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.
Profee Coding Specialist CorroHealth IncProfee Coding SpecialistTXProfessional 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.
Observation Coding Specialist (w/ I&I) CorroHealth IncObservation Coding Specialist (w/ I&I)MORemoteAccurately 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.
NewOffice Coding Specialist - Family Medicine CorroHealth IncOffice Coding Specialist - Family MedicineTXRemoteProfessional 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.
Senior Legal Billing Associate Kforce Inc.Senior Legal Billing AssociateNew York, NY$100,000–$115,000By clicking “Apply Today” you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs.
AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote 61st Street Service CorpAR Follow-Up Specialist III - Coding and Complex Denials #Full Time #RemoteFort Lee, NJRemote$28.72–$36.92 / hourThe AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and resolving complex coding-related denials and appeals in addition to following up on unpaid accounts with insurance companies and third parties. The Specialist III assists the unit supervisor and manager with complex cases, supports training efforts, and identifies denial trends to inform process improvements.
Medical Coding Specialist - ASC Cardiology Coder MedHQ, LLCMedical Coding Specialist - ASC Cardiology CoderWichita, KSRemoteWith a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. Assign appropriate CPT, ICD-10-CM, and HCPCS codes for outpatient cardiology procedures, including diagnostic tests, invasive procedures, and interventional cardiology cases performed in an ASC setting.
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.
NewRevenue Supervisor Sonora Quest LaboratoriesRevenue SupervisorPhoenix, AZReviews and analyzes reimbursement, aging and collection reports to ensure prompt resolution to escalated issues in accordance with departmental policies, procedures and generally accepted accounting principles as well as all applicable laws and regulations. Promote effective communication between reimbursements team and third party and government payer relations via in-person meetings, phone calls and written correspondence.\n.
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.
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.
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.
Dir. Reimbursement Strategy-Patient Accounting University Medical Center of El PasoDir. Reimbursement Strategy-Patient AccountingEl Paso, TXSeven years of progressively responsible experience in healthcare reimbursement, healthcare finance, revenue cycle, managed care, or reimbursement compliance, including a minimum of five years in a leadership role within a hospital, health system, academic medical center, payer organization, healthcare consulting firm, or related healthcare environment. The Director works collaboratively across a highly matrixed environment, including Revenue Cycle, Managed Care, Finance, HIM, CDI, Care Management, Compliance, IT, Operations, and Executive Leadership—to identify opportunities, resolve reimbursement challenges, and implement sustainable improvements.
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.
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.
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.
DRG Coding Auditor - MS-DRG and APR-DRG Elevance Health IncDRG Coding Auditor - MS-DRG and APR-DRGCosta Mesa, CA$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
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.