45 jobs found

Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibilities Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the...

A leading healthcare provider in New York seeks a detail-oriented Coding Specialist. Responsibilities include coding patient records, interpreting medical documentation, and ensuring compliance with relevant coding regulations. Candidates must possess a high school diploma, relevant technical experience, and coding certification. This role offers flexibility in work hours within a supportive team environment. #J-18808-Ljbffr

Department BSD UCP - Professional Billing Coding - Surgical Specialty About the Department The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree granting committees, and research centers and institutes. The BSD is located on the University\'s main campus in Hyde Park, ten minutes south of downtown Chicago. BSD\'s patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. The University of Chicago Practice Plan (UCPP) is the central organization that supports the clinical activity of nearly 850 clinically active faculty...

Medical Coder – Biological Sciences Division Under moderate supervision, the Abstractor/Coder is responsible for accurate and timely review and coding of inpatient and outpatient physician services, including procedures and surgeries. The role ensures compliance with all external regulations affecting the coding process and verifies that physician documentation supports billing. The candidate will perform charge capture by reviewing provider documentation to abstract and/or confirm ICD-10 and CPT codes. Responsibilities Obtain appropriate reimbursement levels for professional services by coding physician services including procedures, evaluation and management, diagnoses, and modifiers. Analyze denial and rejection reports and appeal where appropriate. Submit charges in a timely manner. Collaborate with the team to provide guidance to faculty and staff on charge capture and documentation processes. Educate physicians and support staff on coding issues, including fraud...

A healthcare communications firm is seeking an Associate Scientific Director to lead medical communication projects. The role involves client engagement, scientific content development, and team collaboration. Candidates should have an advanced scientific degree and 3 to 5 years of relevant experience. The position offers a competitive salary range of $95,000 to $125,000 alongside comprehensive benefits. #J-18808-Ljbffr

Job Summary Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients' health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD-10-CM (may include PCS), and HCPCS/CPT. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT) National Correct Coding Initiative (NCCI), and Kaiser Permanente...

Scheduled Hours 40 Position Summary Reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Performs other duties as assigned. Working Conditions Job Location/Working...

A well-known engineering firm is seeking an Environmental Compliance Inspector in Nashville, TN, to conduct compliance audits and ensure environmental regulations are met. Candidates should possess a Bachelor's degree in environmental science or related field and have at least two years of experience in environmental construction or compliance. The position offers competitive salary and comprehensive benefits, including health insurance and retirement savings plan. #J-18808-Ljbffr

Overview The University of Maryland Medical System (UMMS) is an academic private health system focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. UMMS partners with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore to educate the state’s future health care professionals. UMMS is an integrated network delivering 25 percent of all hospital care in urban, suburban and rural communities across Maryland, with 11 hospitals including the flagship University of Maryland Medical Center, and a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org. Job Description I. General Summary Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state...

Job Details Location: Windsor Mill, MD (Fully Remote) Employment Type: Full Time Salary: $60,000.00 Job Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact — whether we’re supporting data‑driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail‑oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD‑9‑CM/ICD‑10‑CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform...

YOU BELONG HERE What Awaits You? Career growth and development Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: Benefits Information Position Summary: The Coding Specialist IV, under the supervision of the Coding Supervisor, Inpatient Coding analyzes and interprets the most complex clinical electronic health documentation by physician and applicable clinical support in compliance with AHA Coding Guidelines for purposes of reporting. Accurately applies federal, state and organizational regulatory guidelines for coding and abstraction of inpatient accounts. Maintains and increases personal knowledge and education for purposes of applying the guidelines. Utilizes computerized encoder and other systems to...

We are seeking a Sr. Compliance Auditor Trainer who will provide on-going training and support to physicians, non-physician providers, professional fee billing staff, clinic staff, administrators, and other affected personnel on documentation and billing requirements. Using auditing and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Works in close collaboration with the clinical departments, Physicians Billing Service, and the Johns Hopkins Health System Compliance Office. The documentation audits are conducted as part of the School of Medicine's Quality Assurance Compliance Program. Prepares reports for the Senior Director, Director, and clinical departments regarding the status or results of the reviews. Summary results are presented to the Clinical Practice Association's Board of Governors, the University's Trustee Committee for Audits and Insurance and other appropriate...

RESPONSIBILITIES A $5,000 Sign-On bonus is available to external candidates only in exchange for a two (2) year employment commitment. I. JOB SUMMARY/RESPONSIBILITIES: Ensures consistent and accurate coding of patient accounts through a thorough review of conditions and procedures as documented by qualified health care providers in the medical record. II. TYPICAL PHYSICAL DEMANDS: Seeing, hearing, speaking, finger dexterity. Frequent: sitting. III. TYPICAL WORKING CONDITIONS: Not substantially subjected to adverse environmental conditions. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: Current certification in one (1) of the following: Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA). Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) and three (3) years of acute care facility coding experience. Coursework and/or demonstrated knowledge of medical terminology,...

Overview Associate Director, Community Fundraising, Medical Advancement - University Advancement at Washington University in St. Louis. The role supports the growth of the Siteman Cancer Center and WashU Medicine’s community fundraising program by managing a portfolio of community fundraising donors and the program’s peer-to-peer platform. This position conceptualizes and produces collateral materials for the program and assists with the development and implementation of a robust communication strategy for community fundraising donors. Successful collaboration and an appreciation of complex organizations are critical, as the associate director will work closely with colleagues across Siteman Cancer Center, WashU Medicine, and University Advancement to accomplish the primary duties and responsibilities. Primary Duties and Responsibilities Identify, cultivate, and steward community fundraising donors and prospects at the $1,000 - $250,000 gift range along with donors assigned by...

Certified Coder – Neurosurgery Join to apply for the Certified Coder – Neurosurgery role at Washington University in St. Louis . Position Summary Reviews medical record documentation to determine appropriate billing codes and necessary documentation. Scheduled Hours 40 Primary Duties & Responsibilities Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and...

At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. PEOPLE ESSENTIAL FUNCTIONS Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders. SERVICE ESSENTIAL FUNCTIONS Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query...

A leading engineering consulting firm based in Atlanta is seeking an Environmental Compliance Inspector to conduct audits, review compliance reports, and perform field inspections to ensure adherence to environmental regulations. The role requires a Bachelor’s degree in environmental science or a related field, along with relevant experience. Candidates must have strong communication skills and the ability to complete detailed inspection reports. A competitive salary and a comprehensive benefits package are offered. #J-18808-Ljbffr

Medical Biller and Administrative Assistant Join to apply for the Medical Biller and Administrative Assistant role at Premier Ambulance. The position is responsible for submitting accurate and timely claim billings and reports based on health plan, payor, or contract requirements. This also involves accounts receivable payment follow-up, appeals, and refunds if necessary, while providing administrative support to ensure efficient office operations. Responsibilities Complete health plan billings based on requirements. Compile proper paperwork and conduct appropriate research to appeal claim denials, including requests for refunds/credits when applicable. Review and monitor reimbursements due from different payors to determine appropriate collection methods. Communicate effectively and professionally with external customers. Resolve payment issues with carriers (e.g. denials, partial payments, etc.). Review, modify, and re‑bill rejected/denied claims. Assist Cash department...

A healthcare organization is seeking a Specialty Coder in San Antonio, Texas, to maintain high-quality coding accuracy for inpatient and outpatient accounts. The ideal candidate will have strong communication skills and the ability to work independently in a remote setting. Key responsibilities include coding diagnoses and procedures as per guidelines and collaborating with various healthcare departments to ensure accurate documentation. #J-18808-Ljbffr