135 jobs found

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...

IMC DRG Coder - Remote With Some On SiteIberia Medical Center (IMC) in New Iberia, LA is looking for team members who will help advance our vision to be the premier hospital of choice for patients, physicians, and employees. We have proudly cared for our community for over 60 years and offer diverse career opportunities throughout our organization. Our employees experience opportunities to learn, grow, and make a meaningful impact while caring for their families, friends, and neighbors.IMC is looking to hire a DRG Coder - Remote with some on site. This employee is under the direction of the Revenue Cycle Manager, responsible for assigning ICD-10-CM and ICD-10-PCS codes to inpatient medical records upon discharge and assigning the appropriate MS-DRG for reimbursement purposes. This remote position works closely with Clinical Documentation Improvement (CDI) Specialists and serves as an active participant on the Compliant Documentation Management Program Team.The DRG Coder is...

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...

Job Description Job Description Certified Coder position available. Inpatient Acute care coding experience preferred. Office setting, Monday thru Friday daytime hours. Certification is required. 

Coding And Abstracting Of Medical Records Responsible for duties relating to the coding and assignment of diagnoses and procedures, and abstracting of medical records. Educational and/or Professional Qualifications: High School Diploma or GED preferred Associates or Bachelors in HIM preferred Keyboarding/computer skills Previous Experience: 1. Computers and other office equipment 2. One of the following is required: A minimum of 1 year experience coding hospital ER, outpatient, and multi specialty Certified Professional Coder (CPC) Certified Coding Specialist (CCS)

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...

Job Description Job Description About the Role Spire Healthcare Management is seeking an experienced Medical Biller to join our billing team. This role is responsible for accurate and timely claims submission, follow-up, and resolution of billing issues, with a strong emphasis on customer service and attention to detail. Experience in DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) billing is strongly preferred. Key Responsibilities •      Prepare, review, and submit accurate medical claims to insurance carriers (Medicare, Medicaid, and commercial payers) •      Follow up on unpaid or denied claims, research discrepancies, and resubmit as needed •      Verify insurance eligibility and benefits prior to billing •      Post payments, adjustments, and denials accurately to patient accounts •      Prepare and submit prior authorizations for equipment and services •      Perform accurate data entry related to patient accounts, orders, and...

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group  is seeking an experienced Medical Billing Specialist with demonstrated  Revenue Cycle Management (RCM)  expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage  full Revenue Cycle Management (RCM)  processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on  Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and...

CW Risk Adjustment Coder Position Summary Experienced Risk Adjustment Coder with a strong background in Medicare Advantage Risk Adjustment coding and ACA Risk Adjustment coding. This position supports ongoing risk adjustment initiatives through accurate coding, medical record review, documentation validation, and quality assurance activities. The coder will help ensure compliance with CMS and other regulatory requirements while supporting the organization's risk adjustment accuracy and revenue integrity goals. Candidates should have demonstrated experience with CMS-HCC coding methodologies, medical record review, and risk adjustment documentation validation. This position works under general supervision and does not have direct supervisory responsibilities. Key Responsibilities: Review and assess medical record documentation and accurately assign ICD-10-CM diagnosis codes for Medicare Advantage and ACA Risk Adjustment programs. Perform retrospective and prospective coding...

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. 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 terminology. This role is fully remote with a flexible schedule, allowing...

Summary This Medical Records Technician (Coder) Auditor position is located in the Health Information Management (HIM) section at the Southeast Louisiana Veterans Healthcare System in New Orleans, Louisiana. Responsibilities Total Rewards of a Allied Health Professional Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Applies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that...

At Houston Methodist, the Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to outpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant outpatient coding experience or completion of the Houston Methodist Coding Apprentice Program LICENSES AND CERTIFICATIONS Required Must have one of the following:•RHIT - Certified Health Information Technician (AHIMA)•RHIA - Registered Health Information Administrator (AHIMA)•CCS...

Job Description Job Description We are now hiring a Detail-oriented Medical Billing Specialist with at least 3+ years of experience managing the revenue cycle to join our team! Should be responsible for the timely billing, follow-up and collection efforts on outstanding receivable accounts that are billed to insurance companies, managed care entities, government programs, and other liable third parties . Responsibilities include billing and collections. Identify and post necessary adjustments to patient accounts dependent on negotiated rates. Provide insurance companies with additional documentation or records (if requested) to expedite payments and resolve denials. Accurately interpret EOB for posting and netting patient accounts. Communicate with insurance companies regarding unpaid claims or denials and provide the payer with the required information to expedite approval and payment. Ascertain that the status of accounts and balances and identify any issues such as...

