Revenue Integrity Coding and Billing Specialist- Remote
Medical biller coder job at Guidehouse
Job Family:
General Coding
Travel Required:
None
Clearance Required:
None
What You Will Do:
Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services through efficient review and prompt resolution of assigned Medicare and third-party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. This position is 100% remote.
Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes in the hospital billing scrubber. Tasks associated with this work include resolving standard billing edits such as:
Correct Coding Initiative
Medically Unlikely Edits (MUE)
Medical Necessity edits
Other claim level edits as assigned.
As needed, review clinical documentation and diagnostic results as appropriate to confirm and apply applicable ICD-10, CPT, HCPCS codes and associated coding modifiers.
Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠ system
Ensures coding and billing practices follow Federal/State guidelines by using diverse types of authoritative information.
Maintains current knowledge of Medicare, Medicaid, and other third-party payer billing compliance guidelines and requirements.
Other duties equal with skills and experience as determined by the Director of Revenue Integrity.
What You Will Need:
High School Diploma/GED
(Relevant experience may be substituted for formal education)
5+ years of prior Revenue Integrity experience
AAPC or AHIMA coding certification.
Experience in ICD-10, CPT and HCPCS Level II Coding.
Ability in determining medical necessity of services provided and charged based on provider/clinical documentation.
Knowledge, understanding and proper application of Medicare, Medicaid, and third-party payer UB-04 billing and reporting requirements including resolution of CCI, MUE and Medical Necessity edits applied to claims.
Ability in determining accurate medical codes for diagnoses, procedures and services performed in the outpatient setting. For example: emergency department visits, outpatient clinic visits, same day surgeries, diagnostic testing (radiology, imaging, and laboratory), and outpatient therapies (physical therapy, occupational therapy, speech therapy, and chemotherapy
Knowledge of current code bundling rules and regulations along with ability on issues of compliance, and reimbursement under outpatient grouping systems such as Medicare OPPS and Medicaid or Commercial Insurance EAPG's.
Knowledge and understanding of hospital charge description master coding systems and structures.
Ability to produce correct, assigned work product within specified periods.
What Would Be Nice to Have:
Hospital medical billing and auditing experience
Associate degree
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The annual salary range for this position is $56,000.00-$94,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at ************** or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or ************************. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact *************************. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Auto-ApplyRemote Medical Coder Multispecialty Outpatient
Medical biller coder job at Guidehouse
Job Family:
Health
Travel Required:
None
Clearance Required:
None
The Multispecialty Surgery Coder II will Code for Multispecialty Surgery physicians primarily Single Path Coding. Multi-specialty surgical coding experience, any Trauma, Urology, ENT, Plastics, GenSurg, OB/GYN, Cardiovascular, Interventional Radiology, etc. Ability to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager-the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines.
This position is full time as and 100% remote.
Responsibilities:
Demonstrates the ability to perform quality surgical coding and multispecialty chart types as assigned
Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
Assures that all services documented in the patient's chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards
Achieves and maintains 97% accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews either within the facility
Ability to maintain average productivity standards as follows
Works the review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary
Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process. See re-bill policy in facility guidelines
Coder downtime must be reported immediately to the administrative staff to ensure turnaround is met
Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility
Provides accurate answers to physician's/hospitals coding and/or billing questions within eight hours of request
Responsible for coding or pending every chart placed in their queue within 24 hours
It is the responsibility of the coder to notify administrative staff in the event they cannot meet the twenty-four hour turn around standard
Coders are responsible for checking the Guidehouse email system at least every two hours during coding session
Coders must maintain their current professional credentials while working for Guidehouse
Coders are responsible for becoming familiar with the Guidehouse coding website and using the information contained in the website as a daily tool to correctly code and abstract for each facility
Coders are responsible for maintaining HIPAA compliant workstations (reference HIPAA workstation policy)
It is the responsibility of each coder to review and adhere to the coding division policy and procedure manual content
Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services
Communicates problems or coding principle discrepancies to their supervisor immediately
Communication in emails should always be professional
What You Will Do:
Demonstrates the ability to perform quality E/M coding and surgical as appropriate on assigned Hospitalist encounters.
Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing
Assures that all services documented in the patient's chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards
Achieves and maintains 97% accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews either within the facility
Ability to maintain average productivity standards as follows
Works the review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary
Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process. See re-bill policy in facility guidelines
Coder downtime must be reported immediately to the administrative staff to ensure turnaround is met
Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility
Provides accurate answers to physician's/hospitals coding and/or billing questions within eight hours of request
Responsible for coding or pending every chart placed in their queue within 24 hours
It is the responsibility of the coder to notify administrative staff in the event they cannot meet the twenty-four hour turn around standard
Coders are responsible for checking the Guidehouse email system at least every two hours during coding session
Coders must maintain their current professional credentials while working for Guidehouse
Coders are responsible for becoming familiar with the Guidehouse coding website and using the information contained in the website as a daily tool to correctly code and abstract for each facility
Coders are responsible for maintaining HIPAA compliant workstations (reference HIPAA workstation policy)
It is the responsibility of each coder to review and adhere to the coding division policy and procedure manual content
Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services
Communicates problems or coding principle discrepancies to their supervisor immediately
Communication in emails should always be professional (reference e-mail policy)
What You Will Need:
High School Diploma/GED
One of the following recognized professional coding certifications: Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS)
Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training
EMR experience
Must maintain credential throughout employment
What Would Be Nice To Have:
Recognized E&M coding certifications: Certified Evaluation and Management Coder (CEMC), or National Alliance of Medical Auditing Specialists' (NAMAS) Certified Evaluation and Management Auditor (CEMA)
Must be able to work independently, multi-task well and interface with all levels of personnel as well as clients
Knowledge & experience with Federal & State Coding regulations and Guidelines to include DHA or Military Health Coding experience
Multiple EMR and/or Practice Management systems experience
Single path coding experience
The annual salary range for this position is $46,000.00-$76,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
About Guidehouse
Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at ************** or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or ************************. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact *************************. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Auto-ApplyBilling and Coding Specialist
Rochester, NY jobs
Scion Staffing has been engaged to conduct a search for a Billing and Coding Specialist for an established clinic in Rochester, NY. This position is 100% onsite at the clinic's Rochester office.
This Billing & Coding Specialist position supports daily billing operations for a high-volume clinic, handling claims, insurance follow-up, and coding for routine and interventional procedures. The role is ideal for someone with strong billing, denial management, and revenue cycle experience seeking long-term stability. This is a direct hire opportunity.
PERKS:
Competitive compensation at $30-$34/hr
Hands-on training and mentorship in interventional psychiatry billing
All equipment provided onsite
Collaborative and inclusive clinic culture
Long-term conversion opportunity with room to grow
RESPONSIBILITIES:
Process claims, manage insurance follow-up, and resolve denials
Code and submit claims for psychiatric and interventional procedures
Assist with backlog cleanup and recurring billing issue resolution
Monitor cash flow trends and escalate problem areas
Coordinate with clinicians on documentation, copays, and authorizations
Maintain accurate records in EHR and clearinghouse platforms
QUALIFICATIONS:
Experience with medical billing, coding, or RCM workflows
Knowledge of insurance portals and denial management practices
Strong attention to detail, accuracy, and problem-solving
Ability to manage high-volume billing with steady, reliable execution
Comfortable learning systems such as Jane App, ClaimMD, and clearinghouses
COMPENSATION AND BENEFITS:
This role offers $30-$34/hr, depending on experience level.
Benefits are available and may include health, dental, vision, 401(k), sick time, and additional offerings based on eligibility.
ABOUT OUR SEARCH FIRM:
Scion Staffing is a national award-winning staffing firm! Since 2006, we have had the pleasure of successfully placing thousands of talented professionals with amazing career opportunities. Through our innovative team building and recruiting solutions, we bridge the gap in executive leadership searches, direct hire recruiting, interim leadership placement, and temporary professional staffing. We are proud to be part of the Forbes lists of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a ClearlyRated Best of Staffing firm as well as a top recruitment firm by The Business Times. Additional information about our firm can also be found online.
Scion Staffing, Inc. is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation or belief, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent. For opportunities located in a region that have enacted fair chance, arrest or conviction-based employment ordinances, Scion Staffing proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records. We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.
Risk adjustment coder
Greensboro, NC jobs
Risk Adjustment Coder | Hybrid | Greensboro, NC | 6-Month Contract (Possible Conversion to Perm)
Pride Health is seeking skilled Risk Adjustment Coders to join a leading healthcare organization in Greensboro, NC. This hybrid role offers the opportunity to make an impact through accurate HCC coding, provider education, and chart reviews - with the potential to convert to a full-time position.
Key Responsibilities:
Perform prospective and retrospective chart reviews to ensure accurate capture of HCC and ICD-10 codes.
Provide coding education and feedback to providers and clinical staff to support documentation accuracy.
Collaborate with leadership to maintain EMR access and support compliance with organizational policies.
Serve as a coding resource for inquiries and participate in provider assessments and POD meetings.
Maintain quality and productivity standards while supporting data integrity initiatives.
Qualifications:
High School Diploma or GED required.
Certified Professional Coder (CPC) certification required - no other coding certifications accepted.
CRC certification preferred.
2-5 years of risk adjustment coding experience required.
Strong knowledge of ICD-10 coding, documentation standards, and HCC guidelines.
Must have ICD-10 coding books and ability to work independently.
Important Details:
Location: Greensboro, NC (Hybrid - onsite 2-4 times per month after initial training)
Contract Duration: 6 months with potential for permanent hire
Schedule: Monday-Friday, 8:00 AM-5:00 PM
Pay Range: $28 - 32/hr.
Interview Process: Remote first round, in-person second round
Equipment: Provided by client
RTO: Minimal or no time off during initial contract period preferred
Join Pride Health and be part of a team that values accuracy, integrity, and professional growth in healthcare coding.
📩 Apply today to learn more about this hybrid opportunity and how you can contribute to a high-performing risk adjustment team.
Benefits
Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Equal Opportunity Employer
As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.
Certified Medical Coder
New York, NY jobs
Job Title: Certified Medical Coders - Inpatient
Schedule: 8:00 AM-4:00 PM
Duration: 3 Months with a strong possibility of ongoing extension
Pay Range: $35 - $40/Hour.
Medical coding in an acute care setting.
Must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder).
knowledge of coding guidelines, payor guidelines.
Federal billing guidelines; knowledge of anatomy, physiology & disease processes.
Ability to research coding related issues.
Competence in coder training.
Must have CCS and be knowledgeable with 3M/HDS coding application.
Inpatient and ED experience.
Skills:
Three years' experience Knowledge of ICD10
Required Experience:
Experience with EPIC and 3M is required
Candidate with both in/out-patient coding experience will be ideal.
CCS Certification is required.
Education:
High School Diploma/GED
AHIMA, RHIA or RHIT and/or CCP, CCS.
“Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors”
Certified Medical Coder
New York, NY jobs
Job Title: Certified Medical Coder - Outpatient & Emergency Department (ED)
Schedule: Monday - Friday, 8:00 AM - 4:00 PM (40 hours per week)
Pay Rate: $35 - $38 per hour
Duration: 3 months (with possible extension)
Position Overview:
We are seeking an experienced and detail-oriented Certified Medical Coder to join our team in an acute care setting. The ideal candidate will possess strong outpatient and emergency department (ED) coding experience, advanced knowledge of ICD-9-CM, CPT-4, and HCPCS coding systems, and hands-on experience using EPIC and 3M/HDS applications. This position requires strict adherence to federal billing and coding guidelines to ensure accurate and compliant claim submission.
