Monster
Coding and OASIS Reviewer - Hybrid

The University of Vermont Health Network

Colchester, VT

Applies knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis codes and makes corrections while collaborating with stakeholders and reference tools. • Quality Orientation – Comprehends and can explain technical and professional terminology, applies these skills appropriately and leverages these skills to solve difficult issues and identify opportunities for improvement to ensure accuracy and optimal outcomes.

2 days ago
Coder II - OP Physician Coding (Multi-specialties)

Baylor Scott & White Health

Montpelier, VT

The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.

10 days ago
Senior Inpatient Medical Coding Auditor Professional

Humana

$71100 - $97800 YEAR

Montpelier, VT

Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

30+ days ago
Senior Market Partnership Coding Professional

Humana

$78400 - $107800 YEAR

Montpelier, VT

The Senior Market Consultation/Partnership Professional engages and partners with internal risk adjustment coders, business stakeholders, physicians, physician groups, and market leadership to drive initiatives that relate to risk adjustment coding and documentation accuracy. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

3 days ago
Medical Coder - Arbitration

Maximus

Burlington, VT

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net).

30+ days ago
PB Coding Supervisor

Intermountain Health

$27.65 - $43.55 HOUR

Montpelier, VT

Qualifications • Preferred - High school diploma or equivalent • Required - CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician) • Required – Demonstrated experience in professional fee coding, including Evaluation & Management (E/M) services • Preferred - Minimum of two (2) years of professional fee coding experience, coding for assigned specific specialty service lines, prior supervisory experience, and previous Epic experience. Provide day-to-day support for coders including monitoring schedules/flex time, reviewing/approving timecards, ensuring adequate staffing levels, forecasting future resource needs, and action planning for areas outside of goal.

2 days ago
Team Leader - Medical (Remote)

Maximus

Burlington, VT

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you.

30+ days ago
Inpatient DRG Quality Auditor

Humana

$65000 - $88600 YEAR

Montpelier, VT

The Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

26 days ago
Patient Account Representative - Billing

Copley Hospital

$18.5 - $22.5 HOUR

Morrisville, VT

COLLECTIONS: Reviews posted remittance advices from assigned insurance carrier(s) within the timeframe established by department policies and procedures, appropriately following up on and resolving any rejections or other non-payments to ensure accurate posting of balances for reimbursement, deductible, co-pay, co-ins, contractual adjustment, non-covered charges, rejected claims, and any balance-billing to the patient or guarantor as appropriate. INSURANCE BILLING: Keeps self informed of billing policies and requirements of assigned insurance carrier(s) by regularly monitoring list-servs, carrier websites, maintaining open lines of communication with provider representatives, researching problem claims, and other means of staying informed that the assigned carrier(s) makes available.

11 days ago
Prior-Authorization Coordinator

Copley Hospital

$18.5 - $22.5 HOUR

Morrisville, VT

To be successful in this position you will need to thrive in a fast pace environment, be detail oriented, flexible, highly organized, self-motivated and muse provide outstanding service to both internal and external customers. Associates Degree or Certification in Medical Office Management, Medical Coding, or CRCS-I or an equivalent combination of education and experience from which knowledge and skills would be acquired.

23 days ago
International Services Billing Specialist - Veterans Evaluation Services

Maximus

Burlington, VT

Knowledge/Skills/Abilities: - Self-starter; - Familiarity with CPT codes for claim charges; - Advanced verbal and interpersonal skills; - Advanced written communication skills, to include excellent grammar; - Advanced reading and comprehension abilities; - Advanced analytical skills and detail-oriented; - Advanced multi-tasking skills; - Advanced organizational and prioritization skills, with strong ability to meet strict deadlines with minimal supervision; - Proficient typing skills; and - Proficient with Microsoft Word, Microsoft Outlook, Adobe Acrobat, general internet research, and beginner knowledge of Microsoft Excel Working Conditions: - Casual office environment, with some exposure to mild noise from office equipment and moderate noise generated by staff members; and - Frequently utilizes phone, fax machine, computer, printer, and copy machines. - Process Independent Medical Opinion payments; - Process VBA mileage/expense reimbursements checks for providers and facilities; - Process, investigate, and settle claims by Veterans that have been billed directly; - Attend meetings as required; - Process checks by stamping signature on checks, and verifying printed checks batch the EOB; and - Other duties as assigned.

30+ days ago
Coordinator 1 - Medical (State East)

Maximus

Burlington, VT

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Home Office Requirements: - Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net).

30+ days ago
Veterans Billed Specialist - Veterans Evaluation Services

Maximus

Burlington, VT

Knowledge/Skills/Abilities: - Self- starter; - Familiarity with CPT codes for claim charges; - Advanced verbal and interpersonal skills; - Advanced written communication skills, to include excellent grammar; - Advanced reading and comprehension abilities; - Advanced analytical skills and detail- oriented; - Advanced multi- tasking skills; - Advanced organizational and prioritization skills; - Proficient typing skills; and - Proficient with Microsoft Word, Microsoft Outlook, Adobe Acrobat, general internet research, and beginner knowledge of Microsoft Excel. Additional Duties and Responsibilities: - Evaluate, analyze and process payments to facilities for both VHA and VBA cases according to Medicare rates; - Answer internal and external calls pertaining to claim status and billed veteran issues; - Maintain communication with facilities in regards to obtaining outstanding or current claims; - Assist with any other areas within the billing department that the supervisor may require, such as return checks, EOP submissions, etc. and - Other duties as assigned.

30+ days ago
Lead ROI Medical Records Specialist - Remote

Sharecare

Montpelier, VT

Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. You will interact regularly with Management and keep them informed of any concerns or issues regarding quality, connectivity, client concerns etc., that may inhibit Sharecare HDS performance or service expectations for customers. .  .

11 days ago
Sr Compliance RCM & Coding Auditor

Humana

$86300 - $118700 YEAR

Montpelier, VT

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

3 days ago
Risk Adjustment Coder

Humana

$48300 - $65900 YEAR

Montpelier, VT

To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

2 days ago
Charge Capture Specialist II ED

Intermountain Health

$21.84 - $33.23 HOUR

Montpelier, VT

Coding certification through American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) e.g., Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Registered Health Information Administrator or Technician (RHIA OR RHIT), Certified Coding Associate (CCA) is required. We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

3 days ago
The Revenue Cycle Specialist II

Intermountain Health

$19.97 - $30.21 HOUR

Montpelier, VT

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. The Revenue Cycle Specialist II is responsible for performing a variety of complex duties, including working outstanding insurance claims follow–up for no response, unresolved from payors, and/or claim denials.

3 days ago