893 facility claims coder jobs found

Coder Reimbursement Specialist - Hospital Tech Tammina LLC The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial...

Summary **Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered.** **Candidate must have Denials experience to be considered** This position is responsible for coding all services including major and minor surgical cases performed in both the office and hospital setting for MyMichigan Medical Group, Family Practice Center and the MyMichigan Urgent Care locations. This position monitors compliance with third party payers guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with, in addition to analytical skills to ensure all procedures are coded correctly for a timely and accurate reimbursement from all payers. This position must be able to work independently and make decisions based on their broad knowledge of current procedure terminology (CPT) and International Classification of...

Certified Medical Coder II CPC page is loaded## Certified Medical Coder II CPCremote type: Remotelocations: Miami Beach, FLtime type: Full timeposted on: Posted Todayjob requisition id: JR101375**As Mount Sinai grows, so does our legacy in high-quality health care.**Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical...

Rural Health Group is seeking a Medical Biller for a full-time position in our Billing department. The position will be located at our Finance office in Roanoke Rapids, NC. Certified Professional Coder certification is preferred, but not required. If certified, you will be required to provide a copy of the certification on your application.  Other details surrounding requirements for the role are below. Rural Health Group, Inc. (RHG) is a well-established 501(c)3 non-profit Federally Qualified Health Center with roots going back 40+ years, now with multiple locations across northeastern North Carolina. Led by a patient-majority Board of Directors, our 300+ employees are dedicated to offering quality care to all with a range of services, including: medical (family practice, internal medicine, infectious disease, pediatrics, OB/GYN), dental, pharmacy, behavioral health, case management, and community outreach. Job duties and responsibilities include: Processes...

Job Title At the direction of the assigned leadership, interprets business rules, federal and state guidelines and prepares specifications for all information systems, including benefiting and pricing requirements for claims processing. Develops and maintains reporting as needed by leadership and operational objectives. Assists in the enforcement of product, reporting and service controls and standards, deadlines, and schedules by creating and maintaining detailed development plans. Defines test scenarios, involved in testing, and approval of testing results for implementation to ensure business requirements are met. Responsible for change management that impact claims configuration for all systems. Essential Functions and Responsibilities Interprets business rules, Federal and State guidelines, including but not limited to outpatient coding to create rules for processing within systems to ensure requirements are met. Responsible for auditing medical records against submitted...

Are you seeking a career with a growing company, a place where you can make an impact in the community? Then Positive Impact Health Centers is the company for you. What makes us different? We offer our employees the following: • 1 Health Wellness day per quarter • Parental Leave • Free parking at our locations/bus line accessibility • Competitive Salary & Benefits • Automatic 3% Safe Harbor & 2% Profit Sharing (Retirement Program) • 100% allotted for benefit elections for employees, 50% allotted for benefit elections for employees' spouse/dependents • Credit Union Positive Impact Health Centers (PIHC) is a community leader in providing HIV prevention, care and treatment services. The PIHC model of care assures that persons with HIV have access to medical, pharmacy, dental, behavioral health and social services, providing the best opportunity for patients to achieve high-quality health outcomes. Job Summary : The Medical Billing &...

Medical Coder I/II Application Instructions: External Applicants: Please upload your resume on the Apply screen. Your application will automatically populate your resume details, and you may verify and update data on the My Information page. IMPORTANT: Please review the job posting and load ALL documents required in the job posting to the Resume/CV document upload section at the bottom of the My Experience application page. Use the Select Files button to add multiple documents including your Resume/CV, references, cover letter, and any other supporting documents required in the job posting. The " My Experience" page is the only opportunity to add your required supporting document attachments. You will not be able to modify your application after you submit it. Current Mercer University Employees: Apply from your existing Workday account. Do not apply from the external careers website . Log in to Workday and type Jobs Hub in the search bar....

You belong here! At Family Health West, you're more than an employee, you're family. When you enter our facility, you know it's Family Health West because, well, the color speaks for itself. You'll be part of a team that strives to bring color to care in a vibrant environment by creating fun, effective treatment programs helping to empower and inspire our patients while providing the tools and care they need to achieve their wellness goals. When we say you'll do what you love, we mean it! Welcomed by open arms and warm smiles, you'll join a team that encourages professional growth. We are sure to put on our listening ears when you share new ideas and approaches to care because that's what got us to the top! You'll wear your badge proudly, knowing that you contribute each day, to providing care that is unmatched, in western Colorado. So, what are you waiting for?! Fill out the application now, and when you hit send do a little happy dance knowing that you just made our day....

Building Name: UVMMC - In State Remote Worker Location Address: 111 Colchester Ave., Burlington Vermont Regular Department: Health Information Management Full Time Standard Hours: 40 Biweekly Scheduled Hours: Shift: Day/Eve-8Hr Primary Shift: - Weekend Needs: Salary Range: Min $25.78 Mid $33.23 Max $40.67 Recruiter: Abby Luck This is a fully remote position. JOB DESCRIPTION: Applies knowledge of anatomy and physiology, medical terminology and pathology of disease processes while analyzing clinical documentation for inpatient and outpatient records for facility and/or professional services coding. May be assigned to work edit lists for accuracy of claims processing and data reporting. Applies knowledge of ICD-10 and CPT-4 nomenclatures and American Hospital Association, American Medical Association and applicable Federal and third party payer guidelines to accurately and compliantly determine principal and secondary ICD-10 diagnoses codes, principal and...

HIM Surgery Coder Job Details Job Ref: R0086142 Category: Medical Billing and Coding Employment Type: Full-Time Health Care Partner: University of Vermont Medical Center Location: 111 Colchester Ave, Burlington, VT 05401 Department: Health Information Management Job Type: Regular Primary Shift: Day/Eve-8hr Hours: 7:00 AM - 3:30 AM Hours per Week: 40 Weekend Needs: None Pay Rate: $25.78 - $40.67 per hour This is a bargaining union position. This is a fully remote position. JOB DESCRIPTION: Applies knowledge of anatomy and physiology, medical terminology and pathology of disease processes while analyzing clinical documentation for inpatient and outpatient records for facility and/or professional services coding. May be assigned to work edit lists for accuracy of claims processing and data reporting. Applies knowledge of ICD-10 and CPT-4 nomenclatures and American Hospital Association, American Medical Association and...

Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care - a culture that has and will continue to set us apart. It's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in. Job Summary: Location: Methodist Corporate Office Address: 825 S 169th St. - Omaha, NE *this is not a remote position* Work Schedule: Mon - Fri, full-time, flexible 8-hour daytime shifts Codes professional charges for surgical...

Overview Top candidates will have experience in Same Day Surgery Coding. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for...

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Certified coder who has experience coding for Emergency Department claims at the facility level for a...

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 efficiently. Every day you will accurately translate patients' medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for Inpatient admissions. Can also code ancillary, emergency department, same day surgery, and observation charts, if needed. Review provider...

Coder IV St. Rose Dominican Siena, Henderson, Nevada, Remote 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 $32.44 - $45.03 /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...

Division: Patient Business Services Work Arrangement: Hybrid Location: Houston, TX Salary Range: $47,372 to $58,263 FLSA Status: Nonexempt Work Schedule: Monday - Friday, 8 a.m. - 5 p.m. Summary The Patient Business Services (PBS) Coding department is looking for a motivated, entry level I coder to review CPT, ICD-10 and HCPCS coding for physician services. Our coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges. The PBS Coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine, Baylor St. Luke's Medical Center, Harris Health Ben Taub Hospital, as well as outpatient facility charges at McNair Campus. We...

SUMMARY: Reports to the Coding Manager. Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics. Reviews the medical records to ensure the documentation supports the code assignment. Utilizes 3M 360 Finder for code assignment and appropriate resolutions of claim edits (CCI, NCD, OCE, etc.) Confer with physician for clarification as needed. Monitors outpatient uncoded report to ensure timely coding and billing process. Maintains and meets HIS quality and productivity standards. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors...

Registered Nurse - Utilization Management/Coder RN Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. Bienvivir is currently accepting applications for the following position: REGISTERED NURSE - UTILIZATION MANAGEMENT / CODER The...

Job Title At the direction of the assigned leadership, interprets business rules, federal and state guidelines and prepares specifications for all information systems, including benefiting and pricing requirements for claims processing. Develops and maintains reporting as needed by leadership and operational objectives. Assists in the enforcement of product, reporting and service controls and standards, deadlines, and schedules by creating and maintaining detailed development plans. Defines test scenarios, involved in testing, and approval of testing results for implementation to ensure business requirements are met. Responsible for change management that impact claims configuration for all systems. Essential Functions and Responsibilities Interprets business rules, Federal and State guidelines, including but not limited to outpatient coding to create rules for processing within systems to ensure requirements are met. Responsible for auditing medical records against...

Job Description Job Description Certified Medical Coder (Puyallup, WA — In-Office if Local / Remote if Non-Local) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patients’ wounds heal faster, and that is our goal! Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical coding of services rendered for medical claim submission Review...

Department 10347 Enterprise Revenue Cycle – Coding Production Operations: Outpatient Coding Operations Status Full time Benefits Eligible Yes Hours Per Week 40 Desired Experience Hospital‑Based / Facility Surgical Specialties Coding Experience, GI preferred. Schedule Monday – Friday 1st shift 40 hours a week. Certification Required Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote Opportunity Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Pay Range $28.55 – $42.85 Major Responsibilities Assuming all responsibilities of coding assistant, coder I and II plus the following: assist with special projects as requested, assist with training other coders as...

Job Description Job Description The Medical Billing Specialist plays a crucial role in healthcare financial operations by managing patient billing processes and ensuring accurate and timely reimbursement from insurance companies and patients. This role requires expertise in medical billing systems, coding accuracy, and strong communication skills to interact with healthcare providers and payers effectively. Responsibilities Process and review medical claims for accuracy and compliance with insurance requirements Submit claims to insurance companies and follow up on unpaid or denied claims Verify patient insurance coverage and eligibility Maintain accurate patient billing records and documentation Follow up on unpaid or denied claims through effective collection strategies. Assist in resolving billing inquiries from patients and insurance companies promptly and professionally. Collaborate with healthcare providers to ensure correct coding and billing...

Job Description Job Description Certified Medical Coder Certified coder is responsible for assigning the correct universal medical alphanumeric code to describe the type of service a patient receives in a healthcare facility. Medical coders help ensure the codes are applied correctly and are supported by documentation during the medical billing process. Additionally, the position supports the company’s overall operations and client services by effectively and efficiently driving the Revenue Cycle Management process and delivering successful outcomes. Responsibilities: Assign CPT and ICD-10 codes to billable encounters. Identify trends and issues, and communicate to management. Utilize ICD, CPT/HCPCS to investigate coding issues. Understand and communicate Medicare billing rules to staff, management, and physicians. Monitor services to ensure all encounters are coded and billed timely. Conduct billing audits for code accuracy. Stay updated on changes...