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123 lead coder jobs found

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CC
Contract
 
Program Integrity Coding & Research Medical Coder CPC, CRC,CCS
CSI Companies Remote
The Program Integrity Coding & Research Medical Coder acts as a Medical Coding subject matter expert for complex coding concerns and serve as primary coding resource for Program Integrity. The Program Integrity Coding & Research Medical Coder Functions as a Subject Matter Expert for Risk Adjustment and Professional Coding at CSI and is allocated to projects that require a coding professional with significant technical acumen in coding conventions for both CAI and CDPS.  This teammate is key to assisting a technology vendor validate software tools that are business enablers, and when improperly functioning, can have a detrimental impact to the public persona and profitability of the vendor.  The Medical Coder is in a position of high visibility for CSI, and has access to proprietary tools in a position requiring high trust and confidentiality. The What you Want to Know: 100% Remote Contract, Full-Time Hours ( 30 hour minimum commitment) Active,...

May 22, 2023
Patient First
Full Time
 
Patient Accounts Insurance Representative
Patient First Glen Allen, VA, USA
Patient First is accepting applications for Patient Accounts Insurance Representative in the Glen Allen, VA area. Patient First provides a friendly work environment that promotes a team-oriented philosophy. Sign-on Bonus! The responsibilities of this job include, but are not limited to, the following: Reviewing processed claims to ensure proper payments received according to the payers' contract; Reviewing unprocessed claims within the payer's timely filing limits for re-submission of claims for payment; Verifying eligibility, benefits, plan type, patient responsibility and insurance payments; Correcting registration errors on patients' accounts; Researching insurance Eligibility of Benefits (EOB) to verify correct payment and adjustments are posted to patients accounts; Verifying that claims are filed according to the contracted agreement; Effectively communicating insurance trends or issues to the appropriate persons, including but not...

Jun 05, 2023
Patient First
Full Time
 
Medical Records Release Information Specialist
Patient First Glen Allen, VA, USA
Patient First is accepting applications for Medical Records Release Information Specialist in the Glen Allen, VA area. Patient First provides a friendly work environment that promotes a team-oriented philosophy. The responsibilities of this job include, but are not limited to, the following: Retrieving mail as directed, and sorting and distributing incoming departmental mail; Date stamping and logging in all (MR) requests and scanning associated paperwork into the CorTrak database; Following departmental check list, reviewing all MR requests for proper authorization;  Responding to all requests for MRs that are not HIPAA compliant, do not provide necessary information to locate the patient, through via written correspondence within the appropriate time frames according to state laws; Printing requested MRs, matching them with their corresponding requests, updating the materials list and preparing and mailing out the billing as appropriate; Updating MR...

Jun 05, 2023
AAPC Recruiting Services
Full Time
 
AAPC Recruiting Services: External Client seeking an On-Site Certified Coder in CA
AAPC Recruiting Services CA, USA
Certified Coder is a nonexempt position responsible for front office and general coding billing duties. Responsible for Coding Audits, Claim, Billing review and compliance.  Performance Requirements Knowledge Knowledge of billing practices and clinic policies and procedures. Knowledge of coding and clinic operating policies.  Knowledge of medical terminology Knowledge of health care insurance claim practices and compliance. Knowledge of computer systems, programs, and applications. Skills Proficient skills in computer programs. Skill in using a calculator. Abilities Ability to understand and interpret policies and regulations. Ability to read and interpret medical charts. Ability to examine documents for accuracy and completeness. Ability to communicate effectively and work with others.   Major Duties and Accountabilities Coordinates with clinical staff to verify charge and/or...

Jun 01, 2023
CC
Contract
 
Remote Entry Level Certified Medical Coder- CPC-A, CCA, CPC, CCS, RHIA, RHIT, CRC
CSI Companies Remote
Are looking for your first medical coding position? Are you recently certified through the AAPC or AHIMA and would love the opportunity to train and work under a Fortune 500 healthcare company in a FULL TIME REMOTE position? Then please read on! The CSI Companies is hiring an Entry Level Medical Coder for our Fortune 100 healthcare client. As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest. Benefits of the Position: Excellent training under one of the top companies in the world Feedback on performance, coding coaches, and supervisors that want you to succeed. Access to learning resources and CEUs HOURLY pay as well as overtime pay New equipment shipped to you prior to...

May 31, 2023
Rendr
Full Time
 
Senior Coding Manager
Rendr Hybrid (New York, NY, USA)
Who We Are Led by highly successful physician executives with a mission to improve health care quality for underserved populations. Rendr is a primary care-driven, multi-specialty medical group serving approximately 200,000 patients through its forty locations in Brooklyn, Manhattan, and Queens. Rendr is a growing physician practice dedicated to serving the Chinese American population throughout the New York metropolitan area. We bring together a group of world-class physicians with a proven executive leadership team and a robust care management platform to deliver the best care possible to this underserved population. Department: Billing Location: New York, NY (open to fully remote)  Position: Senior Coding Manager Rendr is looking for a Senior Coding Manager to manager and oversee daily operations, including but not limited to, overseeing the entire coding department and staff, data collection, analysis and reporting to meet the department’s...

May 25, 2023
Rendr
Full Time
 
Physician Coding Liaison
Rendr New York, NY, USA
Who We Are Led by highly successful physician executives with a mission to improve health care quality for underserved populations, Rendr is a primary care driven multi-specialty medical group serving approximately 100,000 patients through its 40 locations in Brooklyn, Manhattan and Queens. Job Position : Physician Coding Liaison Essential Functions / Responsibilities: Works closely with the Coding Manager/Coding Team and serves as the liaison between the Coding Manager/Coding Team and Providers to offer in-person coding support to the providers Regularly travels to sites to personally conduct one-on-one educational coding sessions. Conducts online training sessions Communicates all coding related issues/questions coming from the Providers to the Coding Manager/Coding Team and vice versa Helps Coding Manager with creating educational coding materials and training presentations Maintains Provider Coding Education Portal in Intranet Other duties...

May 25, 2023
Rendr
Full Time
 
Certified Risk Adjustment Specialist
Rendr Remote
Who We Are Led by highly successful physician executives with a mission to improve health care quality for underserved populations. Rendr is a primary care-driven, multi-specialty medical group serving approximately 100,000 patients through its forty locations in Brooklyn, Manhattan, and Queens. Rendr is a growing physician practice dedicated to serving the Chinese American population throughout the New York metropolitan area. We bring together a group of world-class physicians with a proven executive leadership team and a robust care management platform to deliver the best care possible to this underserved population. Department: Coding Location: New York, NY (Fully remote) Position Summary A Certified Risk Adjustment Coder works to improve the quality of coding documentation and data in the HCC database. This position collaborates in providing expertise in the use and application of coding classification such as ICD-10-CM. Essential Functions...

May 25, 2023
LU
Coder II Inpatient
Loyola University Health System IL, IL, USA
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...

Jun 02, 2023
LU
Coder II Inpatient
Loyola University Health System Maywood, IL, USA
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...

Jun 01, 2023
ZG
Salesforce Technical Lead (hands on coder)
ZenithGlobalAgency New York, NY, USA
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,...

Jun 03, 2023
AO
Certified Medical Coder
Arlington Orthopedic Assoc Arlington, TX, USA
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...

Jun 06, 2023
PS
Senior Medical Coding Auditor
PacificSource Springfield, OR, USA
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...

Jun 06, 2023
PS
Medical Coding Auditor
PacificSource Springfield, OR, USA
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...

Jun 06, 2023
NS
Medical Coder - Work From Home
Next Step Systems Tucson, AZ, USA
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. -...

Jun 06, 2023
LU
Coder - Physician Based - Maywood
Loyola University Health System Maywood, IL, USA
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...

Jun 06, 2023
HR
Biller/Coder
Hudson Regional Hospital Secaucus, NJ, USA
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...

Jun 06, 2023
AI
Coding Auditor
Anthem, Inc Palm Beach, FL, USA
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,...

Jun 06, 2023
SH
Certified Medical Coder/Collector
Spectrum Health Solutions Carrollton, TX, USA
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...

Jun 06, 2023
BB
CERTIFIED MEDICAL CODER - PHOENIX
Barrow Brain and Spine Phoenix, AZ, USA
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...

Jun 06, 2023
Ap
Associate Director, Global Medical Affairs, Ophthalmology
Apellis Waltham, MA, USA
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...

Jun 05, 2023
Wo
Full Time
 
Associate Director, Global Medical Communications GI
Workday Boston, MA, USA
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...

Jun 03, 2023
TB
Full Time
 
Associate Director, Global Medical Communications GI
Taleo BE Boston, MA, USA
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...

Jun 03, 2023
pa
Full Time
 
Per Diem Medical Coder
partners Boston, MA, USA
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...

Jun 02, 2023
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