11 profee coder jobs found

Him Coding/Compliance Auditor 2 Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals. The HIM Coding/Compliance Auditor 2 analyzes abstracted, coded data for the purpose of ensuring coding accuracy. Serves as a resource for expert knowledge...

Description US:NV:Carson City Health Information Management Full Time Day Shift About Carson Tahoe Health CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations. Summary As an intermediate level clinical coding specialist, assigns compliant, complete, and accurate APC's, ICD diagnosis codes, CPT/HCPCS procedure codes, E/M facility and Professional level codes, and modifiers. Primary patient types to include, hospital outpatient services, Emergency Department, Urgent Care, Ambulatory Surgery,...

Job Description Job Description Benefits: Retirement Plan Employee discounts Competitive salary Dental insurance Health insurance Paid time off Vision insurance Southern Nevada Family Medicine and Southern Nevada Occupational Health Center are looking for an experienced Medical Biller and AR Specialist with a strong background in Medicare Advantage and HCC coding. We are seeking someone who not only understands the billing world but also brings a positive attitude , enjoys coming to work, and takes pride in helping the team grow and succeed. What We Offer Competitive pay based on experience Supportive and collaborative work environment Career advancement opportunities Hands-on leadership and professional growth Position Summary The ideal candidate will have deep knowledge of Medicare Advantage billing, HCC coding, and accounts receivable management. You will be responsible for maintaining accurate billing processes, managing AR follow-ups, resolving...

Job Description Job Description Description: JOB SUMMARY We are seeking a detail-oriented and experienced Medical Billing Specialist (Claims + Payment Posting) to support our revenue cycle operations by ensuring accurate claims submission, timely follow-up, proper payment posting, and resolution of billing issues. This role focuses primarily on processing claims, managing rejections/denials, posting payments (ERAs/EOBs), handling adjustments, and maintaining accurate patient and payer balances. The ideal candidate is highly organized, understands payer rules, and can manage multiple claims and payment workflows efficiently. KEY RESPONSIBILITIES Claims Submission & Follow-Up - Prepare, review, and submit clean claims electronically and/or via paper when needed. - Verify that charges, modifiers, diagnosis codes, and provider information are accurate prior to submission. - Monitor claim status through clearinghouse and payer portals. - Resolve rejected claims...

Description US:NV:Carson City Health Information Management Per Diem Day Shift About Carson Tahoe Health CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations. Summary The Clinical Coding Specialist Level I assigns compliant, complete, and accurate ICD diagnosis codes for the hospital component of outpatient ancillary services, based upon the clinical documentation provided within the medical record. Works collaboratively with other members of the health information management department to complete...

Description US:NV:Carson City Health Information Management Per Diem Day Shift About Carson Tahoe Health CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations. Summary As senior level coding specialist, assigns compliant, complete and accurate coding MS-DRG's, ICD-10-CM diagnosis codes, ICD-10-CM procedure codes, and Present on Admission (POA) indicators for the hospital inpatient, and LTACH on services based upon the clinical documentation provided within the medical record. Works collaboratively...

Description US:NV:Carson City Health Information Management Per Diem Standard Office Hours ( Remote Position ) About Carson Tahoe Health CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations. Summary The Medical Coder/Auditor reviews services provided and compares them to EHR and billing records to determine accuracy. The Medical Coder/Auditor is responsible for performing quality reviews of outpatient medical records to validate the integrity of ICD-10 diagnoses and procedures as well as CPT/CPT...

Position Purpose To be responsible for accurately assigning diagnostic and procedural coding for all encounters associated with Renown Health Network and Ambulatory Services. This will also include translating patient information into alpha-numeric medical codes using patient treatment, health history, diagnosis, and related information. Assignment of ICD-10-CM and CPT codes must be consistent with CMS' Official Guidelines and any regulatory agency guidelines. Nature and Scope Incumbents must be proficient with CPT and ICD-10-CM coding systems and responsible for assigning ICD-10-CM diagnoses codes and CPT procedure codes accurately and completely to ensure optimal reimbursement and coding quality. Coders in this position are held accountable for adhering to coding guidelines; accounts must be coded within the quality and productivity standards specified by department leadership. Incumbent is responsible for abstracting, analyzing, and assigning ICD-10-CM, CPT, HCPCS codes and...

Medical Billing Specialist - Accounts Receivable (A/R) (Eligibility, Authorizations, Interventional Radiology & IMRT) This is an opportunity to join a growing and well-respected practice. Las Vegas Urology is currently seeking a detail-oriented, patient-focused Medical Billing Specialist with strong A/R, eligibility, and authorization experience , including support for Interventional Radiology and IMRT services . Our billing team supports multiple clinics across the Las Vegas Valley and works collaboratively to ensure accurate reimbursement and timely resolution of claims. Benefits Package Includes: Medical, Dental, Vision & Life Insurance paid 100% for employee only , effective the first day of the month following 60 days of employment 401(k) and Profit Sharing after 1 year of employment PTO accrued per paycheck 8 paid holidays Summary of Position: This role is responsible for managing accounts receivable, insurance eligibility...

Medical Biller - Pain Management Clinic Location: Las Vegas, NV Employment Type: Full-Time, On-Site Compensation: Based on experience; competitive benefits package About the Opportunity A growing pain management practice with multiple outpatient facilities across Las Vegas is seeking an experienced Medical Biller/Coder to join its team. The ideal candidate will be skilled in both Professional and Ambulatory Surgical Center (ASC) billing and will ensure accurate claims submission, payment posting, and account reconciliation. Responsibilities Prepare and submit clean insurance claims for professional and ASC services. Review coding accuracy (CPT, ICD-10, modifiers) prior to submission. Follow up on unpaid or denied claims and resolve discrepancies efficiently. Verify patient insurance eligibility and benefits. Post payments, manage patient statements, and maintain accurate account records. Work closely with clinical and administrative staff...

divh2Inpatient Medical Coding Auditor/h2pBecome a part of our caring community and help us put health first. The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment./ppIf you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by...