21 cpc certified professional coder jobs found in Chicago, IL

Job Description Job Description Duties/Responsibilities: Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines. Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial. Evaluates records and prepares reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees. Makes recommendations for changes in policies and procedures; works with data processing staff to revise the computer master file. Develops and...

Job Description Job Description The Coding Network (TCN) is the country's premier coding and auditing company with over 850 single specialty physician coders and auditors. All of our coders and auditors work remotely from home, set their own hours, and can earn over 20% more than the average AAPC coder or auditor’s salary. TCN’s Orthopedic division is experiencing unprecedented growth and we need to contract with multiple new coders who can work as few as 15 hours a week. Our E&M division is also looking to add coders with Ortho E&M experience but does not have any immediate needs. All Coder applicants must: Have a minimum of three (3) years of Orthopedic Surgical Specific Coding Have an active coding certification (CPC, RHIA, RHIT, RCC) Live and work in the United States of America Take and pass TCN’s Orthopedic Coding Exam If you meet the following criteria and are willing to test please submit your resume. NOTE: When submitting your resume, we are...

Amtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 20 years. Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us better understand their business demands and gives us the ability to provide services that are on time and rise above the rest. We are urgently looking for Rx Claim coders for one of our healthcare client. Multiple positions open 100% REMOTE Must have experience Rx claims experience in most recent project Responsibilities Responsible for adjudicating all CoPay Assist Rx claims electronically. Responsible for adjudicating all Rx claims and billing. Build, maintain, and audit benefits in RxClaim Automated and manual testing using RxClaim Run patient Rx claim to get paid, and contact them for co-pay amount RXCLAIM And...

Job Description Job Description Department Function:  Provides accurate billing and collection of all medical and dental procedures at AHS Family Health Center. Receive payments for all procedures and resolve billing/coding errors in a timely manner. Summary of position:  Under the supervision of the Revenue Cycle Manager (RCM), submit claims to collect payments for all procedures performed at AHS Family Health Center. Responsible for billing and collecting Medicare & Medicaid reimbursements, resolving discrepancies, adjusting claims, preparing reports; office and customer coordination. Act as the patient billing expert for front-office personnel. Essential Functions: Review, Edit and Process Medical and Dental claims, as assigned in timely manner. Review, Edit and Process claims on hold. Review and correct rejections and denials. Review, correct and print dental patient statements for mailing. Reconcile patient account posting Answer communications...

Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description The Inpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Inpatient Coder II is the coding and reimbursement expert for ICD-10-CM...

Job Description: The primary purpose of this position is to provide coding and report design expertise in support of client and team objectives. This self-driven person will be responsible for delivering coding and report design expertise in support of client and team objectives. Work will include enhancements to existing code, support changes, and new development, as assigned. A person in this position will work with development team members to modify and design new reports based on database tables, provide thorough documentation of report requirements as it relates to business processes, track report change requests and deliver products in an agile environment. This individual will set goals by identifying requirements, use cases, and tests, estimating hours required for business analysis and task completion, and ensure clear communication regarding components to be delivered to the business. Communication with...

Must Haves: Must have an active coding certification and 0-3 years of coding experience: Full list of accepted certs AHIMA CCS (Certified Coding Specialist) AAPC (Verify at AAPC Credential Verification, CPC Certification Verification) CPC (Certified Professional Coder) CPC-A (Certified Professional Coder Apprentice) CRC (Certified Risk Adjustment Coder) CCA (Certified Coding Associate) HCC/Risk Adjustment Coding experience ICD-10 proficiency/certification Production driven coding experience Must be able to commit to working 40+ hours per week and seasonal overtime, no part time jobs allowed Access to a private home office and high speed internet if Onshore Ability to commute to the Manilla, Philippines office if Offshore Plusses: Experience working in a remote setting Experience working in a production driven environment CPT Coding experience National RAD-V/HEDIS abstraction experience Clinical Care or Managed Care experience...

Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Location: REMOTE Job Summary Analyzes and translates concurrent, prospective, and retrospective medical and clinical diagnoses, procedures, injuries, and illnesses into Medicare Risk Adjustment (MRA) ICD-10 codes and Hierarchical Condition Categories (HCCs). Completes assignments with an emphasis on completeness, accuracy, and supporting clinical care plans as it pertains to Risk Adjustment Data Validation (RADV) timelines. Essential Functions Accurately...

