45 jobs found

PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a quality assurance and project management role. RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required. The Consultant will assist PYA clients with provider documentation improvement, reviews for billing and other regulatory compliance with third party...

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization 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 anatomy,...

Join to apply for the Ancillary Coder Hospital role at Piedmont . Recent posting: 2 days ago. Be among the first 25 applicants. Get AI-powered advice on this job and access more exclusive features. Responsibilities RESPONSIBLE FOR: Reviews, analyzes, and assigns codes based on appropriate coding guidelines and criteria for outpatient medical record documentation, including medical, diagnostic, and procedural information for the correct ICD-10-CM and/or CPT-4 HCPCS codes. Primary coding responsibilities include Diagnostic/Clinical, Emergency Room, Recurring, and Specimen patient types. Qualifications Minimum Education: High school diploma or equivalent. Experience: None required. Licensure/Certification: None required by law. Additional Qualifications: One or more certifications such as RHIA, RHIT, CCS, CCA, CCS-P, CPC, CPC-A, CPC-H are required. Coding experience is preferred, especially in a multi-facility organization or remote coding environment. A coding...

Seeking an IP Coder who is comfortable working Remote. This position requires candidates that are knowledgeable using ICD-10-CM, CPT and HCPCS coding. Act in accordance of the Standards of Ethical Coding as set forth by AHIMA. Qualifications : Associates or Bachelor's Degree is desired or completion of a formal coding class will be considered. Minimum of one to two years of coding experience is required. Must have AHIMA or AAPC credentialing. #J-18808-Ljbffr

This position is 100% remote, candidates must reside in one of the following states for consideration: Alabama, Arkansas, Florida, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, or Wisconsin. Candidates under consideration will be asked to complete an IP coding assessment prior to scheduling an interview. *Description* The Inpatient Medical Coder is responsible for accurately coding clinical services provided by physicians for insurance purposes, defending their audits, and writing queries to obtain additional information from physicians. This role requires proficiency in using EPIC Electronic Medical Records (EMR) and 3M encoder systems. Candidates must be adaptable to support various hospitals within regional and university facilities. Key Responsibilities: - Work Queue Management: Log in to work queues and apply appropriate codes to clinical services provided by physicians. - Audit Defense: Defend...

Join to apply for the Ancillary Coder Hospital role at Piedmont . 2 days ago Be among the first 25 applicants. Get AI-powered advice on this job and more exclusive features. Responsibilities: Reviews, analyzes, and assigns codes based on appropriate coding guidelines and criteria for outpatient medical record documentation. This includes, but is not limited to, medical, diagnostic, and procedural information for the correct ICD-10-CM and/or CPT-4 HCPCS codes. The primary coding responsibilities are Diagnostic/Clinical, Emergency Room, Recurring, and Specimen patient types. Qualifications: High school diploma or equivalent required. None required for experience or licensure/certification. One or more certifications required: RHIA, RHIT, CCS, CCA, CCS-P, CPC, CPC-A, CPC-H. Coding experience and completion of a coding certificate program (AHIMA accredited) are preferred. Experience in coding at a multi-facility organization and remote coding experience is a plus. Details:...

The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3 M CAC for assignment of ICD-10-CM diagnoses and CPT-4/ HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address Coder, Professional, Billing, Remote, Healthcare, Business Services

Job Description destinationone Consulting specializes in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more. We are proactively building a data bank for opportunities in these fields. By applying, you ensure our recruiters can quickly match you with suitable roles when they arise. Location: Various locations across Georgia The Medical Billing Specialist is responsible for managing the billing process for a healthcare practice, ensuring accurate and timely submission of claims and payments. This role is critical in maintaining the financial health of the organization and ensuring compliance with insurance regulations. Key Responsibilities: Prepare and submit accurate claims to insurance companies and government programs. Verify patient insurance coverage and benefits before services are rendered. Review and post payments, adjusting accounts as necessary. Follow up...

