43 jobs found in Little Rock, AR

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:...

A health services organization is seeking a Nurse Auditor 2 to perform clinical audits ensuring accurate medical record documentation and coding. The role requires a current U.S. RN license and at least 1 year of clinical experience, with responsibilities including validating medical documentation and making independent decisions. This remote position may involve occasional travel for training. A competitive salary and various benefits, including healthcare and retirement plans, are offered. #J-18808-Ljbffr

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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2675 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? 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 team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge...

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 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Your Future Evolves Here Evolent is dedicated to transforming health care by partnering with health plans and providers to improve outcomes for individuals with complex and high-cost health conditions. We aim to bridge the gaps in the fragmented health care system, ensuring every person receives the compassionate care we would wish for our own loved ones. At Evolent, we prioritize work/life balance and provide the flexibility to allow our employees to tailor their work to fit their lives. We believe that the best work happens in an environment that supports personal well-being and encourages authenticity. This commitment to diversity and inclusion is at the heart of our organization. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Medical Coder - FWA Auditor plays a vital role in ensuring the accuracy of complex claim reviews, coding, and billing in alignment with the Plans' provider agreements and National Healthcare...

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. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification...

About Otsuka We defy limitation, so that others can too. In going above and beyond-under any circumstances-for patients, families, providers, and for each other. It's this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka's opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for an Omnichannel Data Scientist , Medical Omnichannel with strong expertise in artificial intelligence, encompassing...

Join our compassionate community and prioritize health! Humana invites you to apply for an exciting opportunity as an Outpatient Medical Coding Auditor focused on Durable Medical Equipment (DME) auditing. In this role, you will be an essential member of the PPI Coding Disputes Team, where your expertise in medical coding will play a pivotal role in resolving provider disputes within a results-driven environment. Become part of a Fortune 100 company that values the well-being of both its employees and consumers. As a DME Outpatient Coding Auditor, you will report to the Manager and collaborate with fellow coding professionals across various departments. Your primary goal will be to uphold the highest standards of coding accuracy, compliance, and quality. Bring your extensive experience in outpatient DME coding disputes and expertise in CPT/HCPCS code assignments. Ensure accuracy by adhering to coding guidelines and professionally communicating dispute outcomes to...

Become a part of our caring community and help us put health first Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor - DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes and expertise in...

This is a full time remote based position that specializes in advancing product expertise and functional skills of global medical affairs teams. The AD will serve as a therapeutic area expert (i.e., Nephrology/Immunology) by leading the training supporting the GMA Business Unit products, strategy and priorities. This role will be responsible for developing and executing the core training curriculum for a new product across all launch phases as well as training New Hire MSLs & GMA personnel supporting their therapeutic area. In addition, this role will be integral in the support of the GMA Peak Performers series, focusing on upskilling the performance of Global Medical Affairs. This will require original idea proposals, slide development, execution and evaluation. Leading live and virtual classroom trainings will also be an important deliverable of this position. The AD will partner and oversee regional/local Training Leads for their therapeutic area to develop tailored...

I. Job Summary Under minimal supervision, plans and conducts environmental compliance audits of various entities to determine compliance with Federal and State regulatory requirements, programs and internal policies with a focus environmental regulations and capacity. II. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each of the following essential duties satisfactorily. Other minor duties may be assigned. Plan and conduct internal audits to determine compliance with Federal and State regulations. Review facility operations and records to ensure adequacy of internal controls, compliance with procedures, consistency with established laws, rules and regulations and guidelines applicable to overall compliance for the operation. Prepare audit reports, and implement administrative and technical audit procedures for audit program activities. Review and verify audit corrective actions and...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Datavant is a cutting-edge data collaboration platform transforming healthcare. Our mission is to enhance the security, accessibility, and actionability of health data, benefiting a variety of organizations across the healthcare sector, including providers, health plans, researchers, and life sciences companies. By leveraging health data, we are shaping the future of patient care and health outcomes. By joining Datavant, you will become part of a driven, collaborative team dedicated to making impactful changes in the healthcare landscape. We are seeking experienced outpatient coders to be key members of our team. The ideal candidate will have meticulous attention to detail and a solid understanding of medical terminology. This role is fully remote with a flexible schedule, enabling you to contribute to the healthcare revolution from home! Preferred: Experienced PRN Outpatient Coder with a minimum of 3 years in SDS and Observation coding. Key Responsibilities: Review...

Department: Patient Fin. Services Shift: Day Working Hours: 8:00 a.m. - 5:00 p.m. Summary: Works closely with the Revenue Integrity Coordinator, PFS and other revenue cycle departments to resolve issues, make recommendations and provide solutions related to patient charges, auditing and revenue management. Identifies revenue management opportunities, conducts charge reconciliation to ensure optimal charge capture, reimbursement, and compliant revenue. Other information: Minimum of one (1) of the following licenses or certifications required: LPN, CCS,CCA, CPC, or COC. Three years experience in health care industry, with at least one year experience in an accounting-type or financial position preferred. Knowledge of CPT, HCPCS and ICD-9 coding conventions. Knowledge of regulatory publications, how to access and interpret. Minimum of one year of hospital revenue cycle processes or prior exposure to the health care revenue cycle leadership and management experience highly...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

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...

Department: Corp. Compliance Shift: Day Working Hours: Monday-Friday 8am-5pm Summary: The Professional and Physician Coding Compliance Auditor conducts and completes audits for medical necessity and/or documentation accuracy, ensuring compliance with federal regulations and guidelines. The Compliance Auditor also conducts and completes audits related to professional coding. Other information: MINIMUM REQUIREMENTS 1. Certified Professional Coding certificate is required 2. A minimum of 3 years experience in chart auditing/medical review is required 3. Expert knowledge of documentation and professional coding guidelines, as well as governmental reimbursement laws and regulations. 4. Good oral and written communication skills 5. Strong interpersonal skills with the ability to work independently. 6. Highly organized, detail oriented, and able to establish work priorities. 7. Registered Nursing license is preferred. This job will be authorized 80.00 hours bi-weekly.

A healthcare services company is seeking a Customer Service Representative to assist with insurance verification and resolve payment issues. The ideal candidate will have strong problem-solving skills and effective communication, with at least 1-3 years of experience preferred. A High School Diploma or GED is required. The position offers an hourly range of $15.75 - $18.50 with various benefits supporting health and well-being. #J-18808-Ljbffr

Remote CPC Tutor The Varsity Tutors Live Learning Platform has thousands of students looking for remote online CPC tutors. As a tutor on the Varsity Tutors Platform, you’ll have the flexibility to set your own schedule, earn competitive rates, and make a real impact on students’ learning journeys—all from the comfort of your home. Why Join Our Platform? Base contract rates start at $18/hour and increase for specialized subjects. Plus, you’ll earn incrementally higher pay for each session with the same student—reaching up to $40/hour. Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions you conduct and invoice. Set your own hours and tutor as much as you’d like. Tutor remotely using our purpose-built Live Learning Platform—no commuting required. Get matched with students best-suited to your teaching style and expertise. Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson generation, and...

A comprehensive healthcare organization in Little Rock is seeking a Physician and Professional Coding and Compliance Auditor. The role involves conducting audits for medical necessity and documentation accuracy to ensure compliance with federal regulations. Ideal candidates should possess a Certified Professional Coding certificate and have at least 3 years of experience in chart auditing. Strong communication and organizational skills are critical for success in this position. #J-18808-Ljbffr

A healthcare billing company is seeking a full-time Billing Representative in Little Rock, Arkansas. The ideal candidate will accurately process medical claims, perform coding, and manage billing discrepancies with excellent communication skills. A high school diploma is required, alongside 2 years of experience in medical billing and knowledge of ICD-10, CPT, and HCPCS coding systems. Certification as a CPC or CCS is preferred. This role emphasizes attention to detail and the ability to manage multiple tasks in a fast-paced environment. #J-18808-Ljbffr

PLEASE NOTE: If you have not applied before, you will need to first create an account after clicking "Apply" Physician and Professional Coding and Compliance Auditor-Corp. Compliance The Professional and Physician Coding Compliance Auditor conducts and completes audits for medical necessity and/or documentation accuracy, ensuring compliance with federal regulations and guidelines. The Compliance Auditor also conducts and completes audits related to professional coding. Other information: MINIMUM REQUIREMENTS Certified Professional Coding certificate is required A minimum of 3 years experience in chart auditing/medical review is required Expert knowledge of documentation and professional coding guidelines, as well as governmental reimbursement laws and regulations. Good oral and written communication skills Strong interpersonal skills with the ability to work independently. Highly organized, detail oriented, and able to establish work priorities. Registered Nursing license...