39 jobs found in delaware

Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and to resolve provider disputes. You will extract clinical information, assign ICD-10-CM/PCS and DRG codes, and ensure accurate payments across payer systems. Responsibilities include reviewing records and claims, auditing coding quality, investigating disputes, analyzing complex clinical scenarios, and collaborating with teams to improve accuracy and #J-18808-Ljbffr

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...

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: Benefits may vary based upon position type and/or level. Job...

Why work at TidalHealth? Looking for a rewarding place to work? Choose TidalHealth, which now includes three hospitals - TidalHealth Peninsula Regional in Salisbury, Maryland; TidalHealth Nanticoke in Seaford, Delaware; and Atlantic General Hospital in Berlin, Maryland. All three hospitals are "A" rated by Leapfrog Hospital Safety Guide, and the facilities have received numerous other honors. TidalHealth is regularly adding new practices to grow our offerings in specialty and subspecialty services. These include neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care, clinical trials and research, and more. TidalHealth is also home to a growing graduate medical education program to prepare the next generation of physician specialists. Located on the beautiful Delmarva Peninsula, close to the beach, becoming part of Team TidalHealth also offers an ideal opportunity for work-life balance. Take advantage of our...

Job Description Join our team as a Senior Billing Liaison! The Billing Liaison Sr/Coder primary job responsibilities include ensuring 100% charge capture by reviewing physician dictated notes and operative reports and properly code all services performed utilizing appropriate CPT, ICD-10-CM codes and modifiers. Daily review of EPIC Charge Review Work queues is essential. Also monitor and report on accounts receivable issues related to payer compliance and/or billing processes. The Liaison Sr/Coder is the link between the providers and the billing office and acts as a resource to providers, office staff, administration and the Central Business Office. Participation in coding training and education is also required. Maintaining yearly certification as a Certified Professional Coder is required with the American Academy of Professional Coders. Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia,...

Simon Eye and Center for Advanced Eye Care are partner practices with a combined 27 Optometrists, 8 Ophthalmologists, and over 150 staff serving patients across the state of Delaware, Pennsylvania and Maryland. We are aligned to ensure our communities can access patient-centered, medically oriented full service eyecare delivered in convenient locations with friendly, knowledgeable doctors and staff. As a Medical  Billing Specialist , you will be responsible for the insurance billing and collections functions for multiple Simon Eye locations. Your success in this position will be driven by your ability to complete billing and/or accounts receivable follow-up with payers while achieving the expected quality and productivity requirements. Wha t You'll Do: Review, prepare, and transmit claims using electronic and paper claim processing Daily submission of claims Follow up on unpaid claims meeting the standard billing cycle time frame Post insurance payments and...

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, community is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you. Make a Difference The Certified Coder will be responsible for coding and abstracting for physician billing using software and coding books based on current work assignment. Exceptional Skills and Qualifications Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a strong attention to detail....

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...

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...

Become a part of our caring community 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. Where you Come In 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 accuracy of...

Baylor Scott & White Health is seeking a Coding Auditor 1 to perform coding quality audits and provide feedback to coders. The role uses ICD-10-CM/PCS, HCPCS, CPT and related references to ensure accurate coding and classification, including DRG/APC groupings. Minimum qualifications include 5 years of coding experience with at least 1 year as a coding auditor and one of several coding certifications. The organization emphasizes compliance, collaboration with Clinical Documentation Specialists #J-18808-Ljbffr

A leading health data exchange company is seeking experienced inpatient coders to join their team remotely. Candidates must have at least 3 years of experience in coding and a deep knowledge of medical terminology. The role offers a flexible schedule and requires the maintenance of high coding accuracy. This position also provides attractive benefits such as a 401k plan and necessary equipment for remote work. #J-18808-Ljbffr

Otsuka America Pharmaceutical Inc. is seeking an Associate Director, Medical Publications (CNS) to lead the global CNS publication strategy and deliverables, ensuring timely, accurate data communication through abstracts, posters, and manuscripts. You will partner with Clinical Development, Global Integrated Evidence & Innovation (GIEI), Medical Strategy, Core Content, and external vendors to drive compliant publication execution and contribute to strategic planning while upholding GPP and ICMJE #J-18808-Ljbffr

A leading pharmaceutical company is seeking an Associate Director, Scientific Communications in Dover, Delaware. This role involves managing global medical communications strategy and overseeing the development of scientific content. Candidates should have an advanced scientific degree and extensive experience in medical writing, with strong leadership skills to guide a team. Competitive salary within a range of $164,530.00 to $245,985.00 plus benefits is offered. #J-18808-Ljbffr

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...

