37 jobs found

Job Description Job Description Medical Coding Compliance Specialist (Medical Auditor) POSITION IS HYBRID -- DAYS ONSITE AT NMCCL, JACKSONVILLE, NC and REMOTE SUMMARY: Member of the MHS agency Coding Program Office support team. The position will reduce inpatient facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload surges, manning shortages, or computer system issues. This position will conduct focused audits for coding compliance or training purposes; develop standardized coding training; deliver coding education/training to individuals or groups; and identifying/educating on clinical documentation improvement opportunities. Mandatory Knowledge and Skills 1) Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICDCM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT)...

Job Description Job Description Summary: Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Duties & Responsibilities: Responsible for the assignment of accurate E&M, ICD, CPT, and HCPCS codes and modifiers from medical record documentation. Identifies and abstracts information from medical records (paper or electronic) for special studies and audits, internal and external. Interacts with MTF staff to ensure documentation is clear and supports coding assignments. Educates MTF staff through individual or group in-services and training sessions. Maintains a delinquency report of missing records in...

Job Description Job Description Position: Medical Billing Specialist Company Overview: LM2 Resource Solutions is a leading provider of healthcare staffing and consulting services in Goldsboro, NC. We are dedicated to helping healthcare organizations improve their operations and patient care by providing highly skilled and qualified professionals. Our team is committed to delivering exceptional service and building long-term relationships with our clients. Position Overview: We are seeking highly motivated and detail-oriented individuals to join our client's Medical Billing team in areas such as Verification, Claims Entry, Clearing House, and Claims Follow-up. Ideal candidates will have experience in medical billing and coding (or equivalent experience in areas of Customer Service and Management). Medical background is a plus, but not necessary. This is a full-time, office setting position with the opportunity for growth and advancement. Responsibilities: - Verify...

Job Description Job Description Job Title: Coder 1 We are looking for an exceptional Coder I to join our practice! Physicians East, PA is a multi-specialty, multi-campus group based out of Greenville, NC offering a wide range of specialties. In addition to primary care the practice offers pulmonary and critical care medicine, rheumatology, dermatology, oncology, endocrinology, cardiology, obstetrics and gynecology, gastroenterology, surgery, urology, and urgent care. Our 102 providers and over 600 employees provide services for thousands of patients in a 29-county region. Our specialists are on staff at ECU Health, a 900+ bed, level one trauma center and the primary teaching hospital for the East Carolina University Brody School of Medicine (ECU-BSOM). Located in the coastal plain area, only one hour from the Atlantic Ocean, Greenville is the vital center of business, industry, culture, education, and health care for eastern North Carolina. Its incomparable quality...

Job Description Job Description Select Laboratory Partners, Greensboro NC is seeking to hire a payment posting and medical billing specialist. Position is full time Monday - Friday with option to enroll in Medical, Dental, Vision benefits. Company paid life insurance policy. Enrollment in 401K thru ADP TotalSource is available. The billing specialist job duties will be to generate accurate and timely customer invoices, processing customer payments and maintaining accurate customer balances in the accounting system. The billing specialist will perform other accounting related duties. Specific duties include: Manage incoming payments from customers Match incoming payments to outstanding invoices Resolve insurance denials by corresponding with patients and insurance companies Issue customer invoices Process credit card payments Update account balance in billing system Requirements: Medical billing experience with clinics, physician practices and reference laboratories...

Job Description Job Description Hybrid or Remote schedule This job is perfect for the person who hates being bored and relishes taking the necessary, proactive steps to get to the bottom of claims issues; loves details and is not afraid to dig deep into documentation; enjoys investigating and problem solving; believes in holding insurance carriers accountable; and appreciates getting the language right to create a collective understanding. If you are this person, you are a person who genuinely cares and has great empathy for both the patient and the provider. You enjoy collaborating with others and synthesizing information quickly, so it can be communicated with ease. You welcome the challenge of advocating on behalf of the patient and provider to best ensure proper compensation for the care needed. Most importantly, you are going to love being part of the Team at PriMed because you delight and take pride in your work–it is not seen as “just another job,” but work that really...

Job Description Job Description Job Title: Associate Director, Medical Writing Job Location: Durham, NC, USA Job Location Type: Remote Job Contract Type: Full-time Job Seniority Level: Mid-Senior level At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai’s human health care (hhc) mission. We’re a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer’s disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. Job Summary The Associate Director, Medical Writing will be the designated Lead Medical Writer for multiple...

Job Description Job Description MEDICAL BILLING CODING SPECIALIST     SITE OF SERVICE: DOJ (Department of Justice Prison) – Butner, NC (Onsite at DOJ) Federal Correctional Complex (FCC) located in Butner, North Carolina at Old NC Highway 75, Butner, NC 27509.   QUALIFICATIONS: Experience: Possess 2 years of experience in a healthcare or insurance environment Certification : Must have one of the following certifications: ·        Registered Health Information Administrator (RHIA) ·        Registered Health Information Technician (RHIT) ·        Certified Coding Specialist (CCS) ·        Certified Coding Assistant (CCA) ·        Certified Professional Coder (CPC)   CORE RESPONSIBILITIES: ·        Requires strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient in database software. ·        Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not...

Job Description Job Description Title: Coder Location: Remote Reports to: Manager of Coding and Auditing FLSA Classification: Hourly, Non-Exempt Full-Time or Part-Time: Full-Time Salary Range: $17 - $25 per hour * Starting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography and expertise. Position Overview: We are seeking a self-motivated and detail-oriented Coder to join our team. This individual must possess excellent interpersonal, organizational, and communication skills. The Coder will assign appropriate ICD-10 and/or CPT codes to patient records, ensuring accuracy and compliance with established standards. Experience with ICD-9-CM, ICD-10, and CPT coding is required. Key Responsibilities: Assign appropriate ICD-10 or CPT codes to patient records. Provide effective communication (written, verbal, non-verbal, and electronic) to clients and colleagues....

Job Description Job Description Description: Our Company: The accounts receivables industry plays an essential role in the local and national economy. Revco Solutions provides best-in-class Revenue Cycle management to Hospital and Physician Service clients. Position Description: The Medical Billing Specialist completes medical insurance follow-up process accurately and timely for a designated group of accounts, by payer classification or other method of assignment; answers inquiries by mail or phone as related to that designated group of accounts. Duties & Responsibilities: Analyze, research and prepare insurance claims for submission to insurance carriers (commercial and government) Respond to inquiries, billing denials and other communications Attach necessary documentation when mailing claims to payors (EOBs, medical records, itemized statements, etc.) Handle telephone inquiries, according to policy, on delinquent claims (involves the patient as...

Job Description Job Description Job Title: Associate Director, Medical Writing (Remote, 22 Locations in US) Job Location: Raleigh, NC, USA Job Location Type: Remote Job Contract Type: Full-time Job Seniority Level: Mid-Senior level At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai’s human health care (hhc) mission. We’re a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the worlds most widely-used treatment for Alzheimer’s disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. Job Summary The Associate Director, Medical Writing will be the designated...

Job Description Job Description Welcome to your new work family! Carolina Elite Women's Care is seeking a highly motivated, detail oriented Medical Biller to join our growing Medical Billing Department. IN OFFICE HOURS Monday-Thursday 8:00am-5:00pm Friday 8:00am-12:00pm JOB RESPONSIBILITIES Checking eligibility and benefits verification for treatments and procedures Obtaining maximum reimbursement for services Preparing, reviewing, and transmitting claims using billing software Researching and appealing denied claims within standard billing cycle timeframe Checking insurance payments for accuracy and compliance with contract discount Calling insurance companies regarding discrepancies in payments if necessary Identifying and billing secondary or tertiary insurances Answering all patient or insurance telephone inquiries Setting up patient payment plans Working collection accounts REQUIREMENTS At least an Associate’s degree or higher...

Job Description Job Description Overview Allied Universal®, North America's leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workplace, you will be part of a team that fuels a culture that will reflect in our communities and customers we serve. We offer medical, dental and vision coverage, life insurance, retirement plan, employee assistance programs, company discounts, perks and more for most full-time positions! Job Description Now hiring for Hospital Security Shift Supervisor in Asheville, North Carolina! $21.00 / hour Will be Taser trained and will receive an increase after completion Monday - Wednesday 7 am - 7 pm, Thursday 7 am - 1 pm Work for the leader in Security! Full Time, Excellent Benefits, Career Progression! Daily Pay - Our new tool that gives employees a say in when they get paid...the choice is yours! Allied Universal Services...

POSITION TITLE Medical Supervisor SCHOOL/DEPARTMENT Assigned Middle School SALARY Per the appropriate schedule FLSA STATUS Exempt REPORTS TO Athletic Director; Athletic Supervisor SUPERVISES None WORK WEEK SCHEDULE Monday - Friday; late evenings and weekends according to the Athletic Schedule WORK HOURS After-hours based on employment schedule NUMBER OF MONTHS PER YEAR 10 POSITION PURPOSE: Working with the Athletic Director and the Athletic Supervisor, the Medical Supervisor provides both First Responder responsibilities as well as providing basic instruction to the athletic staff members regarding the prevention and care of injuries as well as training supervising, and scheduling student sports medicine assistants. In addition to other responsibilities medically related, the Medical Supervisor is responsible for providing sports medicine supervision at all major school-sponsored home athletic events, which involve...

Job Description Job Description Job Title: Certified Coder-Inpatient Job Code: CTCODINP Department: HIM Division: Finance Salary Level: Non-Exempt 9 Reports To: Coding Supervisor Last Revised: September 2021 Primary Function The incumbent performs highly technical and specialized functions for the Cherokee Indian Hospital Authority. The employee reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function is 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. Job Description • The...

LOCATION: Remote - This is a home based, virtual position that operates on US Eastern Standard time within the hours of 8:30am-5:00pm EST. Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB The Claims Supervisor administers all accounting functions related to a designated area of physical and behavioral health medical claims processing to ensure providers receive timely and accurate payment. Supervision of claims adjudication through continuous monitoring and quality control measures. Finalize claims processed electronically for payment and reviewing claim adjudication results for both Title XIX and non-title XIX claims, payment, and denial patterns, ensuring adjudication accuracy in the claims processing system, adhering to policy and procedures, review and follow up of provider billing concerns, coordination among and follow up, and assure the expected level of customer service to Vaya's network of providers. ESSENTIAL JOB...

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare...

Job Description Job Description Healthcare Coding Specialist Position Type: Administrative Specialty Unit: Coding Specialist Location:Remote Shift: Days Job Type: Full-Time Permanent Job Summary: We are in search of an energetic Coding Specialist that will be responsible for ensuring optimum reimbursement based on accurate coding and for maintaining a quality patient clinical database. Assigns accurate diagnosis and procedure codes and captures pertinent clinical data elements on all inpatient/outpatient medical records of discharged patients. Reviews E&M levels selected by physicians on a monthly basis and provides feedback in order to increase awareness and accuracy. Job Benefits: Competitive salary Direct Deposit 401K Comprehensive Health, Dental, and Life Benefits Employee discount program Paid time off Requirements: High school diploma or equivalent required. CPC, CPC-H, (CPC highly desirable over the CPC-H);...

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity Service Line in a quality assurance and project management role . RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required. The Consultant will assist PYA clients with provider documentation improvement,...

Job Description Job Description Risk Adjustment Coder and Educator   Job Summary: The RAF Coder and Educator is responsible for providing expertise in the area of risk adjustment coding for assigned provider groups. This includes reviewing medical records and identifying, collecting, assessing, monitoring, and documenting claims and encounter information as it pertains to risk adjustment for both Medicare and Commercial patient populations. The RAF Coder and Educator interacts with Value Based Care (VBC) leadership to assist in identification of operational and clinical best practices in maximizing recapture rates, understanding clinical suspects and monitoring of appropriate clinical documentation and coding.   Primary Job Responsibilities/Tasks may include, but not limited to:   Primary Responsibilities: Provides guidance and consultation to assist providers in understanding Risk Adjustment coding as it relates to payment methodology and the importance of proper...

Job Description Job Description We are excited to announce that currently we are looking for a Medical Billing Specialist join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Medical Billing Specialist primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. Job Responsibilities: Primary responsibilities involve receiving medical claims from HCPs or patients, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected Exceptional organizational skills are required May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary...

Overview Job Summary Trains team members and performs coding audits. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD9/10-CM and CPT 4 codes for billing internal and external reporting, research and regulatory compliance. Assists Coding Director, Coding Manager or Coding Supervisor with coding related functions to ensure consistent, high quality coding, MS-DRG, APC, Present on Admission, Patient Safety Indicators, Hospital Acquired Conditions and Core Measures assignments. Essential Functions Trains and orients new team members according to specific guidelines while utilizing the facility encoder, HBOC and EMR. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance. Assists Coding...

Medical Biller Remote work from home! We are seeking qualified and dedicated Medical Billers to join our team. Demonstrate an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. You must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job. Attention to detail will be highly important. Medical Biller Responsibilities: Perform daily download and reconciliation of claims from patient accounting system to electronic billing system. Transmit or release claims at a minimum daily. Work all assigned claims daily by...

Overview Job Summary Responsible for the direct provision of patient care and for assisting the manager with daily operations to include but not limited to coordination of patient care/outcomes, allocation of human and fiscal resources, communications, patient throughput, program development and oversight, patient, physician and employee rounding, selection, development, and retention of staff, clinical supervision and performance appraisal, performance improvement activities, service recovery and compliance with regulatory agency requirements. Maintains clinical and professional competency as appropriate to the population of patients served. Essential Functions Supports the manager utilizing systematic approaches to enhance the quality and effectiveness of nursing practice, nursing service administration and delivery of care in the department Assists with interview, selection, and supervision of nursing personnel in the department Assists with coordination of communication at...