15 jobs found

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare...

We are seeking an experienced Multi-Specialty Outpatient Coder to join our client's coding team. This role is responsible for accurately coding diagnoses, procedures and services across a variety of outpatient specialties, ensuring compliance with coding guidelines and optimizing reimbursement. If you have a strong background in outpatient coding and a CPC or equivalent certification, we encourage you to apply. Multi-Specialty Outpatient Coder Responsibilities: Assign accurate ICD-10-CM, CPT, and HCPCS codes for multi-specialty outpatient services, including but not limited to cardiology, orthopedics, oncology and gastroenterology Ensure coding practices adhere to federal regulations, payer requirements and organization policies Review provider documentation to verify code assignment and capture of all relevant services, procedures and diagnoses Maintain high accuracy in coding to support data integrity, reporting and reimbursement Collaborate with billing and...

Job Description Job Description Elevate Your Career as a Medical Coder with Ortho Sport & Spine Physicians! Are you a meticulous, detail-driven medical coder with a passion for accuracy and excellence? Ortho Sport & Spine Physicians is expanding, and we’re looking for a talented Medical Coder to join our dynamic team. In this key role, you’ll ensure that our coding and billing processes run smoothly, contributing to the overall efficiency and success of our practice. If you thrive in a fast-paced environment where precision matters, this is the perfect opportunity for you to shine! Why Ortho Sport & Spine Physicians? · Impactful Work: Your coding expertise will play a critical role in optimizing reimbursement and ensuring compliance, directly supporting patient care. · Growth Opportunities: Be part of a growing team with plenty of room for career advancement and professional development. · Collaborative Environment: Work with a team of top healthcare...

Job Description Job Description 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 Service Line 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,...

Job Description Job Description Accounts Receivable Specialist (Healthcare and Legal Billing) Key Responsibilities: Communicate and collaborate with PCM/CSR to request payment and update payment status. Follow up on unpaid medical insurance claims within the standard billing cycle timeframe. Review and appeal denied or unpaid medical claims. Generate and review statements for legal services related to healthcare billing. Call patients regarding all non-responsive attorneys. Schedule follow-up reminders for assigned attorneys. Document actions in the practice management system. Collaborate with medical billing and coding staff to resolve discrepancies and ensure accurate billing records. Prepare reports and analyze accounts receivable status for management review. Answer all attorney/patient inquiries pertaining to assigned accounts. Carry out collection and reporting activities according to specific deadlines. Collaborate with teams and the Director to discuss...

Job Description Job Description Company Description 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 to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities,...

Job Description Job Description Job Title: Associate Director, Medical Writing Job Location: Atlanta, GA, USA Job Location Type: Remote Job Contract Type: Full-time Job Seniority Level: Mid-Senior level At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai’s human health care (hhc) mission. We’re a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer’s disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. Job Summary The Associate Director, Medical Writing will be the designated Lead Medical Writer for...

Job Description Job Description Surgical Notes is hiring for a Orthopaedic Medical Coding Specialist II to provide accurate and timely coding for our ambulatory surgical clients. The ideal candidate has excellent organizational skills, communication skills, with the desire and ability to learn quickly. Working as a part of the team to meet deadlines, but also being able to work independently is crucial to the success in this position. Our organization prides itself on being built upon a set of strong core values. We are looking for candidate who will actively exhibit these core values: Service Excellence, Transparency, Teamwork, Accountability, Hardwork, and Positive Attitude. External Title: ASC Medical Coding Specialist II Internal Title: US Coding Individual Contributor II Reports to: Manager, Coding Responsibilities: Review operative reports to abstract information and apply CPT, HCPCS, and ICD-10-CM codes Provide coding for all Level 2 and some Level 3...

Job Description Job Description Pay Rate: Highly competitive based on experience. Start Date: Immediate - Full or Part time Overview: We are seeking an experienced ASC / Outpatient Coding Auditor to join our team in a fast-paced, high-volume healthcare environment. This role is fully remote and offers competitive pay. If you have 3-5 years of ASC coding and auditing experience, and the ability to manage complex cases efficiently, you will be eligible to join our team of highly knowledgeable coders. We cover approximately 19 specialties performed in ASCs. You will be responsible for outpatient service types, providing feedback to coders and clients, and improving coding compliance through the reduction of coding liability and identification of lost revenue to a wide variety of healthcare entities. If you have experience working in large healthcare organizations and thrive in a challenging, dynamic setting, we encourage you to apply.   Key Responsibilities: Review...

Job Description Job Description MedClaim Comprehensive has openings for experienced Medical Billers working REMOTELY for our various clients throughout the U.S. Minimum 3 years’ experience in Medical Billing preferably across multi-specialties . CPC certification and/or FQHC billing experience are a huge plus!! Various billing, collections, payment posting, and coding functions to ensure accurate and timely claim processing. Work within team structure to assure highest level of collections. Requirements include: Excellent computer, phone, and communication skills. Should be a self-starter and detail oriented. Minimum 3 years medical billing experience with Intergy software is required. CPC certification is preferred. Company Description Founded in 1997, The Fisher Consulting Group began with the mission to provide affordable expertise to FQHCs that provide care to the medically underserved. FCG has extensive experience with solutions that help FQHCs thrive...

Job Description Job Description The Coding Network (TCN) is looking to contract with Orthopedic coders to perform the daily Orthopedic coding for a number of clients throughout the country. TCN works with over 150 Orthopedic groups throughout the country, our codes access the operation reports via a remote connection to the client's EMR.. Hours can range from a 15-40 hour/week commitment, any time on the 24 hour clock, seven days a week.   We currently have work available for multiple Orthopedic coders in our surgical division.   All applicants must: · Have a minimum of 3 years of Orthopedic Specific Coding · Have an active coding certification (CPC, RHIA, RHIT) · Live and work in the United States of America · Take and pass TCN’s Ortho Surgical Coding Exam If you meet the above criteria and are willing to test please submit your resume. Company Description TCN has been providing specialty specific medical coding for over 20 years. TCN's 775+ US based coders cover over...

Medical Biller Remote work from home! We are seeking qualified and dedicated Medical Billers to join our team. Demonstrate an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. You must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job. Attention to detail will be highly important. Medical Biller Responsibilities: Perform daily download and reconciliation of claims from patient accounting system to electronic billing system. Transmit or release claims at a minimum daily. Work all assigned claims daily by...

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. Job Summary The Associate Director, Medical Writing will be the designated Lead Medical Writer for multiple Programs, responsible for providing needed support and direction to other staff/contractors on these programs. As the lead writer, the incumbent ensures timely completion, accuracy and quality of all clinical and...

Summary This position is located in Business Office, Health Information Management (HIM) Section, Atlanta VA Health Care System 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 Theses coding practitioners analyze and abstract patients' health records and assign alpha-numeric coders for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentations. This is the journey level for this assignment. MRTs (Coder at this level performs the full scope of inpatient and outpatient coding duties. MRTs (Coder) select and assign codes from current versions of...

Join Our Team as a Medical Biller at Ortho Sport & Spine Physicians? Are you a detail-oriented and experienced Medical Biller looking for an opportunity to make a significant impact in a dynamic healthcare environment? At Ortho Sport & Spine Physicians we are dedicated to providing top-tier medical services, and we need a skilled Medical Biller to help streamline our billing processes and ensure optimal reimbursement for services rendered. If you have a background in physician and ambulatory surgical center billing and are ready to take on a critical role in improving our current billing procedures, we want to hear from you! Why Join Us? · Innovative Healthcare Setting: Work in a modern, fast-paced administrative office where your expertise is valued and your work has a direct impact on patient care. · Growth Opportunities: Be part of a growing team with opportunities for professional development and advancement. · Collaborative Culture: Work closely with a supportive team...