17 drug reconciliation analyst coder jobs found

Drug Reconciliation Analyst/Coder The Drug Reconciliation Analyst/Coder is responsible to reconcile pharmacy transactions via superbills, appointment schedules, remittance advice, pharmacy reports and pharmacy invoices. Research and track all unpaid or denied claims writing appeal letters when necessary. Research any variances in payment to contracted rates. Work with Pharmacy personnel regarding any outstanding issues or discrepancies. Understand and update clinicians and Director on insurance coverage guidelines, benefits and policies. Maintain understanding of State and Federal guidelines. Keeps up to date on all coding requirements and guidelines and in-services as well as assists with any coding needs of the department. Qualifications: High School diploma or equivalent required. Technical Diploma in medical coding with certification. Completion of a credentialed coding education program. AHIMA or AAPC certification required. Certified Professional Coder,...

Drug Reconciliation Analyst/Coder The Drug Reconciliation Analyst/Coder is responsible to reconcile pharmacy transactions via superbills, appointment schedules, remittance advice, pharmacy reports and pharmacy invoices. Research and track all unpaid or denied claims writing appeal letters when necessary. Research any variances in payment to contracted rates. Work with Pharmacy personnel regarding any outstanding issues or discrepancies. Understand and update clinicians and Director on insurance coverage guidelines, benefits and policies. Maintain understanding of State and Federal guidelines. Keeps up to date on all coding requirements and guidelines and in-services as well as assists with any coding needs of the department. Qualifications: High School diploma or equivalent required. Technical Diploma in medical coding with certification. Completion of a credentialed coding education program. AHIMA or AAPC certification required. Certified Professional Coder, Certified Coding...

Drug Reconciliation Analyst/CoderThe Drug Reconciliation Analyst/Coder is responsible to reconcile pharmacy transactions via superbills, appointment schedules, remittance advice, pharmacy reports and pharmacy invoices. Research and track all unpaid or denied claims writing appeal letters when necessary. Research any variances in payment to contracted rates. Work with Pharmacy personnel regarding any outstanding issues or discrepancies. Understand and update clinicians and Director on insurance coverage guidelines, benefits and policies. Maintain understanding of State and Federal guidelines. Keeps up to date on all coding requirements and guidelines and in-services as well as assists with any coding needs of the department.Qualifications:High School diploma or equivalent required.Technical Diploma in medical coding with certification.Completion of a credentialed coding education program.AHIMA or AAPC certification required.Certified Professional Coder, Certified Coding Specialist,...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina,Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington....

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Willing to pursue your passion for caring with the Patient Revenue Management Organization, the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas. Occ Summary The Medical Coder Specialist will have frequent and daily interactions with internal and external clients, including but not limited to physician and non‑physician surgical providers. Responsibilities include primary...

We are looking for a Medicaid Rebate Coder to support a large-scale historical data cleanup initiative. This individual will play a key role in reviewing and validating medical coding data related to Medicaid rebate programs, with a primary focus on National Drug Codes (NDC) and HCPCS codes. Working through legacy data, this person will analyze approximately 300 records per week, identify discrepancies, and verify coding accuracy against external reference sources. The ideal candidate will be comfortable performing validation work, researching discrepancies, and maintaining a high level of accuracy while working independently on a large-scale remediation project. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race,...

Job Details Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals" by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition. Scheduling Flexibility and Perks The schedule and hours for this position are very flexible and we will work with you on work/life balance to build a schedule that works for you This position is 100% remote and we encourage national candidates to apply We...

Experience preferred. Certified Coder with 5+ years experience coding professional and facility fees for surgical cases and office visits. Specialties include Obstetrics/Women's Health, Orthopedics, Podiatry, Cardiology, Urology & General Surgery. 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...

Job Description We are looking for a Medicaid Rebate Coder to support a large-scale historical data cleanup initiative. This individual will play a key role in reviewing and validating medical coding data related to Medicaid rebate programs, with a primary focus on National Drug Codes (NDC) and HCPCS codes. Working through legacy data, this person will analyze approximately 300 records per week, identify discrepancies, and verify coding accuracy against external reference sources. The ideal candidate will be comfortable performing validation work, researching discrepancies, and maintaining a high level of accuracy while working independently on a large-scale remediation project. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment...

Medical Coder Specialist At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington. *Now offering a...

Atlas Healthcare Partners Job PostingAtlas Healthcare Partners exists to form strategic partnerships with health systems across the nation to develop, manage and operate Ambulatory Surgery Centers (ASCs) in their markets. As a key player in this rapidly growing healthcare segment, we are committed to providing exceptional care and outstanding customer service to every patient, every physician, every time. Our daily focus revolves around our core values of Integrity, Culture, Teamwork, Respect, and Results.In addition to fostering a workplace that encourages professional growth and advancement, we provide industry-leading health and dental benefits, paired with a matching retirement package. We look forward to you being a vital part of our journey in shaping the future of healthcare.Position SummaryEvaluates medical records, provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines.Essential...

Support Center If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist Healthcare's Support Center seeks to hire an experienced Coding Auditor for our Revenue Integrity department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Coding Auditor, you will: • Leads discussions and educational sessions, with manager support, with various impacted Revenue Integrity stakeholders. to improve overall revenue goals and departmental needs. • Analyzes and resolves billing edits and bill holds for areas impacted by coding • Manages assigned work queues and associated tasks to review, analyze, and provide corrective action. • Maintains work queues at agreed-upon levels to keep on task with department goals and objectives • Escalates barriers or concerns to the manager in a timely clearly articulated and documented format • Performs EHR analyses...

Medical Coder Primary City/State: Phoenix, Arizona Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Banner Health recently earned Great Place To Work Certification. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. This Coder will be supporting very busy providers/surgeons in our non-academic and academic arena. Ideal candidate would have 6 months of coding experience preferably in Oncology but someone with coding experience in the following areas can do well; ie. General Surgery, GI, Urology. Location: REMOTE, Banner provides equipment Schedule: Full time; Training 8am-5pm AZ time. Flexible scheduling after training completed. Ideal Candidate: Minimum 6 months recent experience in E/M coding (clearly reflected in your attached resume); Oncology...

Coding AuditorAdventist Healthcare's Support Center seeks to hire an experienced Coding Auditor for our Revenue Integrity department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Coding Auditor, you will:Lead discussions and educational sessions, with manager support, with various impacted Revenue Integrity stakeholders to improve overall revenue goals and departmental needs.Analyze and resolve billing edits and bill holds for areas impacted by coding.Manage assigned work queues and associated tasks to review, analyze, and provide corrective action.Maintain work queues at agreed-upon levels to keep on task with department goals and objectives.Escalate barriers or concerns to the manager in a timely, clearly articulated and documented format.Perform EHR analyses and research along with associated patient accounting, medical charting, and system interfacing to examine and understand underlying root causes of...

Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced Profee Coder with at least 1 year of Primary Care coding experience to join our talented team. In this role you can anticipate high volume coding for a busy family practice clinic, including charges for HCC diagnostic, and Annual and Physical exams. Location: REMOTE, Banner provides equipment Schedule: Full time; 8am-5pm AZ time. Flexible scheduling after training completed. Ideal Candidates Minimum 1 year recent experience in E/M Family Practice coding (clearly reflected in your attached resume); Must...

Job Summary #CA-KN This role is responsible for billing and follow-up activities to maximize reimbursement from Commercial, Government, Medicare, and third-party payors Minimum Qualifications High School Diploma, GED or equivalent work experience Previous billing experience in a health care environment. Ability to interpret payments, correspondence and denials from insurance companies, agencies and other departments. Independent decision-making skills to determine appropriate course of action when following up or billing accounts. Detail oriented, with demonstrated organizational skills and the skill to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner. Adaptability and flexibility to accommodate changes in policies, procedures and management. Demonstrated interpersonal skill to work effectively with internal and external staff in a wide variety of business and clinical areas. Demonstrates good verbal and...

Join to apply for the Profee Coder Urology role at Banner Health Estimated Pay Range: $22.06 - $33.10 / hour, based on location, education, & experience. Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle We are looking for a motivated, experienced Profee Coder with at least 1 year of Urology coding experience to join our talented team. Preferred experience in Urology and Gynecology Oncology surgeries and coding, knowledge and experience with academic coding/guidelines. Requirements: Minimum 1 year recent experience in E/M Urology coding (clearly reflected in your attached resume) Urology and Gynecology Urology Surgery experience preferred Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. Please upload a copy or provide certification number in your questionnaire. This is a COMPLEX role, requiring more than a CPC-A level certification. Don't quite meet the above requirements? Check out some of our...