35 jobs found

Seasonal assignment of July 17 through December 15, 2023.  Completion of the seasonal assignment includes a bonus of $1,500. Medical Record Coder duties include performing audits of health status by performing primary source validation comparison of medical record documentation to the corresponding paid claim to ensure all risk adjusted diagnosis in the medical record and on the claim align and originate from a valid source.  Successful Looks Like: Accurate validation of health status elements, service codes, and quality assurance reviews Timely and efficient review of medical records. Maintain required individual interrater reliability rate. Core duties and responsibilities include the following: Performs quality reviews on records to validate coding according to the International Classification of Diseases Manual (ICD-10) for diagnoses and coding guidelines. Review medical records to validate diagnosis on the claim are supported by the...

Description - External SUMMARY The Coder III is responsible for reviewing for physician services and interpreting physician documentation, CPT and diagnosis coding, coding claim edit, and coding denial management utilizing ICD-10-CM and CPT-4/HCPCS coding systems. Codes highly complex surgical, special procedures, observation records, inpatient records, medical, diagnostic, procedural, and/or recurring records within established productivity and coding accuracy guidelines. Highly complex surgeries may require research and reference checking to ensure accuracy of problematic coding. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to Emergency Room, observation, inpatient, outpatient, ambulatory surgery, and other ancillary services.   QUALIFICATIONS High School Diploma or GED is required....

Patient First is accepting applications for Medical Records Release Information Specialist in the Glen Allen, VA area. Patient First provides a friendly work environment that promotes a team-oriented philosophy. The responsibilities of this job include, but are not limited to, the following: Retrieving mail as directed, and sorting and distributing incoming departmental mail; Date stamping and logging in all (MR) requests and scanning associated paperwork into the CorTrak database; Following departmental check list, reviewing all MR requests for proper authorization;  Responding to all requests for MRs that are not HIPAA compliant, do not provide necessary information to locate the patient, through via written correspondence within the appropriate time frames according to state laws; Printing requested MRs, matching them with their corresponding requests, updating the materials list and preparing and mailing out the billing as appropriate; Updating MR...

Patient First is accepting applications for Coding & Reimbursement Analyst in the Glen Allen, Virginia area. Patient First provides a friendly work environment that promotes a team-oriented philosophy.  The responsibilities of this job include, but are not limited to the following: Completing a periodic review of Physicians’ and Physician Extenders’ charts; Preparing and distributing feedback to Physicians and Physician Extenders after the review process is completed; Coordinating and providing additional training to Physicians and Physician Extenders on E&M and ICD-10 coding as needed; Ensuring ICD-10, CPT (including E&M), and HCPCS coding is performed properly by Physicians and Physician Extenders; Ensuring the coding is performed according to current industry standards and according to commercial payers’ coding guidelines; Monitoring changes in ICD-10, CPT (including E&M), and HCPCS coding guidelines regularly, reporting changes to the Compliance...

Essential Job Functions: 100% remote Full-time, permanent opportunity Perform quality assurance audits on internal coders, clients, and procedures, as assigned. Serve as a trusted asset to answer all Coder questions, as they relate to Interventional Radiology Coding. Will accurately perform audits on coders. Will perform any other audits needed as assigned. Perform MIPS Audits as assigned. Assigning CPT, HCPCS, ICD-10-CM and ASA codes. Ensuring compliance with medical coding policies and guidelines. Performs other related duties as assigned. Required Skills: Ability to communicate in a clear, professional, and timely manner with all staff members. Proficient in Microsoft Office Suite. Ability to work independently and in a fast-paced environment. Strong problem-solving skills. Strong analytical skills. Excellent organizational skills and attention to detail. Education and Experience: High school diploma or equivalent required....

Organization benefits for position: 100% remote but candidate  must reside in California These are full-time opportunities Full Benefits - Health/Dental/Vision/Life/AD&D/FSA Basic Term Life Insurance and accidental death insurance 401(k) contributions  Client to p rovide Codify Equipment supplied Position – OP Ancillary Physician Coder: CPC or CCS required   CGSC preferred Minimum of  3 years of current experience  in a hospital or physicians office as a medical coder Expert knowledge of ICD10-CM, CPT, and HCPCS EPIC software experience  required Proficient with Microsoft Purpose Statement / Position Summary Under the direction of the Manager, Coding Compliance, the OP Ancillary/Physician Coder will play a key role in reviewing and analyzing billing and coding for processing. This role will be responsible for reviewing and...

Organization benefits for position: 100% remote but candidate  must reside in California These are full-time opportunities Full Benefits - Health/Dental/Vision/Life/AD&D/FSA Basic Term Life Insurance and accidental death insurance 401(k) contributions  Client to p rovide Codify Equipment supplied Position – OP Ancillary Physician Coder: CPC or CCS required   CHONC preferred Minimum of  3 years of current experience  in a hospital or physicians office as a medical coder Expert knowledge of ICD10-CM, CPT, and HCPCS EPIC software experience  required Proficient with Microsoft Purpose Statement / Position Summary Under the direction of the Coding Compliance Manager, the Pro-Fee Oncology Physician Coder will play a key role in reviewing and analyzing billing and coding for charge processing, specifically with Hematology/Oncology....

Coding Compliance Educator Johnson City, NY Shift:  Days Hours per week:  40 hours Salary range : $27.47-$41.21 Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness. United Health Services is seeking a Coding Compliance Educator to join our UHS team in Binghamton, NY. This position ensures that the coding of diagnoses, procedures, and data complies with all coding rules, laws, and guidelines. Coding Compliance Educator Overview The educator is responsible for the coordination of activities to monitor physician documentation in the medical record with regard to applicable regulations and billing to support services rendered. Provides education to physicians and coders regarding documentation improvement opportunities for both facility and/or professional billing. They will research, analyze, and respond to inquiries regarding coding and documentation...

Coding Auditor Binghamton, NY Weekly hours: 40 Shift: Days Experienced candidates may be eligible for a sign-on bonus of up to $5,000. Early-career candidates may qualify for up to $11,000–$17,000 in tuition forgiveness . Position Overview This auditor performs quarterly internal coding and documentation audits for CDI and inpatient coders. They will research, analyze, and respond to inquiries regarding coding and documentation compliance in accordance with all coding guidelines and Medicare/Medicaid regulations. This position works closely with the Cobius Team to review all denials and submits written appeals, when appropriate. They are responsible for monthly education for the CDI and inpatient coding staff. They also assist with coding, documentation, and billing questions to ensure compliant coding and billing. This auditor will develop final audit reports based on findings/observations during the audit process to present to providers or other...

PRINCIPAL DUTIES AND RESPONSIBILITIES Reviews both handwritten and electronic anesthesia records and interprets documentation to identify all procedures and diagnoses Assigns proper CPT and ICD10 codes in accordance with coding guidelines and posts charges Stays informed of coding regulations and insurance plan polices and effectively applies this knowledge Performs reconciliation of all posted charges to OR schedules Runs concurrency reports for any anesthesia time discrepancies and escalates complex overlaps to Coding Supervisor Maintains 95% accuracy standards and meets daily productivity expectations Communicates to appropriate staff regarding any issues or concerns pertaining to coding Conforms to all HIPAA and billing compliance requirements   QUALIFICATIONS Certification requirement: Certified Professional Coder (CPC) through the American Academy of Professional Coding (AAPC) or Certified Coding Specialist (CCS) through the...

Who We Are Led by highly successful physician executives with a mission to improve health care quality for underserved populations, Rendr is a primary care driven multi-specialty medical group serving approximately 100,000 patients through its 40 locations in Brooklyn, Manhattan and Queens. Job Position : Physician Coding Liaison Essential Functions / Responsibilities: Works closely with the Coding Manager/Coding Team and serves as the liaison between the Coding Manager/Coding Team and Providers to offer in-person coding support to the providers Regularly travels to sites to personally conduct one-on-one educational coding sessions. Conducts online training sessions Communicates all coding related issues/questions coming from the Providers to the Coding Manager/Coding Team and vice versa Helps Coding Manager with creating educational coding materials and training presentations Maintains Provider Coding Education Portal in Intranet Other duties...

Who We Are Led by highly successful physician executives with a mission to improve health care quality for underserved populations. Rendr is a primary care-driven, multi-specialty medical group serving approximately 100,000 patients through its forty locations in Brooklyn, Manhattan, and Queens. Rendr is a growing physician practice dedicated to serving the Chinese American population throughout the New York metropolitan area. We bring together a group of world-class physicians with a proven executive leadership team and a robust care management platform to deliver the best care possible to this underserved population. Department: Coding Location: New York, NY (Fully remote) Position Summary A Certified Risk Adjustment Coder works to improve the quality of coding documentation and data in the HCC database. This position collaborates in providing expertise in the use and application of coding classification such as ICD-10-CM. Essential Functions...

CSI is actively hiring for a REMOTE Risk Adjustment Medical Coder for full-time hours with a nationally recognized healthcare company that is known for championing innovation, leading from the front with technology, and transforming the healthcare system.  The What You Want to Know! 100% REMOTE -  Work from home Flexible working schedule PAY PER HOUR model Paid training Long term contract position- Benefits Offered! Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based) Pay: $22-28/hr based on experience In House Expert Coding Support - mentoring, coaching, QA Medicaid Charts The What Will You Be Doing? Assign appropriate ICD–10-CM codes, mapping to risk adjustment models as applicable Assign Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear...

The Program Integrity Coding & Research Medical Coder acts as a Medical Coding subject matter expert for complex coding concerns and serve as primary coding resource for Program Integrity. The Program Integrity Coding & Research Medical Coder Functions as a Subject Matter Expert for Risk Adjustment and Professional Coding at CSI and is allocated to projects that require a coding professional with significant technical acumen in coding conventions for both CAI and CDPS.  This teammate is key to assisting a technology vendor validate software tools that are business enablers, and when improperly functioning, can have a detrimental impact to the public persona and profitability of the vendor.  The Medical Coder is in a position of high visibility for CSI, and has access to proprietary tools in a position requiring high trust and confidentiality. The What you Want to Know: 100% Remote Contract, Full-Time Hours ( 30 hour minimum commitment) Active,...

Essential Skills of The Certified Professional Coder (CPC) Obtains operative reports for all posted surgeries and scans them into patient record. Uses correct coding guidelines to appropriately code surgical cases and posts surgical charges. Specializes in Workman’s Compensation claims, including obtaining authorizations as needed. Assists with review, assessment and retraining on provider audits. Prepares quarterly Assistant Surgeon Report. Trains and instructs providers and staff on appropriate coding and compliant documentation. Collects and enters patient’s insurance information into data base when appropriate. Responds to telephone calls from patients regarding account information, balances and insurance questions. Trains personnel new to the practice as necessary. Provides cross coverage for other billing personnel as required to ensure workflow is consistent. Additional duties as assigned and necessary for the function of both...

NMA is a unique , niche medical industry. We provide professional services associated with intraoperative neuromonitoring. We value our employees and recognize and reward hard work. We offer our employees a full benefits package that includes: Medical, Dental, Vision, Life, 401k with matching, and more.   Job Responsibilities   We are currently looking for a full-time Certified Medical Coder to work out of our McKinney, Tx office. Duties and responsibilities include, but are not limited to the following:   Serve as an expert in all matters related to coding and billing.   Verify accuracy of billing data and audit claims. Review chart elements including face sheet, operative reports, History and Physical (H&P), Professional and Technical Reports and Superbills   Consult with Technologists, Surgeons, and Physician Reader’s as needed to obtain information required for Coding.   Create CMS...

Responsibilities Review and interpret explanation of benefits (EOB) from insurance carriers to post appropriate payment, adjustment, and denial codes. Accurately and timely post payments received from third-party payers and patients through electronic and paper remittances, online payment portal, and patient payments to patient accounts and ensure that accounts are properly balanced and reconcile payment data to ensure consistency and accuracy. Post zero pays received from third-party payers through electronic and paper remittances. Identify and research discrepancies in payment postings and work with insurance companies to resolve any issues. Reconciling unapplied account balances. Sort and distribute mail to appropriate parties. Managing electronic remittance advice and insurance correspondences. Understand and follow payer guidelines and policies related to payment processing. Maintain/run daily, weekly and monthly payment logs and...