13 coder professional jobs found

Job TitleThis position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff.This position will support the implementation of changes to the CPT, CDT, HCPCS, and ICD-10 codes on an annual basis.ResponsibilitiesEssential Duties :Conduct prospective and retrospective chart reviews (i.e.baseline, routine periodic, monitoring, and focused) comparing medical and / or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer / title / grant coding requirements.Identify coding discrepancies and formulate suggestions for improvement.Communicate audit results / findings to providers and / or ancillary staff and share improvement ideas.Work with the Office of the CMO and provider leadership to identify and assist providers with coding.Report findings and recommendations to Compliance...

Billing Coder IIIInform Diagnostics, a Fulgent Genetics Company, is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology, urologic pathology, hematopathology, and breast pathology.Founded in 2011, our parent entity, Fulgent Genetics, has evolved into a premier, full-service genomic testing company built around a foundational technology platform. Through our diverse testing menu, Fulgent is focused on transforming patient care in oncology, anatomic pathology, infectious and rare diseases, and reproductive health. We believe that by providing a wide range of effective, flexible testing options in conjunction with best-in-class service and support, we can redefine the way medicine is managed for patients and clinicians alike. Since integrating with our therapeutic development business, Fulgent is also developing drug candidates for treating a broad range of cancers using a novel...

CSI Companies is seeking an experienced Professional Fee (ProFee) Coder with a strong background in Mental Health and/or Primary Care coding. This role is responsible for accurately reviewing, assigning, and validating CPT, ICD-10-CM, and HCPCS codes for outpatient provider services to ensure compliance with federal regulations and payer-specific guidelines. The ideal candidate brings strong knowledge of behavioral health documentation standards, E/M coding guidelines, and regulatory compliance within physician practice or outpatient settings. This role requires high accuracy, productivity, and the ability to work independently in a remote environment. Hours:40 hours/week “ Monday to Friday, standard business hours Location:Remote (CST) “ Must reside in Texas Pay:Competitive Market Rate Position Type:Consultant “ No C2C Work Authorization:Visas are acceptable (any EAD). Candidates must be eligible to work on...

Ceris Certified Coder ICeris is seeking a Certified Coder. The Ceris Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This is a remote role.Essential Functions & Responsibilities:Receives claim and processes based on state rules and regulationsDetermines validity and compensability of the claim using CorVel proprietary programsMakes recommendations to referring officeCommunicates claim status with referring officeReads and comprehends all medical reportsAdheres to client and carrier guidelines and participates in claims review as neededAssists other claims professionals with more complex or problematic claims as necessaryAdditional duties/responsibilities as assignedComplies with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (IIPP), as well as, maintains HIPAA complianceKnowledge & Skills:Ability to learn rapidly to develop knowledge and understanding of claims practiceStrong...

Inpatient Coder III Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from...

We are looking for a Billing Specialist and biller who also has the ability to work rejected claims to join our team to assist us in coding for insurance claims and databases.The Billing Specialist will display motivation, be detail-oriented and have outstanding people skills that help them navigate any situation with ease.Responsibilities Account for coding and abstracting of patient encounters Research and analyze data needs for reimbursement Make sure that codes are sequenced according to government and insurance regulations Ensure all medical records are filed and processed correctly Analyze medical records and identify documentation deficiencies Serve as resource and subject matter expert to other coding staff Review and verify documentation for diagnoses, procedures and treatment results Identify diagnostic and procedural information Helps with other various medical office responsibilities as needed Requirements and skills Proven work experience as a Billing Specialist or...

Job Title :Gastroenterology ProFee Coder (E / M & Surgical) Company Description Vee Healthtek, Inc.delivers cutting-edge solutions that transform healthcare organizations.We offer a comprehensive suite of services that leverage our industry expertise to provide the best value to our clients.Through close collaboration and a deep understanding of market trends, we create customized strategies that deliver tangible outcomes.Our technology-driven services empower organizations to thrive in the evolving healthcare landscape, resulting in improved workflows, increased cost efficiency, and streamlined business processes.Learn more at www.veehealthtek.com.Job Summary The Gastroenterology ProFee Coder is responsible for accurate assignment of diagnosis, procedure, and Evaluation & Management (E / M) codes for physician professional services within a gastroenterology practice or health system.This role focuses exclusively on professional fee coding , ensuring compliance with CPT,...

