90 technical jobs found

Job Description Job Description Certified Professional Coder Medical Billing Department Exceed Healthcare Why join Exceed Healthcare? At Exceed Healthcare, our mission is simple: improving lives through innovation . We are redefining healthcare by delivering cutting-edge medical services, expanding access through seamless virtual care, and always putting patients at the center of everything we do. Our vision is to lead the future of healthcare by exceeding expectations through technology, strategic insight, and a deep commitment to excellence. We value integrity, respect, accountability, and collaboration. We foster a diverse and inclusive culture where courage and resiliency thrive—and where every team member plays a vital role in making an impact. Join us to be part of a forward-thinking team that prioritizes exceptional patient care, supports your growth, and believes in leading from every role. Job Summary: The Certified Professional Coder is...

Overview Goldbelt Apex, a part of the Healthcare Technology Transformation Group, is a data-focused company dedicated to process and quality in every aspect. As experts in healthcare IT experts, Apex is committed to building systems for healthcare organizations to seamlessly communicate and exchange data across different systems and devices. Summary: As a Senior Joint Medical Planner, you will play a crucial role in driving informed decision-making and strategic planning by providing comprehensive analysis in support of Joint Medical Force individual and collective training. The successful candidate will be responsible for gathering, analyzing, and interpreting data to develop Joint Medical individual and collective training in support of the Medical Readiness Training Command objectives. Additionally, the Senior Joint Medical Planner/Site Supervisor will collaborate with cross-functional teams, stakeholders, and JIIM partners to develop and implement effective...

Job Description Job Description Description: The remote Coder/Specialty Medical Bill Reviewer is responsible for reviewing, auditing, and data entry of medical bills for multiple states and lines of business within both Worker’s Compensation and Commercial Health arenas. This would include analysis for the fee schedule or usual and customary application, as well as PPO interface, while meeting contractual client requirements. Essential Job Functions: Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts Analysis and review of 1 or more assigned states having fee schedules Utilize Fee Schedules, Online Documents, Client instructions, and other training material to properly review medical bills Review medical bills for compensability and relatedness to injury Reprice medical bills to Workers’ Compensation Fee Schedule and PPO Network Research usual and customary/fee...

At Johnson & Johnson,?we believe health is everything. Our strength in healthcare innovation empowers us to build a?world where complex diseases are prevented, treated, and cured,?where treatments are smarter and less invasive, and?solutions are personal.?Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.?Learn more at jnj.com As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. Job Function: Medical Affairs Group Job Sub Function: Medical Science Liaison Job Category: People Leader All Job Posting Locations:...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Cardio experience is required. This is a hybrid position so you must be located in the Houston area. Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions...

Job Summary JOB SUMMARY The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. ESSENTIAL DUTIES AND RESPONSIBILITIES Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver...

Medical Compliance Auditor We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers. This process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria. Job Duties & Responsibilities Assess the treatment plan, clinical information, and medical necessity of all requested services Utilizes established criteria to appropriately review billed services within established timeframe required. Consults with medical directors and clinical staff regarding patient's history and current care needs and whether services billed were appropriate. Refers case failing medical...

Biomedical Supervisor Renovo Solutions is a nationwide healthcare technology management company. Our mission is to enable our employees to create customer-centric solutions that empower our healthcare and life science partners to deliver better outcomes and quality of life for the communities they serve. With a presence in 40+ states, we provide comprehensive solutions for managing & maintaining healthcare technologies. Our company's values of being People First, Customer Centric, Quality Focused, Innovative, and Transparent demonstrate our beliefs in a strong culture and a commitment to excellence. We prioritize investing in our employees' development through ongoing training programs and a supportive work environment. Join our team to make a difference in healthcare while advancing your career with Renovo. Summary: The Biomedical Supervisor will provide leadership to the Biomedical Engineering Team and organize the workflow for efficient technical service delivery. This...

Job Description Summary This role oversees and performs technical and mechanical work that ensures the inside and external buildings, ground, amenities, and common areas of the community meet the Company’s standards for cleanliness, appearance, safety, and overall functionality. Job Description Assists and completes work orders generated from resident requests for service, as well as routine upkeep on the community by diagnosing the source or cause of the defect or problem, and making repairs in accordance with established policies, procedures, safety standards, and code requirements. Oversees and completes the “make-ready” process to prepare vacant apartment homes for leasing and new move‑ins by completing the pre‑move‑out inspection, creating a “punch” list of maintenance work needed, scheduling vendors and contractors as needed, obtaining needed supplies and materials, completing all maintenance tasks, and inspecting completed work. Develops standards for the cleanliness and...

Job Description Job Description Benefits: 401(k) 401(k) matching Bonus based on performance Competitive salary Employee discounts Health insurance Paid time off Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. We are looking for a detail-oriented professional with proven expertise in medical billing, coding, revenue cycle management, and a strong background in family or internal medicine. This position is in-person or hybrid. Candidates must reside within a reasonable commuting distance of The Woodlands, TX. Fully remote candidates will not be considered. IMPORTANT: Any individual or company reaching out about this position outside of this platform will be automatically disqualified. --- KEY RESPONSIBILITIES Accurately code diagnoses, procedures, and visit documentation using ICD-10, CPT, and HCPCS coding systems Review and audit daily charts to ensure complete, accurate, and...

About Our CompanyWe’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com,...

Position Information Posting NumberSRGV8236 Working TitleMEDICAL OFFICE SUPERVISOR (UT Health RGV Multispecialty Family Medicine - Harlingen) Number of Vacancies1 LocationHarlingen, Texas DepartmentSchool of Medicine / Primary and Community Care ISU FTE1.0 FLSANon-Exempt Scope of Job Responsible for the daily operations and overall effective performance of assigned practice including workflow development, patient schedule management, provider and staff engagement, patient experience, and assisting with inventory control. Description of Duties Supervises the daily operations and activities of assigned practice to ensure efficiency and quality service is delivered within all sections of the clinic. Ensures compliance with regulations and standards while maintaining and upholding established clinic patient care, operational and employee policies at assigned site. Responsible for assisting with the recruitment, development, and supervision of...

Hours of Work : 10-20 Days Of Week : Flexible Work Shift : PRN (United States of America) Job Description : Your Job: In this highly technical, fast-paced, and challenging position, you'll collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement. Establishes an accurate database for case mix indices and for statistical reporting and trend analysis. The Coder II is proficient in coding DRG based records as well as all other payers. Your Job Requirements: High School Diploma or Equivalent - Required Minimum of 2 years DRG based coding experience in an acute care hospital, experience using encoder. Accredited coding courses from an institution of higher learning, Medical Terminology, Anatomy and Physiology CCS or CPC Certification - Strongly...

Job TitleThis position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff.This position will support the implementation of changes to the CPT, CDT, HCPCS, and ICD-10 codes on an annual basis.ResponsibilitiesEssential Duties :Conduct prospective and retrospective chart reviews (i.e.baseline, routine periodic, monitoring, and focused) comparing medical and / or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer / title / grant coding requirements.Identify coding discrepancies and formulate suggestions for improvement.Communicate audit results / findings to providers and / or ancillary staff and share improvement ideas.Work with the Office of the CMO and provider leadership to identify and assist providers with coding.Report findings and recommendations to Compliance...

Hours & Shift Evening shift Monday through Friday with rotating weekends and holidays. 40 hours per week. Job Description The Supervisor Technologist is responsible and accountable for overseeing all functions and activities for specific shift(s) or department(s) and for the accurate and timely performance of technical procedures in accordance with all current regulatory and accreditation standards. The supervisor demonstrates excellent technical skills, critical thinking, communication, and customer service skills. Job Requirements MT (ASCP) or equivalent 4 years current general clinical laboratory experience Competency in all sections of the clinical laboratory or competence in the section(s) supervised About the Hospital Methodist Charlton Medical Center is a 314‑bed, full‑service, acute care teaching hospital serving Cedar Hill, DeSoto, Duncanville, and Lancaster in southwestern Dallas County. It offers an expanded emergency department, renovated intensive care unit,...

Compliance Auditor, Billing and Coding Compliance The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, assist with internal compliance policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and regulations, and UT Health San Antonio policies. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Responsibilities Provide oversight on billing compliance auditing, monitoring, and educational activities within the compliance department. Performs audits of electronic and manual documentation, coding, and billing systems. Conducts close-out meetings with senior management of audited departments. Maintain current knowledge of changes in federal and state coding and...

TAS Energy in Houston, Texas is seeking a Welder Auditor/Tester to perform testing and audits of welding operations. You'll administer welding tests for candidate eligibility and conduct audits to ensure compliance with welding procedures. Strong communication and computer skills, along with a technical background in welding, are required. This role involves both desk work and shop environment duties. The position offers a collaborative work atmosphere with a focus on safety and quality assurance. #J-18808-Ljbffr

Benefits: 401(k) 401(k) matching Bonus based on performance Competitive salary Employee discounts Flexible schedule Free uniforms Health insurance Paid time off Parental leave Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. We are looking for a detail-oriented professional with proven expertise in medical billing, coding, and revenue cycle management. Key Responsibilities: Accurately code diagnoses and procedures using ICD-10, CPT, and HCPCS coding systems Prepare and submit insurance claims to payers in a timely and compliant manner Follow up on unpaid claims and manage claim denials effectively Investigate and resolve billing discrepancies with insurance providers Maintain comprehensive and confidential patient records Ensure all documentation meets HIPAA compliance standards Support revenue cycle processes to maximize reimbursements Required Qualifications: Minimum 3-5 years of...

Job Description Job Description Hi, we're Oscar. We're hiring a Senior Specialist, Coding Auditor to join our Payment Integrity. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will support issue resolution in the Oscar claim environment. You will be responsible for the end-to-end claims repayment quality, process improvement and supporting root cause analysis . You will report into the VP, Payment Integrity. Work Location: This is a remote position, open to candidates who reside in: Tempe, Arizona; Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; New York City, New York; Philadelphia, Pennsylvania; Salt Lake City, Utah. While your daily work will be completed from your...

About Pinnacle Specialty Group Pinnacle Specialty Group is a woman-owned and operated small business specializing in providing project and contract management for Professional, Technical, Engineering, IT and Support Services. We offer full benefits to include: Medical, Dental, Vision, Paid Time Off, 401K - Company Matched. Duties Performs audits in accordance with Global Internal Audit Standards issued by the Institute of Internal Auditors for fieldwork, working paper preparation, and audit reporting. Analyzes and appraises evidentiary data in order to formulate objective opinions on the adequacy of the system of control, the extent of conformity to established accounting policy procedures, and the efficiency and effectiveness of performance of the activities being reviewed. For subcontract audits, determines the allowability/allocability/reasonableness of cost proposed or incurred. Makes adjustments to the original audit program with management approval. Notes potential problem...

Job Summary The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD‑10, CPT, HCPCS codes and modifiers from medical record documentation. The role requires utilizing multiple resources to support code assignment, resolving coding denials and pre‑bill coding edits, and maintaining productivity and accuracy through internal audits. Level II responsibilities include evaluation and management coding, radiology, and emergency department coding. Essential Duties and Responsibilities Assign ICD‑10, CPT, HCPCS and modifier codes from documentation Review and appropriately resolve pre‑bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Maintain an accuracy rate of at least 95.5% in monthly internal audits Effectively present coding issues to internal and external stakeholders Deliver information in one‑on‑one or small group formats to peers Meet deadlines and complete assignments before monthly...

Why Work for Saddle Creek?Saddle Creek Logistics Services succeeds by promoting a diverse, friendly, and respectful teamwork environment. As a vital service provider, we not only make a difference in our community but offer our associates opportunities to enhance their skills, build meaningful careers and end each day with a sense of accomplishment. If you’re looking for a family-oriented company that lives by its values and offers competitive pay and benefits, join our team today.Benefits:Weekly pay with skill pay and shift differentialsBenefits package including medical, dental, vision and medical reimbursementMedical employee-only premium less than $10/week with wellness discountsHSA with annual employer contributionWeekly 401(k) matchVacation immediately upon hire8 holidays per calendar yearPersonal time after 90 daysEAP and identity theft protectionTuition reimbursementCompany paid life insurance and short term disabilityNote that if you are viewing this posting on an external...

Job Summary The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. You must be able to utilize multiple resources to support code assignment and possess knowledge on how to resolve coding denials and pre‑bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. Essential Duties and Responsibilities Assign ICD-10, CPT, HCPCS and modifier codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed an accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver information in a one‑on‑one or...

Coder II Hours of Work: 10-20 Days Of Week: Flexible Work Shift: PRN (United States of America) Job Description: In this highly technical, fast-paced, and challenging position, you'll collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement. Establishes an accurate database for case mix indices and for statistical reporting and trend analysis. The Coder II is proficient in coding DRG based records as well as all other payers. Job Requirements: High School Diploma or Equivalent - Required Minimum of 2 years DRG based coding experience in an acute care hospital, experience using encoder. Accredited coding courses from an institution of higher learning, Medical Terminology, Anatomy and Physiology. CCS or CPC Certification - Strongly preferred....