39 jobs found in Decatur, AL

Medical Billing And Coding Specialist QuickVisit Urgent Care is seeking a Medical Billing and Coding Specialist for our urgent care clinics. As a Medical Biller and Coder you will support a culture of delivering the highest quality, most affordable, and accessible healthcare in the rural communities we serve. Essential Responsibilities: Performs daily posting of payments. Reconciles payments and imports remits. Post & create claims to send to insurance. Review and correct invalid claims from clearing house and handle accordingly. Review rejected claims from the insurance payers and handle accordingly. Perform claims follow-up by working aged balances in accordance of timely filing deadlines. Stays current with payer requirements for billing and shares best practices. Is involved with root cause analysis of denied claims and communicates trends and suggestions for improvement. Communicate with providers to resolve coding issues or when additional information...

Adecco Healthcare & Life Sciences is hiring Medical Billers in West Knoxville, TN! This role will start onsite with the initial training process, once training is passed the option for remote/hybrid should become available. Please review the details

Medical Billing Specialist - Women's HealthThe Medical Billing Specialist is responsible for the timely and accurate submission of insurance claims, reviewing and updating denied claims for resubmission and performing reconciliations to ensure timely billing for services provided. The Medical Billing Specialist collaborates with patients, revenue cycle counterparts and work units, clinical staff, and insurance providers to drive the efficiency of the billing process and reduce the amount of denied claims.Essential Responsibilities:Reviews patient demographic and insurance information and confirms patient benefit details related to services provided by the clinic from insurance providers.Obtains necessary medical documentation from clinicians to provide to insurance companies as required for review and prior authorization of treatment. Documents authorization reference numbers in EMR and/or other systems.Updates and maintains EMR and/or other systems based on documentation provided...

Possess a thorough working knowledge of the revenue cycle management process including; ICD-9, ICD-10, CPT-4, and HCPS Billing.Responsibilities include ensuring that reimbursement is maximized through accurate and appropriate coding.Accountable for staying abreast of government policies and procedures as it relates to coding to ensure that company conforms to applicable guidelines and regulations.Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.MinimumHigh School Diploma or GEDCertified Medical CoderStrong understanding of industry / technical terms and processesExceptional customer service skillsStrong analytical and problem-solving skillsStrong attention to detailExcellent oral / written communication skillsDesiredBachelor's Degree2years medical coding experience- Abstract clinical information from medical records to document, assign, and sequence ICD-9 and / or CPT-4 and HCPS coding where appropriateAudit, review, and correct...

Overview Under general supervision, a Certified Professional Coder is responsible for correctly coding professional healthcare claims in order to obtain reimbursement from private insurance companies and government healthcare programs. This is NOT a remote position. Responsibilities May include any and/or all of the following: Accurately enter patient information into LifeLinc’s billing software. Verify patient insurance is valid and active. Organize files and collect data to be entered. Analyze and verify data for errors. Report problems with data received or missing data. Follow-up on data that has not been received. Keep sensitive patient and company information confidential. Appropriately compose and type routine correspondence, memos, letters, etc. Performs other duties as assigned. Qualifications EDUCATION and/or EXPERIENCE High school diploma or general education degree (GED) is required Minimum of 1-year related experience, training, and/or equivalent...

LifeLinc Corporation in Southwind seeks a Certified Professional Coder responsible for coding healthcare claims to obtain reimbursement. The role requires accurate data entry into billing software and verifying patient insurance. Ideal candidates will have excellent communication skills, a high school diploma or GED, and proficiency in MS Word and Excel. The position is not remote and involves direct patient data handling, ensuring confidentiality and adherence to HIPAA regulations. #J-18808-Ljbffr

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office / clinic settings.Adheres to all coding and compliance guidelines.Maintains knowledge of coding / billing updates and payer specific coding guidelines.Serves as a subject matter expert for assigned specialty.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Abstracts / codes for assigned provider(s) / division(s) based on medical record documentation.Adheres to all coding and compliance guidelines.Utilizes appropriate coding software and coding resources in order to determine correct codes.Communicates billing related issues to assigned supervisor / manager and participates in meetings in order to improve overall billing, when applicable.Follows departmental policies for charge...

Physician Coder II - Remote(45324)-Erlanger Baroness Hospital Chattanooga, TNPhysician Coder II - RemoteRegular-Non-exempt-Full-time-Standard Hours37.5Description.

At ScionHealth , we empower our caregivers to do what they do best.We value every voice by caring deeply for every patient and each other.We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job SummaryCodes medical records, including all diagnoses, operative and diagnostic procedures in patient medical records, using the International Classification of Diseases and enters coded information into an automated systemEssential FunctionsUsing the coding system, assigns and records an accurate code to all diagnoses, procedures, and operations as documented in the patient medical record based on official coding guidelinesEnsures that all factors necessary for assigning an accurate CPT are present, and that all diagnoses are recorded properlyContacts practice designee regarding questions on diagnoses, need for...

Come join our team and experience working in a positive environment with a true work-life balance with competitive salary and comprehensive benefit plan. Position Summary: We are a Franklin, TN based healthcare company seeking a Medical Biller to support Revenue Cycle operations.The ideal candidate should be able to demonstrate strong analytical and problem solving skills, be proficient in data aggregation and utilization, have excellent written and verbal communication skills, and be a self-motivated individual. Essential Functions: Works closely with insurance carriers for reimbursement requirements to ensure payment. Reviews outstanding AR accounts and contacts insurance for reimbursement explanation. Resolves denials and seeds to understand and prevent future denials. Effectively identifies trends that inhibit timely payment and escalates to management and operations to resolve root cause issues. Input codes into practice management system for billing. Assist team members with...

Location :RemoteSalary :$85,000depending on experienceSkills :Auditing, Inpatient Coding, DRG Validation, Quality ReviewAbout the Company / Opportunity :Are you passionate about upholding quality standards in health information management and coding practices? Our client, an industry leader in the hospitals and health care sector, provides nationwide revenue cycle services to a vast network of hospitals and physician practices.This remote opportunity allows you to leverage your expertise in coding quality review, ensuring compliance with national guidelines and maintaining data integrity.Join a mission-driven organization focused on supporting patient outcomes and enhancing health care delivery through excellence in coding quality.Responsibilities :Lead, coordinate, and perform all functions of quality review for inpatient and outpatient coding across multiple facilities.Conduct routine, pre-bill, policy-driven, and incentive plan-driven coding quality audits to ensure compliance...

Remote Op CoderThe Op Coder works outpatient coding related alerts / edits for Same Day Surgery, Observation, and Wound Care, accounts, predominately post initial / final coding.The CARS-II performs the alert / edit resolution activities in the applicable systems.The alerts / edits shall be worked and corrected according to the established procedures and thresholds, and communicated as appropriate.Position Duties :Compiles daily work list from eRequest, CRT and / or other alert / edit systemsTakes action and resolves alerts / edits for the following patient types following established procedures and thresholds :Same Day Surgery (SDC)Observation (OBV)Wound CareOutpatient Cardiac CathProvides back up / coverage as needed for :Emergency Dept (ED)Recurring (RCR)Clinical (CLI)Provider Office Visit (POV), as applicableEnters detailed notes to update eRequest to provide details if the alert / edit cannot be resolved or must be rerouted to another responsible party for research /...

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education, based on business needs Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and...

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education, based on business needs Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and...

Essential Functions Works with multiple departments. Accomplishing Financial and Key Results Strives to improve auditing processes and efficiencies. Conducts staff meetings / attend sales meetings. Handles asset protection team communications. Implements special projects for the asset protection team. Perform and schedule Red Flag Merchandise and Cash audits to investigate as required. Review and approve time sheets, mileage logs, expense reports, activity reports and any other internal paperwork. Assure compliance to start time and travel policies. Maintains staff by recruiting, selecting, and orientating employees as needed. Maintains staff performance through training, coaching, counseling and disciplining employees, planning, monitoring and appraising job results. Increases professional and technical knowledge by attending educational workshops, reading professional publications, and networking with other departments. This list is not all inclusive and Job duties may change...

A healthcare organization in Franklin, TN is seeking a Billing Specialist to work onsite. This role involves assisting with insurance and patient payments while managing outstanding claims. Candidates should be familiar with insurance practices, EOB's, and effectively communicate with patients and representatives. The position offers a negotiable salary and excellent benefits in a supportive work environment. Interested candidates can submit their resumes via fax or email. #J-18808-Ljbffr

American Health Partners in Franklin, Tennessee is seeking a Medicare Risk Adjustment Coding Specialist responsible for conducting coding audits and performing post-payment coding reviews. The role requires extensive experience in claims processing and knowledge of CMS regulations. Ideal candidates will have 2 years of experience in the health insurance industry along with strong analytical and communication skills. Benefits include comprehensive insurance options, generous paid time off, and a supportive work environment. #J-18808-Ljbffr

CO080 Memorial Physician Group seeks a dedicated medical coder to review documentation and assign accurate codes to diagnoses and procedures. You will communicate with insurance companies, conduct audits, and ensure compliance with coding guidelines. Qualified candidates must have a high school diploma or equivalent and possess coding certifications. This role is based in Murfreesboro, TN, and requires at least one year of relevant coding experience. #J-18808-Ljbffr

Murfreesboro Medical Clinic is seeking a Certified Coding Specialist to join their team in Murfreesboro, Tennessee. The ideal candidate will be responsible for reviewing and accurately coding medical documentation, ensuring compliance with guidelines, and collaborating with healthcare providers. Candidates should have a high school diploma, CPC certification is preferred, and a good understanding of medical coding principles. This full-time position requires strong communication skills and attention to detail while adhering to healthcare regulations. #J-18808-Ljbffr

A prominent healthcare coding company is seeking a Physician Coder to work remotely across the United States. Responsibilities include coding multispecialty hospital E/M for physicians and procedures, as well as handling coding edits and denials. The ideal candidate will possess a high school diploma, CPC certification, and at least three years of experience in coding hospital charges. Benefits include comprehensive health coverage, 401(k) plan, and tuition reimbursement. #J-18808-Ljbffr

Physician Coder Hospital E/M and Procedure coding page is loaded## Physician Coder Hospital E/M and Procedure codinglocations: US - Remote (Any location)time type: Full timeposted on: Posted Todayjob requisition id: 38339**Job Family:**General Coding**Travel Required:**None**Clearance Required:**None**What You Will Do:*** Code multispecialty Hospital E/M for physicians* Code multispecialty Hospital procedures* Work coding related edits and denials**What You Will Need:*** Minimum High School Diploma or equivalent* 3+ years of experience coding hospital charges for physicians* CPC from the AAPC* Good written and oral communication skills**What Would Be Nice To Have:*** Multispecialty surgical experience in Urology, General Surgery and/or Cardiology* Specialty specific credential from the AAPC#LI-DNIThe annual salary range for this position is $38,000.00-$64,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and...

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education, based on business needs Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and...

Memorial Physician Practices is seeking an Inpatient Coding Specialist for a remote position. The role requires coding IRF records using current ICD coding standards. Ideal candidates will hold a required certification (RHIT, RHIA, CCA, CCS, CPC, or CIC) and have a minimum of two years of current inpatient rehabilitation hospital coding experience. Benefits include comprehensive medical coverage, financial protection, professional development opportunities, and a supportive work environment. #J-18808-Ljbffr

Director, Coding Auditor & Educator (7410-2297) LifePoint Health Support Center Description The Director, Coding Auditor and Educator is responsible for reviewing and auditing hospital medical records for coding completeness and accuracy. This position identifies potential coding and DRG errors and researches appropriate coding guidelines to support recommended changes. It communicates these changes in a timely manner, provides coding education and expert coding advice to the coding staff, and develops education/training materials including coding guidelines, policies and procedures. The role demonstrates proficiency in auditing principles (including re‑auditing) and communicates with IRM, Group Leadership, Ethics and Compliance Department members, hospital HIM coding and DI regarding audit issues, current coding regulations and utilization review concerns. The director stays abreast of current coding regulations, admission review requirements, professional standards, company...