33 pfs jobs found

GENERAL SUMMARYThe PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the Communities we serve.PRINCIPLE DUTIES AND RESPONSIBILITIES1. Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes.2. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.3. Knowledge and...

General Summary The PFS Medical Coder is responsible for the transformation of healthcare diagnoses, procedures, medical services, and equipment into universal alphanumeric codes. The coder assigns and verifies the correct codes used to describe the type of service(s) the patient received. The coder ensures codes are applied correctly during the medical billing process, which includes removing information from documentation, assigning appropriate codes, and creating a claim to be paid by insurance carriers. Coders work with hospitals, clinics, and physician offices as needed to provide personalized, professional healthcare services to the communities we serve. Principle Duties And Responsibilities Assign codes to diagnoses and procedures using ICD-10, CPT, and HCPCS codes. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations. Know and understand how to properly code using medical coding books. Follow up with the provider on...

PFS - Coder I FT Gibson City, IL 60936 Overview Salary Range $21.00 - $32.00 Hourly Position Type Full Time Description General Summary The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the Communities we serve. Principle Duties And Responsibilities Assign codes to diagnosis and procedures, using ICD-10, CPT, and...

Eisenhower Health is seeking a Revenue Cycle Auditor in Rancho Mirage, CA. The role involves auditing revenue cycle integrity and ensuring compliance with coding guidelines. Candidates should have a high school diploma and relevant certification within a year. Required experience includes two years in medical billing or auditing. The position offers full-time hours at a competitive salary range between $23.97 and $36.42 per hour, depending on experience. Join our team to contribute to our mission of improving financial accuracy in healthcare delivery. #J-18808-Ljbffr

Medical Claims Specialist This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. Job Duties/Responsibilities Maintains a thorough understanding and education of federal and state regulations and payer specific policies and...

Medical Claims Specialist This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. Job Duties/Responsibilities Maintains a thorough understanding and education of federal and state regulations and payer specific policies...

About Us Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.

PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. JOB DUTIES/RESPONSIBILITIES Duty 1: Maintains a thorough understanding and education of federal and state regulations and payer specific...

Default Work Shift: Day (United States of America) Hours: 40 Salary range: $23.97 - $36.42 Schedule: Full Time Shift Hours: 8 Employee Department: Patient Financial Services Job Objective Responsible for performing revenue cycle integrity audits within the Charge Descriptive Master and other revenue cycle charge capture and reconciliation processes. Job Description Education: Required: High school diploma, GED or higher level degree if hired after March 1, 2025. Preferred: Medical coding coursework or bachelor’s degree in related field. Licensure/Certification: Required: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) within one (1) year if hired into position after January 1, 2021. Experience: Required: Two (2) years of medical billing, charge capture, coding or patient account auditing experience. Preferred: Revenue cycle experience, hospital/clinical experience. Reports To: Manager or Director. Supervises: N/A. Ages of Patients: N/A. Blood Borne...

Gibson Area Hospital is hiring a full-time PFS Medical Coder to ensure correct coding for healthcare services. The role requires expertise in medical coding standards including CPT and ICD-10, and responsibilities include coding, follow-up on documentation, and collaborating with various health services. Candidates must possess a CPC or CCS certification and have at least two years of experience in medical coding. Good communication skills are essential for resolving coding queries and ensuring compliance with regulations. #J-18808-Ljbffr

Overview Charge Capture Specialist - LPN or Coder Summary: Works closely with the Revenue Integrity Coordinator, PFS and other revenue cycle departments to resolve issues, make recommendations and provide solutions related to patient charges, auditing and revenue management. Identifies revenue management opportunities, conducts charge reconciliation to ensure optimal charge capture, reimbursement, and compliant revenue. Responsibilities This job will be authorized 80.00 hours bi-weekly. Qualifications Minimum of one (1) of the following licenses or certifications required: LPN, CCS, CCA, CPC, or COC. Three years experience in health care industry, with at least one year experience in an accounting-type or financial position preferred. Knowledge of CPT, HCPCS and ICD-9 coding conventions. Knowledge of regulatory publications, how to access and interpret. Minimum of one year of hospital revenue cycle processes or prior exposure to the health care revenue cycle leadership and...

Patient Account Representative, PFS Billing, PFS General The Healthcare - Medical Biller is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other departments to facilitate the meeting of both departmental and facility goals and objectives. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Has an extensive knowledge of billing requirements mandated by payers and / or governmental regulations. This position will perform any and all related job duties as assigned. Individuals must be able to work an eight hour shift between the hours of 8:30 AM CT - 5:30 PM CT, with no remote work initially but opportunity for some hybrid (in office/remote) after training. We will consider individuals open to relocation to San Antonio! Essential Job...

Lead Outpatient Medical Coder The Lead Outpatient (OP) Medical Coder assists the HIM OP Coding Manager with administrative functions specific to all outpatient coding operations. Duties may be varied and may include many of the following: assisting the OP Coding Manager to organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of production-coder performance, develop and implement quality improvement activities, train and mentor staff, provide feedback coding error findings and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. The Lead OP Medical Coder is responsible for serving as a subject matter expert in coding processes, providing advanced technical guidance, and ensuring coding accuracy, compliance, and productivity standards are met. The position supports coders and auditors through consultation, mentoring, and...

Job Summary Under the direction and supervision of the Team Operational Coordinator (TOC), the Follow Up & Collections III position performs all collection tasks as assigned utilizing collection processes with a high level of knowledge, skills, abilities, and experience. The follow‑up position will assume duties as a collector but not limited, to manage patient accounts from the point of resubmission through final resolution. Identify and address denials by writing appeal letters and ensure account balances are correct based on payer contract terms. Possess and maintain knowledge of payer specific rules and guideline related to collection requirements. Perform necessary follow‑up to obtain the appropriately owed reimbursement for services in a timely fashion. Responsibilities Acts as a patient advocate to obtain additional information and support for claims processing or to discuss outstanding patient balance with options available for balance resolution. Analyze adverse...

Overview Coordinate and conduct medical billing audits for the Yale Medicine Administration. Evaluate medical billing, coding and documentation for 18 clinical departments under the direction of the Compliance Officer. Provide training and feedback to physicians and departmental personnel who have responsibilities with billing activities. This opportunity is currently remote (work from home, in or outside CT) for a position located in CT. CPC required. If the candidate does not currently hold a CPC certification, it is expected to be obtained within 6 months to 1 year after hire. Required Skills and Abilities Demonstrated knowledge of ICD-10 and CPT-4 coding and billing practices. Ability to interpret operative and procedural reports. Well-developed oral and written communication skills. Strong attention to detail with the ability to analyze data. Proficient in Microsoft Word, Excel, and Access. Preferred Skills and Abilities CPC credentials preferred. Computer skills...

Facility: Copley Drive City San Diego Department Job Status Regular Shift Day FTE 1 Shift Start Time Shift End Time Certified Coding Specialist--Physician-based (CCS-P) - The American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - AAPC Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Flex hours are 6:00-9:00 am to 14:30-17:30 pm Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $34.170 - $44.090 - $49.370 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.? The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates,...

DIAGNOSTIC CODERDEPARTMENT :Health InformationPVH employment application required.All job offers contingent upon background check and completion of pre-employment physical.This is an as needed position utilized to cover gaps in coverage including vacations, leaves of absence, and other instances of unfilled shifts.While remote work is an option, the applicant should be located within Maine and able to be in person in Lincoln, ME when requested.JOB FUNCTIONSRemote work option is available1.Review and process records.2.Assign codes.3.Checks for record completeness and distributes record deficiencies appropriately.4.Sends records to scanning at completion.5.Answers telephone promptly.6.Retrieves information requested.7.Provides customer service support to all visitors of the department as appropriate.8.Completes statistical reports as advised by the Department Director.9.Works with PFS on Insurance follow-up.10.Completes other duties assigned.Quality ImprovementActively participates...

Summary The Compliance Auditor II will assist in the overall quality, compliance, and auditing activities to ensure compliance of standard operating procedures, corporate policies, industry standards, and applicable federal and state laws. Conducts audit activities, reporting and communicates audit findings. Works in conjunction with Compliance Director on compliance work plans, internal and external audits and reviews, and provides assurance that the organization is operating in an efficient and effective manner. Responsibilities Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Manages compliance audit activities pertaining to compliance and coordinates with Corporate Compliance Director and Senior Leadership as it relates to such audits. Responsible for answering inquiries related to professional documentation, coding, and billing regulatory requirements. Work with VP/Senior/Manager/Director on more complex...

About The Job Location: Franklin Square Medical Center Departments: Women's Pavilion, ED Registration, Admitting and Transfer Center Status: Full-time, 40-hours per week Schedule: Evening Shift (4:00pm-12:30am) General Summary of Position The Supervisor of Patient Access is responsible for registration points including but not limited to Same Day Surgery, Cancer Center, GI services, ancillary areas, Emergency Department off‑site facilities that support regulated patients and hospital clinics. In collaboration with the Patient Access Multisite Manager the Supervisor is responsible for patient flow, inpatient placement, and assignment of patient status. The Supervisor maintains professional and courteous behavior to ensure a positive image within the community served and to promote the highest standards in customer service. The role must promote effective communication and elevated levels of performance to support the clinical services and administrative duties of the...

Position Summary Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center’s computerized database, converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager with administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. Essential Responsibilities / Duties Assists IP Coding Manager with assignment of work to coders, analysis of the daily unbilled report, and follow‑up on unanswered physician queries and missing documentation. Assists PFS in researching unbilled accounts and updating incorrect...

About the Job Location: Franklin Square Medical Center Departments: Women's Pavilion, ED Registration, Admitting and Transfer Center Status: Full-time, 40-hours per week Schedule: Evening Shift (4:00pm-12:30am) General Summary of Position The Supervisor of Patient Access is responsible for registration points including but not limited to Same Day Surgery Cancer Center GI services ancillary areas Emergency Department offsite facilities that support regulated patients and hospital clinics. In collaboration with the Patient Access Multisite Manager the Supervisor is responsible for patient flow inpatient placement and assignment of patient status. Maintains professional and courteous behavior to ensure a positive image within the community served and to promote the highest standards in customer service. The Patient Access Supervisor is responsible for directing coordinating and supervising the functions of the centralized Patient Access Department. This role must promote...

Job Description Job Description TTF is recruiting for a Medical / Behavioral Revenue Cycle representative for a well-respected healthcare organization located in Central Phoenix, AZ. These are Monday – Friday, full time positions. Qualified candidates will have previous experience Billing out claims, Following up with all Payors, posting charges, calculating allowables, and working in a clearinghouse. Candidates must have previous healthcare experience.   Please send your resume to Chelle at CBodnar@ttfrecruit.com for consideration.   TTF is a search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies and all other healthcare fields.   We place candidates in the PFS field with the following specialties and titles:  Hospital Collector, Commercial, Government, Managed Care, Billing Representative, Medical Biller,...

Inpatient Lead Coder Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. Essential Responsibilities / Duties: Assists IP Coding Manager with assignment of work to Coders, analysis of the daily unbilled report, and follow-up on unanswered physician queries and missing documentation. Assists PFS in researching unbilled accounts and...