18 billing coder jobs found

Program Integrity Coder- FWA Auditor Evolent partners with health plans and providers to achieve better outcomes for people with complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with the...

Certified Outpatient Coder At Memorial Medical Center, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve. You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing. We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage with...

Physician Coder: Multi-Specialty/RHC Physician Coder: Multi-Specialty/RHC is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coder: Multi-Specialty/RHC is expected to adhere to MedKoder's internal coding policies and expectations set forth by department management. Physician Coder: Multi-Specialty/RHC must prioritize daily duties, multitask, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. We are currently looking for candidates with recent coding experience specializing in the following areas: Rural Health Clinic (RHC) Family Medicine and multi-specialties Ideally candidates also have experience in Radiology (CT, US, MRI) and/or Urology procedures Responsibilities:...

Job Type Full-time Description Job Summary: ESSENTIAL FUNCTIONS: Consistently and accurately assigns ICD-10-CM, CPT and/or HCPCS codes in accordance with current year CMS/AMA CPT-4, HCPCS and Official ICD-10 Coding Guidelines by reviewing and interpreting medical documentation from physician office visit notes, procedure notes, nurse visit notes, provider orders, pathology, labs, etc. Identifies and abstracts any additional documented HCC diagnosis not listed by the provider in the Assessment/Impression/Final Diagnosis Review and report missing or incomplete documentation Query providers or clinic staff as necessary for clarification of documentation or lack thereof as it pertains to proper application of ICD-10-CM diagnosis coding, HCPCS and CPT E/M and procedure coding Monitor assigned work lists and provider lists to ensure all records are coded in a timely manner Meets departmental productivity standards for coding Maintain current knowledge of...

Job Description Job Description Benefits: 401(k) 401(k) matching Competitive salary Health insurance Opportunity for advancement Paid time off Vision insurance Clinic Description Ellie Mental Health New Mexico is a growing mental health and wellness agency. We provide individuals, couples, and group therapy services to New Mexicans. The Ellie Staff pride themselves on being an innovative and creating team that works collaboratively with clients and community partners to deliver the most comprehensive and personalized treatment to all clients. Required Qualications and Skills High School Diploma or Higher required. 2 years of medical billing, preferably within behavioral health or outpatient setting, required. Certification as a Medical Biller and Coder, preferred. Eective written and verbal communication skills. Ability to complete and submit documentation of services and other documents in a timely manner. Comfort and familiarity working with a diverse client...

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...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...

Scion Staffing has been engaged to conduct an immediate search for a Medical Biller for our client, a growing services and technology organization supporting the property and casualty insurance industry. This is a full-time, remote , temporary opportunity with benefits. Responsibilities: • Enter medical billing information (CMS-1500 and UB claim forms) into internal bill review systems with accuracy and attention to detail. • Analyze medical bills to evaluate appropriateness of charges, identify unrelated services, and confirm alignment with applicable coding and billing standards. • Review recommended payments against fee schedules, regulatory guidelines, and coding practices while identifying billing discrepancies, errors, and potential fraud. • Apply understanding of provider billing and patient accounting practices to research policies and uncover potential overpayment recovery opportunities. • Follow client-specific workflows and compliance requirements,...

Job Description The Staff Pad has partnered with a hospital in Las Vegas, New Mexico to recruit an experienced Health Information Management (HIM) Coder to join their on-site team. This individual will be responsible for reviewing, analyzing, and assigning diagnostic and procedural codes for inpatient, outpatient, and/or emergency department medical records using ICD-10-CM, CPT, and HCPCS coding systems in accordance with official coding guidelines and facility standards. Key Responsibilities: Review and abstract clinical documentation from patient records to assign accurate diagnosis and procedure codes Ensure compliance with federal regulations and hospital policies related to coding and billing Maintain productivity and quality standards established by the HIM department Query physicians when appropriate to ensure accurate and complete documentation Assist in resolving coding-related billing issues or discrepancies Stay current with coding guidelines,...

Benefits 401(k) 401(k) matching Competitive salary Health insurance Opportunity for advancement Paid time off Vision insurance Clinic Description Ellie Mental Health New Mexico is a growing mental health and wellness agency. We provide individuals, couples, and group therapy services to New Mexicans. The Ellie Staff pride themselves on being an innovative and creating team that works collaboratively with clients and community partners to deliver the most comprehensive and personalized treatment to all clients. Required Qualifications and Skills High School Diploma or Higher required. 2 years of medical billing, preferably within behavioral health or outpatient setting, required. Certification as a Medical Biller and Coder, preferred. Effective written and verbal communication skills. Ability to complete and submit documentation of services and other documents in a timely manner. Comfort and familiarity working with a diverse client base....

Description Summary: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues, denials, and physician documentation clarifications, to ensure accurate billing...

A client of Innova Solutions is immediately hiring for an Outpatient Coder multi-specialty Position type: Full-time, Contract Duration: 3+ Months Location: Remote in Texas, Louisiana, Arkansas, Georgia, New Mexico. As an Outpatient Coder multi-specialty you will: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate client's Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory...

Location Address: Remote Office , Santa Fe, New Mexico 87501, United States of America Compensation Pay Range: Minimum Offer $: 51209.6 Maximum Offer for this position is up to $: 78166.4 Now hiring a Investigator III-ABQ Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Fraud Investigator to join our team. Type of Opportunity: Full time Job Exempt: Yes Job is based : Remote Workers New Mexico Work Shift: Days (United States of America) Responsibilities: The SIU Investigator III supports Program Integrity efforts at Presbyterian Health Plan by conducting complex investigations into suspected healthcare fraud, waste, or abuse across providers, pharmacies, employees, members, and brokers. Responsibilities include reviewing medical records, identifying improper billing or coding practices, interviewing involved parties, coordinating overpayment recovery, and educating on documentation standards. Ideal candidates...

Responsive recruiter Replies within 24 hours Benefits: 401(k) 401(k) matching Competitive salary Health insurance Opportunity for advancement Paid time off Vision insurance Clinic Description Ellie Mental Health - New Mexico is a growing mental health and wellness agency. We provide individuals, couples, and group therapy services to New Mexicans. The Ellie Staff pride themselves on being an innovative and creating team that works collaboratively with clients and community partners to deliver the most comprehensive and personalized treatment to all clients. Required Qualifications and Skills • High School Diploma or Higher required. • 2 years of medical billing, preferably within behavioral health or outpatient setting, required. • Certification as a Medical Biller and Coder, preferred. • Effective written and verbal communication skills. • Ability to complete and submit documentation of services and other documents in a timely...

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...

Job Description Job Description Job Summary Responsible for reviewing patients’ medical records after a visit and translating the record into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting queries when appropriate. Essential Job Responsibilities Promote the mission, vision, and values of the organization Responsible for making sure CPT, HCPCS, modifiers, and ICD-10 codes are assigned correctly and sequenced appropriately as per guidelines and regulations. Ensuring compliance with medical coding guidelines and policies. Reviewing patients’ records and documents for verification and accuracy. Following up and clarifying any information that is not clear to other staff members. Appropriately querying providers per coding guidelines. Ensure all codes are current and active Observe confidentiality and safeguards of all patients’ related...

Job Description Job Description Description: Job Description Position: Medical Billing Specialist Department: Revenue Cycle Management/Revenue Cycle Services Supervisor: Billing Manager Employment Type: Full-Time Scope: We are seeking an experienced Medical Billing Specialist to join our billing team. The ideal candidate would have a background in the medical billing processes, excellent communication skills, and the ability to handle complex billing tasks efficiently. This role involves resolving billing errors, interacting with patients and various clients, and ensuring an accurate and timely billing practice. CLIA Responsibilities: This is not a CLIA regulated position. Duties / Responsibilities: Patient and Business Communication: Answer billing questions for patients and businesses. Take credit card payments over the phone and provide billing support as required. Check and reply to emails related to billing inquiries and updates. Error...

UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, New Mexico. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* *This position requires extensive knowledge and experience with E/M coding. *$4,000 Sign-on Bonus* Minimum $56,173 - Midpoint $70,217* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical...