16 featured local job jobs found

UCFS strives to use person-centered care to improve the health and well-being of everyone in our community. Share in our vision of being Eastern CT’s best choice for patient-centered healthcare! We are currently seeking a Medical Billing Specialist who supports the RCM department through the management and analysis of payer denials and rejections. Assists in the identification of areas for improvement within RCM such as registration and coding. UCFS Hours of Operation: Open 8:00am - 7:00pm; Hours Vary By Day & LocationExpected Schedule: FT, 40 hours/week; Monday through Friday Outline of Duties and Responsibilities Consistently follows up on all unpaid claims utilizing various WQ and aging reports Resolves claim denials via contacting insurance, submitting appeals, and informing Billing Manager of denial trends Corrects and resubmits claim rejections in a timely manner Collaborates with the billing team and Billing Manager to address coding related issues and...

Description UCFS strives to use person-centered care to improve the health and well-being of everyone in our community. Share in our vision of being Eastern CT’s best choice for patient-centered healthcare! We are currently seeking a Medical Billing Specialist who supports the RCM department through the management and analysis of payer denials and rejections. Assists in the identification of areas for improvement within RCM such as registration and coding. UCFS Hours of Operation: Open 8:00am - 7:00pm; Hours Vary By Day & Location Expected Schedule: FT, 40 hours/week; Monday through Friday Outline of Duties and Responsibilities: Consistently follows up on all unpaid claims utilizing various WQ and aging reports. Resolves claim denials via contacting insurance, submitting appeals, and informing Billing Manager of denial trends. Corrects and resubmits claim rejections in a timely manner. Collaborates with the billing team and Billing Manager to address coding related...

Job Details Location: Remote Hiring Range: $20.60 - $32.41 Responsibilities Responsible for ensuring all surgical and hospital claims processed through EMR and Centricity are correct and compliant. Ensure proper documentation is on file. Ensure all physicians in assigned area of responsibility are complaint with dictations, and documentation with patient's treatment. To ensure all assigned charts are coded and billed out daily. Assigns medical codes for general surgery procedures for medical records and billing purposes. As part of your duties, you look at medical records and information and assign codes for each procedure and diagnosis for each patient. Ensure that all billable charges are entered into billing system. Work with site to ensure that all required documentation is obtained for review process. Escalate any trend and documentation issues to manager for discussion. Qualifications High school diploma or GED is required. A minimum of five (3) years of medical coding...

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). JOB PURPOSE This individual provides support to the Coding Audit Team by project management of specific audit tasks and supporting auditing colleagues. JOB ACCOUNTABILITIES Client project management: Oversee and maintain each coding audit project, including establishing project timelines, ensuring client understanding of the audit process, setting up the appropriate tools required for the audit and communicating their use to the assigned auditors, monitoring the team’s trajectory toward achieving all deadlines, and routinely...

Get AI-powered advice on this job and more exclusive features. Ophthalmology Coder Benefits: This position is eligible for medical, dental, vision. Job Description: *Willing to Train on Ophthalmology* Ophthalmology (including ASC surgeries & procedures – CPTs), Anesthesia, Pain Management, Clinic Denials, Rebills, J-Codes/Meds, E/M surgeries (Provider & Facility-based). Contract to Hire. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon...

Job Description Job Description VIBE CODER / AI-ASSISTED SOFTWARE DEVELOPER- Fully Remote Fully Remote   We're looking for a smart, resourceful builder who wants to join an early-stage technology startup and help shape the future of a software product that has already been built. The foundation is in place, but the product needs significant cleanup, refinement, and innovation.   This is an opportunity for someone who enjoys solving challenging problems, working independently, and turning ideas into useful, reliable software. You'll work closely with the founder, take ownership of projects, and have a meaningful voice in how the product evolves.   WHAT YOU'LL DO • Learn the existing product and codebase, identify issues, and recommend practical improvements. • Clean up and refactor existing software, fix bugs, and improve performance, security, reliability, and maintainability. • Design, build, test, and improve features that make the product more valuable and easier to...

Job Summary: In addition to the responsibilities listed below, this position is also responsible for leveraging foundational knowledge of imaging to ensure day-to-day operations are compliant with all relevant regulations; auditing quality and safety metrics and key performance indicators (KPIs) as required by regulatory bodies; aligning protocols and processes with guidelines and best practices; and identifying and escalating technology and equipment issues that arise. Essential Responsibilities: Recommends developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides team members with feedback; and mentors and coaches to drive performance improvement. Pursues professional growth; provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Implements, adapts, and stays up to date with organizational change,...

This position is responsible for final coding of inpatient accounts including acute care, mother/baby, inpatient rehab and skilled nursing. Inpatient coders follow coding conventions and guidelines to abstract, analyze and accurately assign ICD-10-CM diagnosis codes and ICD-10-PCS procedure CPT and HCPCS codes. Inpatient coders are required to utilize the computer assisted coding features of the encoder to accurately group DRGs and to validate diagnoses that group to an APR-DRG. Assigns present on admission indicator codes in compliance with national quality measures. Abstracts and validates other data elements as required. Education Associates of Health Information Administration - Preferred Experience 2-3 Years Medical coding - Required License & Certification National Certification - Required American Health Information Management Association: RHIA, RHIT, CCS American Academy of Professional Coders (AAPC): CPC or CIC with hospital inpatient coding...

