11 jobs found in Nebraska

Job Description Job Description Company Description Bluestem Health is a resource for the entire community for medical, dental and behavioral health services all under one roof. Our goal is to be a resource for all patients regardless of their ability to pay. We accept all major types of insurance and also offer a sliding fee discount program so that patients are able to afford treatment. This position is not a remote position, as you will be required to work in the office. Job Description Position Summary:    The Medical Billing Specialist generates revenue by following up with insurance companies to ensure appropriate payment on all claims. Essential Duties: Take patient phone calls to resolve questions or take payments Collects delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur. Process system credits. Follow-up with insurance  on denied and no response claims....

**Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The Remote Medical Coder Hospital Inpatient will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets. This is a 100% full time remote position. + Maintains a working knowledge of ICD-9-10 PCS and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and...

GENERAL SUMMARY: Possesses the knowledge and skills to thoroughly review the clinical content of all levels of complexity of Inpatient medical records and assigns appropriate ICD-10-Codes to diagnoses procedures for optimal reimbursement, as well as the knowledge to ensure the coding accurately reflect the severity of illness and risk of mortality for quality reporting. Has knowledge of all other types of coding, including, but not limited to, Outpatient, Outpatient Surgery, and Observation, however the focus of work is complex Inpatient coding. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Reviews hospital inpatient medical record documentation and properly identifies and assigns: ICD-10-CM and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures; MS-DRG,...

**Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** **The General Surgery Coder** must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve...

Internal Compliance Auditor for North End Teleservices: The Compliance Auditor at North End Teleservices, LLC (NET) is responsible for ensuring the company is complying with both government and commercial regulations and sometimes is tasked with enforcing NET policies and procedures. Internal auditors are crucial to the integrity of our business. They will investigate professional records, policies, and procedures to ensure NET and their employees comply with laws and regulations, monitor risks, and evaluate internal controls. This role is imperative for NET to solidify any potential operational and administrative areas of concern for our company to prevent loss of revenue and ensure compliance with all processes and laws. The NET internal auditor must serve as: A catalyst for growth through Risk Management, Governance, and Internal Controls. An interface between different NET departments/programs. An advisor to the Compliance Manager, while successfully...

Job Description Job Description As the Medical Billing Specialist, you will generate insurance claims and patient statement billings and collect outstanding insurance or patient balances. You are responsible for submitting billing with supporting documents using various delivery methods and expected to resolve submission issues, provide requested invoices, and answer inquiries regarding billing. Please note: This position is not located in a patient care facility. It is located in a corporate office setting. RESPONSIBILITIES Prepare, format and mail all insurance claims according to specific contract/payer requirements. Remain knowledgeable of third-party payer contracts, federal and state medical coverage programs and requirements as well as being knowledgeable on HIPAA regulations and guidelines. Complete claim follow-up calls on claims 30 days outstanding from the submission date. Perform claim appeal functions upon receipt of EOB's. Follow-up on outstanding...

Description Hello, We Are ruralMED! Join our mission of supporting rural healthcare through collaboration focused on strategically tailored services, effective leadership, and industry-specific expertise. When you join our team as a Medical Billing Specialist, you are not just responsible for planning, organizing, and implementing the activities of rural medical billing, you get to play a vital role in supporting rural healthcare facilities and the communities they serve. You will utilize your expertise of commercial and governmental payor policies and regulations to perform initial billing, follow-up, and denial management to ensure accuracy and compliance. How This Role Makes an Impact: Utilizing your knowledge and skill set, you will experience the rewarding satisfaction of supporting rural healthcare facilities on their journey to thrive within the evolving landscape and achieve excellence. You will work alongside a team of dedicated and driven experts who are...

Description Title: Outpatient Professional Fee Clinic Coder Department: Revenue Cycle Resources Status: Full-Time Locations: Remote within Nebraska, Kentucky, Missouri, Pennsylvania, New Mexico, Kansas, Tennessee Hello, We Are ruralMED! Join our mission of supporting rural healthcare through collaboration focused on strategically tailored services, effective leadership, and industry-specific expertise. When you join our team as an Outpatient Professional Fee Clinic Coder, you are not just responsible for professional coding evaluation and management coding for office visits at rural health clinic and outpatient specialty clinic encounters. You get to play a vital role in supporting Rural Health Clinics and the communities they serve. By utilizing sound knowledge of coding rules and regulations, best practice workflows, and the use of multiple software systems to provide timely and accurate coding of medical claims to ensure maximum reimbursement for services...

SUMMARY OF POSITION Assign codes to medical procedures and diagnoses. This position requires an individual who is self- motivated, efficient, organized, and detail oriented. ESSENTIAL DUTIES AND RESPONSIBILITIES Answer incoming phone calls Greet patients in the business office Accept payments from patients in the clinic and over the phone Review provider documentation for coding appropriateness and accuracy Communicate effectively and efficiently with patients and other personnel Make sure codes are assigned correctly and sequenced appropriately Comply with medical coding guidelines and policies Receive and review patient charts and documents for verification and accuracy Maintain communication with management and Providers to ensure timely notification of identified documentation issues Interact with other team members to assist with inquiries regarding coding, documentation, denials and billing Assist in keeping the business office efficient, clean, and organized Travel to bank...

Job Description Job Description Nemaha County Hospital has an opening for a Coder position. This position is for physician coding, outpatient and inpatient medical records. Must have coding certification or be working towards certification (RHIA, RHIT, CCA, CCS, CCS-P, CPC). Coder will work in the combined Business and Health Information office and will be part of a dynamic, energetic team with over 75 years of combined service. Call Codi Sailors, CHRO at (402) 274-6121 with any questions. EOE Employer/Vet/Disabled

Job Description Job Description On-Site Monday - Friday, 8:00AM - 4:30PM. Flexible for overtime as needed. CORE VALUE COMMITMENT: In common mission, our teams work together with our patients at the center. We strive to continuously improve. We value one another’s diversity of talent, experience, and perspective. We each contribute to something bigger than ourselves while promoting integrity, belonging, and collaboration. JOB SUMMARY: The Clinical Coder is responsible for performing and ensuring the accurate and timely completion of patient record coding. This role serves as the educator, subject matter expert, and liaison for all coding matters. The Clinical Coder investigates and resolves coding related issues and leads the process improvement efforts to minimize inefficiencies, enhancing the patient experience. ESSENTIAL JOB FUNCTIONS: Perform coding activities to assure accurate completion of coding for all patient records including review of each charge...