, and applies client specific guidelines Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines Regularly participates in peer review; provides and receives feedback Ensures accurate documentation to support all audits Assures adherence to and currency with internal and external regulatory guidelines (CMS/HHS, DOH, HIPAA, HITECH, and Fraud Waste & Abuse, Medical coding protocols) Maintains coding credentials as required by credentialing agency Takes initiative to establish...

Primary Purpose The Quality Assurance Specialist – Professional Coding is responsible for conducting audits of coding staff to ensure the highest coding quality standards are upheld, and that policies, procedures and protocols are followed appropriately.  This position will provide feedback and education to coding leaders and staff based on audits completed.   Major Responsibilities Serves as an expert in the area of multispecialty coding which may include surgical, inpatient, emergency and/or ambulatory coding and include assignment of CPT, ICD-10 CM coding and modifiers based upon documentation.   Performs audits of coding staff, providing feedback and education based on results.  Develops overall educational materials based on common trends identified during the audit process.   Uses coding knowledge to identify trends and educational opportunities for Providers and other staff.  Serves as a resource to staff for accurate assignment of CPT procedure and ICD-10-CM...

GENERAL SUMMARY: Leads, performs, coordinates and monitors functions as they relate to coding, documentation and revenue integrity.   Conducts orientation and training of new staff, assures competency of staff, and participates in quality assurance activities and peer review for ongoing education and development as appropriate.  Input into policies and procedures as appropriate.  Identifies areas for improvement to support optimal efficiency and operations. ESSENTIAL FUNCTIONS:  ·        Exhibits guiding behaviors that reflect Children’s values and support our mission and vision. ·        Monitors the daily workflow of the Coding and Revenue Integrity Unit to ensure work is completed according to the established deadlines to facilitate the flow of health information and the timely processing of patient billing. ·        Demonstrates understanding and competence in various coding systems such as ICD-10-CM/PCS, ICD-9-CM, CPT, HCPCS, etc.  Acts as...

A typical day will include: Assures the quality of the coding function; demonstrates current knowledge and interpretation of medical standards, PRO guidelines, implementation of DRG review, and procedures; establishes an effective and on-going channel of communication with physician advisor, physicians, administration, supervisors, and ancillary personnel; develops, implements, and enforces policies and procedures; cooperates with Infection Control and Quality Improvement Coordinators to develop and maintain quality programs and standards; supervises department staff; assists in the development of a workable and efficient department budget; identifies and meets the educational needs of the department staff; helps select and orient new employees; coordinates departmental activities with other departments and personnel; maintains all required documentation; sets an example to staff and other employees by professional attitude and behavior; behaves in a manner consistent with CMH...

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS The  Ambulatory Observations (SDS) Certified Medical Coder  position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work our business hours and will have the opportunity to choose between Tuesday – Saturday or Sunday – Thursday (1 weekend day is required). It may be necessary, given the business need, to work occasional weekends and overtime.  You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) codes Abstract...

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS  Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and  your life’s best work.SM  Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a  Outpatient Medical Coder  you will determine and record the correct medical codes for all treatments and health services. Ensuring proper records is just...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and   your life’s best work.SM  We’re focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high – quality health services. As  Senior Inpatient Facility Medical Coder  you will provide coding  services directly to providers. You’ll play a key part in healing the health system by making sure our high standards for documentation processes are...

Responsibilities :  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 in a US Government facility. Plays a significant role in coding compliance activities. Knowledge and Skill: Excellent computer/communication skills Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience. Ability to handle multiple projects and appropriately prioritize tasks to meet deadlines Education/Certifications: RHIT, RHIA, CPC, CCS-P Obtain the required CEU requirements to maintain current and proper certifications Experience: Minimum of 3 years in the...