1284 jobs found

Perform initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third-party payers. Interpret progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services. Identify all billable procedures and services; ensuring all appropriate ICD, CPT, HCPCS code(s), and quantities are captured. Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is captured for all patients. Review and resolve coding edits related to procedures and services charged. Perform weekly/monthly audits to ensure all services that can be billed are captured and coded for billing. Review all physician documentation to ensure compliance with third-party and regulatory guidelines. Maintain two-day coding turnaround times for procedure accounts based on date of service. Responsible for ensuring the...

Positions Available: Medical Biller - Team Leader Medical Biller - Support Staff (2-3 positions) Position 1: Medical Biller - Team Leader Job Description: As the Team Leader, you will be pivotal in guiding our pilot clinic through the transition from traditional billing to a  new billing platform. Your leadership and extensive experience will ensure a seamless transformation and the efficient management of our billing processes. Key Responsibilities: Transition Management: Oversee and direct the transition of billing processes from manual to automated systems. Team Leadership: Lead and mentor a team of billing professionals, ensuring effective implementation of new processes and addressing any issues that arise. Expert Billing: Utilize your expertise in private practice medical billing to manage and process complex claims, including those related to orthopedic and physical therapy services. Claims Handling:...

The Physician Coder III is responsible for coding of physician and/or mid-level provider professional services. Recognizes and completes a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follows set procedures to achieve goals. Displays professional office skills and ability to navigate a practice management system. Functions as liaison between management, the physician practices and employees working within physician practices. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties. Services can include all visit types for a coder I and coder II and includes coding of surgical cases. Responsibilities Include: - Review and analyze information...

HEDIS Reviewers / Abstractors Job Types:   Full-time Seasonal, Part-time seasonal, Contract This is a remote position available to candidates located within the United States. Applicants must be eligible to work in the United States. Pay Structure: The training pay rate is $20 per hour, with additional bonus incentives available. During the live season, the pay rate increases to $25 per hour, accompanied by monthly performance-based bonus incentives. Primary Purpose:   Under the supervision of the Medical Record Review team, the HEDIS Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS-like projects, and supplemental data collection. The abstraction team will meet chart abstraction productivity standards.   Job Roles and Responsibilities Responsible for reviewing medical records and transferring critical HEDIS data elements into a specified data entry portal to support HEDIS reporting and...

Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations. Key Responsibilities Medical Documentation Review: Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation. Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information. Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and compliance with healthcare regulations (e.g., HIPAA, Medicare,...

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve The  Clinical Analyst/Senior Clinical Analyst  reports to the Risk Adjustment Programs Manager in Government Markets. The key responsibilities of this role include: Responsible for analyzing member clinical charts, diagnosis data, CPT Codes, and any other diagnostic data for Independence’s Medicare Advantage and Commercial HIX plans to assess chart coding accuracy and determine opportunities for improvement.  The Clinical Analyst will perform and participate in prospective chart coding reviews and recommend solutions to improve the quality and accuracy of clinical data for the Government Markets Unit.  Responsible to identify and communicate trends in provider coding and documentation. Work closely...

Full-time, goal-oriented, revenue-driven, highly accurate and motivated medical coder/biller. Punctuality and attendance are imperative for this position. Primary duties include but are not limited to: Review documentation to accurately assign diagnoses and CPT codes, Review denials for coding errors and file appeals, and follow up on unpaid claims utilizing monthly aging reports. Other duties may include assisting the rest of the billing department in insurance verification, posting insurance/patient payments and balance deposits, call patients regarding delinquent accounts. This is an in-house position M-F 8:00 am to 5:00 PM some flex in daily hours, competitive wages, and benefit package offered. Required Skills: Computer experience is essential, including, but not limited to: practice management software, word processing and spreadsheet applications. · Coding certificate in CPT and ICD-10 coding; familiarity with medical terminology. · Excellent customer service skills....

Job Title : Remote Certified Professional Coder (CPC) and Certified Cardiology Coder (CCC) Part-Time: 5-10 hours per week (depending on need) Job Overview : We are seeking an experienced Certified Professional Coder (CPC) with a Certified Cardiology Coder (CCC) certification to join our team on a part-time basis. This is a remote position for a professional with exceptional cardiology coding knowledge and at least 4 years of experience. You will play a key role in helping develop medical billing and coding software by providing your expertise in outpatient and inpatient cardiology coding, hospital procedures, and billing processes. No software development experience is required . Company Overview : We are a software company specializing in developing cutting-edge medical billing and coding software. You will join a collaborative and innovative team working to create tools that improve billing efficiency and accuracy in the healthcare industry. This is not a...

Description Responsible for coding from medical records to identify revenue opportunities and to ensure documentation compliance. Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers. JOB FUNCTIONS:  Abstracts diagnosis codes, minor surgical procedures, endoscopies, diagnostic procedures and major surgical cases from medical records.  Applies CPT-4, ICD-10-CM, HCPCS and modifiers following coding standard guidelines.  Understands current regulatory coding requirements, which include Federal, State and local guidelines.  Improves cash flow due to filing of “clean” claims by utilizing correct coding practices.  Provides feedback to physicians related to revenue opportunities.  Ensures all services are accounted for and billed.  Involves working closely with physicians.  Keeps abreast of research projects within the department. Requirements Education: High School...

The Medical Billing Specialist plays a key role in optimizing reimbursement by sending clean claims to the insurance companies, working insurance claim denials efficiently and quickly the 1st time and having that in-depth knowledge of medical coding and billing guidelines. Essential Duties & Responsibilities   Rejected EOB ·         Follow-up on denials on the Practice Management Dashboard. Appeals ·         Determine when an appeal, reopening, redetermination, etc. should be requested and the requirement of each insurance carrier. Appeals Completion ·         Complete the appeals, reopening, redetermination, etc. in it’s entirety and send all required documentation to the insurance carrier. Carrier Calls ·         Call insurance carriers to appeal payments that do not match contractual agreement.  ·         Notify supervisor of consistent contractual agreement discrepancies. Patient Inquiries ·         Respond...

Job Posting: Medical Billing and Coding Specialists   Location: Lucid Medical Solutions – Oak Brook, IL   Position Type: Full-Time   Salary: $20/hr   About Us: Lucid Medical Solutions is a leading authority in split claim billing, dedicated to delivering exceptional care and administrative support. We specialize in empowering private medical practices by simplifying operations, enhancing profitability, and offering bespoke consulting services. Our commitment extends to helping practices remain independent and thrive through the use of advanced technology and strategic guidance. We are currently seeking a skilled and experienced Medical Billing and Coding Specialist to join our dynamic team. This crucial role ensures that our revenue cycle processes operate smoothly and efficiently, providing essential support to both our clinical team and patients. At Lucid Medical Solutions, we are committed partners in your long-term growth, driving success through our...

This position is responsible for ensuring coding and payment accuracy for outpatient hospital services performed at St. Joseph’s/Candler Health System. Coding & Payment Compliance Specialist must be able to assign HCPCS, CPT codes and modifiers to outpatient encounters including emergency department visits, clinic visits, oncology treatment visits, recurring outpatient therapy and infusion center visits, diagnostic exams and testing, and laboratory reference accounts. The Coding & Payment Compliance Specialist serves as a liaison to clinical departments, Health Information Services (HIM), Physician Revenue Cycle and Pt Financial Services (PFS) to resolve claim edits and line item denials. The position is responsible for reviewing and resolving charge line item denials and identifying opportunities to prevent avoidable denials. Attention to detail is required for accurate capture of data elements, knowledge of coding and billing regulatory guidelines, and billing rules,...

Required Education and Experience:  High School diploma or equivalent. A minimum of 2-3 years in healthcare reimbursement & or coding experience. Knowledge in medical terminology and anatomy. Knowledge of insurance reimbursement, principles, and practice. Proficiency with Microsoft Office. Certification: American Academy of Professional Coders (AAPC) – CPC or equivalent organization, American Health Information Management Association, AHIMA –CCS) for a minimum of 2 years. CRC (Certified Risk Coder) certification obtained within 6 months of date of employment. This is not a remote position. Preferred Education and Experience:  Knowledge of GE-IDX, Epic,& Cerner for retrospective or concurrent documentation reviews. Essential Functions Demonstrate a contribution to the department’s operation (Practice Assessments, retrospective &/or concurrent documentation reviews) and goals/targets for the year. Maintain monthly log of activity. Prioritize...

Elevate your expertise! Join UASI today and work with the top HIM experts in the industry. The remote coding positions at UASI allow HIM professionals to have the best of both worlds: a challenging opportunity to utilize and enhance current coding skills and the convenience of working from home. We are currently seeking an experienced Coding Specialists to code a variety of profee records (for both inpatient profee and outpatient profee) for a variety of specialties. The ideal candidate will be flexible, detail-oriented, have the ability to work independently, quality conscious and be able to adapt well to change. Additional qualifications include: AHIMA or AAPC certification.   A minimum of three years' experience coding multi-specialty profee records. Technical competency with remote-based connectivity including virtual private networks, multi-factor authentication via smartphone, and video conferencing platforms. Proficiency with office software...

This position is responsible for the abstracting, coding, and interpreting of outpatient clinic and provider services for professional or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position is not responsible for providing care to patients. Responsibilities Reconciles clinic or provider visits and reports on missing, incomplete, or inconsistent documentation by contacting the appropriate personnel. Reviews, abstracts, and codes multiple/sub specialty services and assigns appropriate coding classification. Interacts with and provides feedback to providers, hospital staff, and clinic managers on billing related issues. Researches and resolves high volume accounts and complex, suspended claims. Interprets and applies basic regulatory guidelines to coding and reimbursement decisions. Assures adherence to department quality and...

Physician Facilitator Services is looking for a full/part time Medical Biller. The position would be remote with an occasional on-site training. Experience preferred, no benefits, competitive pay, flexible hours. We are located in Naples / Fort Myers FL area. Duties and Responsibilities include the following.  Other duties may be assigned. 1.    Demographic Entry and Maintenance.* 2.    Charge posting.* 3.    Insurance claim submission.* 4.    Payment posting.* 5.    Appeals and working denials.* 6.    Review of aging charges for insurance and patient responsible accounts.* 7.    Act as liaison between provider and patients.* 8.    Work with collection agency to collect delinquent accounts.* 9.    Arrange payment schedules with patients.* 10.  Keep abreast of coding and billing policies from payers and government entities reporting such findings of changes to provider.* 11.  Report to supervisor any concerns...

Department of Orthopedic Surgery at Columbia University Irving Medical Center is looking for a CPC Coding & Billing Specialist! Job Type: Officer of Administration Bargaining Unit: Regular/Temporary: Regular End Date if Temporary: Hours Per Week: 35 Standard Work Schedule: Building: Salary Range: $63,700 - $65,000 The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.   Position Summary The CPC Coding & Billing Specialist will be responsible for the review and resolution of all coding related prebilling edits and/or rejections to ensure prompt and accurate reimbursement. This position initiates medical record reviews and recommends...

HCCS currently has multiple full-time and part-time openings for experienced and certified Pro Fee and Pro Clinic/Outpatient Coders. The ideal candidate will need to have three plus years of current medical coding experience in coding Pro Fee/Clinic charts, along with a current coding credential from AHIMA or AAPC (CCA and CPC-A credentials are not accepted).   Full-time candidates will be expected to work 40 hours per week, M-F. Part-time candidates will be expected to work 20 hours per work week, S-M ** Sign-on Bonuses Available** Position Requirements:   Current coding certification from AHIMA or AAPC   CCA and CPC-A not accepted   Three or more years of coding experience in Pro Fee IP/OBS/SDS and/or Clinic/Outpatient Coding   Three or more years of E/M Leveling experience   Recent experience in production coding within the past six months   Proficiency in coding using the 2023 coding...

Are you passionate about transforming data into actionable insights and driving software solutions forward? Alpha II seeks a skilled Healthcare Billing & Coding Research Analyst to join our dynamic team! In this role, you will be instrumental in the growth and maintenance of our software solutions by researching industry trends, analyzing data sets, and identifying opportunities for enhancement. Your role will involve quantitative and qualitative analysis, a process-oriented mindset, and collaborative teamwork.  Ideal candidates will bring at least 3 years of hands-on experience in Healthcare Billing and Coding or AR Recovery, demonstrating strong technical skills and a deep understanding of the healthcare and health insurance sectors.  If you excel at interpreting complex technical information and defining business requirements, we invite you to contribute your expertise and help us innovate in a fast-paced environment. Responsibilities: • Work closely with...

We're GROWING! Ready to make a difference for hospitals while working from home? Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We’re powered by people, driven by technology, and dedicated to our clients and employees. If you’re looking for a collaborative and diverse culture with a great work/life balance, look no further.    Revecore Perks:   We offer paid training and incentive plans Our medical, dental, vision, and life insurance benefits are available from the first day of employment   We enjoy excellent work/life balance  Our Employee Resource Groups build community and foster a culture of belonging and inclusion  We match 401(k) contributions  We offer career growth opportunities   We celebrate 12 paid holidays and generous paid time off    Location: Remote –...

MEDICAL BILLING SPECIALIST Are you a detail-oriented professional with a passion for making a difference? Join our team as a Medical Billing Specialist!  In this role, you will play a vital part in our mission to provide care and healing to children who have experienced abuse or trauma, as well as support their families. The Medical Billing Specialist role demands an experienced and dynamic professional with a deep understanding of efficient claim processing, reimbursement optimization, and denial management. Ensuring accuracy and compliance with all relevant regulations is crucial in this position, as it directly impacts our ability to provide essential services to children in need. QUALIFICATIONS Three (3) years in the healthcare industry Education Requirements Preferred: Associate degree Required: High School Diploma or GED Preferred Certifications Medical billing and coding Certified Medical...

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.    As our Revenue Integrity Facility Coding Auditor , you will review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on services provided (CPT/HCPCS codes). The Auditor must have a comprehensive understanding of medical terminology, coding, contractual agreements, and various payment methodologies.   This position requires good time management skills and the ability to work independently.   Here’s what you will experience working as a Revenue Integrity Facility Coding Auditor...

3-physician General Surgery office in rural northern Idaho seeking a certified coder/biller with experience in coding and billing operative reports from the hospital, surgery center and office.  Some coding/billing of hospital evaluation & management records will also be necessary. JOB DESCRIPTION Review and abstracting of medical record documentation to enable accurate assignment of ICD-10 diagnoses and CPT codes and modifiers.  This will include operative reports and procedures performed in the hospital, surgery center and office locations.  Will also include hospital E&M encounters and consultations. Follow standard coding and billing guidelines. Adhere to all compliance regulations. Creation of claim forms with correct billing & coding information, and transmission of these claims via clearinghouse. Familiarize and adhere to payers' medical policies, guidelines, and billing requirements. Contact physician when conflicting, ambiguous, or missing...

Job Title: CIRCC Coder/Auditor (Must have an active CIRCC Certification) Department: Operations Reports To: Coding Manager FLSA Status: Non-Exempt/ Full-Time Salary: $36-40 per hour Job Summary StreamlineMD is seeking a highly skilled and detail-oriented CIRCC Coder to join our coding team. The CIRCC Coder is responsible for accurately coding and abstracting interventional radiology, cardiovascular procedures, and related services from medical records, ensuring compliance with established coding guidelines and regulations. This role is critical in supporting the revenue cycle by ensuring the correct coding and billing for complex procedures.   Essential Duties and Responsibilities Accurately code interventional radiology, cardiovascular procedures as assigned using CPT, ICD-10, and HCPCS coding systems in compliance with coding guidelines and payer requirements. This includes working knowledge of LCD, NCDs, NCCI manual and edits, MUE...