5 facility biller coder jobs found in Springfield

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Job DescriptionThis position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelinesJob RelationshipsReports to the Coding Unit ManagerPrincipal ResponsibilitiesResponsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services.Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record.Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities, complications,...

This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines Job Relationships Reports to the Coding Unit Manager Principal Responsibilities Responsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services. Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record. Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities, complications, therapeutic...

Springfield Clinic is seeking a professional coder to review clinical documentation and apply CPT/HCPCS and ICD-10-CM codes for services rendered in office and hospital settings. The role ensures documentation supports billed services, remains compliant with regulatory guidelines, and maintains accurate coding across professional and facility encounters. Responsibilities include reviewing medical records, verifying codes, and communicating with physicians to obtain missing information. #J-18808-Ljbffr

We are seeking a detail-oriented and experienced Managed Vision Care Biller to join our team in OakBrook Terrace. The ideal candidate will have a strong background in optical billing and be proficient with major vision care insurance providers including VSP, EyeMed, and Spectera. This role is essential in ensuring accurate and timely billing processes to maximize reimbursements and maintain compliance with insurance guidelines. Key Responsibilities Prepare and submit claims to managed vision care insurance providers such as VSP, EyeMed, and Spectera. Verify patient insurance eligibility and benefits prior to services. Review and process optical billing information accurately and efficiently. Follow up on unpaid or denied claims and resolve billing discrepancies. Maintain up-to-date knowledge of insurance policies, billing codes, and industry regulations. Collaborate with optical staff and insurance companies to ensure smooth billing operations. Maintain accurate records of billing...