15 jobs found in Delaware

Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Allegheny Health Network Job Posting General Overview: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. Essential Responsibilities: Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures (65%). Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system (15%). Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report (10%). Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work (5%). Performs other duties as...

Job Description Job Description Description: About Us: We are a mission-driven outpatient mental health practice with offices in Delaware and North Carolina dedicated to delivering exceptional care to our clients. To support our operations, we are seeking a Medical Billing Specialist. Are you: A motivated & driven professional with minimal experience in medical billing? Eager to contribute to the growth of a thriving practice while advancing your own professional development ? Looking for a workplace that values you as an individual and not just a number? Seeking a work/life balance with 136+ hours of PTO with competitive pay ? Key Responsibilities: Claims Management: Review and resolve claims on the issue log daily, addressing rejections, denials, and incomplete claims. Resubmit corrected claims within a defined timeframe (24-48 hours). Claims Issue Resolution: Address rejections, denials, and incomplete claims by contacting payers and...

Job Description Job Description Benefits: 401(k) Paid time off Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in...

DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case...

Job Description Job Description Salary: Job description: Medical Billing Specialist- Cardiology This role is primarily remote but will require training in office. It is required to be local to the Newark, DE area. Job Overview We are seeking a detail-oriented and organized Medical Biller to join our team. Join a well established private cardiology group with a track record of success. The Medical Billing Specialist is responsible for managing Accounts Receivable for all payers, posting all monies received by patients and insurance, and ensuring all accounts are current. Responsibilities Manage accounts receivable for all insurance carriers. Follow-up on unpaid claims to ensure proper financial reimbursement from insurance companies and work directly with insurance company, healthcare provider, and/or patient to get a claim processed and paid in a timely manner. Accurately post Electronic Remittance Advices and paper EOBs for all assigned carriers. Call patients...

A state department of transportation is seeking a Tax Auditor I in Wilmington, Delaware. The role involves reviewing taxpayer filings, conducting audits of businesses, and ensuring compliance with applicable tax laws. Candidates should have at least two years of experience in accounting or auditing and possess a Bachelor's degree in Accounting or related fields. This position offers a comprehensive benefits package and requires successful completion of background checks. #J-18808-Ljbffr

Coder II Position Specialty Scope for this coder II position includes but is not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair; Elbows: Cubital tunnel release, Bursectomy, Arthroplasty; Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment); Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations; Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy; Pelvis: Fracture repairs; Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs; Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy; Tibia/Fibula: Plateau...

Medical Laboratory Supervisor Apply for this opportunity as a Medical Laboratory Supervisor in Middletown, Delaware for full-time, permanent hire! We are seeking a dedicated General Lab Supervisor to oversee daily lab operations, ensure compliance with safety standards, and manage lab staff. The ideal candidate will have a strong background in laboratory management, excellent organizational skills, and the ability to lead a team effectively. Key Responsibilities: Supervise lab personnel and ensure smooth operation. Ensure compliance with all safety, regulatory, and quality standards. Manage inventory and equipment maintenance. Train and support lab staff. Review and analyze lab results, ensuring accuracy. Qualifications: Bachelors degree in a relevant field. ASCP certification or equivalent Previous experience in a supervisory role within a lab setting. Strong knowledge of lab safety and regulations. Excellent leadership and communication skills. For...

Associate Director/Director, Medical Writing Overview Incyte is a biopharmaceutical company focused on the discovery, development, and commercialization of novel medicines to meet serious unmet medical needs in oncology and inflammation and autoimmunity. Incyte is committed to the rigorous pursuit of research and development excellence to improve the lives of patients, make a difference in health care, and build sustainable value. Overview Incyte is a biopharmaceutical company focused on the discovery, development, and commercialization of novel medicines to meet serious unmet medical needs in oncology and inflammation and autoimmunity. Incyte is committed to the rigorous pursuit of research and development excellence to improve the lives of patients, make a difference in health care, and build sustainable value. The Company strives to discover and develop first-in-class and best-in-class medicines-advancing a diverse portfolio of large and small molecules. Job Summary...

Inpatient Coder Opportunity Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our...

Senior Inpatient HIM Coder We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact effectively with the billing department...

Assembler Language Coder Location- Remote Clearance- IRS MBI This program requires US Citizenship Description of Assignment: Work in an Agile team to support back-end mainframe systems and provide interfaces to front-end systems. This means that they can develop mainframe applications (with databases and mainframe systems): Work with development teams and product managers to ideate software solutions. Analyze existing software as well as incoming business rules and conversion details, producing application requirements and detailed design documents. Working knowledge of mainframe tools including TSO, JCL, Control-M Develop and manage well-functioning databases and applications. Write effective interfaces to system applications and services. Troubleshoot, debug and upgrade software and assist in defect resolution. Create security and data protection settings. Build features and applications with a high...

Job Type Full-time Description WESTSIDE IS LOOKING FOR A SUPERVISOR TO LEAD THE MEDICAL ASSISTANT TEAM! JOIN THE TEAM TAKING CARE OF THE COMMUNITY! The MA Supervisor, (Clinical Floor Supervisor) (CFS) coordinates and supervises the care provided by a designated group of Medical Assistants (MAs), ensuring that they adhere to Westside's standards and procedures in all aspects of their work. The CFS may also assess patient health problems and needs, maintain medical records, advise patients on health maintenance and disease prevention, coordinate with other members of the patient care teams and act as a clinical resource for the team. Since opening our doors in 1988, Westside has been driven by our mission to improve the health of our communities by providing equal access to quality healthcare, regardless of ability to pay. With 240 team members, five health centers, one mobile health unit and over 27,000 patients all across Delaware, Westside is committed to...