13 jobs found

Job Description Job Description Cleveland Area Hospital is an independent facility half an hour west of Tulsa, Oklahoma. The hospital offers emergency, laboratory, radiology, inpatient care, outpatient infusion, and nurse care services, a fully equipped rehabilitation center, and a thriving seven-provider primary care clinic. The organization is transitioning to a Regional Healthcare Provider, under consistent leadership for the past 8 years. The Hospital and Clinic have been on a consistent trajectory of growth and progress over the past 8 years, and patient volumes and revenues have doubled in that time. We are on course to continue this growth, and we would like the opportunity to share more about our success with dedicated individuals who are interested in joining a team that is growing and a facility that is expanding. As an independent, self-managed, non-profit healthcare system governed by a local board of trustees, the organization successfully empowers team...

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. The Coder III position is dedicated to either hospital inpatient or hospital outpatient coding. Codes and abstracts clinical information from inpatient or outpatient charts for the purpose of reimbursement, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols. Inpatient: Identifies, reviews, and assigns complex ICD-10-CM codes, PCS, POA and PSI indicators for inpatient charts. Outpatient: Identifies, reviews, and assigns complex ICD-10-CM codes and CPT for ambulatory surgery and observation charts. The ideal caregiver is someone who: Has excellent critical thinking skills....

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 Job Description REMOTE WORK A POSSIBILITY AFTER 60 - 90 DAYS ONSITE. Two major functions of the Patient Account Representative (PAR) are patient billing and customer care inquiries. Depending on setting, the PAR may only perform billing and/or patient care inquiries, while in other settings, the PAR may perform both. In all settings, the PAR will perform additional duties, as assigned. PAR establishes and assigns financial responsibility and/or assists with arrangements while adhering to appropriate policies and procedures. In addition to collection of co-payments, pre-payments, and/or payments on account balances. May also work through the appropriate queues to address and resolve issues specific to insurance, including work queue errors, denied insurance claims, and maintenance of the patient system. In a patient care inquiry role, the Patient Account Representative determines, collect and process patient patients providing patient education on explanation...

Job Description Job Description Salary: Under the direction of the Central Billing Office Manager, the patient account representative is responsible for patient insurance verification, patient account AR & balances, statements, and coordination with third party Collection Agency. Position also provides support and analysis throughout Revenue Cycle. Required to maintain all departmental policies and procedures. Positive team environment. Position Qualifications: High School diploma or GED required Minimum of two years of medical billing experience required.  Inpatient and/or behavioral health experience a plus.  Key Responsibilities / Job Accountabilities: Excellent telephone etiquette and customer service skills to assist patients Verify patient insurance, eligibility, and benefits.  Review and understand medical insurance EOBs Complete initial patient collection efforts and act as liaison with external collection agency. Knowledgeable of criteria for...

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: 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...

Job Description Job Description Full time or Part time position Bluestone : Bluestone Child & Adolescent Hospital is seeking dynamic healthcare professionals interested in bringing psychiatric care to a new level for children ages 6-17. Working in a brand new, 12 bed state-of-the-art facility, Bluestone staff will have a unique ability to direct patient care, employ best practices, and join a care network that promotes the best long-term outcomes for patients. SUMMARY: The Medical Coding and Billing Specialist will assist the clinical and financial teams at Bluestone with ensuring proper coding procedures for all inpatient and outpatient services. The Medical Coding and Billing Specialist will review inpatient and outpatient records, process inpatient hospital claims for Medicaid and other commercial payors, maintain accounts receivable records, and perform necessary follow up efforts to secure payment for services delivered.   ESSENTIAL DUTIES: Complete the billing...

Job Description Job Description Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job Summary We are seeking a Medical Coder to join our team. In this role,you will process claims for reimbursements. You will be responsible for selecting the correct codes and functions to be assigned to each instance. The ideal candidate is detail-oriented with strong people skills and computer skills. Responsibilities Account for coding and abstracting of patient medical appointments Research and analyze data needs for reimbursement Ensure codes are properly sequenced Analyze, file, and process medical records Keep detailed documentation of any deficiencies or issues with medical records Provide education and training to other coding staff Review and verify documentation Qualifications High school diploma/GED or equivalent Previous experience as a Medical Coder or in a similar position Familiar with coding software and other computer...

Effectively supervises and develops sleep staff and builds a strong team. Oversees staff in the performance of sleep related testing, ensuring quality of care and adherence to established standards, policies, and procedures, and regulations. Oversees staff orientation and education. Performs staff scheduling and utilization. Facilitates monthly technician meetings in compliance with AASM standards. Pre-certification and scheduling of sleep studies. Documentation of technical aspects of sleep lab including equipment troubleshooting and maintenance. Maintenance of required reporting of sleep metrics per system guidance. Assists in supply inventory and management as well as resource utilization. Performs quality data collection and participates in quality improvement processes. Provides consultation and/or perform complex patient testing. Effectively manages patient experience and resolves patient concerns in an effective and timely manner. Interacts with Medical Director for Sleep and...

**Supervisor Flight Communications Office - Central Medical Dispatch** **Location:** **METROHEALTH MEDICAL CENTER** **Biweekly Hours:** **80.00** **Shift:** **8** **The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga Countys safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.** **Summary:** **Provides specific guidelines and assistance in departmental procedures to team members and holds staff accountable for department compliance. Assists management with the assignment and allocation of workflow to ensure efficiency and effectiveness; makes recommendations...

The Medical Coder is responsible for assigning ICD-10 CM and/or CPT/HCPCS codes as appropriate, and abstracts pertinent information from patient records. + Must hold at least one of the following certifications: CCS, RHIT, RHIA, COC + Must have a minimum of 2 years relevant professional-fee surgery coding experience Essential Duties and Responsibilities: + Assigns ICD-10-CM and/or CPT/HCPCS codes, as appropriate and abstracts pertinent information from patient records + Ensures optimal reimbursement of all cases in compliance with CMS policies and procedures and Official Coding Guidelines + Implements medical centers physician query process when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous or unclear for + coding purposes + Keeps abreast of coding guidelines and reimbursement reporting requirements + Brings identified concerns to the Professional Recruiter who will direct as needed + Abides by the...