Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)AR$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Coder I LifePoint HospitalsCoder IHot Springs National Park, ARNational Park Medical Center, a 163-bed full-service hospital, is a forward thinking, innovative hospital where trust, teamwork and technology come together to make a positive difference in the health of our community and region. Where We Are: Live where others only get to vacation…Hot Springs, located in the gently rolling Ouachita Mountains, offers a unique combination of natural beauty, cultural life, and historical interest.
NewCoder Conway Regional Health SystemCoderConway, ARIf candidate does not possess any of the aforementioned credentials he or she will be given a year to acquire one of the credentials. Codes all records according to ICD-10-CM Official Guidelines for Coding and Reporting and CPT Coding Guidelines.
Medical Billing and Coding Specialist Apex StaffingMedical Billing and Coding SpecialistLittle Rock, ArkansasAccurately abstracts data and codes ambulatory surgery center procedures for reimbursement using ICD-10, CPT, and other applicable patient classification schemes. Medical Billing and Coding Certification with successful completion of medical terminology, anatomy, physiology, and coding courses in ICD-10-CM and CPT-4 preferred.
Program Administrator/MBS Clinical Reviewer - UAMS Health Benton/Bryant University Of Arkansas SystemProgram Administrator/MBS Clinical Reviewer - UAMS Health Benton/BryantBenton, ARPerform/coordinate administrative tasks related to senior medical student electives; educational activities planned for freshman and sophomore medical students; maintain student files to include correspondence, evaluations, and test scores; post and report grades in a confidential manner; ensure housekeeping and maintenance for student library and call room; prepare grant application for procurement of suture. Assist junior medical students by coordinating responses to student grievances or complaints; serving as a witness for meetings or counseling sessions with students as needed; being available to students for informal discussion and referring serious issues that may require involvement of the student mental health service or other counseling promptly to the clerkship director, and assisting as necessary in student emergencies.
Program Administrator/MBS Clinical Reviewer – UAMS Health Benton/Bryant University of ArkansasProgram Administrator/MBS Clinical Reviewer – UAMS Health Benton/BryantBenton, ArkansasPerform/coordinate administrative tasks related to senior medical student electives; educational activities planned for freshman and sophomore medical students; maintain student files to include correspondence, evaluations, and test scores; post and report grades in a confidential manner; ensure housekeeping and maintenance for student library and call room; prepare grant application for procurement of suture. Assist junior medical students by coordinating responses to student grievances or complaints; serving as a witness for meetings or counseling sessions with students as needed; being available to students for informal discussion and referring serious issues that may require involvement of the student mental health service or other counseling promptly to the clerkship director, and assisting as necessary in student emergencies.
Coding Auditor - Ambulatory/Professional Coding/Profee Huron Consulting GroupCoding Auditor - Ambulatory/Professional Coding/ProfeeKentucky, AR$26.44–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
NewPatient Safety DRG Clinical Validation Auditor Elevance HealthPatient Safety DRG Clinical Validation AuditorKentucky, AR$86,560–$129,840 / yearPreferred skills, qualifications and experiences: One or more of the following certifications are preferred: Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Charge Master Analyst Sutter HealthCharge Master AnalystLittle Rock, AR$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
NewCharge Audit Analyst Sutter HealthCharge Audit AnalystAR$42.41–$63.62 / hourPosition Overview: Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record.
Billing Specialist (Remote) BoozmanHof EyeBilling Specialist (Remote)Rogers, ARRemoteAt BoozmanHof Regional Eye Clinic, we have proudly served as Northwest Arkansas's trusted partner in eye care for more than 45 years. This is a full-time position working either remotely (prefer candidates in Arkansas or North Carolina) or in person (Rogers, AR).
Billing Specialist BoozmanHof EyeBilling SpecialistRogers, ARAt BoozmanHof Regional Eye Clinic, we have proudly served as Northwest Arkansas's trusted partner in eye care for more than 45 years. This is a full-time position working either remotely (prefer candidates in Arkansas or North Carolina) or in person (Rogers, AR).
Associate Coding Specialist ARCAREAssociate Coding SpecialistJonesboro, AREligible clinical team members may qualify for federal loan repayment programs through HRSA, including the National Health Service Corps Loan Repayment Program and the Nurse Corps Loan Repayment Program. Whether caring for patients in the clinic, supporting operations behind the scenes, or serving communities through outreach and education, our teams are united by a shared purpose: delivering compassionate, accessible care that improves lives.
Audit and Billing Compliance Specialist University Of Arkansas SystemAudit and Billing Compliance SpecialistLittle Rock, ARPerforms specific audits outside the audit plan schedule as needed (to include, but not limited to, Office of Inspector General (OIG) audits, Medicare Administrative Contractor (MAC) audits, Recovery Audit Contractor (RAC) audits, Medicaid Integrity Contractor (MIC) audits, etc.). Department's Website: Summary of Job Duties: The Audit & Billing Compliance Specialist works under the general direction of the Clinical Billing Compliance Director and reviews medical records and billing system programs to determine coding and billing accuracy and to ensure that all federal and state guidelines for coding and billing are followed.
Claims Coordinator State of ArkansasClaims CoordinatorLittle Rock, AR$57,351–$84,879 / yearPerform basic to intermediate claims data analysis, including filtering and aggregating large datasets, identifying trends and outliers, comparing provider billing patterns, calculating financial impacts, and developing audit samples. As a result of Governor Hutchinson's Transformation of State Agencies, the Department of Inspector General was created by joining together the Office of Internal Audit, the Fair Housing Commission, and the Office of Medicaid Inspector General.
CLAIMS COORDINATOR State of ArkansasCLAIMS COORDINATORLittle Rock, AR$57,351–$84,879 / yearPerform basic to intermediate claims data analysis, including filtering and aggregating large datasets, identifying trends and outliers, comparing provider billing patterns, calculating financial impacts, and developing audit samples. As a result of Governor Hutchinson's Transformation of State Agencies, the Department of Inspector General was created by joining together the Office of Internal Audit, the Fair Housing Commission, and the Office of Medicaid Inspector General.
Audit and Billing Compliance Specialist University of ArkansasAudit and Billing Compliance SpecialistLittle Rock, ArkansasPerforms specific audits outside the audit plan schedule as needed (to include, but not limited to, Office of Inspector General (OIG) audits, Medicare Administrative Contractor (MAC) audits, Recovery Audit Contractor (RAC) audits, Medicaid Integrity Contractor (MIC) audits, etc.). The Audit & Billing Compliance Specialist works under the general direction of the Clinical Billing Compliance Director and reviews medical records and billing system programs to determine coding and billing accuracy and to ensure that all federal and state guidelines for coding and billing are followed.
NewSurgical Certified Procedural Coding Specialist University of ArkansasSurgical Certified Procedural Coding SpecialistLittle Rock, ArkansasReviews and selects appropriate ICD-10 and CPT codes; CPT coding in this position is coding surgeries in the inpatient, observation, and day surgery suites utilizing a knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic procedural terminology while consulting reference materials and navigating electronic systems including but not limited to Epic. Reviews and performs charge data entry to both hospital and physician patient accounting systems and consults with other coding staff, nursing units, case management staff, physicians, clinics, and hospital personnel.
Hospital Outpatient Coding - Certified Coding Specialist (Full-time, Monday - Friday, 8am-5pm) WASHINGTON REGIONAL MEDICAL SYSTEMHospital Outpatient Coding - Certified Coding Specialist (Full-time, Monday - Friday, 8am-5pm)Fayetteville, ARCoordinate with the clinical documentation and quality teams to ensure validation of Medicare Severity Diagnosis Related Group (MSDRG), patient safety indicators, and hospital acquired conditions are supported by physician documentation to support appropriate coding. Works with Clinical Documentation Specialists (CDS) and physicians to identify and address documentation improvement needs that support accurate code, Risk of Mortality (ROM), Severity of Illness (SOI), and DRG assignment.
Certified Coding Associate - Wound Healing Center Baxter County Regional Hospital IncCertified Coding Associate - Wound Healing CenterMountain Home, ARSUMMARY Responsible and accountable for abstracting pertinent information from patient health records and assigning accurate ICD-10-CM, CPT, and HCPCS codes in accordance with official coding guidelines, payer requirements, and organizational policies. Collaborates with providers, clinical staff, and the hospital revenue cycle team to improve documentation quality, optimize reimbursement, and maintain the integrity of the coding and billing process.