35 jobs found

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...

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...

Experienced Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) 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...

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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Primary City/State: Phoenix, Arizona Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including this 100% remote position. Apply today. We are looking for a motivated, experienced Physician Complex Code r with ideally 5 years of Coding experience to join our talented team. Requires Certified Professional Coder (CPC) in active status (this position requires more than an apprentice CPC-A) with recent and consistent coding work history. This person will cover our Radiology group within banner and will be coding for Interventional Radiology Embolization's and liver biopsy. Our leaders and coders work in a remote environment. Even though we work remotely we have a lot of resources at our fingertips and many people we can reach out to for support....

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,...

Overview: Hybrid position working in Physician Billing 30 day on-site training Other days working some remote and some in office or attending meetings based on business need. Must reside in the greater Phoenix metro area. Looking to be part of something more meaningful? At HonorHealth, youll be part of a team, creating a multi-dimensional care experience for our patients. Youll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Lets go beyond expectations and transform healthcare together. HonorHealth is one of Arizonas largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix...

Company Intro: At American Vision Partners (AVP) , we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nations largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas including 25 ambulatory surgical centers. At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing...

Job Description Job Description EXPERIENCE REQUIRED!! MUST HAVE AT LEAST 2 YEARS EXPERIENCE!! The job responsibilities include: Accounts Receivable, Collections, Claim Posting, Claim Denials, Insurance Appeals, and Insurance Correspondence, etc. Experience with Medicare and Insurance Companies is REQUIRED. We are a busy, 3 physician podiatric office. We have great employees who are enjoyable to work with. We work as a team in our billing department. At least TWO year's experience in medical billing is required.   Company Description Please see our website to learn about us. Copy and paste to your browser: ahwfac.com Company Description Please see our website to learn about us. Copy and paste to your browser: ahwfac.com

Job Description Job Description Benefits: $18-$21 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 Employee Appreciation Days Employee Wellness Events 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...

Job Description Job Description Position Title : Inpatient Clinical Coder Employment Type : Contract to Hire (6 to 9 months average contract duration) Compensation : $33.50 to $37.22 per hour Work Arrangement : Fully Remote (approved states only) Role Summary The Inpatient Clinical Coder will play a key role in reviewing and ensuring the accuracy of coding for inpatient claims and prior authorization requests. The position involves retrospective medical claims review, coding and pricing determinations, and diagnosis-related group (DRG) assignments. Under the guidance of the DRG Supervisor or designee, the Clinical Coder will provide support and expertise to various teams and stakeholders, ensuring compliance with coding standards and processes. Key Responsibilities Coding and Review Conduct coding reviews for prior authorization requests related to unlisted codes or services. Perform retrospective reviews of medical claims to ensure accuracy in coding and...

Job Description Job Description Contract to Hire with 6 to 9 months average time on contract Position Overview Title : Inpatient Senior Clinical Coder Type : Contract to Hire Work Arrangement : Fully Remote (specific states to be confirmed) Focus Areas : Inpatient coding, DRG assignment, and retrospective medical claims review Key Responsibilities Coding Expertise : Conduct retrospective reviews of medical claims to determine appropriate coding and pricing. Perform diagnosis and procedural coding for inpatient claims with DRG (Diagnosis-Related Grouping) assignment. Serve as a subject matter expert for medical claims coding related to both outpatient and inpatient services. Collaboration and Support : Provide coding-related information to medical directors, providers, peer reviewers, and other stakeholders. Assist non-clinical and clinical staff with coding and retrospective claims review processes. Network and Provider Relations : Act as the...

Company Description Arizona Gynecology Consultants in Phoenix, AZ, is a dedicated team of clinicians and surgeons specializing in women's health. Our practitioners offer a wide range of services to address the specific needs of women, practicing excellence in women's care. Role Description This is a full-time on-site role for an Athenahealth Medical Biller at Arizona Gynecology Consultants. The Medical Biller will be responsible for handling medical billing tasks, dealing with insurance companies, and ensuring accurate coding and billing practices. Qualifications Medical Terminology, ICD-10, CPT coding skills Experience with Denials and Insurance processes Familiarity with insurance plan billing requirements Attention to detail and accuracy in coding and billing Strong organizational and time management skills Ability to work effectively in a team environment Previous experience in medical billing using Athena is desired Certification in Medical Billing or...

Job Type Full-time Description POSITION SUMMARY: The Inpatient Coder II is the second level coding position in a 3-tier career ladder. Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and assignment of all diagnoses and procedures in accordance with nationally recognized coding guidelines, as well as researching opportunities to improve documentation. PRIMARY JOB RESPONSIBILITIES: Assigns appropriately sequenced and compliant ICD-10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS-DRGs, APR-DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or computer-assisted coding software...

Job Description Job Description TTF is looking for a Biller/Collector to work for a client in Mission Viejo, CA. The starting salary will depend on experience and our client offers a pleasant work environment.   Job duties include billing and following up with all medical insurance payors for claims. Experience working on ZirMed and Waystar knowledge is a plus.   Please send your resume to Chelle Bodnar at CBodnar@TTFrecruit.com for consideration.   Qualified candidates should have previous experience in medical claim billing, insurance follow-up, and have knowledge of Medi-Cal guidelines. In addition, qualified candidates must have a stable work history and have the ability to pass a drug screen and background check.   TTF is a 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...

Job Description Job Description The Coding Network (TCN) is looking to contract with Orthopedic coders to perform the daily Orthopedic coding for a number of clients throughout the country. TCN works with over 150 Orthopedic groups throughout the country, our codes access the operation reports via a remote connection to the client's EMR.. Hours can range from a 15-40 hour/week commitment, any time on the 24 hour clock, seven days a week.   We currently have work available for multiple Orthopedic coders in our surgical division.   All applicants must: · Have a minimum of 3 years of Orthopedic Specific Coding · Have an active coding certification (CPC, RHIA, RHIT) · Live and work in the United States of America · Take and pass TCN’s Ortho Surgical Coding Exam If you meet the above criteria and are willing to test please submit your resume. Company Description TCN has been providing specialty specific medical coding for over 20 years. TCN's 775+ US based coders cover over...

Job Description Job Description We are seeking a meticulous and results-oriented Medical Billing Specialist to join our team. In this vital role, you'll be the financial champion behind the scenes: Analyze and verify patient insurance claims for accuracy and completeness, resolving discrepancies before submission. Follow up on outstanding accounts through phone calls, emails, and letters, utilizing strong communication and negotiation skills to collect past-due payments. Post payments and adjustments accurately to patient ledgers, maintaining detailed records and ensuring financial accountability. Investigate and resolve denied claims, communicating effectively with insurance companies, and advocating for reimbursement. Collaborate with medical coders and billers to ensure the smooth flow of the revenue cycle and identify potential revenue leaks. Stay up to date on evolving healthcare regulations and billing procedures, adapting to new systems and policies with ease....

Ajilon - JobID: 5E31A4FF-39B1-4BB4-8891-586CD1BE0FA6 [Billing Clerk / Invoice Creator] As a Medical Biller at Ajilon, you'll: Be responsible for the timely and accurate posting of electronic and manual cash receipts, adjustments and denials to patient accounts; Assist in the resolution of outstanding credit balances and over payment packages; Generate and analyze diverse reports and work lists in the identification and resolution of routine patient account issues...Hiring Immediately >>

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 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...

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...

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...

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...

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...