Sr Coding & Reimbursement Specialist The Children's Mercy HospitalSr Coding & Reimbursement SpecialistKansas City, MOWe know that our greatest strengths come from the people who make up our team, so we hire great people from a wide variety of backgrounds, not just because it's the right thing to do, but because it makes our hospital stronger and our patient care more compassionate. New employees must be willing to be vaccinated if found non-immune to measles, mumps, rubella (MMR) and chicken pox (varicella) and/or without evidence of tetanus, diphtheria, acellular pertussis (Tdap) vaccination since 2005.
Billing Representative II Quest Diagnostics IncBilling Representative IIWest Norriton, PAQualifications: Required Work Experience: High School diploma or equivalent 1 year experience in Patient, Client or Third Party insurance billing, experience in multiple operational areas or QA/QC preferred Intermediate to advanced skills in Microsoft applications, with specific proficiency in Excel Skills:Ability to clearly convey procedural information, issues and requirements Proven ability to provide coaching and training in a collaborative manner Excellent communication skills, both verbal and written Demonstrated problem solving, organization and interpersonal skills Ability to work independently and as part of a team Ability to work overtime as needed based on department needs. EducationHigh School Diploma or Equivalent High School Diploma or Required Work Experience (Required)67089Quest Diagnostics honors our service members and encourages veterans to apply.
NewAdjunct Instructor - Health Information Tech and Medical Coding Waukesha County Technical CollegeAdjunct Instructor - Health Information Tech and Medical CodingPewaukee, WIThe instructor is responsible for providing an active learning environment to enable students to demonstrate course competencies, and creating a student learning centered environment that places learning at the center of educational experiences. Under the direct supervision of the Associate Dean/Instructional Manager, the instructor is responsible for providing instruction to students within the assigned and approved instructional delivery system and in accordance with the mission, goals, policies and procedures of the District.
Billing Coordinator / Coder Ambulatory - Physician Practice Hackensack Meridian HealthBilling Coordinator / Coder Ambulatory - Physician PracticeEdison, New JerseyThis position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across the Hackensack Meridian Health (HMH) network. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Provider Educator (Foreign Medical Graduate) Herself HealthProvider Educator (Foreign Medical Graduate)Cincinnati, OHRemoteDevelop and update presentations, quick-reference sheets, case studies, and other educational resources, ensuring content is clinically accurate, current, appropriately sourced, and aligned with applicable guidance. That's why our care model gives patients more time with their care team and focuses on the health issues that matter most to women later in life—from post-menopausal care and bone health to weight management, preventive care, and mental, emotional, and social well-being.
Billing Representative Quest Diagnostics IncBilling RepresentativeWest Hills, CA$17.20–$21 / hourQuest believes that conviction records may have a direct, adverse, and negative relationship to the following job duties: accessing company property, information, assets, and products including sensitive information; accessing customer data or confidential information, and partnering and regularly working with or supervising other Quest employees and interacting with Quest customers.68692Quest Skills:PC Skills, with specific proficiency in Excel and data entryBasic Math skillsExcellent communication skills to effectively converse with internal and external candidates; ability to negotiate payment plans.
Data Entry Clerk - Billing I Quest Diagnostics IncData Entry Clerk - Billing ITampa, FL1+ years of customer service experience in customer services, phone support role, or medical billing office.1+ years of Billing Knowledge, Billing Data Entry, Strong Customer Service Skills, and Insurance Payor KnowledgeDemonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs. Students & early career | Quest Diagnostics Whether you are transitioning from high school, college or to civilian life after serving in the military, we have programs that can help you reach your goals - and share in the incredible work we do.
MANAGER OF CODING (Hybrid) Samaritan Medical CenterMANAGER OF CODING (Hybrid)The Manager serves as a subject matter expert in coding regulations and provides leadership in the development and implementation of coding education, audit programs, facilitating educational webinars and seminars, planning and delivering effective presentations, and process improvement initiatives. This role collaborates closely with Clinical Documentation Integrity (CDI), Compliance, Revenue Integrity, Patient Financial Services, physician-providers, and non-physician providers to support revenue cycle performance and regulatory compliance.
NewManager, Special Investigative Unit/ Program Integrity/ CPC Sentara HospitalsManager, Special Investigative Unit/ Program Integrity/ CPCVirginiaRemoteCandidates must have prior leadership experience managing a pre-pay review team, including oversight of pre-payment claim reviews, provider monitoring activities, medical record reviews, and payment integrity operations within a healthcare payer environment. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
IT Clinical Engagement Specialist II PDS Inc, LLCIT Clinical Engagement Specialist IIPhoenix, AZDepending upon assigned area of responsibility, this position may require applicable certifications and/or licensures, including but not limited to: PT/OT; RT; Certified Healthcare Protection Administrator (CHPA); Certified Protection Professional (CPP); Associate in Risk Management (ARM); Registered Health Information Administrator (RHIA); Registered Health Information Technologist (RHIT); Certified Healthcare Facility Manager (CHFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC). The Clinical Engagement Specialist II proactively leads the collaboration efforts of service area leaders, IT field services, clinical application and informatics teams to increase efficiencies and promote continuity of care through technology and workflow improvements.
Manager, Denials/Appeals/Recovery Sarasota Memorial Health Care SystemManager, Denials/Appeals/RecoverySarasota, FloridaFull timePrefer demonstrated knowledge of International Classification Determination Tenth Revision (ICD-10), Current Procedural Terminology (CPT), Diagnosis-Related Groups (DRG), Healthcare Common Procedural Coding System (HCPCS), and Revenue codes. Preferred Qualifications: - Prefer knowledge of Medicare National Coverage Determinations (NCD) and Local Coverage Determination (LCD) protocols for medical necessity/Advanced Beneficiary Notice (ABN).
NewSpecial Investigation Unit Lead Review Analyst II (Aetna SIU) CVS HealthSpecial Investigation Unit Lead Review Analyst II (Aetna SIU)OklahomaAs a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation.
Supervisor Patient Access Sentara HospitalsSupervisor Patient AccessHarrisonburg, VirginiaThe Supervisor, Patient Access is responsible for overseeing the daily operations of the department, ensuring efficient and accurate registration, financial clearance, and front-end revenue cycle functions. Relevant experience in Patient Access/Registration, Billing/Patient Accounting, Revenue Cycle Management and/or Customer Service - 3 years (Required).
CDI Analyst West Virginia University MedicineCDI AnalystPAThe Clinical Documentation Improvement (CDI) Analyst provides expertise to clinical documentation process improvement and data analytics teams, oversight committees, and senior leadership in the areas of data acquisition, integration, monitoring, interpretation, and analytic design. Participates as a team member to test applications; prepares system test scripts, uses automated software for testing, performs full range of testing methods, emphasizing ability of the system to meet functional and usability requirements.
Medical Coding and Billing Instructor CHCP Healthcare and Educational Services LLCMedical Coding and Billing InstructorSan Antonio, TXThe instructor will utilize their expertise to prepare students for the evolving demands of the healthcare marketplace, ensuring they are equipped with the skills and knowledge required to excel in medical coding and billing roles. CHCP (The College of Health Care Professions) is a premier healthcare education institution offering comprehensive programs in allied health, nursing, and related fields.
Medical Billing & Coding Full-Time Instructor Louisiana State UniversityMedical Billing & Coding Full-Time InstructorBaton Rouge, LA$36,000–$44,000 / year25% Collaborate with colleagues to develop and revise curriculum; participate in departmental and institutional meetings, committees, and professional development; remain current with advancements in the field and incorporate relevant updates into instruction; participate in professional training and development, including support for online teaching. Positions approved to work outside the State of Louisiana shall be employed through Louisiana State University's partner, nextSource Workforce Solutions, for Employer of Record Services including but not limited to employment, benefits, payroll, and tax compliance.
Ambulatory Risk Adjustment Coding Specialist Endeavor HealthAmbulatory Risk Adjustment Coding SpecialistSkokie, Illinois$22.14–$33.21 / 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. Our Ambulatory Risk Adjustment Coding Specialist I plays a key role in identifying HCC codes within physician outpatient visits and ensuring they are coded accurately and to the highest specificity.
Supervisor, Medicaid Claims Reviewer Mass General BrighamSupervisor, Medicaid Claims ReviewerSomerville, Massachusetts$79,560–$115,720.80 / yearWorking with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success.
Senior Risk Adjustment Operations Specialist Clever Care Health Plan IncSenior Risk Adjustment Operations SpecialistHuntington Beach, CA$81,500–$100,000 / yearHCC Performance Improvement: Use risk adjustment reports, suspect conditions, recapture lists, and coding trends to prioritize provider outreach and education while promoting accurate and complete documentation of conditions evaluated, assessed, treated, or monitored during the encounter. Provider Education and Feedback: Deliver individual and group education to PCPs, advanced practice clinicians, and office staff on compliant HCC documentation, MEAT principles, condition specificity, annual recapture, and documentation requirements that support accurate coding.
Director of Compliance The Los Angeles Cancer NetworkDirector of ComplianceGlendale, CaliforniaThis position ensures compliance with federal, state, and local laws and regulations governing physician practices, specialty oncology services, infusion centers, pharmacy operations, laboratory services, and clinical research (if applicable). We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.