As a technical expert in quality and compliance, the Senior Quality & Compliance Auditor plays a critical role in ensuring adherence to company policies, study protocols, GxP guidelines, and global regulatory requirements governing clinical research activities. This position requires a deep understanding of regulatory frameworks and risk-based auditing methodologies to drive compliance, enhance quality standards, and mitigate organizational risks. Audit Planning, Execution, and Management Responsibilities Lead and execute comprehensive quality and compliance audits in accordance with regulations and standards governing clinical research (including internal audit, vendor audit and site audit) to assess adherence to regulatory standards and company policies Develop and implement strategic, risk-based audit plans to proactively identify areas of concern and ensure regulatory compliance Provide expert consultation on GxP requirements and quality assurance strategies, guiding...

The Site Supervisor is responsible for managing the daily scheduling of the ROI Specialists at specific client site. The Site Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations and are completed in a timely manner. This is an On Site position TASKS AND RESPONSIBILITIES: Manages workflow among on-site employees to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies. Prioritizes work to ensure completion of ROI function.Adjusts work assignments as needed to cover peak periods, leave and vacancies at the staffed hospital sites.Provides coverage in event of backlogs, illness, vacation or leave of absence of medical record staff.Performs Quality Assurance monitoring of work performance for the ROI Specialists.Conducts productivity and work performance reviews...

SUMMARY The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD-10-CM diagnoses and CPT-4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address commonly applied modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to emergency visits and diagnostic workups. QUALIFICATIONS High School Diploma or GED is required At least 2 years relevant coding and abstracting experience in an acute care hospital. Experience with Epic and 3M CAC systems preferred. Certification as a Certified Professional Coder (CPC) or Certified Outpatient Coding (COC), formerly Certified Professional Coder-Hospital (CPC-H), Certified Coding Specialist (CCS or CCS-P). Accredited...

Job Title: Remote HCC Coding Auditor Pay: $24.65 an hr | Bi-weekly Job Type: Remote Shift Options: Mon-Fri 8 am - 5 pm Remote HCC Coding Auditor Overview: The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews. The role focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS. Candidates must apply clinical documentation standards and industry guidelines to support coding decisions. This role contributes to audit accuracy, process improvements, and helps maintain compliance with state/federal regulations and internal policies.

Join to apply for the Inpatient Coder role at TEKsystems 3 days ago Be among the first 25 applicants Join to apply for the Inpatient Coder role at TEKsystems Get AI-powered advice on this job and more exclusive features. This position is 100% remote, candidates must reside in one of the following states for consideration: Alabama, Arkansas, Florida, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, or Wisconsin. Candidates under consideration will be asked to complete an IP coding assessment prior to scheduling an interview. Description The Inpatient Medical Coder is responsible for accurately coding clinical services provided by physicians for insurance purposes, defending their audits, and writing queries to obtain additional information from physicians. This role requires proficiency in using EPIC Electronic Medical Records (EMR) and 3M encoder systems. Candidates must be adaptable to support...

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...

LaSalle Network has partnered with a medical provider in their search for an Inpatient Facility Coder. The Inpatient Facility Coder will be responsible for accurately coding inpatient medical records using ICD-10-CM and ICD-10-PCS coding systems. The ideal candidate will have a strong understanding of medical terminology, anatomy and pathophysiology, as well as the ability to ensure compliance with federal regulations and guidelines. This position requires a Certified Coding Specialist (CCS) certification and a minimum of 2 years of inpatient coding experience. Inpatient Facility Coder Responsibilities: Review and analyze inpatient medical records to identify relevant diagnoses and procedures for coding Assign appropriate ICD-10-CM and ICD-10-PCS codes to inpatient records Ensure coding accuracy and compliance with established guidelines and regulations Collaborate with healthcare providers to clarify documentation and coding discrepancies Participate in regular coding audits and...

International SOS delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services including hands on direct care at over 800 sites worldwide, many with inpatient capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers), our services include healthcare solution design, deployment, and operation, telemedicine, referrals to a global network of over 100,000 vetted providers, and aeromedical evacuation. Our subsidiary, International SOS Government Medical Services (GMS), based in Houston, Texas, supports government defense and civil...

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization 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 anatomy,...

My client, a reputable healthcare company in Atlanta, GA, is hiring for a Physician Compliance Auditor with competitive pay and growth opportunity ! Job Description: Performing clinical reviews of medical records & other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters & other compliance issues as directed by the Physician Coding Director & Compliance Director. Conducting compliance audits & reporting results Researching/investigating issues Establishing a compliance monitoring process Assess educational needs of physicians regarding coding & documentation Conduct regularly scheduled educational programs that meet physician needs Serve as the primary resource to physicians for documentation & coding issues Conducting coding & billing training programs for billing & coding specialist & physicians Create presentations, develop learning material,...

Join to apply for the Multispecialty Coder- Professional role at Children's Healthcare of Atlanta 1 month ago Be among the first 25 applicants Join to apply for the Multispecialty Coder- Professional role at Children's Healthcare of Atlanta Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 5:00 PM Worker Sub-Type Regular Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s. Job Description Provides...

Associate Director, Medical Affairs (Southeast Territory) Get AI-powered advice on this job and more exclusive features. BIOCODEX provided pay range This range is provided by BIOCODEX. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $140,000.00/yr - $200,000.00/yr In order to accompany the growth of Biocodex, we are looking for an: Associate Director, Medical Affairs (Southeast Territory) This position is REMOTE The Southeast Territory includes TX, AR, LA, MS, AL, GA, SC, and FL Candidates should reside in Georgia (preferably Atlanta), Florida or Texas near a major airport Biocodex is a French pharmaceutical company founded in 1953 to develop and market the world's first probiotic yeast strain, Saccharomyces boulardii CNCM I-745. Today, Biocodex focuses its business on three main areas: Microbiota care; Women's health; Orphan diseases. With more than 1,600 employees, Biocodex generated net revenues of above...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details: Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: Full time (non-exempt) Shift: 8:00am - 4:30pm Days: Monday through Friday This Specialty Coder II opportunity is a full-time remote position. This team member must reside in the state of Florida, George, North Carolina, or South Carolina. Sign on bonuses available! Responsibilities: The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems. The Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as...

Associate Director, Medical Affairs (Southeast Territory) Get AI-powered advice on this job and more exclusive features. BIOCODEX provided pay range This range is provided by BIOCODEX. Your actual pay will be based on your skills and experience talk with your recruiter to learn more. Base pay range $140,000.00/yr - $200,000.00/yr In order to accompany the growth of Biocodex, we are looking for an: Associate Director, Medical Affairs (Southeast Territory) This position is REMOTE The Southeast Territory includes TX, AR, LA, MS, AL, GA, SC, and FL Candidates should reside in Georgia (preferably Atlanta), Florida or Texas near a major airport Biocodex is a French pharmaceutical company founded in 1953 to develop and market the world's first probiotic yeast strain, Saccharomyces boulardii CNCM I-745. Today, Biocodex focuses its business on three main areas: Microbiota care; Women's health; Orphan diseases. With more than 1,600 employees, Biocodex generated net...

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 4:30 PM Worker Sub-Type Regular Childrens is one of the nations leading childrens hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. Were committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Childrens. Job Description Provides accurate and timely assignment of appropriate diagnostic and procedural codes on the medical records for the purpose of collecting and indexing quality health information for routine patient types (outpatient diagnostic, outpatient physician...

Join to apply for the Ancillary Coder Hospital role at Piedmont . 2 days ago Be among the first 25 applicants. Get AI-powered advice on this job and more exclusive features. Responsibilities: Reviews, analyzes, and assigns codes based on appropriate coding guidelines and criteria for outpatient medical record documentation. This includes, but is not limited to, medical, diagnostic, and procedural information for the correct ICD-10-CM and/or CPT-4 HCPCS codes. The primary coding responsibilities are Diagnostic/Clinical, Emergency Room, Recurring, and Specimen patient types. Qualifications: High school diploma or equivalent required. None required for experience or licensure/certification. One or more certifications required: RHIA, RHIT, CCS, CCA, CCS-P, CPC, CPC-A, CPC-H. Coding experience and completion of a coding certificate program (AHIMA accredited) are preferred. Experience in coding at a multi-facility organization and remote coding experience is a plus....