32 jobs found

Employment Type: Full time Shift: Description: Under the general direction of the Coding Manager and/or Lead, the Coding Specialist is responsible for coding Inpatient accounts providing high level technical competency and subject matter expertise analyzing physician/providerdocumentation contained in assigned Complex Outpatient (CO) and/or Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records. Codes diagnoses, treatments, procedures according to the appropriate classification system for the category of the patient's encounter. Majority of coding will be Medicare/Medicaid inpatient accounts. Assigns the diagnosis or...

Employment Type: Full time Shift: Description: The physician based coder is responsible for accurate and timely review and coding of procedures and surgeries for multi-specialty areas into the billing and accounts receivable system. Ensures that all external regulations affecting the coding process are implemented in the work course to assure compliance and consistency of coding and reduce the risk of external audits. Review physician reports and append appropriate CPT, HCPCS, ICD-10 codes, and modifiers. Verify that physician documentation supports the billing. Query physician when necessary to ensure correct coding. Minimum Education: Required: Associates Degree OR equivalent training acquired via work experience or education Specify Degree(s): Graduate of accredited medical coding program Minimum Experience: Required: 1-2 years of previous job-related experience Licensure/Certifications: Required: Certified Coding Specialist (AHIMA) or...

Job Description Job Summary : The billing specialist is responsible for supporting the Integrative Medical Practice with duties and projects related to the billing function for the office. These duties and responsibilities include; coordination of day-to-day efforts and communication with our external billing partner, researching disputed invoices, fielding calls from patients and insurance companies, validating and processing customer refunds, posting of daily patient payments, daily use with the electronic medical record, daily closing and balancing of payments and receipts. Under the supervision of the Practice Administrator, this position requires an individual who has the ability to work independently, work well under pressure, is analytical, detail oriented, well organized and has excellent problem-solving skills. A high level of professionalism, and strong communication skills required. This role also will handle items related to laboratory billing, credentialing and...

Job Description Job Summary The Professional Fee Coder is part of a team which has full responsibility for the efficient and accurate flow of coded professional and technical charges. Coder applies the appropriate diagnoses and procedural codes and applicable modifiers to individual patient health information for data retrieval, analysis and claims processing. Works closely with clients to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers. Provides physicians routine feedback on documentation and compliance standards. - Conducts training for coding staff and providers. Resolves pre-bill edits and appropriate follow-up. Provide statistical data and/or trending to management. Exercises judgment within defined procedures and practices to determine appropriate action. Receives general instructions on routine work, detailed instructions on new assignments. Coding positions are remote. Coder is responsible for providing their own...

Job Description Experienced surgical facility biller with collection experience preferred. Both provider and professional billing/collection experience required. Company Description Multispecialty Medical/Surgical Group with Newly Refurbished ASTC (Licensed Multispecialty Surgical Center with CON) affiliated with Surgical/Medical services in Chicago. Hourly rate or salary negotiable. Company Description Multispecialty Medical/Surgical Group with Newly Refurbished ASTC (Licensed Multispecialty Surgical Center with CON) affiliated with Surgical/Medical services in Chicago.\r\nHourly rate or salary negotiable.

Job Description The Coding Network (TCN) is the country's premier coding and auditing company with over 850 single specialty physician coders and auditors. All of our coders and auditors work remotely from home, set their own hours, and can earn over 20% more than the average AAPC coder or auditor's salary. TCN's Orthopedic division is experiencing unprecedented growth and we need to contract with multiple new coders who can work as few as 15 hours a week. Our E&M division is also looking to add coders with Ortho E&M experience but does not have any immediate needs. All Coder applicants must: * Have a minimum of three (3) years of Orthopedic Surgical Specific Coding * Have an active coding certification (CPC, RHIA, RHIT, RCC) * Live and work in the United States of America * Take and pass TCN's Orthopedic Coding Exam If you meet the following criteria and are willing to test please submit your resume. NOTE: When submitting your resume, we are looking for the total number...

Job Description We are looking for an experienced Medical Biller with at least 3 to 5 years experience in ophthalmology. Experience with NextGen is a plus. This full-time position is looking for a dynamic and enthusiastic person to take charge of the medical billing department. Summary of Duties: Responsible for collecting, posting and managing account payments. Responsible for submitting claims and following up with insurance companies. Essential Functions: 1. Prepares and submits clean claims to various insurance companies either electronically or by paper. 2. Answers questions from patients, clerical staff and insurance companies. 3. Identifies and resolves patient billing complaints. 4. Prepares, reviews and sends patient statements 5. Evaluates patient's financial status and establishes budget payment plans. Follows and reports status of delinquent accounts. 6. Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares...

Job Description General Description: Under the direct supervision of the Compliance Audit Supervisor, the Associate Compliance Auditor is responsible for ensuring compliance with CTPF's standard operating procedures (SOP) and performing audits of a member's benefit before the retirement or refund benefit is finalized. The Associate Compliance Auditor performs audits to ensure accurate and timely benefits are distributed to members. Job Requirements: Primary Responsibilities ● Perform audits of members' accounts to ensure accurate benefits are being disbursed (i.e., pension, refunds, deceased and disability) ● Build strong working relations with internal departments and Employers to gather information and resolve member audit issues with minimal assistance ● Assist with identifying areas for improvement and providing recommendations in improving SOPs and department processes ● Support Senior Compliance Auditor to develop, review and update the SOP and flowcharts for final approval...

Job Description 95k to 110k Job Description The Senior Compliance Auditor has the primary responsibility to conduct global sales and marketing compliance audits for the US operating divisions and international affiliates. Scope may include but not limited to compliance audits in the following broadly described areas: * Research Funding * No-Charge goods * HIPAA/Privacy Laws * FCPA * Anti-Bribery * Commercial Contracting/Pricing. Travel - 15% to 35% Domestic and International Qualifications What you will bring! * At least 3 years of experience with a major public accounting, consulting or law firm in a client-facing capacity * Broad knowledge and experience in FCPA and/or the healthcare industry * Bachelor's Degree in from a four-year college or university * 15 - 35% travel to international and U.S. locations Why is This a Great Opportunity Our client is one of the top global pharma's. This is a highly visible Leadership Development Rotation Program. You will spend 24 months in the...

Job Description Mobile anesthesia group is looking to hire Full time experienced Billing & Collections Specialist * Accounts receivable and collections * Review and evaluate AR policies and procedures and make suggestions for revisions and updating information * Denial management * A/R Management * Follow-Up * Review A/R reports monthly * Patient Collections High volume and fast paced.

Job Description Located in Berwyn, IL, Suburban Surgical is seeking a Medical Coder that is responsible for obtaining prior authorization for all procedural orders by successfully completing the authorization process with all commercial and HMO payers. RESPONSIBILITIES * Review chart documentation to ensure patient meets medical policy guidelines * Prioritize incoming authorization requests according to urgency * Obtain authorization via payer website or by phone and follow up regularly on pending cases * Maintain individual payer file to include up to date requirements needed to successfully obtain authorizations * Initiate appeals for denied authorizations * Respond to clinic questions regarding payer medical policy guidelines * Confirm accuracy of CPT procedure and ICD-10 diagnosis codes order * Contact patients to discuss authorization status and collect deductibles KNOWLEDGE, SKILLS, AND ABILITIES * Knowledge of procedure authorization and its direct impact on the practice's...

Job Description * Must have a technical background, be familiar with applicable US and foreign regulations, standards, corporate and divisional standards. * Specifically, the individual must have a working knowledge of Quality Systems Regulations (QSR) and International Standards (ISO13485). * Additionally, the individual must understand a variety of quality/operational systems that support facility, product design, development, production, distribution, installation, and understand the principals of quality management. * Bachelor degree (in Engineering preferred) or equivalent experience and sufficient exposure to pharmaceutical or medical device related industries required along with 4+ years relevant experience as Internal Auditor, Quality Engineer and/or Manufacturing Engineer in an R & D and /or manufacturing environment in pharmaceutical or medical device related industries. * Position requires significant product and systems related knowledge. * Must have excellent oral...

Job Description Medical Murray Title: Production Supervisor Location: Lake Zurich, IL (*Onsite position) Work with a sense of well-being. Medical Murray has been family-owned and operated for over 25 years. Our products are manufactured in a clean room, which is a sanitary, environmentally controlled atmosphere with state-of-the-art manufacturing equipment and tools. About Medical Murray: Since 1996, Medical Murray has been a privately owned company producing finished medical devices, components, and subassemblies for customers around the world ranging from startups to the largest OEMs. We specialize in the development, testing, and manufacturing of permanent implants, delivery systems, and complex catheters for vascular, gastrointestinal, urologic, and other interventional markets. Our core goals are Integrity First, People Matter, First Class Service, Inspired Innovation, and Community Service. To learn more, please visit us at www.medicalmurray.com. Position Summary: The...