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas. Job Summary The Medical Coder is responsible for ICD-10 coding of diagnoses and procedures of inpatient/outpatient discharged patient records. Job Specific Responsibilities Daily assignments may include but are not limited to: Apply diagnoses codes to in-patient, out-patient, and emergency services Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding Perform quality improvement reviews as assigned All other assigned duties related to Health Information Management Inpatient Coder Duties Review and analyze inpatient medical records to assign ICD-10-CM/PCS codes. Ensure completeness of the record to assign the accurate DRG (Diagnosis Related Group) assignment for reimbursement. Maintain knowledge of current coding guidelines, Coding Clinics and...

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 diagnosis coding and ICD-10-PCS procedure coding for complex inpatient acute care discharges. Possesses a strong foundation in coding conventions, instructions, Official Guidelines for Coding and Reporting and Coding Clinics. Has a deep understanding of disease process, anatomy/physiology, pharmacology and medical terminology. RESPONSIBILITIES: Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity...

Position Summary This position is responsible for final coding of inpatient accounts including acute care, mother/baby, inpatient rehab and skilled nursing. Inpatient coders follow coding conventions and guidelines to abstract, analyze and accurately assign ICD-10-CM diagnosis codes and ICD-10-PCS procedure CPT and HCPCS codes. Inpatient coders are required to utilize the computer assisted coding features of the encoder to accurately group DRGs and to validate diagnoses that group to an APR-DRG. Assigns present on admission indicator codes in compliance with national quality measures. Abstracts and validates other data elements as required. Education Associates of Health Information Administration Preferred Experience 2-3 Years Medical coding Required 1-2 Years Inpatient coding Preferred License & Certification National Certification Required American Health Information Management Association: RHIA, RHIT, CCS Core Job Functions Accurately reviews medical...

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). JOB PURPOSE This individual provides support to the Coding Audit Team by project management of specific audit tasks and supporting auditing colleagues. JOB ACCOUNTABILITIES Client project management: Oversee and maintain each coding audit project, including establishing project timelines, ensuring client understanding of the audit process, setting up the appropriate tools required for the audit and communicating their use to the assigned auditors, monitoring the team’s trajectory toward achieving all deadlines, and routinely communicating...

Overview Position Title : Medical Only Clerk Team Supervisor Location : Lisle, IL (hybrid reporting after training duration) Schedule:  8:00 am-4:30 pm CT Salary Range:  $70,000-$90,000 CCMSI is seeking the best and brightest talent to join the Illinois Public Risk Fund who is the largest Public Entity Workers’ Compensation pool in the State of Illinois.  Illinois Public Risk Fund has a dedicated CCMSI claims team with a staff of 24 and their own dedicated office space. Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and...

Job Type Full-time Description UCFS strives to use person-centered care to improve the health and well-being of everyone in our community. Share in our vision of being Eastern CT's best choice for patient-centered healthcare! We are currently seeking a Medical Billing Specialist who supports the RCM department through the management and analysis of payer denials and rejections. Assists in the identification of areas for improvement within RCM such as registration and coding. UCFS Hours of Operation: Open 8:00am - 7:00pm; Hours Vary By Day & Location Expected Schedule: FT, 40 hours/week; Monday through Friday Outline of Duties and Responsibilities: Consistently follows up on all unpaid claims utilizing various WQ and aging reports. Resolves claim denials via contacting insurance, submitting appeals, and informing Billing Manager of denial trends. Corrects and resubmits claim rejections in a timely manner. Collaborates with the billing team and...

Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Carle Health. The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient, and/or professional fee encounters using appropriate ICD-10/ICD-PCS, CPT, or HCPCS codes, along with coding software such as computer-assisted coding and encoders. This ensures compliant billing of Carle claims. The HIM Certified Coder must understand and apply all regulatory coding guidelines, including National and Local Coverage Determinations, and CPT modifiers. They are also responsible for applying coding knowledge to resolve billing edits related to coding. The coder uses Carle electronic medical record systems to review clinical encounters. Responsibilities Accurately code all records according to the appropriate coding classification system (ICD-10, CPT, HCPCS, and modifiers). The assigned codes should accurately reflect the diagnoses and procedures...

Medical Coding and Billing Compliance Auditor Location: Remote Division: Coding Compliance About the Role: The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy, documentation integrity, ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office applications including PowerPoint, Word, Excel, Outlook, TEAMS, and SharePoint. The Medical Coding Auditor will have a background in physician feedback and education on documentation integrity and coding accuracy. The ideal candidate will have extensive knowledge of CPT coding, ICD-10-CM coding, E/M coding, HCC methodologies, modifiers, telehealth, and HCPCS coding. The candidate will understand and know...