10 claims resolution coder jobs found

Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care. Job Responsibilities Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into a computer system for billing and data collection within the established time frame. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service. Identify physician services provided but not adequately documented in the medical record and advise the coding auditor/educator or manager of deficiencies. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances. Perform follow-up claim duties as required and assigned. Comply with the Sixteenth Street TB Control Plan including PPD testing. Perform other...

Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care. Job Responsibilities Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into the computer system for billing and data collection within the established time frame. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service. Identify physician services provided but not adequately documented in the medical record and advise coding auditor/educator or Manager of deficiencies. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances. Perform follow‑up claim duties as required and assigned. Comply with the Sixteenth Street TB Control Plan including PPD testing. Perform other...

Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care. JOB RESPONSIBILITIES Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into a computer system for billing and data collection within the established time frame. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service. Identify physician services provided but not adequately documented in the medical record. Advise coding auditor/educator or Manager of deficiencies. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances. Perform follow-up claim duties as required and assigned. Comply with the Sixteenth Street TB Control Plan including PPD testing. Perform other duties as...

Coder I, Professional This is a full time day shift position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary: Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements: Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. Identifies all billable services. Reviews all applicable data sources, including but not limited to, electronic health record, inpatient admit, discharge and...

It's more than a career, it's a calling WI-Turville Bay Worker Type Regular Job Highlights This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre‑authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements PRIMARY RESPONSIBILITIES Manages assigned charge review and coding‑related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow‑up steps. Identifies all billable services. Reviews all...

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Wausau Hospital in Wausau, WI is seeking a Nursing Supervisor to join our Adult Medical Unit combined with a smaller Pediatrics Unit ! The Nursing Supervisor has day to day responsibility for the coordination, leadership and development of the nursing department, personnel, and operations. Assists with patient safety, quality efforts, financial management, employee satisfaction and community accountabilities. Assumes leadership responsibility in the absence of the manager or director. Promotes an environment where nursing/clinical staff can flourish through professional development, improvement in workflow and workload, optimization of talent and resources, implementation and validation of best practices, consistent and clear communication including closed loop...

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Wausau Hospital in Wausau, WI is seeking a Nursing Supervisor to join our Adult Medical Unit combined with a smaller Pediatrics Unit ! The Nursing Supervisor has day to day responsibility for the coordination, leadership and development of the nursing department, personnel, and operations. Assists with patient safety, quality efforts, financial management, employee satisfaction and community accountabilities. Assumes leadership responsibility in the absence of the manager or director. Promotes an environment where nursing/clinical staff can flourish through professional development, improvement in workflow and workload, optimization of talent and resources, implementation and validation of best practices, consistent and clear communication including closed loop feedback,...

Want to Make a Difference Through a Career in Healthcare? Welcome to Serenity. If you’ve ever wanted to use your billing and leadership expertise to make a difference, Serenity Healthcare is redefining what mental wellness looks and feels like, and our Accounts Receivable team plays a critical role in that mission. We’re not just looking for people who know medical billing codes by heart. We’re looking for detail-oriented leaders who thrive on accuracy, process improvement, and team success. If you can oversee complex receivables, ensure timely collections, and support your team with integrity and care, you’re our kind of person. What You’ll Do Lead an internal team of A/R specialists for a multi-state provider group Track and report on key performance indicators Ensure timely denial management Drive A/R process optimization across offices and functions Coordinate resolution of patient concerns regarding claims processing and billing issues with/through our patient liaison...

Details Client Name Froedtert Health - Froedtert Hospital Job Type Local Offering Non-Clinical Profession Professional Specialty Finance Job ID 14766891 Job Title Medical Billing Specialist Weekly Pay $910.0 Shift Details Shift Days 5x8 Scheduled Hours 40 Job Order Details Start Date 08/19/2024 End Date 11/14/2024 Duration 12 Week(s) Job Description Duties: Responsible for billing and follow-up of patient and client accounts based on working knowledge of regulations governing CPT codes, diagnosis codes, Medicare, Medicaid, managed care, and commercial insurance guidelines. Researches and resolves pending and unpaid laboratory claims to resolution. Accurately interprets remittance advices regarding payments, adjustments and patient responsibility ensuring payment amounts and patient billing are accurate. Reviews Electronic Fund Transfers (EFTs) / insurance payments where applicable to ensure money is posted to...

Job DescriptionJob DescriptionSummary :The Medical Biller is responsible for preparing, reviewing, correcting, and updating insurance claims for submission to payers,Typical Schedule :Full Time, Monday through Friday, DaysOnsite training / onboarding will be required.Qualifications :Recent experience in hospital billing required.Critical Access and / or Rural Health Clinic experience a plus.Experience in charge capture, coding, revenue cycle management, patient accounting and / or physician billing a plus.Experience with EPIC EMR preferred.Medical Terminology preferred.High School Diploma required.Responsibilities include :Investigating & resolving claim denialsIdentifying denial patterns and managing insurance project resubmissions with multiple claimsValidate denial code / reasons following explanation of benefit (EOB) review and ensure coding is accurate and reflects the procedures billedAnalyze all coding adjustments made on EOB to ascertain accuracy and valid supportReview...