Medical Policy & Coding Support Coordinator (CPC/CPC-A preferred) Blue Cross and Blue Shield AssociationMedical Policy & Coding Support Coordinator (CPC/CPC-A preferred)Des Moines, IARemotePerform monthly medical policy coding analyses and SAP BusinessObjects reports to identify and recommend necessary changes based on comparison to BCBSA reference medical policies, sentinel commercial health plan benchmarks and utilization patterns and implementation of claim system edits to support its intent. Support Medical Policy Team's operations, including creating and managing monthly Medical Policy production timelines, quarterly production timeline for N/R/D Code processing, maintaining Medical Policy material distribution lists, and filing external appeals.
NewAuditor Coding Specialist Remote Trinity HealthAuditor Coding Specialist RemoteDES MOINES, IARemoteDemonstrates professional, appropriate, effective and tactful written, verbal, and nonverbal communication with patient, families, medical staff, colleagues, vendors, and other departments throughout the continuum of care to promote continuity of care and services and enhance department image. Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings.
Supervisor Coding Quality UnityPoint HealthSupervisor Coding QualityWest Des Moines, IARemoteLicenses & Certifications: Required (upon hire): Certified in one of the following: Certified Coding Specialist (CCS), Certified Coding Specialist -Physician Based (CCS-P) Certified Professional Coder (COC/CPC), Certified Inpatient Coder (CIC), or Certified Professional Coder - Hospital Outpatient (CPC-H). This role is responsible for supervising day-to-day coding quality operations, coaching and mentoring team members, and assigning tasks to ensure that the teams resources are used effectively.
Hospital Coding Spec II - Cancer Center West Virginia University MedicineHospital Coding Spec II - Cancer CenterIAReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
Coding Quality Program Manager UnityPoint HealthCoding Quality Program ManagerWest Des Moines, IARemoteLicenses/Certifications: Required (one of the following): Certified Coding Specialist (CCS), Certified Coding Specialist -Physician Based (CCS-P) Certified Professional Coder (COC/CPC), Certified Inpatient Coder (CIC), Certified Professional Coder - Hospital Outpatient (CPC-H). The Manager will provide high quality operational management and analysis, while partnering with key organizational leaders to identify and achieve priorities, goals, and objectives of each initiative.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Des Moines, IAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Director of Coding UnityPoint HealthDirector of CodingWest Des Moines, IARemoteAs a leader within the System Services Revenue Cycle team, the Director of Coding is responsible for the strategic, operational, and regulatory leadership of UnityPoint Health's coding functions across hospital (facility) and physician (professional) services. Additionally, the Director is responsible for accurately reflecting the condition and treatments of our patients that impact reimbursement, ACO metrics, quality scores and several external reporting metrics based on the documentation in the health record.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystDes Moines, IARemoteFull 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.
Medical Billing Specialist West Des Moines OBGYN Associates, PCMedical Billing SpecialistWest Des Moines, IAFull timeResponsibilities include:Charge entry and claim submissionInsurance follow-up and payment postingReviewing and resolving claim denialsKnowledge of OB/GYN coding and billing guidelinesWorking accounts receivable and aging reportsVerifying insurance benefits and authorizationsEnsuring compliance with payor requirementsQualifications:Minimum 2 years if medical billing experience (OB/GYN preferred)Strong understanding of CPT, ICD-10, and modifiersExperience with insurance carriers, appeals and denialsAttention to detail and strong organizational skillsAbility to work independently and as part of teamCompetitive pay based on experience Please submit your resume for consideration The ideal candidate will have at least 2 years of experience in medical billing with strong knowledge of coding, insurance claims, and denial management.
Medical Billing Specialist I (Full-Time) ChildServeMedical Billing Specialist I (Full-Time)Johnston, IowaChild Serve is a leading pediatric healthcare provider with Iowa’s only children's specialty hospital, offering a variety of services and programs to meet each child’s unique needs. As a Medical Billing Specialist I , you’ll play a vital role at the heart of our healthcare operations, transforming complex billing processes into seamless, accurate submissions that keep everything running smoothly.
NewMedical Coder - Des Moines, IA Prime PhysiciansMedical Coder - Des Moines, IADes Moines, IAExperience Needed: 6-8 years of outpatient or inpatient coding experience Special Skills Needed: ICD-10-CM/PCS, CPT, HCPCS II, and Official Coding Guidelines. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.
Billing Representative II Primary Health Care IncBilling Representative IIDes Moines, IA$18.65–$23.32 / hourCompletes daily entry of inpatient demographics, ICD10 and HCPCS codes, and charges into EHR; ensures inpatient claims are completed by providers, and follows up as necessary on missing charge tickets. Works collaboratively with OCHIN Billing Services representatives, responding promptly to work queues and inquiries on accounts by patients or third-party payors.
NewReferrals Specialist Urology Center of IowaReferrals SpecialistClive, IAAs a healthcare Referrals Specialist, you will be an important part of promoting our mission to provide compassionate, world-class urologic care and exceptional experiences for our patients, employees and partners. Assist in office tasks related to managed care processes, including appointment scheduling and follow-up communication with patients and providers.
[Coder] Medical Records Technician Purposelink Recruitment[Coder] Medical Records TechnicianDes Moines, IowaMinimum 6–8 years of coding experience (outpatient or inpatient) This is significantly higher than typical requirements; 2–3 years does NOT qualify . Code outpatient encounters, ancillary services (radiology, lab), prosthetics, and ambulatory surgical episodes.
Financial Counselor Specialty Trinity Health CorporationFinancial Counselor SpecialtyDes Moines, IABachelor's degree or advanced certification or a combination of advanced training and/or certification (e.g., Registered Nurse, Licensed Practical Nurse, Certified Pharmacy Technician, Registered Health Information Technician, or medical coding certification through AHIMA or AAPC. Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings.
ABA Clinical Reviewer TriWest Healthcare AllianceABA Clinical ReviewerDes Moines, IARemoteFull 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.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistIA$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 ManagementDes Moines, IARemoteFull 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.
NewRevenue Cycle Representative II (Full Time) The Iowa ClinicRevenue Cycle Representative II (Full Time)West Des Moines, IAFull timeOpportunities to have fun with your colleagues, including TIC night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night… we could go on and on. Because as one clinic dedicated to exceptional care, we’re committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place.
Certified Medical Assistant (CMA) – Regional Drug Dependency Unit Akicita FederalCertified Medical Assistant (CMA) – Regional Drug Dependency UnitDes Moines, Iowa$50,000–$65,000 / yearThis role is responsible for assisting with patient care activities, performing routine clinical tasks, managing patient records, and supporting the overall operation of the unit, ensuring compassionate, culturally sensitive care for individuals undergoing substance abuse treatment. $50,000 - $65,000 a year Position Summary The Certified Medical Assistant (CMA) will provide clinical and administrative support to the healthcare team in the Regional Drug Dependency Unit (RDDU) at the Great Plains Area facility in Winnebago, NE.