32 jobs found in Pine Bluff, AR

Drug Reconciliation Analyst/Coder The Drug Reconciliation Analyst/Coder is responsible to reconcile pharmacy transactions via superbills, appointment schedules, remittance advice, pharmacy reports and pharmacy invoices. Research and track all unpaid or denied claims writing appeal letters when necessary. Research any variances in payment to contracted rates. Work with Pharmacy personnel regarding any outstanding issues or discrepancies. Understand and update clinicians and Director on insurance coverage guidelines, benefits and policies. Maintain understanding of State and Federal guidelines. Keeps up to date on all coding requirements and guidelines and in-services as well as assists with any coding needs of the department. Qualifications: High School diploma or equivalent required. Technical Diploma in medical coding with certification. Completion of a credentialed coding education program. AHIMA or AAPC certification required. Certified Professional Coder,...

Drug Reconciliation Analyst/Coder The Drug Reconciliation Analyst/Coder is responsible to reconcile pharmacy transactions via superbills, appointment schedules, remittance advice, pharmacy reports and pharmacy invoices. Research and track all unpaid or denied claims writing appeal letters when necessary. Research any variances in payment to contracted rates. Work with Pharmacy personnel regarding any outstanding issues or discrepancies. Understand and update clinicians and Director on insurance coverage guidelines, benefits and policies. Maintain understanding of State and Federal guidelines. Keeps up to date on all coding requirements and guidelines and in-services as well as assists with any coding needs of the department. Qualifications: High School diploma or equivalent required. Technical Diploma in medical coding with certification. Completion of a credentialed coding education program. AHIMA or AAPC certification required. Certified Professional Coder, Certified Coding...

Drug Reconciliation Analyst/CoderThe Drug Reconciliation Analyst/Coder is responsible to reconcile pharmacy transactions via superbills, appointment schedules, remittance advice, pharmacy reports and pharmacy invoices. Research and track all unpaid or denied claims writing appeal letters when necessary. Research any variances in payment to contracted rates. Work with Pharmacy personnel regarding any outstanding issues or discrepancies. Understand and update clinicians and Director on insurance coverage guidelines, benefits and policies. Maintain understanding of State and Federal guidelines. Keeps up to date on all coding requirements and guidelines and in-services as well as assists with any coding needs of the department.Qualifications:High School diploma or equivalent required.Technical Diploma in medical coding with certification.Completion of a credentialed coding education program.AHIMA or AAPC certification required.Certified Professional Coder, Certified Coding Specialist,...

Ptcoa is seeking a detail-oriented Medical Billing Specialist in Little Rock, Arkansas. This role involves accurately processing medical claims, performing coding for various procedures, and communicating with patients about billing issues. Candidates should have at least two years of experience in medical billing and coding, ideally with certifications such as CPC or CCS. Hands-on experience with EHR systems like Epic and Meditech is a plus. This position may allow for remote work based on experience and performance. #J-18808-Ljbffr

Jobtailor is seeking a Medical Billing & Coding Specialist to accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. You will perform coding with ICD-10, CPT, and HCPCS, review billing data in EHR/EMR systems (Epic, Meditech, PrognoCis), resolve denials, prepare appeals, and communicate with patients while ensuring HIPAA compliance. #J-18808-Ljbffr

A healthcare services provider in Little Rock, Arkansas, is searching for a client account specialist. The role requires maintaining client accounts, submitting claims to insurance companies, and managing client information for billing purposes. Candidates should have at least one year of experience in a similar position, a high school diploma, and strong organizational skills. The position does not require travel but entails significant interaction with clients and insurance companies. #J-18808-Ljbffr

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. Join a forward-thinking team where your expertise drives quality patient care! We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Enjoy flexible remote / hybrid options, continuous career development, and competitive compensation in a supportive environment. General Description Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. Applies advanced coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement, wRVU integrity, and audit...

Clinical CoderArkansas Children's is a tobacco free workplace. Flu vaccines are required. Arkansas Children's is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, protected veteran status or any other characteristic protected by federal, state, or local laws.This position has been designated as safety sensitive and cannot be filled by a candidate who is a current user of medical marijuana.Current employees: Please apply via the internal career site by logging into your Workday Account and search the "Find Jobs" report.Work Shift:Day ShiftTime Type:Full timeDepartment:CC807200 PSO Professional CodingMonday to Friday, full-time — HybridSalary:Most new hires start between $20.50-$25.60 per hour, depending on experience and qualifications.Summary:The Clinical Coder is responsible for reviewing patient medical...

Clinical Coder Arkansas Children's is a tobacco free workplace. Flu vaccines are required. Arkansas Children's is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, protected veteran status or any other characteristic protected by federal, state, or local laws. This position has been designated as safety sensitive and cannot be filled by a candidate who is a current user of medical marijuana. Current employees: Please apply via the internal career site by logging into your Workday Account and search the "Find Jobs" report. Work Shift: Day Shift Time Type: Full time Department: CC807200 PSO Professional Coding Monday to Friday, full-time Hybrid Salary: Most new hires start between $20.50-$25.60 per hour, depending on experience and qualifications. Summary: The Clinical Coder is responsible...

Work Shift: Day Shift Time Type: Full time Department: CC807200 PSO Professional Coding Summary: Monday to Friday, full-time - Hybrid Salary: Most new hires start between $20.50-$25.60 per hour, depending on experience and qualifications. Additional Information: The Clinical Coder is responsible for reviewing patient medical records and accurately assigning standardized codes using ICD and CPT/HCPCS classification systems. The primary goal is to ensure timely and accurate coding for billing, reimbursement, research, and statistical reporting purposes, while maintaining compliance with established coding guidelines and regulations. Required Education: Recommended Education: No education requirements Required Work Experience: Recommended Work Experience: Required Certifications: 1 certification from AAPC or AHIMA - American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)...

Fully Remote Lake Park Building Full time R180277 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...

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...

Responsibilities Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within EHR/EMR systems prior to claim submission. Utilize EHR/EMR platforms (such as Epic, Meditech, PrognoCis) for documentation, coding, and billing workflows. Research and resolve billing discrepancies or claim denials. Prepare and submit insurance appeals, ensuring compliance with payer guidelines. Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage. Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.). Collaborate with clinical staff and providers to ensure...

**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 and...

Medical Billing SpecialistWe are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement.This position may offer the opportunity to work from home, depending on experience and performance.Key Responsibilities:Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations.Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses.Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements.Review and verify accuracy of...

Job Type Full-time Description We are seeking a dedicated and organized Medical Billing Associate to join our team. This position involves various tasks aimed at supporting the Revenue Cycle process and ensuring the smooth operation of the clinic and surgical center. The ideal candidate will have a thorough knowledge of health insurance coverage, deductible, co-insurance, out of pocket, referrals, and prior authorizations. The candidate will verify benefits and obtain referrals / prior authorizations, generate estimates, read ledgers, collect payments, set up payment plans, identify mistakes and make corrections on claims. The schedule will be Monday through Friday- 7:30 am-4:00 pm. Key Responsibilities: Review and Update Demographics and Insurance: Verify patients personal and insurance information and make any corrections to reduce errors in claims processing. Insurance Verifications: Verify insurance for all surgery center appointments prior to appointments....

This is a remote based position. Applicants can be located nationwide Back Medical Coder - Surgery/Anesthesia #2889 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about 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 Medical 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 team-oriented? Do you value professionalism, trust, honesty, and...

OU Health is seeking a detail-oriented Professional Medical Coder to support adult and pediatric evaluation and management services, include minor procedures across multiple settings. The role focuses on accurate coding, denials resolution, and process improvement in a university-affiliated system. You will review documentation, apply coding standards, and collaborate with leadership to reduce denials, improve workflows, and ensure compliant reimbursement. #J-18808-Ljbffr

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...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

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:...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments 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 inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2814 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...