Job Description The Global Internal Audit function plays a critical role in protecting and enhancing the organization's value through risk-based assurance and advisory services to internal stakeholders, senior management, and the Audit Committee of the Board Internal Audit strives to be a critical function to evaluate company, industry and emerging risks, effectively partnering with the business, and consistently recruit and develop key talent for the wider organization. Goals are carried-out through the talent of the audit team, while leveraging analytical and audit tools, supported by a dynamic and collaborative team culture. Responsibilities : * Planning and executing audits of various processes/locations, both U.S. and international. * Compile and analyze large sets of data from multiple sources (such as SAP, payroll and various compliance documentation databases). * Partner with peers in creating a risk assessment analysis of a proposed audit of entities, processes or...

Job Description We are representing a prestigious biopharmaceutical company that believes in new approaches to addressing today's health issues. With 28,000+ employees and medicines available in over 170 countries, our client combines advanced science, expertise, and passion to solve serious health issues and make a remarkable impact on people's lives. Our client's Global Internal Audit function is seeking a Senior Global Compliance Auditor to join their team. The Senior Compliance Auditor will play a critical role in executing risk-based assurance and advisory services to internal stakeholders, senior management, and the Audit Committee of the Board. Key Responsibilities: * Plan and execute audits of various processes/locations, both U.S. and international * Compile and analyze large sets of data from multiple sources * Partner with peers to create a risk assessment analysis of proposed audits of entities, processes, or critical systems * Prepare and present audit findings to...

Job Description The Senior Global Compliance Auditor has the primary function to conduct global sales, marketing, and healthcare compliance audits and formulate recommendations for improving operating performance and controls. The scope of compliance audits may include, but is not limited to, the following areas: * Anti-Bribery / Anti-Corruption * Promotional / Non-promotional practices * Third Party Relationships * Grants & Donations/Research Funding * Monitoring & Transparency Reporting * Patient Support Programs * Contracting / Pricing * Privacy Laws Responsibilities: * Communicate and present audit findings professionally to executive senior management as well as his/her peer group * Apply intelligent considerations and sound risk-based reasoning when evaluating audit findings * Identify key risks and plan audits accordingly to address those risks * Find opportunities for improvements in sales & marketing compliance practices when measured against corporate...

Job Description Responsibilities * Follow the laboratory's procedures for specimen handling and processing, test analysis and reporting and maintaining records of patient test results * Conduct chemical analysis of bodily fluids, such as blood and urine, using microscope or automatic analyzer to detect abnormalities or diseases, and enter findings into computer * Follow the laboratory's established policies and procedures whenever test systems are not within the laboratory's established acceptable levels of performance * Perform a variety of routine and special laboratory procedures as authorized by the Manager or Director including rotation through at least three (3) areas of the Clinical Lab: Hematology, Chemistry, Coagulation, Urinalysis, Immunology/Serology, Bacteriology, and Specimen Processing * Operate laboratory equipment and instruments; record data and maintain equipment * Adhere to the laboratory's quality control policies, document all quality control activities,...

Job Summary: The MLS/MT, Supervisor assists the Laboratory Administrative Director in the technical operations, documentation, and overall efficiency of the Laboratory. The MLS/MT, Supervisor may be required to perform, interpret, and correlate laboratory procedures that require the broad exercise of independent judgment and responsibility with minimal technical supervision. Routine/complex testing will need to be performed across the major areas of the laboratory, such as blood banking, chemistry, hematology, urinalysis, immunology, microbiology, or coagulation. Responsibilities may include: follows established procedures for collecting and processing biological specimens for analysis; performs chemical, microbiologic, immunologic, hematologic, and immuno-hematologic laboratory procedures that require independent judgment; recognizes unexpected results and instrument malfunction and takes appropriate action; provides laboratory information to authorized sources; demonstrates...

