40 coder provider practice jobs found

Job Details Physician Office | Kettering | Full-Time | First Shift Responsibilities & Requirements Job Overview: The Certified Risk Adjustment Coder is responsible for reviewing the ambulatory records for the appropriate risk adjustment components. The Risk Adjustment Coder will identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes. The Risk Adjustment Coder will leverage the MEAT (Monitor, Evaluate, Assess, Treat) criteria for accurate documentation by providers. When appropriate, the Risk Adjustment Coder will query providers to clarify the HCC codes placed, inquire on additional documentation to support the HCC code placed, or discuss overall opportunities within the record. The Risk Adjustment Coder will supplement the educational offerings of the MSO by providing right-time feedback to providers when documenting or coding the risk adjustment on patient records. The Risk Adjustment Coder...

Medical Coding and Billing Compliance Auditor, Remote page is loaded## Medical Coding and Billing Compliance Auditor, Remotelocations: Personalized Health Partnerstime type: Full timeposted on: Posted Yesterdayjob requisition id: R-0000114860**Job Address:**10123 Alliance Road, Suite 320Blue Ash, OH 45242# **Medical Coding and Billing Compliance Auditor****Location:** Remote **Department:** Coding Compliance **Reports To:** Director of Coding **Employment Type:** Full-time Exempt# **About the Role**The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy and documentation integrity and ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office...

PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. JOB DUTIES/RESPONSIBILITIES Duty 1: Maintains a thorough understanding and education of federal and state regulations and payer...

Medical Assistant Supervisor Location US-OH-Dayton Job ID 357864 Pos. Category Medical Center - Leadership Pos. Type Full Time Recruiter : Full Name: First Last Amanda Saenz Overview Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time. Join us at Concentra and see how your clinical competency and compassion can make a meaningful difference in the lives of the patients you serve. As an Assistant Center Operations Director (ACOD), you will assist and support the Center Operation Director with ensuring that the optimal level of care and customer service is delivered to all customers. The ACOD will assist with leading and managing center support staff and overseeing the daily operations of the medical facility. The ACOD will also assist with...

Medical Claims Specialist This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. Job Duties/Responsibilities Maintains a thorough understanding and education of federal and state regulations and payer specific policies and...

Job Title This position represents the City of Cincinnati to customers and deals with patients, billing, and coding. Job Description This experienced employee is responsible for processing, generating, and maintaining medical/dental billing; verifying patient information and demographics. The role also involves maintaining and obtaining required paperwork for processing medical/dental claims from health center services. The employee interacts with customers in person, by telephone, by email, or in writing while maintaining a high level of customer satisfaction. The employee performs more complex customer service tasks, including determining proper course of action for billing activities, authoring correspondence, researching and analyzing complex customer issues, and assisting supervisor with customer calls and issues referred for supervisor intervention. The employee may be assigned special projects and investigations. Performs related duties as required. Minimum...

Medical Coding and Billing Compliance Auditor The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy and documentation integrity and ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office applications including PowerPoint, Word, Excel, Outlook, TEAMS, and SharePoint. The Medical Coding Auditor will have a background in Physician feedback and education on documentation integrity and coding accuracy. The ideal candidate will have an extensive background and knowledge of CPT coding, ICD10CM coding, E&M coding, HCC methodologies, modifiers, telehealth, and HCPCS coding. The candidate will understand and know where to access Medicare Physician Fee Schedule...

Job Description Job Description Description: JOB TITLE: Medical Certified Professional Biller DEPARTMENT: Administration – Finance – Revenue Cycle Management REPORTS TO: Director of Revenue Cycle Management STATUS: Non-exempt SUMMARY: Responsible for entering and coding patient services into computer system and ensuring encounters transfer properly for submission to insurance payers. Sorts and files paperwork, handles insurance claims, and performs collections/refund duties. ESSENTIAL DUTIES AND RESPONSIBILITIES: Collect, post, and manage patient account payments. Submit claims to insurance payers. Review delinquent accounts and call for collection purposes. Collect unpaid claims and clear up discrepancies Process refund requests to patients and insurance payers. Maintain strict patient confidentiality and information security. Sort and file paperwork. Ensure healthcare facilities are reimbursed for all procedures. Handle information about patient...

