44 jobs found

Job Description Job Description TTF is recruiting for DRG Auditors who have worked in Inpatient Revenue Integrity to work remotely for a company based out of the Southwest. We are seeking individuals with experience in CDI with either CCDS, CCS, or RHIT certifications. This is a full-time, direct-hire role, where you can work anywhere in the United States. The starting salary is $46-$52/hour and comes with full benefits. Qualified candidates must have: •CCDS, CCS, or RHIT certifications •Five years acute care coding experience •Prior experience as CDI/Coding Auditor is preferred but not required For consideration, please send resumes to Chelle at CBodnar@TTFrecruit.com TTF is a healthcare search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields. The TTF Coding and HIM Division...

Job Description Job Description Minimum Qualifications Minimum two to three years of experience in medical billing. Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers. HSD/GED Preferred Knowledge of computer systems. Experience with GE patient management system p Knowledge of the physician billing processes, ICD-10, and CPT coding. Essential Functions Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections. Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans. Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims...

Job Description Job Description Benefits : Competitive Health & Welfare Benefits HSA with qualifying HDHP plans with company match 401k plan after 6 months of service with company match (Part-time employees included) Employee Assistance Program that is available 24/7 to provide support Minimum Qualifications : Minimum 2 years coding experience. Surgery coding for Podiatry would be fantastic! : ) High school diploma/GED or equivalent working knowledge preferred. Accredited by the American Academy of Professional Coders (CPC). Meets established coding and abstracting quality and productivity standards. Experience with various coding software. Previous experience with remote coding is preferred. Possesses PC skills, both keyboarding and applications. Requires a good understanding of anatomy, physiology, medical terminology, and disease processes. Ability to work independently. Excellent attention to details. Essential Functions Abstracts data in...

Job Description Job Description Certified Medical Coder (remote) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! Main Responsibilities (may include but are not limited to): Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted by providers and staff Work directly with providers to resolve specific medical coding issues Analyze data for errors and report...

Job Description Job Description Benefits : $18-22 an hour Competitive Health & Welfare Benefits Monthly $43 stipend to use toward ancillary benefits HSA with qualifying HDHP plans with company match 401k plan after 6 months of service with company match (Part-time employees included) Employee Assistance Program that is available 24/7 to provide support Minimum Qualifications : High school diploma/GED or equivalent working knowledge preferred. Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC). A minimum of one of the following credentials: CCS-P or CPC. Meets established coding and abstracting quality and productivity standards. Experience with various coding software. Previous experience with remote coding is preferred. Possesses PC skills, both keyboarding and applications. Requires a good understanding of anatomy, physiology, medical terminology, and disease processes....

Company Overview The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Job Description This is a full-time, remote position. The candidate must be located in MST or PST time zones within the US. Perks: Salary + bonus structure, full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, and home office equipment including laptop and desktop monitor. The Field Case Management Supervisor role is part of Enlyte's National Catastrophic...

Job Description Job Description Position Summary: Under the direction of the Chief Operations Officer, the Medical Site Supervisor works as part of the inter-professional team of clinicians, medical assistants and administrative staff to facilitate the smooth running of daily operations of the clinic and delivery of high-quality primary health care services to Wesley Community and Health Center patients. This role involves managing front and back- office staff, ensuring patient safety, and maintaining compliance with regulatory standards. This position requires a proactive approach to managing workers, coordinating tasks, and resolving issues that may arise during daily clinic operations. Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions....

We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, *HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, *WA, WI & WY only). Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and military family members are encouraged to apply! Job Summary Under the direction of the DRG Supervisor or designee, conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment. Subject matter expert on medical claims coding for outpatient and inpatient services. Provides coding-related information to medical directors, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management and the claims subcontractor as needed. Functions as the designated recipient for...

