Coding Quality Education & Improvement Specialist- Outpatient Mass General BrighamCoding Quality Education & Improvement Specialist- OutpatientSomerville, MassachusettsThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. This role ensures that coding professionals have the knowledge and skills required to accurately assign medical codes, maintain compliance with coding guidelines, and contribute to the revenue cycle management process.
Medical Coding Appeals Analyst Elevance HealthMedical Coding Appeals AnalystIndianapolis, IndianaWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Coding Lead Renown HealthCoding LeadReno, NVLicense(s): Certification(s): CCS or RHIA/RHIT with a minimum of four years of facility coding experience is required Computer / Typing: Must possess, or be able to obtain within 90 days,the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-9-CM/ ICD-10-CM diagnostic codes and procedural codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers.
PT Instructor Pool - Medical Coding Specialist Program Madison Area Technical College DistrictPT Instructor Pool - Medical Coding Specialist ProgramDCMadison College offers degrees, diplomas, apprenticeships and certificates in Architecture & Engineering; Arts, Design & Humanities; Business; Construction, Manufacturing & Maintenance; Culinary, Hospitality & Fitness; Education & Social Services; Health Sciences; Information Technology; Law, Protective & Human Services; Science, Math & Natural Resources; and Transportation. This includes developing a relevant and progressive curriculum, designing and implementing effective learning strategies and environments, delivering instruction of high quality, assessing student learning, advising students, and participating in college service activities at the department, division and college levels.
Medical Coding Systems Analyst Unity Health InsuranceMedical Coding Systems AnalystMadison, WI$72,500–$90,600 / yearSelf-motivated, organized, with the ability to work independently to successfully investigate complex issues, and manage multiple tasks simultaneously and complete timely. Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.
Supervisor, Medical Coding University of RochesterSupervisor, Medical CodingRochester, New YorkWorker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation Range: $61,000.00 - $85,400.00 The referenced pay range represents the minimum and maximum compensation for this job. With general direction of the Manager, with latitude for independent judgment: 30% In collaboration with the Manager, the Assistant Manager plays a key role in driving revenue cycle results by effectively managing the assigned functional area and serving as the team’s coding specialist.
RCM coordinator (home health billing and coding) Pointwest Technologies CorpRCM coordinator (home health billing and coding)chicago, ILRCM Coordinator (Home Health Billing & Coding) – Remote (US-Based) Position Type: Full-Time | Work From Home Location: United States (Remote) About the Role: We are seeking a Revenue Cycle Management (RCM) Coordinator with proven experience in Home Health medical billing and coding . Key Responsibilities: Oversee and coordinate all aspects of the Home Health billing and coding cycle , from charge capture to claims submission and payment posting.
Inpatient Hospital Coding Auditor, Remote, Baptist Metro Square Baptist Health System IncInpatient Hospital Coding Auditor, Remote, Baptist Metro SquareJacksonville, FLRemoteCandidate must reside in the following approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, Wyoming. The Inpatient Hospital Coding Auditor Responsibilities include: Performs retrospective and concurrent Quality Assurance audits of Inpatient encounters for accuracy and compliance, appropriate MS-DRG and APR-DRG with adherence to the Official Coding Guidelines for Coding and Reporting utilizing ICD-10 CM and PCS classification.
Coding Coordinator ReGenesis Health CareCoding CoordinatorSpartanburg, SCReGenesis Health Care, a Federally Qualified Health Center (FQHC), is seeking an experienced Coding Coordinator to lead coding quality initiatives that support accurate reimbursement, regulatory compliance, and exceptional patient care. This is an excellent opportunity for a certified medical coding professional with leadership experience who enjoys collaborating with providers, improving workflows, reducing claim denials, and mentoring others.
Coding Integrity Specialist - Boynton Beach, Florida New York University School of MedicineCoding Integrity Specialist - Boynton Beach, FloridaBoynton Beach, FLRequired Licensure/Certification skills: Certified Coding Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC), Certified Outpatient Coding (COC). Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care.
Coding Appeals Specialist - Hospital Billing TriHealth IncCoding Appeals Specialist - Hospital BillingOHIn this role, you'll apply your expertise in ICD‑9, ICD‑10, DRG, CPT, CDI, and hospital billing to resolve complex denials, collaborate with payers, and craft effective appeals that support maximum reimbursement. TriHealth offers Coding Denials Specialists the opportunity to make a meaningful impact by protecting revenue, reducing financial loss, and ensuring accurate, compliant coding practices across the organization.
