Medical Billing and Coding Specialist Apex StaffingMedical Billing and Coding SpecialistLittle Rock, ArkansasAccurately abstracts data and codes ambulatory surgery center procedures for reimbursement using ICD-10, CPT, and other applicable patient classification schemes. Medical Billing and Coding Certification with successful completion of medical terminology, anatomy, physiology, and coding courses in ICD-10-CM and CPT-4 preferred.
NewCoding Auditor - Ambulatory/Professional Coding/Profee Huron Consulting GroupCoding Auditor - Ambulatory/Professional Coding/ProfeeKentucky, AR$26.44–$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. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
Inpatient Certified Procedural Coding Specialist University Of Arkansas SystemInpatient Certified Procedural Coding SpecialistLittle Rock, ARThe specialist also reviews documentation for medical necessity, assigns working diagnoses and DRGs, identifies expected length of stay and Core Measure cases as applicable, and conducts periodic reviews throughout the patient's hospitalization. The Certified Procedural Coding Specialist - Inpatient reviews and interprets inpatient health records to identify diagnoses and procedures that impact the current hospital encounter.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystLittle Rock, ARRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
Inpatient Coding Auditor Huron Consulting GroupInpatient Coding AuditorKentucky, ARRemote$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.
Engineer III - CICD Code Signing Automation (Remote) CrowdStrike IncEngineer III - CICD Code Signing Automation (Remote)ARRemote$120,000–$180,000 / yearAbout the Role: On the Engineering Systems team at CrowdStrike, we operate and maintain many of the systems and services that support the build, test, signing, and deployment of our software to the cloud and to our customers, as well as providing consultation, troubleshooting, and engineering support for the creation and maintenance of the pipelines that provide those functions. We base all employment decisions--including recruitment, selection, training, compensation, benefits, discipline, promotions, transfers, lay-offs, return from lay-off, terminations and social/recreational programs--on valid job requirements.
LSC-Certified Life Safety Code Surveyor 22nd Century Technologies, Inc.LSC-Certified Life Safety Code SurveyorLittle Rock, ARThe Life Safety Code Surveyor conducts onsite evaluations of nursing and long-term care facilities to determine compliance with applicable CMS Life Safety Code and emergency preparedness requirements associated with participation in Medicare and Medicaid. The Surveyor evaluates the physical environment, fire protection systems, building features and related life-safety conditions using applicable CMS survey protocols.
MEDICAL BILLER/ RECEPTIONIST ASAP Personnel ServicesMEDICAL BILLER/ RECEPTIONISTLITTLE ROCK, ARThis role is essential in ensuring timely and accurate collection of payments from patients and insurance companies, contributing to the overall financial health of our medical practice. Manage accounts receivable for medical services rendered, ensuring timely follow-up on outstanding balances.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)AR$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.
Patient Safety DRG Clinical Validation Auditor Elevance HealthPatient Safety DRG Clinical Validation AuditorKentucky, AR$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.
Charge Master Analyst Sutter HealthCharge Master AnalystLittle Rock, AR$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Remote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistLittle Rock, ARKANSASRemoteIf you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services.
Experienced Data Analyst Gainwell Technologies LLCExperienced Data AnalystARRemote$81,100–$115,900 / yearThe Experienced Data Analyst - Medicaid Quality for Patient Centered Medical Home (PCMH) program role is an individual contributor position responsible for designing, computing, validating, and explaining healthcare quality measures used by state Medicaid agencies, Fee-For-Service (FFS) providers, and managed care organizations. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
ABA Clinical Reviewer TriWest Healthcare AllianceABA Clinical ReviewerLittle Rock, ARRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinker with the ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. General knowledge of TRICARE or other government health care programs; Knowledge in the application of clinical criteria: InterQual, ICD-10-CM, DSM, and CPT coding; Proficient with Microsoft Office.
Clinical Interpreter University of ArkansasClinical InterpreterLittle Rock, ArkansasCrouching, Feeling, Grasping, Lifting, Manipulate items with fingers, including keyboarding, Reaching, Repetitive Motion, Sitting, Talking, Walking . The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity.
Clinical Interpreter University Of Arkansas SystemClinical InterpreterLittle Rock, ARFrequent Physical Activity: Crouching, Feeling, Grasping, Lifting, Manipulate items with fingers, including keyboarding, Reaching, Repetitive Motion, Sitting, Talking, Walking. The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity.
Forensic Accountant - Healthcare Vivo HealthStaffForensic Accountant - HealthcareLittle Rock, ARContractorPreferred QualificationsAdditional forensic or fraud credentials (e.g., CFE, CFF, ABV, MAFF).Experience with healthcare-specific data sources and claims systems (e.g., 837/835 EDI, CMS data, EHR/practice management exports).Familiarity with the False Claims Act, Stark Law, Anti-Kickback Statute, and HIPAA.Proficiency with data analytics and visualization tools (e.g., SQL, Python, Power BI, Tableau, Alteryx).Experience prompting, evaluating, and validating LLM outputs for accuracy, bias, and reliability in a professional setting. In this role, you will investigate complex financial matters within healthcare organizations-including hospitals, physician groups, payers, and life sciences companies-and translate your findings into clear, defensible analysis that supports litigation, regulatory inquiries, and dispute resolution.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistAR$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.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementLittle Rock, ARRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Audit and Billing Compliance Specialist University of ArkansasAudit and Billing Compliance SpecialistLittle Rock, ArkansasPerforms specific audits outside the audit plan schedule as needed (to include, but not limited to, Office of Inspector General (OIG) audits, Medicare Administrative Contractor (MAC) audits, Recovery Audit Contractor (RAC) audits, Medicaid Integrity Contractor (MIC) audits, etc.). The Audit & Billing Compliance Specialist works under the general direction of the Clinical Billing Compliance Director and reviews medical records and billing system programs to determine coding and billing accuracy and to ensure that all federal and state guidelines for coding and billing are followed.