Coding Specialist III Parkland HospitalCoding Specialist IIICoach other coders by training and advising on coding and abstracting according to ICD-10-CM/PCS conventions and guidelines, responding to coding inquiries, reviewing and noting coded charts, providing feedback and monitoring chart corrections to ensure that noted changes have been made to facilitate coding consistency, accuracy, efficiency and appropriate billing and reimbursement. Facilitate a positive working relationship with management, coders, physicians, nurses, medical staff, COPCs, Financial Control, Business Services and hospital employees, to ensure that medical record information is documented and coded according to established conventions and Parkland's policies and guidelines.
Coding Specialist I, II Southcentral FoundationCoding Specialist I, IIAnchorage, AK$22.99–$30.66 / hourThe Coding Specialist has knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCs), and International Classification of Diseases, 10th Revision (ICD-10) as well as knowledge of anatomy, physiology, and medical terminology necessary to correctly code provider diagnosis and services. Qualifications: SCF programs are established to serve a primary population comprised of Alaska Native people who are affiliated with Cook Inlet Region, Inc. (CIRI) and Alaska Native and American Indian people within SCF's geographical service area.
NewCert. Medical Assistant FT-UMCEPH Nexus Neurosurgery West University Medical Center of El PasoCert. Medical Assistant FT-UMCEPH Nexus Neurosurgery WestEl Paso, TXEnters medical, social histories and performs intakes and discharges on all patients to assist Healthcare Providers. Takes and records vital signs prepares patients for examination, draws blood, and administers medications.
Medical Billing Specialist MONARCH MEDICAL MANAGEMENT LLCMedical Billing SpecialistMetairie, LAMonarch Medical Management, a multispecialty medical management organization, is seeking an experienced Medical Billing Specialist with strong expertise in orthopedics, neurology, pain management, physical therapy, and chiropractic services. Investigate denial causes including coding errors, authorization issues, medical necessity, timely filing, COB, bundling edits, and documentation gaps.
Coding Support Specialist - Healthcare Partners Investments United Surgical Partners InternationalCoding Support Specialist - Healthcare Partners InvestmentsOklahoma City, OKDuties include, but not limited to, maintaining and coordinating physician coding logs, inputting charges from coded charge tickets, data entry as needed, coordinates retrieval of dictation reports on outstanding accounts, ensures all records completed for month end and tracks all outstanding accounts pending completion of the coding process. * Contacts physician offices if need procedures dictated, entry of insurance information, cases built, authorizations noted, encounter numbers created or other information necessary to complete charge entry.
Medical Billing Representative CRISIS CENTER OF TAMPA BAY, INC., THEMedical Billing RepresentativeTampa, FLThe Crisis Center of Tampa Bay brings help, hope and healing to people facing serious life challenges or trauma resulting from sexual assault or abuse, domestic violence, financial distress, substance abuse, medical emergency, suicidal thoughts, emotional or situational problems. Valuing & Fostering Diversity - Demonstrates respect for individual differences and establishing a climate where all people can be comfortable and productive through sensitivity, empathy, and acceptance of cultural, racial, mental health, and socio-economic diversity.
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.
ACCOUNTS RECEIVABLE SPECIALIST - MEDICAL BILLER University Health Services IncACCOUNTS RECEIVABLE SPECIALIST - MEDICAL BILLERDENISON, TXOperating acute care hospitals, behavioral health facilities, outpatient facilities, and ambulatory care access points, an insurance offering, a physician network, and various related services located all over the U.S. States, Washington, D.C., Puerto Rico, and the United Kingdom. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims, and maximize opportunities to enhance front-end claim edits to facilitate first pass resolution.
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.
Inpatient Hospital Coding Specialist III West Virginia University MedicineInpatient Hospital Coding Specialist IIIMonroe County, WVReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10-CM, ICD-10-PCS, CPT, or modifier codes for each diagnosis and procedure that is identified (inpatient and IRAD). Responsible for obtaining accurate and complete documentation in the medical record for accurate coding/MS-DRG assignment, severity of illness and risk of mortality for each medical record.
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.
NewHCC Coder PedIM HealthcareHCC CoderLecanto, FLYou will be responsible for reviewing medical records, identifying appropriate HCC diagnoses, ensuring documentation integrity, and collaborating closely with providers and clinical teams to optimize RAF scores and coding accuracy. We are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community.
RN Coding Reimbursement Specialist Endeavor HealthRN Coding Reimbursement SpecialistWarrenville, IL$36–$55.80 / hourOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. We are seeking a detail-oriented and highly skilled RN Charge Review Analyst to oversee and ensure the accuracy of facility charging for various clinical departments, including but not limited to the Emergency Room (ER), Immediate Care Centers, Cancer Center and Infusion Services.
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.
NewCoding Coordinator Highmark IncCoding CoordinatorPAJob Description: GENERAL OVERVIEW: Under minimal supervision assists Coding Management in coordinating coding and charging activities within the scope of the coding Department including: day-to-day communication with vendors, managing Epic work queues, investigating and completing coding updates and corrections, coordinating appeals, denials, and rebills, creating and maintaining complex Excel worksheets. Serves as the HIM Epic Super-user for coding, and works closely with Epic analysts to support coding and charging workflows, integrated 3M encoder, testing and upgrades.
HIM Coding Editor Specialist I Parkland HealthHIM Coding Editor Specialist IRemoteMay assist other coders by training and advising on coding and abstracting according to ICD-9-CM conventions and guidelines, responding to coding inquiries, reviewing and noting coded charts, providing feedback and monitoring chart corrections to ensure that noted changes have been made to facilitate coding consistency, accuracy, efficiency and appropriate billing and reimbursement. Stays abreast of the latest developments, advancements, and trends in the field of coding and abstracting of medical records by attending in service training, coding meetings, seminars/workshops, actively participating in professional organizations, and maintaining licensure.
Coding Specialist III Parkland HealthCoding Specialist IIICoach other coders by training and advising on coding and abstracting according to ICD-10-CM/PCS conventions and guidelines, responding to coding inquiries, reviewing and noting coded charts, providing feedback and monitoring chart corrections to ensure that noted changes have been made to facilitate coding consistency, accuracy, efficiency and appropriate billing and reimbursement. Facilitate a positive working relationship with management, coders, physicians, nurses, medical staff, COPCs, Financial Control, Business Services and hospital employees, to ensure that medical record information is documented and coded according to established conventions and Parkland’s policies and guidelines.
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required) Excellus BCBSPayment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required)Rochester, New YorkMinimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems.
NewMedical Billing Specialist Center for Advanced Eye CareMedical Billing SpecialistWilmington, DEWhat You'll Need: Two years of full-time medical billing experience, which includes proficiency working in electronic health record systems, CPT and ICD-10 coding, posting payments and clinic billing; OR an equivalent combination of related training and experience. We are aligned to ensure our communities can access patient-centered, medically oriented full service eyecare delivered in convenient locations with friendly, knowledgeable doctors and staff.
Medical Billing Specialist - Follow up & Collections III/IV PHI HealthMedical Billing Specialist - Follow up & Collections III/IVPhoenix, ArizonaUnderstand insurance regulations and guidelines to include CMS guidelines in order to effectively discuss outstanding claims with payers related to slow payments, underpayments, denials and to ensure claims are processed compliantly and paid appropriately. Under the direction and supervision of the Team Operational Coordinator (TOC), the Follow Up & Collections III position performs all collection tasks as assigned utilizing collection processes with a high level of knowledge, skills, abilities, and experience.