Coding Jobs in Essex Junction, VT
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.
Humana Inc
Georgia, VT
As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. Our modelis positionedto provide higher quality careand better outcomes for seniors by providinga concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships.
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.
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.
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.
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).
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.
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.
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.
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.
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).
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.
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. . .
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.
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.
Intermountain Health
$22.64 - $34.48 HOUR
Montpelier, VT
They provide mentorship to Claims Solution Specialists, and engage clinic leadership, providers, and other billing colleagues to participate in the continuous improvement efforts focused on increasing the efficiency and accuracy of the professional claims process. + Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
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.
Accuity
Burlington, VT
Applies definition of principal diagnosis for proper assignment of MS-DRGs, APR-DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Stays current with most recent coding changes and guidance from CMS, AHA Coding Clinics, AHIMA, Official Inpatient Coding Guidelines, as well as internal education from Physicians, CDI and Coding leadership.