Join Our Dynamic Team At Ohio State University Physicians Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion? With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our Buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth. At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community. We know that having options and robust benefit plans are important to you. OSUP...

Job Description: Title: Medical Billing Specialist Job Code: 64305OH Division: Senior Living Corporate Status: Non-Exempt Reports to: Lead Medical Billing Specialist Revision date: April 2019 Supervises: n/a PURPOSE According to prescribed policies and procedures of the organization including all applicable state, federal and accreditation regulations and under the general supervision of the Lead Medical Billing Specialist assumes responsibility for performing all general accounting, billings, and bookkeeping functions for the Senior Living Division's Facilities. ESSENTIAL FUNCTIONS Manage accounts receivable for medical billing for the Senior Living Division including, but not limited to: Part A and B Medicare, Medicaid, Home Health, Hospice, Part B, Outpatient, Managed Care, Insurance, and Co-Insurance Billing. Communicates with different insurance carriers for timely payment of our services. Prepares and files insurance claims. Performs...

Job Description Job Description University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and treatments to primary care for the entire family. The primary site of inpatient care services is at the University of Toledo Medical Center, but many of our physicians’ practice at hospitals and medical offices throughout the region. University of Toledo Physicians offers competitive pay and benefits including: 403B, Pension, health and tuition waiver at UT. POSITION SUMMARY The Revenue Integrity Analyst II performs advanced level work related to clinical denial management and ensuring accurate claim submission. This position works within the Revenue Integrity Department and is...

Primary Location: Work From Home - KY - ULP - AMG Address: Home OfficeRemote, KY 40601 Shift: First Shift (United States of America) Job Description Summary: Job Description: WE ARE HIRING! Location : REMOTE About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians' academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow's physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient. With more than 13,000 team members - physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is...

Job Description Summary The Coder III, under the direct supervision of the Hospital Coding Supervisor, serves a dual role focusing on coding accuracy and team education. This position is responsible for abstracting medical record documentation across various settings (inpatient, outpatient, clinic, and emergency department) to select and sequence appropriate ICD-10-CM/PCS, HCPCS, and CPT4 codes. The Coder III ensures adherence to coding compliance guidelines for accurate and timely assignment of codes, including final DRG assignment. A key aspect of the position is providing ongoing education and training to care team members to enhance coding proficiency and compliance with regulatory requirements. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC002307 SYS - Hospital Coding Pay Rate Type Hourly Pay Grade Health-26 Scheduled Weekly Hours 40 Work Shift Job Description...

Overview Medical Coder-Aleca Home Health As our company expands, we are actively seeking seasoned Medical Coders. If you're prepared to elevate your career and reap the rewards of an unparalleled compensation package, we extend a warm invitation for you to join us on our journey of growth here at Aleca Home Health! Why Choose Aleca Home Health? Comprehensive Benefits : Access to comprehensive benefit coverage plans to ensure your health and well-being are prioritized. Generous PTO : Enjoy ample paid time off to recharge and pursue personal endeavors, fostering a healthy work-life balance. Tuition Reimbursement : Invest in your professional development with our tuition reimbursement program, empowering you to advance your skills and knowledge. IT Equipment : Equip yourself with the necessary tools for success with state-of-the-art IT equipment provided by Aleca Home Health. Collaborative, Supportive Team : Join a team of passionate professionals...

Your job is more than a job Additional Job Description The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (i.e. family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). The Coding Senior may be assigned any of the coding functions of a Coding Specialist I. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all...

Department: 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Monday-Friday, Remote, Flexible Hours Remote position and can work remotely out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IN, IL, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Pay Range $30.15 - $45.25 EDUCATION/EXPERIENCE Minimum of five years' of coding experience in an academic medical center or an equivalent combination of coding experience and education with demonstrated competency of knowledge base. Coding QA background or similar experience preferred. Satisfactory completion of college level courses in anatomy, physiology and medical terminology preferred. EPIC health information system experience preferred. LICENSURE,...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Note: While this role is currently remote, we are prioritizing candidates within commuting distance of our Rossford, Dublin, or Brooklyn offices to accommodate a potential future shift to a hybrid schedule. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Job Summary: Supervises staff, operations, and activities of the Risk Adjustment Retrieval and Coding Quality Department. Acts as a primary liaison between provider groups, medical coding, and chart retrieval teams to communicate appropriate documentation for Risk Adjustment coding. Serves as a Risk Adjustment documentation subject matter expert; delivers applicable Centers...

General Summary: Responsible for ensuring proper codes are used in order to maximize returns. Works under the supervision of the office manager Principal Duties & Responsibilities: Example of Essential Duties: Responsible for Coordinating Laboratory and Pathology coding/billing by receiving patient treatment codes to use in reimbursement claims Responsible for creating reimbursement claims and transfer to Medicare/third party payers Responsible for Coordinating reimbursement activities including pending with errors and denials with insurance companies using e-Clinical Works. Responsible for communicating with Physician and their office billing/coding issues. Responsible for submission for paperwork to insurance when required. Responsible for e Clinical works billing processes and workflows. Assist patients and PARs with patient billing issues Responsible for communicating coding/billing issues with Laboratory Management. Other Essential Duties...

Overview Coder - Full Time Laredo Rehabilitation Hospital in Laredo, Texas is a full-service inpatient rehabilitation hospital committed to helping patients in South Texas recover and thrive after serious injuries or illnesses. Our hospital provides intensive rehabilitation programs for stroke patients, brain and spinal cord injuries, orthopedic injuries, and other complex conditions, all under the guidance of our skilled multidisciplinary team. We pride ourselves on offering personalized care - our physical, occupational, and speech therapists tailor each treatment plan to the patient's unique needs and cultural background, reflecting the community we serve. With modern facilities and a caring bilingual staff, we ensure patients, and their families feel supported and informed throughout the recovery journey. Accredited by The Joint Commission and consistently rated among top rehab providers, Laredo Rehabilitation Hospital is dedicated to restoring independence and...

Join Datavant, the leading data collaboration platform in healthcare, dedicated to ensuring the world's health data is secure, accessible, and actionable. Our mission drives us to provide essential data solutions for a variety of healthcare organizations, including providers, health plans, researchers, and life sciences companies. At Datavant, you will be part of a passionate team focused on transforming the future of healthcare through innovative data connectivity. What We Are Looking For: As an HCC (Hierarchical Condition Category) Auditor, you will be pivotal in reviewing medical records that have been coded in a standardized system, ensuring each patient’s conditions are accurately represented for risk adjustment and reimbursement. Your expertise will help translate clinical documentation into precise codes, reflecting the complexity and severity of patients' health statuses while confirming the accuracy of your work. What You'll Be Doing: Audit coded charts...

Description Note: While this role is currently remote, we are prioritizing candidates within commuting distance of our Rossford, Dublin, or Brooklyn offices to accommodate a potential future shift to a hybrid schedule. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Job Summary: Supervises staff, operations, and activities of the Risk Adjustment Retrieval and Coding Quality Department. Acts as a primary liaison between provider groups, medical coding, and chart retrieval teams to communicate appropriate documentation for Risk Adjustment coding. Serves as a Risk Adjustment documentation subject matter expert; delivers...

Job Summary The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital setting. The Coder is also responsible to assist the Revenue Cycle team. Under the direction of the System Director of Revenue Cycle, the Coder collaborates with the Providers, BMS Practice Managers, and COO to ensure timely and compliant billing for services provided. Job Requirements Minimum Education Requirement Training/certification from an accredited coding/billing program. Must be certified upon hire, or successfully complete certification exam within 3 months of hire. Minimum Experience Requirement Three years' experience in medical office billing preferred. Working knowledge of computers, billing and basic office software, especially Excel. Ability to communicate with all levels of staff. Analytical ability to detect trends in reimbursement/collections and to...