94 jobs found

Purpose of Position Performs ICD and CPT coding of inpatient and outpatient medical records. Description Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. Demonstrates complete understanding of coding rules, anatomy, physiology, and medical terminology to appropriately code patient information. Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers, to ensure appropriate coding for case mix. Selects the appropriate reimbursement grouper based on financial class for the particular account. Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications. Abstracts and enters diagnosis, procedures and level codes with demographic, clinical and related patient information into the Medical Record Abstracting and/or...

Purpose of Position To assign and group diagnoses, procedure and level codes based on medical record documentation in accordance with coding compliance, regulatory and reimbursement requirements. To ensure appropriate coding for case mix classification and expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications as supported by medical record documentation. To enter diagnoses, procedure and level codes and patient demographic information into computer system. Description Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information. Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers. Selects the appropriate reimbursement grouper based on...

General Description : Provide front-line coding support to medical providers and other staff as appropriate. Develop and conduct training/education for providers and other clinical staff in accordance with FQHC policies and procedures. Reports to: Billing/Coding Supervisor Supervises: N/A Salary/Status : Non-Exempt Minimum Requirements: Certification as a Certified Professional Coder (CPC) or equivalent preferred. Experience with compliance, coding and billing issues, as well as experience in registering patients and entering/reconciling charges in a medical billing system as needed. Ability to establish and maintain effective working relationships with third party payers, individuals seeking assistance, and the general public. Professional in behavior and appearance Ability to read and decipher chart notes to validate, correct/ and/or apply appropriate diagnosis codes to claims as needed. Computer literacy and PC application skills Must possess the...

**Health Care Assistant Team Leader (Medical Assistant Supervisor)** Springfield, MA / Health Center / Full Time **Care. No matter what:** PPLM has been a leader in promoting sexual health for more than 90 years. We believe that all people deserve the information and expert services to make informed, personal decisions that affect their health, their lives and their futures. We are the states leading provider of sexual and reproductive health services. We educate families and empower youth to make responsible choices that lead to healthier lives. We advocate for policies that improve sexual health. **Our Commitment to Diversity, Equity and Inclusion:** PPLM believes sexual health is essential to every persons overall health, well-being and happiness. We recognize that geographical and systemic barriers entrenched in discrimination and stigma prevent people in Massachusetts from having equitable opportunity to choose their own path and access to sexual and reproductive health...

Job Title: Medical Biller, Heywood Medical Group Billing Office,40 Hours, All Shifts Location: Gardner, Massachusetts Posted Date: 11/22/2023 Hiring Manager Name: Andrea Cuthbert Facility: Heywood Medical Group Department: HMG BILLING OFFICE,2002.66540 Union: Non-Union Position Type: Regular Position Control #: 2002.8265 Expected assignment length/Shift Details exp. M-F: Mixed Position Hours (Enter Numbers Only): 40 Shift: All Shifts Weekend Frequency: NA Holiday Rotation: Rotating Job Summary Responsible for the timely submiossion of professional medical claims to insurance companies. Verfies completeness and accuracy of insurance claims prior to submission. Reviews and appeal unpaid and denied claims. Services as a resource for CTP and ICD-10 inquiries. Answers patients' billing questions for complete description see below. Job Requirements Minimum Education High School graduate or quiivalent required Minimum Work Experience Knowledge of medical...

Job Description Job Description Part-time or Full-time Medical Billing Specialist needed for Fast growing, premier medical billing services company with hybrid remote work schedule! ENT Billing Associates is a family owned and operated business, which has been specializing in Otolaryngology for over 20 years and services ENT clients nationwide. By focusing on solely ENT services, we have been able to establish ourselves as experts in the field and have been able to stay ahead of the insurance industry reimbursement changes and trends. Job Responsibilities will include: Entering insurance and patient payments Performing client follow-up/managing client accounts receivables. This would include, but is not limited to the following: claim corrections manage denials manage insurance appeals insurance follow-up/inquiry phone calls Manage client and patient phone calls and inquiries Previous experience is a plus, but not required. Knowledge of Epic, eClinicalWorks,...

Job Summary: Under the guidance of Internal Audit Management and senior auditors, the Compliance Auditor I supports Internal Audit's goals by taking part in evaluating the adequacy and effectiveness of the University's compliance with policies and state and federal regulations, related operations and internal controls. Assignments will include, but not be limited to compliance and operational audits and investigations. The Compliance Auditor I will be responsible for performing audit assignments in accordance with policies established by the University Board of Trustees, The Institute of Internal Auditors' Standards for the Professional Practice of Internal Auditing and Code of Ethics ("Standards"), Internal Audit Policies and Procedures and applicable regulations. Essential Functions: With oversight and direction from senior staff and management, assist in research and the preparation of audit programs and audit procedures. Participate in interviews with University...

Description: POSITION SUMMARY: Reviews all surgical operative notes and medical documentation to ensure complete and accurate diagnosis and procedure coding using ICD 10 and CPT 4 coding classifications systems. Must be knowledgeable of all regulatory coding guidelines. ESSENTIAL FUNCTIONS: Code information from the operative report and the surgical encounter form. Reviews and assigns correct codes in accordance with new ICD 10 guidelines, CPT & and CCI guidelines. Identifies and codes principal diagnosis and procedures using ICD-10 and CPT-4 with accuracy using the seventh digit specificity to include laterality. Validates and appends appropriate CPT modifiers for correct billing and reimbursement. Work all coding, claim & charge edits in the applicable work queues. Identifies and codes multiple diagnoses and procedures using ICD-10 and CPT-4 to ensure that all secondary diagnoses noted by the physicians are supported by the service...

About Steward Health Care Nearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability. As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world. Steward is among the nation's largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled...

Risk Adjustment Coder Remote **3 month contract assignment** **MUST be able to commit 30-40 hours per week** Full Job Description To abstract information and assign ICD-9/10 CM codes from provider documentation and report data using specific software. This vital position is an important resource for other critical departments including: Utilization Management, Medical, Claims, Contracting, Information Services, Network Management & Medical Data Management. The HCC Risk Adjustment Coder is responsible to ensure the organization authorizes and processes claims based to HCC coding guidelines. This position will participate in internal & external record audits as directed and monitor systems and medical records to ensure they are current and provider documentation conforms to regulatory and procedural requirements. Coders work remotely but are required to conduct and attend local onsite audits/chart reviews at provider offices. Requirements...

Job Summary: Under the guidance of Internal Audit Management and senior auditors, the Compliance Auditor I supports Internal Audit's goals by taking part in evaluating the adequacy and effectiveness of the University's compliance with policies and state and federal regulations, related operations and internal controls. Assignments will include, but not be limited to compliance and operational audits and investigations. The Compliance Auditor I will be responsible for performing audit assignments in accordance with policies established by the University Board of Trustees, The Institute of Internal Auditors' Standards for the Professional Practice of Internal Auditing and Code of Ethics ("Standards"), Internal Audit Policies and Procedures and applicable regulations. Essential Functions: With oversight and direction from senior staff and management, assist in research and the preparation of audit programs and audit procedures. Participate in interviews with University...

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice and Terms of Use. I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description About the role Join Takeda as an Associate Director, US Medical Communications - Hematology and Rare Diseases where you will be a strategic partner of the US Medical Communications team responsible for supporting the development and execution of the medical communications strategy across the assigned therapeutic portfolio. You will also be involved in the medical communications Scientific Communication Platform (SCP) and Integrated Communication Platform (ICP) development, and content generation, which may include, but is not limited to, publications, scientific slide decks, field medical tools, training materials,...

Janssen Research and Development, L.L.C., a member of Johnson and Johnson's Family of Companies, is recruiting for an Associate Director, Translational Clinical Medical Lead (TCML) , Immunology Translational Sciences and Medicine (TSM) to be located in Cambridge, MA, Spring House, PA or La Jolla, CA. At the Janssen Pharmaceutical Companies of Johnson & Johnson, what matters most is helping people live full and healthy lives. We focus on treating, curing and preventing some of the most devastating and complex diseases of our time. And we pursue the most promising science, wherever it might be found. Janssen Research & Development, LLC discovers and develops innovative medical solutions to address important unmet medical needs in oncology, immunology, neuroscience, infectious diseases and vaccines, and cardiovascular and metabolic diseases. Please visit http://www.JanssenRnD.com for more information. We are Janssen. Our mission drives us. Our patients inspire us. We...

**When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** **Job Type:** Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Based in Burlington, MA, the CPC Coder position has a fully remote working arrangement available. A Professional Certified Coder is a key role in our expansive Lahey Health Shared Services Group. As a Medical Coder you will utilize your accredited certified coding experience and education in a variety of tasks associated with coding physician charges. Do you have a high level of proficiency in the coding needs for ICD-9, ICD-10, and CPT coding of inpatient/outpatient professional charges? A Professional Certified Coder can be a great position for someone with hands-on coding, documentation review for internal and external audits, coding dictionary updates, rejections and denials, surgical coding, physician or other care provider education. We have a great...

**When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** **Job Type:** Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Under the direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope of the job, the Hospital Inpatient Coder II assigns applicable ICD-10 Codes, Present on Admission (POA), Hospital Acquired Condition (HAC), and Patient Safety Indicators (PSI) using current industry standards, the Official Coding Guidelines, Coding Clinic, UHDDS and regulatory requirements. Ensures the integrity and quality of patient data to achieve minimal variation in coding practices; assigns codes only as supported by physician/licensed independent practitioner (LIP) documentation within the body of the medical record. Applies in-depth knowledge of medical terminology and anatomy and physiology specific to coding. **Job Description:**...

The Role: The Associate Director of Medical Writing is an incredible opportunity to work under the direct mentorship of our Director or Senior Director of Medical Writing. The chosen candidate will not just be a part of Moderna's medical writing team but will lead the charge in delivering high-quality clinical and regulatory writing. From masterminding the planning and coordination to spearheading the delivery of final drafts, your role of Associate Director of Medical Writing will be pivotal. They will be the linchpin connecting the clinical development team, understanding and translating how their work shapes the broader objectives of Moderna's clinical development program. This is not just a job, it's an opportunity to drive change and make a difference in the world of biotechnology. Here's What You'll Do: Functional Knowledge: Possess specialized depth and breadth of knowledge for managing medical writing and regulatory writing within a clinical development program....

* Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. * Demonstrates complete understanding of coding rules, anatomy, physiology, and medical terminology to appropriately code patient information. * Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers, to ensure appropriate coding for case mix. * Selects the appropriate reimbursement grouper based on financial class for the particular account. * Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications. * Abstracts and enters diagnosis, procedures and level codes with demographic, clinical and related patient information into the Medical Record Abstracting and/or Billing/Accounts Receivable systems. * Assess adequacy of documentation and queries physicians and other healthcare...

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world. Job Description: At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you'll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in...

* Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. * Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information. * Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers. * Selects the appropriate reimbursement grouper based on financial class for the particular account. * Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications. * Abstracts and enters demographic, clinical and related patient information into the computer system. * Assess adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping....

Job Description Job Description Medical Biller Summary: Our healthcare client is hiring Medical Billers to work in their fast paced environment. This is a team-oriented position, working together with medical billers, administrators, and coders. Flexible hours, 8-hour shifts starting at 7, 8 or 9am.   Medical Biller Responsibilities: · Research claims, process bills · Follow up on claims requiring appeals · Submit documentation to insurance companies as needed · Analyze AR reports · Follow up on unpaid claims · Resubmit unprocessed or returned claims to insurance companies · Create UB92 and HCFA bills Medical Biller Qualifications : · Possess excellent interpersonal skills · Experienced with third party billing · Ability to troubleshoot billing issues · Healthcare industry knowledge preferred Medical Biller Skills : · Strong technological skills · MS Office including Teams · Prior experience in medical billing software Company Description Moore Staffing,...

Job Description Job Description Medical Billing Specialist Location: Bedford, MA Opportunity to work with a great company! Actively Interviewing! Hiring ASAP! Hours: Full time hours Monday - Friday Job Requirements: Prior experience in Medical Billing positions Ability to troubleshoot and remedy detailed documents Demonstrated attention to detail Ability to perform data in billing software Prior word processing, spreadsheet and internet software experience including proficiency with MS Teams, Word, Excel, and Outlook Excellent written and verbal communication skills Preferred: Minimum of one year third party billing experience Healthcare industry knowledge Pay Rate: $22-24/ hour Depending on Experience

Job Description - Associate Director, Translational Clinical Medical Lead, Translational Science & Medicine- Immunology (2306146783W) Go to the main content section. Welcome. You are not signed in. | My Account Options Sign In Beginning of the main content section. Return to the home page Job Description - Associate Director, Translational Clinical Medical Lead, Translational Science & Medicine- Immunology (2306146783W) Associate Director, Translational Clinical Medical Lead, Translational Science & Medicine- Immunology - 2306146783W Description Janssen Research and Development, L.L.C., a member of Johnson and Johnson's Family of Companies, is recruiting for an Associate Director, Translational Clinical Medical Lead (TCML) , Immunology Translational Sciences and Medicine (TSM) to be located in Cambridge, MA, Spring House, PA or La Jolla, CA. At the Janssen Pharmaceutical Companies of Johnson &...

Position: Medical Writer (Associate Director) Position Summary Karuna is seeking an experienced Medical Writer to join the growing Medical Writing department recently formed at Karuna. Reporting to the Executive Director/Head of Medical Writing, this important position will help to establish the department and will service writing needs across Regulatory, Clinical, Medical and Medical Affairs functions at Karuna. The role will provide support for publications, medical communications, as well as clinical and regulatory materials directly and by providing oversight of contract medical writers supporting Karuna's development programs. The function will provide important leadership in the filing of Investigational New Drug (INDs) and New Drug Applications (NDAs) for Karuna's development programs and any commercial assets. It will also support any future commercial products via support of publications, medical communications, and other medical affairs-related materials....

Job Description 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...