Bayhealth in Dover, Delaware is looking for a Full-Time Medical Coder to abstract clinical information and assign appropriate codes to patient records. The role requires expertise in ICD-9 / ICD-10 codes and medical records. Candidates must have a Certificate in Medical Coding & Billing and at least six months of relevant experience. Additional benefits include generous paid time off, health insurance, and educational reimbursement. The position offers a competitive salary range of $21.68 - $32.52 per hour. #J-18808-Ljbffr

Environmental Compliance Auditor Salary: $$ 80000 - $$ 105000 per year Location: Georgetown, Delaware Minimum Degree: Relocation Assistance: Available Job Description Duties/Activities: Will manage environmental compliance related tasks, programs and plants. Will inspect facilities, track audits and follow up with corrective action. Monitoring environmental compliance, i.e, permits, licenses, applications and records to ensure compliance with licensing requirements. Identifying compliance issues and developing corrective action plans, act as a technical resource to address and resolve inquiries and problems regarding production, quality and work problems as appropriate. Compliance inspections- determine the nature of code violations and actions to be taken, develop corrective course of action. Provides technical support to internal customers related to environmental projects, processes audits and compliance. Provide compliance training to internal...

Nemours Children's Health is seeking a Senior Billing Liaison to ensure 100% charge capture by reviewing physician dictated notes and operative reports and applying CPT and ICD-10-CM codes. This role involves daily EPIC Charge Review work queues and reporting on billing issues. The candidate will act as a coding resource between providers and the Central Business Office, participate in training, and maintain CPC certification with up-to-date CPT/ICD-10 knowledge. #J-18808-Ljbffr

Center for Advanced Eye Care seeks a Medical Billing Specialist to review, submit, and follow up on insurance claims, ensuring timely payments and accurate postings. You will work under direct supervision in a patient-centered eyecare environment with a collaborative team of staff across multiple locations. The role requires at least two years of full-time medical billing experience, CPT/ICD-10 coding knowledge, and strong data-entry and communication skills. #J-18808-Ljbffr

Medical Billing Specialist Simon Eye and Center for Advanced Eye Care are partner practices with a combined 27 optometrists, 8 ophthalmologists, and over 150 staff serving patients across the state of Delaware, Pennsylvania and Maryland. We are aligned to ensure our communities can access patient-centered, medically oriented full service eyecare delivered in convenient locations with friendly, knowledgeable doctors and staff. Under direct supervision, the Medical Billing Specialist will be responsible for reviewing, submitting and following up on medical insurance claims in order to receive payment for services; and performs other related duties as required. What You'll Do: Receive, review and enter client information into electronic health record; verify insurance coverage. Scrub and submit electronic and paper billing claims to Medicaid, Medicare and private insurance companies for health care services. Receive payments, reconcile with remittance advice and verify/post all...

Join our team as a Senior Billing Liaison! The Billing Liaison Sr/Coder primary job responsibilities include ensuring 100% charge capture by reviewing physician dictated notes and operative reports and properly code all services performed utilizing appropriate CPT, ICD-10-CM codes and modifiers. Daily review of EPIC Charge Review Work queues is essential. Also monitor and report on accounts receivable issues related to payer compliance and/or billing processes. The Liaison Sr/Coder is the link between the providers and the billing office and acts as a resource to providers, office staff, administration and the Central Business Office. Participation in coding training and education is also required. Maintaining yearly certification as a Certified Professional Coder is required with the American Academy of Professional Coders. Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia, Illinois, Maryland, Missouri,...

Simon Eye and Center for Advanced Eye Care is seeking a Medical Billing Specialist under direct supervision to review, submit and follow up on medical insurance claims to obtain payment for services. You will work with CPT and ICD-10 coding and post payments in the electronic health record system. The role requires at least two years of full‑time medical billing experience, familiarity with EHR, and the ability to communicate effectively with patients and insurers while maintaining HIPAA #J-18808-Ljbffr

Overview Simon Eye and Center for Advanced Eye Care are partner practices with a combined 27 Optometrists, 8 Ophthalmologists, and over 150 staff serving patients across Delaware, Pennsylvania and Maryland. We are aligned to ensure our communities can access patient-centered, medically oriented full-service eyecare delivered in convenient locations with friendly, knowledgeable doctors and staff. Position Medical Billing Specialist — you will be responsible for the insurance billing and collections functions for multiple Simon Eye locations. Your success in this position will be driven by your ability to complete billing and/or accounts receivable follow-up with payers while achieving the expected quality and productivity requirements. Responsibilities Review, prepare, and transmit claims using electronic and paper claim processing Daily submission of claims Follow up on unpaid claims meeting the standard billing cycle time frame Post insurance payments and review for...

Job Description Join our team as a Senior Billing Liaison! The Billing Liaison Sr/Coder primary job responsibilities include ensuring 100% charge capture by reviewing physician dictated notes and operative reports and properly coding all services performed utilizing appropriate CPT, ICD‑10‑CM codes and modifiers. Daily review of EPIC Charge Review Work queues is essential. Also monitor and report on accounts receivable issues related to payer compliance and/or billing processes. The Liaison Sr/Coder is the link between the providers and the billing office and acts as a resource to providers, office staff, administration and the Central Business Office. Participation in coding training and education is also required. Maintaining yearly certification as a Certified Professional Coder is required with the American Academy of Professional Coders. Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia, Illinois,...