47 jobs found in Delaware

Baylor Scott & White Health is seeking a Coding Auditor 1 to perform coding quality audits and provide feedback to coders. The role uses ICD-10-CM/PCS, HCPCS, CPT and related references to ensure accurate coding and classification, including DRG/APC groupings. Minimum qualifications include 5 years of coding experience with at least 1 year as a coding auditor and one of several coding certifications. The organization emphasizes compliance, collaboration with Clinical Documentation Specialists #J-18808-Ljbffr

Bayhealth Medical Center is seeking a Medical coder to abstract clinical information, assign ICD-9/ICD-10 and CPT-4 codes, and ensure accurate DRG grouping and reimbursement. This role supports the Kent Campus operations in Dover, DE with day shifts and full-time hours. The position requires a certificate in medical coding, CPC certification (or CPC-A/RHIA) and at least six months of coding or medical records experience. A healthcare facility background is preferred. #J-18808-Ljbffr

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk? Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, as well as stand‑alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand! Benefits Generous Paid Time Off and Paid Holidays Matching 401(k)/403(b) Plans Excellent Health, Dental, and Vision Disability and Life Insurance options On Site Child Care Educational Reimbursement Health Care and Dependent Care Flex Spending Accounts Plus, an array of Voluntary Benefits to include Critical Care Coverage and more! Location...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT 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-10 CM/CPT 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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

Why work at TidalHealth? Looking for a rewarding place to work? Choose TidalHealth, which now includes three hospitals - TidalHealth Peninsula Regional in Salisbury, Maryland; TidalHealth Nanticoke in Seaford, Delaware; and Atlantic General Hospital in Berlin, Maryland. All three hospitals are "A" rated by Leapfrog Hospital Safety Guide, and the facilities have received numerous other honors. TidalHealth is regularly adding new practices to grow our offerings in specialty and subspecialty services. These include neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care, clinical trials and research, and more. TidalHealth is also home to a growing graduate medical education program to prepare the next generation of physician specialists. Located on the beautiful Delmarva Peninsula, close to the beach, becoming part of Team TidalHealth also offers an ideal opportunity for work-life balance. Take advantage of our...

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...

Center for Advanced Eye Care seeks a Medical Billing Specialist to review, submit, and follow up on insurance claims, ensuring timely payments and accurate postings. You will work under direct supervision in a patient-centered eyecare environment with a collaborative team of staff across multiple locations. The role requires at least two years of full-time medical billing experience, CPT/ICD-10 coding knowledge, and strong data-entry and communication skills. #J-18808-Ljbffr

Huron Consulting Group is seeking an Inpatient Coding Auditor to audit inpatient coders and offshore auditors, ensuring coding accuracy and DRG adherence. You will communicate with client teams and payers, report to the Domestic Coding team, and uphold coding guidelines. The role requires 2+ years as an inpatient coding auditor, 3+ years inpatient coding experience, and strong Microsoft Office skills. This position supports revenue cycle integrity across healthcare clients. #J-18808-Ljbffr

Medical Billing Specialist Simon Eye and Center for Advanced Eye Care are partner practices with a combined 27 optometrists, 8 ophthalmologists, and over 150 staff serving patients across the state of Delaware, Pennsylvania and Maryland. We are aligned to ensure our communities can access patient-centered, medically oriented full service eyecare delivered in convenient locations with friendly, knowledgeable doctors and staff. Under direct supervision, the Medical Billing Specialist will be responsible for reviewing, submitting and following up on medical insurance claims in order to receive payment for services; and performs other related duties as required. What You'll Do: Receive, review and enter client information into electronic health record; verify insurance coverage. Scrub and submit electronic and paper billing claims to Medicaid, Medicare and private insurance companies for health care services. Receive payments, reconcile with remittance advice and verify/post all...

AMS Fulfillment is seeking an Inventory Auditor to lead advanced inventory reconciliation across multiple warehouse processes and retail clients. You will serve as a subject matter expert on inventory audits and internal controls, driving accuracy and compliance in fast-paced environments. The role requires 3+ years in inventory or audit, strong Excel and WMS knowledge, and the ability to work independently with occasional travel to facilities as needed. #J-18808-Ljbffr

Hirebridge in Delaware seeks a Quality Assurance Specialist to help ensure compliance, accuracy, and continuous quality improvement across Financial Management Services programs. You will audit records, monitor operations, analyze trends, and investigate compliance concerns to identify opportunities for process enhancements. You will also review reports and correspondence for accuracy and professionalism, audit electronic systems and databases, and collaborate with staff and IT to resolve #J-18808-Ljbffr

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, community is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you. Make a Difference The HIM Certified Coder will be responsible for coding and abstracting for physician billing using software and coding books based on current work assignment. Exceptional Skills and Qualifications Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a strong attention to detail....

Job Details Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals" by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition. Scheduling Flexibility and Perks The schedule and hours for this position are very flexible and we will work with you on work/life balance to build a schedule that works for you This position is 100% remote and we encourage national candidates to apply We...

Billing Liaison Sr/Coder (Finance) Join our team as a Senior Billing Liaison! The Billing Liaison Sr/Coder primary job responsibilities include ensuring 100% charge capture by reviewing physician dictated notes and operative reports and properly code all services performed utilizing appropriate CPT, ICD-10-CM codes and modifiers. Daily review of EPIC Charge Review Work queues is essential. Also monitor and report on accounts receivable issues related to payer compliance and/or billing processes. The Liaison Sr/Coder is the link between the providers and the billing office and acts as a resource to providers, office staff, administration and the Central Business Office. Participation in coding training and education is also required. Maintaining yearly certification as a Certified Professional Coder is required with the American Academy of Professional Coders. Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida,...

Simon Eye and Center for Advanced Eye Care is seeking a Medical Billing Specialist under direct supervision to review, submit and follow up on medical insurance claims to obtain payment for services. You will work with CPT and ICD-10 coding and post payments in the electronic health record system. The role requires at least two years of full‑time medical billing experience, familiarity with EHR, and the ability to communicate effectively with patients and insurers while maintaining HIPAA #J-18808-Ljbffr