31 jobs found

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle’s global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...

Job Description Initial onboarding will take place at our offices in Colchester, VT. The position will then be a hybrid work arrangement with 1-2 days per week in our offices located in Colchester, VT. In-person meetings are also required at least quarterly. Job Summary The Clinical RN Auditor is responsible for ensuring clinical documentation meets regulatory standards and procedures. This role involves reviewing potential quality of care issues, understanding workflows, and establishing patient care plans to support technical and clinical requirements. The auditor works to improve clinical outcomes by monitoring documentation accuracy and consistency, reducing risk, evaluating data, and collaborating with the manager of clinical outcomes to provide expertise in coding classifications. Qualifications / Job Requirements Education and Licensure Current unencumbered Vermont RN Licensure Homecare Coding Specialist- Diagnosis, or ability to obtain within one year from hire and...

Medical Billing Representative Primary Care Health Partners in Williston, Vermont is seeking an experienced Medical Billing Representative to join our team. As a Medical Billing Representative, you will be integral to the financial operations of our healthcare facility, ensuring accurate billing and collections. You will utilize your core skills in medical terminology, EHR systems, and medical coding to process claims efficiently. Your premium expertise in CPT and ICD-10 coding will be essential for compliance and accuracy in billing practices. Reporting to the Billing Manager, you will collaborate with medical staff to resolve billing discrepancies and enhance revenue cycle management. Join our dedicated team and contribute to the seamless operation of our medical billing processes. Responsibilities include: Timely and accurate submission of claims to commercial and government payers Reviewing claims for accuracy Resolving denied and rejected claims Answering phone...

This is a fully remote position. JOB DESCRIPTION: Applies knowledge of anatomy and physiology, medical terminology and pathology of disease processes while analyzing clinical documentation for inpatient and outpatient records for facility and/or professional services coding. May be assigned to work edit lists for accuracy of claims processing and data reporting. Applies knowledge of ICD-10 and CPT-4 nomenclatures and American Hospital Association, American Medical Association and applicable Federal and third party payer guidelines to accurately and compliantly determine principal and secondary ICD-10 diagnoses codes, principal and secondary ICD-10 procedure codes for all visits. In addition, assigns corresponding CPT-4 codes for all inpatient surgery cases or outpatient CPT defined procedural services for facility and professional billing and assignment of appropriate modifiers. Appropriately assigns ICD- 10 codes for professional services per medical necessity criteria....

Overview Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Responsibilities Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting...

Job Description Job Description Description: Our Team is growing! Primary Care Health Partners in Williston, Vermont is seeking an experienced Medical Billing Representative to join our team. Summary: As a Medical Billing Representative, you will be integral to the financial operations of our healthcare facility, ensuring accurate billing and collections. You will utilize your core skills in medical terminology, EHR systems, and medical coding to process claims efficiently. Your premium expertise in CPT and ICD-10 coding will be essential for compliance and accuracy in billing practices. Reporting to the Billing Manager, you will collaborate with medical staff to resolve billing discrepancies and enhance revenue cycle management. Join our dedicated team and contribute to the seamless operation of our medical billing processes. Responsibilities: · Timely and accurate submission of claims to commercial and government payers · Reviewing claims for accuracy ·...

Medical Billing Specialist – Remote Remote Medical Billing Specialists provide best-in-class billing services to our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late, underpaid or denied; work closely with providers, practice managers and staff to implement best practice protocols. Responsibilities Learn and become proficient with the premiere pediatric system in the industry- Physician's Computer Company (PCC) Billing. Efficiently analyze insurance claims throughout the submission process, insuring claims are accurately coded in a timely fashion, and for optimum reimbursement and compliance. Ensure that all claims reach the payers, and independently resolve any issues (underpayments, denials, etc.) with the claims so they are paid fully and on time. Post payments, organize processing of patient correspondence and statements. Answer phone inquiries from patients...

Brattleboro Memorial Hospital in Fairview Village seeks a Billing Representative responsible for accurate submission of insurance claims. You'll work closely with office staff, review unpaid claims, and ensure compliance with coding standards. Ideal candidates will have experience in physician billing and excellent communication skills. A CPC certification is preferred. Join us to provide an excellent experience in patient billing within a supportive environment. #J-18808-Ljbffr

United Cerebral Palsy of Georgia is seeking an experienced inpatient coder to join our remote team. You will ensure high coding accuracy, collaborate on documentation improvements, and participate in ongoing training. Ideal candidates have at least 3 years of inpatient coding experience, a strong grasp of ICD-10 codes, and a commitment to efficiency. Enjoy a flexible work schedule while making an impact in healthcare coding. #J-18808-Ljbffr

