3676 benefit coder jobs found

Benefit Coder The role is responsible for execution of requests related to benefit maintenance, additions and changes across all business units within the RxClaim system. Review, analyze and handle client benefit information requests received via SalesForce.com or email. Assess completeness and accuracy of data, resolve issues based on acquired learning and tools and escalate issues on a timely basis. Ensure that individual, team-specific and site-wide metrics are achieved. Activities include but are not limited to manual coding, execution of macros and testing. Good interpersonal skills Analytical and fact-based decision-maker Ability to quickly identify issues and risks and provide recommendations High motivational skills Experience in team interactions and facilitation Fast, enthusiastic learner Open to change Receptive to feedback Team player Average communication skills Ability to do multiple tasks Details oriented Attention to accuracy and...

Integrated Resources, Inc. is a premier staffing firm recognized as one of the tri-state area's most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing. Job Description The role is responsible for executing requests related to benefit maintenance, additions, and changes across all business units within the RxClaim system. Review, analyze, and handle client benefit information requests received via SalesForce.com or email. Assess the completeness and accuracy of data, resolve issues based on acquired knowledge and tools, and escalate issues in a timely manner. Ensure that individual, team-specific, and site-wide metrics are achieved. Activities include but...

Benefit CoderThe role is responsible for execution of requests related to benefit maintenance, additions and changes across all business units within the RxClaim system.Review, analyze and handle client benefit information requests received via SalesForce.com or email. Assess completeness and accuracy of data, resolve issues based on acquired learning and tools and escalate issues on a timely basis.Ensure that individual, team-specific and site-wide metrics are achieved.Activities include but are not limited to manual coding, execution of macros and testing.Good interpersonal skillsAnalytical and fact-based decision-makerAbility to quickly identify issues and risks and provide recommendationsHigh motivational skillsExperience in team interactions and facilitationFast, enthusiastic learnerOpen to changeReceptive to feedbackTeam playerAverage communication skillsAbility to do multiple tasksDetails orientedAttention to accuracy and qualityBasic PC knowledgeAbility to prioritize1-2...

Medical Coder II Job Summary University Medical Billing ( UMB ) is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidate will exemplify these attributes too. We are looking for an experienced Medical Coder II to join our team. As the Medical Coder II, you will analyze and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. Code records for use and planning by physicians, hospitals, research organizations, or insurance companies. Be knowledgeable of medical and clinical terminology, disease processes, and pharmacology. Complete assignments according to...

Coder 2 Hospitalist Coding Fairview is looking to hire a Coder 2 Hospitalist Coding to join our Health Information Management team. This is a 1.0 FTE (80 hours per two-week pay period), full-time, benefit-eligible position offering flexibility in the work environment. The ideal candidate has a strong understanding of professional coding guidelines, medical terminology, and healthcare documentation. Previous hospitalist coding and Evaluation and Management (E/M) coding experience is highly desired. Candidates should be detail-oriented, organized, and comfortable working independently while maintaining established productivity, accuracy, and quality standards. Previous experience with Epic or other electronic health record systems is preferred. The Coder 2 analyzes clinical documentation; assign appropriate diagnosis, procedure, and levels of service codes; abstract the codes and other clinical data. Performs a variety of technical functions within the Outpatient coding area,...

Required Skills & Experience Is this the role you are looking for If so read on for more details, and make sure to apply today. • Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) • Strong ICD-10-CM coding experience and medical record review background • Knowledge of Risk Adjustment and HCC coding methodologies • Experience reviewing physician documentation and assigning accurate diagnosis codes • Strong understanding of medical terminology, anatomy, physiology, and disease processes • Ability to interpret complex clinical documentation with high accuracy and productivity • Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience • Medicare Advantage Risk Adjustment experience • Experience working with CMS-HCC models • CRC (Certified Risk Adjustment Coder) certification • Experience with EMRs and coding software platforms • Background in a health plan, physician practice,...

Work From HomeWork From Home Work From Home, Indiana 46544 The Coder I Specialist Professional - Hospitalist/Office Visits reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on professional hospitalist and office visits. This position abstracts key data elements necessary for billing and data analysis. WHO WE ARE With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Accurately reviews and codes patient records in the following clinical areas: hospitalist rounds and office visits (with repetitive or non-invasive procedures). Reviews and analyzes the content of the medical record to determine when documentation should be utilized for...

Medical Coding Specialist Performs coding in accordance with Adirondack Health (AH) approved, CMS, and AMA coding guidelines which includes inpatient, ambulatory surgery, referred outpatient services, professional services for employed or contracted providers at any of the AH campus locations. Medical records are reviewed and accurately coded with the appropriate ICD-10-CM, ICD-10-PCS, CPT-4, HCPCS, Evaluation and Management codes. All inpatient medical records are classified to the correct MDC/DRG based on the payment methodology for that specific financial class (MS, AP, APR DRGs). Ambulatory Surgery patient records are run through the APC finder for edits and grouped into either the APC or APG. Correct Coding Initiative (CCI) edits and Medical Necessity edits are generated on all coded cases and the coders "work" these edits to help with clean claims submission. Educational Requirements/ Qualifications: High School diploma or equivalent. At least one professional...

Required Skills & Experience Is this the role you are looking for If so read on for more details, and make sure to apply today. • Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) • Strong ICD-10-CM coding experience and medical record review background • Knowledge of Risk Adjustment and HCC coding methodologies • Experience reviewing physician documentation and assigning accurate diagnosis codes • Strong understanding of medical terminology, anatomy, physiology, and disease processes • Ability to interpret complex clinical documentation with high accuracy and productivity • Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience • Medicare Advantage Risk Adjustment experience • Experience working with CMS-HCC models • CRC (Certified Risk Adjustment Coder) certification • Experience with EMRs and coding software platforms • Background in a health plan, physician practice,...

Healthcare Network (HCN) Job Posting Healthcare Network (HCN) is a Federally Qualified Health Center (FQHC) serving as the medical home for patients from birth to geriatric. We provide quality medical, dental and behavioral health services through board certified physicians and evidence-based practices to ensure that the whole patient receives quality care, regardless of insurance or income status. We seek individuals to join our team of caregivers who are passionate about their community and the health and wellbeing of those who live and work here. Bilingual candidates are preferred, as the majority of our patients' first language is not English. In return for your expertise, HCN offers a highly competitive wage and benefit package for our full-time employees. We offer: Competitive pay; 11.5 paid holidays (New Year's, MLK, Good Friday, Memorial Day, July 4th, Labor Day, Columbus Day, Thanksgiving/Day after; Christmas Eve; Christmas Day; New Year's Eve (4 hours); Paid Time Off...

Salary Range $22.38 - $31.80 Hourly Position Type Full Time Category Coding Description Remote work is available for candidates in Minnesota, North Dakota or South Dakota, only. The Outpatient Coder exhibits professional and proficient communication, with patients, co-workers, medical staff and administrative staff. Meet or exceed the expected accuracy rate of 95% and demonstrate efficient skills when coding outpatient charges for billing. Be knowledgeable of outpatient coding guidelines, ICD-10 diagnosis application and resources available within and outside the clinic to obtain optimum accuracy for account billing while sustaining coding charts per hour rate expectations based on outpatient specialty areas. Other coding tasks as assigned by supervisor. Responsibilities include but are not limited to: Audit charge tickets for accurate and required CPT, ICD-10, and HCPCS codes, according to third party requirements. Communicate with medical staff to acquire...

Urgent Requirement - Certified Professional CoderIntegrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We...

Business Office - Medical Coding Specialist Mountain View Hospital is looking for an Medical Coding Specialist to join our team! Job Summary: Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. The coder assigns ICD-10-CM, ICD-10-PCS, CPT, and/or HCPCS codes creating APC or DRG group assignment for reimbursement purposes. Requires skill in the sequencing of diagnoses/ procedures to optimize reimbursement. Must be able to read and interpret operative reports, history and physicals, physician orders, and pathology reports to determine the correct coding. Ensures that records are coded in an accurate and timely manner. Abstracting worksheets to add codes in the computer. Benefits: Taking care of our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include: Medical, Dental and Vision...

Shawnee Health - Certified Professional Coder Join Southern Illinois' leading healthcare organization, with over 360 team members who believe that in taking care of each other and our patients and clients, we create new opportunities for success and bring big dreams to life. Shawnee Health is seeking a Certified Professional Coder for our Shawnee Health Remote Billing office. This position reports directly to the Assistant Revenue Cycle Manager. Responsibilities Completes coding and posting of charges for all provider specialties and payer types utilizing the patient encounter information as directed by physicians and medical records notes. Completes coding and posting for all hospital related visits and surgeries. Have a comprehensive understanding of coding rules and regulations by CMS, AMA, ADA and Medicaid. Conducts coding audits and reports feedback back to clinicians for educational and compliance purposes. Requirements High School Diploma Certified Professional...

LaSalle Network is partnering with Amplify to hire an Inpatient Facility Coder to support complex inpatient coding for Level II trauma cases. This contract-to-hire opportunity offers a fully remote work environment and the potential for long-term employment. Responsibilities Review inpatient medical records and assign accurate ICD-10-CM and ICD-10-PCS codes while meeting established productivity and quality standards. Validate MS-DRG assignments and ensure accurate coding and grouping outcomes. Abstract clinical data to support accurate inpatient facility claims and reporting. Review and resolve coding-related claims scrubber edits. Participate in client meetings and training sessions as needed. Maintain up-to-date knowledge of coding guidelines, conventions, and regulatory requirements relevant to assigned cases. Qualifications Hold an active AHIMA or AAPC credential, with CCS, RHIT, or RHIA required. Have at least one year of relevant inpatient coding...

Required Skills & Experience • Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) • Strong ICD-10-CM coding experience and medical record review background • Knowledge of Risk Adjustment and HCC coding methodologies • Experience reviewing physician documentation and assigning accurate diagnosis codes • Strong understanding of medical terminology, anatomy, physiology, and disease processes • Ability to interpret complex clinical documentation with high accuracy and productivity • Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience • Medicare Advantage Risk Adjustment experience • Experience working with CMS-HCC models • CRC (Certified Risk Adjustment Coder) certification • Experience with EMRs and coding software platforms • Background in a health plan, physician practice, hospital, or revenue cycle environment • Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders...

Hiring Department University Physicians Job Description #upjobs This is a dual posting with job ID 59698. The final title willdepend on the qualifications of the final candidate. Review complex clinical documentation and diagnostic results timelyto accurately assign codes for diagnoses (ICD-10-CM), procedures(CPT), and applicable modifiers for services provided to assuremaximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identifypotential problems with the coding and reimbursement process suchas edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departmentsin order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff inthe standards of medical record documentation and coding of medicalrecords. Assist in the presentation of training sessions for faculty,residents and staff to inform them of changes made to Medicarebilling, federal laws...

Coder Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. The posted compensation range of $21.85 - $30.87 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. Job Summary and Responsibilities As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed...

Required Skills & Experience • Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) • Strong ICD-10-CM coding experience and medical record review background • Knowledge of Risk Adjustment and HCC coding methodologies • Experience reviewing physician documentation and assigning accurate diagnosis codes • Strong understanding of medical terminology, anatomy, physiology, and disease processes • Ability to interpret complex clinical documentation with high accuracy and productivity • Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience • Medicare Advantage Risk Adjustment experience • Experience working with CMS-HCC models • CRC (Certified Risk Adjustment Coder) certification • Experience with EMRs and coding software platforms • Background in a health plan, physician practice, hospital, or revenue cycle environment • Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders...

Job Description Job Description Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched...

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation andcomprehensive benefit plans– to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical:Multiple plan options. Dental:Delta Dental or reimbursement account for flexible coverage. Vision:Affordable plan with national network. Pre-Tax Savings:HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. The HB...

Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights Medical: Multiple plan options. Dental: Delta Dental or reimbursement account for flexible coverage. Vision: Affordable plan with national network. Pre-Tax Savings: HSA and FSAs for eligible expenses. Retirement: Competitive retirement package to secure your future. Responsibilities The primary responsibility of the coder/abstractor is to assure that complete and accurate data are collected and maintained for assigned data registry(s). The registry has proven to be a...