51 pfs jobs found

PFS - Coder I FTGibson City, IL 60936OverviewSalary Range $21.00 - $32.00 Hourly Position Type Full TimeDescriptionThe 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 ResponsibilitiesAssign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes.Ensure codes are accurate and...

PFS - Coder I FT Gibson City, IL 60936 Overview Salary Range $21.00 - $32.00 Hourly Position Type Full Time Description 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 HCPS codes. Ensure...

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...

Medical Claims SpecialistThis 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/ResponsibilitiesMaintains 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 and...

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 policies...

Miami, FL Full-Time Health Information Management Jackson Health System Full Time Summary The HIM Coding Compliance Auditor 1 analyzes abstracted/coded data for the purpose of ensuring accuracy and timeliness as it relates to DNFB management, quarterly AHCA data submissions and PFS communication. Responsibilities Reviews quality of coded and abstracted data assuring coding compliance within the Jackson Health System. Performs target and focused MS-DRG, APC, CPT, Case mix and Medical Necessity reviews. Identifies monitors and corrects rejected claims due to HIM coding. Works as a liaison with PFS and other internal departments to serve as a communicator/problem-solver for hindrances that prevent reimbursement. Based on new coding requirements, audit findings, RACs, MACs, etc. prioritizes and supports develops training/education protocols for UHS hospital coders in ICD-9-CM, CPT-4, APCs, Emergency Room Evaluation and Management Coding, Level II coding guidelines, modifier guidelines,...

Jackson Health System in Miami, FL is seeking an HIM Coding Compliance Auditor 1 to analyze abstracted and coded data for accurate DNFB management, AHCA data submissions and PFS communication. The role requires 5–7 years of related experience, strong analytical skills and the ability to collaborate with PFS and clinical staff to ensure coding compliance across ICD-9-CM, CPT-4 and related guidelines, while maintaining high professional standards. #J-18808-Ljbffr

Medical Coder The Medical Coder is responsible for ICD-10 coding of diagnoses and procedures of inpatient/outpatient discharged patient records. Job Specific Responsibilities Daily assignments may include but are not limited to: Apply diagnoses codes to in-patient, out-patient, and emergency services Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding Perform quality improvement reviews as assigned All other assigned duties related to Health Information Management Inpatient Coder Duties Review and analyze inpatient medical records to assign ICD-10-CM/PCS codes. Ensure completeness of the record to assign the accurate DRG (Diagnosis Related Group) assignment for reimbursement. Maintain knowledge of current coding guidelines, Coding Clinics and facility-specific coding policies. Collaborate with clinical documentation specialists as needed for unclear or inconsistent documentation...

We've learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. Job Summary The Medical Coder is responsible for ICD-10 coding of diagnoses and procedures of inpatient/outpatient discharged patient records. Job Specific Responsibilities Daily assignments may include but are not limited to: Apply diagnoses codes to in-patient, out-patient, and emergency services Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding Perform quality improvement reviews as assigned All other assigned duties related to Health Information Management Inpatient Coder Duties Review and analyze inpatient medical records to assign ICD-10-CM/PCS codes. Ensure completeness of the record to assign the accurate DRG (Diagnosis Related Group) assignment for reimbursement. Maintain knowledge of current coding guidelines, Coding Clinics and...

UMC Health System is seeking a Medical Coder to code inpatient and outpatient records using ICD-10-CM/PCS, CPT, and HCPCS. The role requires knowledge of Medicare/Medicaid rules and DRG assignment to ensure proper reimbursement, with collaboration across CDI and PFS teams. Candidates should have RHIT/RHIA/CCS or coding certification, 2+ years of HIM coding experience, and strong attention to detail and communication skills to maintain accuracy and confidentiality. #J-18808-Ljbffr

Medical Coder Inspire health. Serve with compassion. Be the difference. Job Summary Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of...

We've learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. Job Summary The Medical Coder is responsible for ICD-10 coding of diagnoses and procedures of inpatient/outpatient discharged patient records. Job Specific Responsibilities Daily assignments may include but are not limited to: Apply diagnoses codes to in-patient, out-patient, and emergency services Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding Perform quality improvement reviews as assigned All other assigned duties related to Health Information Management Inpatient Coder Duties Review and analyze inpatient medical records to assign ICD-10-CM/PCS codes. Ensure completeness of the record to assign the accurate DRG (Diagnosis Related Group) assignment for reimbursement. Maintain knowledge of current coding guidelines, Coding Clinics and...

UMC Health System is seeking a Medical Coder to code inpatient and outpatient records using ICD-10-CM/PCS, CPT, and HCPCS. The role requires knowledge of Medicare/Medicaid rules and DRG assignment to ensure proper reimbursement, with collaboration across CDI and PFS teams. Candidates should have RHIT/RHIA/CCS or coding certification, 2+ years of HIM coding experience, and strong attention to detail and communication skills to maintain accuracy and confidentiality. #J-18808-Ljbffr

We've learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. Job Summary The Medical Coder is responsible for ICD-10 coding of diagnoses and procedures of inpatient/outpatient discharged patient records. Job Specific Responsibilities Daily assignments may include but are not limited to: Apply diagnoses codes to in-patient, out-patient, and emergency services Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding Perform quality improvement reviews as assigned All other assigned duties related to Health Information Management Inpatient Coder Duties Review and analyze inpatient medical records to assign ICD-10-CM/PCS codes. Ensure completeness of the record to assign the accurate DRG (Diagnosis Related Group) assignment for reimbursement. Maintain knowledge of current coding guidelines, Coding Clinics and...

UMC Health System is seeking a Medical Coder to code inpatient and outpatient records using ICD-10-CM/PCS, CPT, and HCPCS. The role requires knowledge of Medicare/Medicaid rules and DRG assignment to ensure proper reimbursement, with collaboration across CDI and PFS teams. Candidates should have RHIT/RHIA/CCS or coding certification, 2+ years of HIM coding experience, and strong attention to detail and communication skills to maintain accuracy and confidentiality. #J-18808-Ljbffr

Jackson Health System in Miami, FL is seeking an HIM Coding Compliance Auditor 1 to analyze abstracted and coded data for accurate DNFB management, AHCA data submissions and PFS communication. The role requires 5–7 years of related experience, strong analytical skills and the ability to collaborate with PFS and clinical staff to ensure coding compliance across ICD-9-CM, CPT-4 and related guidelines, while maintaining high professional standards. #J-18808-Ljbffr

Health Information ManagementMiami, FL Full-TimeJackson Health SystemFull TimeSummaryThe HIM Coding Compliance Auditor 1 analyzes abstracted/coded data for the purpose of ensuring accuracy and timeliness as it relates to DNFB management, quarterly AHCA data submissions and PFS communication.ResponsibilitiesReviews quality of coded and abstracted data assuring coding compliance within the Jackson Health System.Performs target and focused MS-DRG, APC, CPT, Case mix and Medical Necessity reviews.Identifies monitors and corrects rejected claims due to HIM coding.Works as a liaison with PFS and other internal departments to serve as a communicator/problem-solver for hindrances that prevent reimbursement.Based on new coding requirements, audit findings, RACs, MACs, etc. prioritizes and supports develops training/education protocols for UHS hospital coders in ICD-9-CM, CPT-4, APCs, Emergency Room Evaluation and Management Coding, Level II coding guidelines, modifier guidelines, proper...

Key Responsibilities Integrate Huron’s Vision and Values into daily work practices. Conduct audits of coders and auditors, ensuring a minimum coding accuracy of 95%. Perform quality checks on visits coded per client SOPs and conduct calibration audits. Suggest process improvements and schedule calibration sessions with offshore team counterparts and leaders. Assist in preparing audit reports, provide direct feedback to coders and auditors, and participate in client and internal stakeholder meetings. Monitor compliance with clinical documentation and coding guidelines; ensure errors are corrected before claims are rebilled to payers. Analyze findings and present concise, actionable summaries to leadership. Utilize encoder software applications (3M/Solventum, Encoder Pro, Codify) and assign appropriate codes using CDC, CMS, AMA, AHA, AMA CPT, and other guidelines. Navigate patient health records and other systems to determine accurate diagnosis and procedure codes. Meet coding...

Job Description Job Description Description: CIBOLA GENERAL HOSPITAL 1016 E. Roosevelt Avenue Grants, New Mexico 87020 Phone: 505-287-4446 Fax: 505-287-5309 Title: Coder II Department: HIM Reports To: Director of HIM Direct Reports: N/A Date: 12/2022 Compensation: Exempt Status: Non-Exempt Range Summary: Accurate assignment of ICD-10-CM/PCS, CPT-4 codes, HCPCS and Modifiers to the highest level of specificity as supported by documentation in the medical record in compliance with governmental regulations and hospital policies. Review of the quality of data and documentation and facilitate improvement. Responsible for reviewing medical records/assigned charges as necessary, for accuracy. Essential Functions: Understands and is able to apply inpatient, emergency room, observation, day surgery and clinic/outpatient coding guidelines depending upon the patient type being coded. This position is able to fill in when other coders are...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long‑term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare...

Who We Are UCI Healthis one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includesUCI Health - Orange,UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County's only academic health systems, UCI Health is home to the onlyNational Cancer Institute-designated comprehensive cancer centerbased in the county, the region's only American College of Surgeons-verifiedLevel I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 GeriatricEmergency Departmentand a nationally recognizedregional burn centerverified by the American Burn Association. Powered byUC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles County through...

Join our life-saving team in Phoenix, AZ. Sign-on bonus up to $7,500! Are you ready to elevate your career to new heights? PHI Health is looking for dynamic, driven individuals to join our team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second counts. By supporting our mission from the ground, you will play a crucial role in orchestrating the seamless operations that keep our advanced fleet soaring and our patients safe. With PHI Health you'll collaborate with the best minds in the industry, driving initiatives that enhance our services and expand our reach to those who need it most. If you're passionate about making a difference and thrive on challenges, PHI Health offers an extraordinary opportunity to impact lives and develop your professional career in a meaningful way. Who We Are: PHI Health is the leading air ambulance provider in the United States. With an unmatched safety record and the...

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. This is a Monday – Friday, full time position.   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. 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, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections...