5 research assistant coder jobs found

Overview Make a Difference. Grow in Your Career. Thrive with Us. About the Role At Mindpath Health , we’re on a mission to make mental health care more accessible and more human. As a national leader in mental health services, we empower our clinicians, support our teams, and prioritize care that helps people truly thrive. The Certified Professional Coder (CPC) is responsible for performing professional coding services for theRCM Team, while following AMA and CMS medical coding guidelines . The primary function of thisposition is to utilize CPT, ICD-10-CM, HCPCS and coding guidelines to ensure accurate coding asrelates to medical documentation. A Certified Professional Coder will provide research and assist inresolving rejections, denials, and any coding/carrier related inquiries. This role reviews, analyzes, andcodes diagnostic and procedural information that determines Medicare, Medicaid, and private insurancepayments. The Certified Professional Coder must work to remain up to...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Clinical Documentation Specialist Reviews clinical documentation and diagnostic results as appropriate to extract abstract data and apply appropriate ICD-9-CM/ICD10-CM/PCS and CPT 4 codes for reimbursement and external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and any other regulatory edits. Code and abstract medical records of high complexity within the Primary Enterprise acute care facilities. Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital...

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. Lead Medical Biller 13 days ago Requisition ID: 1165 Salary Range: $21.00 To $24.00 Hourly Job Summary: Mercy Urgent Care is excited to welcome an experienced Lead Medical Biller to join our team in Asheville, North Carolina. This position blends hands-on billing work with educational and mentoring responsibilities, and plays a vital role in keeping high-quality compassionate care accessible to the communities of Western North Carolina. How You’ll Contribute: Prepare and submit insurance claims to a variety of payers, including private insurance, government programs, corporate accounts, and special programs Verify insurance coverage and eligibility, manage patient accounts and payments, and oversee medical collections Research and resolve denied or unpaid claims, submit appeals with supporting documentation, and track...

Department:36200 Carolinas Medical Center - Trauma ServicesStatus:Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Position is for the Trauma Registry.This is a remote position.Starting hours are Mon-Thurs 6a-4:30p with flexibility increasing over time.Specialty Area:TraumaAdditional Essential Functions:Downloads and analyzes daily reports using EPIC to identify patient cases that meet Trauma Registry inclusion criteriaCreates/maintains daily log of identified patients, using Excel.Demonstrates technical competence in navigating external websites (EMS, ME, etc.) and abstracting required data.Completes concurrent and retrospective data abstraction of Trauma registry cases-including reconciling data as new information becomes availableSupports data validation through bi-weekly individual validation reports as well as end of month reports.Supports data accuracy through required ACS inter-rater review of a minimum 10% of records abstracted.Supports...