38 jobs found

Job Responsibilities: Abstracts information from a variety of medical records and assigns appropriate codes based on medical documentation using the current guidelines for CPT codes and/or ICD standards. Addresses billing/coding related questions for providers as needed. Performs internal audits and provides feedback to health care providers within their department as directed. Performs any follow-up audits from either initial internal or external audits. Assists as needed to complete the professional fee reimbursement process. Attends various meetings and professional development programs to maintain certification. Serves on various committees and performs other duties as assigned. Performs other duties as assigned or requested. Education: High school diploma or GED. Certified Professional Coder certification is required. Experience: One year of billing experience in a health care organization preferred. Knowledge of medical terminology, CPT-4 and...

The Associate Director, Medical Publications (CNS) is responsible for supporting the implementation and execution of the global medical publication strategy and deliverables for the CNS therapeutic area. This role ensures the timely, accurate, and compliant communication of scientific and clinical data through congress abstracts, posters, manuscripts, and other peer-reviewed outputs. Working within the CNS Medical Communications team, the Associate Director partners with cross-functional stakeholders including Clinical Development, Global Integrated Evidence & Innovation (GIE&I), Medical Strategy, Core Content, and external vendors to execute high-quality publication activities aligned with overall medical strategy. The Associate Director reports to the Director, Medical Publications (CNS) and plays a key role in driving operational excellence in publication execution while contributing to strategic planning and ensuring adherence to scientific and regulatory standards....

Coder II The Coder II must accurately code and abstract diagnoses and procedures occurring during the patient's episode of care, in a timely manner, in order for the facility to receive proper reimbursement. Experience required as follows: Coding in hospital, clinic or physician office. Basic computer knowledge required with evidence of Windows training and/or experience with demonstrated competency. Maintenance of certification through continuing education is required. Must be skilled in the application of coding guidelines set up by various third party payors. Required Certifications/Registrations RHIT or RHIA credential from the American Health Information Management Association Physical Demands: Prolonged sitting. Some standing, lifting (50 lb.), carrying, stooping, reaching. Periods of prolonged work at a computer terminal. Prolonged periods of reading, deciphering handwriting.

CVS Health is seeking a dedicated Medical Records Auditor to perform audit and abstraction of provider or vendor records to identify ICD codes submitted to CMS for risk adjustment. You will ensure accuracy and compliance with state and federal regulations, maintain strict timeliness, and demonstrate proficiency in coding guidelines. This full-time role offers comprehensive benefits and opportunities to contribute to safer, higher-quality care. #J-18808-Ljbffr

## House Supervisor Fairmont Medical CenterApplylocations: Fairmont Medical Centertime type: Full timeposted on: Posted Todayjob requisition id: JR26-41062## Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.Facilitates the flow of patients 24/7 by monitoring the status of and coordinating bed assignments. Manages staff to ensure efficient operations.**MINIMUM QUALIFICATIONS****:****EDUCATION, CERTIFICATION, AND/OR LICENSURE:**1. Current license to practice Registered Professional Nursing in West Virginia.2. Obtain certification in Basic Life Support within 30 days of hire date**PREFERRED QUALIFICATIONS****:****EDUCATION, CERTIFICATION, AND/OR LICENSURE:**1. Specialty certification in nursing administration or specialty.**EXPERIENCE:**1. Five (5) years' nursing...

A leading pharmaceutical company seeks an Associate Director, Scientific Communications to manage and execute the scientific communications strategy for its therapeutic area portfolio. This role includes overseeing medical writing and publications, collaborating with cross-functional teams to ensure content accuracy and compliance. Candidates should possess an advanced scientific degree and extensive experience in Medical Affairs. The position offers a competitive salary, along with comprehensive benefits, making it an excellent opportunity for experienced professionals. #J-18808-Ljbffr

Job Description Job Description Overview Join a Leader in Home Healthcare At Rotech Healthcare Inc ., we’re more than a medical equipment provider—we’re a trusted partner in patient care. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home. With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Whether you're a clinician, technician, or healthcare administrator, your work at Rotech directly improves lives. Explore more about our mission and services at Rotech.com. Responsibilities Job Summary We are seeking a dedicated Customer Service Supervisor to join our team. In this position, you are responsible for overseeing and participating in customer service...

Job Summary With a patient centered culture, the Coding Specialist will provide a positive experience to our customers and patients through assigning diagnostic codes, procedure codes and charge codes to patient accounts in an efficient and timely manner. The coder/abstractor monitors and tracks accounts that need additional documentation to ensure accurate coding of accounts according to official coding guidelines. Responsibilities New Skills and Self- Development Learns new skills quickly on his/her own and applies them quickly and effectively. Makes it a practice to take charge of self-development by soliciting feedback, setting priorities and then acquitting or strengthening skills and knowledge through coursework or other methods. Productivity Consistently demonstrates coding yearly average productivity as determined by departmental policy or guidelines. Quality/Accuracy Applies all codes according to established coding guidelines with an accuracy rate as...

St. Mary's Medical Center is seeking a full time Clinic Coder for our Central Business Office .Under the supervision of the Director of Health Information Management or authorized designee, is responsible for reviewing clinical documentation and diagnostic reports to extract data and apply appropriate ICD, CPT codes, modifiers, discharge dispositions, and other coding schemes to medical records for billing, internal and external reporting, research and regulatory compliance activities. Education Requirements: High school diploma or equivalent required. Associate's degree in Medical Coding preferred but not required. Experience: Background in medical billing, terminology, and anatomy is strongly recommended. Certifications/Skills: CPC-A, COC-A, CPC or COC required. Additional specialty certifications will be used to show proficiency and count as experience in the certified specialty.

Job Summary The House Supervisor is responsible for monitoring the activities of the care center staff to ensure that departmental functions are performed within the vision and mission of the hospital and regulatory guidelines. Utilizing the Nursing Process, the House Supervisor will coordinate total patient-centered care, both meeting the physical, age-specific, social, mental status, cultural and spiritual of the patients, and ensuring optimal care and service in accordance with physician orders, The Joint Commission, OSHA, nursing and department guidelines. The House Supervisor fulfills these duties to ensure continuity and quality of care, which fosters all patients and their families' best interests and well-being. Responsibilities Ensures unit is in compliance with regulatory standards.Ensures patients are assigned appropriate level of care and bed, based on patient care needs. Admits, transfers and discharges are facilitated in a timely manner, to maintain...

Job Summary Under general direction, is responsible for collecting appropriate blood specimens from inpatients, outpatients, and off-campus patients in a timely manner. In addition, supports the laboratory staff by receiving and directing all telephone andmail communications to appropriate departments or personnel. Receives and distributes specimens in accordance withMGH and Laboratory policies and procedures as well as CAP and federal/state regulations. Maintains establishedprocesses for record retention and retrieval and distribution of test results. Registers patients following established policies. Responsibilities Responsible for Operations of Assigned Units Provides pre and post analytical expertise for the department through supervision. Investigatesproblems or concerns and takes corrective action when necessary. Monitors department PPID usage. Ensures that devices are in working order. Acts as resourceperson for troubleshooting problems. Minimizes downtime....

Medical Coding Auditor *This will NOT be a remote position Job Summary: The Medical Coding Auditor protects company assets by completing coding documentation and quality & program audits to ensure support of services billed, complying with all federal and state regulations and internal controls, and recommending improvements in internal control structure. Primary Responsibilities (illustrative): Follows established protocols, selects and reviews a percentage of records to assess coding documentation, billing and/or reimbursement practices for compliance with all regulations for federal and state agencies, third-party payers, and organization policy. Communicates audit progress and findings by preparing reports and providing information to the Compliance Officer, Chief Medical Officer, and Chief Quality Officer as applicable. In conjunction with appropriate personnel, investigates, evaluates, and identifies opportunities for improvement, recognizes their relative...

Job Summary Evaluate patients records, work to resolve inaccurate charges, and assign appropriate diagnoses & procedure codes using the coding systems according to HIPPA regulations. Abstract pertinent data from patients' clinical records. Review records for reimbursement purposes and to ensure quality control. Responsibilities • Read and interpret referred outpatient, series, and ED medical record entries to identify all diagnoses and surgical procedures. • Assign appropriate ICD-10, ICD-9-CM, and CPT-4 codes in compliance with recognized coding principles and department policies. • Determine appropriate diagnostic and procedural sequencing in compliance with UHDDS guidelines. • Effectively utilize the APCpro features of 3M with the 3M encoder and grouper software to identify appropriate assign modifiers, make appropriate changes to charges, notify departments to make changes, identify missing documentation, and prepare the account as a clean claim for billing to...

About Rotech Join a Leader in Home Healthcare At Rotech Healthcare Inc ., we're more than a medical equipment provider-we're a trusted partner in patient care. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home. With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Whether you're a clinician, technician, or healthcare administrator, your work at Rotech directly improves lives. Explore more about our mission and services at Rotech.com. Overview and Responsibilities Job Summary We are seeking a dedicated Customer Service Supervisor to join our team. In this position, you are responsible for overseeing and participating in customer service activities to...

SYSTEM West Virginia University Health System is seeking a hospital coder to accurately interpret medical records and assign ICD-10/CPT codes for outpatient encounters. The role requires a current HIM or coding certification and strong attention to detail in a hospital setting. Responsibilities include assigning codes across ED, OBS, and other classes, ensuring timely coding and billing readiness, and maintaining up-to-date coding knowledge through participation in trainings and internal #J-18808-Ljbffr

Providence is seeking a Compliance Auditor to conduct remote audits across the revenue cycle, ensuring adherence to applicable laws, regulations, and internal policies. The role covers both clinical and non-clinical services with focus areas including Rev Cycle departments, billing offices, external vendors, HIM coding, and related areas. The position is remote with candidates residing in eligible US states; a Bachelor’s degree or 5 years of hospital billing auditing experience is required, and #J-18808-Ljbffr

Rotech Healthcare Inc. is seeking a Customer Service Supervisor to oversee and participate in customer service activities, ensuring compliance with policy and procedures while coordinating patient intake, referrals, and payer communications. The role requires leadership of CSR staff, attention to billing documentation, and maintaining accurate records. A high school diploma or GED is required, with preference for medical equipment or billing experience. #J-18808-Ljbffr

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. 1,500 Sign on Bonus 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,...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

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...

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:...

Serco is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency’s Medical Coding Program Branch. The role covers audits of military treatment facilities and dental clinics, with travel to CONUS and potentially OCONUS sites. You will develop audit plans, perform audits, and assist in surveillance activities, ensuring compliance with coding policies and regulations. Required are seven years of coding/auditing experience, multiple certifications, and strong knowledge of #J-18808-Ljbffr

The West Virginia State Tax Division seeks an auditor to examine and audit tax returns for completeness, accuracy, and compliance with WV law. The role requires strong written and verbal communication, familiarity with Excel, and the ability to handle desk audits. Applicants must meet the minimum qualifications, including an associate degree and relevant accounting support experience or substitution options. Employment includes fingerprint background checks and mandatory tax compliance checks. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...