7 jobs found

Job Summary Under the direction of the Associate Director/Revenue Manager, the Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating. Working under direct supervision the incumbent acquires knowledge of revenue cycle coding practices and concepts. Developing proficiency to manage 500 - 1000 code combinations to include Evaluation and Management Services as well as simple to moderately complex testing and procedural code services. The Professional Fee Coder - Revenue Cycle Analyst will work to acquire and master all entry-level coding functions including assigning appropriate CPT and Dx codes, associated modifiers, appropriate NCCI edits, resolving coding edits and RFIs as well as basic entry-level revenue cycle duties. Other duties may include assisting other Departments as needed/assigned. As a Professional Fee...

Job Summary Under the direction of the Associate Director/Revenue Manager, the Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating. Working under direct supervision the incumbent acquires knowledge of revenue cycle coding practices and concepts. Developing proficiency to manage 500 - 1000 code combinations to include Evaluation and Management Services as well as simple to moderately complex testing and procedural code services. The Professional Fee Coder - Revenue Cycle Analyst will work to acquire and master all entry-level coding functions including assigning appropriate CPT and Dx codes, associated modifiers, appropriate NCCI edits, resolving coding edits and RFIs as well as basic entry-level revenue cycle duties. Other duties may include assisting other Departments as needed/assigned. The Professional Fee...

Medical Auditor/Quality Control Analyst Summary of Position: Ideal candidate will have several years’ experience auditing medical charts and records for compliance with CPT and ICD-10 code assigned, industry standard coding guidelines, federal regulations, and various third-party carrier guidelines. Uses knowledge and experience to quality check as a second level on other coding and auditing professionals, ensuring that all quality control is in place for our organization. Reviews, develops, and/or modifies our internal procedures, systems, and protocols to achieve and maintain quality and consistency throughout our auditing and coding engagements. This position will also provide guidance to other auditing contractors and will hold true our internal auditing and coding compliance standards. Duties and Responsibilities: Audits medical record documentation to identify deficiencies in documentation in direct relationship to codes billed to carriers. Prepares reports...

Job Purpose:The Coder II performs highly technical and specialized functions for Sonoma County Indian Health Project, Inc. (SCIHP). The Coder II reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and commercial insurance payments.  The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement.  The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.  The Coder II specifically ensures SCIHP’s compliance with all regulations, as well as providing up to date education and training to SCIHP providers. Qualifications: •    High school diploma or general education degree (GED). •    CPC...

Coder (Specialty) - General Surgery Are you looking for a rewarding career with a top-notch health care company? We're looking for qualified  Coder (Specialty - General Surgery)   like you to join our Texas Health family. Work location: Remote Work hours: Monday-Friday 8 hours per day (some flexibility between 7a - 6p) Coding Department Highlights: • 100% remote work • Flexible hours/scheduling once training is complete • Work life balance • Opportunities for advancement Qualifications Here's What You Need Education H.S. Diploma or Equivalent  REQUIRED  AND Associate's Degree Related field preferred Experience 5 Years Coding experience including specialty coding and/or auditing experience. Completion of college level courses in medical terminology, anatomy and physiology, or similar. Advanced level applicable specialty coding or auditing knowledge and experience. Licenses and Certifications CPC - Certified Professional...