Required Qualifications:
Certification: Certified Coding Specialist (CCS) -
Required
Education: High School Diploma/GED required; AHIMA credentials (RHIA, RHIT, or CCS-P) preferred
Experience:
Minimum 2-3 years of coding experience in an acute care setting
Strong background in Outpatient and ED coding
Experience with both Inpatient and Outpatient coding highly preferred
Proficiency with EPIC and 3M/HDS systems -
Required
Technical Skills: Proficient in MS Word, Excel, and Encoder software.
Knowledge Base: Strong understanding of anatomy, physiology, disease processes, and medical terminology.
Ability to research and resolve complex coding issues independently.
Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors
Certified Medical Coders
New York, NY jobs
Title: Certified Medical Coders - Outpatient & ED)
Duration: 3-Month Contract with High Chances of Extension
Pay Range: $30-$35/hr W2
Job Summary:
Seeking an experienced Medical Coder to perform accurate coding of inpatient, outpatient, and emergency department records in an acute care setting. The ideal candidate will have strong knowledge of coding standards, billing regulations, and proficiency with EPIC and 3M systems.
Key Responsibilities:
• Assign accurate ICD-9-CM, CPT-4, and HCPCS codes for inpatient, outpatient, and ED encounters.
• Ensure compliance with coding, payor, and federal billing guidelines.
• Review clinical documentation to ensure coding accuracy and completeness.
• Research and resolve coding-related queries and discrepancies.
• Maintain up-to-date knowledge of anatomy, physiology, and disease processes.
• Support coding audits, quality reviews, and staff training when needed.
Education & Certification:
• CCS (Certified Coding Specialist) certification required.
• Minimum 2+ years of experience in medical coding within an acute care setting.
• Experience with both inpatient and outpatient coding preferred.
Health Information Specialist
Somerville, MA jobs
Our Client, a hospital, is looking for someone to join their team as a Health Information Records Team Lead!
**This is an onsite 12-month contract role that takes place in Somerville, MA**
Responsibilities
In collaboration with the management team, oversees the day-to-day operational functions of special projects in the CRCC.
Coordinates assignment of team resources in operations of CRCC special projects.
Facilitates training and provide direction and guidance to direct reports in a complex environment to ensure that all staff are appropriately informed, trained, guided, supported and evaluated. Works to develop staff for special projects.
Manages daily scheduling and assists with timekeeping for unit team, including management of timekeeping exceptions
Establish and maintain a positive and productive team environment and a stable work environment through leadership, mentoring and coaching staff
Provides input to management regarding overall employee performance. Monitors the quality of work performed by staff throughout the fiscal year and informs management of any deficiencies
Assist in recruiting and interviewing personnel in collaboration with HIM Management for the special projects team
Provides orientation and training to new staff regarding the operational and system policies and procedures
Qualifications
Excellent communication and written skills
Detail-Oriented
Excellent analytical and problem-solving skills
Strong computer skills, Microsoft Window based computer skills
Ability to plan and manage projects, staff, other resources, and timelines; and to prioritize and delegate accordingly
Ability to be flexible, versatile, and adaptable in day-to-day activities conducted in a multi-site environment
Ability to manage workload and competing priorities in order to complete tasks within set limits
Ability to produce quality work on a consistent basis
You will receive the following benefits:
Medical Insurance - Four medical plans to choose from for you and your family
Dental & Orthodontia Benefits
Vision Benefits
Health Savings Account (HSA)
Health and Dependent Care Flexible Spending Accounts
Voluntary Life Insurance, Long-Term & Short-Term Disability Insurance
Hospital Indemnity Insurance
401(k)
Paid Sick Time Leave
Legal and Identity Protection Plans
Pre-tax Commuter Benefit
529 College Saver Plan
Motion Recruitment Partners (MRP) is an Equal Opportunity Employer. All applicants must be currently authorized to work on a full-time basis in the country for which they are applying, and no sponsorship is currently available. Employment is subject to the successful completion of a pre-employment screening. Accommodation will be provided in all parts of the hiring process as required under MRP's Employment Accommodation policy. Applicants need to make their needs known in advance.
Certified Medical Coder
Houston, TX jobs
Pride Health is hiring a Certified Coder for one of its clients in Texas.
This is a 3-month contract with the possibility of expansion with competitive pay and benefits.
Pay range - $28- $30 per hour on W2. (based on your experience)
Length of assignment - 3-month contract (possibility to extend)
Shift - Mon-Fr - 8 am to 5 pm.
Job Summary
Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-9-CM /CPT codes for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting.
Submitting a candidate for this position is an acknowledgement that the candidate
1) will follow all MHHS policies and procedures,
2) will adhere to the terms of the MSA, and
3) has all the requirements and specialty experience that the position requires.
Requirements
Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential preferred.
Strong knowledge of ICD-9-CM and CPT coding systems; familiarity with medical terminology, anatomy, and clinical workflows.
Experience in coding for hospital, clinic, or specialty services (as required by the role).
Ability to interpret clinical documentation and apply coding guidelines accurately.
Benefits
Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Equal Opportunity Employer
As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.
Certified Medical Coder
Atlanta, GA jobs
We are seeking a detail-oriented and experienced Certified Medical Coder specializing in Gastroenterology (GI) to join our team. The ideal candidate will ensure accurate coding of diagnoses, procedures, and services in compliance with ICD-10-CM, CPT, and HCPCS guidelines, supporting optimal reimbursement and regulatory compliance.
Job Responsibilities for the Certified Medical Coder:
Review and accurately assign codes for GI-related procedures, diagnoses, and services from clinical documentation.
Ensure compliance with CMS, payer-specific guidelines, and HIPAA regulations.
Collaborate with physicians and clinical staff to clarify documentation and resolve coding discrepancies.
Conduct audits and provide feedback to improve documentation quality.
Stay current with coding updates, payer policies, and industry best practices.
Assist with denial management and revenue cycle optimization.
Job Requirements for the Certified Medical Coder:
Certification: CPC, COC, or CCS required (AAPC or AHIMA).
Experience: Minimum 2 years of medical coding experience, with a focus on Gastroenterology preferred.
Strong knowledge of ICD-10-CM, CPT, HCPCS, and GI-specific coding guidelines.
Familiarity with E/M coding and modifier usage.
Proficiency in medical terminology, anatomy, and physiology.
Excellent attention to detail and organizational skills.
Ability to work independently and meet deadlines.
For more information, please APPLY today!
Real Estate Records Coordinator
Columbus, OH jobs
Manifest Solutions is currently seeking a Real Estate Records Coordinator for a position in Columbus, OH.
Responsible for developing and maintaining all real estate records in an electronic real estate database dealing with the acquisitions, sale and management of real estate required for company operations including; lease and rental payments/revenue, all related property records, and railroad permits for fee owned and leasehold assets.
Track acquisition and sale of real estate and lease data to provide internal and external benchmarks.
Provides and creates reports to assist with monthly reporting and tracking.
Manages and acts in a co-lead role to organize the maintenance of property records which include: deeds, leases, surveys, easements, exhibits and other legal real estate documents within the electronic real estate database.
Receive, examine, obtain, and organize information from the company's real estate records to process the lease revenue/payments, and conduct real estate research of fee owned and leasehold assets held for the company.
Coordinate and create work orders and payment of invoices for real estate transactions through the Company's accounting and recordkeeping systems (PeopleSoft).
Process and administer the lease payments through the electronic real estate database and receipt of lease revenue using PeopleSoft.
Manages and acts in a co-lead role to organize the maintenance of property records which include: deeds, leases, surveys, easements, exhibits and other legal real estate documents within the electronic real estate database.
Receive, examine, obtain, and organize information from the company's real estate records to process the lease revenue/payments, and conduct real estate research of fee owned and leasehold assets held for the company.
Coordinate and create work orders and payment of invoices for real estate transactions through the Company's accounting and recordkeeping systems (PeopleSoft).
Process and administer the lease payments through the electronic real estate database and receipt of lease revenue using PeopleSoft.
Coordinates directly with the Land Agents and Supervisor for the tracking of purchase, sale and lease contracts from the Legal department, Business Units, Accounting and Land Agents.
Pay all other real estate related invoices through the Company's accounting and recordkeeping systems (PeopleSoft).
Acts in a co-lead role for research within Power Plant for company owned and leased assets to help coordinate and organize the sale and disposition of property.
Minimum Requirements:
Associate Degree in Land Records Management, Business, Real Estate, Paralegal or Paralegal Certificate or High School Diploma.
Associate Degree or Paralegal Certificate and a minimum three or more years of commercial real estate or commercial title examiner/abstractor, real estate or industry related experience. High School Diploma and a minimum of five or more years of commercial real estate or commercial title examiner/abstractor, real estate or industry related experience.
Notary public (Preferred)
Ability to maintain company real estate records in a land database; work with and assist the team lead in organizing this effort.
Has a reasonable understanding of real estate and the importance of accurate and detailed record keeping.
Attention to detail and proficient in multitasking.
Ability to handle large volume real estate transactions.
Ability to meet tight deadlines.
Ability to work independently.
Excellent writing and communication skills.
Proficient Computer skills in Word and Excel.
Health Information Management - HIM
San Antonio, TX jobs
Job Details SAN ANTONIO - Leon Valley - San Antonio, TX Full Time Up to 5% Day Mental HealthDescription
“Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.”
Job Summary
Job Summary
The Health Information Management (HIM) Specialist is responsible for organizing and maintaining health information in both paper and electronic systems. This role ensures the accuracy, security, and accessibility of patient records, including medical histories, physician documentation, test results, and treatment information. HIM Specialists also support insurance coding, reimbursement processes, and compliance with privacy regulations.
Beyond data management, this position collaborates closely with healthcare professionals to ensure all patient information is complete, accurate, and up to date, while adhering to best practices for confidentiality and HIPAA compliance.
Essential Job Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Organize, manage, and update health information data in compliance with organizational and regulatory standards.
Maintain complete and accurate medical records, including treatment outcomes and patient status updates for nursing staff.
Verify the accuracy of patient documentation and follow up to obtain any missing results prior to patient appointments.
Order and track medical supplies according to departmental needs.
Ensure patient confidentiality at all times and maintain professionalism when interacting with patients and staff.
Participate in staff meetings and department initiatives; share acquired knowledge and promote a collaborative environment.
Demonstrate flexibility to rotate weekends, holidays, shifts, and center locations as required.
Report consistently and punctually for scheduled shifts.
Exhibit teamwork and cooperation with personnel across departments.
Perform additional duties as assigned by the supervisor or department leadership.
Qualifications
High school diploma or equivalent required; Associate or Bachelor's degree in Health Information Management or related field preferred.
Knowledge of EHR/EMR systems and medical terminology.
Understanding of HIPAA and patient privacy regulations.
Strong attention to detail, organization, and communication skills.
Ability to work collaboratively in a fast-paced healthcare environment.
INDSMC
Records Coordinator/Records Manager
Aberdeen Proving Ground, MD jobs
Link Solutions, Inc. delivers reliable and effective Information Technology services to government clients in support of critical mission needs. Delivering a broad range of Infrastructure Operations, Application Development, Cybersecurity, Virtualization, Cloud and Mobility services.
If you're looking for a technology company that values innovation, with a vision toward the future of the technology landscape, look no further than Link Solutions! Link is quality and compliance-focused, under our guiding philosophy, “Mission First, Customer Always".
We are ISO 9001:2015, ISO 20000-1:2018, ISO 27001:2022 certified and appraised for CMMI ML3 for Services and Development.
Link Solutions is seeking a Records Coordinator/Records Manager to join our team in Aberdeen Proving Ground, MD.
Must be a U.S. Citizen
DoD Top Secret/SCI Clearance required
Non-remote (relocation incentive available)
The Records Coordinator/Records Manager will provide mission-critical support for personnel located at the U.S. Army Combat Capabilities Development Command Chemical Biological Center (DEVCOM)
.
The Manager will oversee the organization, maintenance, and protection of records in classified and unclassified environments to ensure compliance with Army and DoD regulations.