HCC Coding Quality Educator Location: Madisonville, Louisiana, United States of America Category: Clerical Remote: Office/Remote Hybrid Scheduled Weekly Hours: 40 Job Summary: The HCC Coding Quality Educator (HC) facilitates the improved integrity of medical record documentation through interaction with healthcare providers to support the appropriate representation of severity of illness, risk of mortality, acuity, and complexity of care. In addition, this position, through a multidisciplinary team approach, performs pre-visit and retrospective reviews of ambulatory clinical documentation to ensure an accurate depiction of the true complexity of the patient to support the facilities Risk Adjustment strategy. The HCQE utilizes their coding knowledge, and demonstrates an understanding of current CMS coding guidelines, the impact of procedures and compliant documentation to support the capture of Hierarchical Condition Categories (HCC), ICD-10-CM accuracy and specificity,...

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group  is seeking an experienced Medical Billing Specialist with demonstrated  Revenue Cycle Management (RCM)  expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage  full Revenue Cycle Management (RCM)  processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on  Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and...

Job Description Job Description Job Summary The Medical Coder is responsible for accurately reviewing patient health records and assigning standardized diagnosis, procedure, and service codes in accordance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, payer requirements, and organizational policies. This role supports accurate reimbursement, regulatory compliance, quality reporting, and the overall integrity of health information. The Medical Coder must maintain a high level of accuracy, productivity, confidentiality, and compliance with applicable healthcare standards. Key Responsibilities Assign accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes in accordance with official coding guidelines and regulatory requirements. Review clinical documentation to ensure coding accurately reflects diagnoses, procedures, treatments, and services provided. Abstract clinical and demographic information from patient records into health information and billing systems. Review...

Job Description Job Description The Medical Records Coder, under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete.  The MR Coder accurately codes hospital procedures for providers to ensure proper reimbursement by the proper assignment of ICD-9-CDM and ICD-10-CDM, HCPCS, and CPT codes.  The MR Coder follows the standards and objectives that relate to Medical Records.  They must possess good organizational and computer skills.  This position involves indirect patient care for a population of patient’s ages newborn through geriatrics.  The MR Coder is responsible for the clerical duties and all other duties of the HIM department as assigned.

HCC Coding Quality EducatorLocation: Madisonville, Louisiana, United States of AmericaCategory: ClericalRemote: Office/Remote HybridScheduled Weekly Hours: 40JOB SUMMARY:The HCC Coding Quality Educator (HC) facilitates the improved integrity of medical record documentation through interaction with healthcare providers to support the appropriate representation of severity of illness, risk of mortality, acuity, and complexity of care. In addition, this position, through a multidisciplinary team approach, performs pre-visit and retrospective reviews of ambulatory clinical documentation to ensure an accurate depiction of the true complexity of the patient to support the facilities Risk Adjustment strategy. The HCQE utilizes their coding knowledge, and demonstrates an understanding of current CMS coding guidelines, the impact of procedures and compliant documentation to support the capture of Hierarchical Condition Categories (HCC), ICD-10-CM accuracy and specificity, and medical...

Van Buren County Hospital is seeking a Full-Time Inpatient/Outpatient Coder to support accurate coding, billing, reporting, and compliance. This role involves reviewing clinical documentation, assigning diagnosis and procedure codes, and working closely with various departments to ensure accurate reimbursement. The successful candidate will undergo onsite training with the potential for a primarily remote arrangement after competency validation. #J-18808-Ljbffr

Certified Coder position available. Inpatient Acute care coding experience preferred. Office setting, Monday thru Friday daytime hours. Certification is required. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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 to those who...

Job Title Responsible for assignment of appropriate ICD-10-CM diagnosis, ICD-10-PCS/CPT procedure codes, and abstracting statistical and reimbursement data for inpatient and outpatient encounters. Educational and/or Professional Qualifications: High school diploma or GED preferred. Associates or Bachelors of HIM (preferred) Keyboarding/computer skills Certified Coding Specialist, Registered Health Information Technician, or Registered Health Information Administrator (CCS, RHIT, or RHIA) required Demonstrated working knowledge of Medical Terminology, Anatomy and Physiology, Disease Process, and Pharmacology. Previous Experience: 1. Computers and other office equipment 2. Combination of at least 5 years of Acute Inpatient and/or Outpatient coding experience or 2 years management experience with coding/auditing experience required

Job DescriptionThe Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision.