121 payment integrity medical coder jobs found

Competitive salary with great healthcare benefits! 401k, PTO, Tuition Reimbursement This Jobot Job is hosted by: Tim Lynott Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $50,000 - $65,000 per year A bit about us: The full-service hospital in Port Arthur, Texas is a 204-bed acute care facility that has earned numerous distinctions for quality including accreditations for chest pain, Stroke, Trauma, Neonatal Intensive Care and Orthopedics. Highlights of the facility include all-private rooms, a state-of-the-art emergency room with a fast-track area for minor illness and injury, a dedicated heart center for cardiac services including electrophysiology, surgical suites with the latest in digital surgical technology, and an obstetrics unit that includes a neonatal intensive care unit for high-risk babies. The facility houses an Outpatient Center located just next door in the Physicians Office Plaza, offering convenient in-and-out...

Inpatient Coder-Certified - Health Information Management - HCA Administration Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4710948) Apply  Inpatient Coder-Certified - Health Information Management - HCA Administration Salary $79,259.96 - $120,986.94 Annually Location Ventura and Santa Paula, CA Job Type Full-Time Regular Job Number 0103HCA-24AD (NW) Department Health Care Agency Division HCA Administration Opening Date 11/12/2024 Closing Date Continuous Description Benefits Questions Description The Health Care Agency is a comprehensive healthcare system serving our diverse community through the Ventura County Medical Center (VCMC), Santa Paula Hospital, 24 primary care clinics, 11 specialty care clinics, Ambulatory Care, the Public Health Department, and the Behavioral Health Department. We aim to provide comprehensive, cost-effective, accessible, and quality health care, especially those facing barriers. Under general direction...

Job Description Job Description Exciting Medical Billing Specialist Opportunity! Are you ready to take your career to the next level? At Converge Medical Technology, we provide game-changing technology with empowering personalized patient services as part of our supervised physical therapy program. The Medical Billing Specialist role maintains the financial integrity of CMT Billing and Accounts Receivables by actively and reviewing and carrying out essential Billing and Collections functions. The ideal candidate must have experience with Workers' Compensation claims, prior authorizations and comfortable working with Adjusters, Nurse Case Managers, and Claims reps. Key Responsibilities: Ensures accurate and timely billing of HCFA 1500 claims. Understands CPT, ICD10 and HCPC coding. Make outbound telephone calls to insurance companies for claims resolution. Follows existing billing/collection protocols to ensure accurate and timely reimbursement. Ensures that files...

Job Description Job Description Healthcare: Nephrology Outpatient: Position is an  IN PERSON POSITION IN OUR OFFICE IN ROCK HILL, SC!!!!! **ONLY QUALIFIED APPLICANTS TO APPLY*** ***THIS IS AN IN OFFICE POSITION, THIS IS NOT A REMOTE POSITION This position is a major contributing factor to the success of the practice. Summary of Position : Vital position as part of our billing team. Responsible for resolving, coding edits, account checks, rejections and denials to ensure proper reimbursements. Job Duties: Responsible for converting medical diagnosis and processes into standardized codes that are used when filing insurance claims. Medical Coding: After a patient completes their visit, be able to rea patients chart or file and classify the information from the appointment into different categories, reference medical coding guidelines and research correct codes, comply with medical guidelines and policies, perform initial charge review to determine appropriate...

Job Description Job Description Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched...

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-17030 Facility: LOC0027 - 141 Longwater Norwell141 Longwater DriveNorwell, MA 02061 Department Name: SHS Revenue Integrity Status: Full time Budgeted Hours: 40 Shift: Day (United States of America) Under experienced leadership the Professional Surgical Coder is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. Using established department policies and procedures in conjunction with the current versions of ICD-9 and CPT-4, the Professional Surgical Coder will determine the proper diagnosis, assign co-morbidities and complications, secondary diagnoses and any HAC (Hospital Acquired conditions) documented. As well as both E/M codes and procedure codes. The Professional Surgical Coder is expected at South Shore...

Description: Job Summary: Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients' health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD- 10CM (may include PCS), and HCPCS/CPT. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT) National Correct Coding Initiative (NCCI), and Kaiser Permanente...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor conducts audits of outpatient facility services and outpatient professional services to validate the integrity of ICD-10-CM, CPT, HCPCS, professional Evaluation and Management levels, and modifiers assigned for all specialties and chart types, as well as facility Evaluation and Management codes for the Emergency Department including thorough knowledge of...

Job Description Job Summary As a member of the HIM Central Services coding team, the Coder IP provides inpatient coding assistance for a set of HIM Central Services-supported CHS hospitals. The coder IP reviews patient records and assigns accurate codes for each diagnosis and procedure, applying knowledge of medical terminology, disease processes, and pharmacology while demonstrating strong data quality and integrity skills. Independent decision-making is required for accurate ICD-10-CM and PCS code assignments, which play a key role in determining CHS's reimbursement potential while ensuring adherence to compliant coding standards and corporate policies for accurate billing. Essential Functions Performs remote coding for CHS hospitals for all inpatient types via review of electronic medical records. Primarily codes inpatient records and may have experience in outpatient coding. Submits queries to providers for documentation clarification to include diagnosis...

Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched appropriately to the codes and if not,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Positions in this function research and investigate key business problems through quantitative analyses of utilization and healthcare costs data. Provides management with statistical findings and conclusions. Identifies potential areas for medical cost improvements and alternative pricing strategies. Provides data in support of actuarial, financial and utilization analyses. You'll enjoy the...

Overview: Are you an experienced coding professional looking to grow your career in an established healthcare organization? We at M Health Fairview are looking for Inpatient Hospital Based Coder 4 to join our team! This is a fully remote position approved for a 1.0 FTE (80 hours per pay period) on the day shift. Coder 4 provides inpatient coding utilizing ICD-10-CM and ICD-10 PCS Coding Classification systems . Utilizes an encoder and computer assisted coding (CAC) software to achieve accuracy and thorough coding . Researches complex coding scenarios and queries physicians on documentation for clarification. This is an inpatient coding position for an experienced, trained inpatient coder . A Coder 4 analyzes clinical documentation; assigns appropriate diagnosis , procedure, and abstracts the codes and other clinical data . This information is then used to determine reimbursement levels, assess quality of care,...

Job Posting Description The Physician Billing Coder oversees the department's revenue integrity process by managing coding work queues and reviewing registration and charge interfaces. The role includes auditing clinical documentation, billing, and payment records to ensure compliance with medical records and coding standards. The coder assesses coding accuracy and risk, prepares reports, and provides feedback based on audit findings. They also work with staff and physicians to identify issues and suggest improvements for the revenue cycle process. Principal Duties and Responsibilities Selects then follows established protocols and selects and reviews a percentage of records to assess coding documentation, billing, and/or reimbursement practices for compliance with all regulations of federal and state agencies and third-party payors and hospital policy. Review the department coding work queues, ensuring that all physicians are accounted for on the community hospital...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Under the direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope of the job, the Hospital Inpatient Coder II assigns applicable ICD-10 Codes, Present on Admission (POA), Hospital Acquired Condition (HAC), and Patient Safety Indicators (PSI) using current industry standards, the Official Coding Guidelines, Coding Clinic, UHDDS and regulatory requirements. Ensures the integrity and quality of patient data to achieve minimal variation in coding practices; assigns codes only as supported by physician/licensed independent practitioner (LIP) documentation within the body of the medical record. Applies in-depth knowledge of medical terminology and anatomy and physiology specific to coding. Job Description: Essential Duties & Responsibilities including but not limited to: 1. Reviews and abstracts diagnoses and...

Position Description : Serco is excited to continue our support to the Defense Health Agency (DHA) Medical Coding Program Branch. The DHA is a joint, integrated Combat Support Agency that enables the Army, Navy, and Air Force medical services to provide a medically ready force to Combatant Commands in both peacetime and wartime. The essential mission of the DHA Medical Coding Program Branch (DHA-MCPB) is to improve the accuracy and quality of medical coding and documentation across DHA in support of the DHA mission. This is a 100% Remote position. Our Medical Coding Compliance Specialists seek to prevent activity or actions in medical coding and documentation that could lead to fraud, waste, or abuse. It involves performing analysis, auditing, investigation, research, reporting, and other tasks to support development, implementation, operation, and oversight of DHA medical coding compliance. In this role, you will: The work will encompass all 400...

Job Description Join a world-class academic healthcare system, UChicago Medicine, as a Claims Coding Specialist (Medical Coder) in our Revenue Cycle - Revenue Integrity department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed to our Hyde Park location. You may be based outside of the greater Chicagoland area. This position will support new clinic services with revenue cycle-related functions including training, education, charge capture, and correct coding edits. The Claims Coding Specialist (Medical Coder) works under the supervision of the Revenue Integrity. The CCS team works collaboratively with physicians, assigned to his/her team/group in order to provide an optimal revenue cycle environment that is efficient, effective, comprehensive and compliant. The CCS team also works collaboratively with the ambulatory practice managers, billing staff and (at times) insurance payers to support a highly efficient,...

Job Description Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (7:30:00 AM - 4:00:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay Range: $32.00 - $52.08 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient encounters to ensure...

Job Summary: Under supervision, is responsible for assigning accurate diagnosis and procedure codes to the patients' health information records, for: Observation, Hospital Ambulatory Surgery, Complex Hospital Outpatient Visit {Cardiac Catheterization (Percutaneous Coronary Intervention) Lab, Interventional Radiology}, Emergency Departments, and other select OP records. This responsibility requires appropriate code assignment for physician-documented patient diagnoses, conditions and procedures; utilizing various coding classification schemes including ICD-10CM (may include PCS), and HCPCS/CPT. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT) National Correct Coding Initiative (NCCI), and Kaiser Permanente...

Overview: J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee-centered healthcare management consulting company. Our team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinical expertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels. J29 was founded to be an employee-centric company that prioritizes the well-being and value of its employees. Our mission is to empower our employees to do great things for the benefit of those that need it most. The J29 mission supports not only our health and human service programs, but also the philanthropy efforts of our team. We are proud to continue our...

Job Type: Regular Time Type: Full time Work Shift: Day (United States of America) FLSA Status: Non-Exempt When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under the direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope of the job, the Hospital Inpatient Coder II assigns applicable ICD-10 Codes, Present on Admission (POA), Hospital Acquired Condition (HAC), and Patient Safety Indicators (PSI) using current industry standards, the Official Coding Guidelines, Coding Clinic, UHDDS and regulatory requirements. Ensures the integrity and quality of patient data to achieve minimal variation in coding practices; assigns codes only as supported by physician/licensed independent practitioner (LIP) documentation within the body of the medical record. Applies in-depth knowledge of medical terminology and anatomy and physiology specific to coding. Job Description:...