Job Description This is an exciting time to join the FYZICAL family! If you have one year of billing experience and would enjoy being part of a champion team with a forward-thinking company that takes a unique approach to physical therapy, you are a great fit for our Medical Billing Specialist position in Mattoon, IL! In this Medical Billing Specialist role, you will be able to enhance your career under the guidance of a helpful, supportive practice leader in an exciting, fast-paced environment. With state-of-the-art technology at your fingertips, you will always have the tools you need to be successful. In addition, you will have access to continuing education, keeping you at the forefront of your profession. If you are ready to be part of an energetic atmosphere where you can achieve success and career satisfaction, apply for FYZICAL's Medical Billing Specialist job opening today! A great support team. An exciting work environment. Room to grow. Cutting-edge technology at your...

Job Description Medical Coding Specialist Department: Billing Reports To: Billing and Coding Manager FLSA: Non Exempt Company Description Since its founding in 1967, OrthoIllinois has grown dynamically to become one of the leading bone and joint centers in northern Illinois. Our university-quality care delivery is founded on a one-stop, multi-specialty philosophy. [INSERT JOB SPECIFIC LOCATION AND DETAILS HERE] Benefits available at OrthoIllinois: * Company sponsored Medical, Dental, Vision Insurance * Company paid Life insurance and additional Voluntary Life available * Company paid Long and Short Term Disability Insurance * 401k with company match and profit sharing * Employee Assistance Program * Generous paid time off program and holidays * Company paid wellness program * Employee appreciation events throughout the year * Discounted cell phone service and discounts with local vendors Job Purpose: The Medical Coding Specialist is responsible for daily charge capture for all...

Job Summary: The MLS/MT, Supervisor assists the Laboratory Administrative Director in the technical operations, documentation, and overall efficiency of the Laboratory. The MLS/MT, Supervisor may be required to perform, interpret, and correlate laboratory procedures that require the broad exercise of independent judgment and responsibility with minimal technical supervision. Routine/complex testing will need to be performed across the major areas of the laboratory, such as blood banking, chemistry, hematology, urinalysis, immunology, microbiology, or coagulation. Responsibilities may include: follows established procedures for collecting and processing biological specimens for analysis; performs chemical, microbiologic, immunologic, hematologic, and immuno-hematologic laboratory procedures that require independent judgment; recognizes unexpected results and instrument malfunction and takes appropriate action; provides laboratory information to authorized sources; demonstrates...

Job Description MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission challenges. Strong industry experience, technology-enabled services, and a data-driven approach to drug development make MMS a valuable CRO partner, creating compelling submissions that meet rigorous regulatory standards. With a global footprint across four continents, MMS maintains a 97 percent customer satisfaction rating, and the company has been recognized as a leading CRO in Global Health & Pharma's international awards programs for the last three consecutive years. For more information, visit www.mmsholdings.com or follow MMS on LinkedIn. Job Specific Skills * Maintains a strong understanding of regulations and guidance as they pertain to compliance; maintains knowledge relating to regulatory updates. * Understanding of how to plan, prepare and conduct GCP audits...

Job Description Position Summary Rosalind Franklin University Health Clinics is seeking to fill a full-time Billing Specialist. The Billing Specialist is responsible for gathering charge information, coding, entering charges into billing software, resolving outstanding balances with patients, and third-party payers to bring resolution to accounts. Our generous benefits package includes medical, dental, and vision plans; paid parental leave; short term and long term disability plans; life insurance; flexible spending accounts; and a 403(b) retirement plan which includes a 10% employer contribution after 2 years of service. RFUMS is committed to employee wellbeing and work-life balance. Full time staff are eligible for 3 weeks of vacation, 15 sick days, and 13 holidays plus two floating holidays. That is a minimum of 30 paid days off each year! Who We Are Rosalind Franklin University Health Clinics (RFUHC), a subsidiary of Rosalind Franklin University of Medicine and Science,...

TASKS AND RESPONSIBILITIES: Manages workflow among on-site employees at multiple client sites to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies at the staffed hospital sites. Provides coverage in event of backlogs, illness, vacation or leave of absence of ROI Specialists. Performs Quality Assurance monitoring of work performance for the ROI Specialists. In conjunction with and under the direction of the Area Manager, conducts productivity and work performance reviews for ROI Specialist in accordance with MRO/customer policies and procedures and Federal/State law. In conjunction with and under the direction of the Area Manager, monitors performance and provides performance feedback for ROI Specialists. Manages employee schedules and approves bi-weekly payroll to include approval of PTO requests Promotes a positive self-image of MRO with emphasis on customer service by treating patients,...