64 jobs found in Pittsfield, MA

DEFINITION/PRIMARY FUNCTION The Coder/ Abstractor codes outpatient records using commonly accepted classification systems and abstracts the information into the coding software or EMR abstracting. POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.) Experience: One year of experience in coding with ICD-10-CM, CPT-4, and HCPCS required. Education and Training: High School Graduate, advance education in medical terminology, anatomy and physiology, and pathophysiology are all required. Completion of a medical coding program required. Understanding of frequently ordered tests, required. Experience using coding software and EMR required. Understanding of billing and reimbursement systems, i.e. APC's , required. Previous coding in a teaching facility, preferred. License, Certification & Registration: RHIT, CCS, RHIA, CCS-A, CPC, or CPC-H preferred. Other Requirements: Demonstrated...

Medical Coding Specialist II Remote - OB /GYN FT If you are looking for a Coding Specialist position in a remote environment, to support a Medical Group, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. Position Highlights: Quality of Life: Where career opportunities and quality of life converge Advancement: Strong orientation program, generous tuition allowance and career development Work/Life: Monday Friday; Office hours We offer great Benefits including Competitive Pay, Paid Leave, Blue Cross/Blue Shield Health Insurance just to name a few. What you will do: The Coding Specialist analyzes physician/provider documentation contained in health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 Hospital Coder, Albany Health Information Management The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties And Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by...

Are you detail-oriented and passionate about ensuring compliance? Join our team as a Compliance Auditor, where you will play a key role in upholding internal control procedures and enhancing organizational integrity. Key Responsibilities: Examine records, reports, operating practices, and documentation to ensure compliance with established internal controls. Verify assets and liabilities by comparing them to relevant documentation. Document audit tests and findings to complete comprehensive workpapers. Evaluate the adequacy of internal control systems by utilizing audit questionnaires. Update audit programs and questionnaires to maintain and improve internal control systems; recommend new policies and procedures as necessary. Prepare final reports that communicate audit findings and discuss these findings with auditees. Ensure compliance with security legal requirements by studying relevant legislation and advising management on necessary actions. Compile...

Certified Professional Coder / Bill Review Expert Responsibilities: Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned Assign proper codes as needed based on review outcome Use various resources, IE: eBooks, 3M software to support reviews Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customer in a professional easy to understand manner Participate in conference calls as needed with customer and/or attorneys Assist with various special projects and other duties as assigned Qualifications and Experience: 3-5 years of medical billing experience specifically NJ / NY PIP fee schedules Strong communicate skills, must be able to explain outcome of review, both written and verbally Extensive knowledge of coding /documentation requirements Thorough knowledge of CPT, HCPCs, ICD-10 CPC/AAPC...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 105 H Compensation Range: $19.96 - $27.94 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not...

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...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated Inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, Uniform...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. Essential Duties and...

A healthcare provider is seeking a Professional Coder to work remotely. The successful candidate will review, analyze, and validate CPT and ICD-10 codes to ensure compliance with federal and state regulations. They will also handle responsibilities like coding accurately, responding to denials, and working collaboratively with providers. Candidates should have a High School Diploma and relevant coding credentials. Experience with provider fee coding is preferred, along with excellent communication skills. #J-18808-Ljbffr

Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 DX codes. This position is remote. Essential Duties And Responsibilities Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes. Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role. Ensure established productivity and quality standards are met. Review denials, research and respond appropriately...

Join our team as a Medical Billing Specialist! We offer a competitive pay rate of up to $37/hr. If you have a passion for accuracy and detail in the medical billing field, we want to hear from you! Required Skills: Typing speed of at least 50 words per minute Excellent letter writing abilities Proficiency in MS Excel and MS Word Detail-oriented with strong follow-through Familiarity with Windows operating environment Knowledge of CPT and ICD-10 coding Understanding of medical terminology is a plus Strong critical thinking skills Job Responsibilities: Effectively enter charges received from the doctor's office on a daily basis. Input patient demographic and insurance information into our computer system as required. Ensure high accuracy when entering charges, collaborating with the doctor's office to obtain any missing information such as insurance cards, authorizations, and operative reports. If you're ready to take your career to the next...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.36 - $29.90 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not...

