34 jobs found

Certified Coding Analyst 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 Coding Analyst will perform medical claim reviews for waste and error to ensure compliance with coding practices through a comprehensive record review for medical and institutional providers. The Analyst must have the ability to determine correct coding and appropriate documentation during the review of medical records. The Analyst must also ensure state; federal and company requirements are met. Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Benefits: 401(k) Paid time off Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and insurance...

Baylor Scott & White Health is seeking a DRC Coding Auditor to join the Denial Resource Center. You will review and appeal complex coding denials for Hospital Billing and Professional Billing, ensuring documentation supports billed services and reported diagnoses while collaborating with Clinical Validation RNs and revenue cycle teams. Responsibilities include auditing denials, researching coding guidelines, preparing persuasive appeal documentation, and performing root cause analyses to reduce #J-18808-Ljbffr

Bayhealth Medical Center is seeking a Medical coder to abstract clinical information, assign ICD-9/ICD-10 and CPT-4 codes, and ensure accurate DRG grouping and reimbursement. This role supports the Kent Campus operations in Dover, DE with day shifts and full-time hours. The position requires a certificate in medical coding, CPC certification (or CPC-A/RHIA) and at least six months of coding or medical records experience. A healthcare facility background is preferred. #J-18808-Ljbffr

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

CoderIf you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:Generous Paid Time Off and Paid HolidaysMatching 401(k)/403(b) PlansExcellent Health, Dental, and VisionDisability and Life Insurance optionsOn Site Child CareEducational ReimbursementHealth Care and Dependent Care Flex Spending...

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. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews 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. Activities include: Conduct a...

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk? Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand! Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including: Generous Paid Time Off and Paid Holidays Matching 401(k)/403(b) Plans Excellent Health, Dental, and Vision Disability and Life Insurance options On Site Child Care Educational Reimbursement Health Care...

Why work at TidalHealth? Looking for a rewarding place to work? Choose TidalHealth. Our hospitals have been named among the Top 5 percent of all U.S. hospitals by Healthgrades and a five-star hospital by the Centers for Medicare & Medicaid Services. Located just 30 minutes from the beach, TidalHealth offers the widest array of specialty and subspecialty services such as neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage of our tuition assistance and residency programs to grow both personally and professionally. Inpatient Coder Position Summary The Hospital Inpatient Coder accurately abstracts pertinent information from the patient record to apply the appropriate diagnostic and procedural codes to individual inpatient accounts for data submission/analysis and claims processing. This position adheres to the Official ICD-10 and PCS Coding Guidelines and the...

TidalHealth is seeking an Inpatient Coder to accurately abstract information from patient records and apply the appropriate ICD-10-CM, CPT-4, and HCPCS codes for inpatient accounts, supporting data submission and claims processing. The role follows ICD-10/PCS guidelines and AHIMA ethical standards, with ongoing learning through coding webinars and audit reviews; EPIC EHR experience is preferred and Windows proficiency is required. #J-18808-Ljbffr

Why work at TidalHealth? Looking for a rewarding place to work? Choose TidalHealth, which now includes three hospitals - TidalHealth Peninsula Regional in Salisbury, Maryland; TidalHealth Nanticoke in Seaford, Delaware; and Atlantic General Hospital in Berlin, Maryland. All three hospitals are "A" rated by Leapfrog Hospital Safety Guide, and the facilities have received numerous other honors. TidalHealth is regularly adding new practices to grow our offerings in specialty and subspecialty services. These include neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care, clinical trials and research, and more. TidalHealth is also home to a growing graduate medical education program to prepare the next generation of physician specialists. Located on the beautiful Delmarva Peninsula, close to the beach, becoming part of Team TidalHealth also offers an ideal opportunity for work-life balance. Take advantage of our...

Job Details Do you have Acute Care and Inpatient Procedure Coding experience and want to work for a company based onLoveandExcellenceand are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals" by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition. Scheduling Flexibility and Perks The schedule and hours for this position are very flexible and we will work with you on work/life balance to build a schedule that works for you This position is 100% remote and we encourage national candidates to apply...

