56 jobs found in Dover, DE

Datavant seeks an experienced HCC coder to review medical records and code diagnoses using ICD-10 CM, ensuring accurate reflection of patient conditions for risk adjustment and reimbursement. You will work on multiple client projects in a fast-paced remote environment, maintaining 95% coding accuracy while following guidelines and policies. Must have 2+ years of HCC coding, extensive ICD-10 knowledge, and be able to work independently 40 hours weekly. #J-18808-Ljbffr

Certified Coding Analyst 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 Coding Analyst will perform medical claim reviews for waste and error to ensure compliance with coding practices through a comprehensive record review for medical and institutional providers. The Analyst must have the ability to determine correct coding and appropriate documentation during the review of medical records. The Analyst must also ensure state; federal and company requirements are met. Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent...

Medical Biller/Certified CoderIf you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:Generous Paid Time Off and Paid HolidaysMatching 401(k)/403(b) PlansExcellent Health, Dental, and VisionDisability and Life Insurance optionsOn Site Child CareEducational ReimbursementHealth Care and...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Certified Coding Analyst 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 Coding Analyst will perform medical claim reviews for waste and error to ensure compliance with coding practices through a comprehensive record review for medical and institutional providers. The Analyst must have the ability to determine correct coding and appropriate documentation during the review of medical records. The Analyst must also ensure state; federal and company requirements are met. Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Bayhealth Medical Center is seeking a Medical coder to abstract clinical information, assign ICD-9/ICD-10 and CPT-4 codes, and ensure accurate DRG grouping and reimbursement. This role supports the Kent Campus operations in Dover, DE with day shifts and full-time hours. The position requires a certificate in medical coding, CPC certification (or CPC-A/RHIA) and at least six months of coding or medical records experience. A healthcare facility background is preferred. #J-18808-Ljbffr

CoderIf you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:Generous Paid Time Off and Paid HolidaysMatching 401(k)/403(b) PlansExcellent Health, Dental, and VisionDisability and Life Insurance optionsOn Site Child CareEducational ReimbursementHealth Care and Dependent Care Flex Spending...

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. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews 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. Activities include: Conduct a...

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk? Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand! Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including: Generous Paid Time Off and Paid Holidays Matching 401(k)/403(b) Plans Excellent Health, Dental, and Vision Disability and Life Insurance options On Site Child Care Educational Reimbursement Health Care...

Overview General Summary: Position is responsible all aspects of the medical billing process from generating completed medical claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of encounters information and prepare the encounter for submission. Abstract clinical information from a variety of medical records charts and documents and assigns appropriate DX and/or CPT-4 codes. Work with WQ or per supervisor instructions. Correct errors and denials from WQ or from other sources. Maintain AR processes to achieve organization’s goals. Location: Kent Campus Hospital; Status: Full Time 80 Hours; Shift: Days; SALARY RANGE: 22.09 - 33.47 HOURLY. Responsibilities Review and analyze records to identify and correct errors. Prepare encounter and code correct medical billing claims generated from the EMR to bill insurance carriers or other parties. Submit the claims correctly from the first time. Determine the correct encounters code from patient...

Bayhealth in Dover, Delaware, is seeking a Medical Billing Specialist responsible for all aspects of the medical billing process. This role includes generating medical claims, correcting errors, and managing accounts receivable. The candidate must have at least 2 years of experience in medical billing and hold a Certified Professional Coder credential. This full-time position offers a salary range of $22.09 - $33.47 per hour. #J-18808-Ljbffr

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

Benefits: 401(k) Paid time off 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 insurance...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

Medical Biller The Medical Biller's general responsibilities include accurately billing patient accounts, submitting accurate claims, ensuring timely reimbursement and confirming proper documentation is occurring in the patient accounting system. Education & Experience: High school diploma or GED equivalent required. College coursework or degree preferred. 1-2 years of experience in a hospital, physician practice, or health insurance environment required. At least 1 year of medical billing experience strongly preferred. Certification/Licensure: N/A Physical Requirements: Lifting 80%) Lifting 20-50lbs - Never - Climbing - Never - Kneeling - Never Lifting>50lbs - Never - Crouching - Never - Reaching - Never Carrying - Occasionally ( 80%) - Walking - Frequently (20%-80%) Pushing - Never - Talking - Constantly (>80%) - Vision - Constantly (>80%)

Job Description MAJOR FUNCTION: The Medical Biller's general responsibilities include accurately billing patient accounts, submitting accurate claims, ensuring timely reimbursement and confirming proper documentation is occurring in the patient accounting system. QUALIFICATIONS: Education & Experience: High school diploma or GED equivalent required. College coursework or degree preferred. 1-2 years of experience in a hospital, physician practice, or health insurance environment required. At least 1 year of medical billing experience strongly preferred. Certification/Licensure: N/A Physical Requirements: N: Never O: Occasionally (<20%) F: Frequently (20%-80%) C: Constantly (>80%) Lifting <20lbs O Standing O Sitting C Lifting 20-50lbs N Climbing N Kneeling N Lifting>50lbs N Crouching N Reaching N Carrying O Hearing C Walking F Pushing N Talking C Vision C BENEFITS...

Medical BillerThe Medical Biller's general responsibilities include accurately billing patient accounts, submitting accurate claims, ensuring timely reimbursement and confirming proper documentation is occurring in the patient accounting system.Education & Experience:High school diploma or GED equivalent required. College coursework or degree preferred.1-2 years of experience in a hospital, physician practice, or health insurance environment required.At least 1 year of medical billing experience strongly preferred.Certification/Licensure:N/APhysical Requirements:Lifting <20lbs - Occasionally (<20%) - Standing - Occasionally (<20%) - Sitting - Constantly (>80%)Lifting 20-50lbs - Never - Climbing - Never - Kneeling - NeverLifting>50lbs - Never - Crouching - Never - Reaching - NeverCarrying - Occasionally (<20%) - Hearing - Constantly (>80%) - Walking - Frequently (20%-80%)Pushing - Never - Talking - Constantly (>80%) - Vision - Constantly (>80%)

Medical Biller The Medical Biller's general responsibilities include accurately billing patient accounts, submitting accurate claims, ensuring timely reimbursement and confirming proper documentation is occurring in the patient accounting system. Education & Experience: High school diploma or GED equivalent required. College coursework or degree preferred. 1-2 years of experience in a hospital, physician practice, or health insurance environment required. At least 1 year of medical billing experience strongly preferred. Certification/Licensure: N/A Physical Requirements: Lifting <20lbs - Occasionally (<20%) - Standing - Occasionally (<20%) - Sitting - Constantly (>80%) Lifting 20-50lbs - Never - Climbing - Never - Kneeling - Never Lifting>50lbs - Never - Crouching - Never - Reaching - Never Carrying - Occasionally (<20%) - Hearing - Constantly (>80%) - Walking - Frequently (20%-80%) Pushing - Never - Talking - Constantly...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

We are looking for a motivated professional to handle medical billing tasks within our organization. The successful candidate will help ensure billing processes run smoothly and efficiently. This role requires attention to detail, strong organizational skills, and the ability to work in a fast-paced environment.Responsibilities:Process billing and claims submissions with accuracy.Ensure proper follow-up on outstanding payments or claims.Help resolve issues related to billing discrepancies.Maintain organized records and documents.Collaborate with teams to ensure compliance with procedures and guidelines.

Advocare LLC is seeking an experienced Medical Billing Specialist in Millville, NJ to translate patient information into accurate insurance claims and bill patients for balances. This in-office role requires meticulous data entry and adherence to billing codes. You'll submit claims to insurers, follow up on denials, post payments, and maintain patient account records. Knowledge of HIPAA, strong math skills, and proficiency with EHR systems like Epic or eClinicalWorks are essential. #J-18808-Ljbffr