21 jobs found

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for...

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve. Job Description: The Medical Billing Specialist works under the direct supervision of the Medical Billing Manager. Responsibilities include all aspects of charge capture for Medical Oncology which entails accurate & timely entry and review of charges as well as...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500009 Utilization Management Work Shift: UR - Day (United States of America) Range: UR URCB 209 H Compensation Range: $25.79 - $36.11 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience,...

Job Responsibilities: Identifies delinquent patient accounts and resolves within 90 days; works to follow up on accounts until a payment plan is set up, the account is zero balance, or turned over for collection. Resolve outstanding insurance claims within 90 days: contact insurance companies and patients, appeal underpaid, denied, or overpaid claims. Submit electronic claims as assigned. Mail insurance paper claims daily. Respond to written correspondence and phone inquiries from patients and insurance companies. Process insurance and patient refunds within 10 business days. Review and follow-up on lockbox items. Delete files once complete. Maintains strict confidentiality of all patients and practice information. Qualifications: Prior experience in medical billing is required; experience with physician billing is a plus. Knowledge of health claims and experience with computerized medical billing systems in a healthcare environment is essential....

Summary The Albany VA Medical Center is currently recruiting for one Supervisory Medical Records Technician- coder (Inpatient/Outpatient) for the Health Information management service. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities The Albany Stratton VA Medical Center is a tertiary level of care teaching facility and is accredited by The Joint Commission with a complexity level of 1C. The facility has inpatient, outpatient, and long-term care services. Range of specialty services provided include but are not limited to Medicine, Surgery, Urology, Orthopedics, Ophthalmology, Telemetry, Psychiatry, Rehab, Hematology/Oncology, Neurology, Radiation Oncology, Speech Pathology and Audiology. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. Essential Duties and...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high...

The Impact You Can Make Codes, abstracts and validates inpatient and / or ambulatory records. Determines appropriate DRG assignment and code sequencing using ICD- 9-CM and CPT-4 coding guidelines ** The Glens Falls Hospital Impact Mission * * Our Mission is to improve the health of people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting. * * ** How You Will Fulfill Your Potential * * Responsibilities * Reviews the documentation in the hybrid medical record (electronic and paper medical record) of inpatient and / or ambulatory visits to determine the diagnoses that identify the condition(s) for the patient’s admission. * Assigns codes for all diseases and conditions documented within the current visit to reflect the Acuity of Illness, POA (present on admission) of our patients. Assigns all codes to reflect Medical Necessity for ambulatory visits. * Identifies procedures performed for treatment and assigns...

SummaryThe Albany VA Medical Center is currently recruiting for one Supervisory Medical Records Technician- coder (Inpatient/Outpatient) for the Health Information management service. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers.This job is open to The publicU.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agencyOpen to all US CitizensVideosDutiesThe Albany Stratton VA Medical Center is a tertiary level of care teaching facility and is accredited by The Joint Commission with a complexity level of 1C. The facility has inpatient, outpatient, and long-term care services. Range of specialty services provided include but are not limited to Medicine, Surgery, Urology, Orthopedics, Ophthalmology, Telemetry, Psychiatry, Rehab, Hematology/Oncology, Neurology, Radiation...

EDUCATION REQUIREMENTS 4 year / Bachelor's Degree in Health Information Management or related medical degree (Required) ;In lieu of a Bachelor's Degree; an Associate Degree and a Minimum of 4 years additional relevant experience is acceptable. EXPERIENCE REQUIREMENTS 4 - 5 years Experience with ICD-9, ICD-10, and HCPCS coding including hospital inpatient medical records (Required) 4 - 5 years Extensive knowledge of medical terminology, pathophysiology, and pharmacology (Required) 4 - 5 years Experience calculating and analyzing MS-DRG, DRG, APC, and other payer reimbursement methodologies (Required) CERTIFICATIONS AND LICENSURES Required Certifications/Licensures: Certified Coding Specialist (CCS) Preferred Certifications/Licensures: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), AHIMA Approved ICD-10 Trainer GENERAL SKILLS Organizational Skills Communication Skills Interpersonal Skills Customer Relations...

JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) WORK MODEL/SALARY 100% Remote The pay range for this position is $32.02 (entry-level qualifications) - $49.63 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 Looking for an Inpatient Coding Specialist. Must have a coding credential through AHIMA or AAPC. Responsible for the selection of applicable Diagnoses and Procedures, sequence codes following the ICD-10-CM/PCS official coding guidelines. Query the provider (physician or other qualified healthcare practitioner)for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements. Strong understanding of MS-DRG and NY-APR methodologies. This position is fully remote, and equipment is...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 Hospital Coder, Albany Health Information Management The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by...

Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 DX codes. This position is remote. Essential Duties and Responsibilities Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes. Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. Ensure established productivity and quality standards are met. Review denials, research and respond appropriately and...

Qualifications High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health Information Management (Preferred) Work Experience 2 - 3 years Diagnosis and CPT coding in a clinic, business, or revenue cycle environment or any combination thereof. (Preferred) 2 - 3 years Broad knowledge of medical terminology and anatomy. (Preferred) Licenses and Certifications Required Certifications/Licensures: Coding Certification (CPC or CCS) Preferred Certifications/Licensures: CPMA Essential Functions CODING SKILLS: Review medical records to assign ICD-10-CM, CPT, and HCPCS Level II codes and modifiers for accurate primary and multi-specialty billing. Provides analysis and education on coding trends and changes in payer policies to providers and staff. CODING REVENUE CYCLE SKILLS: Review claim denials for coding issues, interpret payer guidelines, and assist insurance collectors with resolution for proper reimbursement. Prepare or assist...

Summary Reviews medical record documentation and diagnostic results to assign appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Responsible for coding and abstracting outpatient medical records, to include but not limited to, simple ambulatory surgery, endoscopic, emergency center, clinic, and diagnostic medical records. Queries physicians to resolve incomplete or conflicting information to ensure compliant coding and billing practices. Abides by the Standards of Ethical Coding as set forth by AHIMA. EDUCATION REQUIREMENTS • High School Diploma or GED and 4 years directly related experience (Required) OR 2 year / Associate Degree in Health Information Management or related medical degree EXPERIENCE REQUIREMENTS • 1 year ICD-9, ICD-10, and HCPCS coding preferably in a hospital setting. (Required) • 1 year Broad knowledge of...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring...

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve. Job Description: Under general supervision, the Medical Coding Specialist performs daily charge review of visits, diagnosis, radiation oncology or surgeries for accurate level and coding. Responsible for input charges into practice management system or EMR. The...

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Under direction of the Coding Manager, the primary responsibility of the Medical Coder is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of...

Join Forbes' 2024 Best Employer for Diversity! As a medical coder on our team, you'll play a vital role ensuring our claims process runs smoothly and efficiently for our customers. Attention to detail is invaluable as you review and enter medical billing information, ensure billing codes correspond with and support medical records, and apply applicable fee schedules and coding rules while making appropriate adjustments. The ideal candidate will have strong customer service and interpersonal skills - which you'll rely on while assisting medical representatives with coding questions and answering calls from customers, providers, billing offices and attorneys. This is a hybrid role. You'll be expected to report to an office about four days per month for important meetings, training, and collaboration and will have the benefit of continued coaching from a supportive team. If you prefer an in-office environment, you're welcome to work in the office more than four days per month....