27 pps jobs found

Mary Free Bed Summary We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership to clinicians and care providers. Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes.The growing Mary Free Bed Network provides...

PPS - QRP Coder (PTA/COTA) page is loaded## PPS - QRP Coder (PTA/COTA)locations: Grand Rapids, MItime type: Full timeposted on: Posted 3 Days Agojob requisition id: JB102471PPS - QRP Coder (PTA/COTA)**Mary Free Bed Summary**We have the great privilege of helping patients and families re-build their lives. It’s extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients “Ask for Mary,” they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership to clinicians and care providers.Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services...

Inpatient Coder III 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 employees 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. Details: Remote Inpatient Coding Full Time Status Day Shift Pay: $24.74 - $37.11 / hour Summary: Candidates residing in the following states will be considered for...

Job Description Job Description South Shore Speech is looking for a competent, responsible and dedicated individual to join our busy/fast paced, award winning team Benefits and Perks: . Family/friendly work environment . Supportive management and staff . Employee appreciation events regularly . Teaching/training will be provided Qualifications: . Certified Professional Coder . Proficiency with Excel . Motivated and possess the ability to multitask . Past medical office experience necessary . Strong organization skills . Able to interact well and professionally with the public both in person and over the phone Responsibilities: 1. PreAuthorizations & Verifications Contact payers (e.g. Medicaid, private insurances, NICU-funded programs) to verify patient eligibility and coverage before treatment begins. Submit pre-authorization requests for services requiring prior approval (e.g. speech therapy visits under Early Intervention or CPSE). Track...

Inpatient Coder III 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. Details: Remote Inpatient Coder III Inpatient Coding PRN Status Day Shift Pay: 24.74 - 37.11 / hour Summary: Candidates residing in the following states will be...

Your job is more than a job SPECIALTIES ENT/General Surgery/Plastic Surgery/Dermatology GENERAL DUTIES Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion. Consistently meets or exceeds coding quality and productivity standards established...

Your job is more than a job The Coder Lead will code all outpatient types as needed; same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers....

Senior Medical Billing & Coding Specialist - Charlotte, NC (Onsite) - Full Time - $50,000-$55,000 Per Year Title: Senior Medical Billing & Coding Specialist Location: Charlotte, NC (Onsite) Employment Type: Full Time Compensation: Pay Range: $50,000-$55,000 Per Year Position Summary: • The Senior Medical Billing & Coding Specialist is responsible for supporting and optimizing the organization's revenue cycle operations, with a focus on accurate coding, timely billing, and maximizing reimbursement. • This role requires strong expertise in FQHC billing methodologies, payer regulations, and coding compliance, along with the ability to identify trends, resolve complex issues, and support overall revenue integrity. Key Responsibilities: Billing & Coding Oversight: • Perform and review medical coding (CPT, ICD-10, HCPCS) to ensure accuracy and compliance • Submit and reconcile claims in a timely manner, ensuring clean claim rates • Monitor and...

Medical Billing Specialist Position Overview: We are seeking a detail-oriented Medical Biller to accurately process medical claims, post payments, and follow up on outstanding accounts. This role requires strong organizational and problem-solving skills. The ideal candidate will be proactive in identifying and correcting claim issues, communicating effectively with internal teams, and ensuring timely reimbursement. Key Responsibilities: Submit claims for services through billing software and clearinghouses Apply PPS billing rules, including modifiers, value codes, and occurrence codes Investigate denials by reviewing remittance advice and identifying root causes Correct and resubmit claims efficiently Communicate recurring issues or system errors with supervisors for resolution Follow up on outstanding claims via payer portals or phone Draft professional appeals for denied claims, especially authorization-related issues Escalate missing or invalid...

The Bedford-Stuyvesant Family Health Center (BSFHC) is a Federally Qualified Health Center (FQHC) that serves all of the primary health care needs of families in the heart of North and Central Brooklyn. Our mission is to provide the most professional, courteous and highest quality health care, with dignity, to those we serve, especially the undeserved population, without regard for ability to pay The Medical Biller is responsible for accurate and timely billing, claims submission, payment posting, and follow-up for services provided by a Federally Qualified Health Center (FQHC). This role requires strong knowledge of FQHC billing rules, Medicare, Medicaid, Managed Care Plans, and NYS specific regulations to ensure maximum reimbursement and compliance with federal, state, and payer requirements. Essential Duties and Responsibilities Prepare, review, and submit claims to Medicaid, Medicare, commercial insurance, and other third-party payers in accordance with FQHC billing...

Your job is more than a job Additional Job Description The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (i.e. family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). The Coding Senior may be assigned any of the coding functions of a Coding Specialist I. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required...

Your job is more than a job The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers....

Job Description The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, knowledge of clinical disease processes and treatments. This position completes analysis and follow-up record reviews. Responsibilities Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines....

Inpatient Rehab (IRF PAI) Coder Location: Remote (Must reside in FL, GA, AL, SC, NC, KY, AR, AZ, MD, or VA) Industry: Healthcare / Medical Coding Pay: $32 – $37 / hour Benefits: This role is eligible for medical, dental, vision and 401k About Our Client: Our client is a leading rehabilitation provider delivering world-class rehab solutions and individualized recovery plans. They specialize in complex cases involving multi-trauma and comorbidities, focusing on restoring functional independence through comprehensive care. Job Description: We are seeking an experienced Inpatient Rehab (IRF PAI) Coder to join a highly specialized team. This role focuses on coding complex inpatient rehabilitation cases, requiring strong knowledge of IRF-PAI, CMG methodologies, and IRF PPS guidelines. Coders will manually abstract data from extensive medical records and work closely with clinical teams. Key Responsibilities: Assign IRF-PAI codes, Impairment Group Codes (IGCs), and...

Coder Lead The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers. Validates charges by...

Billing And Coding Specialist Responsible for entering/auditing/coding patient services to ensure encounters transfer properly for submission to insurance payers. Analyze coding related claim issues, process gaps and denials to trend feedback for providers by location and/or specialty. · Review provider documentation (including hospital procedures) and translate services into correct codes. Append payer specific modifiers and claim criteria when applicable. · Review incomplete encounters and code based on available documentation in EHR systems. · Know and understand several different coding systems, including ICD-10-CM, ICD-10-PCS, CPT, Level 1 HCPCS and Level 2 HCPCS. · Use computers / billing software to create and bill encounters that generate clean claims. · Attend internal meetings relevant to EHR workflows and share best coding practices. · Assist Operations when coding guidance is requested for existing or new services. · Understand payer reimbursement and...

Coding Senior Your job is more than a job Additional Job Description The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (i.e. family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). The Coding Senior may be assigned any of the coding functions of a Coding Specialist I. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and...

Coding Senior Your job is more than a job. The Coding Senior will be responsible for applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution....

Coding Senior Your job is more than a job Additional Job Description The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (i.e. family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). The Coding Senior may be assigned any of the coding functions of a Coding Specialist I. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and...

OverviewSenior Ambulatory Surgery Facility Coder - RemoteJoin to apply for the Senior Ambulatory Surgery Facility Coder - Remote role at LCMC HealthYour job is more than a jobThe Intern HIM Coding pursues a career in medical coding for hospital inpatient/emergency/outpatient services and professional/provider services. Assists the team with assigning appropriate codes, reviews coding claim and edits or performs any other duties as assigned. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics. Utilizes knowledge and experience gained with a goal to serve as a coding specialist.Your EverydayGENERAL DUTIESCoding And Computer Related KnowledgeGains/Implements basic knowledge of ICD-10-CM and PCS, IPPS and DRG payment methodology, CPT and HCPCS coding principles in the work. Assigns ICD-10, CPT and HCPCS codes to...

Overview Join to apply for the Coder Senior role at LCMC Health . Get AI-powered advice on this job and more exclusive features. Responsibilities Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion. Consistently meets or exceeds coding quality and productivity...

Overview Senior HB Coder - Remote at LCMC Health Position details: Remote coding role focusing on ICD-10-CM/PCS, CPT, MS-DRG/APR-DRG assignments for inpatient and ambulatory records across multiple specialties. The Coding Senior may perform functions of a Coding Specialist I as assigned. Responsibilities Proficiently navigates patient health records and other systems to accurately determine diagnosis and procedure codes, MS-DRGs/APCs, and all required modifiers. Validate charges by comparing charges with health record documentation as necessary. Communicate effectively with clinical staff, physicians, and other stakeholders regarding documentation needs related to inpatient, outpatient, or ambulatory coding. Identify concerns and notify leadership for resolution; provide resolutions to moderate to complex problems. Track issues (missing documentation, charges, physician queries) requiring follow-up to facilitate timely coding. Meet or exceed coding quality and productivity...

Specialties: ENT / General Surgery / Plastic Surgery / Dermatology General Duties Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion. Consistently meets or exceeds coding quality and productivity standards established by coding department. Adheres to LCMC...

Overview Lead Ambulatory Surgery Facility Coder - Remote Join to apply for the Lead Ambulatory Surgery Facility Coder - Remote role at LCMC Health. The Coder Lead will code all patient types as needed: inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, including newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Responsibilities Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of...