6 claims supervisor jobs found

JOB SUMMARY The Coder is responsible for reviewing discharge abstracts and patient charts in order to assign the appropriate ICD-CM/CPT codes to diagnoses and procedures. Reviews charts for potential liability risk and documents specific information as necessary. Performs studies as requested by physicians or administration. Maintains State reporting documentation for certain procedures in compliance with regulations. The Coder encounters the mission of providing quality healthcare to the patients of WhidbeyHealth to ensure medical records are charged and coded accurately and efficiently. This position may be responsible for applying the appropriate codes for ICD-10, CPT / HCPCS, evaluation and management, and/ or modifiers to encounters for claims processing, or assessing, charging, and reconciling encounters. The Coder follows all federal, state and payer specific regulations and policies pertaining to documentation and coding requirements to ensure all work is in...

VACANCY ANN#: STOI-25-117 TITLE: BILLER/CODER DEPARTMENT: DCWMHC SUPERVISOR: PATIENT SERVICES REPRESENTATIVE SUPERVISOR LOCATION: WELLPINIT, WA STATUS: NON-EXEMPT, FULL-TIME RATE OF PAY: $25-$35 PER HOUR/DOQ OPENING DATE: DECEMBER 22, 2025 CLOSING DATE: OPEN UNTIL FILLED INTRODUCTION: The Biller/Coder is responsible for ensuring accurate and compliant coding, billing, and claim submission for all clinical services provided at the Tribal health center. This role supports the integrity of the revenue cycle by reviewing provider documentation, assigning appropriate ICD-10, CPT, and HCPCS codes, and ensuring timely submission of clean claims to Medicaid, Medicare, private insurance, and Purchased/Referred Care (PRC) where applicable. The position also helps maintain eligibility documentation, monitors denials, and collaborates with clinical and administrative staff to ensure proper documentation and reimbursement. ESSENTIAL DUTIES & RESPONSIBILITIES:...

CLOSING DATE: Open Until filled with Bi-weekly reviews POSITION: Medical Billing Specialist (3 positions) SALARY: $21.82 to $23.85, per hour DOE LOCATION: Nespelem Health Center, 6 month training in Nespelem,WA, with possibility of working in other districts upon completion of training. Basic Functions: This is a Non-Exempt position. Performs clerical standard and procedures of the Medical Billing Office through direct contact with eligible programs using computer-aided data entry screens. Minimum Qualifications: Education and Training: Typically requires an AA Degree Requires 12 months billing and coding experience with Anatomy and Pathophysiology training Requires a Certified Professional Coder (CPC) certificate from the American Academy of Professional Coders or Certified Coding Specialist (CCS) certificate from the American Health Information Management Association or ability to obtain within 90 days of hire and maintain certification...

Job Summary The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record. Job Specific Competencies 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing. a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy. b. Effectively utilizes coding software and/or books to confirm coding accuracy. c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding. 2. Receives and reviews paper fee slips for hospital...

CLOSING DATE: Open Until Filled, with Bi-Weekly reviews POSITION: Certified Professional Coder SALARY: $24.60-$29.96, per hour REPORTS TO: Patient Financial Services Supervisor LOCATION: Revenue Cycle Program, Nespelem, WA Basic Functions: Non-Exempt. Responsible for the accurate preparation and submission of claims to third party payers. Responsible for the accurate and timely performance of medical billing functions. Communicates with clients and Providers regarding insurance questions partnering with them to ensure accurate insurance information is received. Reviews and revise denials for resubmission to recoup claims. Complete daily reports for insurance verification, claims submission, insurance billing and research. MINIMUM QUALIFICATIONS: Education and Training: The position typically requires an Associate's degree AND Certificate from Medical Billing and Coding course of one year or longer (Transcript Required with Application) with...

Overview Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. Responsibilities This position is responsible for pre-billing resolution of medical coding claim defects that may impact reimbursement. This position also researches and reviews coding related claim denials and provides guidance on appropriate claim corrections, as needed. Qualifications We require: High school diploma or equivalent, Associates degree in related field preferred. Minimum of one year of coding experience...