5 jobs found

Billing Specialist Seeking a detail-oriented and dependable Billing Specialist to join our integrated care team in Newton, Kansas. This is a full-time position offering the opportunity to support patient care in a collaborative, mission-driven environment. We value collaboration, open communication, and a positive environment where everyone's input counts. As a vital member of the billing team, you play a critical role in the financial health of the organization and supporting access to care for our patients. We value the unique expertise each team member brings and are committed to supporting ongoing learning and professional development within the organization. What You'll Do Review charges for correct coding prior to claim submission, ensuring compliance with all federal and state regulations. Prepare and submit clean claims timely to insurance companies, electronically, via paper and through insurance portals. Resolve clearinghouse and payer...

Help safeguard accuracy, integrity, and regulatory compliance across our organization. We are seeking a skilled Compliance & Coding Audit Specialist to support the Corporate Compliance Program through detailed auditing, monitoring, and provider education related to coding, billing, and clinical documentation practices. What You’ll Do Conduct ongoing coding, billing, and documentation audits to ensure compliance with hospital policies and federal and state regulations Interpret medical records and related documentation using advanced coding knowledge to assess accuracy and risk Execute compliance audit assignments with a high degree of independence, confidentiality, and professional judgment Analyze findings, prepare audit documentation, and identify trends or improvement opportunities Present audit results directly to physicians and providers, delivering clear feedback and education on documentation and coding best practices...

Job Title: Manager Location: System Business Office Department Name: HIM - Professional Req #: 0000207266 Status: Salaried Shift: Day Pay Range: $110,681.00 - $156,337.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The  System Professional Coding Provider Review and Education Manager  is responsible for onboarding, educating, and reviewing medical record documentation and coding processes of the Medical Group physicians, APNs and other billing providers across all medical centers within the RWJBH enterprise. This includes onboarding education, medical record reviews, targeted education to physician groups and individual physicians, annual and quarterly...

We are in search of a very experienced leader. This position requires extensive knowledge of professional coding, compliance, and entire revenue cycle process. This is a customer facing role that requires presentations, provider education and high-level meetings. The candidate must have a proven track record of leadership and experience. No compromise will be made. 

A Certified Inpatient and Outpatient Professional Documentation Expert is responsible for ensuring the accuracy, completeness, and compliance of clinical documentation across both inpatient and outpatient settings. They collaborate with physicians, nurses, and other providers to clarify diagnoses, procedures, and treatment plans so that the medical record supports the patient’s severity of illness, risk of mortality, medical necessity, and appropriate reimbursement. Key duties include concurrent and retrospective chart review, generating and tracking provider queries, applying official coding and documentation guidelines, educating clinical staff on best practices, and monitoring documentation quality metrics to support regulatory, audit, and revenue cycle integrity.