5 coder certified jobs found in Redlands, CA

Job Description Department: UHC: Managed Care-LLUHC/41077 Job Summary: The Coder 1 - Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness and accuracy of provider documentation related to severity of illness and supporting clinical care plan(s) for the validation of Hierarchical Condition Category (HCC) diagnoses. Initiates communication, verbal and written, with providers to facilitate clarification of need for greater specificity, clinical support, and/or completeness of the progress notes. Provides compliant education related to documentation integrity, completeness, and consistency. Keeps providers up to date on CMS, ICD-10-CM, AHA Coding, health plan etc. guidelines as it pertains to Risk Adjustment for the purpose of, documentation trends and opportunities for improvement related to documentation integrity....

A leading healthcare provider in California is seeking a Coder 1 for Risk Adjustment. This role involves reviewing clinical documentation for accuracy in support of Hierarchical Condition Category diagnoses and communicating with providers to ensure quality documentation. The ideal candidate requires a Bachelor's degree, certification as a Risk Adjustment Coder, and at least two years of clinical experience. Strong skills in medical terminology and effective communication are essential for success in this position. #J-18808-Ljbffr

Job Description Job Description Benefits: 401(k) 401(k) matching Bonus based on performance Competitive salary Health insurance Opportunity for advancement Paid time off Training & development Vision insurance Performance Physical Therapy is looking for a Medical Biller Specialist to join our strong team Benefits: Medical, Dental, Vision. Retirement. Paid Holidays, Vacations Negotiable salary commensurate with experience Our ideal candidate is motivated and able to work independently and as a team with high level of productivity. Responsibilities: Oversight of insurance management (including verification, authorization) and billing for all payer types including Medicare, managed care, workers comp, commercial, government, etc. Billing duties include claim scrubbing, claim submission and proactively following up with payers in securing payment of accounts and resolving claim rejections through account closure Create, verify and maintain confidentiality of...

Job Description Job Description Performance Physical Therapy is looking for a Medical Biller Specialist to join our strong team Benefits: Medical, Dental, Vision. Retirement. Paid Holidays, Vacations Negotiable salary commensurate with experience Our ideal candidate is motivated and able to work independently and as a team with high level of productivity.  Responsibilities: • Oversight of insurance management (including verification, authorization) and billing for all payer types including Medicare, managed care, workers’ comp, commercial, government, etc.  • Billing duties include claim scrubbing, claim submission and proactively following up with payers in securing payment of accounts and resolving claim rejections through account closure • Create, verify and maintain confidentiality of client records • Schedule and check in clients. Manage patient flow through front desk. Duties also include patient collections • Respond to all complaints in a friendly and professional...

Job Type Full-time Description TITLE: Medical Biller It is our goal to provide the finest Orthopaedic care possible. This philosophy requires that all office staff and providers be sensitive and responsive to patients' needs and preferences. To ensure that we hire and retain the quality of staff needed for implementing our philosophy of service, we have adopted the following job description for this position. The position requires that the employee be available forty hours per week, and that also the employee be flexible in his/her schedule to provide efficient service for the group. The employee however, will be expected to work no more than five days per week. Many of the responsibilities require that you have a working knowledge of computers and the ability to learn the proper use of the programs utilized in this office, or those that which may be necessary to meet the needs of the practice. The hours, pay scale, and benefits will be defined as agreed upon....