5 claims resolution coder jobs found

ruralMED Management Resources, an Ovation Healthcare partner, seeks a Hospital Outpatient Specialty Coder. This role, under general direction, is responsible for critical access hospital coding; including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic. They will ensure the timely and accurate coding of medical claims while maximizing reimbursement for services. Duties and Responsibilities: Employee must have the skills, ability and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation.  Specific job duties will vary based upon client assignment.  Employee will also abide by ruralMED’s policies as a condition of employment. Charge Entry Receive and review charge entry data from practice sites Identify and investigate incomplete or missing charges Coding: Abstract clinical information; translates medical...

The intent of this job description is to provide a summary of the major duties and responsibilities performed in this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.   The  RCM Biller/Coder  is responsible for the accurate coding and billing of professional services to ensure timely, compliant, and clean claim submission across all affiliate sites. This role supports both  Athena  and  Epic  workflows and applies current  CPT, ICD-10-CM, and HCPCS  coding guidelines in alignment with Rancho Family MSO Revenue Cycle Management (RCM) policies and payer requirements. The Biller/Coder works collaboratively with RCM leadership and team members to resolve coding issues, address denials, and support optimal revenue cycle performance. Essential Job Duties:  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   Accurately assign...