32 other jobs found

Job Description Job Description Medical Billing & Coding Specialist North Ogden Location We are looking for an efficient, knowledgable, and highly organized AAPC Certified Medical Coding & Billing Specialist to join our team. Our vision is to keep independent physicians independent. Independent Physiatry Services is a Physical Medicine & Rehabilitation Revenue Cycle Management Company where every claim counts. Our environment is driven and friendly. Salary and Benefits Salary based on experience $38,000- $52,000 per year Paid Holidays includes the day before and day after the recognized holiday Health Insurance Reimbursement 401k Matching Tuition Reimbursement Qualifications AAPC Certification Minimum 3 Year FTE Outpatient Coding Experience Highly Organized Solution Seeker Collaborator Key Result Drive revenue by creating and sending clean claims to insurance companies and patients. Key Objectives Accurate and timely application of...

Job Summary Accountable for the conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses/procedures in accordance with coding guidelines. Ensures that records are coded in an accurate and timely manner. Duties and Responsibilities Demonstrates competency in the following areas: Ensures that records are coded within three days of discharge, excluding weekends and holidays. Reviews the chart thoroughly to ascertain all diagnoses/procedures. Contacts the responsible physician in a professional, tactful manner if the diagnosis is not available on the chart. Refers chart to the director if there is a question regarding the diagnoses/codes. Utilizes computerized coding/abstracting equipment. Codes all diagnoses/procedures in accordance with ICD-10-CM coding principles and the Coding Manual. Meets productivity standard of assigning codes based on account type. Meets...

Job Description Job Description Description: The ICD-10 Medical Coder is responsible for accurately reviewing, analyzing, and assigning ICD-10 diagnosis codes to resident medical records in accordance with federal and state regulations, SNF documentation standards, and payer requirements. This role supports accurate billing, Minimum Data Set (MDS) coding, quality measures, reimbursement integrity, and regulatory compliance. Schedule: Full-Time ***Remote position, 10 spots available*** Primary Responsibilities and Duties: Review physician documentation, progress notes, assessments, therapy notes, lab results, and other clinical records to determine accurate and complete ICD-10 diagnosis coding. Assign and sequence diagnosis codes based on official ICD-10-CM guidelines and SNF-specific requirements (including PDPM coding conventions). Collaborate with MDS Coordinators to ensure accurate diagnosis coding for PDPM classifications and quality reporting. Identify...

Certified Coder - Administrative Services East - Full Time Job Category: Coding Requisition Number: CERTI004475 Full-Time Hybrid Administrative Services East 1394 E 6000 S South Ogden, UT 84405, USA 32 More Locations Description Are you a Certified Professional Coder looking for more than just a job description? At Ogden Clinic, we're not just hiringwe're inviting you to be part of a thriving, supportive, and forward-thinking team. We're a physician-owned organization with 35 clinic locations stretching from Logan to Bountiful, and we're growing fast. Our team of 45 coding professionals works both onsite at our South Ogden campus and remotely from home. We believe in doing good work, staying compliant, and supporting each other every step of the way. Why You'll Love Working Here Collaborative Team Culture: Work independently while being part of a large, friendly team. You'll have access to peers, mentors, and supervisors who are always ready to help. Ongoing...

Abstractor/Coder The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits and conducting audits for physician education. Ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities: Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, provide guidance to faculty and staff on...

Team Lead Coder Coding Validation The Team Lead Coder Coding Validation position will have responsibility for supervising a team of Coding Validation analysts or coders. Team Leaders ensure that the work of others meets productivity standards, quality and client guidelines. Primary responsibilities include queue management, work distribution, performance and production optimization, audit planning, coder interactions, training of new hires/existing staff, on appeals support while meeting SLA obligations. The Team Lead goal is to ensure the team audits client data on behalf of our clients, generating high quality payment determinations and displays professional skepticism that enhances the work performed in order to achieve success in position. Responsibilities: Oversee onshore/offshore Coder Coding Validation team(s) in reviewing claims and producing well written appeals consistent with high level of integrity and meeting metrics Provides support needed to review quality...

Coding Validation Coder I Cotiviti has multiple openings for full-time coders. These roles will focus on claims audits for appeals, checking for completeness and accuracy based on coding guidelines. Experience with EandM coding and auditing is preferred. These are full-time remote positions and can be done anywhere within the continental US and will work a traditional day time schedule. Responsibilities: Perform daily audits on provider appeals for completeness and accuracy based on specified coding guidelines to ensure appropriateness for reimbursement. Apply client specific coding guidelines when applicable. Learns new appeal categories as production need requires. Stays current on coding guidelines appropriate to the position. Uses the Cotiviti applications to processes CV appeals to meet both production and accuracy standards. Reviews quality feedback from QA. Submits questions for clarification as needed. Utilizes the 'QA Resolution' process when disagreement...

Remote Medical Biller (Dental Claims) We are seeking a detail-oriented Medical Biller to join our team. The primary responsibility of this role is entering and managing insurance claims using dental billing software. The ideal candidate will have prior experience in medical or dental billing, strong attention to detail, and the ability to work independently in a remote setting. Key Responsibilities: Accurately enter dental insurance claims into the billing software Review patient records to ensure accurate claim submission Verify insurance information and eligibility as needed Follow up on unpaid or denied claims to ensure timely reimbursement Maintain organized digital records of all billing activities Communicate with dental offices, insurance providers, and patients when necessary Ensure compliance with HIPAA and other billing regulations

Job Title: Outpatient Coding Specialist Top candidates will have experience with Oncology Coding. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not...

Allegheny Health Network Job Posting General Overview: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. Essential Responsibilities: Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)...

Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures,...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Job Description Job Description Certified Medical Coder (Remote Production Role) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted...

About The Company Utah Retirement Systems provides retirement benefits for more than 250,000 Utah public employees, including teachers, firefighters, police officers, and others who serve their communities. URS administers eight pension systems and four retirement savings plans, providing financial security and peace of mind for thousands of Utah families. URS is a dynamic, complex enterprise that requires collaboration from talented employees across a diverse range of fields. We take pride in maintaining a positive team environment and excellent work-life balance. We offer a competitive salary, and our benefits far exceed what most modern employers offer. Job Description POSITION SUMMARY Performs a variety of professional duties related to auditing municipal, county, and state agencies for their administration of Utah Retirement Systems benefit plans with their employees in compliance with plan requirements. Provides direction, education, and training to these agencies...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews...

Job Type Part-time Description The Coder is responsible for reviewing clinical documentation and assigning accurate CPT, ICD-10, and HCPCS codes for services provided by pediatricians and other healthcare providers at Utah Valley Pediatrics. This role ensures that all coding is compliant with current guidelines and supports timely and accurate billing and reimbursement. Requirements Essential Behaviors and Characteristics: Exhibits a caring, positive, and cheerful attitude; is adaptable, positive and supportive, even during stressful situations. Treats everyone with the utmost respect and courtesy. Recognizes and supports the contributions of others, and shows patience and kindness in helping others as they learn and grow. Speaks positively and respectfully of others. Is honest in all of their dealings. Stays on task and uses time at work to benefit patients, coworkers, providers, and the company as a whole. Their actions reflect positively on Utah Valley...

Join Datavant, a leading data platform company revolutionizing health data exchange. Our mission ensures that every healthcare decision is guided by the right data at the right time and in the right format. As the world's foremost health data network, our platform enables secure, accessible, and actionable data, empowering healthcare stakeholders including life sciences firms, government agencies, and care providers. By becoming part of Datavant's high-performing, values-driven team, you'll contribute to innovative technology solutions that address some of healthcare's most challenging issues. Our diverse team brings various professional, educational, and life experiences together to achieve our ambitious goals for the healthcare sector. What You'll Be Doing: Conduct audits of coded medical charts according to the client's guidelines as assigned by the quality supervisor. Navigate multiple client guidelines with ease. Maintain a 95% quality average at the...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: This role involves comprehensive medical record reviews to extract vital medical and demographic data, accurately interpret and apply diagnoses and procedures using ICD coding systems, and contribute to reducing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES: Thoroughly review and interpret medical records, physician treatment plans, outcomes, and other relevant information to assign appropriate ICD codes for diagnoses and procedures. (65%) Abstract necessary data elements to fulfill statistical requests from the hospital, health system, and medical staff, ensuring all coded and abstracted information is accurately input into the designated system. (15%) Manage medical information efficiently and support cash flow by monitoring and addressing the unbilled coding report. (10%) Stay updated on ICD guidelines by participating in training, reviewing coding clinics,...

Datavant is a leading data platform company specializing in health data exchange, dedicated to empowering healthcare decisions with timely and accurate data. We harness the power of the largest health data network in the U.S. to ensure data is secure and effectively used to enhance health outcomes. Joining Datavant means becoming a vital part of a high-performing, values-driven team that is addressing complex healthcare challenges with innovative solutions. Our team members come from diverse professional, educational, and personal backgrounds to pursue our ambitious vision for healthcare. We are actively seeking skilled and credentialed outpatient coders to enhance our team. The ideal candidate will demonstrate exceptional attention to detail and possess a profound understanding of medical terminology. This remote position offers flexibility, allowing you to contribute significantly to the future of healthcare from your own home! What You Will Do: Review medical records...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...

Job Summary: The Compliance Auditor is responsible for overseeing the Bank's compliance with regulations and ensuring adherence to internal financial controls. This position involves coordinating, conducting, and assisting in audits focused on internal controls, financial reasonableness, and regulatory compliance. The Compliance Auditor plays a key role in ensuring that the Bank maintains strong compliance practices, mitigating risks and upholding financial integrity. Salary : This position offers a competitive salary of $70,000 per year . Essential Functions: Compliance Monitoring: Monitor the Bank's compliance with regulations regarding deposits, loans, and other banking operations. Audit Procedures: Implement audit procedures to ensure the Bank's adherence to all relevant regulations and internal policies. Audit Execution: Conduct and/or coordinate annual, quarterly, and monthly audit procedures, including preparing comprehensive monthly audit reports....

About Serenity Healthcare  At Serenity, we help patients find long-term success even when other treatments have failed. Our mission is to help individuals take back their lives, and we do this by creating the finest patient experience and investing in our employees through a people-centric, collaborative, and growth-oriented culture.  Note: This role involves supporting patients who may be experiencing PTSD and suicidal ideation, which could be emotionally triggering for some individuals.  Position Overview  We are seeking a Credentialing Coordinator to join our corporate office team in Lehi, UT. This is a key administrative role that ensures all newly hired and current providers are properly credentialed with accuracy and efficiency. You will work closely with physicians, providers, and internal medical office teams.  Key Responsibilities  Process credentialing applications for new and existing healthcare providers  Perform primary source...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...