Senior Specialist, Coding - Chart Audit/Behavioral Health - Remote Molina Healthcare IncSenior Specialist, Coding - Chart Audit/Behavioral Health - RemoteRemoteMonitors adherence to Molina''s compliance program, minimizing risks related to coding and billing practices, and protecting the business from liability related to fraudulent/abusive practices. Collaborates with cross-functional teams to support a variety of projects such as implementation of risk adjustment applications, development of reports, etc.
Revenue Integrity Liaison - Education/Auditing OU Medicine, Inc.Revenue Integrity Liaison - Education/AuditingWFH State of Oklahoma, OKFull timeSupport departments, clinics and providers with education on professional billing, charging, coding, registration, referral, and authorization workflows. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.
Cert. Medical Coder-UMCEPH Central Business Office University Medical Center of El PasoCert. Medical Coder-UMCEPH Central Business OfficeEl Paso, TXThe Certified Medical Coder accurately codes, sequences and abstracts outpatient medical records according to ICD-10-CM and CPT coding guidelines to achieve accurate and timely reimbursement and populate statistical databases. Certified Professional Coder (CPC); Certified Coding Specialist- Physician based (CCS-P); or Certified Billing & Coding Certification (CBCS) required.
Manager, Enterprise Professional Coding Denials University of VirginiaManager, Enterprise Professional Coding DenialsCharlottesville, VA$110,000–$138,432 / yearThe Denials Manager collaborates across the health system-including providers, coders, educators, clinical departments, and revenue cycle teams-to reduce avoidable denials, strengthen appeal strategies, and support organizational revenue integrity efforts. Experience leading denials prevention initiatives and managing denial workflows in an academic medical center or large integrated healthcare system strongly preferred.
Medical Coding Specialist - Hospital and Ambulatory Surgery Center MedHQ, LLCMedical Coding Specialist - Hospital and Ambulatory Surgery CenterWichita, KSRemoteWith a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ, LLC, menu of client services include Advisory, Client Human Resources, Client Accounting, Staff Credentialling, Clinical Staffing, and Revenue Cycle Services.
Integrity Analyst - PB Coding Quality Medical Specialties Advocate Aurora Health IncIntegrity Analyst - PB Coding Quality Medical SpecialtiesOak Brook, ILRemote$35.50–$53.25 / hourProviding care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.
Medical Coding Specialist - Wound Care MedHQ, LLCMedical Coding Specialist - Wound CareWichita, KSRemoteFull timeWith a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service.
DRG Coding Auditor Principal Elevance Health IncDRG Coding Auditor PrincipalMason, OH$122,240–$183,360 / yearSpecializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.
Coding Auditor and Educator (Remote - WA Residents Only) Valley Medical CenterCoding Auditor and Educator (Remote - WA Residents Only)Renton, WARemoteJOB OVERVIEW: The Coding Auditor and Educator plays a key role in the orientation, auditing, and education of all healthcare providers involved in professional fee coding and documentation at Valley Medical Center. Must be able to interact professionally and effectively with a wide variety of people, including operations staff, providers, the general public, and departments in UW Medicine/Valley Medical Center (VMC).
Coding Quality Review Coordinator HCA HealthcareCoding Quality Review CoordinatorNashville, TNUpload Internal Audit initial communication tools, outcomes and accuracy results to manager/admin folder & individual CQRs' folder; create folders, set permission & site administrator. Maintains knowledge of tools and resources, and associated workflows to include: Computer Assisted Coding (CAC), Electronic Health Records (EHR's), and data capture systems.
Certified Medical Coder-UMCEPH Central Billing Office University Medical Center of El PasoCertified Medical Coder-UMCEPH Central Billing OfficeEl Paso, TXThe Certified Medical Coder accurately codes, sequences and abstracts outpatient medical records according to ICD-10-CM and CPT coding guidelines to achieve accurate and timely reimbursement and populate statistical databases. Certified Professional Coder (CPC); Certified Coding Specialist- Physician based (CCS-P); or Certified Billing & Coding Certification (CBCS) required.
Medical Coding Specialist - Dermatology and Orthopedics Clarity RCMMedical Coding Specialist - Dermatology and OrthopedicsTranslate clinical documentation into accurate ICD-10-CM, CPT, and HCPCS Level II codes, weighted heavily toward dermatology (biopsies, destructions, Mohs, excisions), with the ability to code orthopedic visits and procedures as needed. Validate provider notes against current E/M leveling guidelines on both office visits and procedure-heavy encounters, and go directly to practice managers and physicians when something is incomplete or ambiguous.
Medical Coding Specialist - ASC Cardiology Coder MedHQ, LLCMedical Coding Specialist - ASC Cardiology CoderWichita, KSRemoteWith a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. Assign appropriate CPT, ICD-10-CM, and HCPCS codes for outpatient cardiology procedures, including diagnostic tests, invasive procedures, and interventional cardiology cases performed in an ASC setting.
NewCoder III (Remote) (Medical Coding Specialist, Certified Professional Coder, Medical Billing and Coding Specialist, Inpatient Coding Specialist) Augusta Health CareersCoder III (Remote) (Medical Coding Specialist, Certified Professional Coder, Medical Billing and Coding Specialist, Inpatient Coding Specialist)Fishersville, VirginiaRemoteUnder the direction of the Health Information Management Director and the Coding Manager, the Coder III follows all regulatory guidelines in the reporting and sequencing of ICD-10-CM and PCS codes for all patient accounts, generates coding queries to physicians to clarify patient condition(s) when conflicting or ambiguous information is reflected in the patient record, understands their role in quality performance measures, and serves as a resource to the Business Office in the reconciliation and resolution of problematic accounts. We offer a full continuum of inpatient and outpatient services, including Augusta Medical Center—a 255-bed facility—and Augusta Medical Group, which operates 40 practice locations and four urgent care centers.
NewLead Software Engineer - AI Coding NYU Langone Medical CenterLead Software Engineer - AI CodingNew York, NY$121,792.21–$166,950 / yearFull stack development capabilities - Expert knowledge of both front end (HTML, CSS, Javascript, React) and backend (Python, PHP) scripting languages for feature development, unit testing, instrumentation and debugging. Expert knowledge of relational database technologies designing normalized relational schemas, creating schemas, indexes, writing sql queries and troubleshooting performance issues (web and service).
Medical Coding Specialist Capital Rx, Inc.Medical Coding SpecialistNew York, NY$70,000–$85,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Remote Medical Coding Review Consultant HEALTH INFORMATION ASSOCIATES, INC.Remote Medical Coding Review ConsultantRemoteReviews additional chart documentation to validate admission order, admission and discharge dates, point of origin, patient status, present on admission indicator, and coder queries to ensure accuracy. Uses various software applications, groupers, 3M and other coding tools to analyze and ensure appropriate codes, sequencing and edits.
Medical Coding Specialist - Profee Surgery Coder MedHQ, LLCMedical Coding Specialist - Profee Surgery CoderWichita, KSRemoteWith a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ, LLC, menu of client services include Advisory, Client Human Resources, Client Accounting, Staff Credentialling, Clinical Staffing, and Revenue Cycle Services.
Medical Coding Specialist OneOncologyMedical Coding SpecialistRemoteOneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Coding Provider Liaison Four Winds HealthCoding Provider LiaisonAtlanta, GAPart timeThe Coding Provider Liaison (Professional Coding Auditor & Educator) works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges.