25 medical billing specialist 2 jobs found

Specialty Scope for this Coder II Position to Include but Not Limited To: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy Tibia/Fibula: Plateau repairs,...

Why consider this job opportunity Estimated pay range of $26.13 - $33.97 per hour, depending on experience Opportunity for career advancement and growth within the organization Supportive and collaborative work environment focused on quality care Chance to make a positive impact on coding compliance and education for healthcare providers Work with a renowned healthcare organization recognized for excellence in patient care What to Expect (Job Responsibilities) Perform comprehensive audits to assess the integrity of coding and billing for physician and clinical fees Identify and correct documentation, coding, and billing errors as well as evaluate medical necessity of services billed Develop and execute educational opportunities and resources based on audit results and coding compliance trends Lead provider education events to discuss audit results and implement action plans Establish positive working relationships as a subject matter expert to ensure understanding of federal...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not‑for‑profit healthcare system in Texas that empowers you to live well. Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Eligibility on day 1 for all benefits Dollar‑for‑dollar 401(k) match, up to 5% Debt‑free tuition assistance, offering access to many no‑cost and low‑cost degrees, certificates and more Immediate access to time off benefits At Baylor...

Job Description Job Overview - Medical Billing Specialist (EMC / EDI): Compensation: $21/hour Location: Westchester County, NY Schedule: Monday to Friday, 8:00 AM - 4:30 PM TAG MedStaffing is hiring a Medical Billing Specialist (EMC / EDI) in Westchester County, NY, for our client. This temp-to-perm position involves managing electronic claims submissions, resolving billing errors, and ensuring clean data entry using systems like RCx Rules, Waystar, and NextGen. Ideal for detail-oriented billing professionals experienced in EDI transaction workflows and healthcare claims processing. Responsibilities as the Medical Billing Specialist: Claims Management: Review, correct, and update billing encounters using RCx Rules, Waystar, and NextGen. EDI Processing: Submit primary, secondary, and ancillary claims via EMC/EDI files to clearinghouses and resolve transmission errors. Pre-Bill & Edits: Run pre-bill reports and daily edits to ensure coding accuracy and...

Coder Vi Specialist - Hospital Inpatient The Coder VI Specialist - Hospital Inpatient analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. What You Can Expect Accurately review and code patient records in the following clinical areas: hospital acute inpatient services. Meet defined coding accuracy and production...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. **Job Location (Full Address):** 905 Elmgrove Rd, Rochester, New York, United States of America, 14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation Range: $60,431.00 - $84,603.00 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to,...

Coding Specialist Location Detail: 9 Farm Springs Rd Farmington (10566) Shift Detail: 100% Remote Position Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric...

Medical Coder and Auditor - Family Care Practice Full-Time Monday - Friday Flexible Schedule $22.00 - $28.00 per hour (depending on experience) Medical Coder and Auditor Benefits: Generous paid time-off that increases with years of service 8 paid holidays per year Closed on major holidays Free onsite parking Health, dental and vision benefits availablewith coverage effective the first of the month following date of hire Full complement of voluntary benefits $1,000 annual employer HSA contribution for employeesenrolled in CNYFC high deductible health plan Free office visits with NP or PA employees who are patients of the practice and enrolled in CNYFC high deductible health plan Waiver program for health benefits ($3,000 annually) 401K after six months with up to 7% combined employer match and annual discretionary profit-sharing contribution Annual performance review, performance-based merit increase CNY Family Care's commitment to excellence sets us apart and guides us as we...

A medical management firm located in Syracuse seeks a Billing Specialist. The role includes charge posting, submission of insurance forms, maintaining records, and answering patient inquiries. Candidates should have a high school diploma and 2 years of clerical experience in medical billing. Strong interpersonal skills and competency with related software are essential. This position operates Monday to Friday, 8 AM to 4:30 PM, and is entry-level. Competitive full-time employment opportunities available. #J-18808-Ljbffr

Join to apply for the Compliance Auditor Analyst role at Upstate Medical University 5 months ago Be among the first 25 applicants Join to apply for the Compliance Auditor Analyst role at Upstate Medical University Get AI-powered advice on this job and more exclusive features. Job Summary Position Summary: Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and billing audits. Duties/Responsibilities Analysis of coding and billing data, identification of trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines. Interpretation of coding, billing, and regulatory standards. Preparation and completion of audit reports including recommendations, education and corrective action. Knowledge, Skills and Abilities: Strong...

Assistant Coding Manager As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation Range: $60,431.00 - $84,603.00 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience,...

Schedule - Shift - Hours Full Time (40 Hours) - Days The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to: Managing the charge entry and charge reconciliation process for the assigned practice(s). Managing the Encounter Billing Exception Worklist (EBEW) and related worklists to ensure complete, timely and accurate submission of claims. Facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms. Ensuring compliance with CPT/HCPCS and ICD-9/ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts. Ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. Establishing relationships with medical/dental staff, following up with providers to...

This position can be local or remote!! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to: Managing the charge entry and charge reconciliation process for the assigned practice(s). Managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete, timely and accurate submission of claims. Facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms. Ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts. Ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. Establishing relationships with medical/dental staff, following up with providers to ensure documentation...

Senior Hospital Coder - TSH page is loaded## Senior Hospital Coder - TSHlocations: 22 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition id: 67645Department/Unit:Health Information ServicesWork Shift:Day (United States of America)Salary Range:$60,367.47 - $90,551.20The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to...

Outpatient Medical Coder 3 Department: Health System Shared Services | Revenue Management Scope of Position: Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process. Position Summary: The position is responsible for coding medical records and other documents at the conclusion of the patient's visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate...

Assistant Coding Manager As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation Range: $60,431.00 - $84,603.00 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience,...

Join to apply for the MLW Coder role at White Plains Hospital 4 days ago Be among the first 25 applicants Join to apply for the MLW Coder role at White Plains Hospital Get AI-powered advice on this job and more exclusive features. Position Summary Position Summary Responsible for diagnosis coding for all Laboratory records according to established guidelines. Assists with Laboratory Outreach registrations as the need arises. ICD-10 Coding coordination and follow-up with physician offices. Performs other duties as assigned. Essential Functions And Responsibilities Includes The Following: Understands and adheres to the WPH Performance Standards, Policies and Behaviors. Review and confirmation of all Outreach Laboratory requisitions for appropriate diagnosis coding. Enters appropriate ICD-10 diagnosis codes in the HIS. Coordinate contacts with physician offices for diagnosis and/or ICD-10 codes if not provided on the referring prescription. Documents phone conversation with...

AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice with multiple locations throughout the Western New York region.Offering flexible working hours and full remote work, candidates must reside in New York State in order to make periodic visits to the office.This direct hire role is part of a Billing team that manages the full lifecycle of medical claims from charge entry and claim submission to payment posting, denial management, and patient billing.Duties and ResponsibilitiesTrack claim status using payer portals and billing software; resolve rejections and denials.Prepare and submit appeals, including documentation and provider narratives.Identify and report trends in denials, underpayments, and billing errors.Generate and review reports, including aging summaries and outstanding claims.Verify insurance coverage, benefits, and prior authorizations.Respond to patient and insurance inquiries by phone or email.Assist with A / R...

Ambulatory Practice Coder/Auditor Network - ON-SITE 2 days ago Be among the first 25 applicants Job Summary: The Coder is responsible for auditing medical records, including applicable diagnoses and operative/diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is responsible to provide education and training to providers and other agency coders based on the findings of the medical records audits. Does related work as required. Responsibilities Using the current HCPCS, ICD and CPT coding guidelines, audit medical records for coding accuracy. Identify patterns and opportunities requiring provider education. Work with providers and office staff to educate on...

Job Description Job Description REQUIREMENTS · A minimum of 2 years of medical billing experience, including filing claim appeals · Strong organizational skills and attention to detail · Proper phone etiquette and communications skills, both verbal and written · Appropriate computer hardware including secure Wi-Fi and double monitors, to temporarily work a hybrid schedule from home due to COVID   RESPONSIBILITIES · Reviews insurance payments for accuracy based on agreed upon fee schedules · Prepares and sends appeals for underpaid or incorrectly denied claims · Makes follow up calls to insurance carriers on outstanding balances · Answers patient telephone calls during business hours · Completes other daily tasks as assigned Company Description Our company provides anesthesia practice management services for approximately 500 anesthesiologists and certified registered nurse anesthetists in the Tri-state area. We are affiliated with Northwell Health, New York’s...

Job Description Job Description Job Title: Accounts Receivable Specialist Reports To: Director of Revenue Salary: $48,000 - $53,000 Position Summary: The Accounts Receivable (AR) Specialist manages the complete accounts receivable cycle with a specialized focus on program-based and client-specific billing. Reporting directly to the Director of Revenue, the specialist ensures accurate and timely processing of Medicaid claims, preschool tuition, and client rent contribution billing. Key Responsibilities & Duties Medicaid Billing, Claims, & Analytics: Review, prepare, and submit Medicaid claims accurately and timely via the eMedNY system. Monitor claim status, investigate denials or rejections, and prepare and submit appeals with supporting documentation as required. Track, manage, and analyze NYS Medicaid recoupments, voids, claim adjustments and rate adjustments, providing variance explanations to the Director of Revenue. Ensure all...

Inpatient Coder Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and all types of multifaceted accounts which includes, but is not limited to, interventional radiology, interventional cardiology, cardiovascular surgeries, major transplants, neurovascular surgeries, spinal fusions and coding level 1 trauma (multi significant). Position Responsibilities Key Areas of Responsibility Coding 1. Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes for more complex accounts. 2. Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS),...

Human Resources Recruitment Coordinator @ M&D Capital | Recruitment, Onboarding M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We are seeking a multi-specialty Medical Coder. This is a full-time, remote position. Key Responsibilities Review and accurately code cases to maximize reimbursement in a timely manner. Review and accurately code E/M visits, office procedures, and surgeries. Able to work independently and research coding scenarios. Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy...

Certified Medical Coder page is loaded## Certified Medical Coderlocations: Shirley, NYtime type: Full timeposted on: Posted Yesterdayjob requisition id: R-0000018156**At New York Cancer & Blood Specialists (NYCBS)**, we are dedicated to making a difference in the lives of our patients, their families, and our communities. Our passionate team of expert oncologists, hematologists, and healthcare professionals work together to provide world-class cancer care close to home. By offering cutting-edge treatments, innovative research, and a patient-centered approach, we are redefining what’s possible in the fight against cancer and blood disorders.If you want to be part of a growing organization committed to **healing, hope, and advanced care**, join us and help make a meaningful impact!**Job Description:****Certified Medical Coder **Location:** Shirley, NY **Organization:** New York Cancer & Blood Specialists (NYCBS)**### ### ****In This Role, You Will:***** **Running...