Manager Clinical Performance & Quality Coding (Nurse Practitioner or PA) Elevance HealthManager Clinical Performance & Quality Coding (Nurse Practitioner or PA)Wallingford, ConnecticutDevelop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures. Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.
Clinical Coding Auditor / Trainer Inteletech GlobalClinical Coding Auditor / TrainerRemoteOur onsite teams work directly with our clients to understand and analyze the current-state of problems and design specifically tailored conceptual solutions. As a marketing agency, our innovative digital strategies grab and hold people’s attention, and produce the communication and organizing tools needed for success.
Laboratory Coding and Billing Specialist CentraCare Health SystemLaboratory Coding and Billing SpecialistWillmar, MN$23.76–$35.64 / hourThe position serves as a key resource for patients, providers, clients, payers, and internal departments, resolving billing inquiries and supporting revenue integrity through accurate documentation, coding validation, audit support, and process improvement initiatives. The Laboratory Billing Analyst/Specialist is responsible for supporting laboratory revenue cycle operations by ensuring accurate, timely, and compliant billing for hospital, outreach, reference client, and non-patient accounts.
NewManager Clinical Performance & Quality Coding (Nurse Practitioner Or PA) Elevance HealthManager Clinical Performance & Quality Coding (Nurse Practitioner Or PA)Atlanta, GADevelop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures. Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.
Coding Specialist Texas Tech UniversityCoding SpecialistEl Paso, TXReviewing medical coding claim denials for correction and appeals within the AthenaIDX and Enterprise Task Manager (ETM) systems as assigned by the business office MPIP personnel, ensuring deadlines are met. Selecting and assigning the appropriate level of service for CPT, ICD-10-CM, HCPCS codes, and applicable Modifier(s) to specialty medical documentation for outpatient and inpatient medical coding and timely billing.
Manager of Coding Operations 2822-QHC ARM Shared ServicesManager of Coding OperationsBrentwood, TNRemotePart timeDemonstrates extensive knowledge of Official ICD-10-CM/PCS Coding Guidelines, UHDDS, MS-DRG and APR-DRG assignment methodologies, OPPS, IPPS, APC reimbursement methodologies, Coding Clinic, CPT Assistant, HCPCS Level II, Medicare Claims Processing Manual, Medicare Benefit Policy Manual, National Correct Coding Initiative (NCCI) edits, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and commercial payer coding and reimbursement requirements. Collaborates with facility leadership, Revenue Integrity, Patient Financial Services, Clinical Documentation Integrity (CDI), Charge Description Master (CDM), ancillary departments, and clinical leaders to resolve coding discrepancies, conflicting documentation, charge capture issues, HCPCS assignment questions, and reimbursement concerns.
NewTravel Ultrasound Tech - $2,495 per week in Golden, CO AlliedTravelCareersTravel Ultrasound Tech - $2,495 per week in Golden, COGolden, CO$2,495Required Certifications & Licensure:-Health Services\BCLS - Basic life support (Certification for Healthcare Providers).-Registered Diagnostic Medical Sonographer - Breast Specialty (RDMS (BR)) from American Registry for Diagnostic Medical Sonography (ARDMS). Preferred Certifications & Licensure:-N/A Required Education:-N/A Preferred Education:-N/A Required Certifications & Licensure:-Health Services\BCLS - Basic life support (Certification for Healthcare Providers).
Coding Specialist II, Psychiatry - Clinical Practice Services Medical College of WisconsinCoding Specialist II, Psychiatry - Clinical Practice ServicesWisconsinEmployees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic. Resolve edits for electronic charges, following established policies and procedures to ensure that all data elements (claim requirements – CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied.
Medical Coding Auditor Lawrence Memorial HospitalMedical Coding AuditorLawrence, KansasThe Medical Coding Auditor is responsible for conducting prospective and retrospective compliance reviews of documentation supporting codes reported by providers or facility coding to ensure accuracy in billing, maximize charge capture, and comply with Federal, State, payer, and institutional requirements. Analyze and evaluate medical record documentation and conduct coding/billing audits to assess the accuracy of CPT codes, diagnoses, and modifier assignments.