26 jobs found

Manages both Medical Record and Coding Position Function: Manages both Medical Record and Coding II. Job Relationships: Interacts with all Management members at St. Elizabeth's Medical Center and BMC Interacts with Medical and Nursing staff at both clinics and SEMC. Interacts with line staff as necessary. Interacts with Management of other hospitals and clinics as needed. Interacts with appropriate staff of regulatory and accrediting organizations as needed to ensure compliance with legal standard. Interact with IS department to resolve existing systems issues and implement new systems. III. Authority: Has direct authority over all employees of both Medical Records and Coding. Has authority to create, revise, or terminate departmental policies and procedures. Has authority to revise job descriptions as needed to ensure effective operation of department. Provides counseling for job improvement; is responsible for...

Job Description Job Description Data entry/superbill entry. Submitting claims to various insurance companies. Process claims in a timely manner. Pursue reimbursement from carriers. Reviewing and appealing unpaid/denied claims, handling collection on unpaid accounts. Verify Patient benefits & record patient responsibility into EMR. Post insurance payments (paper and electronic methods) into the EMR. Manage accounts receivable, medical billing, collections and posting. Requirements 2+ years of AR/Billing experience in a healthcare setting. Expert level knowledge with Medent/Cerner. Excellent verbal and written communication skills. Proficient in Excel or Google sheets. Epic/Cerner Certification (Strongly Preferred). Medical Billing Certification (Strongly Preferred).

Galderma is the emerging pure-play dermatology category leader, present in approximately 90 countries. We deliver an innovative, science-based portfolio of premium flagship brands and services that span the full spectrum of the fast-growing dermatology market through Injectable Aesthetics, Dermatological Skincare and Therapeutic Dermatology. Since our foundation in 1981, we have dedicated our focus and passion to the human body's largest organ - the skin - meeting individual consumer and patient needs with superior outcomes in partnership with healthcare professionals. Because we understand that the skin, we are in shapes our lives, we are advancing dermatology for every skin story. We look for people who focus on getting results, embrace learning and bring a positive energy. They must combine initiative with a sense of teamwork and collaboration. Above all, they must be passionate about doing something meaningful for consumers, patients, and the healthcare professionals we serve...

Job Posting Description The Physician Billing Coder oversees the department's revenue integrity process by managing coding work queues and reviewing registration and charge interfaces. The role includes auditing clinical documentation, billing, and payment records to ensure compliance with medical records and coding standards. The coder assesses coding accuracy and risk, prepares reports, and provides feedback based on audit findings. They also work with staff and physicians to identify issues and suggest improvements for the revenue cycle process. Principal Duties and Responsibilities Selects then follows established protocols and selects and reviews a percentage of records to assess coding documentation, billing, and/or reimbursement practices for compliance with all regulations of federal and state agencies and third-party payors and hospital policy. Review the department coding work queues, ensuring that all physicians are accounted for on the community hospital...

Job Description Data entry/superbill entry. Submitting claims to various insurance companies. Process claims in a timely manner. Pursue reimbursement from carriers. Reviewing and appealing unpaid/denied claims, handling collection on unpaid accounts. Verify Patient benefits & record patient responsibility into EMR. Post insurance payments (paper and electronic methods) into the EMR. Manage accounts receivable, medical billing, collections and posting. Requirements 2+ years of AR/Billing experience in a healthcare setting. Expert level knowledge with Medent/Cerner. Excellent verbal and written communication skills. Proficient in Excel or Google sheets. Epic/Cerner Certification (Strongly Preferred). Medical Billing Certification (Strongly Preferred).

Job Type: Regular Time Type: Full time Work Shift: Day (United States of America) FLSA Status: Non-Exempt When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. With oversight from the department Manager and exercising independent judgment within the scope of their professional practice, the Certified Professional Coder performs a variety of tasks associated with coding physician and other provider charges, and providing coding education to providers in that area. Duties include hands-on documentation review, surgical coding of physician or other qualified healthcare provider services. Coding of inpatient and outpatient Evaluation and Management by assigning the appropriate CPT, ICD-10-CM and HCPCs codes. Job Description: Essential Duties & Responsibilities including but not limited to: Coding Responsibilities: Provides review and/or coding of any professional services including...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Under general supervision of the IP Coding Manager and IP Coding Supervisor, the IP Coder the review of inpatient record and accurate, timely, and compliant assignment of ICD-10-CM and ICD-10-PCS codes to assure the correct MS-DRG, APR DRG, SOI assignment. The IP coder will work closely with the Coding leadership, IP Coding Validators, and collaborates with Clinical Documentation Staff to assure coding uniformity, consistency and accuracy with ICD-10-CM, ICD-10-PCS, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The IP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing. Job Description: Essential Duties & Responsibilities: Review the complete...

