41 jobs found

Job Description Job Description We’re different. In a good way. In communities like ours, co-workers and patients are our friends and neighbors. Sometimes they are family. And we take care of each other like family. If you’re tired of the typical workplace grind, we have something very different in store for you. Reasonable hours, a devoted team, a commitment to improvement, and believing in the value of every person – whether employee or patient – are just a few of the qualities for which we’re known.  We’re a human potential company . Join us and experience the difference of the Desert Sage Way. We can’t wait to meet you. Desert Sage Health Centers believes in patient-focused care delivered through a caring team of competent and caring health care professionals. As a Patient Centered Medical Home (PCMH), Desert Sage Health Centers prides itself in the quality of care it delivers to more than 7,800 annual patients at three health center site locations. Our integrated system...

Job Description Job Description Description: Job Summary Responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities. Duties and Responsibilities · Verifying authorizations are listed for needed procedures. · Verifying eligibility edits and notify admissions with errors. · Reviewing patient bills for accuracy and completeness while obtaining any missing information. · Preparing, reviewing for accuracy, and transmitting claims using billing software, including electronic and paper claim processing. · Following up on unpaid claims within standard billing cycle timeframe. · Assists with the distribution of mail. · Greet all patients, families and hospital visitors with a positive, cheerful attitude. · Answering telephones, using proper identification, responding appropriately to all hospital departments, physicians,...

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...

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:...

Billing Specialist (Hybrid) Join Eagle Vision One, a leading provider of optometry services and vision care products in Eagle and Meridian, ID. We are expanding our team and looking for a Billing Specialist to join us in providing Legendary Service to our clients. As a Billing Specialist at Eagle Vision One, you will play a crucial role in ensuring accurate and timely billing processes, contributing to the overall success of our practice. If you are detail-oriented, organized, self driven, and passionate about eye care, we want to hear from you! Daily Responsibilities: Manage billing and invoicing processes for both medical and vision patient encounters Verify insurance coverage and process claims Resolve billing discrepancies and issues Communicate with patients regarding billing inquiries Collaborate with other teams to ensure accurate financial records Required Skills: Experience in medical billing Knowledge of insurance billing procedures Strong attention to detail and accuracy...

Job Description Job Description Certified Medical Coder (Remote Production Role) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted...

Patient Accounts Representative Desert Sage Health Centers The Patient Accounts Representative, a key position in the Revenue Cycle, manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence. The Representative will assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled timely in order to maximize revenues. Other important duties include enrollment processing, and reporting. Billing and Claims: Prepares and submits clean claims to third party payers either electronically or by paper. Maintains relationship with clearinghouse, including appropriate follow-up with support issues. Coordinate the process of patient eligibility through various third-party sources. Coordinate collection process, to include any projects from Medisoft accounts and tracking current...

Job Type Full-time Description Job Summary Responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities. Duties and Responsibilities • Verifying authorizations are listed for needed procedures. • Verifying eligibility edits and notify admissions with errors. • Reviewing patient bills for accuracy and completeness while obtaining any missing information. • Preparing, reviewing for accuracy, and transmitting claims using billing software, including electronic and paper claim processing. • Following up on unpaid claims within standard billing cycle timeframe. • Assists with the distribution of mail. • Greet all patients, families and hospital visitors with a positive, cheerful attitude. • Answering telephones, using proper identification, responding appropriately to all hospital departments, physicians,...

Job Summary Medical Billers bill all patient accounts to the appropriate insurance company or payor in an efficient, accurate and timely manner according to payor regulations, and, as appropriate, provide assistance in regard to patient bills, customer (patients, families, physician offices, review organizations, insurance companies) in polite and professional manner. The below Essential Functions are subject to change based on the organizational needs and to ensure with the ever-changing environment of healthcare. Key Job Duties and Responsibilities Daily Responsibilities: Consistently demonstrates AIDET Obtains appropriate insurance and demographic information Understands EOBs, billing tickets statuses, and takes appropriate actions accordingly Understands claim Edits for claim processing and takes appropriate action accordingly Enters quality financial notes into the EMR whenever an action is taken related to an account Processes Facility &...

Mountain View Hospital is looking for a Medical Coding Specialist to join our team! JOB SUMMARY: Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. The coder assigns ICD-9- and ICD-10 CM and/or HCPCS codes, creating APC or DRG group assignment for reimbursement purposes. Requires skill in the sequencing of diagnoses/ procedures to optimize reimbursement. Must be able to read and interpret operative reports, history and physicals, physician orders, and pathology reports to determine the correct CPT and diagnosis coding. Ensures that records are coded in an accurate and timely manner. Abstracting worksheets to put codes in the computer. BENEFITS: Taking care of our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include: Medical, Dental and Vision Insurance Paid Time Off...

Mountain View Hospital is looking for a Medical Coding Auditor to join our team! JOB SUMMARY: Medical Record Auditor will be responsible for assisting/ conducting audits of medical records, coding and billing information. The auditor will look at both departments inside the hospital, outside departments and physician records and billing. Auditors will put together informational reports of finding and relay the information to the appropriate source. Reporting will be generated to help track which providers, locations or target areas need to be audited. The medical auditor will assist in putting together appeals/ rebuttals for external auditing sources. Auditor should have audits completed within a timely manner that is set up with the supervisor/ manager. Auditor will be provided as education as directed by the Auditing Integrity Department manager. Works collaboratively with the unit-specific educators, department manager, department supervisor, the DON and the compliance...

Mountain View Hospital is looking for a Certified Medical Coder to join our team! JOB SUMMARY: Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. The coder assigns ICD-10-CM, ICD-10-PCS, CPT, and/or HCPCS codes creating APC or DRG group assignment for reimbursement purposes. Requires skill in the sequencing of diagnoses/ procedures to optimize reimbursement. Must be able to read and interpret operative reports, history and physicals, physician orders, and pathology reports to determine the correct coding. Ensures that records are coded in an accurate and timely manner. Abstracting worksheets to add codes in software. BENEFITS : Taking care for our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include: Medical, Dental and Vision Insurance Paid Time Off (vacation, holidays and...

Northwest Specialty Hospital is seeking a detail-oriented Medical Coder II to join our Coding Team! We need someone with a professional demeanor, can work well under stress/stress situations, will provide great customer service, and can multitask! In this role you will be responsible for reviewing and analyzing medical records, assigning appropriate codes to diagnoses, procedures, and services, and ensuring accurate and timely submission of claims to insurance companies and government agencies to ensure compliance and proper reimbursement. This position will work closely with healthcare providers and billing staff to ensure compliance with coding guidelines and regulations. This position will play a crucial role in maintaining the financial health of healthcare organizations while ensuring the integrity of patient data. The Medical Coder II will need to project a professional demeanor and appearance while maintaining the confidentiality of medical information, physicians,...

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...

Job Type Full-time Description At Functional Medicine of Idaho (FMI), we are committed to helping people thrive by providing personalized, integrative healthcare that addresses the root causes of health concerns. Our mission is to empower individuals at every stage of life, guiding them toward optimal well-being. We focus on delivering comprehensive, patient-centered care rooted in the latest research and compassionate service. At FMI, we value collaboration, innovation, and empathy, and are dedicated to offering the best functional and integrative medicine in the communities we serve. Join our team and be part of transforming healthcare while making a meaningful impact. Benefits 401(k) with Employer Match Dental Insurance Employee Assistance Program Health Insurance Life Insurance Vision Insurance Paid Time Off Employee Discounts on Wellness services, Supplements, & more! Role and Responsibilities We are seeking a highly resilient and...

Join Our Innovative Health Information Management Team! About the Opportunity: We are on the lookout for a Lead Inpatient Medical Coding Specialist to become a vital part of our forward-thinking healthcare information management team. In this pivotal role, you will seamlessly connect clinical data with cutting-edge technology, contributing to the evolution of AI-driven solutions for medical coding and billing. Your extensive expertise will shape our product development strategies and help us redefine the future of healthcare. Key Qualifications: A minimum of 3 years of substantial experience in inpatient medical coding within a hospital setting. Demonstrable proficiency in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and relevant modifiers from patient records. A comprehensive understanding of the evidence requirements for precise and accurate coding. Hands-on experience with grouper software for MS-DRG 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. 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...

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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

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...

Blue Cross of Idaho is looking for Risk Adjustment Medical Coder who will be responsible for the medical record retrieval and over-reads for audit project activities as they relate to risk adjustment and revenue accuracy. Collaborate and support cross-functional teams needed for various risk adjustment program efforts to ensure coding, documentation, and reporting accuracy. This position has preference to be based in Meridian Idaho and offers hybrid work location; potential consideration for working fully remote within a mutually acceptable location. #LI-Remote; #LI-Hybrid. Required Experience: 3/+ years' experience in health industry (healthcare and/or health insurance) to include medical record coding, preferably with HCC and/or Risk Adjustment coding experience. Required Certifications: Certified Professional Coder (CPC) In addition to CPC, must also hold, or acquire within one year of hire: Certified Risk Adjustment Coder (CRC) Preferred Qualifications:...

Job Type Full-time Description Review medical records and provider documentation for completeness and accuracy. Assign accurate ICD-10, CPT and other applicable codes based on documentation and coding guidelines. Ensure coding compliance with federal regulations, payer policies, and industry standards . Query providers for clarification when documentation is insufficient or ambiguous. Collaborate with billing and clinical teams to resolve coding issues and reduce denials. Maintain up-to-date knowledge of coding changes, industry updates, and payer requirements. Support audits by preparing coding reports and participating in chart reviews when necessary. Protect patient confidentiality and ensure HIPAA compliance at all times. Requirements High school diploma or equivalent required; associate's or bachelor's degree preferred. Minimum of 1 year minimum of coding experience in a clinical, hospital, or specialty practice setting. Proficiency in...

WE ARE HIRING! We are seeking a detail-oriented and knowledgeable Housing Compliance Auditor to conduct Management and Occupancy Reviews (MORs) for Project-Based Section 8 and other affordable housing properties. This role ensures compliance with HUD, IBPS, and other regulations and helps maintain the integrity of affordable housing programs for low-income individuals and families in Idaho. If you are mission-driven and passionate about making a difference in Idaho communities, we encourage you to apply! This position is located in Boise, Idaho. Why Work with Us? At our organization, we are dedicated to improving lives and strengthening Idaho communities. We believe that housing opportunities, self-sufficiency, and economic development are the pillars of progress. Our commitment to our team is unwavering, and we consider our employees our greatest priority. Join us and be part of a professional and mission-driven organization that makes a meaningful impact on the lives...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...