190 jobs found

UP Health System- Bell Coder I UP Health System- Bell is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. By joining our team, you're embracing a vital mission dedicated to making communities healthier. How you'll contribute: Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding Guidelines to select the appropriate diagnosis code. Uses available research and reference tools to understand the disease process and diagnosis. Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous record documentation. Enhances coding knowledge and skills with continuing education activities as described in HIM.COD.003 policy and by...

Remote Medical Biller Must be located in Genessee County, MI. Our client is a well established, privately owned, multi-specialty billing service working across the US. Fully remote Competitive pay Paid holidays and PTO Amazing 401k! Semi-Flex Schedule Company provides equipment for remote work. As a medical biller, you will be responsible for collecting, posting and managing account payments electronically or by paper. You will be responsible for submitting claims and following up with insurance companies and will prepare, review and send patient statements. Daily and weekly quotas set by management must be maintained. Fully remote- but you must be located in Genessee County. Candidates must have high-speed internet Degree in Medical Billing and/or significant billing experience Knowledge of medical billing/collection processes Knowledge of basic medical coding and third-party operating procedures and practices Must be able to complete 150 claims a day. Equal Opportunity...

Back-End Medical Biller Full-Time, Temp to Hire Opportunity - Onsite Hours: 8 am to 4:30 pm M-F (30-minute lunch) $16-$17 per hour DOE Professional Summary This position is responsible for billing patient services covered by Medicaid, Medicare, and other third-party payers. This position functions as a liaison between patients, third party payers, physicians, clinics, and HCHN staff regarding billing. Works under the direction of the Director of Revenue Cycle Management or designee who assigns diverse billing duties and responsibilities. General Responsibilities Able to perform accounts receivable collection activities timely and accurately including prioritizing subtasks Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days Accurately post all insurance payments by line item Communicates practice management system issues with the Billing Supervisor to ensure claims are processed accurately and timely* Collects...

Overview The Health Information Management Coding Specialist Outpatient provides timely and accurate clinical and administration data to ensure optimal reimbursement for facility outpatient, ambulatory surgery, observation, and recurring accounts to support the facility coding needs. This may include coverage on some Rehab or Skilled Care accounts. Primary patient contact is only social. Demonstrates excellent customer service performance in that his/her attitude and actions are consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to providing Extraordinary Care for Every Generation. Responsibilities Contributes to organization success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients, and other department staff members. Adhere to coding rules for outpatient coding, APC assignment, outpatient coding...

Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future – we provide the venue for individuals who have the desire...

Overview The Health Information Management Coder Inpatient Level 2 provides timely and accurate clinical and administration data to ensure optimal reimbursement for inpatient, rehab and/or skilled nursing coding to support the facility needs. Primary patient contact is only social. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to providing Extraordinary Care for Every Generation. Responsibilities Contributes to organization success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients, and other department staff members. Adheres to current coding rules, regulations and requirements for inpatient coding, DRG/APR-DRG assignment, rehab coding, skilled care coding, CMG assignment, IRFPAI...

Job Description Job Description We are seeking an experienced Medical Billing Specialist to join our team.  The ideal candidate is highly organized, proactive, and capable of multitasking.  This individual must be able to work individually and with a team. The Billing Specialist is responsible for prompt and accurate billing and follow up for all related professional services provided to the patients.  This person requires an in-depth knowledge of Urology coding, billing and insurance carrier billing guidelines.  The individual performing these tasks must be detail-oriented and possess the ability to follow instructions and communicate feedback to their supervisor.  Responsibilities: ·         Verification of the patients insurance benefit coverage  ·         Investigate and resolve claim denials ·         Follow up on unpaid claims ·         Post payments from insurance carriers and patients ·         Resolve patient billing inquiries ·         Obtain Authorizations...

Job Description General Purpose of Job : Extract and analyze clinical information and translate into the most accurate ICD-10-CM, CPT, and other specialized codes and modifiers to ensure appropriate reimbursement and accurate and reliable data for research, statistics, financial planning, compliance, and marketing. Make corrections to coding edits and charges. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine Sparrow policies and procedures and maintains required quality and productivity standards. Essential Duties: This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position. Extracts, reviews, and analyzes clinical information, identifies and abstracts all pertinent information and translates data into appropriate ICD-10-CM, CPT,...

JOB SUMMARY The Health Information Management (HIM) Coder impacts Memorial's Healthcare quality initiatives and reimbursement through the assignment of the most accurate and optimal diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Under the direction of the Health Information Management (HIM) Coding and Clinical Documentation Integrity (CDI) Manager, this position will code and analyze physician documentation contained in health records (electronic, paper or hybrid) to determine the appropriate principal diagnosis, secondary diagnoses, and procedures codes to accurately capture MS-DRG assignment. Use the Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers in accordance with coding rules and regulations. The coding information is used to determine APC's (Ambulatory Payment Classification) for data quantitative analysis,...

