Observation Coding Specialist (w/ I&I) CorroHealthObservation Coding Specialist (w/ I&I)MissouriRemoteAccurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Profee Coding Specialist CorroHealthProfee Coding SpecialistTexasProfessional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS.
NewOffice Coding Specialist - Family Medicine CorroHealthOffice Coding Specialist - Family MedicineTexasRemoteProfessional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Examples include: Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying, and create a basic pivot table.
Hierarchical Condition Category (HCC) Coding Specialist Highmark IncHierarchical Condition Category (HCC) Coding SpecialistPAThis job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals.
Medical Assistant / Reception / Medical Insurance Biller Anal Dysplasia Clinic MidWestMedical Assistant / Reception / Medical Insurance BillerChicago, ILWe are seeking a dedicated and multifaceted Medical Assistant to join our healthcare team, where you will play a crucial role in ensuring the smooth operation of our medical practice. - Communicate effectively with patients regarding medical instructions and follow-up care as instructed by healthcare providers.
Bilingual Medical Office Administrator with billing experience Muojicare Medical Center LlcBilingual Medical Office Administrator with billing experienceLas cruces, NM$13–$18 / hourFull timePosition Overview: The Medical Office Manager will be responsible for managing administrative operations, coordinating patient flow, and assisting with clinical support when needed. About Us: Muojicare Medical Center is a patient-focused healthcare practice dedicated to delivering high-quality care in a compassionate and efficient environment.
Risk Adjustment Coding and Outreach Speciallist Blue Cross Blue Shield of KansasRisk Adjustment Coding and Outreach SpeciallistTopeka, KansasRemoteUnder the direction of the Supervisor, Risk Adjustment Coding and Outreach, this position will be responsible for the ICD-10-CM diagnosis code capture for Affordable Care Act (ACA) and Medicare Risk Adjustment initiatives to include CMS required Medicare and Commercial Risk Adjustment and Risk Adjustment Data Validation (RADV) audits. Performs medical record review to capture of all relevant diagnosis codes included in the CMS and HHS Hierarchical Condition Categories (HCC) conditions for Commercial and Medicare Risk Adjustment Payment system.
Medical Billing and Patient Account Representative Ultimate Staffing ServicesMedical Billing and Patient Account RepresentativeAtlanta, Georgia$18–$25 / hourWe are seeking an experienced Medical Billing and Patient Account Representative to manage the billing, including charge entry and claims submission, as well as patient communication regarding their bills. Serve as a point of contact for patient billing inquiries and coordinate communication between patients, providers, and billing teams.
Accounts Receivable Specialist- Correspondence (On Site) St. Luke's Health Network, Inc.Accounts Receivable Specialist- Correspondence (On Site)Allentown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Medical- Front Office & Billing Specialist BirthCare & Women's Health LTDMedical- Front Office & Billing SpecialistAlexandria, VAFull timeBirthCare & Women’s Health is a freestanding birth center offering home and birth center services with a focus on safety, education, and family-centered midwifery care. Assure that initial contact information is completed in MacPractice when potential clients inquire and/or sign up for BirthCare Beginnings: Info and Tour Session.
Specialist, Medical Billing Rosalind Franklin University of Medicine and ScienceSpecialist, Medical BillingNorth Chicago, IL$18.51–$24.76 / hourRosalind Franklin University Health Clinics (RFUHC), a subsidiary of Rosalind Franklin University of Medicine and Science, combines compassionate care with state-of-the-art science to provide patients with high-quality medical services. The Billing Specialist is responsible for gathering charge information, coding, entering charges into billing software, resolving outstanding balances with patients, and third-party payers to bring resolution to accounts.
Medical Billing Manager Medical AssociatesMedical Billing ManagerDubuque, IowaAnalyze denial and aging trends, identify root causes, and implement corrective action with providers, clinical leadership, coding, registration, billing, and other revenue cycle teams to improve first-pass accuracy and reimbursement outcomes. Track, analyze, and report key revenue cycle indicators, including insurance A/R, denial trends, appeal outcomes, payer turnaround, underpayment trends, productivity, quality, clean-claim performance, and reimbursement results.
Coding Specialist - Hospital Services Gundersen Health SystemCoding Specialist - Hospital ServicesWisconsin, WIEmplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. We are seeking a detail‑oriented Coding Specialist to support accurate outpatient hospital coding and ensure compliance with ICD‑10‑CM, CPT, and HCPCS guidelines.
Physician Coding Auditor Orlando Health Ventures l LLCPhysician Coding AuditorOrlando, FLSkills Knowledge: • Strong research, organizational, multi-tasking, planning, problem-solving and critical thinking skills • Excellent collaboration, verbal, and written communication skills with providers, leadership, and team members • Excellent knowledge of medical terminology, CPT, ICD-10-CM/PCS and HCPCS coding principles, governmental regulations, protocols, and third-party payer requirements pertaining to billing, coding, and documentation • Expert Coding (CPT and ICD-10-CM) and auditing • Experience working with Electronic Medical Records, EPIC experience preferred • Excellent communication (written and oral) and interpersonal skills. Position Summary Department: Patient Accounting- Physicians Status: Full Time Shift:Remote Location: Orlando, FL Title: Physician Coding Auditor Summary: The Physician Coding Auditor performs coding related audits to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers.
Hospital Coding Spec II-PBB Clinic WVU MedicineHospital Coding Spec II-PBB ClinicReviews 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. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Hospital Coding Spec II - Cancer Center/Infusion WVU MedicineHospital Coding Spec II - Cancer Center/InfusionNorth CarolinaReviews 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. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Hospital Coding Spec II - Observation WVU MedicineHospital Coding Spec II - ObservationReviews 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. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Inpatient Hospital Coding Specialist II WVU MedicineInpatient Hospital Coding Specialist IIReviews 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. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
NewHospital Coding Spec II - Cancer Center/Infusions WVU MedicineHospital Coding Spec II - Cancer Center/InfusionsMarylandReviews 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. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
NewDialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNKalamazoo, MIOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.