21 jobs found

Amtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 20 years. Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us better understand their business demands and gives us the ability to provide services that are on time and rise above the rest. We are urgently looking for Rx Claim coders for one of our healthcare client. Multiple positions open 100% REMOTE Must have experience Rx claims experience in most recent project Responsibilities Responsible for adjudicating all CoPay Assist Rx claims electronically. Responsible for adjudicating all Rx claims and billing. Build, maintain, and audit benefits in RxClaim Automated and manual testing using RxClaim Run patient Rx claim to get paid, and contact them for co-pay amount RXCLAIM And...

This position starts out onsite for the first 60-90 days and then will go remote reporting onsite one day a month! Insight Global is seeking a Billing Supervisor to support a large heathcare customer in Atlanta, GA. This individual is responsible for coordinating and supervises the billing and government follow-up functions for all hospital facilities in the system. Oversee a team of 18 individuals. Ensures daily billing of hospital revenue and accuracy and quality of billing activities. Works with hospital departments such as Admissions, Data Processing, Medical Records, ancillary areas, and patient care departments to monitor issues with account registration, charging, and coding to ensure efficiency in the patient account process. This supervisor will be hands on and required to step into the bill when needed. The individual needs to be strong with reporting and looking for trends! Qualifications: Associate degree preferably Bachelor degree 3+ years of...

Job Description Guidehouse is currently looking for an Associate Director to join our cross-cutting functional team supporting federal and commercial health clients in Advanced Analytics and Intelligent Automation. We are looking for this person to be both an innovative solution lead and to be involved in shaping and continuing the growth of our business in advisory and data product services. Candidates should be market-facing self-starters who bring with them a high level of ownership over their work, an enthusiastic attitude, and a collaborative mindset to support our efforts to sell and provide consulting solutions. Your role will be to coordinate activities across multiple projects and provide experience-based insight into client operations. Some of the activities that you can expect to be part of your day-day responsibilities: engaging leadership to discuss pressing needs, helping teams understand dependencies across programs, and acting as a contributor to team meetings....

Job Description Job Description This is a remote position. Virtual Outpatient Coder HIM BO/FO Health Information- Shift: Full-time Work from Home Job Summary As part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position. Job Responsibilities Verifying accuracy of assigned CPT codes for complex and/or error prone procedures Verifying the diagnosis coding accuracy for complex and/or error prone encounters Validating certain discharge dispositions Reviewing charge and procedure mismatches Reviewing codes with revenue integrity for NCD/LCD coverage Reviewing invalid codes, code conflicts, and...

Job Description Job Description The Coding Network (TCN) is the country's premier coding and auditing company with over 850 single specialty physician coders and auditors. All of our coders and auditors work remotely from home, set their own hours, and can earn over 20% more than the average AAPC coder or auditor’s salary. TCN’s Anesthesia division is experiencing unprecedented growth and we need to contract multiple Anesthesia coders who can work anywhere from 15-40+ hours per week. All Coder applicants must: Have a minimum of three (3) years of Anesthesia Specific Coding Have an active coding certification (CPC, RHIA, RHIT, RCC) Live and work in the United States of America Take and pass TCN’s Specialty Coding Exam If you meet the following criteria and are willing to test please submit your resume. NOTE: When submitting your resume, we are looking for the total number of years spent coding/auditing. Job Type: Contract COVID-19 considerations: all...

**Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:** None Under general supervision, an **Diagnostic Radiology Coder,** codes ED Department charts and procedures and/or charge tickets as assigned. If requested by supervisor, provides technical guidance and training on medical coding to physicians and/or other department staff. Maintains knowledge of AMA guidelines and billing compliance and performs all other duties as required. Must be self-directed / self-motivated; must have good communication and interpersonal skills. Must be: (1) detail oriented (2) accept responsibility for the direction, control and planning of ones own work; (3) recognize the rights and responsibilities of patient and employee confidentiality; (4) adaptable to change and improvement; (5) relate to others in a manner which creates a sense of teamwork and cooperation; (6)show exemplary attitude in levels of maturity, responsibility, judgment...

Job Description Under general supervision assist the Vendor Support Team designing and updating forms and booklets and to assist with the certification testing process for software vendors' paper and electronic submissions Must be local to Metro Atlanta The following compliance item is REQUIRED at the time of resume submission. **Tax Clearance Letter** (Pls review compliance tab for instruction) Job Summary: Under general supervision assist the Vendor Support Team designing and updating forms and booklets and to assist with the certification testing process for software vendors' paper and electronic submissions Job Responsibilities: Create, update, and maintain tax forms and booklets using design tools and software. Prepare charts, graphs, or forms to go along with business and technical requirements. Provide customer service by answering design/form layout questions and 2D barcode inquiries. Work with internal business partners to verify that the forms meet...

Job Description: The primary purpose of this position is to provide coding and report design expertise in support of client and team objectives. This self-driven person will be responsible for delivering coding and report design expertise in support of client and team objectives. Work will include enhancements to existing code, support changes, and new development, as assigned. A person in this position will work with development team members to modify and design new reports based on database tables, provide thorough documentation of report requirements as it relates to business processes, track report change requests and deliver products in an agile environment. This individual will set goals by identifying requirements, use cases, and tests, estimating hours required for business analysis and task completion, and ensure clear communication regarding components to be delivered to the business. Communication with...

Must Haves: Must have an active coding certification and 0-3 years of coding experience: Full list of accepted certs AHIMA CCS (Certified Coding Specialist) AAPC (Verify at AAPC Credential Verification, CPC Certification Verification) CPC (Certified Professional Coder) CPC-A (Certified Professional Coder Apprentice) CRC (Certified Risk Adjustment Coder) CCA (Certified Coding Associate) HCC/Risk Adjustment Coding experience ICD-10 proficiency/certification Production driven coding experience Must be able to commit to working 40+ hours per week and seasonal overtime, no part time jobs allowed Access to a private home office and high speed internet if Onshore Ability to commute to the Manilla, Philippines office if Offshore Plusses: Experience working in a remote setting Experience working in a production driven environment CPT Coding experience National RAD-V/HEDIS abstraction experience Clinical Care or Managed Care experience...

Job Description Job Description Description: The Coding Quality Auditor and Educator conducts risk-based coding quality audits of provider services encounters to validate code assignment follows official coding guidelines and regulatory requirements, as supported by clinical documentation in the medical record. This includes performing internal audits, overseeing external audits, and delivering coding/documentation education and training to providers and coders. Responsible for monitoring coding activities of all UMP practices in support of the organization’s adherence to applicable CMS requirements, official coding guidelines, government regulations and internal policies. Serves in an advisory capacity to leadership and providers as it relates to documentation, coding, and regulatory compliance. Requirements: ESSENTIAL DUTIES AND RESPONSIBILITIES (Other duties may be assigned) As a key member of the Coding team the Coding Quality Auditor and Educator: Conducts coding,...

Job Description Job Description Girl Friday is a dynamic and rapidly growing company that specializes in providing administrative support to medical professionals. We pride ourselves on delivering exceptional services and assisting our clients in streamlining their operations. Our team is dedicated to ensuring our clients' success, and we strive to create a positive and supportive work environment for all employees.   [Job Description]: We are currently seeking a skilled and experienced Medical Biller to join our remote team. As a Medical Biller at Girl Friday, you will be responsible for handling medical billing tasks, ensuring accurate and timely submission of claims, and assisting with revenue cycle management. Your attention to detail, strong organizational skills, and understanding of medical billing procedures will contribute to the success of our clients' practices.   [Responsibilities]: - Review and verify accuracy of patient demographics and insurance information...

**Primary City/State:** Arizona, Arizona **Department Name:** Coding-Acute Care Hospital **Work Shift:** Day **Job Category:** Revenue Cycle **Primary Location Salary Range:** $25.03 - $37.55 / hour, based on education & experience In accordance with State Pay Transparency Rules. Great careers are built at Banner Health! We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. **Banner Health** is Arizonas largest employer and one of the largest nonprofit healthcare systems in the country; and the leading nonprofit provider of hospital services in all the communities we serve. We have remote workers in 34 States and growing! The fully remote **Acute Care Inpatient HIMS Complex Coder | Medical Coder** **position allows you to bring your 3-5 years experience of in Inpatient Facility Coding and grow! This position requires CCS or CPC...

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. Job Qualification 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 Details Job Location CBO Office - Atlanta, GA Remote Type Fully Remote Position Type Full Time Education Level High School or GED Travel Percentage As needed for business requirements. Job Shift Day Job Category CBO - Revenue Cycle Description GENERAL SUMMARY OF DUTIES: Responsible for the ICD-10 and CPT coding of endoscopy center procedures, hospital charges and other services performed by the physicians and mid-level providers of United Digestive. REPORTS TO : Reports to Billing and Coding Supervisor, RCM RESPONSIBILIITES Duties include but are not limited to: Accurate coding of services provided by physicians and APPs, including assigning the correct ICD-10 and CPT codes. Researches difficult coding questions thoroughly in order to maintain high quality standards. Provides support to management, staff and physicians in determining accurate coding and billing practices. Participates in coding audits and educational endeavors as directed...

Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Location: REMOTE Job Summary Analyzes and translates concurrent, prospective, and retrospective medical and clinical diagnoses, procedures, injuries, and illnesses into Medicare Risk Adjustment (MRA) ICD-10 codes and Hierarchical Condition Categories (HCCs). Completes assignments with an emphasis on completeness, accuracy, and supporting clinical care plans as it pertains to Risk Adjustment Data Validation (RADV) timelines. Essential Functions Accurately...

SUMMARY Responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem-solving skills to address coding related tasks of detailed, medium complexity. Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery, and other ancillary services. Responsible for reviewing, analyzing, and interpreting physician documentation, CPT and diagnosis coding, charge entry, coding claim edit, and coding denial management for coding related tasks QUALIFICATIONS High School Diploma or GED is required. At least two (2) years relevant coding and...

Overview: Candidates are required to take a coding skills assessment within 5 days of contact and must have a passing score of 95% or higher for consideration. 5 years inpatient and outpatient coding experience in an acute care environment required. Description: JOB DESCRIPTION: The Hospital Inpatient Coder III uses clinical coding knowledge based on the Official Coding Conventions guidelines and AHA Coding Clinic, to assign ICD-9 and/or ICD-10 codes to the highest level of accuracy for each inpatient encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff. Plays a key role in billing, research, internal and external reporting, and regulatory compliance. Ensures accuracy of DRGs and appropriate extraction of core data into HIM abstracting system to data warehouse repository. Facilitates accurate data for patient acuity, severity of illness, and quality outcomes. MINIMUM QUALIFICATIONS:...

Coder/Coding Specialist Bookmark this Posting | Print Preview | Apply for this Job Posting Details Position Information Posting Number NONAC2742 Job Title Coder/Coding Specialist Position Title Coder/Coding Specialist Position Type Non-Faculty Number of vacancies 1 Salary Commensurate with experience Department Morehouse Healthcare (MHC) Position Summary Under minimal direction, independently and diligently reviews clinical documentation and diagnostic results as appropriate to validate and ensure correct procedural and diagnostic coding of professional service rendered by clinicians are in accord with documentation and coding guidelines for all patient care services; inpatient, outpatient, ambulatory clinic, primary care, behavioral health, surgical, and specialty clinics as documented in the medical records by the servicing provider. Coders are responsible for the validation of provider, supplies, and/or diagnostic services...

**Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other...

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician...

Job Description Job Description   **Location: Remote (USA)** Are you ready to embark on a rewarding career journey as a Medical Billing and Coding Specialist? At Girl Friday, we're seeking a select group of individuals who are eager to become experts in the world of healthcare revenue management. This is your opportunity to join a dynamic team, receive comprehensive training, and enjoy the numerous benefits of a remote position. **About Us:** Girl Friday is a leader in business consulting and digital transformation services. We're on a mission to empower individuals with the skills and knowledge needed to thrive in the ever-evolving healthcare industry. As a Medical Billing and Coding Specialist Trainee, you'll play a vital role in this mission. **Benefits of Being a Medical Billing and Coding Specialist:** - **In-Demand Career:** Medical billing and coding specialists are in high demand, with excellent job prospects. Your skills will always be needed in the healthcare...