Are you a coding expert who loves diving into medical records and making sure everything's accurate? We're looking for a passionate Inpatient/Outpatient Coder to join our client's team and keep their coding system running like clockwork. Whether it's hospital stays or clinic visits, you'll use your skills to assign ICD-10, CPT and HCPCS codes that ensure correct billing and compliance. Inpatient/Outpatient Coder Responsibilities: Review inpatient and outpatient records to assign accurate ICD-10, CPT and HCPCS codes Ensure compliance with industry standards and regulations, including Medicare and Medicaid guidelines Collaborate with healthcare providers and clinical teams to clarify documentation and resolve coding issues Conduct regular audits to verify coding accuracy and identify any discrepancies Stay up to date on coding changes, regulations and guidelines to keep processes current Inpatient/Outpatient Coder Requirements: 2+ years of...

Associate Director of Medical Affairs located in Basking Ridge, NJ 07920 (Hybrid). Job Description: The Associate Director will provide program and financial management support across all the Medical Affairs functions that are working on a launch, approved products or earlier assets to assure consistent planning, execution, tracking and reporting of activities in accordance with Medical Affairs strategy and objectives. This includes assuring appropriate planning, execution, tracking and reporting activities with cross-functional partners and if applicable, Alliance counterparts. Partners with US Medical Affairs Oncology and stakeholders in CLIENT to support the execution of product specific tactics supporting Medical Strategy and Objectives. Collaborates with all Medical Affairs functional owners to define and maintain a detailed project plan in alignment with overall Medical Strategy and Objectives. Manages budgets and vendor/agency activities as needed and provides...

Are you a coding expert who loves diving into medical records and making sure everything's accurate? We're looking for a passionate Inpatient/Outpatient Coder to join our client's team and keep their coding system running like clockwork. Whether it's hospital stays or clinic visits, you'll use your skills to assign ICD-10, CPT and HCPCS codes that ensure correct billing and compliance. Inpatient/Outpatient Coder Responsibilities: Review inpatient and outpatient records to assign accurate ICD-10, CPT and HCPCS codes Ensure compliance with industry standards and regulations, including Medicare and Medicaid guidelines Collaborate with healthcare providers and clinical teams to clarify documentation and resolve coding issues Conduct regular audits to verify coding accuracy and identify any discrepancies Stay up to date on coding changes, regulations and guidelines to keep processes current Inpatient/Outpatient Coder Requirements: 2+ years...

Overview: CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Responsibilities: *Please note: this is a per diem role for Outpatient Diagnostic Coding with the opportunity to cross train in other Facility Clinic & Professional Fee areas. The Senior Coder (Sr. Coder) acts as a lead coder for their designated team. This position will train staff on department policies, procedures,...

Job Description Job Description TTF is recruiting for a full time Coding Auditor with strong experience with DRG's, inpatient coding, auditing, revenue integrity and clinical documentation.  This is a remote position and can be anywhere in the United States.  The starting salary will depend on experience, with a alary range that will be $90,000-$110,000 per year with good benefits. Qualified candidates must have experience with DRG's, revenue integrity, and working within CDI and inpatient claims.  A coding certificate with CCS, RHIT, or a CCDS is preferred.    Please send your resume to Todd Dixon at tdixon@ttfrecruit.com for consideration. TTF is a healthcare search and staffing firm that works with the outstanding companies to find the best talent.  Our service is free to all candidates and all conversations are kept confidential.  We place candidates in areas such as Clinical Documentation Improvement (CDI), Coders, Coding Auditors, Nurse Auditors, Revenue Integrity...

We do NOT utilize recruiters since we do pay commissions or fees Please do NOT apply for this position if you are NOT LIVING IN THE UNITED STATES. Do not call our office for any updates on your application Do not apply if you do not have medical office billing experience. Who we are: MH7, Medical Housecalls 7 has been delivering mobile medical care to geriatric patients in the valley for over 14 years to elderly patients who  cannot access primary care because they experience barriers in navigating or access medical care. We are committed to providing excellent customer service, emphasizing that the manner in which we deliver information to the patient is key. MH7, Medical Housecall 7, is hiring for the following positions: * Medical Back Office/Billing Assistant (Starting $19/hr and depends on experience)  Must have prior billing experience in assisting medical biller with denials, submitting claims, working with insurance, submitting prior authorizations for visits etc. Please...

Headquartered in Phoenix, Integrated Medical Services is a team of 500 employees and a physician-led organization united through its providers’ commitment to high-quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow. Integrated Medical Services, Inc. is currently searching for a professional, compassionate and knowledgeable individual to fill our Certified Coding Specialist role in our Revenue Cycle department. The Certified Coding Specialist will be responsible for processing medical claim information through our EMR system using knowledge of CPT and ICD codes ensuring the accuracy in our medical claim information. Responsibilities: Enter alpha, numeric or symbolic data from source documents into EMR System for patient billing purposes using knowledge of CPT and ICD-10 codes. Analyze, research and correct data entry errors using...

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 for internal...

What Medical Coding (RCM) contributes to Cardinal Health Practice Operations Management oversees the business and administrative operations of a medical practice. Medical coding translates patient medical information, like diagnoses, procedures, and physician notes, into standardized alphanumeric codes used by insurance companies for billing and accurate record-keeping. The Certified Professional Coder assists in generating revenue by assigning and monitoring the coding and reimbursement activities for professional and technical services provided within a group of specialty areas. Essential Functions: Direct assigning of ICD-10 codes by analyzing patient medical records Ensure documentation by providers conforms to legal and procedural requirements Consults with follow-up team prior to assigning claims to the appeals department for disputed / denied claims. Provides feedback/training for physicians and staff in with any coding insufficiencies Reviews diagnosis codes...

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 plans in...

Job Summary Under the direction of the DRG Supervisor or designee, conducts coding review of prior authorization requests for unlisted codes or services; retrospective medical claims review for coding and pricing determinations; and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment. Provides coding-related information to medical directors, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management and the claims subcontractor as needed.. Develops determination letters. Provides support to non-clinical and clinical staff on coding and pricing and retrospective medical claims review processes. Education & Experience Required: • High School Diploma or GED • Current Certification as a Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT) • U.S. Citizen • Must be able to receive a favorable...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring...

Job Description Job Description Salary: $49,000-$53,000 Job description AZCFC is a proven leader in the delivery of evidence-based specialty behavioral health services. We are seeking a qualified and dedicated medical biller to join our amazing administrative team. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As a medical biller who specializes in behavioral health billing, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. To succeed in this role, you must possess in-depth knowledge of billing software and behavioral health insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients, staff, and various health plans will form a large part of the job. Billing Specialist Specific Duties: Ensure the clients information is accurate and up...

Job Description Job Description The Coding Network (TCN) is the country's premier coding and auditing company with over 850 single specialty physician coders and auditors. All of our coders and auditors work remotely from home, set their own hours, and can earn over 20% more than the average AAPC coder or auditor’s salary. TCN’s OBGYN division is experiencing unprecedented growth and we need to contract with multiple new coders who can work as few as 15 hours a week. Our E&M division is also looking to add coders with OBGYN E&M experience. All Coder applicants must: · Have a minimum of three (3) years of OBGYN Surgical Specific Coding · Have an active coding certification (CPC, RHIA, RHIT, RCC) · Live and work in the United States of America · Take and pass TCN’s OBGYN Coding Exam If you meet the following criteria and are willing to test please submit your resume. NOTE: When submitting your resume, we are looking for the total number of years spent...

Job Description Job Description Description: BARROW BRAIN AND SPINE JOB DESCRIPTION OFFICE MEDICAL CODER JOB TITLE: Surgery Medical Coder DEPARTMENT: Business Office REPORTS TO: Coding Manager and Director of Revenue Cycle FLSA STATUS: Hourly JOB SUMMARY: The Surgery Medical Coder is responsible for all Endovascular & Neurosurgery coding, accurately assigning CPT, ICD-10, and HCPCS codes for professional services rendered by neurosurgeons, ensuring proper documentation and compliance with federal, state, and payer-specific guidelines. This role requires a highly skilled and detail-oriented individual with at least 2-3 years of experience in neurosurgical and endovascular coding. The ideal candidate must hold a recognized medical coding certification and demonstrate expertise in coding complex neurosurgical procedures, including but not limited to craniotomies, aneurysm repairs, embolization’s, and spinal surgeries. JOB DUTIES & RESPONSIBILITIES:...