29 jobs found in Tulsa, OK

Medical Biller Location: Tulsa, OK Type: Contract To Hire Compensation: $18-23/hr Work Model: Onsite Hours: 40.0 Responsibilities Prepare, review, and submit electronic and paper claims to insurance companies. Verify claim accuracy and ensure compliance with payer requirements and healthcare regulations. Review and post insurance and patient payments accurately. Investigate and resolve claim denials, rejections, and payment discrepancies. Follow up on outstanding claims to maximize reimbursement and reduce aging accounts receivable. Review Explanation of Benefits (EOBs) and remittance advice to ensure accurate payment processing. Communicate with insurance companies, patients, and healthcare staff regarding billing inquiries and account resolution. Maintain detailed documentation of billing activities and account follow-up efforts. Assist patients with questions regarding insurance coverage, balances, and payment options. Stay current on insurance...

Risk Adjustment Auditor The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical part in supporting accurate risk score calculation, regulatory compliance, and overall program integrity. Key Responsibilities: Perform bi-directional retrospective and prospective medical record reviews to validate, clarify, and accurately capture risk adjusted diagnoses (HCCs) in accordance with CMS guidelines and MEAT documentation requirements. Ensure documentation supports coded conditions in accordance with ICD-10-CM, CMS, and payer-specific guidelines. Identify unsupported diagnoses, over coding, under-coding, and documentation gaps. Provide detailed audit findings and recommendations to coding teams, providers, and leadership. Monitor compliance with CMS Risk Adjustment Data Validation...

Coding Specialist Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Abstract pertinent information from patient records. Assign the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments. Perform complex coding. Obtain acceptable productivity/quality rates as defined per coding policy. Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Maintain knowledge of, comply with and keep abreast of coding guidelines and reimbursement reporting requirements. Conduct chart audits for physician documentation requirements & internal coding; provide associate/physician & education...

Basic Function HF Sinclair Midstream is seeking a Compliance Auditor Lead. The position is open to Dallas, TX; Tulsa, OK; Artesia, NM or Salt Lake City, UT. The Compliance Auditor Lead ensures compliance with regulations and conducts moderate to complex regulatory compliance and auditing assignments for assigned areas under general supervision. Job Duties Reviews, interprets, and ensures compliance with applicable federal, state, and local regulatory requirements for all assigned locations. Plans, conducts, and leads regulatory compliance and operational risk‑based audits, including evaluations and review of internal policies and procedures of the company operations. Serves as the primary liaison to regulatory agencies and as the Company's point of contact for general inquiries, audits, and on‑site evaluations. Leads and coordinates follow‑up activities associated with regulatory inspections, audits, and enforcement actions by tracking corrective actions, conducting gap...

Saint Francis Health System in Tulsa, Oklahoma is seeking a Coding Auditor to perform coding audits ensuring CPT and ICD-10 accuracy and compliance. The role develops clinic-wide education on coding and billing issues and serves as a resource to physicians, office staff, management, and patients. Minimum 3 years of hospital or physician auditing experience is required; CCS/CPC/RHIT/RHIA certifications preferred. #J-18808-Ljbffr

Saint Francis Health System is seeking a Pro Fee Coding Specialist to review documentation, adjust diagnoses and procedure codes, and apply coding knowledge in decision making. The role requires knowledge of coding rules and the ability to communicate with clinicians and staff. Qualifications include a GED or high school diploma, AHIMA/AAPC certifications or equivalent, and 1 year to 2 years of coding experience, with trauma/orthopedic surgery coding preferred. #J-18808-Ljbffr

Current Saint Francis Employees - Please click HERE (https://wd115.myworkday.com/saintfrancis/d/task/2998$46522.htmld) to login and apply. This position is ECB status - requires a minimum number of worked hours per month as needed by the department; limited benefit offerings. Variable Job Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA. Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam. Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient and inpatient coding exam. Essential Functions and Responsibilities: Codes ER's, outpatients,...

Current Saint Francis Employees - Please click HERE (https://wd115.myworkday.com/saintfrancis/d/task/2998$46522.htmld) to login and apply. Full Time Days Job Summary: The Coding Auditor performs coding audits to assure compliance with Corporate Compliance Plan standards. This role develops, coordinates, and implements clinic wide education for coding and billing issues while serving as a resource to physicians, office staff, management and patients for coding and billing issues. Additionally, this role coordinates successful response to regulatory bodies and insurance companies for medical record reviews and audits. Minimum Education: High School Diploma or GED. Bachelor’s degree in Healthcare Administration or Business Administration, preferred. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA)....

CommunityCare HMO, Inc. is seeking a Clinical and Risk Adjustment Auditor in Tulsa, OK. This role involves conducting audits for clinical and risk adjustment documentation for Medicare Advantage and ACA Programs, ensuring coding accuracy and regulatory compliance. The ideal candidate will hold a coding certification, have extensive coding experience, and be proficient with CMS guidelines. The position requires strong analytical skills and a meticulous approach to auditing. #J-18808-Ljbffr

Job Description Under the direction of the HIM Manager, the Coder will be responsible for chart review with experience in Inpatient and Outpatient coding within the hospital setting. Strong knowledge of ICD-10-CM, PCS, CPT/HCPCS coding, and CCI edits. Verify completeness of medical records to ensure documentation supports the assigned codes and modifiers. Knowledge of reimbursement systems and regulations pertaining to billing, documentation, and compliance standards including federal and state regulations. Maintain coding knowledge of current coding updates, medical terminology, updated changes in healthcare regulations, and maintain up-to-date coding certification. Attention to detail with excellent communication and interpersonal skills when working with healthcare providers, physicians, residents, and other departments within the hospital. Qualifications Associate Degree required Bachelors Degree preferred License/Certifications: CCS-Certified Coding Specialist, RHIT-...

Now Hiring: Medical Billing Specialist (Medicare & Medicaid) Full-Time | Onsite in Tulsa | Monday–Friday A respected healthcare organization is looking to add a skilled Medical Billing Specialist to their team. If you enjoy digging into details to solving billing issues, this could be a great fit. What You’ll Do: Manage end-to-end Medicare and Medicaid billing, from submission through resolution Investigate outstanding A/R and follow up on denied or underpaid claims Analyze discrepancies and collaborate with payers to resolve issues Review EOBs to ensure accurate payments and identify errors Submit corrected claims and handle appeals as needed Keep thorough and organized documentation on all accounts Communicate professionally with patients, payers, and internal teams What We’re Looking For: At least 2 years of hands‑on medical billing experience Strong understanding of Medicare and Medicaid processes Proven success with claims follow‑up, denials, and collections...

A healthcare provider is looking for a Vascular Specialized Coder for a full-time, onsite position in Tulsa, OK. The role requires extensive coding experience, particularly in Cardiovascular Thoracic Surgery, with responsibilities including coding claims and assisting in provider education. Key qualifications include a CPC certification and strong knowledge of medical terminologies. The position offers a comprehensive benefits package, including tuition reimbursement and bonus incentives. #J-18808-Ljbffr

Saint Francis Health System in Tulsa, Oklahoma, is seeking a Pro Fee Coding Specialist responsible for reviewing documentation, diagnosing, and coding procedures. Applicants need a GED or high school diploma and are required to obtain specific coding certifications within one year of hiring. This position involves coordinating with providers and ensuring compliance with coding and billing regulations while working in a fast-paced environment. #J-18808-Ljbffr

Your future role at a glance Location: Tulsa, OK (on-site) Facility: Ascension Medical Group - South Harvard Department: Revenue Cycle Management Schedule: Full-time days, Monday - Friday, 8a - 5p Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter. Benefits that help you thrive Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life...

HireRight is seeking an experienced medical professional in Tulsa, Oklahoma, to support the review of DOT and company policies for medical qualifications. This role requires an LPN or RN with at least 4 years of nursing experience. Responsibilities include reviewing examinations and enhancing examiner processes. HireRight offers a comprehensive benefits package including medical, dental, vision, and generous time off, ensuring a supportive work environment for its employees. #J-18808-Ljbffr

About HireRight HireRight is the premier global background screening and workforce solutions provider. We bring clarity and confidence to vetting and hiring decisions through integrated, tailored solutions, driving a higher standard of accuracy in everything we do. Combining in‑house talent, personalized services, and proprietary technology, we ensure the best candidate experience possible. PBSA accredited and based in Nashville, TN, we offer expertise from our regional centers across 200 countries and territories in The Americas, Europe, Asia, and the Middle East. Our commitment to get it right every time, everywhere, makes us the trusted partner of businesses and organizations worldwide. Overview This role is to support the review of DOT and company policy for completeness and compliance to applicable DOT agency or company statement of work. To determine an individual's ability to work based upon those regulations under the guidance of the Director of Medical Services, Chief...

Job Posting Under the direction of the HIM Manager, the Coder will be responsible for chart review with experience in Inpatient and Outpatient coding within the hospital setting. Strong knowledge of ICD-10-CM, PCS, CPT/HCPCS coding, and CCI edits. Verify completeness of medical records to ensure documentation supports the assigned codes and modifiers. Knowledge of reimbursement systems and regulations pertaining to billing, documentation and compliance standards including federal and state regulations. Maintain coding knowledge of current coding updates, medical terminology, updated changes in healthcare regulations and maintain up to date coding certification. Attention to detail with excellent communication and interpersonal skills when working with healthcare providers, physicians, residents, and other departments within the hospital. Qualifications Associate Degree required Bachelors Degree preferred License/Certifications: CCS-Certified Coding Specialist, RHIT-...

This position is ECB status – requires a minimum number of worked hours per month as needed by the department; limited benefit offerings.VariableJob Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records.Minimum Education: High School Diploma or GED.Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA.Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam.Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient and inpatient coding exam.Essential Functions and Responsibilities: Codes ER's, outpatients, outpatients surgeries, observations and inpatients. Works CCI/medical necessity edits as needed. Monitors unbilled for all patient types coded on a day-to-day basis. Maintains...

Saint Francis Hospital, Inc. is seeking a Pro Fee Coding Specialist to review documentation, assign or correct diagnosis and procedure codes, and support compliant billing. The role requires AHIMA/CPC credentials and familiarity with trauma/orthopedic coding. The position is full-time and located in Tulsa, OK, with standard business hours and some scheduling flexibility. Candidates should have a GED or high school diploma, strong coding knowledge, encoder skills, and the ability to work #J-18808-Ljbffr

Saint Francis Health System in Bixby, Oklahoma is seeking a Pro Fee Coding Specialist. This role involves reviewing medical records and correcting diagnosis and procedure codes based on established guidelines. Candidates should possess coding certifications and strong communication skills. The position demands the ability to work independently and collaboratively in a fast-paced environment, manage multiple priorities, and stay updated on coding regulations. A GED or high school diploma is required, with preferred experience in coding. #J-18808-Ljbffr

Saint Francis Health System in Tulsa, OK is seeking a Coder III Specialist to assign codes for ER, outpatient services, outpatient surgeries, observations, and inpatient records. You will work with internal teams, ensuring accuracy and timely submission of claims while adhering to medical necessity edits. The ideal candidate has a CCS certification, at least 3 years of related experience, and strong ICD-10 knowledge with anatomy and physiology. #J-18808-Ljbffr

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 team-oriented? Do you value...

This Jobot Job is hosted by: Tiffany D'AngeloAre you a fit? Easy Apply now by clicking the Apply buttonand sending us your resume.Salary: $90,000 - $135,000 per yearA bit about us:Based in Alexandria, VA we are a fast-growing construction company that is considered one of the premier general contractors in the area. We offer quality builds and comprehensive service to thousands of clients.If you are an Project Manager with great client facing skills, then please read on.Why join us?Competitive Base Salary!Great BenefitsInteresting ProjectsJob DetailsJob Details:We are on the hunt for a dynamic and seasoned Project Manager to join our thriving construction company. The ideal candidate will be a proven leader in the construction industry, with a strong track record of delivering high-quality projects on time and within budget. This role will be responsible for managing all aspects of construction projects, from initial planning to final handover. The Permanent Project Manager will...

Help build the future of Albuquerque by bringing financial expertise to a growing construction company.This Jobot Consulting Job is hosted by: Giulia SaierAre you a fit? Easy Apply now by clicking the Apply buttonand sending us your resume.Salary: $75,000 - $90,000 per yearA bit about us:The Senior Accountant will play a key role in managing the companys financial activities, ensuring accuracy, compliance, and efficiency across all accounting functions. This individual will collaborate closely with leadership to provide insights that support both day-to-day operations and long-term growth. The ideal candidate has strong construction accounting experience, excellent analytical skills, and the ability to thrive in a dynamic, project-driven environment.Why join us?Opportunity to join a growing, reputable construction company.A collaborative team environment with direct impact on company success.Competitive compensation and benefits package.Career development opportunities in a dynamic...