NeuroPsychiatric Hospitals is seeking a HIM Coder for their Kalamazoo, Michigan location. The successful candidate will code inpatient medical records utilizing ICD-10-CM and ensure quality through data analysis. Candidates must have a High School Diploma or GED, with a preference for an Associate's degree in Health Information Management or a healthcare-related field. Current AHIMA or AAPC credentials and at least one year of coding experience in an acute care hospital are required. The position offers competitive pay and benefits including medical and dental insurance. #J-18808-Ljbffr

Registered Nurse - Med Surg Supervisor Hospitals on Incredible Health are actively hiring and accepting applications in the Jackson, MI area for the following position: Registered Nurse - Med Surg Supervisor. Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Cardiac patients, Charge, Clinical Nurse Coordinator, Couplet care, Director, EKG monitoring, Educator, Fundal massage, Healing, Manager, Neuro patients, Oncology patients, Orthopedic patients, Ostomy care, PCA pumps , Supervisor, Traction & cast care, Tube feeding management, VP, or Wound & drain care. Shift(s) available: day shift and night shift Job types available: full time, part time, and per diem Employer features: Adoption Assistance, Best Places to Work recognition, Child Care Benefits, Family Care Benefits, Level 2 trauma center, Magnet recognized, Paid Parental Leave, Phone Plan Discount, PTO, Retirement Plan, Tuition Assistance...

POSITION SUMMARY This role is responsible for accurately and appropriately coding ambulance claims, including claim submission, follow-up on denied claims, and ensuring compliance with relevant billing regulations to facilitate timely reimbursement for services. ESSENTIAL JOB FUNCTIONS 1. Examines patient care reports to gather essential information for insurance documentation. 2. Contacts facilities, hospitals, or patients to acquire missing information and physician certification statements. 3. Collects data such as insurance company names, policyholder details, policy numbers, and services provided to accurately complete claim and/or billing records. 4. Communicates with insurance companies to verify coverage, determine payor schedules, and gather benefit details. 5. Assigns relevant codes based on documented information in the patient care report and determines the appropriate level of ambulance service. 6. Allocates charges for services supported by...

Job Description CSCA Auditor - Travel based Intertek, a leading provider of quality and safety solutions to many of the world's top-recognised brands and companies, is actively seeking a Supplier Management / Corporate Social Responsibility CSCA Auditor to join our Business Assurance team. This is a fantastic opportunity to grow a versatile career with a company that wants to build something great with an incredible group of people. Intertek's Business Assurance team goes beyond testing, inspection and certification to look at the underlying elements that make a company and its products successful. Our assurance solutions provide confidence and total peace of mind that a client's operating procedures, systems and people are functioning properly to provide a competitive advantage in the marketplace. What are we looking for? The CSCA Auditor will lead and/or participate as an assessor during all phases of a Supplier Management system audit in accordance with Intertek...

Boehringer Ingelheim GmbH in Michigan is seeking an Associate Director for Scientific Affairs in Medical Information and Medical Review. The role involves developing and maintaining Medical Information assets and ensuring the accuracy of medical review materials. Candidates should have an advanced healthcare degree, a minimum of five years of pharmaceutical industry experience, and a strong focus on customer satisfaction. This position offers a competitive salary, bonuses, and a supportive work environment. #J-18808-Ljbffr

Job Description Job Description Medical Biller Job Type: Full-time | Day Shift (No nights, weekends, or holidays) Locations: Grand Rapids, MI   Join Our Team at Grand Valley Medical Specialists Grand Valley Medical Specialists (GVMS) is a well-established, physician-owned private practice that’s been serving the Grand Rapids community since the 1930s. Our team includes 15 internal medicine, pediatrics, and family medicine physicians, along with 5 advanced practice providers—all working together to provide compassionate, high-quality care.   We’re currently seeking a detail-oriented Medical Billing Specialist with strong analytical skills and a thorough understanding of revenue cycle management. This role is essential to ensuring accurate coding, timely billing, and effective follow-up on claims, helping our practice maintain financial health while supporting excellent patient care.   What You’ll Do • Accurately code medical services and procedures to...

Job Description Job Description Description: CPC-As are not being considered at this time. We're coding rebels with a cause. KODE is a health-tech company developed by medical coders for medical coders looking to change the way things are done in the industry. Our company may be young but we're growing rapidly. That also means we're not buried in outdated policies and bureaucracies.Coders play a critical role in healthcare, but have you ever felt like you're just a cog in the machine? At KODE there are no cogs, there are people. We aren't looking for a coder to fill an open position simply. We're looking for a new teammate passionate about professional coding who wants to join our collective mission to be awesome.We're serious about two things: coding and treating you like the professional you are. If this intrigues you, please keep reading. About this Role We're looking for a Facility Inpatient Coder to join our company! Responsibilities: Review medical records...

Coding Specialist Responsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures. Essential Functions and Responsibilities as Assigned: Responsible for outpatient coding and charge validation (charge entry) in multiple specialties and EMRs Responsible for coding inpatient encounters (inclusive of < 30 days of LOS and >30 days of LOS, Rehab, Long-term Acute Care) Reviews, identifies, and assigns ICD-10-CM, CPT-4 with charge validation or ICD-10-CM and ICD-10-PCS codes. Applies (charge entry) appropriate soft codes for evaluation and management level(s), observation hours, injections, infusions, and other procedures as necessary. Validates CPT -4 codes (charges) captured by McLaren...

Position Summary: Responsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures. Essential Functions and Responsibilities as Assigned: 1. Responsible for outpatient coding and charge validation (charge entry) in multiple specialties and EMRs 2. Responsible for coding inpatient encounters (inclusive of < 30 days of LOS and >30 days of LOS, Rehab, Long-term Acute Care) 3. Reviews, identifies, and assigns ICD-10-CM, CPT-4 with charge validation or ICD-10-CM and ICD-10-PCS codes. 4. Applies (charge entry) appropriate soft codes for evaluation and management level(s), observation hours, injections, infusions, and other procedures as necessary. 5. Validates CPT -4 codes (charges)...

Now Hiring: Medical Biller (Orthotics & Prosthetics) Location: Center Line, MI 48015 Schedule: MondayFriday | 8:30 AM - 5:00 PM At Binson's, we believe in three things: Better Products, Better Services, Better Lives and we live it every day. We're a fast-growing, family-owned health care company with a big heart and locations across Michigan, Indiana, and Florida. If you're looking to make a real impact in people's lives, you're in the right place. The Role In this role, you'll be responsible for managing insurance claims, patient billing, and account follow-ups in a fast-paced healthcare environment. This role plays a key part in ensuring accurate, timely reimbursement and delivering excellent service to our patients. What We're Looking For High school diploma or equivalent Excellent customer service and communication skills Strong organizational skills and attention to detail A fast learner who enjoys working in a team environment Proficient with...

Certified Home Health Coder & QA Specialist Become a part of the Hope At Home Family! We currently have a position available for a Certified Home Health Coder & QA Specialist. Position Summary: Certified Home Health Coder & QA Specialist is required to have PDGM, Oasis D1 experience, and Kinnser software knowledge. Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of skilled service visits. The position is also responsible for reviewing OASIS and abstracting visit data for billing and data collection purposes. Responsibilities: Codes records using ICD-10-CM and coding guidelines. Reviews OASIS. Observes and reports unusual patterns in data collection and/or lack of adequate documentation for code assignments. Review documentation and provide ICD-10 coding recommendations based on current coding and Oasis guidelines. Performs other related duties as requested by the Home Health Supervision Must be...

Job Description Job Description We are seeking a full time Medical Biller on site and in person for a fast pace multi-specialty full Service Medical Billing Company. Successful candidates must have a solid working knowledge of insurance plans with the ability to accurately reconcile physician charges, carrier payments and rejections. Strong professional communication and analytical skills are required. 2 years experience at least within a Medical Billing Environment. Salary commensurate with experience and certification. Limited positions available. Company Description Fast paced multi-specialty billing office. Must be organized and a team player. Experience with teams application, Carrier websites and hospitals website's. Company Description Fast paced multi-specialty billing office. Must be organized and a team player. Experience with teams application, Carrier websites and hospitals website's.

Job Description Job Description GENERAL SUMMARY: The Billing Follow-Up Specialist is responsible for participating in billing activities that involve the follow-up process for denied claims, coding errors, and other issues. Additionally, the Billing Follow-Up Specialist monitors the department's incoming materials (mail, deliveries, etc.) and seeing to day-to-day tasks of the greater billing department. Under direct supervision the billing specialist performs general departmental job functions, related clerical tasks including opening and sorting mail, scanning, and the organization and mailing of correspondence.   TYPICAL DUTIES AND RESPONSIBLITIES: Reads incoming materials and sorts according to filing and record keeping system. Opens incoming mail and accurately sorts for distribution. Prepares and maintains various schedules to allow for payment posting (receipt posting log, missing EOB log, settlement documents, etc.) Post patient payments in the PM system....

Coding Specialist Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Education/Experience Required: High School Diploma or G.E.D. equivalent required. Additional specialty coding certification required or five (5) years coding experience. One to two...

Job Description Job Description Medical Insurance Biller - Full-time Warren, Michigan Experienced Medical Insurance Biller is needed for a medical practice in Warren, Michigan. Authorize and verify benefits and submit prior authorizations. Follow up on submitted claims. Process patient payments and post transactions. Bill biologic infusions. Balance daily batches. Knowledge of ICD and CPT Coding and claim processing. Knowledge of EMR, E-Clinical Works. Proficient in Microsoft - Excel and Office.