496 jobs found

Outpatient Coder/Abstractor, FT Days Fully Remote El Paso Childrens Hospital - El Paso, TX 79905 Overview Level: Experienced Position Type: Full Time Job Shift: Day Education Level: High School Travel Percentage: None Category: Health Care Description Position Summary The Outpatient Coder/Abstractor accurately codes, sequences and abstracts outpatient medical records according to ICD-9-CM and CPT coding guidelines to achieve accurate and timely reimbursement and populate statistical databases. Queries physicians for clarification on documentation. Perform duties within approved practices, exercising independent judgment within pre-determined guidelines. Qualifications Minimum Position Requirements Work Experience: One (1) year outpatient coding experience required. License/Registration/Certification: None. Education and Training: High School diploma or GED equivalent. Skills: Knowledge of Health Information Systems practices, procedures, and guidelines. Ability to...

Registered Nurse - Utilization Management/Coder RN Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. Bienvivir is currently accepting applications for the following position: REGISTERED NURSE - UTILIZATION MANAGEMENT / CODER The...

CommonSpirit is looking for a Coder to ensure precise communication with insurance companies and accurate documentation of patient medical records. The role demands expertise in coding standards and healthcare regulations, along with strong attention to detail. Candidates are required to have at least two years of physician coding experience and relevant coding certifications, with electronic health record experience preferred. Join a team dedicated to quality care across more than 700 sites nationwide in Texas. #J-18808-Ljbffr

The Texas Workforce Commission is seeking an Accounts Examiner in Wichita Falls to perform entry-level auditing and examination tasks. This role involves examining financial records, preparing audit reports, and ensuring compliance with laws. Applicants should have a year of relevant experience or equivalent academic credits. The position offers a competitive salary of $3,446/month and various benefits, including medical insurance and retirement plans. Up to 10% travel within Texas may be required. #J-18808-Ljbffr

Pinnacle Specialty Group is seeking an internal auditor with a BA/BS or MA/MS degree. Responsibilities include conducting audits per Global Internal Audit Standards and preparing working papers. Candidates should have a minimum of 2 years of experience for Level 1, up to 14 years for Level 3. The position is in an office environment and may require light to moderate lifting and sufficient mobility. U.S. citizenship is required due to government regulations. #J-18808-Ljbffr

Strategic Storage Partners, LLC seeks a Quality Assurance professional based in Winnie, Texas. The role requires a Bachelor's degree and a minimum of 5 years or 10 years of related experience in quality assurance oversight or inspection. Duties include conducting inspections, supporting QA activities, participating in audits, and ensuring compliance with quality requirements. Candidates must have AWS CWI certification and knowledge in non-destructive testing methods. The position emphasizes effective communication and oversight of various quality assurance programs. #J-18808-Ljbffr

Benefits: Health insurance 401(k) REMOTE Position (Monday-Friday, 8:00 AM-4:30 PM) HIMS-OP coding support is needed to maintain timely CVIR and GI coding and billing. Hospital CVIR and GI Coding Experience is required. Proficient in coding and EHR software. Expert knowledge of ICD-10 CM and CPT modifiers. Expert knowledge in NCCI/OCE billing edits. Preferred: 2 years Education/Audit Review or Specialty/Complex acute care OP surgical coding experience. Minimum 3 years acute care hospital outpatient surgical coding experience. Candidate must hold one of the following certifications CIRCC, COC, CPC or CCS. Please be sure to submit a complete profile with all required documents when proposing candidates. Thank you for your partnership! EEO: "Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."

Baylor Scott & White Health is seeking a Coder 2 in Killeen, Texas. This role is pivotal for accurate coding of outpatient, professional fee, and low-acuity inpatient services. Candidates must have a minimum of 2 years experience and hold one of several coding certifications, including CCS or CPC. The position offers immediate health benefits, a 401(k) savings plan, and tuition reimbursement. Strong knowledge of ICD-10 and CPT coding is essential for success in this role. #J-18808-Ljbffr

Job Summary The Coder 2 is skilled in three or more types of outpatient, profee, or low‑acuity inpatient coding. The Coder 2 may code low‑acuity inpatients, one‑time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi‑specialties. The Coder 2 uses the International Classification of Disease (ICD‑10‑CM, ICD‑10‑PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS‑DRG, APR‑DRG, APC, etc.). The Coder 2 will abstract and enter required data. Essential Functions Of The Role Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and...

Baylor Scott & White Health in Belton, Texas is looking for a skilled Coder 2. The role requires expertise in outpatient and inpatient coding, including ICD-10 and CPT. Candidates must have at least a high school diploma and two years of coding experience. Important certifications include CCS, COC, or CPC among others. The position offers benefits like health insurance, a 401(k) plan, and tuition reimbursement. Join a dedicated team committed to accurate coding and billing practices. #J-18808-Ljbffr

Job Summary This is work involving the performance of specialized clerical and accounting activities as a lead worker in support of the clinical billing process at the Mobile County Health Department. Salary Jurisdiction: Mobile County Health Department Yearly Salary: $37,570 - $60,061 Minimum Qualification Requirements Graduation from a standard senior high school, or the successful completion of the General Educational Development (GED) test, and a minimum of three years experience at the level of a Medical Billing Specialist I, preferably at a Federally Qualified Health Center (FQHC) or community health center using electronic medical record and clinical practice software; or a combination of education and experience equivalent to these requirements. Equal Opportunity A person with a disability may request accommodation by contacting the Mobile Civil Service at 251-470-7727. The agencies we serve are equal opportunity employers. #J-18808-Ljbffr

About Us Here at Baylor Scott & White Health we promote the well‑being of all individuals, families, and communities. Baylor Scott and White is the largest not‑for‑profit healthcare system in Texas that empowers you to live well. Our Core Values Are We serve faithfully by doing what’s right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar‑for‑dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job...

The Mobile County Personnel Department in Alabama is seeking a lead worker to perform specialized clerical and accounting activities that support the clinical billing process at the Mobile County Health Department. The ideal candidate will have a high school graduation or GED, along with a minimum of three years experience as a Medical Billing Specialist I. This position offers a yearly salary ranging from $37,570 to $60,061, depending on qualifications and experience. #J-18808-Ljbffr

Summary The Medical Records Technician (Coder-Outpatient) position is located at Audie L. Murphy VAMC in San Antonio , Texas within Health Administration Service (HAS). This position is responsible for maintaining the quality of patient records, assigning of appropriate International Classification of Diseases Clinical Modification (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, and various other duties as assigned. Responsibilities Duties may include but are not limited to: -Maintains a control system to ensure comprehensive submission of all codes for the care provided into the Patient Care Encounter (PCE), Automated Information Capture System (AICS), Patient Treatment File (PTF), Appointment Management, Surgery Package and other applicable programs in Veterans Health Information Systems and Technology Architecture (VISTA). -Abstracting the diagnoses, procedures performed level of patient evaluation, drugs injected etc, for...

The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to to referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Maintain HIPAA compliance Additional duties as assigned KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or exceed...

Medical Coder - Cardiology, Cardiothoracic & Vascular (Remote) We are seeking a detail-oriented and highly skilled Professional Fee Coder to join our growing team. In this role, you will be responsible for the high-level review of medical documentation for Cardiology and Cardiothoracic services, ensuring the most accurate and compliant assignment of CPT®, HCPCS, and ICD-10 codes. This is a Contract-to-Hire opportunity that offers a fully remote environment with a highly flexible schedule, allowing you to balance your professional and personal life effectively. Key Responsibilities Specialized Coding: Review inpatient and outpatient charges for Cardiology, Cardiothoracic, and Vascular Surgery providers. Documentation Interpretation: Read and interpret complex medical records to assign accurate codes for surgical procedures, office encounters, and diagnostic/pathological services. Quality Assurance: Manage specialty-specific work queues to perform...

Job Description Job Description Description: The remote Coder/Specialty Medical Bill Reviewer is responsible for reviewing, auditing, and data entry of medical bills for multiple states and lines of business within both Worker’s Compensation and Commercial Health arenas. This would include analysis for the fee schedule or usual and customary application, as well as PPO interface, while meeting contractual client requirements. Essential Job Functions: Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts Analysis and review of 1 or more assigned states having fee schedules Utilize Fee Schedules, Online Documents, Client instructions, and other training material to properly review medical bills Review medical bills for compensability and relatedness to injury Reprice medical bills to Workers’ Compensation Fee Schedule and PPO Network Research usual and customary/fee...

Job Title & Specialty Area: Occupational Therapist I Department: Acute Care Therapy Services Location: Children's Medical Center Dallas Job Type: On-Site Why Children's Health? At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being. Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all. Summary: The incumbent in this position is a staff therapist who participates in the evaluation and treatment of patients based upon current principles and practices of...

**Job Family:**PFS Billing**Travel Required:**None**Clearance Required:**None**What You Will Do:**Has an extensive knowledge of billing requirements mandated by payers and / or governmental regulations. This position will perform any and all related job duties as assigned.***Individuals must be able to work an eight hour shift between the hours of 8:30 AM CT - 5:30 PM CT, with no remote work initially but opportunity for some hybrid (in office/remote) after training.******We will consider individuals open to relocation to San Antonio!*****Essential Job Functions*** Hospital Billing Emphasis* Correcting and billing electronic and hardcopy claims* Submits Adjusted claims* Provides Follow-up Billing* Prepares Billing Reconciliation**Duties and Responsibilities*** Performs daily download and reconciliation of claims from patient accounting system to electronic billing system.* Transmits or releases claims at a minimum daily.* Works all assigned claims daily by resolving edits,...

Coding Specialist Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. Primary Responsibilities: Provides coding and coding-auditing services for physician and facility documentation Reviews operative reports and clinical documentation to accurately assign CPT, ICD, and HCPCS codes using current NCCI guidelines and LCD coverage determinations Ensures timely and accurate charge capture to support efficient billing...

We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers. This process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria. Think you've got what it takes? Job Duties & Responsibilities Assess the treatment plan, clinical information, and medical necessity of all requested services Utilizes established criteria to appropriately review billed services within established timeframe required. Consults with medical directors and clinical staff regarding patient's history and current care needs and whether services billed were appropriate. Refers case failing...

Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members. Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you're empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires...