193 jobs found

A healthcare organization in Michigan is seeking a Professional Onsite Coder. This role involves performing detailed reviews of provider documentation to ensure appropriate coding for complex surgical cases. Responsibilities include research on code selection, posting charges for billing, and maintaining documentation. Candidates should have a high school diploma, coding experience, and CPC or RHIT certification within 12 months. The position offers a full-time schedule of 40 hours per week on the first shift. #J-18808-Ljbffr

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. Location BHG Bronson Healthcare Group 6901 Portage Road Title Professional Onsite Coder The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and complex surgical cases (e.g. Neurosurgery, Cardiothoracic Surgery). Employees providing direct patient care must demonstrate...

A healthcare reimbursement company is seeking a Bill Review Specialist to ensure accurate medical billing. You will analyze and evaluate medical bills, verify CPT codes, and communicate directly with providers for accurate processing. The ideal candidate should have a high school diploma, knowledge of CPT coding, and excellent communication skills. This is a full-time position that requires precision in a fast-paced environment. #J-18808-Ljbffr

Job Description Job Description Salary: Negotiable The Medical Billing Specialist is a key member of the financial team at the Chicago Center for Sports Medicine & Orthopedic Surgery. This role is primarily responsible for ensuring accurate and timely processing of insurance payments, conducting appeals on improperly processed claims, and maintaining diligent follow-up on outstanding claims and denials. The Specialist will also assist with coding issues and patient inquiries regarding billing. Key Responsibilities: Payment Posting: Accurately post insurance payments from mail batches and electronic funds transfers (EFT) from various sources, including websites and ECW EFTs. Review and reconcile payment entries to ensure that all payments are accounted for and properly posted. Claims Management: Conduct thorough follow-ups on all outstanding insurance claims to ensure timely reimbursement. Investigate and appeal underpaid or denied claims by gathering...

Leads, plans, organizes and is responsible for the day to day operations of the Medical Staff Services Department so that all aspects of the Organized Medical Staff are supported, including credentialing activities, professional relations, meeting management, and peer review activities. Additionally, compliance is maintained, with accrediting and regulatory agencies as related to the Medical Staff, including (but not limited to) Joint Commission, DNV, HFAP, CMS, OSHA, and State and Federal Law and other standards and regulations. Major Responsibilities Implements, coordinates, monitors, and maintains effective credentialing processes for the process of appointment, reappointment and credentialing for the designated medical staff organizations. Ensures these are executed by according to policy, to ensure compliance with bylaws, policies, and rules and regulations of the medical staff and accreditation and legal requirements. Serves as resource person on credentialing/privileging,...

A healthcare institution in Gibson City, IL is looking for a Coder I to join the PFS Billing Department. This entry-level full-time role involves assigning and verifying medical codes for billing purposes, ensuring all codes are accurate and sequenced correctly. Applicants should have a strong understanding of ICD-10, CPT, and HCPCS coding. The position focuses on accuracy in coding and effective communication with healthcare providers and fellow staff. #J-18808-Ljbffr

Coder I - PFS Billing Department - FT M-F at Gibson Area Hospital & Health Services Pay Range Base pay range: $25.00/hr - $32.00/hr General Summary The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the communities we serve. Principle Duties and Responsibilities Assign codes to diagnosis and procedures, using ICD-10, CPT, and...

Job Description Job Description Our mission at Lifelong Access is to connect individuals with developmental disabilities to their community by helping them break down barriers through a lifetime of meaningful supports. From birth to end of life, Lifelong Access provides a continuum of services and supports for families, children, teens, and adults including residential housing, vocational development, supported employment, high school transition, behavioral health counseling and services, and a wide variety of pediatric therapy supports. Guided by our Core Values, our team members have a strong drive and big hearts for improving the lives of others; a place where we support each other and the individuals who put their trust in us.  We are seeking a full-time Medical   Billing Specialist. In this role you will oversee the tasks of sending claims to payers, monitoring outstanding balances to ensure each account is paid on time and in full.  This position handles all incoming...

A prominent healthcare system is seeking a HIM Certified Coder responsible for accurate coding of hospital encounters using ICD-10, CPT, and HCPCS codes. The ideal candidate will collaborate with various departments to ensure compliance with regulations and support billing functions. Applicants must hold a high school diploma and relevant coding certifications. Competitive hourly compensation of $23.58 to $39.38 is offered, along with a comprehensive benefits package. #J-18808-Ljbffr

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD-10/ICD-PCS, CPT, or HCPCS codes and appropriate coding software such as computer-assisted coding and encoders as a means to ensure compliant billing of Carle claims. The coder is responsible for understanding and applying regulatory coding guidelines, such as National and Local Coverage Determinations, and the application of CPT modifiers. The coder also applies coding knowledge to resolve billing edits related to coding. The coder uses Carle electronic medical record systems to review clinical encounters. Responsibilities Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCS and modifiers) so the assignment of codes reflects the diagnoses and procedures pertinent to the patient. Provide interdepartmental coding assistance as...

Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Carle Health. The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient, and/or professional fee encounters using appropriate ICD-10/ICD-PCS, CPT, or HCPCS codes, along with coding software such as computer-assisted coding and encoders. This ensures compliant billing of Carle claims. The HIM Certified Coder must understand and apply all regulatory coding guidelines, including National and Local Coverage Determinations, and CPT modifiers. They are also responsible for applying coding knowledge to resolve billing edits related to coding. The coder uses Carle electronic medical record systems to review clinical encounters. Responsibilities Accurately code all records according to the appropriate coding classification system (ICD-10, CPT, HCPCS, and modifiers). The assigned codes should accurately reflect the diagnoses and procedures...

Coder/Quality Review Analyst This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This position also reviews and responds to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. This position participates...

HIM Certified Coder The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM coder uses Carle electronic medical record systems to review clinical encounters. Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management...

A leading healthcare data platform seeks experienced inpatient coders to join their remote team. The role requires accuracy in coding using ICD-10 standards, along with significant experience and certifications such as CCS or RHIT. Ideal candidates should communicate effectively and possess strong attention to detail. As part of the team, you'll contribute to improving healthcare decisions and outcomes. This remote role offers flexibility and competitive pay within a collaborative work environment. #J-18808-Ljbffr

What Customer Service Operations contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is responsible for strategic oversight and leadership direction within the Customer Service function. Job Summary The Supervisor, HCP Medical Documentation oversees the Clinical Notes Team responsible for reviewing and qualifying medical documentation to ensure compliance with insurance requirements, primarily for Continuous Glucose Monitoring (CGM) products. This role manages a team of associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of claims. The Supervisor ensures timely turnaround of documentation, allocates work across multiple systems, and drives team performance through coaching, development, and...

Overview This position requires being in the office 5 days a week for the first 3 months (training period) in our Milan, Ohio office. After training, the role reverts to a hybrid model of 4 days in office and 1 day remote each week. Salary range: $49,000 to $59,000 Responsibilities Coordinate and supervise department work assignments and staffing levels. Monitor work lists to verify work is being completed within required Turn Around Time (TAT). Move staff as needed to ensure coverage. Conduct scheduled staff meetings and other activities, including both onshore and offshore team members. Participate in client meetings, as needed, for discussion on process flows and billing issues. Conduct monthly quality audits on domestic and offshore staff to ensure all team members follow the client SOPs and meet quality targets. Measure productivity for every staff member against established targets. Supervise staff in adherence to company policies and processes by coaching, counseling,...

A healthcare system is seeking an HIM Certified Coder responsible for accurate coding of hospital encounters using ICD10 and CPT codes. The role demands knowledge of coding guidelines and collaborative skills to assist with coding assignments across departments. Applicants must be certified coders with expertise in anatomy and billing regulations. This position offers competitive hourly compensation and a comprehensive benefits package. #J-18808-Ljbffr

A healthcare organization in Champaign, IL is seeking an HIM Certified Coder responsible for accurate coding of hospital encounters. Ideal candidates will have a High School Diploma and relevant certifications in medical coding. Responsibilities include ensuring compliance with coding guidelines and facilitating revenue optimization. The position offers a competitive hourly wage ranging from $23.58 to $39.38, dependent on experience and qualifications. #J-18808-Ljbffr

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Education: High School Diploma or G.E.D Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC) Registered Health Information Administrator (RHIA) - American Health Information Management Association...

A leading health data exchange company is seeking a Remote Inpatient Auditing Specialist. The ideal candidate has a minimum of 5 years of inpatient coding experience and is proficient with MS-DRG and APR-DRG. Responsibilities include conducting coding audits and providing coder education. This role offers flexibility and the opportunity to contribute significantly to healthcare decisions. The pay range is competitive, ranging from $35 to $45 per hour. #J-18808-Ljbffr

A leading health data exchange company in Illinois is looking for an experienced HCC coder to review and code medical records accurately. This role is critical for ensuring the appropriate representation of patient diagnoses for reimbursement. Candidates must hold AHIMA or AAPC certification and have at least 2 years of HCC coding experience. The position offers a base pay plus additional chart-based earnings, and requires adherence to high standards of coding accuracy in a flexible work environment. #J-18808-Ljbffr

A leading health data company is looking for experienced outpatient coders to join their remote team. The ideal candidate will support healthcare decisions by assigning accurate codes for medical records. Responsibilities include maintaining coding accuracy, communicating with staff about clinical issues, and adhering to professional standards. Candidates must possess AHIMA or AAPC certification and have at least 2 years of coding experience. This role offers flexibility to help shape the future of healthcare from anywhere. #J-18808-Ljbffr

A health care system is seeking a Coder II to work remotely, requiring proficiency in outpatient coding and specific coding certifications. The role involves meticulous examination of medical documentation for accurate coding, collaborating with providers, and ensuring compliance with regulations. Candidates should have a high school diploma and a minimum of 2 years experience in coding. The position offers a competitive pay range and a benefits package including health benefits and a 401(k) plan. #J-18808-Ljbffr

A leading health data platform company is seeking experienced outpatient coders to join their remote team. This role involves reviewing medical records, assigning codes, and ensuring compliance with healthcare standards. Candidates must possess AHIMA or AAPC certifications and have at least 2 years of relevant experience. Strong communication skills, attention to detail, and knowledge of medical terminology are essential. Competitive pay ranges from $20 to $35 per hour, based on experience and location. #J-18808-Ljbffr