Key Responsibilities:Claims and Billing Operations. Prepare, review, and submit insurance claims (electronic and paper when needed) for professional and or facility services. Verify that claims include accurate patient demographics, insurance information, authorizations, diagnosis codes, procedure codes, modifiers, units, and supporting documentation as applicable. Maintain clean claim workflows and resolve claim edits and clearinghouse rejections promptly. A/R Follow-Up and Denials Management. Monitor accounts receivable aging and prioritize follow-up based on payer rules, dollar value, and timely filing limits. Investigate and resolve denials, underpayments, and request for information (medical records, referrals, authorizations). Submit corrected claims and appeals with appropriate documentation and accurate coding support. Payments and Patient Billing. Post and reconcile payments and adjustments from ERAs and EOBs. Identify and escalate payer payment variances and contract...

Medical Billing SpecialistRevenue Cycle Management is looking for a Medical Billing Specialist to join our team! This is a hybrid opportunity after 30-90 day in-person training (4 days from home 1 day in office).Summary:The Medical Billing Specialist is responsible for analyzing patients records and coding the patients records based on ICD-10 and CPT codes. Additionally ensure all charges are reflected on the patient account and communicate with inter-departments regarding any type of discrepancy for corrections.Essential Functions:Reviews medical record documentation to ensure pertinent diagnoses are codedUtilizes ICD 10 CPT clinical reports UDS reports H&P reports operative reports code diagnosis and modifiers according to coding guidelinesCommunicates effectively with all appropriate parties regarding missing information to ensure proper billing submissionPrepares and submit electronic and paper claims to insurance carriers and gov payersManages the status of accounts and...

OverviewCoder - Full TimeLaredo Rehabilitation Hospital in Laredo, Texas is a full-service inpatient rehabilitation hospital committed to helping patients in South Texas recover and thrive after serious injuries or illnesses.Our hospital provides intensive rehabilitation programs for stroke patients, brain and spinal cord injuries, orthopedic injuries, and other complex conditions, all under the guidance of our skilled multidisciplinary team.We pride ourselves on offering personalized care - our physical, occupational, and speech therapists tailor each treatment plan to the patient's unique needs and cultural background, reflecting the community we serve.With modern facilities and a caring bilingual staff, we ensure patients and their families feel supported and informed throughout the recovery journey.Accredited by The Joint Commission and consistently rated among top rehab providers, Laredo Rehabilitation Hospital is dedicated to restoring independence and improving quality of...

Job DescriptionJob DescriptionWho is Athra Systems?Athra Systems / Crosstown Mental Health is a dynamic and forward-thinking organization dedicated to offering a wide array of behavioral health services and solutions.We pride ourselves on fostering a supportive and inclusive work environment where every team member can thrive and contribute to our collective success.Previously, a private pay company, we are now expanding to accept insurance to help more people, and the whole company is quickly adapting.Position Overview :We are seeking a Medical Biller with comprehensive knowledge of behavioral health insurance billing.The Medical Biller will be responsible for the accurate and timely billing of all professional and facility services claims, ensuring all billing activities comply with applicable regulations.In this role, you will work closely with patients, insurance companies, and healthcare providers to resolve billing issues.If you have expertise in every step of the billing...

Job DescriptionJob DescriptionQMACS, Inc., a well-established medical billing company located in Richardson, Texas, has an opening for an experienced emergency department coder.The right candidate should be able to code both professional and facility charts; adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-10, HCPCS and ACEP coding and reporting.The ideal candidates should have the ability to work within a team environment to ensure optimal revenue attainment and complete compliance with governmental and private payor requirements.AAPC and / or AHIMA Medical Coding Certification is required.Experience is preferred.RequirementsExperience coding Emergency Department chartsKnowledge of HITECH & HIPAA compliance rules and regulations requiredAbility to work well with Microsoft Office suite of products, particularly ExcelAbility to work in and / or familiarization with a variety of EHR products is a plusKnowledge of facility AND...