Department ​   BSD SUR - Clinical Revenue Staff About the Department ​ Operating since 1927 on a strong foundation of multidisciplinary clinical and academic excellence, the University of Chicago Department of Surgery's mission is to meet the most challenging and complex health problems on both a local and global scale. Many of our faculty members are known for their contributions to the advancement of groundbreaking surgical procedures and techniques, including minimally invasive surgery. In addition to our department's clinical work, our scientists pursue a diverse range of basic, translational, and clinical research projects, including studies on the gut microbiome, tissue bioengineering, stem cell research, cancer, and immunotolerance. This ongoing work and achievement would not be possible...

Department ​   BSD OBG - Billing and Information Systems About the Department ​ The Department of Obstetrics and Gynecology has 114 clinical providers, providing care at the main hospital in Hyde Park and seven off site locations. We have More than 60,000 outpatient visits, 25,000 ultrasound visits, 2,800 deliveries, 3,000 gynecological surgeries per year. Teaching, research and the highest quality clinical care are top priorities for the Department. The residency and fellowship programs are highly ranked and have a history of training leaders in healthcare. The Department also has a significant research enterprise, engaging in population health studies, as well as research conducted in wet laboratories on tumor biology and the mechanisms of hypertensive diseases in pregnancy. The department was...

Department ​   BSD OBG - Billing and Information Systems About the Department ​ The Department of Obstetrics and Gynecology has 114 clinical providers, providing care at the main hospital in Hyde Park and seven off site locations. We have More than 60,000 outpatient visits, 25,000 ultrasound visits, 2,800 deliveries, 3,000 gynecological surgeries per year. Teaching, research and the highest quality clinical care are top priorities for the Department. The residency and fellowship programs are highly ranked and have a history of training leaders in healthcare. The Department also has a significant research enterprise, engaging in population health studies, as well as research conducted in wet laboratories on tumor biology and the mechanisms of hypertensive diseases in pregnancy. The department was...

Department ​   BSD SUR - Clinical Revenue Staff About the Department ​ Operating since 1927 on a strong foundation of multidisciplinary clinical and academic excellence, the University of Chicago Department of Surgery's mission is to meet the most challenging and complex health problems on both a local and global scale. Many of our faculty members are known for their contributions to the advancement of groundbreaking surgical procedures and techniques, including minimally invasive surgery. In addition to our department's clinical work, our scientists pursue a diverse range of basic, translational, and clinical research projects, including studies on the gut microbiome, tissue bioengineering, stem cell research, cancer, and immunotolerance. This ongoing work and achievement would not be possible...

Job Description Job Description Located in Berwyn, IL, Suburban Surgical is seeking a Medical Coder that is responsible for obtaining prior authorization for all procedural orders by successfully completing the authorization process with all commercial and HMO payers. RESPONSIBILITIES Review chart documentation to ensure patient meets medical policy guidelines Prioritize incoming authorization requests according to urgency Obtain authorization via payer website or by phone and follow up regularly on pending cases Maintain individual payer file to include up to date requirements needed to successfully obtain authorizations Initiate appeals for denied authorizations Respond to clinic questions regarding payer medical policy guidelines Confirm accuracy of CPT procedure and ICD-10 diagnosis codes order Contact patients to discuss authorization status and collect deductibles KNOWLEDGE, SKILLS, AND ABILITIES Knowledge of procedure authorization and its direct impact...

Job Description Job Description Company Overview: Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time coder with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement. Description: The Medical Coder reflects the mission, vision, and values of our practice, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Medical Coder performs Current Procedural Terminology (CPT) and International Classification of...

Job Description Job Description Associates in Neuroscience, SC ( AiN ) is a Chicago Western Suburbs-Burr Ridge based Independent Physician owned Patient Centric medical practice located minutes from I-294, I-55, I-83 and I-355 is seeking a part time customer focused Medical Biller/Coder with flexible work days/hours . Office setting includes open space, large Koi pond and natural light brightened work environment. Responsibilities: O Data entry to capture verified patient demographic, insurance, coding, charges, diagnosis, pre-authorization and other charge entry information for successful electronic medical claim submission to 3rd party insurance including Medicare, 3rd party private insurance and Medicaid etc. . O Manual and electronic insurance EOB and patient credit card, check and cash processing and posting. O EHR generated patient statement generation and payment posting . O Ongoing account collection, aging and denied claim resubmission . O...

Job Description Job Description As the region's dedicated experts in exceptional musculoskeletal care, our doctors and staff at Lakeshore Bone & Joint Institute have served the orthopedic needs of northwest Indiana since 1968. With state-of-the-art facilities, we are dedicated to delivering the exceptional, compassionate care patients need to keep moving and keep enjoying their life. Under the supervision of the Billing Manager, the Certified Medical Coder will play a key role in reviewing and analyzing medical billing and coding for daily processing. They will review and accurately code office and hospital procedures for reimbursement. The employee will be responsible for performing annual coding audits of office visits, procedures, and surgeries Essential Functions: Review patient documents for accuracy to include but not limited to office visits, surgical, and non-surgical procedures. Ensure proper coding on provider documentation. Verify that all codes are...

Job Description Job Description Job Summary & Responsibilities Abstracts health information from the medical records and assigns appropriate codes according to nationally recognized guidelines for data retrieval, analysis and claims processing. Performs tasks like: Analyzing and reviewing medical records for completeness and accuracy according to state, federal and certification requirements; Notifying Medical Staff and hospital personnel of incomplete medical records and deficiencies to be addressed; Assisting physicians with medical record documentation completion; Assisting Medical Record Clerks when department work volume or activity warrants; and Abiding by Standards of Ethical Coding set forth by the American Health Information Management Association and adheres to official coding guidelines. Requirements MINIMUM REQUIREMENTS: High School Diploma or GED Active Certified Coding Specialist (CCS), Certified Professional Coder (CPC), RHIT or RHIA. 2...

Job Description Job Description We are looking for a Surgical Medical Biller to join our team! Read carefully the skill sets below that are required for the job. SURGICAL CENTER FACILITY BILLER: Familiarity with ADVANTX billing system is preferred Surgical Facility billing experience is preferred. Coding experience office, Operative and Surgical Facility Revenue Code procedures. Timely billing always. Collection Experience is Preferred. Experience in providing and accurately formatting Attorney’s Liens, preferred. Review and analyze medical billing and coding for claim processing. Perform accurate charge entries. Validate and adjust charges. Report missing or incomplete documentation. Must address EOBs daily in a timely manner before aging. Collect Copays, deductibles, and co-insurance. Daily posting. Timely Patient Portion Billing. A MUST Rebill accurately. AVOID REBILLING MISTAKES. Work with patients on payment plans. Follow up daily with the provider and...

Job Description Job Description Weissbluth Pediatrics is looking for a Medical Biller/Accounts Receivable/Claims Manager, who is highly motivated, responsible, reliable and detail-oriented with billing experience. THIS IS NOT A REMOTE POSITION  The ideal candidate will have 2-3 years of strong Outpatient Billing, Accounts Receivable, and Collections experience. Job Requirements: Experience with full cycle billing, insurance claims processing, payment processing, insurance denial follow up, and patient collections Follow up on insurance claim aging. Re-submit insurance claims as necessary and knowledgeable of timely filing restrictions Resolution of rejected claims (denials) via appeals, dispute unpaid claims, and other issues with EOBs Manage electronic billing and batch submission Review EOBs and post EOBs into practice management system Reconcile Accounts Receivable with Bank Statements Collect all copayments, outstanding balances for patient responsibility Must be...

Job Description Job Description *Enter Coded CPT, HCPCS and ICD-10 coded into the computer system and submit for insurance reimbursement. *Analyzes, investigates, and resolves claims/billing information and/or errors associated with inpatient and outpatient Medicaid claims *Ensures compliance with Medicaid guidelines and MMC organizational policies *Utilizes electronic software to determine Medicaid insurance eligibility and coverage for inpatient and/or outpatient Medicaid claims *Receives and examines daily listings for assigned billing claims and determines which require further analysis and action *Investigates assigned billing claims with incomplete/incorrect information and resolves problems or errors to ensure complete and Medicaid-compliant information accompanies the claim Company Description New Choice Intervention, Inc is a Community based Medicaid certified and CARF accredited Behavioral Health & Substance Use Prevention and Recovery (SUPR) service agency...