5 certified coder analyst jobs found

SCOPE: Under minimal supervision performs periodic, comprehensive coding audits for all assigned regional oncologists (medical, radiation and surgical oncology).   Verifies charge documentation and charge submission processes are in compliance with Federal and State regulations, as well as payer guidelines. Coordinates efforts with manager and front office managers to ensure optimal revenue cycle processes and adherence to compliance and revenue cycle policies and procedures.  Provides effective educational feedback to physicians and staff on findings from audits and updates in Payer billing regulation . ESSENTIAL DUTIES AND RESPONSIBILITIES: Develops Audit and Education Programs Abstracts relevant clinical and demographic information from the medical record to assign current ICD and CPT codes in accordance with coding and reimbursement guidelines. Codes with an accuracy of 97% based on QA internal reviews Performs Evaluation and Management (E&M)...

Director of Operations/Revenue Cycle Manager Millstone Healthcare Full-Time | Leadership Role | Physical Medicine Practice About Millstone Healthcare Millstone Healthcare is a growing multi-disciplinary physical medicine practice with over $3 million in annual revenue and a team of 35+ employees dedicated to delivering exceptional patient care. We specialize in Federal Workers Compensation, Personal Injury, & Aesthetics.  Our collaborative environment brings together providers and staff focused on improving patient outcomes while creating an efficient, positive experience for every patient we serve. We are seeking an experienced, highly organized, and results-driven  Director of Operations/Revenue Cycle Manager  to oversee the daily operations of our practice and help lead our next phase of growth. Position Summary The Director of Operations/Revenue Cycle Manager will be responsible for the overall administrative and operational performance...

JOB PURPOSE: Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel on coding guidelines, and ensuring the accuracy and timeliness of clinical documentation. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting performance results to leadership, and supporting HCC/RAF optimization strategies. The role will also oversee the training of Medical Practice Assistants, Physician and IDT disciplines in ICD-9/ICD-10 guidelines. JOB RESPONSIBILITIES: Responsible to deliver accurate and timely billing of insurance claims and patient statements for all...