23 jobs found

Hourly wage is commensurate with experience. Minimum Starting Wage: $27.70 per hour Ensures complete, accurate, timely and consistent coding, while adhering to published coding guidelines and system compliance policies. Actively supervises and monitors coding quality and accuracy. Assists manager ensuring employee work schedules sufficiently meet the requirements of the organization and the physician practices. Facilitates problem solving and collaboration within functional area(s) and/or physicians. Works closely with manager in addressing issues related to accurate/timely coding and documentation, and unbilled services. Responsible for ensuring accurate, complete, and timely coding of all professional services.  Responsibilities include but not limited to; performing provider/coder audits, education to coders, and attend provider meetings.  Reviews denials related to coding and assist with resolving issues. Demonstrates the ability to deal with pressure to meet...

Position: Supervisor, Clinical Data/Medical Coding Department: Insurance Billing, Revenue Cycle Location: United States, Remote About This Role: In this key leadership position, you'll oversee a team of Clinical Data Specialists/Medical Coders, their duties, and processes within our rapidly growing, mission-oriented organization. This team is responsible for reviewing pre-claims for ICD-10 code discrepancies and using clinical charts to update or seek additional diagnosis information. Your leadership will drive the development of operational details behind the team's success, and your contributions will foster accurate outcomes, supporting our broader goal of impacting global healthcare delivery and excellence. You will play a crucial role in ensuring compliance with healthcare regulations and maintaining the integrity of our billing and coding processes. Responsibilities: Perform quality checks on team member work to ensure exceptional accuracy levels and...

SUMMARY : This incumbent is responsible for reviewing and analyzing physicians’ documentation, CPT, and ICD-9 and ICD-10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines   Job Duties & Essential Functions: Provide a variety of complex and technical assignments relating to medical coding. Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement. Resolve discrepancies on coding related issues. Review and correct rejected claims from various third party carriers. CPMP account notification/accounts receivable report (IDX), ICD-10 coding. Account maintenance – IDX pending report. Track all IDX record requests. Maintain PK files for validity errors. Monitor TES Open Encounter file....

This non-exempt Billing & Coding Specialist position will interact with insurance companies and with patients to ensure accurate, streamlined coding/ billing and payment posting. This position is responsible for job duties such as:  translating patient conditions and provider’s medical treatments into universal medical codes for translation by various parties, creation and submission of claims as well as assist in internal auditing of all billing and coding activities to ensure consistency, accuracy and completeness. Essential Duties, Functions & Responsibilities ·         Reviewing medical procedures/Progress notes as documented by providers & resources ·         Translating medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities ·         Transmitting coded patient treatment information to payers and other recipients ·         Coordinating insurance reimbursement of care providers ·...

Salary:   $25.80 - $30.70 per hour. Schedule:  24 hours a week, days/hours flexible (Hybrid schedule opportunity once training is complete) Benefit Highlights: Health Insurance (medical, dental and vision). 10 days PTO per year, up to 11 Paid Holidays, accrue 1-hour sick time for every 30 worked Retirement Plan with 6% match Fantastic work/life balance and opportunities for career advancement The Coder/Analyst must have the ability to perform ICD-10 and CPT coding per guidelines using EMR systems and assure documentation is complete for State and Federal requirements, AAAHC guidelines, GPRA, billing, and all other agency requirements. Duties: Provide technical guidance to physicians and other staff in identifying and resolving issues or errors. Evaluates medical record documentation and reports ensuring that codes and other documentation. Reviews state and federal Medicare visit claims for completeness and accuracy before submission to minimize...

Vista Community Clinic is a private, non-profit, multi-specialty outpatient clinic providing care in a comprehensive, high-quality setting. Located in San Diego, Orange and Riverside counties, we work to advance community health and hope by providing access to premier health services. Join a dedicated, motivated, enthusiastic team players who make a difference in the community. Our competitive compensation and benefits program includes health, dental, vision, company-paid life, flexible spending accounts and a 403(B) plan, for eligible employees. VCC is an equal opportunity employer. Accurately review, interpret, audit, code and analyze medical records for diagnosis accuracy, clear documentation, and Hierarchical Coding Condition (HCC) abstraction according to ICD-10 CM coding guidelines and risk adjustment model regulations. Coordinate and collaborate with operational and clinical leadership to assist in identification of clinical best practices. Implement process...

Vista Community Clinic is a private, non-profit, multi-specialty outpatient clinic providing care in a comprehensive, high quality setting. Located in San Diego, Orange and Riverside counties, we work to advance community health and hope by providing access to premier health services. Join dedicated, motivated, enthusiastic team players who make a difference in the community. Our competitive compensation and benefits program includes health, dental, vision, company-paid life, flexible spending accounts and a 403(B) plan, for eligible employees. VCC is an equal opportunity employer. Manage all billing-related aspects for assigned payors, including billing set-up in the NextGen system and processing full-cycle billing to all payers including original billing, collections, denials and re-billing, and account maintenance/ accounts receivable and all Claim edits follow up.  Review accounts for payer or patient follow-up Perform various accounts receivable actions:...

Practice Resources, LLC (PRL) seeks a full-time Remote Internal Coding Auditor. Job Description: Review medical documentation from physicians and other healthcare providers to validate modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards submitted by certified medical coders and coding auditors. Experience with coding/auditing multi-specialty accounts, including and not limited to Internal Medicine, Gastroenterology, Neurology, Neurosurgery, General Surgery, Orthopedics, OBGYN, Dermatology, Emergency Medicine, Podiatry, Pain Management, and Hospitalists. Internal Auditor will convey audit results to management. Management and the internal auditor will schedule audit meetings with the coder/auditor to discuss result and provide strategies to improve accuracy if necessary. Certified medical coding specialist would thoroughly understand National Correct Coding...

Description JOB PURPOSE:   The Auditor- Educator is primarily responsible for day to day compliance program activities of monitoring, auditing and education to ensure compliance with requirements for billing and payment. This opposition acts to inform and support organizational compliance efforts in all phases of the revenue cycle.    JOB FUNCTIONS Audits and Monitoring Plan and perform, or arrange to perform required compliance audits. Verify accuracy of completeness and compliance with program billing requirements. Compile and track audit results. Provide or arrange to provide for follow-up as required. Analyze audit results. Prepare and deliver timely reports to management.  Provide recommendations as indicated, and assist to develop detailed audit response plans.  Select and monitor specific revenue cycle controls and outcomes using available tools and reports. Investigate as directed or according to corporate policies and procedures.  Prepare...

No CPC-A candidates should apply Service Delivery Manage client SLAs (turn-around-time, quality) Production planning – monthly, weekly, and daily queue management, movement of resources on a need basis Project Management Resource planning per project scope, risk management, escalation management. Achieve client and organization objectives for a given project Quality Management Effective monitoring of quality performance, root causes, and resolutions to the quality challenges of the team Team Management Goal setting, coaching and feedback, performance management, team development Career Management and development of associates Provide SME and problem-solving support for day-to-day issues Identify training gaps and plan trainings Process improvement Drive efficiency and productivity initiatives Improve client and employee experience through continuous improvements Effective utilization of coders via cross-training across...

Temp-to-Perm Opportunity No CPC-A candidates should apply Required Qualifications : High School Diploma/GED (or higher) Active AAPC CPC (Certified Professional Coder) Certification or AHIMA CCS (Certified Coding Specialist) Certification 3+ years of experience in the healthcare industry, medical coding, and Risk Adjustment 3+ years of experience with HCC Coding Intermediate level of proficiency with verbal and written communication skills, including ability to effectively communicate with internal teams Intermediate level of proficiency reading and interpreting medical coding rules and guidelines to make decisions (e.g., exclusions, sequencing, inclusions) Intermediate level of proficiency utilizing resources and reference materials (e.g., on-line sources, manuals, etc.) to identify appropriate medical codes and reference code applicability, rules, and guidelines Intermediate level of computer proficiency (MS Office-Word, Excel, Outlook) Preferred...

A busy Ophthalmology Practice in beautiful Bedminster, NJ is looking for someone who is eager and excited to join a team of exceptional doctors, clinical staff and supportive administrative staff. This is the perfect opportunity for a Medical Biller to grow with a very successful, constantly growing Ophthalmogy Practice. A dedicated, organized and skilled Medical Biller who is adaptable and willing to be trained for this specialty would be welcomed. General Summary: This management position is responsible for coordinating and directing the overall functions of the medical billing and coding of the office to ensure maximum and consistent cash flow. The position requires strong leadership qualities, business skills and attention to detail. Essential Job Responsibilities: 1. Oversees the operations of the billing department, encompassing medical coding, charge entry, claim submission, posting payments, and account receivable follow-up 2. Practice expert and go to person...

MINIMUM REQUIREMENTS · High School Diploma or Equivalent · CPC Certification (or equivalent) required · CPB Certification preferred · HCC Certification preferred · At least 5 years of billing and coding experience (outpatient/medical practice coding experience preferred) · (2) Training or background in ICD-10 / CPT codes. · Knowledge of medical terminology and billing practices. KNOWLEDGE/SKILLS/ABILITIES: · Ability to work under pressure. · Ability to handle multi-functions/multi-tasks. · Ability to problem solve and adapt to a fast paced work environment · Pay attention to detail, function autonomously · Understanding of community-based organizations. · Ability to effectively communicate with the medical staff and Office Managers. · Knowledge of bookkeeping and office functions. · Knowledge of CPT and ICD10 codes. · Ability to work proficiently and efficiently on a timely manner. · Knowledge of all payer...

Base Wage: $ 31.77 to $ 47.66 Accepting online applications at skagitregionalhealth.org/careers Serving as the leadership point-person for the clinic coding staff, who will Report to the PFS Manager of Hospital, Clinic Ops & SRC Coding, this position is responsible for converting diagnoses and procedures into appropriate codes using ICD-10, HCPCS and CPT along with completing day-to-day administrative tasks. The main focus of the Supervisor is to oversee coding processes and serve as a resource to other coders by providing coding expertise and feedback to the staff of Certified coders and to ensure they are coding proficiently, accurately, and completely to facilitate the billing and reimbursement process. Supervises personnel which can include performance reviews, corrective action, staff development and training, while adherence to SRH Human Resources policies. Supervisor may assist in hiring needs of the department as well as the orientation process for all...

Job Description Additional Information About the Role Remote opportunity- must reside in the Greater St. Louis Metropolitan area! Previous auditing experience of evaluation and management and surgical procedures is preferred!  Working knowledge of EXCEL and MS Publisher.  Overview BJC Medical Group  is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with top-ranked hospitals in the Midwest region. Since 1994, BJC Medical Group has provided access to extraordinary care in over 145 locations and over 25 specialties in the greater St. Louis, mid-Missouri and southern Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the communities we serve. The Quality and Compliance Department provides support to the strategic and operational objectives of BJC...