130 jobs found

Job Description Job Description Prairie Ridge Health is looking for a team member to join our Medical Records Department in the role of Coding Specialist. This position is a 1.0 FTE (40 hours per week). Candidates must be within an hour drive of the hospital location. Training will take place in person and the position will be remote after the training period but require in-person attendance for meetings, etc. POSITION SUMMARY The Medical Coding Specialist is primarily responsible for assigning diagnosis (ICD-10), CPT procedure codes to hospital and clinic medical records as well as professional charging for ER/UC and Clinic encounters utilizing facility and payer guidelines. This position will also resolve Claim Edits and work with billing to resolve all insurance denials related to coding and charging. This role must have a strong understanding of payer policies, Local Coverage Determinations (LCD), and National Coverage Determinations (NCD) for successful claim...

Facility Outpatient Coder Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the best around to join us as we demonstrate those values every single day. Aspirus Health in Wausau, WI is seeking a Facility Outpatient Coder to join our coding team! Assigns ICD10 CM and CPT codes based on a review of the health care record documentation and application of professional coding standards and billing regulations. Reviews and collects various health information data elements for patient care, statistical, financial and research purposes. Maintains confidentiality of health information. Hours: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications: Knowledge of medical record standards and coding practices normally acquired through completion of a Bachelor or Associate Degree in Health Information Technology or Coding, or an equivalent program with emphasis in coding required. Previous applicable experience...

Vascular Surgery Coder The job family is General Coding. Travel is not required. Clearance is not required. The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and...

Job Posting This is a remote position. Job Details: Assign diagnosis and procedure codes to reflect the condition(s) and treatment provided to the patient based on the documentation within the record for both inpatient and outpatient stays. The code assignment is utilized to determine reimbursement for the facility and physician, quality measures, hospital statistics, and medical research. Skills and Experience Required: Knowledge of the contents of the medical record Demonstrates working knowledge of ICD-10-CM, ICD-10 PCS and CPT 4. Passing Score of 80% or higher on the coding test to be considered. Working knowledge of Ambulatory Payment Classifications (APC) and Diagnostic Related Groups (DRG) Previous outpatient and/or inpatient coding experience 1 year minimum Must be a member of the AHIMA in good standing

Outpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role...

Medical Coding Auditor Become a part of our caring community and help us put health first. The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines. Utilize encoders and various coding resources. Perform CPT Procedure reviews. Maintain strict patient and physician confidentiality and follow all federal, state and hospital guidelines for release of information. Maintain current...

Job Description Job Description Description: Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin. Responsibilities Maintains and actively promotes effective communication with all individuals. Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement. Researches and analyzes health records to verify clinical...

Department: 13495 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Surgical and Complex Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: First shift Remote Coding Experience desired: Orthopedics Pay Range $26.10 - $39.15 Major Responsibilities Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software. Adheres to the organization and departmental guidelines, policies and protocols. Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for...

Job Description Job Description Medical Billing Specialist-Bilingual/Spanish This is a Hybrid Remote position. Employees work remotely, with required scheduled IN-office day(s) assigned by direct management. Growing medical billing office seeking a detail-oriented and experienced Medical Billing Specialist who is fluent in both English and Spanish to join our ever-expanding team. Work as part of a Team handling multiple areas of the revenue-cycle while working predominantly from your home. Insurance follow-up, claim denials and appeals, guarantor follow-up, patient correspondence, customer service, and general duties related to medical billing. C andidates must be able to work in a Team environment, handle multiple tasks, comfortable working with numbers and problem-solving skills. Position requires a reliable and self-motivated bilingual, English/Spanish, individual with strong customer service skills, required to assist Spanish-speaking patients and insurance...

Job Description Job Description This is a Hybrid Remote position. Employees work remotely, with required scheduled IN-office day(s) assigned by direct management. Growing medical billing office seeking Experienced Medical Billing Specialist to join our ever-expanding company. Work as part of a Team handling multiple areas of the revenue-cycle while working predominantly from your home. Insurance follow-up, claim denials and appeals, guarantor follow-up, patient correspondence, customer service, payment posting, and general duties related to medical billing. Candidates must be able to work in a Team environment, handle multiple tasks, comfortable working with numbers and problem-solving skills. Position requires someone who is reliable and self-motivated. Strong customer service skills required. Ultimately the goal of this role is to streamline the billing process, reduce claim denials, and enhance the financial health of the organization. We invite you to apply to the...

REMOTE OUTPATIENT / Behavioral Health CODERS NEEDED!!! ---NATIONWIDE WORK FROM HOME Call David at 513-206-9881 and/or send resumes to: dlutz@acuitymri.com Responsible for assigning diagnosis codes and CPT codes for Office Visits, including consisting of and not limited to: epilepsy, neuro, psycho cancer, women’s wellness, transplant, and behavioral health. Responsible for reviewing all documentation in the patient record to identify all relevant diagnoses and procedures for coding accuracy. Codes diagnoses and procedures utilizing the 3M360 encoding system and has knowledge in EPIC Chart Production. Selects and assigns codes for the appropriate first listed and all additional diagnoses according to Outpatient Coding guidelines with the official ICD-10-CM coding and reporting guidelines. Assists in ensuring coding compliance with federal, state, and other regulatory agencies, research cases, government payors and other selected third-party payors. Locates and utilizes the...

Join to apply for the Coder II - Orthopedics role at Aurora Health Care. Base pay range $26.10/hr - $39.15/hr Major Responsibilities Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software. Adheres to the organization and departmental guidelines, policies and protocols. Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes. Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends. Abides by the Standards of Ethical Coding as set forth by the American Health...

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: Lab Medical Technologist Supervisor - Central Cost Center: 201641056 Lab-Clinical Support Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Job Description: JOB SUMMARY The Lab Medical Technologist (MT) Supervisor supports leadership with the management of staff and day-to-day operations for the assigned area of responsibility. In this role, the individual is accountable to deliver established goals, utilizes good judgment to assess and escalate situations when warranted and utilizes knowledge and skills in the area of expertise while maintaining expected quality standards. The Lab MT Supervisor must act as a leader by building constructive relationships and by supporting department leadership in developing, setting and executing department goals and the strategic plan in accordance with Marshfield Clinic Health...

Job Description Job Description General Information: Job title: Medical Billing Specialist Schedule: Full-time, 80 hours per pay period; Monday - Friday, 8:00am - 4:30pm **Position is not eligible for remote work. Must report on-site daily.** Weekend rotation: No Weekends Holiday rotation: No Holidays Position Summary: The Medical Billing Specialist is responsible for accurately preparing, submitting, and following up on medical claims to insurance companies and patients. This role ensures timely reimbursement, compliance with healthcare regulations, and effective communication with providers, payers, and patients. Position Responsibilities: Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers (electronic and paper) Review and resolve accounts and pre claim edits. Verify patient insurance coverage and benefits. Review documentation and charges for accuracy and compliance. Monitor accounts receivable and follow...

Coder I, Professional It's more than a career, it's a calling WI-Turville Bay Worker Type: Regular Job Highlights: This is a full time day shift Coder I, Professional position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. Identifies all billable services. Reviews all...

Hcc Coder Position Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized...

Medical Coding Supervisor Are you a detail-oriented leader with a passion for accuracy and process improvement? Join our team as a Medical Coding Supervisor, where you'll play a key role in ensuring high-quality coding practices, supporting provider education, and leading a dedicated team that drives the success of our revenue cycle operations. The Medical Coding Supervisor oversees the operations and personnel within the Medical Coding department. Key responsibilities include reviewing provider-assigned codes for accuracy and compliance, auditing insurance claims, and addressing coding-related denials. This role provides coding education to providers, supports documentation standards, and may assist with related research initiatives. The supervisor manages team functions such as hiring, onboarding, training, performance evaluation, and ensuring adequate staffing. Additional duties include developing departmental policies, leading staff meetings, addressing inquiries or...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

What Customer Service Operations contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is responsible for strategic oversight and leadership direction within the Customer Service function. Job Summary The Supervisor, HCP Medical Documentation oversees the Clinical Notes Team responsible for reviewing and qualifying medical documentation to ensure compliance with insurance requirements, primarily for Continuous Glucose Monitoring (CGM) products. This role manages a team of associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of claims. The Supervisor ensures timely turnaround of documentation, allocates work across multiple systems, and drives team performance through coaching, development, and...

Overview Speech Therapist, pool B, St. Luke's Medical Center Join to apply for the Speech Therapist, pool B, St. Luke's Medical Center role at Aurora Health Care This range is provided by Aurora Health Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $37.50/hr - $56.25/hr Major Responsibilities Interprets physician referrals and conducts a speech and language evaluation of patients with various speech, language, voice, cognitive and swallowing disorders. Establishes a written plan of care and implements individual treatment based on evaluation results, functional goals and by utilizing appropriate techniques. Monitors and evaluates outcomes and appropriately adjusts the individualized treatment plan based on the patient\'s response to treatment and provides status updates to physicians and other teammates. Identifies factors affecting patient\'s physical and psychosocial comfort and attends to these...

A dedicated healthcare services provider is seeking a motivated Medical Billing Clerk Support - Billing Agent for an on-site role in Yokosuka, Japan. The successful candidate will process claims and educate beneficiaries about billing programs. Applicants should possess a high school diploma and ideally have two years of medical billing experience or relevant certification. Compensation is competitive at $25 per hour, reflecting the specialized nature of the role. #J-18808-Ljbffr

Coder II Orthopedics Shift: 1st Full/Part Time: Full Time Pay Range: $26.10 $39.15 Location: Remote, WI Hours Per Week: 40 Benefits Eligible: Yes Schedule Details/Additional Information: First shift Remote Coding Experience desired: Orthopedics Our Commitment to You Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so you can live fully at and away from work, including: Compensation Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short-...

Job Posting Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility. This job is remote. FTE: 1.000000 Standard Hours: 40.00 Shift: Shift 1 Shift Details: Holidays: Weekends: Job Summary: This is a remote, advanced position functioning under general supervision and utilizing independent decision making. The Coder Inpatient II correctly assigns ICD diagnosis and procedure codes and MS-DRGs for inpatient hospital services at Froedtert Hospital, an academic, Level I Trauma Center. The Coder Inpatient II codes a variety of medical and surgical specialties such as Neurology, Oncology, Urology, Transplant, OB/Newborn, Ortho, Cardiology, and Critical Care which can include complex trauma and acutely ill patients. Coders in this role communicate with care providers when necessary mainly via the electronic query process. In order to ensure the most appropriate DRG assignment, coders partner with clinical documentation improvement specialists with the goal of obtaining the...

Job Posting Job Requirements: Discover. Achieve. Succeed. This is a remote, high-level position functioning under general supervision and utilizing independent decision making. The Coder III correctly assigns ICD diagnosis and procedure codes, MS-DRGs, and APR-DRGs for inpatient hospital services for Froedtert Health, which includes an academic, Level I Trauma Center. The level III Coder completes coding on highly complex trauma and acutely ill patients, including mortality, extended length of stay, and high dollar cases. This position is differentiated from the Coder II level by the high complexity and longer lengths of stay. The Coder III will also be required to perform chart audits as needed for Coder Inpatient I's and II's. The senior coding staff in this position will apply all official and departmental coding rules, regulations, and guidelines, and meet or exceed productivity and quality standards. The integrity of the codes assigned and entered into the databases play an...