11 jobs found in Wilmington

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) Virtual:? ? This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates...

DRG Coding Auditor Principal Virtual:? ?? This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities: Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data,...

Job Details ChristianaCare is searching for a Compliance Auditor to support the Office of Compliance & Privacy through assigned compliance activities and audits to ensure effective clinical documentation that meets regulatory guidelines. The Compliance Auditor performs a variety of audits to investigate and monitor compliance with federal and state laws, as well as Centers for Medicare and Medicaid Services (CMS) regulations, billing, coding and medical necessity documentation guidelines, and HIPAA Privacy standards. They perform financial, operational and compliance audits for the Office of Compliance & Privacy. Work is diverse and assignments could include a wide array of business areas such as inpatient and outpatient services, physician practices, and contracts. An individual with clinical/medical necessity expertise is preferred. The successful candidate must have clinical chart review experience, in addition to broad knowledge of medical claims billing/payment...

Day to Day Insight Global is hiring several CPC, Certified Professional Coders to join a large healthcare client in Southern NJ. This role focuses on multi-specialty professional fee coding in a high-volume, production-driven environment. Candidates will work remotely but must reside in approved states and be available for occasional onsite visits. Responsibilities Abstract billing for outpatient evaluation and management (E/M) codes, minor surgical procedures, and HCPCS codes (including supplies and pharmaceuticals), and others from provider documentation. Assign CPT-4 and ICD-10-CM codes with appropriate modifiers. Investigate coding and billing questions to determine the best approach. Analyze medical records to verify coding accuracy and detect potential misuse. Collaborate with Coding, Charge, and Audit Analysts to resolve discrepancies. Work across multiple Epic work queues for different specialties. Meet productivity expectations and KPIs Must Haves: 2 years of Coding...

Accountant/Auditor - Supervisor of Unclaimed Property Location: Wilmington, DE (Preferred) or any of Barnes & Thornburg's 23 nationwide offices Barnes & Thornburg LLP seeks a Supervisor of Unclaimed Property to join and help lead a collaborative and growing team of accountants and attorneys working on unclaimed property matters. The firm is committed to building a "best-in-class" team of professionals who enjoy working together to solve unclaimed property problems and serve clients. Summary: The Supervisor of Unclaimed Property will work directly with a team to manage unclaimed property matters, including reviews of voluntary disclosures submitted by companies. The Supervisor will engage with clients, unclaimed property administrators, professionally adverse parties, and opposing attorneys and accountants to conduct efficient and effective unclaimed property reviews and negotiate resolutions. This position is preferably located in our Wilmington, Delaware...

This is a remote-based position. Applicants can be located nationwide. About You Are you an experienced coder with a background in Profee Outpatient Coding? We are seeking a highly motivated individual responsible for the precise assignment of Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes from both paper and electronic medical records. Share your Profee Outpatient Coding experience with us. Are you a collaborative team player who excels as a self-starter? What sets you apart as a professional who enhances a company’s reputation? Bring your problem-solving skills to manage multiple projects effectively. We are looking for someone exceptional—what makes you unique? If you are dedicated, value teamwork, and uphold integrity and professionalism, we are excited to meet you! About The Position Thoroughly review medical documentation to assign principal and secondary diagnoses and procedures utilizing your understanding of...

JOB TITLE: Medical Coder/Biller (Certified or Non-Certified) SCHEDULE: Monday-Friday, 8:00AM-5:00PM SUPERVISOR : Business Office Manager or Assistant Administrator Please note that this is a full-time, onsite opportunity. This opportunity is not a remote or hybrid position. JOB SUMMARY/ RESPONSIBILITIES: The Coder/Biller will determine the appropriate CPT codes and Diagnosis codes for all surgical procedures performed in a Multiple Specialty Ambulatory Surgery Center. Candidate should be able to issue claims via electronic and/or paper billing to facilitate timely billing and days in AR benchmarks; track and correct electronic claims submission rejections/errors; provide operative reports and any medically necessary information to include surgeon's office notes, pathology reports, etc. Have an extensive understanding of all Payers to include Medicare, Medicaid, Commercial Carriers and private Carriers. Coder will follow Medicare Rules and regulations and will...

Job Description Description Nemours is seeking a Coder! This position is responsible for the proper coding and abstracting of inpatient facility medical records using ICD-10-CM diagnosis and PCS codes in accordance with ICD 10 CM and PCS coding conventions and the Official Guidelines for Coding and Reporting. Knowledge and adherence to the Official Coding Guidelines for ICD 10 CM and PCS is required. Participation in on-going coding training and education is essential and required for this position. Maintaining annual coding certification through the American Health Information Management Association (AHIMA) or the AAPC is also required. Responsibilities: Translate diagnostic and procedural documentation into the appropriate ICD-10-CM, PCS, SOI, and ROM assignments Select the appropriate principal diagnosis code, secondary diagnoses, and procedure codes according to the UHDDS. Analyze the circumstances of admission to ensure proper sequencing, selection of...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you...

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, community is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you. Make a Difference The Certified Coder will be responsible for coding and abstracting for physician billing using software and coding books based on current work assignment . Exceptional Skills and Qualifications Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a strong attention to detail....