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Patient First
Full Time
 
Patient Accounts Insurance Representative
Patient First Glen Allen, VA, USA
Patient First is accepting applications for Patient Accounts Insurance Representative in the Glen Allen, VA area. Patient First provides a friendly work environment that promotes a team-oriented philosophy. Sign-on Bonus! The responsibilities of this job include, but are not limited to, the following: Reviewing processed claims to ensure proper payments received according to the payers' contract; Reviewing unprocessed claims within the payer's timely filing limits for re-submission of claims for payment; Verifying eligibility, benefits, plan type, patient responsibility and insurance payments; Correcting registration errors on patients' accounts; Researching insurance Eligibility of Benefits (EOB) to verify correct payment and adjustments are posted to patients accounts; Verifying that claims are filed according to the contracted agreement; Effectively communicating insurance trends or issues to the appropriate persons, including but not...

Jun 05, 2023
Patient First
Full Time
 
Medical Records Release Information Specialist
Patient First Glen Allen, VA, USA
Patient First is accepting applications for Medical Records Release Information Specialist in the Glen Allen, VA area. Patient First provides a friendly work environment that promotes a team-oriented philosophy. The responsibilities of this job include, but are not limited to, the following: Retrieving mail as directed, and sorting and distributing incoming departmental mail; Date stamping and logging in all (MR) requests and scanning associated paperwork into the CorTrak database; Following departmental check list, reviewing all MR requests for proper authorization;  Responding to all requests for MRs that are not HIPAA compliant, do not provide necessary information to locate the patient, through via written correspondence within the appropriate time frames according to state laws; Printing requested MRs, matching them with their corresponding requests, updating the materials list and preparing and mailing out the billing as appropriate; Updating MR...

Jun 05, 2023
Patient First
Full Time
 
Coding & Reimbursement Analyst
Patient First Glen Allen, VA, USA
Patient First is accepting applications for Coding & Reimbursement Analyst in the Glen Allen, Virginia area. Patient First provides a friendly work environment that promotes a team-oriented philosophy.  The responsibilities of this job include, but are not limited to the following: Completing a periodic review of Physicians’ and Physician Extenders’ charts; Preparing and distributing feedback to Physicians and Physician Extenders after the review process is completed; Coordinating and providing additional training to Physicians and Physician Extenders on E&M and ICD-10 coding as needed; Ensuring ICD-10, CPT (including E&M), and HCPCS coding is performed properly by Physicians and Physician Extenders; Ensuring the coding is performed according to current industry standards and according to commercial payers’ coding guidelines; Monitoring changes in ICD-10, CPT (including E&M), and HCPCS coding guidelines regularly, reporting changes to the Compliance...

Jun 05, 2023
CC
EVS - Housekeeping Supervisor - Carilion New River Valley Medical Center (Christiansburg, VA, US, 24073)
Carilion Clinic VA, VA, USA
How You'll Help Transform Healthcare:Supervises and monitors a team of Environmental Services personnel within assigned area on a daily basis. Ensures provision of Environmental Services objectives which meet or exceed safety and quality initiatives and customer expectations.   Supervises day-to-day operations of assigned area by prioritizing, coordinating, planning and scheduling staff to meet daily activities, meetings and special event needs. Provides supervision, guidance and technical assistance as needed to employees. Performs daily inspections and tracks frequencies/workflow of activities assigned to Environmental Services employee. Coordinates special projects within assigned area after consultation with Manager. During Emergency situations/incidents, directs the operation of Haz-Mat team within department/facility.Serves as liaison between Environmental Services and other department managers, patients, families and visitors. Responds promptly to requests for assistance....

Jun 07, 2023
VB
Medical Billing Specialist
Virginia Beach Endovascular Virginia Beach, VA, USA
Job Description Confirm and update benefits coverage and obtain pre-approval for Vascular procedures. Organize patient data and input into databases for insurance reimbursement purposes. In addition to records management and posting claims your duties will include scheduling patients, greeting patients and working with both Athena Health and Express Billing to resolve unprocessed or denied claims. Health insurance specialists must be skilled communicators with the interpersonal skills to interact with carrier representatives, patients, and physicians. Company Description At Virginia Beach Endovascular, we specialize in the care of ESRD and peripheral artery disease (PAD) patients by providing a full range of vascular services using the latest technology. Our highly trained physicians and staff take the commitment to excellence in vascular care as seriously as the diseases that we treat. This dedication has made us one of the premier vascular outpatient centers in the Virginia...

Jun 07, 2023
ST
Medical Coding Auditor - Professional Services (ONSITE)
Standard Technology Portsmouth, VA, USA
Job Description Professional Services Medical Coding Auditor -- ONSITE Naval Hospital PORTSMOUTH, VAQualified candidate will be responsible for the auditing of medical documentation and codes for professional services for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Evaluation & Management (E&M), Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Will train and educate Military Treatment Facility provider staff on coding issues and plays a significant role in coding compliance activities. Required Qualifications (Education/Experience) Experience. A minimum of five (5) years medical coding experience in multiple clinical specialties and three (3) years of medical auditing experience within the last eight (8) years is required. Expertise must also include ambulatory surgery coding/auditing for the outpatient auditor...

Jun 07, 2023
TN
Medical Billing Specialist
The New Hope Center for Reproductive Medicine Virginia Beach, VA, USA
Job Description We are looking for a detail oriented, energetic, team player to add to our billing team. The ideal candidate will have experience in patient collections, insurance billing and follow up. Minimum of 2 years in medical billing. GYN experience a big plus. A Medical Billing Specialist supports the mission of the practice by providing exemplary customer service and support to practice patients. A Medical Billing Specialist is responsible for ensuring that the financial objectives of the practice are met in a patient friendly and supportive environment. They are responsible for an array of duties that encompass Billing/Insurance/Financial aspects related to the medical practice. This is a collaborative position that requires maintaining the integrity of internal controls through financial and revenue cycle systems. Working closely with the Business Office Supervisor and the Office Manager to maintain appropriate cash management and billing processes/procedures....

Jun 07, 2023
ST
Ambulatory Medical Coding Auditor
Standard Technology Quantico, VA, USA
Job Description POSITION IS 100% ONSITE NAVAL HOSPITAL CLINIC QUANTICO, QUANTICO, VA The Ambulatory Medical Coding Auditor is responsible for the auditing of medical documentation and codes for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Must be able to satisfy the eligibility requirements for obtaining a government issued security clearance (US citizenship is required). Requires a physical, proof of immunization, including COVID vaccination and annual immunizations such as TB testing and flu shots. Must successfully pass a coding assessment and credential verification. Mandatory knowledge and skills • Knowledge of auditing concepts and principles. • Advanced knowledge...

Jun 07, 2023
FP
Medical Biller
Family Practice Fairfax, VA, USA
Job Description Medical Biller - Orthopedics Fairfax, VA MUST: Experienced Medical Biller - Orthopedics 1+ years of experience as a Medical Biller 1+ years of experience working in billing 1+ years of experience in a medical billing setting 1+ years of experience working with Medicare, Medicaid, BC/BS, Workers Compensation, and commercial insurance carriers billing regulations 1+ years of experience working with Explanation of Benefits (EOB's, insurance carrier payment policies, practices, and amounts 1+ years of experience working with CPT and ICD-10 coding systems Highly self-motivated and directed Ability to effectively prioritize and execute tasks while under pressure Experience working in a team-oriented, collaborative environment Very strong written and verbal communication skills Problem solver and able to troubleshoot independently with little supervision EMR: IMS and/or EPIC is preferred Certified Professional Coder (CPC) preferred DUTIES: Contact insurance companies by...

Jun 07, 2023
MM
Senior Quality and Compliance Specialist (GCP Site Auditor)
MMS Richmond, VA, USA
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 and conduct GCP audits...

Jun 06, 2023
BP
Medical Biller
Bayview Physicians Group Chesapeake, VA, USA
Job Description Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full time employees and we are always accepting applications from qualified candidates. Duties & Responsibilities: * Track claims with insurance companies. * Active follow up with insurance companies for outstanding unpaid claims. * Work unpaid claims and credit reports. * Research and process rejected or suspended claims * File appeals and documentation to insurance companies for payment reconsideration * Audit patient accounts to determine when refund are due, as well as request refund * Assist patients...

Jun 06, 2023
CA
Medical Biller
Capital Area Pediatrics Oakton, VA, USA
Job Description Capital Area Pediatrics offers accessible, comprehensive pediatric care to families at five practice locations throughout Northern Virginia. For both sickness and health, generations of families have chosen Capital Area Pediatrics to provide outstanding care and an exceptional patient experience. We are currently hiring a Medical Biller to join our team. This is an on-site position located at our Central Business Office in Oakton, Virginia. In this role you will * Complete all charge entry duties as assigned on a daily basis according to productivity requirements. * Back-up and assist other billing department staff as required. * Examining documents for missing information and ensuring documents are accurate. * Review provider documentation for support of clinician-selected ICD-10, CPT, and HCPCS codes. * Extracting relevant information from patient records. * Liaising with physicians and other parties to clarify information. * Performing chart audits. * Advising...

Jun 06, 2023
ST
Ambulatory Medical Coding Auditor
Standard Technology VA, VA, USA
POSITION IS 100% ONSITE NAVAL HOSPITAL CLINIC QUANTICO, QUANTICO, VAThe Ambulatory Medical Coding Auditor is responsible for the auditing of medical documentation and codes for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Must be able to satisfy the eligibility requirements for obtaining a government issued security clearance (US citizenship is required). Requires a physical, proof of immunization, including COVID vaccination and annual immunizations such as TB testing and flu shots. Must successfully pass a coding assessment and credential verification.Mandatory knowledge and skills • Knowledge of auditing concepts and principles. • Advanced knowledge of...

Jun 06, 2023
AC
Medical coder on site
Aston Carter Chesapeake, VA, USA
Outpatient Certified Medical Coder – ON SITE* As the Outpatient Medical Coder*, you are a part of a nationally recognized, independent health care organization. If you’re ready to explore the next step in your career: You’ll enjoy…* * * Career Opportunities* – Tons of growth opportunities for your career Standard Hours* – 100% in office role – Monday-Friday 8:00AM-4:30PM Competitive Pay* - $21.00-$25.00 an hour Expedited Interviews* – Access to additional Resume support and pre-interview questions * * A day in the role…* * * Coding for three different specialties: supportive care, pulmonary E/M (office visits), and primary care. Verify the encounters are filled out completely, signed by providers, and code the encounters prior to submitting to billing. On average, completing 80-100 E/Ms per day. Working in Athena and Epic systems. Assist as back up for patient phone calls. * * Necessary Skills and Strengths:* Experience in E/M Coding | CPC or CCS...

Jun 05, 2023
AC
Inpatient Coder
Aston Carter Arlington, VA, USA
Equivalent Experience Inpatient Coder Fully Remote Description : The Health Information Management Coder is responsible for coding of inpatient and outpatient records utilizing current ICD-9 CM, ICD-10 CM and CPT-4 classification systems. Code selection is based on established coding principles and guidelines in a manner which supports general billing and provides for appropriate extraction of data used by committees and individual members of the medical staff, other hospital departments and researchers. Data entry, database maintenance, and retrieval of information from reports and indices are ongoing responsibilities. May also be asked to complete one or more of the specialty tasks assigned to the coding section such as data control or reporting to legally mandated registries. As a representative of the most highly trained technical staff in the Health Information Management Department, the individual may also be called upon to work on special studies with the...

Jun 05, 2023
WM
Environmental Regulatory Compliance Auditor
Wallace Montgomery Vienna, VA, USA
Job Description If you're an engineering professional with a passion for environmental protection, Wallace Montgomery in Hunt Valley, MD has an exciting opportunity for you. We're currently hiring a full-time Environmental Regulatory Compliance Auditor to ensure that our work complies with state and federal environmental regulations. Keep reading if this sounds like the right job for you! THE PERKS OF BEING OUR ENVIRONMENTAL REGULATORY COMPLIANCE AUDITOR This full-time engineering position earns a competitive wage of $36 to $38 per hour . In addition, we offer our team excellent benefits , including medical, dental, and vision insurance . Your typical schedule is Monday through Friday . A DAY IN THE LIFE OF AN ENVIRONMENTAL REGULATORY COMPLIANCE AUDITOR As our Environmental Regulatory Compliance Auditor, you're tasked with the critical role of ensuring that all our operations comply with relevant environmental regulations. Not only do you protect our company, but you also...

Jun 04, 2023
AC
Medical and coder on site
Aston Carter Norfolk, VA, USA
E/M Medical Biller and Coder - ON SITE* If you’re ready to explore the next step in your career: You’ll enjoy…* * * Career Opportunities* – Tons of growth opportunities for your career Standard Hours* – 100% in office role – Monday-Friday 8:00AM-4:30PM Competitive Pay* - $20-$22 an hour Expedited Interviews* – Access to additional Resume support and pre-interview questions * * A day in the role…* Responsible for entering in all encounters for surgery. They will take the encounter forms that the providers fill out and they will go into the patients record and extract the diagnosis codes to assign to whatever E/M services that was done. Once they enter the charges, it is sent to the medical group and the Patient Account Representatives there will make sure it goes to the insurance and is responsible for calling to collect from patients and insurance companies. This person won't be doing any collections. * * Necessary Skills and Strengths:* Billing Knowledge|...

Jun 04, 2023
BP
Medical Coder
Bayview Physicians Group Chesapeake, VA, USA
Job Description Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full time employees and we are always accepting applications from qualified candidates. Duties & Responsibilities: * Reviews and audits daily charge tickets for correct CPT, ICD-10 abd HCPCS for office, hospital, nursing home and surgery for posting. * Assists with pre and post audits. The various auditing duties are related to physician practice management and coding to maintain compliance with payer reimbursement policies and governmental regulations as well as Medicare/ CMS guidelines. * Monitors progress...

Jun 04, 2023
AC
Medical coder - on site
Aston Carter Chesapeake, VA, USA
Outpatient Certified E/M Medical Coder - ON SITE As the Outpatient Medical Coder, you are a part of a nationally recognized, independent health care organization. If you're ready to explore the next step in your career: You'll enjoy... Career Opportunities - Tons of growth opportunities for your career Standard Hours - 100% in office role - Monday-Friday 8:00AM-4:30PM Competitive Pay - $21.00-$25.00 an hour Expedited Interviews - Access to additional Resume support and pre-interview questions A day in the role... • Coding for three different specialties: supportive care, pulmonary E/M (office visits), and primary care. • Verify the encounters are filled out completely, signed by providers, and code the encounters prior to submitting to billing. • On average, completing 80-100 E/Ms per day. • Working in Athena and Epic systems. • Assist as back up for patient phone calls. Necessary Skills and Strengths: Experience in E/M Coding | CPC or CCS Certified| ICD10...

Jun 04, 2023
UV
Medical records technician coder - recruitment
US Veterans Health Administration Wallops Island, VA, United States, VA, USA
Duties Analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. Perform expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation. Perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Outpatient duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD-10-CM codes for diagnoses, CPT/HCPCS codes for surgeries, procedures and evaluation and management services. Independently review and abstract clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned...

Jun 04, 2023
ZA
Regulatory Analyst Coder
Zimmerman Associates Fairfax, VA, USA
Zimmerman Associates, Inc. has an immediate need for a Regulatory Analyst Coder for one of our Records Management operations in Fairfax, VA. The primary responsibilities of the Regulatory Analyst Coder will include: Applying analytic methodologies and principles to address regulatory compliance needs. The candidate will need to demonstrate experience and knowledge in this area. Applying analytic techniques and regulatory standards in the evaluation of industry data and advertisements to implement strategic direction Performing data collection, evaluation and coding of data, data modeling, and creation of performance measurements to support project objectives Conduct project activities to support objectives and contract requirements In addition, the successful candidate will be required to have the following: Three (3) years of demonstrated experience related to the job description above Proficiency in utilizing databases, demonstrated understanding and experience...

Jun 03, 2023
AC
Medical coder
Aston Carter Norfolk, VA, USA
Equivalent Experience As the Dermatology Medical Coder If you’re ready to explore the next step in your career: You’ll enjoy… Career Opportunities – Tons of growth opportunities for your career Standard Hours – 100% in office role. Monday-Friday 7:00am-5:00pm Competitive Pay - $25.00+ an hour Expedited Interviews – Access to additional Resume support and pre-interview questions Great Benefits – Take advantage of a Blue Cross Blue Shield benefits package (Dental, vision, 401k) Top Local Company – Join one of the largest employers and hospitals within the Hampton Roads area A day in the role… Reviewing the charges to make sure the notes have been signed, the modifiers are in the right order, is the billing area correct, if referring physician is listed Ensure encounter form are charged and properly coded from the day before and sending them out to the medical group to be billed Medical group will send denied claims...

Jun 02, 2023
AC
Coder
Aston Carter Arlington, VA, USA
Proof of Vaccination mandatory * Description:* The Health Information Management Coder is responsible for coding of inpatient and outpatient records utilizing current ICD-9 CM, ICD-10 CM and CPT-4 classification systems. Code selection is based on established coding principles and guidelines in a manner that supports general billing and provides for the appropriate extraction of data used by committees and individual members of the medical staff, other hospital departments, and researchers. Data entry, database maintenance, and information retrieval from reports and indices are ongoing responsibilities. Selects and codes diagnoses and procedures from inpatient and outpatient records. Keys information into the ABS and Grouper systems. Performs specialty tasks assigned to the Coding Section involving screening and reporting of data to medical staff committees and legally mandated registries. Meets productivity goals and organizes varied tasks assigned in a manner that...

Jun 02, 2023
AC
Medical coder
Aston Carter Arlington, VA, USA
Equivalent Experience 100% Remote Medical Coder Arlington, VA Job Description: The Health Information Management Coder is responsible for coding of inpatient and outpatient records utilizing current ICD-9 CM, ICD-10 CM and CPT-4 classification systems. Code selection is based on established coding principles and guidelines in a manner which supports general billing and provides for appropriate extraction of data used by committees and individual members of the medical staff, other hospital departments and researchers. Data entry, database maintenance, and retrieval of information from reports and indices are ongoing responsibilities. As a representative of the most highly trained technical staff in the Health Information Management Department, the individual may also be called upon to work on special studies with the Director as delegated through the Clinical Reimbursement Manager. Selects and codes diagnoses and procedures from inpatient and outpatient...

May 29, 2023
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