17 data collector coder jobs found

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Biller II Full Time Clerical 605 Admin, San Pedro, CA, US 3 days ago Requisition ID: 1020 Salary Range: $25.00 To $28.00 Hourly MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to our community. Our vision is “Improving the Health and Well-Being of Our Community.” Our core values are Integrity, Compassion, and Excellence. Employees are expected to demonstrate a strong commitment to the mission, policies, goals, and philosophy of Harbor Community Health Centers. JOB SUMMARY Reporting to the Revenue Cycle Manager (RCM), the Medical Biller II is responsible for the billing and collection activities for the clinic’s primary care, pediatric, behavioral health, and dental services. This position works closely with providers, Front Office staff, and the...

Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Coder of Risk Adjustment will be responsible...

Associate Director, Clinical ResearchThe University of Texas MD Anderson Cancer Center is dedicated to eliminating cancer through integrated programs in patient care, research, prevention, and education. Within the Department of Colorectal Medical Oncology in GI Medical Oncology, the Associate Director, Clinical Research provides leadership for complex clinical and translational research programs that support innovative cancer therapies and improved patient outcomes. The department manages a portfolio of investigator-initiated, cooperative group, and industry-sponsored clinical trials focused on advancing treatment options for patients with colorectal cancers.The Associate Director, Clinical Research is responsible for directing clinical research operations, research infrastructure, quality assurance activities, and multidisciplinary research teams. The Associate Director, Clinical Research serves as a strategic partner to faculty and institutional leadership while ensuring...

Job Description Job Description Role Description This is a full-time on-site role for a Medical Billing Specialist. As a Medical Billing Specialist, you will play a crucial role in ensuring the financial health of our customers. We seek individuals with a strong work ethic, excellent problem-solving skills, and a genuine passion for medical billing. Your responsibilities will include managing insurance communications, reconciling insurance EOBs and payments, maintaining patient confidentiality, managing denials, utilizing ICD-10 codes, verifying insurance information, and working with commercial and government insurance providers. Due to the nature of the healthcare industry, a high degree of professionalism and attention to detail is essential.   Responsibilities Function as a subject matter expert in support of other billing team members. Demonstrate a good understanding of payer benefits requirements, claims status, submissions of claims, insurance follow-up, payment...

Under general supervision of the Director, the Coder II provides consistency and efficiency in outpatient claims processing and data collection to optimize APC reimbursement and facilitate data quality in outpatient services. Reviews, audits, and reports on charge capture. Maintains patient confidentiality at all times. ESSENTIAL JOB FUNCTIONS Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position. Analyzes IP, OP, Recurring, & SDC records and appropriately codes per coding guidelines, ICD-10-CM and CPT rules and updates, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate,...

JOB SUMMARY Assign ICD-9-CM CPT4 diagnostic and procedural codes for diagnosis to records of hospice patients. Provides review and analysis as part of the hospice quality improvement programs, including various collection of data and infection prevention. JOB REQUIREMENTS Minimum Education Graduate of Accredited School of Nursing (LVN) Minimum Work Experience 1 year coding 5 years of nursing/experience Required Licenses/Certifications Current state license as an LVN Certified coding specialist must have any of the following certifications: CPC COC CIC COC-P CPC-A CCS Required Skills, Knowledge, and Abilities Compile and analyze reports Establish filing systems Input data into computer programs Maintain logs Research information Use computerized spreadsheets to conduct analysis

Job TitleAssign ICD-9-CM CPT4 diagnostic and procedural codes for diagnosis to records of hospice patients.Provides review and analysis as part of the hospice quality improvement program including various collection of data and infection prevention.Job RequirementsMinimum Education: Graduate of Accredited School of Nursing (LVN)Minimum Work Experience:1 year coding5 years of nursing/experienceRequired Licenses/Certifications:Current state license as an LVNCertified coding specialist must have any of the following certifications:CPCCOCCICCOC-PCPC-ACCSRequired Skills; Knowledge; and Abilities:Compile and analyze reportsEstablish filing systemsInput data into computer programsMaintain logsResearch informationUse computerized spreadsheets to conduct analysis

University Medical Center of El Paso is seeking an Outpatient Coder/Abstractor to accurately code, sequence, and abstract outpatient records in accordance with ICD-10-CM and CPT coding guidelines to support timely reimbursement and robust data collection. The role involves querying physicians for documentation clarification and performing duties within approved practices, with independent judgment under established guidelines. One year of outpatient coding experience or internship is required. #J-18808-Ljbffr

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. The Role: Accounts Receivable Specialist The Accounts Receivable Specialist performs collection and follow up activities with third party payers to resolve outstanding balances, secure accurate and timely adjudication, and achieve successful closures of aged accounts receivable. What You'll Be Doing: Performing online account status checks and following up with payers by phone, email, etc. on outstanding claim balances of assigned accounts Clearly document in EMR system patient account notes, the payment status of the account, and/or actions taken to secure payment. If applicable, requests account for additional follow up activity within a prescribed number of days in accordance with payer specific filing requirements or processing time required for insurance to complete processing. Must note all actions taken within the notes section to ensure all prior touches have been...

Associate Director, Clinical Research The University of Texas MD Anderson Cancer Center is dedicated to eliminating cancer through integrated programs in patient care, research, prevention, and education. Within the Department of Colorectal Medical Oncology in GI Medical Oncology, the Associate Director, Clinical Research provides leadership for complex clinical and translational research programs that support innovative cancer therapies and improved patient outcomes. The department manages a portfolio of investigator-initiated, cooperative group, and industry-sponsored clinical trials focused on advancing treatment options for patients with colorectal cancers. The Associate Director, Clinical Research is responsible for directing clinical research operations, research infrastructure, quality assurance activities, and multidisciplinary research teams. The Associate Director, Clinical Research serves as a strategic partner to faculty and institutional leadership while ensuring...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Overview Texas Oncology is looking for a Medical Assistant Supervisor to join our team! This position will support the Dallas Presbyterian location. This is a full-time Monday - Friday (hours 8:30am-5pm) position with no weekends, call, or major holidays. Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology , we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." in their fight against cancer. Today, Texas Oncology treats half of all Texans...

Research Nurse Supervisor UT MD Anderson is a leading institution focused on cancer care, research, education, and prevention. Within GI Medical Oncology, the Research Nurse Supervisor plays a critical role in overseeing clinical research protocols, coordinating protocol patient care, and supporting research operations that advance innovative cancer treatments. The Supervisor, Research Nurse serves as a key leader in ensuring the successful execution of research studies while maintaining high standards of patient care and regulatory compliance. At UT MD Anderson, the Research Nurse Supervisor partners with investigators, research staff, and clinical teams to support protocol management, staff development, quality assurance activities, and operational excellence. This position combines clinical expertise, leadership, and research knowledge to help advance the mission of ending cancer. The ideal candidate will possess a Bachelor's degree in Nursing, experience in clinical research...

Job Title Medical Biller / Collector Job Summary We are seeking a dedicated and detail-oriented Medical Biller to join our team full-time. The role involves supporting the revenue cycle, ensuring accurate claim submission, timely reimbursement, and compliance with payer requirements for specialty medications, infusion services, and ambulance/EMS billing. Applicants must be within driving distance of the office. Responsibilities Ensure accurate claims information, including patient data, diagnoses and procedure codes. Submit claims on time to primary, secondary, and tertiary payers. Follow up on denied or unpaid claims. Obtain and verify prior authorizations for services, treatments, and procedures. Review patient insurance eligibility and benefits to ensure coverage requirements are met. Process all forms needed for insurance billing purposes. Answer questions from patients related to billing. Collect necessary documentation related to billing. Act as a Revenue Cycle liaison...

Compliance Auditor needed! Join our growing organization! Onco360 has an immediate need for a Compliance Auditor. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Remote opportunity! Some Travel required - see details below Starting Salary at $60,000 and up, depending on experience Summary: The Compliance Auditor will assist the Onco360/CareMed/ConnectMed360 Compliance Team through the completion of routine and random pharmacy compliance audits at Onco360/CareMed/ConnectMed360 pharmacy locations to ensure all pharmacy activities and operations are executed in compliance with state and/or federal regulations and laws governing pharmacy operations. This individual provides support to Onco360/CareMed/ConnectMed360 pharmacy operations teams in answering compliance and regulatory questions based around their needs. The Compliance Auditor shall develop and provide...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Biller II Full Time Clerical 605 Admin, San Pedro, CA, US 3 days ago Requisition ID: 1020 Salary Range: $25.00 To $28.00 Hourly MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to our community. Our vision is “Improving the Health and Well-Being of Our Community.” Our core values are Integrity, Compassion, and Excellence. Employees are expected to demonstrate a strong commitment to the mission, policies, goals, and philosophy of Harbor Community Health Centers. JOB SUMMARY Reporting to the Revenue Cycle Manager (RCM), the Medical Biller II is responsible for the billing and collection activities for the clinic’s primary care, pediatric, behavioral health, and dental services. This position works closely with providers, Front Office staff, and the...

JOB SUMMARYSupport and provide coding and compliance training to clinical personnel, billing, and / or other client staff.Establish effective communication with clinical staff, and / or hospital staff to address documentation, coding, and reimbursement issues.Use knowledge of coding and compliance guidelines to identify potential billing / reimbursement issues.Participate in special audits and system administration as necessary.ESSENTIAL DUTIES AND RESPONSIBILITIESInclude the following.Others may be assigned.Performs diagnosis data submissions to Client, Vendors and internal StakeholdersDevelop monthly productivity and revenue projectionsResponsible for chart assignment oversight and monitoring accounts on holdPrepares data collection reports for leadershipMonitors diagnosis submission progress; Audit diagnosis submission files to ensure accuracyReviews, analyzes and oversight of prebill / post bill reviews and pending accountsWorks to resolve workflow, systems and complex matters...