A healthcare company is seeking a Nurse Auditor 2 to perform clinical audits and ensure accurate medical documentation and coding. Candidates should possess a current RN license and a minimum of one year of clinical experience. This remote role includes responsibilities like validating medical records and making clinical decisions. Ideal candidates will have strong customer service skills and MS Office proficiency. The position offers an annual salary range of $78,400 - $107,800, plus a bonus incentive plan. #J-18808-Ljbffr

Join Datavant and be a part of our mission to transform healthcare through our innovative data collaboration platform. We provide essential solutions to a wide range of organizations within the healthcare ecosystem, including providers, health plans, researchers, and life sciences companies. Our team's dedication to enhancing data connectivity is paving the way for improved health outcomes. As an Inpatient Auditor Specialist, you will have a vital role in supporting our consulting and educational efforts related to coding quality, compliance assessments, and coding workflow operations. Your insights will exceed customer expectations while addressing and resolving their challenges. This is a fully remote position with a flexible schedule, allowing you to shape the future of healthcare from the comfort of your workspace! Key Responsibilities: Conduct comprehensive inpatient facility coding audits according to the specified scope of work, onboarding, focused reviews, service...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assigns CPT and ICD-10 codes Monitors assigned work queues to ensure all records are...

Become a vital part of Datavant, the leading platform for secure, accessible, and actionable health data. Our mission is to enhance health data collaboration for healthcare providers, health plans, researchers, and life sciences organizations. Join us in transforming individual patient requests and advancing AI in healthcare! As a member of our team, you'll contribute to meaningful change in the healthcare landscape from the comfort of your own home. This fully remote position offers flexibility while allowing you to impact the future of healthcare. Key Responsibilities: Utilize ICD-10-CM and ICD-10-PCS codes to assign diagnostic and procedural codes accurately. Abstract and sequence medical codes from patient records, ensuring compliance and precision in documentation. Oversee and provide feedback on the work of Level 1 & 2 Coders when applicable. Identify opportunities for documentation improvement and collaborate with relevant stakeholders to...

A leading medical institution is seeking a Medical Billing Associate within their Patient Billing Service. This role is crucial for efficiently billing and following up on medical claims. Key responsibilities include resolving billing edits, managing denials, and collaborating across departments. Successful candidates will have a High School Diploma, strong communication skills, and proficiency with relevant software. Join a team dedicated to quality healthcare in Albany, NY. #J-18808-Ljbffr

Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 We are seeking a skilled Professional Coding Auditor to join our Health Information Management team. In this role, you will leverage your advanced coding expertise to lead a service line coding team. Collaborate with others to ensure comprehensive and timely professional coding processes, including coding, charging, and managing denials follow-up. You will audit CPT and ICD-10 diagnosis coding performed by providers and coding staff, ensuring compliance with federal and state laws as well as insurance carrier guidelines. This remote position also requires onsite educational support for providers when necessary. Key Responsibilities: Review, analyze, and validate CPT and ICD-10 diagnosis codes ensuring adherence to various regulations and guidelines. Assist in daily operations and act as a Team Lead, guiding staff to meet quality and...

Role Overview: We are looking for a meticulous and certified Medical Coding and Billing Specialist to join our team. Your primary focus will be on reviewing medical bills for individuals who have sustained injuries from motor vehicle accidents. This is a fantastic opportunity to contribute to accurate coding and enhance communication with our customers and legal partners. Key Responsibilities: Review medical bills specifically related to injuries from motor vehicle accidents. Thoroughly evaluate medical documentation to ensure precise coding is applied. Leverage resources such as eBooks and 3M software to support your analysis. Interpret and apply fee schedule guidelines effectively during your evaluations. Clearly document review outcomes to promote understanding among customers. Engage in conference calls with customers and attorneys as necessary. Assist with special projects and other tasks as directed. Qualifications and Experience: 3-5 years of...

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...

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...

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...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...