10 jobs found

Job Description O ur Vision is to be the best choice for healthcare in our community Conduct provider medical record review of HCC coding, analysis of practice coding patterns, of daily patients visit assigned to centers regarding risk adjustment to ensure accurate reporting of sickness data and improve quality of care. Provide ICD diagnosis of MRA identifying all diagnoses, along with possible comorbidities and complications, sickness level of the patient, to identify patterns and development of interventions at the provider. **This is a Hybrid position - 50% Remote/50% on site) MUST RESIDE IN FL - PREFERABLY IMMEDIATE TAMPA BAY REGION** WHAT DOES FMC HAVE TO OFFER ITS EMPLOYEES? We offer a wide choice of compensation and benefit programs that are among the best. From competitive salaries to retirement plans. We make every effort to take care of the people who make our company great. * Gives you an employer that you will have pride in working for * Provides excellent training...

Job Description Job Description: We seek an accurate, detailed-oriented Medical Biller/Coder to join our team. You will be key in reviewing medical records and collecting, monitoring, documenting, and submitting claims and encounters. You will also gather and analyze HEDIS performance data. Candidates must be bilingual (English & Spanish), with a strong work ethic and professionalism. Essential Duties and Responsibilities: • Review and analyze patient medical records to determine all appropriate diagnoses and procedures performed. • Complying with medical coding guidelines and policies. • Thoroughly, accurately, and timely collection and data enter clinical information from medical records into a database by HEDIS specifications. • Timely submit billing claims to insurance companies. • Maintain organized, up-to-date documentation of all billing and claim denials. • Assist the office manager with any special projects related to coding issues. • Help download/create/clean...

Job Description Inpatient Coder (Perm Remote Full-time w/ Hospital) Location: Remote, USA Schedule: Full-time 40 hours or Part-time 20 hours per week. Job Summary: • The Inpatient Coder will provide assistance with all related activities, including coding of facility inpatient charts. Electronic Medical Record navigation, coding guidelines, ICD, and CPT as well as coder competencies. Duties and Responsibilities: • Assign ICD-10-CM/PCS and CPT codes with modifiers for services provided in the facility depending on the specific client assignment. • Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. • Ensures diagnosis codes meet local and national medical necessity guidelines. • Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services. • Follow all HIPAA regulations and uphold a higher standard around privacy...

Job Description Medical Laboratory Billing Supervisor - Clinical Lab For experienced lab billers who will enjoy being a part of a growing business, where commitment to quality of patient testing is truly appreciated and individual contribution is recognized. We need an enthusiastic, entrepreneurial Figure it Out, and committed to Getting it Done person who understands that the team Wins Together. Job Summary: We are looking for highly organized billing manager with years of experience in the healthcare industry, and specifically laboratory medicine. You will be responsible for managing claim analysts, overseeing the whole billing/collection cycle and interacting with our third party biller. Your knowledge of billing, accounting and customer service issues combined with your communication and account management skills will shape how LabFlorida will continue to grow. Qualifications: Associate's degree or higher Minimum 3 years of prior billing experience for a medical lab...

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 Ambulance division is experiencing unprecedented growth and we need to contract with multiple new coders who can work as few as 15 hours a week. All Coder applicants must: * Have a minimum of three (3) years of Ambulance Specific Coding * Have an active coding certification (CAC preferred, however if you have the 3 years experience and a CPC we will allow it if you agree to obtain a CAC within a year ) * Live and work in the United States of America * Take and pass TCN's Ambulance 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 The Reproductive medicine Group is a member of The Prelude Network, a premium network of North American fertility clinics that leverage the latest science and technology to help patients achieve their family-building goals. Each member of The Prelude Network family is expected to demonstrate their commitment to safe, efficient, and compassionate patient care every day. And because every great patient experience starts with a great employee experience, we strive to provide our staff with everything they need to consistently deliver the highest level of personalized care. We are seeking a Medical Billing Specialist. The Medical Billing Specialist is responsible for initial submission of insurance claims and self-pay posting according to documented procedures. Includes but is not limited to verification of correct patient demographic and insurance information prior to submission of initial claim, electronic submission of medical claims, follow up and re-submission of...

Job Description Large Physiatry practice seeking a Medical Office Supervisor to oversee the Front and Back Office Staff. Knowledge of E clinical Works is a must. Job duties as follows: Manages the day to day operations of the office Coaches and counsels staff Maintains and monitors the attendance of staff Coordinates staffing needs and schedules including PTO requests and coverage Addresses and coordinates training needs of the staff Fills in for employees when short staffed Ensures that incoming phone calls are handled timely Ensures that messages are returned on a daily basis Facilitates office communications Notifies and educates employees and providers of new policies and procedures Provides flow of information between providers, management and staff Handles and resolves patient complaints Maintains office schedule and makes necessary changes Monitors the completion of employees' tasks Implements work flow changes as needed Resolves issues in a timely and efficient manner...

Job Description O ur Vision is to be the best choice for healthcare in our community Job Title: Office Supervisor Department: Gastroenterology Job Summary: Manages the day to day operation and maintenance of the department for our Gastroenterology office in West Tampa. Able to handle fast paced environments, quick learner, great customer skills, able to multi-task. **Minimum of 1 year of experience in a similar role required.** WHAT DOES FMC HAVE TO OFFER ITS EMPLOYEES? We offer a wide choice of compensation and benefit programs that are among the best. From competitive salaries to retirement plans. We make every effort to take care of the people who make our company great. * Gives you an employer that you will have pride in working for * Provides excellent training programs and opportunities for growth * Offers Medical Benefits including: * Employer Contributions to HSA high deductible plan * Discounts at our medical facilities * Cigna Open Access OAPIN & OAP plans * Supports...

R-303842 Description Healthcare isn’t just about health anymore. It’s about caring for family, friends, finances, and personal life goals. It’s about living life fully. At Conviva and CenterWell a wholly-owned subsidiaries of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we’re seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole. Responsibilities The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural...

Summary The Director, Health Information Management ("HIM") identifies, plans, monitors, and directs all opportunities and activities to meet the information and fiscal requirements of the Cancer Center’s inpatient and outpatient (hospital) and provider based (professional practice) functional areas consistent with the regulatory and compliance framework. This includes: Oversee all health information coding (HIM) functions, including technical and professional coding, clinical documentation improvement and HIM operations, to ensure timely and compliant coding processes and identify corrective action as appropriate. Develop, monitor, and distribute metrics, score cards, financial reporting and dashboards to establish decision making based on analytics. Identify, develop and review policies and procedures related to coding. Review and implement coding automated and innovated solutions. Lead quality and regulatory efforts related with coding....