Coding Specialist Bayhealth Medical Center IncCoding SpecialistDover, DE$20.64–$30.97 / hourGeneral Summary: Under the supervision of the Coding Compliance Manager, the Coding Specialist is responsible for reviewing all aspects of the clinical documentation of services provided for the patient, including procedures, supply utilization, medications and infusions administered while in the Emergency Department to generate appropriate charge capture. Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton.
Coding Manager, Professional Bayhealth Medical Center IncCoding Manager, ProfessionalDover, DE$77,105.60–$119,537.60 / yearBayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. General Summary: The Professional Coding Manager is responsible for overseeing the professional claims coding team and ensuring accurate, efficient coding of patient records for billing, compliance, and reimbursement purposes.
Director, Client Coding Integration Ensemble Health PartnersDirector, Client Coding IntegrationDelawareThisroleservesasakeypartnerbetweenCodingOperations,RevenueCycle,ClientServices,Technology,Implementation,andoperationalleadershipteamstoensureseamlesscodingtransitions,operationalreadiness,compliance,andlong-termsuccess. Theidealcandidatewillbringdeepexpertisein professionalfee(physician)coding ,revenuecycleoperations,codingcompliance,providereducation,andclientrelationshipmanagement.
Engineer III - CICD Code Signing Automation (Remote) CrowdStrike IncEngineer III - CICD Code Signing Automation (Remote)DERemote$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.
Medical Biller/Certified Coder Bayhealth Medical Center IncMedical Biller/Certified CoderDover, DE$23.32–$34.97 / hourBayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. Preferred Education, Credential(s) and Experience: Education: Credential(s): Experience: To view a full list of all open position at Bayhealth, please visit: https://apply.bayhealth.org/join/ .
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)DE$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.
Medical Biller Delaware Medical Care PAMedical BillerSmyrna, DEFull timeAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Certified Coder Bayhealth Medical Center IncCertified CoderDover, DE$23.32–$34.97 / hourBayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. Translates diagnostic and procedural information into the International Classification of Diseases codes and sequences these codes in a manner which legitimately optimizes hospital reimbursement through the use of a computerized encoding and DRG grouper application.
Coder Bayhealth Medical Center IncCoderDover, DE$21.68–$32.52 / hourBayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. Translates diagnostic and procedural information into the International Classification of Diseases codes and sequences these codes in a manner which legitimately optimizes hospital reimbursement through the use of a computerized encoding and DRG grouper application.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistDE$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.
PFS/SBO Manager FutureSoft Consulting IncPFS/SBO ManagerDelaware City, DEAs the PFS SBO Manager, you will oversee the daily operations of the Patient Financial Services department, ensuring efficient management of billing, accounts receivable, collections, denial management, payment posting, and patient account resolution. This leadership position is responsible for overseeing all aspects of patient financial services, ensuring efficient billing operations, maximizing reimbursement, improving cash collections, and driving operational excellence throughout the revenue cycle.
Account Follow-Up Representative I Harris Computer SystemsAccount Follow-Up Representative IDover, DERemote$18–$26 / hourTimely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
Home Healthcare Medical Billing and Collections Home HealthHome Healthcare Medical Billing and CollectionsDelawareIJN Health Systems is a Skilled Home Health Agency in Chadds Ford, PA, looking for an individual to join our strong team of compassionate caregivers and provide billing, Coding, collections, and claim posting services. Our commitment to our patients and families is very simple: By helping our patients or loved ones continue living at home, we help you find peace of mind by providing compassionate, excellent services.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteDERemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.
PFS/SBO Manager FutureSoft ConsultingPFS/SBO ManagerDelaware City, DelawareAs the PFS SBO Manager, you will oversee the daily operations of the Patient Financial Services department, ensuring efficient management of billing, accounts receivable, collections, denial management, payment posting, and patient account resolution. This leadership position is responsible for overseeing all aspects of patient financial services, ensuring efficient billing operations, maximizing reimbursement, improving cash collections, and driving operational excellence throughout the revenue cycle.
Pfs/Sbo Manager FutureSoft Consulting IncPfs/Sbo ManagerDelaware City, DEAs the PFS SBO Manager, you will oversee the daily operations of the Patient Financial Services department, ensuring efficient management of billing, accounts receivable, collections, denial management, payment posting, and patient account resolution. This leadership position is responsible for overseeing all aspects of patient financial services, ensuring efficient billing operations, maximizing reimbursement, improving cash collections, and driving operational excellence throughout the revenue cycle.
Medical Director MPO CVS Health CorpMedical Director MPODE$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
Care Management Associate, Engagement Hub CVS Health CorpCare Management Associate, Engagement HubDE$18.50–$31.72 / hourStrong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members' needs and create behavioral change.
Informatics Consultant CVS Health CorpInformatics ConsultantDE$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
NewSenior Data Scientist - Clinical Informatics (Analytics Enablement) CVS Health CorpSenior Data Scientist - Clinical Informatics (Analytics Enablement)DE$83,430–$222,480 / yearExperience designing patient-centric data models, feature stores, and dashboards that aggregate longitudinal data across sources, including demographics, encounters, conditions, medications, labs, utilization, cost, and enrichment attributes. A&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses.