2177 jobs found

Coding Denial Specialist is responsible for investigating and resolving third-party insurance coding denials and edits.  The Coding Denial Specialist also assist in optimizing reimbursement by thoroughly researching and taking the appropriate action to resolve all coding denials in a timely manner. Reviews and research coding denials that have been received as no payment/previous submitted claims with a denied or no response for payors and service areas Identifies root cause of the coding denial, resubmit claim and address/report the denial issue tothe the supervisor Assists in development of preventative measures in response to denial patterns identified by claims denial data and reviews Obtains and reviews medical records through EMR, site request or hospital portals for reconsideration purposes Utilizes all appropriate systems to effectively research claims and complete steps to submit information necessary to process or appeal denied claims Effectively utilizes...

As a contract ProFee Interventional Radiology Coder, you will be responsible for the review, interpretation and coding of medical records for assigned specialty. Duties Include: Assign appropriate diagnosis, procedure, modifier and other codes, such as quality codes, based on clinical documentation, utilizing correct coding conventions and established policies and procedures for assigned specialty. Meet or exceed departmental productivity and quality standards. Research and resolve client coding and documentation questions utilizing appropriate resources. Resolve pre-billing coding related edits for assigned clients. Interact with the client to resolve documentation insufficiencies prior to code assignment, when appropriate, for assigned clients.

INSPIRING HEALTHY LIVES through community   At Natividad, our dedication to the people of Monterey County is at the heart of everything we do—from the health care services we provide to the specialized programs we promote. This commitment to our community spans more than 130 years and, more importantly, has touched countless lives. It has also earned us a Joint Commission ranking in the top percentile of hospitals nationwide. If you believe in inspiring healthy lives by focusing on community-based care, consider joining Natividad today.   TRAUMA REGISTRAR   Natividad may offer up to a $10,000.00 sign-on bonus to candidates hired into permanent, full-time positions.   Natividad is currently seeking two permanent, full-time Trauma Registrars in the Trauma Services Department. Under general supervision, successful candidates will identify, collect and abstract data for the trauma registry, National Trauma Data Bank (NTDB), Trauma...

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 3,500 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado.   We are seeking a motivated Medical Coding Auditor (Psychiatry) to join our Audit, Compliance & Education team.   The Auditor will provide formal and informal coding and regulatory education to all CU Medicine coding/charge capture staff, billing staff, all attending physicians, residents and APP providers involved with the billing for professional...

Hourly wage is commensurate with experience. Minimum Starting Wage: $27.70 per hour Ensures complete, accurate, timely and consistent coding, while adhering to published coding guidelines and system compliance policies. Actively supervises and monitors coding quality and accuracy. Assists manager ensuring employee work schedules sufficiently meet the requirements of the organization and the physician practices. Facilitates problem solving and collaboration within functional area(s) and/or physicians. Works closely with manager in addressing issues related to accurate/timely coding and documentation, and unbilled services. Responsible for ensuring accurate, complete, and timely coding of all professional services.  Responsibilities include but not limited to; performing provider/coder audits, education to coders, and attend provider meetings.  Reviews denials related to coding and assist with resolving issues. Demonstrates the ability to deal with pressure to meet...

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...

The Nurse Practitioner (NP) is responsible for assuring quality care and best practice for select cardiothoracic patients under the direct supervision of a physician. In particular, the NP will ensure patients receive appropriate and timely assessments, treatments, education, and disposition to support the quality initiatives of the cardiothoracic service line which reflects best practice. This objective includes, but is not limited to, the CMS, ACC, and top performers initiative.  Documentation of care will support care given.  The NP will work with the hospital staff to facilitate throughput for patient flow and timely discharge. The NP may perform his/her duties at St. Joseph’s/Candler health system where the physician regularly sees patients. He/she is not precluded from performing any functions delegated by the supervising physician which is included in the collaborative practice agreements and is consistent with the NP qualifications. Supervision means overseeing the...

Community Health Center of Snohomish County offers competitive wages and a comprehensive benefits package designed to address health, time off, retirement and career-advancement needs.  Benefits available include health insurance (medical/dental/vision), up to 120 hours of vacation time pro-rated by FTE every 12 months, paid sick leave, 10-paid holidays, 403(b) Safe Harbor retirement plan with employer match, disability and life insurance, and more! We also offer $0.75/hour for those who test proficiently in a second language. Job Summary The Risk Adjustment Coder maintains working knowledge of CHC billing policies and Medicaid, Medicare and other third party insurance billing and compliance requirements.  In addition, the Risk Adjustment Coder maintains a thorough knowledge of the automated billing system and provides technical training and support to CHC staff.  This position collaborates with Quality, Operational staff, providers, and outside agencies such as Medicare...

Position: Supervisor, Clinical Data/Medical Coding Department: Insurance Billing, Revenue Cycle Location: United States, Remote About This Role: In this key leadership position, you'll oversee a team of Clinical Data Specialists/Medical Coders, their duties, and processes within our rapidly growing, mission-oriented organization. This team is responsible for reviewing pre-claims for ICD-10 code discrepancies and using clinical charts to update or seek additional diagnosis information. Your leadership will drive the development of operational details behind the team's success, and your contributions will foster accurate outcomes, supporting our broader goal of impacting global healthcare delivery and excellence. You will play a crucial role in ensuring compliance with healthcare regulations and maintaining the integrity of our billing and coding processes. Responsibilities: Perform quality checks on team member work to ensure exceptional accuracy levels and...

Riverside University Health System (RUHS) s eeks a Coding Compliance Auditor ( Administrative Services Manager I),  to support the health system's Corporate Compliance Department. The Compliance Auditor will be responsible for reviewing inpatient and/or outpatient records for quality and comprehensive coding.  The incumbent reviews records regarding coding regulations and compliance and provides feedback and education to coders and/or physicians.  The Compliance Auditor is responsible for performing annual, periodic or other focused medical record audits as requested to oversee the quality and accuracy of physician, inpatient and outpatient coding and documentation. This position requires effective communication with all RAC stakeholders and excellent organizational skills to ensure timeliness and accuracy of response requests, as well as continual program development through training and process improvement.  The incumbent should have experience creating and delivering...

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.  ** Sign-on Bonuses Available ** ** Holiday Pay ** ** Approval of Pre-Hire PTO ** 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 guidelines and MDM...

Preferred coding experience with EMERGENCY ROOM, INFUSIONS, and/or SAME DAY SURGERY. This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/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 codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for providing care to patients. Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. Responsibilities Performs the final reconciliation on clinic or provider visits...

We are seeking a detail-oriented and organized medical coder to join our growing team. In this position, you will play a key role in reviewing and analyzing medical billing and coding for processing. You will review and accurately code from medical records provided for services. Please do not apply if you are looking to work remotely as this is an in-house position in Reno, NV.  Wage depends on experience. Medical Coder Duties and Responsibilities Receive and review patient charts and documents for accuracy Ensure that all codes are current and active Report missing or incomplete documentation Meet daily coding production Update and maintain document lists Performs accurate charge entries Ensure proper coding on provider documentation Serves as resource regarding insurance resolutions and coding questions Handles co-pays, balances, and charge posting Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations...

We are seeking 3 coders who have a solid coding background with denial management experience. This position involves reviewing coding denials, making corrections and needed, claim corrections and appeals. Must be certified and have a good understanding of coding guidelines and regulations. 

Remote coding positions available. Contract, PT and FT MUST have 2 years of experience in specialty and certifed

We are seeking an in house (not remote) skilled and detail-oriented Medical Coder in the Morristown, NJ area with extensive experience in hospital, outpatient, and procedure billing. The ideal candidate will bring a strong understanding of medical billing processes, coding, and compliance regulations. Responsibilities: Accurately process and submit claims for hospital, outpatient, and procedure services. Collaborate with healthcare providers and insurance companies to expedite billing and payments. Stay updated on coding changes and billing policies, ensuring compliance with industry standards. Qualifications: Minimum of 2-4 years experience in medical billing, with specific expertise in hospital, outpatient, and procedure billing. Knowledge of medical terminology, CPT/HCPCS, and ICD-10 codes. Familiarity with billing software and electronic medical records (EMR) systems , specifically Epic Strong attention to detail and ability to manage multiple...

SUMMARY : This incumbent is responsible for reviewing and analyzing physicians’ documentation, CPT, and ICD-9 and ICD-10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines   Job Duties & Essential Functions: Provide a variety of complex and technical assignments relating to medical coding. Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement. Resolve discrepancies on coding related issues. Review and correct rejected claims from various third party carriers. CPMP account notification/accounts receivable report (IDX), ICD-10 coding. Account maintenance – IDX pending report. Track all IDX record requests. Maintain PK files for validity errors. Monitor TES Open Encounter file....

Job Title:   Billing Director Summary of Duties :  R esponsible for designing, implementing and enforcing policies and procedures, as well as streamlining effective billing processes. This position is highly visible and requires a strong leader with the ability to prioritize, plan, and direct the department. Supervision Received :  Reports to Chief Financial Officer Essential Functions :  Works both autonomously and collaboratively in the performance of coordinating daily activities in the billing department: Oversee and streamline billing and collections processes Responsible for carrying out audits of current procedures and processes, discover billing / intake operations areas to improve on and effect the necessary actions Responsible for carrying out analysis of trends affecting coding, charges, accounts receivable, and collection, and report findings to coordinators Coordinates and directs the activities of billing operations...

This non-exempt Billing & Coding Specialist position will interact with insurance companies and with patients to ensure accurate, streamlined coding/ billing and payment posting. This position is responsible for job duties such as:  translating patient conditions and provider’s medical treatments into universal medical codes for translation by various parties, creation and submission of claims as well as assist in internal auditing of all billing and coding activities to ensure consistency, accuracy and completeness. Essential Duties, Functions & Responsibilities ·         Reviewing medical procedures/Progress notes as documented by providers & resources ·         Translating medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities ·         Transmitting coded patient treatment information to payers and other recipients ·         Coordinating insurance reimbursement of care providers ·...

Salary:   $25.80 - $30.70 per hour. Schedule:  24 hours a week, days/hours flexible (Hybrid schedule opportunity once training is complete) Benefit Highlights: Health Insurance (medical, dental and vision). 10 days PTO per year, up to 11 Paid Holidays, accrue 1-hour sick time for every 30 worked Retirement Plan with 6% match Fantastic work/life balance and opportunities for career advancement The Coder/Analyst must have the ability to perform ICD-10 and CPT coding per guidelines using EMR systems and assure documentation is complete for State and Federal requirements, AAAHC guidelines, GPRA, billing, and all other agency requirements. Duties: Provide technical guidance to physicians and other staff in identifying and resolving issues or errors. Evaluates medical record documentation and reports ensuring that codes and other documentation. Reviews state and federal Medicare visit claims for completeness and accuracy before submission to minimize...

Position : Program Director Location : Mid-Atlantic Work Requirements: 95% remote / In-person to J29 or client meetings (Baltimore, MD), as needed based. This role will require quarterly travel to the Millersville, MD J29 office for (as estimated) four to five days per quarter. FLSA Status:  Full-Time, Exempt   Overview: J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as a healthcare management consulting company. Our team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinical expertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels. J29 was founded to be an...

Job Summary Under the guidance of the Manager Corporate Compliance and Privacy or Chief Compliance Officer and the Corporate Compliance Director/Privacy Officer the Provider coding compliance specialist. assist in coordinating all aspects of the Corporate Compliance program in the provider space. Is responsible for performing job duties in accordance with the mission, vision, and values of Tampa General Hospital. Essential Functions: Effectively identify, validate and ensure corporate compliance for providers through evaluation of billing patterns and routine audits. Track Provider coding audit results, pass rates, and training. Provide quarterly spreadsheets and reports to management. Acts has a liaison for the Corporate Compliance and Privacy department with stake holders and vendors throughout the enterprise. Completes provider claims audit review and summary. Completes claims audits associated with due diligence. Reviews clinical...

We are looking for a full time medical coding and billing specialist, to work on-site in Madison, GA. We require at least 1 year experience, thorough knowledge of ICD-10, CPT and HCPS coding and have EMR experience.  Job duties: Initiate and process claims Resolve denial instances Achieve maximum reimbursement for services provided Ensure proper coding on provider documentation Answering any billing questions from patients and staff Benefits include: 401K Dental Insurance Paid Time Off Employee Discount

Commitment to perform all job responsibilities in accordance with the philosophy and mission statement of USA.  Honest, ethical, professional behavior is a condition of employment.   Strives for optimal payment to which the physician is legally entitled, remembering that it is unethical and illegal to maximize payment by means that contradict regulatory guidelines. Avoid instances of “code gaming,” “unbundling,” and other improper activity designed to increase reimbursement.     Maintains a working knowledge of insurance requirements to achieve objective of furnishing prompt, accurate information to the correct payer    Maintains working knowledge of several hospital computer systems to obtain operative and pathology reports.     Coordinates all aspects of vascular/endovascular coding and billing to include ongoing education to the vascular physicians and employees, as well as training new...