28 jobs found

Job Title PRN - Hours will vary Minimum Required Qualifications Minimum required qualifications

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Medical Biller Times Pharmacy is looking for medical billers or pharmacy technicians for vaccination clinic billing. We are looking to hire independent, organized, detail-oriented, and motivated individuals to help us process and submit vaccination clinic claims. Availability: Monday through Friday Most days start around 8am and end around 5pm. May potentially end later (around 7PM) or may work on Saturday and/or Sunday if there is a need. Position begins in July or August and ends in mid November (~3-4 months) Responsibilities: Enter vaccination clinic claims into pharmacy billing systems Process and organize vaccination clinic files Follow all operating policies and procedures Conduct work in a professional manner at all times and provide excellent customer service Proper phone etiquette when verifying health information with patients and/or healthcare professionals Additional duties to be assigned as needed, such as attending vaccination clinics and...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. ***** FT and PRN Openings *** Up to $5,000 Sign On Bonus ***** What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical...

RESPONSIBILITIES Diagnostic Laboratory Services, Inc. (DLS) is Hawaii's largest locally owned and operated medical testing laboratory. DLS is considered a leader in the Hawaii, Guam and Saipan communities we serve. As an integral part of the patient care team, DLS uses state of the art testing and value-based informatics to promote optimal patient care and positively impact patient outcomes. SCHEDULE Regular Full-Time Position (Eve/Night) Must be available Monday through Friday, starting as early as 2:00 PM. Must be flexible with schedule changes to meet operational needs. HIRING RANGE $83,320 to $102,717 annual Actual pay commensurate with experience JOB SUMMARY Supervises employees and operations for the department. Ensures operations meet regulatory requirements. Partners with the manager in hiring, developing and coaching employees. With department Manager, directs supervisory team and the overall operations of the department in support of the company and...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Senior auditor responsible for clinical or physician compliance topics. Assigned the most complex clinical/documentation/coding/billing reviews. Provides guidance to other auditors within AHN on audit approach and analysis. Responsible for creating and overseeing orientation of auditors. Leads all hospital or physician audits/investigations, auditing support and responses related to external audit activity. ESSENTIAL RESPONSIBILITIES: Establishes and implements orientation for all members of the AHN audit compliance team. Evaluates the progress of team members including review of reports and audit activities. Works with senior management responsible for AHN-wide case management/physician programs to develop processes that meet Medicare and 3rd party payor requirements. Provides guidance to staff auditors on audit topics and reports. (20%) Conducts educational sessions for...

Join Datavant, the leading data collaboration platform in healthcare dedicated to making health data secure, accessible, and actionable. Our mission is to provide vital data solutions for healthcare organizations including providers, health plans, researchers, and life sciences companies. Contribute to the future of healthcare by enabling advanced data connectivity and transformative change. What We Are Looking For: We seek experienced and credentialed inpatient coders to join our dynamic team. If you have a keen eye for detail and a solid understanding of medical terminology, this is your chance to make a meaningful impact while enjoying the flexibility of working remotely! Your Responsibilities Include: Assigning diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS. Accurately sequencing and abstracting medical codes from patient records to ensure compliance and quality. Overseeing and auditing the work of Level 1 & 2 Coders, as needed....

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Billers experience in rehabilitation, physical therapy, occupational therapy billing WELCOME to Movementplus! Job Overview We are seeking a detail-oriented and organized Medical Biller to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accurate coding, and maintaining compliance with medical billing regulations. This role requires a strong understanding of medical terminology, coding systems, and the ability to work efficiently in a fast-paced environment. Responsibilities Process and submit medical billing claims to insurance companies and government payers. Review and verify patient information and insurance coverage. Utilize ICD-9, ICD-10, and DRG coding systems to ensure accurate billing. Maintain detailed records of billing transactions and follow up on unpaid claims. Communicate with...

Job Summary: Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD- 10CM (may include PCS), and HCPCS/CPT. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT)  National Correct Coding Initiative (NCCI), and Kaiser Permanente...

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...

Become a part of our caring community and help us put health first Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor - DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes and expertise in...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

A leading healthcare provider is seeking a Nurse Auditor 2 to perform clinical audits and ensure the accuracy of medical documentation and coding. This remote role requires a current U.S. RN license and a minimum of one year of clinical experience. Candidates should possess strong problem-solving and interpersonal skills. Compensation ranges from $78,400 to $107,800 per year, with eligibility for a bonus incentive plan. #J-18808-Ljbffr

Join our dynamic team as a Medical Coding Specialist! This remote position is perfect for experienced coders specializing in Profee Outpatient Coding. We are looking for proactive team players committed to accuracy and collaboration. Your Role: Utilize your expertise in Profee Outpatient Coding for timely and precise assignment of Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes from both paper and electronic medical records. Conduct thorough reviews of medical documentation to accurately determine principal and secondary diagnoses and procedures based on a solid understanding of anatomy, physiology, medical terminology, and pathology. Ensure compliance with official coding guidelines and federal regulations while sequencing diagnoses and procedures according to clinical significance for appropriate reimbursement. Review discharge summaries, history and physicals, physician notes, and lab reports to code diagnoses and procedures with...

A client of Innova Solutions is immediately hiring for a HIM Coder Position type: Full-time,Contract Duration: 5+ Months Location: Remote (Looking for candidates based out in HI, CA, WA or OR) As a HIM Coder, you will: The HIM Hospital Coder I is responsible for reviewing medical records and accurately assigning diagnosis and procedure codes in accordance with recognized coding guidelines and organizational standards. Day to Day Responsibilities Review inpatient and outpatient medical records daily to identify and assign accurate diagnosis and procedure codes. Abstract clinical data and ensure coding is completed within required productivity and compliance timelines. Apply ICD-10-CM, CPT, and HCPCS Level II guidelines to ensure proper code selection and sequencing. Communicate with physicians and internal teams to clarify documentation, diagnoses, and procedures when needed. Monitor coding accuracy, resolve discrepancies (including DRG-related...

Coder I : This position performs day-to-day review, analysis and coding of patient records; codes diagnoses and operative procedures and reviews and analyzes the medical records of discharged patients. Performs other duties as assigned. Coder II : This position independently assigns ICD-10-CM and CPT-4 codes for diagnoses, procedures and other services; abstracts clinical data for reports and summaries. Performs other duties as assigned. Required Qualifications : To qualify, you must meet all of the following requirements. Please note that unless specifically indicated, the required education and experiences may not be gained concurrently. In addition, qualifying work experience is credited based on a 40-hour workweek. Education : High school diploma or equivalent. Received ICD-10 training, coursework, or classes, within the last 2 years. Except for the substitutions provided for elsewhere in these specifications, applicants must have had progressively responsible...

This position supervises the coding section of the Medical Records department, performs day-to-day review, analysis and coding of patient records, monitors coding for quality control, codes diagnosis and operative procedures, reviews and analyzes the medical records of discharged patients, schedules work assignments, trains new employees and performs other duties as assigned. Location: This position allows for a hybrid (remote/in office) work environment for a State of Hawaii resident, with a requirement for an incumbent living outside of Hilo to work on-site on the Big Island at regular intervals throughout the year (approximately four times per year for visits of approximately one week each). Airfare and lodging will be paid for by the organization, in accordance with our policies. Required Qualifications : To qualify, you must meet all of the following requirements. Please note that unless specifically indicated, the required education and experiences may not be gained...

[Medical Biller] Employment type: Temporary, Part-time Times Pharmacy is looking for medical billers or pharmacy technicians for vaccination clinic billing. We are looking to hire independent, organized, detail-oriented, and motivated individuals to help us process and submit vaccination clinic claims. Availability: • Monday through Friday - Most days start around 8am and end around 5pm. May potentially end later (around 7PM) or may work on Saturday and/ or Sunday if there is a need. • Position begins in July or August and ends in mid November (~3-4 months) Responsibilities: • Enter vaccination clinic claims into pharmacy billing systems • Process and organize vaccination clinic files • Follow all operating policies and procedures • Conduct work in a professional manner at all times and provide excellent customer service • Proper phone etiquette when verifying health information with patients and/or healthcare professionals • Additional duties to...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2675 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? 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 cannot wait to meet you. About The Position Advanced knowledge...

This is a full time remote based position that specializes in advancing product expertise and functional skills of global medical affairs teams. The AD will serve as a therapeutic area expert (i.e., Nephrology/Immunology) by leading the training supporting the GMA Business Unit products, strategy and priorities. This role will be responsible for developing and executing the core training curriculum for a new product across all launch phases as well as training New Hire MSLs & GMA personnel supporting their therapeutic area. In addition, this role will be integral in the support of the GMA Peak Performers series, focusing on upskilling the performance of Global Medical Affairs. This will require original idea proposals, slide development, execution and evaluation. Leading live and virtual classroom trainings will also be an important deliverable of this position. The AD will partner and oversee regional/local Training Leads for their therapeutic area to develop tailored...

I. Job Summary Under minimal supervision, plans and conducts environmental compliance audits of various entities to determine compliance with Federal and State regulatory requirements, programs and internal policies with a focus environmental regulations and capacity. II. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each of the following essential duties satisfactorily. Other minor duties may be assigned. Plan and conduct internal audits to determine compliance with Federal and State regulations. Review facility operations and records to ensure adequacy of internal controls, compliance with procedures, consistency with established laws, rules and regulations and guidelines applicable to overall compliance for the operation. Prepare audit reports, and implement administrative and technical audit procedures for audit program activities. Review and verify audit corrective actions and...

Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Billers experience in rehabilitation, physical therapy, occupational therapy billing WELCOME to Movementplus! Job Overview We are seeking a detail-oriented and organized Medical Biller to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accurate coding, and maintaining compliance with medical billing regulations. This role requires a strong understanding of medical terminology, coding systems, and the ability to work efficiently in a fast-paced environment. Responsibilities Process and submit medical billing claims to insurance companies and government payers. Review and verify patient information and insurance coverage. Utilize ICD-9, ICD-10, and DRG coding systems to ensure accurate billing. Maintain detailed records of billing transactions and follow up on unpaid claims. Communicate with healthcare providers to...

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 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

A construction compliance company in Honolulu, HI is looking for a Safety & Field Compliance Officer. The role involves conducting audits of job sites to ensure adherence to safety standards and OSHA regulations. Candidates should have strong organizational skills and experience in safety auditing. Full family medical coverage and a competitive salary of $62,400 annually are offered. This position requires effective communication and attention to detail in documentation. #J-18808-Ljbffr