Senior Billing Liaison Join our team as a Senior Billing Liaison! The Billing Liaison Sr/Coder primary job responsibilities include ensuring 100% charge capture by reviewing physician dictated notes and operative reports and properly code all services performed utilizing appropriate CPT, ICD-10-CM codes and modifiers. Daily review of EPIC Charge Review Work queues is essential. Also monitor and report on accounts receivable issues related to payer compliance and/or billing processes. The Liaison Sr/Coder is the link between the providers and the billing office and acts as a resource to providers, office staff, administration and the Central Business Office. Participation in coding training and education is also required. Maintaining yearly certification as a Certified Professional Coder is required with the American Academy of Professional Coders. Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia,...

ChristianaCare is seeking a full-time Acute Care Coder with ICD-10-PCS inpatient coding experience to join our remote-friendly team. You will assign ICD-10 CM/PCS and HCPCS/CPT codes for inpatient, outpatient, and other records, supporting accurate billing and data reporting. Candidates must have ICD-10-PCS inpatient coding in acute care, a college diploma in medical coding, and a solid foundation in anatomy and pharmacology. Remote position with flexible scheduling and strong benefits. #J-18808-Ljbffr

Syneos Health in Wilmington, DE is seeking a Medical Coding Specialist / Clinical Coder II to encode adverse events and medical history using MedDRA and WHOdrug, ensuring accuracy and timely processing. The role requires 2+ years in pharmacovigilance or clinical data management, a health science degree, and experience with coding tools such as Medidata RAVE Coder, TMS and Veeva. Syneos Health offers a collaborative environment, ongoing training and competitive benefits across a global team. #J-18808-Ljbffr

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

A leading technology services company in Wilmington is seeking candidates for a role focused on auditing documentation for tax compliance. The responsibilities include performing detailed audits, gathering information through interviews, and ensuring quality of work. Strong attention to detail, technical, and verbal communication skills are essential. Interested individuals should share their resume to the provided email address for further steps. #J-18808-Ljbffr

Tax Auditor SupervisorThe incumbent in this position is responsible for ensuring the proper audit, computation and collections of business taxes, which includes gross receipt tax, withholding tax, and other transaction-based taxes collected by the Delaware Division of Revenue. The incumbent will develop audit procedures using Division of Revenue's (DOR) tax administration system. The incumbent will advise, direct and support auditors in the performance of audits, which include reviewing accounting records such as invoices, sales journals, general ledgers, bank statements, and inventory entries to determine compliance with tax laws, rules and regulations, assessing liabilities and explaining assessments or return adjustments to taxpayers.

Coder Billing ENT & Allergy of Delaware - 700 Prides Crossing - NEWARK, DE 19713 Overview Position Type Full Time Travel Percentage Instate multi-clinic travel Description Join our team where Healthcare is reimagined! We are looking for a Coder Billing teammate to join our team. We are an established practice that is continually growing. Work with our well-respected group that has been serving the community for many years. Whether starting your career or looking to share your knowledge with others, we are the place for you! What makes us different? While working at our Company, a Parallel ENT & Allergy Company, you will enjoy great perks, such as a great work schedule (no weekends), an excellent benefits package, and PTO. We strive to maintain an environment where our employees can grow and further their skills and careers while being a part of a strong team. Responsibilities: Prepare and submit billing data and medical claims to insurance companies...

SUMMARY: Responsible for all facets of medical billing coding audits of physicians and Advanced Practice Provider (APP). Assists Billing Specialists, Coders, and Patient Accounts Specialists in the ongoing operations of the Billing Department towards the achievement of Brandywine Urology Consultant's patient care and financial goals. Assist when needed to ensure the effective ongoing operations of the Billing Department. Responsible for providing cross coverage for the other Billing Specialists as required to ensure efficient and professional practice operations and maximum patient satisfaction. ESSENTIAL DUTIES & RESPONSIBILITIES: Maintain all Physicians and & APP credentialling files including but not limited to: Christiana Care Health System Medical Staff Files, St. Francis Hospital Medical Staff Files, Delaware Outpatient Center for Surgery Medical Staff Files and all health insurance payors files. Assist physicians and APPs in the maintenance of their...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2925 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we...