Title: Associate Director, Medical Operations Location: Concord, MA, Remote Reporting to: Director, Medical Operations About the Company ITF Therapeutics is the U.S.-based rare disease division of Italfarmaco S.p.A., a private multinational group headquartered in Milan, Italy. Established in 1938, its mission has been to improve patient lives and overall well-being through pioneering research & development, high-quality production, and global marketing of branded prescription and non-prescription products. Operating in the pharmaceutical and API development, Italfarmaco Group has a presence in over 90 countries, employs 3,800 individuals, including 300 professionals across its four Research & Development Hubs, and generates a turnover exceeding 1 billion Euros. The group is known for its products in key therapeutic areas such as Women's Health, Neurology and Psychiatry, Cardiovascular and Metabolic, and Rare Disease. In January 2024, Italfarmaco launched...

Data Quest, Ltd., a licensed, insured & bonded, corporate private investigations agency established in 1981, headquartered out of MA. Website: https://www.dataquestltd.com/ where you can read about our auditing services. This integrity and customer evaluator opportunities are open to individuals ideally 21-30 years of age. Individuals with degrees or related experience in Criminal Justice, Business Admin or Hospitality, will find these audits applicable. A vehicle is required as you must be able to commute to the audit locations. This is not a full time or part-time position. Auditing for Data Quest is on an Independent Contractor basis. Essentially, if you register as an auditor for Data Quest, you can view our job board each month and apply for 1 or as many audits as you'd like. Each audit pays a flat fee depending on the complexity of the audit, anywhere from $20-$50 pay range per audit. You can choose to pick up what audit types on dates you prefer around your work and...

Position Summary: Chewy is seeking a Regulatory Compliance Auditor, Food Safety, to join our team and ensure the safe handling of food and drug products across our operations! This role will focus on ensuring alignment to FDA directives at both the local and federal levels and inspecting sites to verify compliance with Chewy's food safety guidelines. The Compliance Auditor will play a significant part in identifying improvement opportunities within our food safety processes and ensuring the continued success and regulatory adherence of Chewy's Foreign Supplier Verification Program (FSVP). What you'll do: Conduct comprehensive site inspections to assess adherence to FDA regulations and Chewy's internal food safety policies, identifying non-compliance areas and potential risks. Audit the Foreign Supplier Verification Program (FSVP) to verify that imported items meet U.S. safety standards, reviewing documents and processes in collaboration with the Sr. Program Manager, Food...

Abstracts, sequences and assigns diagnosis, procedure codes and accurate DRG assignment to medicalrecords of inpatients, as required for reimbursement and maintenance of patient database. The Medical Records Coding Specialist will be responsible for: Coding Specialist, Medical, Records, Patient, Specialist, Remote, Healthcare

**Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of America) **FLSA Status:** Non-Exempt **When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** Under the direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope of the job, the Hospital Inpatient Coder II assigns applicable ICD-10 Codes, Present on Admission (POA), Hospital Acquired Condition (HAC), and Patient Safety Indicators (PSI) using current industry standards, the Official Coding Guidelines, Coding Clinic, UHDDS and regulatory requirements. Ensures the integrity and quality of patient data to achieve minimal variation in coding practices; assigns codes only as supported by physician/licensed independent practitioner (LIP) documentation within the body of the medical record. Applies in-depth knowledge of medical terminology and anatomy and physiology specific to...

Company Description Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world’s most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. We're one global team driven by our common purpose to deliver a better world. Join us. Job Description...

Position Summary: We, at Chewy, are seeking a Regulatory Compliance Auditor, Environmental, to join our team and help drive compliance with environmental regulations! This role focuses on ensuring adherence to EPA and NIOSH standards across Chewy’s operations, supporting our dedication to balanced and compliant practices. The Compliance Auditor will coordinate conducting environmental audits, leading all aspects of compliance with waste management, emission guidelines, and hazardous substance handling to minimize environmental risks and promote a safe workplace. What you’ll do: Conduct comprehensive environmental audits to assess compliance with EPA and NIOSH regulations, identifying non-compliance areas and potential environmental risks. Lead and evaluate waste management practices, emission standards, and hazardous material handling and disposal to ensure regulatory alignment. Perform health and safety risk assessments related to environmental hazards,...

About the job Associate Director, Medical Science Liaison Job Title: Associate Director, Medical Science Liaison Job Location: United States Job Location Type: Remote Job Contract Type: Full-time Job Seniority Level: Mid-Senior level About Us JOB DESCRIPTION Welcome to ANI Pharmaceuticals, where we are dedicated to improving and enhancing patients' lives through the manufacturing and distribution of high-quality pharmaceutical products. With a diverse portfolio of generic and branded pharmaceuticals, ANI is a trusted partner for healthcare providers, pharmacists, and patients alike. We understand the importance of accessibility, and our products are available across a wide range of therapeutic areas, contributing to the well-being of communities globally. About The Role The Medical Science Liaison (MSL) will serve as a liaison to the medical/scientific community and will be responsible for establishing, developing, and maintaining relationships with...

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...

Associate Director, Medical Affairs and Scientific Communications Verve is a clinical-stage genetic medicines company established with a mission to solve the global health epidemic of cardiovascular disease. Founded by world-leading experts in cardiovascular medicine, human genetics and gene-editing, Verve is pioneering a new approach to the care of cardiovascular disease, potentially transforming treatment from chronic management to single-course gene editing medicines. The company’s initial three programs – VERVE-101, VERVE-102, and VERVE-201 – target genes that have been extensively validated as targets for lowering low-density lipoprotein cholesterol (LDL-C), a root cause of cardiovascular disease. VERVE-101 and VERVE-102 are designed to permanently turn off the PCSK9 gene in the liver and are being developed initially for heterozygous familial hypercholesterolemia (HeFH) and ultimately to treat atherosclerotic cardiovascular disease (ASCVD) patients not at goal on oral...

Galderma is the emerging pure-play dermatology category leader, present in approximately 90 countries. We deliver an innovative, science-based portfolio of premium flagship brands and services that span the full spectrum of the fast-growing dermatology market through Injectable Aesthetics, Dermatological Skincare and Therapeutic Dermatology. Since our foundation in 1981, we have dedicated our focus and passion to the human body's largest organ - the skin - meeting individual consumer and patient needs with superior outcomes in partnership with healthcare professionals. Because we understand that the skin shapes our lives, we are advancing dermatology for every skin story. We look for people who focus on getting results, embrace learning and bring a positive energy. They must combine initiative with a sense of teamwork and collaboration. Above all, they must be passionate about doing something meaningful for consumers, patients, and the healthcare professionals we serve every day....

Nursing Supervisor, Rotating Shifts, Every Third Weekend Job Summary This is an Administrative Management position that represents Nursing Administration. As the senior nursing administrative person on-site, this person assesses the overall hospital environment and operations. The Administrative Coordinator is accountable to problem sole for the organization and for initiating immediate, effective action. Qualifications Minimum Education/Experience: BSN required/MSN preferred. Minimum of five years nursing experience. Patient Transfer Center experience required. Must have ICU experience. Minimum skills/abilities: Proven experience and leadership ability in management and clinical practice. Able to communicate verbally and in writing in the English language. Able to complete mathematical computations required to administer medications and treatment protocols. Able to lift, transfer, and move patients. Certification/Licensure: Current...

Job Details By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description Objectives/Purpose The Associate Director, Global Medical Communications, Immunology is a key strategic partner of the Global Medical Affairs team, responsible for dynamically driving the strategic planning and tactical execution of the comprehensive medical communications plan as a central component of the global medical strategy for assigned assets. In strategic partnership with cross-functional stakeholders, the Associate Director, Global Medical Communications, Immunology will: Lead the planning and execution of the integrated congress plans including oversight of content for and...

Become a part of our caring community and help us put health first The Supervisor, Medical Coding confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions are typically related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures consistency in execution across team. Holds team members accountable for following established policies. Use your skills to make an impact Required Qualifications Bachelor's Degree or equivalent experience 4 - 6 years of billing and coding experience in a health care organization CPC (Certified Professional Coder) Certification required through AAPC or CSS Certification through AHIMA Preferred Qualifications...

Job Type: Regular Time Type: Full time Work Shift: Day (United States of America) FLSA Status: Non-Exempt When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Medical Coder will support the Medical Specialties Department at Beth Israel Deaconess Medical Center in Boston, MA. This is a full-time position and may have the opportunity to work remotely. Job Description: This position is responsible for the assignment of ICD-10-CM diagnosis and procedure codes and as appropriate, CPT-4. Essential Responsibilities: Reviews the complete electronic and paper medical record of discharged patients. Assigns ICD-10-CM diagnosis and procedure codes from documentation in the medical record, when indicated assigns CPT-4 procedure codes. Abstracts coded data and patient information into the coding abstracting system in use by BIDMC (information includes attending physician, surgeon, dates of...

Reimbursement Specialist/Medical Biller 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...

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...