14 jobs found

Do you thrive in a fast-moving, detail-driven environment? We're looking for an enthusiastic Risk Adjustment Coder to join our client's vibrant team! You'll use your skills to accurately code patient diagnoses using ICD-10, mapping them to Hierarchical Condition Categories (HCC) to keep our client's risk adjustment and reimbursement processes running smoothly. Risk Adjustment Coder Responsibilities: Analyze and code patient medical records using ICD-10 Map diagnoses to HCC categories to ensure precise risk adjustment Collaborate with clinical staff to resolve documentation issues and improve workflow Conduct audits and stay on top of coding regulations and updates to maintain accuracy Provide expert coding guidance to your team when needed Risk Adjustment Coder Requirements: 2+ years of HCC coding experience post-apprenticeship Certification as a CPC, CCS, or similar? Even better! Deep knowledge of ICD-10 coding, HCC categories and risk...

Peace of Mind Facility Services Inc. is a commercial cleaning company that has been serving the Greater Tampa Bay area since 1989 . Here at Peace of Mind, we pride ourselves on excellence and dependability while providing exceptional janitorial and facility maintenance services. We have a Professional business with a Family atmosphere where we try to make all our team members feel part of our family. Our staff includes approximately 80 team members working at churches, schools, medical offices/clinics and office buildings. As we continue to exceed expectations and gain new clientele, we are searching for experienced, dedicated and dependable professionals to join our Amazing Family! Don't let this opportunity pass, apply now! *We have openings for a Cleaning Site Supervisor at a Medical Office Building off of S. Dale Mabry. Shift would be about 3-4 hours each day Monday-Friday starting at 5:00pm. **The end time hours can/will vary based on different day to day...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in Florida, Georgia, or North Carolina) + **Status:** Full Time (non-exempt) + **Shift:** 7:00 AM to 3:30 PM + **Days:** Monday through Friday The Specialty Coder II is a full-time remote position. This team member must currently reside in Florida, Georgia, or North Carolina. Responsibilities + The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-9 CM and CPT-4 coding systems. + The Specialty Coder audits physician documentation. + Mentors and training of other Specialty Coders. + Serves as a resource for the department. + Performs other duties as assigned. + Required...

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required. The Consultant will assist PYA clients with provider documentation improvement,...

Serves as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for prov Medical, Coder, Educator, Operations, Healthcare, Staff

Job Description Job Description   Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone.  Responsibilities  Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and...

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 support, and...

Job Type Full-time Description POSITION: Inpatient Coder STATUS: Full-Time LOCATION: Fully Remote SCHEDULE: Monday through Friday Sunday through Thursday Tuesday through Saturday FLSA STATUS: Non-Exempt / Eligible for Overtime POSITION SUMMARY: Code inpatient records with appropriate ICD-10-CM diagnosis and ICD-10-PCS procedure codes while maintaining compliance with official coding guidelines and client guidelines. POSITION RESPONSIBILITIES: Analyze, evaluate, and review client medical records to ensure accuracy of code assignment. Prepare daily coding logs. Demonstrate proficiency in coding including ICD-10-CM and ICD-10-PCS coding while maintaining a 95% accuracy. Follow and adhere to AHIMA's Standards of Ethical Coding, all applicable regulations and guidelines, and all client-specific policies. Maintain productivity based on national standards and/or client-specific standards. Work as a team player in a dynamic environment...

The Opportunity This position is responsible for overseeing the applicant and return donor reception and registration processes. Supervise reception and medical staff. Assist management with daily center operations to include development of reception and medical staff, assessment and improvement of processes, troubleshooting issues and managing donor flow You will report to the Center Manager. The Role In compliance with Standard Operating Procedures (SOPs), supervise daily activities of reception, medical, and customer service operations. Provide clear and consistent instructions and directions, conduct meetings, and clearly communicate performance expectations. May be required to perform tasks in work areas. Advise management of employee relation issues or escalated donor issues. In conjunction with other management and supervisory staff, facilitate donor movement throughout the center minimizing donor wait time and processing. Supervise reception and medical work areas...

We are seeking an experienced and detail-oriented Inpatient Facility Coder to ensure accurate and compliant coding of inpatient medical records. This role involves analyzing clinical documentation and assigning appropriate ICD-10-CM, ICD-10-PCS and DRG codes while adhering to industry standards and regulations. Inpatient Facility Coder Responsibilities: Review and interpret clinical documentation to assign accurate ICD-10-CM, ICD-10-PCS and DRG codes for inpatient records Ensure compliance with federal and state regulations, payer-specific policies and organizational guidelines Collaborate with clinical staff to clarify documentation and optimize coding accuracy Identify opportunities for documentation improvement and communicate findings to the CDI team Participate in audits and quality assurance reviews to maintain high coding standards Stay current with coding updates, regulations and best practices Utilize coding software and electronic...

Serves as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Analyze and report review findings indicating documentation gaps reimbursement and data interpretation, inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an internal coding expert resource. Duties & Responsibilities Provides literacy and feedback to providers,...

Adhere to and maintain required levels of performance in both Coding accuracy and productivity Identify appropriate assignment of CPT and ICD-10 Codes for Physician and facility services provided Abstract additional data elements during the Chart Rev Medical, Coder, Remote, Health, Healthcare

Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services - our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs. Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients' chronic conditions, address social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients experienced 21% fewer ER visits, 36% fewer hospitalizations and 41% fewer hospital readmissions compared to patients with similar conditions and complexities over the same time period. Our care teams travel directly to patients...

Job Description Job Description POSITION DESCRIPTION PYA is seeking a Quality Assurance Nurse Auditor/Nurse Analyst/Coding Auditor to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will be a member of the Revenue and Compliance Advisory Team . For more information about PYA, please visit: www.pyapc.com RESPONSIBILITIES Provide advisory services to ambulatory care, acute care, and post-acute care organizations, including documentation review and improvement for: Medical Necessity Level of Care Appropriateness of service and service location Billing documentation requirements and analysis of UB-04, Remittance Advices and Itemized Bills Assist with coding compliance reviews including professional, hospital outpatient, and inpatient hospital services Assist with regulatory compliance for Medicare, Medicaid, and third-party payers to include ambulatory, acute care (inpatient and...