21 coder 2 mmg jobs found

Location Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Hours of Work 8:00-4:30 Days of Week M-F Job Description Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job Relationships Reports to Coding Manager Certification Requirements Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC Preferred Skills, Credentials, Professional Qualifications High school diploma or equivalent; Associate degree is an asset. A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding. Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies. Independently disciplined in time management and productivity. Experience in electronic medical record software, preferably Epic. Microsoft Office proficient. Ability to communicate...

Hours of Work : 8-430 Days Of Week : M-F Work Shift : Job Description : Location: Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job Relationships: Reports to Coding Manager Certification Requirements: Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC Preferred Skills, Credentials, Professional Qualifications High school diploma or equivalent; Associate degree is an asset A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies Independently disciplined in time management and productivity Experience in electronic medical record software, preferably Epic Microsoft Office proficient Ability to communicate written and oral coding information...

Coding Specialist Hours of Work: 8-430 Days Of Week: M-F Work Shift: Job Description: Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job Relationships: Reports to Coding Manager Certification Requirements: Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC Preferred Skills, Credentials, Professional Qualifications: High school diploma or equivalent; Associate degree is an asset. A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding. Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies. Independently disciplined in time management and productivity. Experience in electronic medical record software, preferably Epic. Microsoft Office proficient. Ability to communicate written and oral coding information to healthcare...

Coding SpecialistHours of Work: 8:00am - 4:30pmDays Of Week: Monday - FridayWork Shift:Job Description: Responsible for assignment of accurate CPT/HCPCS, ICD10, and appropriate modifiers from medical record documentation (paper or electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation (paper or electronic) within the medical record. Aid in training and educating providers and staff on coding issues, and play a significant role in coding compliance activities.Job Requirements: • Bachelor Degree preferred -OR- Associate degree in Health Information Management preferred. • A minimum of 2 years recent experience in the outpatient (primary care & surgical) setting. • Surgical coding in Trauma, General Surgery, Orthopedics, and/or Neurosurgery preferred • Must hold Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P) with the appropriate level of experienceJob Responsibilities:...

Coding Specialist General Summary of Duties Responsible for coding, billing, denials, accounts receivable and payer policy updates. Supervision Received Reports to Revenue Cycle Manager. Education CPC certification required. Pay $53,000 - $65,000 /annual salary (DOE). Location Flagstaff office (Remote considered). Responsibilities Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines. Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding. Interact with and provide support to the practice to answer questions and resolve claim denials. Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare, Commercial, and all...

Overview Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class...

## Risk Adjustment CoderApplyremote type: Hybridlocations: SMG Administrationtime type: Full timeposted on: Posted Todayjob requisition id: JR-103351**City/State**Virginia Beach, VA**Work Shift**First (Days)**Overview:**# **Overview**Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk adjustment ICD-10-CM coding-related activities. Conducts annual risk assessments,...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and individuals with disabilities. Location Omaha, NE Requisition Number: Staff_14731 Department MMI Patient Information Office 50000688 Business Unit Munroe-Meyer Institute Reg-Temp Full-Time Regular Work Schedule Monday - Friday, 8:00AM - 5:00PM; Hours May Vary Remote/Telecommuting No remote/telecommuting opportunity Position Summary Oversees the clinical service billing operations within EPIC to ensure the maximization of departmental and Institute clinical services revenue. Manages departmental charge and claim review cycles. Position Details Additional Information Posting Category Operations Working Title Medical Billing Supervisor Job Title Admin Bus Op Specialist Salary Grade AB22S Appointment Type B1 - REG MGR PROF...

City/State Doral, FL Work Shift First (Days) Overview: AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA in Doral, FL! Status: Full-timepermanent position (40 hours) Standard working hours: 8am to 430pm EST, M-F Location: This is a hybrid position, 2 days onsite in AvMed Doral Office, 3470 NW 82nd Ave Suite 1100, Doral, FL 33122, and 3 days remote. Job Profile Summary Then Risk Adjustment Clinical Coder/Nurse performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for...

JOB SUMMARY The Billing Specialist is responsible for maximizing revenue by ensuring timely and accurate reimbursement from insurance companies and third-party administrators for services provided. Key responsibilities include submitting claims promptly, proactively following up on unpaid or aged accounts, and resolving denied or errored claims through consistent and thorough efforts. In addition, the Billing Specialist supports patients by answering claim-related questions and coordinating benefits among multiple payers. Serving as a liaison between patients and their insurance carriers, this role requires a commitment to delivering exceptional customer service to all Carson Medical Group (CMG) customers. The Billing Specialist collaborates closely with Patient Service Representatives, Cashiers, Account Representatives, and the Billing Manager to promote efficient and accurate billing operations. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES Utilizes the _C.L.E.A.R_. and...

Medical Coding Specialist Program Instructor Madison College is recruiting a pool of highly motivated and qualified candidates to teach part time courses for the Medical Coding Specialist program. Applications will be accepted on a continuous basis for the 2025-2026 academic school year. If you possess the aspiration to help others succeed, this is an opportunity for you to positively impact the community and lives of our students. Madison College is a first-choice institution that offers exceptional educational opportunities to our students providing high-demand skills for professional and academic growth. Madison College's dedication to promoting equity, inclusion and diversity is reflected in our Mission, Vision, and Values. We believe every member on our team enriches our diversity by exposing us to a broad range of ways to understand and engage with the world, identify challenges, and to discover, design, and deliver solutions. We value the ability to serve students from a...

Overview Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period , Day Shift Remote Position: Southeast U.S. (Eligible states: TN, KY, NC, GA, AL, VA, MS, AR, MO) Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This...

Department: 02160 AMG Sykes - Hematology/Oncology Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday-Friday On-site Medical Oncology Advocate Christ Medical Center Advocate South Suburban Hospital Advocate Trinity Hospital Sykes Outpatient Center Orland Park Outpatient Center Pay Range: $41.10 - $61.65 Major Responsibilities: Clinical Care and Health Outcomes - Provides support in the delivery of quality clinical care. Works closely with healthcare team and physician to assure triage, telephone assessments, home therapies and patient visits are consistent with established guidelines and followed by the healthcare team. Takes a lead role in assisting the clinical team to meet/exceed CI goals. Assists physicians and associates in managing patient registries. 8)Ensures monthly office inspection checklist and other required audits are conducted in a timely manner. 9)Ensures AMG standing operating procedures are...

JOB Summary: The Billing Specialist is responsible for maximizing revenue by ensuring timely and accurate reimbursement from insurance companies and third-party administrators for services provided.Key responsibilities include submitting claims promptly, proactively following up on unpaid or aged accounts, and resolving denied or errored claims through consistent and thorough efforts.In addition, the Billing Specialist supports patients by answering claim-related questions and coordinating benefits among multiple payers.Serving as a liaison between patients and their insurance carriers, this role requires a commitment to delivering exceptional customer service to all Carson Medical Group (CMG) customers.The Billing Specialist collaborates closely with Patient Service Representatives, Cashiers, Account Representatives, and the Billing Manager to promote efficient and accurate billing operations. ESSENTIAL JOB DUTIES AND Responsibilities: 1.Utilizes the _C.L.E.A.R_.and...

City/State Doral, FL Work Shift First (Days) Overview: AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA in Doral, FL! Status: Full-timepermanent position (40 hours) Standard working hours: 8am to 430pm EST, M-F Location: This is a hybrid position, 2 days onsite in AvMed Doral Office, 3470 NW 82nd Ave Suite 1100, Doral, FL 33122, and 3 days remote. Job Profile Summary Then Risk Adjustment Clinical Coder/Nurse performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's...

Job Type Full-time Description General summary of duties: Responsible for coding, billing, denials, accounts receivable and payer policy updates Supervision received: Reports to Revenue Cycle Manager Education: CPC certification required Pay: $53,000 - $65,000 /annual salary (DOE) Location: Flagstaff office (Remote considered) Responsibilities include: Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines. Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding. Interact with and provide support to the practice to answer questions and resolve claim denials. Employ strong understanding of the encounter/billing process, and...

Coding SpecialistGeneral summary of duties: Responsible for coding, billing, denials, accounts receivable and payer policy updatesSupervision received: Reports to Revenue Cycle ManagerEducation: CPC certification requiredPay: $53,000 - $65,000 /annual salary (DOE)Location: Flagstaff office (Remote considered)Responsibilities include:Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines.Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding.Interact with and provide support to the practice to answer questions and resolve claim denials.Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare, Commercial, and all other...

Sentara Medical Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA! Hours: Monday - Friday, 8:00AM -5:00PM, dayshift. This is a hybrid position that offers a combination of remote and onsite work, with a requirement to be in the office one to two days each week. The role also includes travel as needed to support business objectives and team collaboration. Overview Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical...

WHAT WILL I GET AT ELLIS MEDICINE? Comprehensive and affordable Health, Dental and Vision insurance that starts DAY ONE! Generous paid time off to support a work-life balance, including 6 paid holidays Tuition Reimbursement and professional development opportunities Retirement plan in the form of a 401(3b) with company match after longevity Flexible Spending Account and Dependent Care Account—allowing you to set aside pretax dollars to better care for your health and the health of your loved ones Free yearlong unlimited CDTA Navigator Pass, including Free CDTA bike share program Employee Wellness Program Employee Assistance Program Employer paid Life Insurance WHAT WILL I DO AS A MEDICAL CODER? Basic Function: The Medical Coder is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes, but is not limited to managing the charge entry and charge...

Sr. Specialty Physician Coder - Cardiology, CTS, Peds Cardiology & IR Title: Sr. Specialty Physician Coder Location: Fountain Valley, CA / Predominantly Remote Department: Document Improvement Status: Full-Time Shift: Days (8hr) Pay Range*: $35.46/hr - $51.46/hr MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever...