21 jobs found

***MUST reside in one of the following states**** Alabama, Arkansas, Florida, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Wisconsin. *Description* - Will log in to work queues & start applying their codes - Will have to defend their own audits - Will write their own queries which is a request made additional information from the physician which is then used to determine the best way of coding the clinical services provided for insurance purposes. - Will not query if it doesn't effect DRG or if CDI does a query, but they have to review & question it. - EMR is EPIC and encoder is 3M. They are broken into regional and university facilities, so candidates will need to be able to shift around to support different hospitals. Average length of stay is 3-5 days (there are variances). *Skills* inpatient coding, ccs, drg, pcs, epic, 3m *Additional Skills & Qualifications* Academic...

Tenet Healthcare has immediate needs for remote, home-based Corporate Coders to support the hospital business. Corporate Coders can be based anywhere in the country with home internet access. The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC’s and/or other projects where indicated. Accurately and productively code/abstract patient health documentation for Tenet facilities. Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. Assisting in...

Job Description Job Description CornerStone Professional Placement is seeking a remote Acute IP HIMS Coder, for a healthcare client. As the IP HIMS Coder , you will abstract clinical information from a variety of medical records, assign and sequences ICD-10-CM/PCS diagnosis and procedure codes, reviews and interprets health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require code and DRG assignment for properly billing inpatient records. Qualified candidates will have at least 2 years of inpatient coding in acute hospital setting and completed training in ICD-10 and CPT coding. Requirements & Responsibilities for the IP HIMS Coder: HS Diploma or equivalent 2 years’ experience in inpatient coding in acute hospital setting Completion or training in ICD-10 and CPT coding. Strong knowledge of ICD-10-CM/PCS diagnosis and procedure coding guidelines, DRG and POA assignment Health field related...

Job Description Job Description Role Description This is a full-time on-site role for a Medical Billing Specialist. As a Medical Billing Specialist, you will play a crucial role in ensuring the financial health of our customers. We seek individuals with a strong work ethic, excellent problem-solving skills, and a genuine passion for medical billing. Your responsibilities will include managing insurance communications, reconciling insurance EOBs and payments, maintaining patient confidentiality, managing denials, utilizing ICD-10 codes, verifying insurance information, and working with commercial and government insurance providers. Due to the nature of the healthcare industry, a high degree of professionalism and attention to detail is essential.   Responsibilities Function as a subject matter expert in support of other billing team members. Demonstrate a good understanding of payer benefits requirements, claims status, submissions of claims, insurance follow-up, payment...

Job Description Job Description How will this role have an impact? Under the supervision of the Manager of Coding, this position is responsible for ICD-10 coding of Health Risk Evaluations of Medicare and Medicaid members that are performed by the Signify Health physicians and reviewing the Health Risk Assessments/Evaluations to insure completeness, accuracy and compliance with CMS guidelines. What will you do? Reviews health risk assessments/evaluations to determine completion and compliance with CMS guidelines on a timely basis. Reviews and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes identified in the health risk assessments/evaluations. Reviews health risk assessments/evaluations to accurately and completely assign all ICD-9/10 codes that are clinically identified and supported in the assessment/evaluation on a timely basis. Communicates timely and effectively with supervisor regarding issues with the health risk...

Job Description Job Description Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc.   Job Responsibilities/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or...

About Plutus Health Inc. Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services with SOC2 Certification. We are dedicated to helping healthcare providers improve their financial performance. Our expertise spans across various specialties. We are committed to delivering exceptional service and innovative solutions to our clients. As a result, Plutus Health Inc. has been recognized on the 5000 list of the fastest-growing private companies in America and ranked 100 in the Dallas area. Additionally, the company has been a 2024 finalist in the EY Entrepreneur Of The Year. Job Overview We are seeking an experienced Hospital Medical Coder & AR Specialist with a strong background in hospital Revenue Cycle Management (RCM). The ideal candidate will ensure accurate coding of diagnoses and procedures, manage AR processes, and help maximize reimbursement for hospital services. Key Responsibilities Medical Coding: Review medical records and assign...

We are seeking an Inpatient Coder (Remote). Full-time • Work From Home Must have CCS,RHIA, or RHIT certification Job Summary As a Coding Integrity Specialist III WORK FROM HOME, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and ICD-10- PCS codes. A CIS III performs coding and/or code/DRG validation across multiple entities by applying all appropriate coding guidelines and criteria for code selections. Job Qualifications Assign, sequence, validate, and/or edit codes/DRGs and abstracted data (e.g., physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCS Maintain or exceed established accuracy standards Maintain or exceed established productivity standards Utilize the complete patient medical record documentation in code/DRG assignment, validation, and/or editing of codes/DRGs...

Position Summary: Chewy is seeking a Sr. Regulatory Compliance Auditor, Safety to join our team and contribute to a safe and compliant work environment! The primary focus of this role is ensuring adherence to OSHA, NFPA, and ANSI safety standards within Chewy Operations. The Compliance Auditor will conduct safety audits, identify hazards, and recommend improvements to mitigate risks, reinforcing Chewy's dedication to workplace safety and regulatory compliance. What you'll do: Conduct regular and comprehensive safety audits in alignment with OSHA, NFPA, and ANSI standards, identifying potential hazards within Chewy Operations. Analyze findings to assess risks and implement effective corrective actions to enhance workplace safety and minimize risk. Document safety protocols, incident reports, and audit findings accurately, ensuring clarity and detailed record-keeping. Develop and deliver training sessions to educate and empower employees on safety protocols, standard...

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...

Our Opportunity: Chewy is seeking a Regulatory Compliance Auditor, Health Care Security, to join our organization and support the safe and secure handling of medications within our retail, compounding, and veterinary care operations! This role will focus their efforts on ensuring compliance with federal, state, local regulations and internal Chewy procedures. Additionally, they will coordinate the development and management of the health care security auditing program. They will use Chewy's permitting requirements, related to the secure handling, storage, and distribution of medications, as its core foundation. The Regulatory Compliance Auditor will implement and coordinate recurring audit protocols, ensuring that Chewy exceeds regulatory standards and applies standard processes in medication security across all Chewy operations. What you'll do: Conduct regular audits of Chewy's retail, compounding, and vet care operations to ensure compliance with jurisdictional...

Job Details Job Location Reference & Transfusion - Medical City - Dallas, TX Position Type Full Time Job Shift Evenings Description SHIFT: 1:30 pm - 10:00 pm PRINCIPAL ACCOUNTABILITY The Supervisor of Reference & Transfusion (Supervisor) will report to the Manager and/or designee of Reference & Transfusion (R&T) Services. The incumbent will participate in and give direction to all activities in the R&T Services to include, but is not limited to: Support Carter BloodCare's (CBC) vision, mission and core values Maintain compliance with CBC attendance policies and department schedules, as outlined in the CBC Employee Handbook Perform testing and services associated with assigned departmental duties. These duties are in the scope of complexity according to accrediting agencies Participation in competency, proficiency, and educational opportunities Participate in educational instruction of students/employees and competency evaluations of...

Inpatient Coder - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 5/9/2024Job Type: Full TimeDepartment: 1301.42080 CDI/HIMPOSITION SUMMARY:Responsible for assigning diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record.KEY RESPONSIBILITIES: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records to determine accurate required abstracting elements including appropriate discharge disposition. Demonstrates ability to achieve 95% or higher accuracy and consistency in the selection of principal and secondary diagnoses and procedures....

Hours of Work : 1400-2230 Days Of Week : Mon - Fri, rotating weekends. Work Shift : Job Description : Your Job: The Supervisor Technologist is responsible and accountable for overseeing all functions and activities for specific shift(s) or specific department(s) and for the accurate and timely performance of technical procedures in accordance with all current regulatory and accreditation standards. You must demonstrate excellent technical skills, excellent critical thinking skills, communication, and customer service skills. Your Job Requirements: •MT(ASCP) or equivalent •4 years current, general clinical laboratory experience •Competency in all sections of the clinical laboratory; or, competence in the section(s) supervised Methodist Charlton Medical Center is a 314-bed, full-service, acute care teaching hospital that serves Cedar Hill, DeSoto, Duncanville, and Lancaster in southwestern Dallas County. In addition to the new 40,000-square-foot expansion of the...

The Professional coder will be responsible for handling clinic charges, scrubbing chart for completeness, reviewing diagnoses codes, verifying procedures, along with communicating with providers regarding missing info and working edits. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during...

Job Description Job Description Join our team! Are you looking for an opportunity to serve a bigger purpose with a growing organization? Are you passionate and dedicated to making a positive impact? Then join our high-performing and highly engaged Billing team. As part of our team, you will make a positive impact by processing insurance and other third party payor claims for patient visits. Here's a sneak peek of what you'll do : Enter facility charges as needed. Edit, build, and transmit electronic claims in a timely manner. Prepare paper claims as needed. Process monthly statements for patient accounts. Interpret Explanation of Benefits and other correspondence. Enter and update appropriate insurance information in each patient account. Keep appropriate logs, journals, and files to track patient accounts. Resolve problem claims including, but not limited to, rejected billings, adjustments, re-billing, and unpaid claims. Post payments to patient accounts and...

Hours of Work : 8:00 am - 4:30 pm Days Of Week : Monday - Friday Work Shift : Job Description : Your Job: In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement. They establish an accurate database for case mix indices which provide statistical reporting and trend analysis. The Coder 2 is proficient in coding DRG based records as well as all other payers. Your Job Requirements: •High school graduate or its equivalent •Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder •Proficient in detailed work •Maintain a professional image in handling confidential patient information •Excellent written and oral communication skills to interact with...

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, recommending...

Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Responsibilities/Duties: •Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to...

Job Description Job Description Job Title: Inpatient Medical Coder Facility: TEEMA Group Hours: Monday – Friday, 8:00 am - 5:00 pm Hourly Rate: $23.00 - $25.00 (Maximum hourly rate) Contract Length: 3 Months Temp to Perm Location: Onsite (Remote possibility for the right candidate, must be located in Texas) Job Description: We are seeking an experienced Inpatient Medical Coder to join our team for a 3-month contract with the option to extend. The ideal candidate will have at least three years of experience in inpatient medical coding, with a specific focus on day surgery, observation, and injection and infusion procedures. Key Responsibilities: - Reviewing patient medical records to accurately assign diagnostic and procedural codes according to ICD-10-CM and CPT guidelines. - Ensuring coding compliance with federal regulations and hospital policies. - Collaborating with healthcare providers and other staff to clarify documentation and resolve coding...

Medical Biller / Coder Needed - Full-Time Minimum 5 years of experience required. Experience in Orthopedics / Neurology is a big plus. Job Responsibilities Detailed roles and responsibilities are below: - Input charges and correctly code - Perform follow-ups on unpaid claims with payers and patients - Ensure that claims, denials, and appeals are processed efficiently - Regularly monitor potential billing problems and errors - Resolve client billing concerns and queries - Perform other duties as assigned Job Requirements - Must maintain a strong knowledge of coding and payer guidelines - Highly skilled in Internet usage - Detail-oriented with the ability to handle and prioritize multiple tasks - Follow through on tasks in a timely and accurate manner - Motivated, dependable and a fast learner Pay is determined by experience level.