123 lead coder jobs found

Employment Type:Full timeShift:Description:Under the general direction of the Coding Manager and/or Lead, the Coding Specialist is responsible for coding Inpatient accounts providing high level technical competency and subject matter expertise analyzingphysician/providerdocumentation contained in assigned Complex Outpatient (CO) and/or Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records.Codes diagnoses, treatments, procedures according to the appropriate classification system for the category of the patient's encounter. Majority of coding will be Medicare/Medicaid inpatient accounts.Assigns the diagnosis or procedures code with an...

Employment Type: Full time Shift: Description: Under the general direction of the Coding Manager and/or Lead, the Coding Specialist is responsible for coding Inpatient accounts providing high level technical competency and subject matter expertise analyzing physician/providerdocumentation contained in assigned Complex Outpatient (CO) and/or Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records. Codes diagnoses, treatments, procedures according to the appropriate classification system for the category of the patient's encounter. Majority of coding will be Medicare/Medicaid inpatient accounts. Assigns the diagnosis or...

Greetings from Zenith Global Agency!! We are looking for a Salesforce Technical Lead in New York, NY please let me know if you have anyone local or someone who can relocate. Title: Salesforce Technical Lead (hands on coder) Location: New York, NY (Hybrid - 3 days onsite, 2 days remote) Duration: Longterm Description 10+ years of heavy development experience in Salesforce platform that includes coding and configuration Must be familiar with Apex programming language, JavaScript Must be experienced in using Salesforce configuration tools (e.g., Flows, Process Builder, etc,) and creating Lighting web components that are extensible and reusable Proficient with Salesforce 's Trigger, Classes and Batch jobs Should be familiar with Salesforce Process Automation tools such Flows, Workflow, Process Builder, Approval Process and Email Templates Should have good understanding on Salesforce framework of information sharing via Profiles, Permission sets, Public Groups,...

Job Description Description: JOB SUMMARY: This position is responsible for ensuring all patient visits are entered into the Practice Management System with appropriate and accurate ICD-10 and CPT codes as well as any other codes that may apply. The Medical Billing Specialist will have frequent interactions with internal and external clients including Medical Office Staff and Providers. He/She will be the immediate liaison to documentation improvement and optimization for compliance and revenue purpose. Works closely with the A/R claims specialists to research and resolve reimbursement issues. RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: * Ensures accurate coding of services provided by AOA physicians and mid-level providers, including assigning the correct ICD-10 and CPT codes, modifier usage, and knowledge of CCI edits. * Research difficult coding questions thoroughly in order to maintain high quality standards. * Provides support to management, staff, and...

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age. Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Position Overview: Subject matter expert on researching and resolving grievance and appeals for the commercial line of business. Utilizing expert level of adjudicator expertise, clinical interpretation and...

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age. Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Position Overview: Research and resolve grievance and appeals for the commercial line of business, utilizing a higher level of adjudicator expertise, clinical interpretation and decision making. Contribute to...

Job Description Job Description Medical Coder - Work From Home We are currently looking for a Medical Coder. This position is 100% Remote. Medical Coder Responsibilities: - Make sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. - Comply with medical coding guidelines and policies. - Receive and review patients' charts and documents for verification and accuracy. - Follow up and clarifying any information that is not clear to other staff members. - Collect information made by the Physician from different sources to prepare monthly reports. - Implement strategic procedures and choosing strategies and evaluation methods that provide correct results. - Examine any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence. Qualifications Medical Coder Qualifications: - A strong understanding of physiology, medical terms and anatomy. -...

Employment Type: Full time Shift: Description: The physician based coder is responsible for accurate and timely review and coding of procedures and surgeries for multi-specialty areas into the billing and accounts receivable system. Ensures that all external regulations affecting the coding process are implemented in the work course to assure compliance and consistency of coding and reduce the risk of external audits. Review physician reports and append appropriate CPT, HCPCS, ICD-10 codes, and modifiers. Verify that physician documentation supports the billing. Query physician when necessary to ensure correct coding. Minimum Education: Required: Associates Degree OR equivalent training acquired via work experience or education Specify Degree(s): Graduate of accredited medical coding program Minimum Experience: Required: 1-2 years of previous job-related experience Licensure/Certifications: Required: Certified Coding Specialist (AHIMA) or...

Job Description Duties: Performs billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submission. Work directly with third party payers, internal and external customers, and other contract clients toward effective and efficient collection results on accounts assigned by management in accordance with department policy and procedures. Maintains a thorough knowledge of third party billing and collection requirements for payers assigned for handling. Utilizes all resources available, including electronic inquiries to verity eligibility, benefits and claim status. Exercises good judgment towards account resolution and documents all activity on account in a clear, accurate and consistent manner utilizing appropriate online system. Work correspondence, explanation of benefits and remittance advice daily ensuring a 72-hour turnaround period is met. Demonstrates excellent customer service skills when responding to incoming or outgoing calls...

Job Family: Medical and Clinical Type: Full time Date Posted: May 20, 2023 Req #: JR72347 Description Coding Auditor Location: This position is not remote. Candidate must work onsite from our clinic location of 2601 S Military Trail, West Palm Beach, FL. The Coding Auditor is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD9 coding and compliance with risk adjustment requirements. Primary duties may include, but are not limited to: Collects and analyzes data to formulate recommendations and solutions based on audit trends and results. Provides regular feedback to Operations leadership on performance improvement opportunities as a result of performance gaps. Participates in and represents the department in business leadership groups. Assesses and identifies training opportunities. Assists the business with research and documentation of workflows,...

Job Description Salary: ABOUT US: Spectrum Health Solutions is a Management Services Organizations which manages Physician Offices for services at home like Physical Therapy, Occupational Therapy, Speech Therapy and Skilled Nursing. Essential Responsibilities and Duties : * Ensure accurate and timely processing of all medical claims. * Analyze customer accounts are accurately setup within billing system(s). * Researches and resolves unpaid accounts appearing on follow-up or aging reports. * Manages correspondence related to insurance or patient accounts. * Communicate directly with payors regarding their financial responsibility from services. * Contact insurance companies to check eligibility and benefits via phone or online portals. * Lead and assist with continuous process improvement projects related to billing controls, quality and efficiency, and automation opportunities. * Perform a variety of analytical functions including the review and management of large data sets to...

Job Description BARROW BRAIN AND SPINE JOB DESCRIPTION CERTIFIED MEDICAL CODER JOB TITLE : CERTIFIED MEDICAL CODER DEPARTMENT : Business Office REPORTS TO : Director of Revenue Cycle FLSA STATUS : Hourly JOB SUMMARY : The Certified Medical Coder plays a key role in ensuring that Barrow Brain and Spine meets regulations as they pertain to medical billing and coding. They are responsible for protecting patient privacy by keeping medical histories confidential. The Certified Medical Coder reviews records to determine if the records contain the information and treatment details the law requires. The Certified Medical Coder will be responsible for accurately coding surgery, evaluation and management, radiology, and pain management encounters. JOB DUTIES & RESPONSIBILITIES : * Reviews and, if necessary, corrects CPT/HCPCS codes for various encounters. * Composes meaningful and grammatically correct medical necessity and coding appeals. * Develops and distributes new coding policies...

Job Description Position Summary: The Associate Director, Global Medical Affairs, Ophthalmology is a key member of the Global Medical Affairs team who will work closely with medical affairs and cross-functional stakeholders to implement key aspects of the Global Medical strategy for ophthalmology and potential global launches of pegcetacoplan in geographic atrophy (GA) secondary to age-related macular degeneration (AMD). These activities may include data generation, insight gathering, and scientific communications/publications, as the medical affairs team supports launch readiness in the ophthalmology space. Key Responsibilities Include: * Implement key aspects of GMA strategy for pegcetacoplan in ophthalmology * Drive and/or assist in development and implementation of evidence generation strategy (Phase IV, real-world evidence/HEOR, post hoc analyses, investigator initiated trials and collaborative research), * Drive and/or assist in insight gathering, scientific communications...

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description About the role: At Takeda, we are a forward-looking, world-class R&D organization that unlocks innovation and delivers transformative therapies to patients. By focusing R&D efforts on four therapeutic areas and other targeted investments, we push the boundaries of what is possible to bring life-changing therapies to patients worldwide. Join Takeda as an Associate Director, Global Medical Communications - GI where you will have a dynamic, strategic role within Global Medical Affairs that collaborates with cross-functional partners to oversee one or more disease areas/assets on a...

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description About the role: At Takeda, we are a forward-looking, world-class R&D organization that unlocks innovation and delivers transformative therapies to patients. By focusing R&D efforts on four therapeutic areas and other targeted investments, we push the boundaries of what is possible to bring life-changing therapies to patients worldwide. Join Takeda as an Associate Director, Global Medical Communications - GI where you will have a dynamic, strategic role within Global Medical Affairs that collaborates with cross-functional partners to oversee one or more disease areas/assets on a...

Description: GENERAL SUMMARY/ OVERVIEW STATEMENT\:    The Coding Specialist reports to the Coding Manager and is responsible for correct coding of professional services and upholding compliance standards.   PRINCIPAL DUTIES AND RESPONSIBILITIES\:     The Coding Specialist I is required to\:   §  Perform coding and related duties using established Professional Billing Office and Coding Services policies in an accurate and timely manner.  Review medical documentation and system generated charges or paper encounter forms.  Appropriately assign CPT®, ICD-9/ICD-10, HCPCS II, and modifiers based on documentation and payor requirements. §  Demonstrate a commitment to integrating coding compliance standards into daily coding practices.  Identify, correct and report coding problems.  §  Maintain current knowledge of coding, compliance and reimbursement procedures.  Review current literature, newsletters, payor policy updates and coding...