Datavant is looking for experienced outpatient coders to join their remote team. As part of a crucial healthcare initiative, you will review medical records, assign accurate codes, and collaborate with healthcare professionals for documentation improvement. This full-time role requires AAPC or AHIMA certification, a strong attention to detail, and a minimum of 2 years of coding experience. Datavant offers competitive pay along with generous benefits including health insurance and educational stipends. #J-18808-Ljbffr

COMMUNITY HEALTH: Community Health is a primary care network that provides nationally-recognized programs, a focus on wellness, dental, behavioral health and pediatric specialties, walk-in Express Care, a culture of community and quality health care that almost everyone, insured or uninsured, has come to depend on. As an equal opportunity employer, we offer a team-oriented, collaborative work environment for close to 400 employees at eight different locations in Rutland and southern Addison counties. POSITION SUMMARY: Responsible for gathering charge information, entering charges into the Practice Management system, reconciling billing codes and distributing billing information. ESSENTIAL FUNCTIONS: Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job's purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person...

Datavant is seeking an experienced Outpatient Coder to join their team remotely. This role requires a keen attention to detail and expertise in medical coding. Ideal candidates will have 3+ years of outpatient coding experience, CCS certification, and familiarity with coding software like Epic and Clintegrity. The position offers a flexible schedule allowing you to work from anywhere. Join Datavant to help shape the future of healthcare through effective data collaboration! #J-18808-Ljbffr

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry-standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana's internal standards. The Medical Coding Auditor Evaluation & Management will report to the Manager, Medical Coding. WORK STYLE: Remote/Work at home WORK HOURS: Associates will work on EST, regardless of where the associate resides. All associates must start between 6AM-9AM EST, Monday - Friday as a dedicated schedule. Work...

Humana Inc is seeking a Medical Coding Auditor to review medical claims and ensure correct coding guidelines. The role requires RHIA, RHIT, or CCS certification and at least 3 years of experience in acute inpatient coding. Responsibilities include analyzing medical documentation, maintaining confidentiality, and working independently in a production-based environment. This remote position requires occasional travel to offices for meetings or training. Humana offers competitive benefits including medical, dental, vision, and paid time off. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Job Description Job Description Job Overview: The Family Place is seeking a highly organized and detail-oriented Accounts Receivable and Billing Specialist to join our finance team. The ideal candidate will be responsible for maintaining accurate financial records and ensuring compliance with accounting standards while maximizing the organization's billing and receivables. The Family Place strives to be a supportive environment and to continue to learn about and practice skills related to diversity, equity, and inclusion. We are committed to providing a safe space for our staff, board, clients, families, and community members and encourage a culture which holds us accountable without judgement. We are actively mindful of our practices and materials to ensure they are inclusive and welcome feedback to continue this important work. It is our goal that all families have access to individualized resources and communication needed to provide services in the best ways possible To...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Clinical Coder The Clinical Coder is responsible for coding inpatient and outpatient services as required to ensure timely and accurate coding of unbilled records. The Clinical Coder assesses the adequacy of medical record documentation to ensure that documentation supports the diagnosis, procedure, complications, and co-morbid conditions assigned codes. There is a possibility of a hybrid/remote schedule once trained. Certified Professional Coder (CPC) certification and ICD 10 required. Experience in medical coding preferred but not required.

The Clinical Coder is responsible for coding inpatient and outpatient services as required to ensure timely and accurate coding of unbilled records. The Clinical Coder assesses the adequacy of medical record documentation to ensure that documentation supports the diagnosis, procedure, complications, and co-morbid conditions assigned codes. There is a possibility of a hybrid/remote schedule once trained. Certified Professional Coder (CPC) certification and ICD 10 required. Experience in medical coding preferred but not required. Area of Interest: Clerical/Administrative; Pay Range: $23.00-$27.00; Work Status: 8:00 AM to 4:30 PM; Employment Type: Full Time; Job ID: 6071 Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these...

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. We're looking for experienced and credentialed outpatient 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 you to help shape the...

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. Core Values 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 Summary The...

Baylor Scott & White Health is seeking a Physician Compliance Auditor II in Montpelier, Vermont. In this remote role, you will conduct audits to ensure documentation compliance across various specialties. Candidates should have 4 years of auditing experience, a relevant Bachelor's degree or equivalent experience, and an active coding certification. The salary range is $26.66 to $40.00 per hour based on experience. Join a leading healthcare system committed to well-being and excellence. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

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...