94 medical compliance specialist 2 jobs found

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The Medical Compliance Specialist 2 is part of the compliance team and promotes healthcare compliance within UHealth. The incumbent is responsible for conducting research, performing audits, monitoring and investigations, documentation reviews of the UHealth policies, rules and regulations. Additionally, he/she will contribute to the success of the compliance program by strategizing compliance risk assessment, summarizing and documenting compliance related UHealth policies and procedures, while maintain accurate records of division actions and will document communication with members of the medical community, regulatory entities and any others involved in the medical enterprise. CORE...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER_eRecruiting_ApplyforaJob.pdf) . The Medical Compliance Specialist 2 is part of the compliance team and promotes healthcare compliance within UHealth. The incumbent is responsible for conducting research, performing audits, monitoring and investigations, documentation reviews of the UHealth policies, rules and regulations. Additionally, he/she will contribute to the success of the compliance program by strategizing compliance risk assessment, summarizing and documenting compliance related UHealth policies and procedures, while maintain accurate records of division actions and will...

Medical Coding Compliance Specialist (Medical Auditor) POSITION IS ONSITE AT NAS JACKSONVILLE, JACKSONVILLE, FL SUMMARY:   Member of the MHS agency Coding Program Office support team. The position will reduce inpatient facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload surges, manning shortages, or computer system issues. This position will conduct focused audits for coding compliance or training purposes; develop standardized coding training; deliver coding education/training to individuals or groups; and identifying/educating on clinical documentation improvement opportunities. Mandatory Knowledge and Skills 1) Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICDCM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and...

Summary GENERAL SUMMARY This position is responsible for coding all services including major and minor surgical cases and evaluation and management (E/M) levels performed in both the office and hospital setting for MyMichigan Physicians 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 Diseases (ICD) coding rules and regulations. (25%)* Codes all E/M visits, performed in both the office and hospital setting...

Job Description Job Description Job Title: Medical Billing Specialist Company: Twin Cities Physicians Location: Golden Valley, MN Compensation: $23- $24 an hour Schedule: Full-Time (Mon. – Fri.) Twin Cities physicians is growing and is looking for a new addition to our fabulous billing department! As a Medical Billing Specialist, you will be responsible for generating and submitting Medicare, Medicaid and third-party claims. Accountable for accounts receivable, collections, cash postings, as well as other miscellaneous billing. With your keen attention to detail and accuracy, this will create a positive impact on your work! Medical Billing Specialist Qualifications: Minimum 2 years of medical billing experience Understanding of insurance requirements Understanding of medical terminology Ability to organize, monitor, and track claims in relation to Revenue Cycle Management Familiarity with payer provider portals and...

Job Description Job Description Salary: Depends on experience Destiny Management Services, LLC is a leading source of staffing services and business solutions to the Federal Government. Founded in 1996, we have provided job opportunities for more than 1000 employees nationwide in various fields. We are looking for experienced professional medical coders for the medical treatment facility (MTF) and its geographic area of responsibility.  1. Experience MSS personnel in this position are required to possess a minimum of three (3) years of medical coding and/or auditing experience in two (2) or more medical, surgical and ancillary specialties within the past 10 years. A minimum of one (1) year of performance in the specialty is required to be qualifying. 2. Other Knowledge, Skills and Abilities Practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural...

Job Description Job Description Who We Are Zion HealthShare is a nonprofit medical cost-sharing program that provides an organized structure for members to contribute toward each other's medical costs. We offer individuals and organizations across the country an affordable alternative to insurance; this provides peace of mind. Our goal is to be America's leading HealthShare. We strive to meet our members' needs on a personal level by following our core values: inclusive, transparent, simple. Everything we do for our members is to ensure they feel respected and to let them know we truly care about their needs. Essential Duties and Responsibilities: Manage the Medical Need Submissions received from members which include creating the record within the system, obtaining additional information for determination, process provider & member payments, create medical bills for payout, and communicate status with member. Maintain HIPAA compliance and company compliance...

Responsibilities: Position Summary : Responsible for assigning diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Queries physicians as needed, to clarify documentation to ensure accurate code assignment. Organizes and prioritizes work to meet deadlines and goals. Maintains and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Responses to audits, provides consultation on projects, and be the primary point of contact for CDI and other team members when the supervisor/manager is not available. Position Responsibilities & Functions Assigns and sequences codes for the inpatient record using ICD-10-CM and PCS codes as...

Job Description Job Description Salary: Depends on experience Destiny Management Services, LLC is a leading source of staffing services and business solutions to the Federal Government. Founded in 1996, we have provided job opportunities for more than 1000 employees nationwide in various fields. We are looking for experienced professional medical coders for the medical treatment facility (MTF) and its geographic area of responsibility.  1. Experience MSS personnel in this position are required to possess a minimum of three (3) years of medical coding and/or auditing experience in two (2) or more medical, surgical and ancillary specialties within the past 10 years. A minimum of one (1) year of performance in the specialty is required to be qualifying. 2. Other Knowledge, Skills and Abilities Practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural...

Job Description Job Description Role Overview Trinity Health Services is seeking multiple medical billing specialist to join our team. The ideal candidate would have experience in the medical billing industry and the ability to communicate effectively within the team and with clients. Excellent customer service and the ability to multi task are critical for success in this position.  Responsibilities Perform transmittal of claims and confirm payment has been received for medical procedures and services provided. Submit billing data to the appropriate insurance provider. Process claims, track and troubleshoot denials. Maximize reimbursement for services provided. Conduct internal audits of claims. Develop and maintain a tracking system of incoming and late payments. Follow up on late payments and initiate late payment notices to relevant parties. Maintains work operations by following policies and procedures, and reporting compliance issues. Enhances billing department...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job reviews and accurately codes and abstracts the most complex hospital services, in-patient procedures, overnight / multi-night stay services and all other complex medical services. Utilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment and...

Summary This position is located in the Health Information Management (HIM) section at the Martinsburg VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Learn more about this agency Help Overview * Accepting applications * Open & closing dates 09/14/2023 to 09/27/2023 * Salary $57,118 - $74,250 per year * Pay scale & grade GS 9 * Help Location 1 vacancy in the following location: * Martinsburg, WV * Remote job No * Telework eligible Yes-Position Suitable * Travel Required Not required * Relocation expenses reimbursed No * Appointment type Permanent - * Work schedule Full-time - Monday - Friday 7:30am - 4:00pm * Service Competitive * Promotion potential None * Job family (Series) 0675 Medical Records Technician * Supervisory status No *...

Job Description Job Description Salary: What we do: Select Ortho is a rapidly growing national company that provides expertise, convenience and reliability in the delivery and fitting of orthoses and durable medical equipment to orthopedic practices and their patients. Select Ortho leverages resources, technology, and expertise to increase net collection rates, improve compliance, and streamline supply chain in managing the DME Service Line™.  The high value we place on our employees is reflected in our competitive pay and exceptional benefits package, which includes Medical insurance (company pays 70% of the premium), Dental and Vision (company pays 100% of the premium), free life insurance, generous paid vacation time, paid sick time, paid company holidays, and more! What we stand for:  Our goal is to achieve nothing less than ecstatic customers. We do that by operating in a healthy culture of excellence and hiring employees who are happy to go the extra mile to...