Professional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA AL Capital HealthProfessional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA ALALRemote$29.27–$38.25 / hourFrequent physical demands include: Occasional physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion, Taste or Smell, Talk or Hear. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Compliance Consultant IV - Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV - Medical Coding - Risk AdjustmentAlabama, ALCompletes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
Senior Coding Associate - Customer Insights athenahealth IncSenior Coding Associate - Customer InsightsAL$77,000–$131,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantBirmingham, ALIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Inpatient Coding Auditor Huron Consulting GroupInpatient Coding AuditorPennsylvania, ALRemote$38.46–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes (ICD-PCS), MS-DRG, APR DRG, POA, SOI & ROM assignments.
Medical Assistant - Job Code: APC Kassouf Healthcare Solutions, LLCMedical Assistant - Job Code: APCHoover, Alabama$17–$19As a successful candidate, you will be responsible for obtaining patient records and test results, coordinating daily administrative tasks, preparing treatment rooms for examinations, and assisting our practitioners during medical procedures. A basic understanding of patient care, medical terminology, coding procedures, reference tools, and appropriate clinical pharmacology for medical assistant practice scope.
Charge Corrections Medical Coder Guidehouse IncCharge Corrections Medical CoderBirmingham, AL$38,000–$64,000 / yearFor example: emergency department visits, outpatient clinic visits, same day surgeries, diagnostic testing (radiology, imaging, and laboratory), and outpatient therapies (physical therapy, occupational therapy, speech therapy, and chemotherapy.). Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
Medical Billing Associate Seale Harris ClinicMedical Billing AssociateBirmingham, ALAt Seale Harris Clinic, our Billing Representatives prepare bills / invoices, and record amount due for medical procedures and services, contact patients in order to obtain or relay account information verify accuracy of billing data and revise any errors, review and retain medical records in order to compute fees and charges due, facilitates the accurate and timely entry of daily charges, accurately posts patient and insurance payments, maintains proper quality control to ensure all charges and payments have been entered. Qualified candidates will have a High School Degree or equivalent and a minimum 3-5 years physician office experience in the area of billing and coding.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)AL$43,888–$102,081 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Billing Specialist Community Health Systems IncBilling SpecialistBirmingham, ALThe Billing Specialist II is responsible for managing complex billing functions, ensuring timely and accurate claims processing, and resolving issues related to insurance payments and account balances. Reviews and corrects claim filing edits in electronic health record (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med).
Billing Supervior Seale Harris ClinicBilling SuperviorBirmingham, ALKnowledge, Skills, Abilities and Competencies: Experience in medical billing and coding in a primary care practice Experience in management Proven interpersonal, analytical, and troubleshooting skills. Excellent communication skills Experience with EHR, medical billing and coding software and developing policies and procedures.
DME Manager / Biller tmcDME Manager / BillerBirmingham, AlabamaFull timeCommunicate with patients, insurance companies, and healthcare providers regarding billing inquiries and disputes. Experience with equipment orders, inventory, customer service and knowledge of DME regulations and billing are required.
NewPatient Safety DRG Clinical Validation Auditor Elevance HealthPatient Safety DRG Clinical Validation AuditorTexas, AL$86,560–$129,840 / yearPreferred skills, qualifications and experiences: One or more of the following certifications are preferred: Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Certified Medical Coder MainStreet Family Urgent CareCertified Medical CoderBirmingham, ALAs we continue expanding access to high-quality healthcare in rural communities throughout the Southeastern United States, we are seeking a Certified Medical Coder to support accurate and compliant coding across our clinics. This role plays an important part in ensuring clinical documentation is translated into accurate billing codes that support timely reimbursement and regulatory compliance.
Revenue Integrity Specialist UAB St. Vincent'sRevenue Integrity SpecialistBirmingham, AlabamaMinimum of three years of experience in billing, charge documentation, charge audit, or charge capture activities, or other functions related to revenue cycle activities. With five hospitals and numerous clinics, we're a health care community deeply rooted in compassion, service, and respect for all, guided by the rich legacy of the St.
Insurance Claims Representative Alabama OncologyInsurance Claims RepresentativeBirmingham, ALReceives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments. Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving billing problems and answering patient inquiries.
Senior Claims Adjudicator Naphcare, Inc.Senior Claims AdjudicatorBirmingham, AlabamaFull timeUtilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need.
Medical Support Assistant (Patient Registration) US Department of Health and Human ServicesMedical Support Assistant (Patient Registration)Birmingham, AL$37,193–$59,671 / yearGS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Performed patient registration, admission, discharge, and transfer duties by obtaining and verifying demographic, insurance, eligibility, and alternate resource information. GS-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Assisted with patient registration, admission, discharge, and transfer duties by obtaining and verifying demographic, insurance, eligibility, and alternate resource information.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistAL$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
Retinal Camera Operator - Eye Exam Specialist GuidehealthRetinal Camera Operator - Eye Exam SpecialistBirmingham, ALRemoteWorking in a field-based role, traveling to provider practices and patient homes for scheduled eye exam appointments, while engaging virtually with team members, internal partners, customers, providers, payers, and care teams on non-appointment days. Success in this role requires comfort operating specialized retinal imaging equipment (full training and camera provided), strong attention to detail, and a willingness to travel daily to provider practices for scheduled eye exam appointments.