18 jobs found

Job Description South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding. * Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit * HEDIS coding and record collection * Report Coding...

Job Description The Medical Billing Specialist (Collector) is responsible for planning, organizing, and coordinating daily operations to ensure quality patient financial services and streamlined access to service for all patients. Responsibilities include providing administrative, and clerical services, coding, billing, collection of payments, and input into process improvement, with a focus on collections. Qualifications and Requirements * Strong focus on collections from patients and insurance companies * Insurance verification for new and current patients, review of incoming authorizations, and accurate input into electronic medical records system ("EMR"). * Responsible for determining patient financial responsibility as determined by the insurance company. * Research and verify patient demographic information through online verification systems. * Verify insurance eligibility; get authorization and ability to identify different kinds of insurance coverage and limitation. *...

Job Description Who We Are Founded in 1973, O'Neil Digital Solutions (ODS) specializes in the optimization of complex end-to-end business process systems for a multitude of business verticals including Digital Print, Healthcare, and Transportation industries. ODS provides high-touch bespoke software engineering, systems integration, and infrastructure management services to clients of all sizes and industries offering state of the art publishing solutions through electronic document delivery, web applications, high-speed digital printing (color and black & white), automated composition, offset printing, warehousing and fulfillment services. ODS is headquartered in Los Angeles, CA and also has offices/plants in Texas and North Carolina centrally located to serve clients across the country. Who We Are Looking For We seek a Medical Coder to leverage healthcare industry experience/knowledge and support ODS in its Product Development. The Medical Coder will document all applicable...

Job Description Resources Analyst- 100% remote position (must reside in CA, NV, AZ, GA, CO, or FL). Must have hospital experience, Account Auditing, heavy OP Coding, pricing, CPT Code, EAP - Epic software, Revenue Cycle background is must. Charge Capture, must have CCS, CPC or COC certifications with revenue cycle experience. Open to other states - California, Nevada, Arizona, Georgia, Colorado and Florida. Equal Opportunity Employer considering qualified candidates in accordance with state and federal laws, including those with criminal histories, in a manner consistent with the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Job Description We are seeking a Medical Biller And Office Administrator to join our team! You will perform clerical and administrative functions in order to drive company success. please note this position is for IN PERSON. The position is only for individuals that are extremely ORGANIZE . The medical biller will also be responsible for maintaining patient confidentiality, handling personal information, and accurately inputting patient data into the system. Medical Biller Duties and Responsibilities. * Ensure patient information is accurate and complete * Request any missing patient information * Review referrals and authorizations * Confirm patient benefits and insurance * Transfer insurance claims and billing data to billing software * Create both paper and electronic copies of documentation * Develop and maintain a tracking system of incoming and late payments * Monitor and date late payments * Initiate late payment notices to relevant parties * Respond to questions and...

Job Description We are a 31 year-old International Healthcare Consulting company. As we continue to grow we seek to add to energetic and motivated people to our team of billing professionals. Outpatient Coder Part Time and Full Time Opportunities Available Responsibilities . In performing the coding requirements this position is required to utilize knowledge of specific-guidelines, AHA - Coding Clinic, and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures. Assigns ICD-9-CM, and CPT/HCPCS codes for patients. Correctly assigns DRG for patient accounts to assure accurate reimbursement and the highest quality data possible. Abstracts all coded data in a timely and accurate manner into a proprietary automated system. Has a working knowledge of all State and National reporting requirements. Prepared to code in ICD-10 CM & PCS codes for same set of cases as described above....

Job Description Responsible for managing accurate, timely completion and submission of all the billing, collections, and accounts receivable functions of the organization. Responsible for the management of the billing and collections team. Essential Job Functions/Responsibilities 1. Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management. 2. Ensures that billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal and JACHO regulations. 3. Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions. 4. Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate organization personnel. 5. Monitors aged accounts receivables and resubmits bills to overdue...

Job Description POSITION SUMMARY Enables patients to secure access to care at Client facilities by performing all tasks related to registration and pre-registration of outpatient and inpatient accounts. Calculates and secures patient liability, including copayments, coinsurance and deductibles in an efficient, accurate and hospitable manner to ensure that the patient, physician and hospital's needs are met. SPECIFIC SKILLS NEEDED • Must have excellent written and verbal communication skills to communicate effectively with staff, patients, guarantors, insurance companies, and physicians. • Demonstrated attention to detail; Good English speaking, spelling, reading and Mathematical skills required • Demonstrate ability to learn quickly, and follow directions as outlined in policies or given by Supervisor • Strong Computer skills and Knowledge in Word, Excel and ability to maneuver through multiple screens in a timely manner • 1+ year of medical office /hospital/medical billing work...

Job Description JOB DESCRIPTION JOB TITLE: Billing Specialist DIVISION: Finance SUPERVISOR: Medical Billing Manager STATUS: Non- Exempt/ Full Time Summary of Duties: Responsible for collecting, posting and managing account payments. Responsible for submitting claims and following up with insurance companies. Supervision Received: Reports to Billing Supervisor Essential Functions: * Prepares and submits clean claims to various insurance companies' either * electronically or by paper. * Answers questions from patients, clerical staff and insurance companies. * Identifies and resolves patient billing complaints. * Prepares, reviews and sends patient statements * Evaluates patient's financial status and establishes budget payment plans. Follows * and reports status of delinquent accounts. * Reviews accounts for possible assignment and makes recommendations to the * Billing Supervisor, also prepares information for the collection agency. * Performs daily backups on office computer...

Job Description Mission Statement: The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles area through the direct provision or coordination of health care, health education, services, and research. Position Purpose: Review encounters for all payers' sources and maintain no more than 1% errors. Initiate investigation and correction for all discrepancies found in the encounters. Maximize the revenue following the individual payer guide lines. Initiate and investigate cover and non-cover services from all payer types. Provide weekly updates to the billing supervisor of all discrepancies found on the encounters. Review all accounts for potential re- bills, adjustments and write offs. Maintain payment posting up to date to better track the unpaid charges. Principal Responsibilities: * Review all encounters for discrepancies on a timely manner to avoid submitting encounters with error to the various...

Job Description Los Palos Post-Acute Care Center, located in San Pedro, CA, is looking to hire an experienced Medicare Biller / Collector with a strong background in billing/collections in a skilled nursing environment. This position will help to support 3 nursing facilities in a centralized billing environment. The Medicare Biller / Collector will be responsible for the coordination of collecting money from Medicare and the Medicare part A and part B coinsurance. They will support the function of Medicare and Medicare coinsurance collections to give it more focus and establish efficient methods of collecting. What You Will Do: * Responsible to bill Medicare, Managed Care, Medical, Co-Insurance, and various share of costs. * Setup new admissions medical records system to bill accurately * Review billing documentation to ensure completeness, including accuracy of Medicare claims * Manage submission of claims to Medicare and Medicare coinsurance to medical, managed medical,...

Job Description About Us: Looking for an exciting opportunity to make a difference in the world of healthcare? Join the innovative team at Circadia Health, a cutting-edge medical technology company that is revolutionizing patient care. Our proprietary hardware, software, and algorithms allow for continuous vital sign monitoring using the Circadia C100 - a device that contactlessly monitors patients from up to 2 meters away, 24/7. With our advanced technology, we can detect deteriorating patients days sooner, allowing for early intervention and ultimately saving lives. As a venture-backed company by some of the largest Silicon Valley VCs, Circadia Health is at the forefront of medical innovation. With headquarters in London and offices in Asia and Los Angeles, we are expanding rapidly and looking for like-minded professionals to join us in our journey to provide continuous monitoring of chronically ill patients and save patient lives. Job Description: The Medical Biller is...

Job Description Position Purpose: Under the direction of the Billing Department Supervisor, the Certified Medical Coder will be responsible for assigning diagnosis and procedural codes and modifiers for comprehensive medical services performed by JWCH physicians. The Certified Medical Coder must apply all appropriate coding guidelines and legal requirements to ensure compliance. The Coder will verify and perform audits on clinician-completed charge tickets by ensuring accuracy of code assignment and billing data. Duties and Responsibilities: * Acts as the primary staff liaison between the providers and the Billing Dept.; and, effectively communicates to clarify diagnoses, procedures coding and documentation requirements. * Recommends appropriate ICD-10-CM, CDT diagnosis codes, CPT codes and HCPC codes. * Review diagnosis and procedure coding within Next-Gen, on a regular basis; and, ensure appropriate coding for optimal billing. * Work closely with clinicians on appropriate use of...

Job Description Health Atlast West LA is a multi-specialty medical clinic offering internal medicine, physical medicine & rehabilitation, physical therapy, chiropractic, acupuncture and massage. We are looking to expand our clinic team by adding an additional Medical Biller to our team. We what people who want to be part of a team and have the same goals and purposes to help people. The ideal candidate: * Has experience and is comfortable with medical billing from start to finish under light supervision. Setting up the patient accounts, verifying the information is accurate and ready to send to clearing house, uploading to clearing house, download claims back into Chirotouch and reconcile accounts. * Has experience with insurance verifications. * Is comfortable with meeting targets/goals, multitasking and producing quality work in a timely manner * Has a typing speed of at least 40 wpm. Responsibilities: * Authorizing/Verifying insurance benefits * Billing for medical,...

Job Description Company Description Simplified IT is a global IT Staffing and Managed Services company. We have been rated top 10 staffing companies in the country for 3 years in a row. We serve technology, financial, auto, logistics & distribution companies across the United States, providing either IT staffing or technology solutions -- or both. With decades of experience and a nationwide network of highly qualified, certified IT professionals, our goal is to build a lasting relationship with each client based on trust and consistent, reliable services. Job Description US BASED CANDIDATES ONLY!! Responsibilities This position will provide high quality E/M, procedure and surgery coding across multiple specialties. The position will focus on several different specialties, including ENT. Plastics, Oral Max. Coder will not need to know all specialties, but rather be able to code E/M AND surgery for each of the specialties maintained. Qualifications * Current CPC, CCS, or...

Job Description Company Description Simplified IT is a global IT Staffing and Managed Services company. We have been rated top 10 staffing companies in the country for 3 years in a row. We serve technology, financial, auto, logistics & distribution companies across the United States, providing either IT staffing or technology solutions -- or both. With decades of experience and a nationwide network of highly qualified, certified IT professionals, our goal is to build a lasting relationship with each client based on trust and consistent, reliable services. Job Description THIS IS A W2 POSITION AND ONLY US BASED CANDIDATES ONLY Responsibilities This position will provide high quality ICD-10, E/M, and procedure coding. Proficiency in profee inpatient E/M and bedside procedures for internal medicine and pulmonary. Qualifications * This is a W2 position for a long-term project * Current CPC, CCS, or equivalent through AAPC or AHIMA is required * Must have at least 3 years of active...

Job Description Position Title: Behavioral Health Coder Department: Patient Accounts Reports To: Revenue Cycle Supervisor POSITION SUMMARY We are seeking a highly skilled and experienced coder to join our team as a Behavioral Health Coder. The ideal candidate will have a strong understanding of CPT and ICD-10 codes used for billing for behavioral health care and will be responsible for ensuring accurate and timely submission of claims for services provided to our clients. Salary Range $25.50 - $35 Hour DOE HOURS 8:30-5:00 pm, M-F We offer a competitive benefits package: * Medical Insurance * Dental Insurance * Vision Care Plan * Life Insurance * Paid Holidays (12) * Paid Vacation Time * Sick Time * 401(k) Retirement Plan * Competitive wages * Stability and career advancement * Continuing Education Opportunities CATEGORIES OF DUTIES * Review clinical documentation and accurately assign CPT, HCPCS codes and ICD-10 for services provided in accordance with industry standards and...

Job Description Position Purpose: Under the direct supervision of the Director of Quality Assurance, the Licensed Vocational Nurse (LVN) is responsible for supporting the compliance functions of the Quality Assurance and Performance Improvement department of JWCH. The responsibilities include but not limited to maintaining a defined review schedule for JWCH, Wesley Health Centers by doing preparatory work for the audit including developing a scope of work, reviewing documentation, preparing reports and doing any necessary follow-up reviews. Additionally, this position will ensure that appropriate data is collected, securely kept, maintained and serve as a resource to clients in answering compliance questions from Internal Audit and Audit Advisory Services. Essential Duties and Responsibilities : * Conduct Compliance Reviews. * Complete compliance reviews within established parameters and initiate and carry out all assigned reviews according to defined departmental policies and...