Join a team of dedicated professionals at an industry-leading organization, where you will work on innovative projects that contribute to national security. This position offers significant opportunities for career advancement and professional growth while supporting critical missions and operations.
Job Responsibilities:
Establish and enforce comprehensive records management policies for both unclassified and classified records.
Ensure proper retention and disposition of official records.
Oversee the entire lifecycle of records, from creation or receipt through classification, storage, retrieval, and disposition/archiving.
Train personnel on proper records management practices, policies, and the use of the records system.
Provide and maintain accountability with shareholders for mission continuity, security, and regulatory compliance.
Conduct audits and reviews to maintain accuracy and compliance.
Develop and implement records management policies and classification systems.
Coordinate with IT to ensure electronic systems are secure and up-to-date.
Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job.
Qualifications
Must be a U.S. Citizen.
Must be able to obtain and maintain an active DoD Top Secret/SCI Clearance
Three (3+) years of experience in records management.
Knowledge of records management software and digital archiving tools.
Familiarity with legal and regulatory standards for recordkeeping.
Preferred:
Bachelor's degree.
Certified Records Manager (CRM) or similar certification.
Proficiency with Microsoft Office products.
Experience creating and modifying documentation for technical processes and procedures.
Experience working in a Department of Defense (DoD) environment.
A problem solver and troubleshooter who thrives in resolving complex problems.
Strong self-starter requiring minimal supervision.
Excellent communication skills (written and oral) and interpersonal skills.
Excellent organizational skills, attention to detail, and ability to prioritize and manage multiple tasks.
Salary Range: $70,000 - $105,000
Several factors influence the final salary or hourly rate, including but not limited to contract wage determinations, relevant work experience, role-specific skills and competencies, geographic location, educational background, certifications, and federal government contract labor categories.
Additional Information
Link Solutions Inc. offers a competitive compensation and benefits package to include paid holidays, paid time off, medical, dental, vision, company-paid long and short-term disability, life insurance, referral bonuses, relocation incentive program, certification reimbursement program, retirement, and more.
Link Solutions, Inc. is an EOE. AA/M/F/D/V. We participate in the E-Verify Employment Verification Program. All your information will be kept confidential according to EEO guidelines.
Medical Billing Coder
Wellesley, MA jobs
US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website ************************ We are constantly on the lookout for professionals to fulfill the staffing needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual growth of the individual and the organization as well.
Keeping the same intent in mind, we would like you to consider the job opening with US Tech Solutions that fits your expertise and skillset.
Job Description
Medical Record Reviewer will primarily be responsible for completing medical record reviews (on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at Client's
Duties and Responsibilities
Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC risk adjustment related activities including Medicare Advantage and Commercial Risk adjustment supplemental diagnosis capture, Medicare and Commercial RADV support, and the auditing of Client's medical chart retrieval and coding vendors.
Collect and document chart and coding information as required for Commercial Risk Adjustment and Medicare Advantage Risk Adjustment Client's data collection procedures and systems.
Assist with building the medical chart review program at Client's including defining the operating policies and procedures, mentoring team members and input into infrastructure needs and organization.
Utilize coding expertise to inform Revenue Management strategy development activities and may support initiatives related to coding such as provider office education.
Responsible for developing and maintaining internal and vendor based coding guidelines.
Provide subject matter expertise on projects related to coding practices including provider education and communications.
Prepare reports of the data gathered and received from Client's providers/members, ensuring reports are completed with the highest quality and integrity and that all work is in full compliance with Client's and Regulatory requirements.
Participate in all required training - maintaining of coding certification or other professional credentials
Completing inter-rater reliability testing as requested
Abide by all HIPAA and associated patient confidentiality requirements.
Coordinate with third party and internal auditors as required.
Other duties and projects as needed.
Qualifications
Minimum Requirements
Bachelor's Degree; Clinical experience or licensed nursing professional and 3-5 years related experience. RHIA, RHIT, CCS or CPC-H with demonstrated outpatient coding experience required. ICD -9/ICD-10 certification required.
Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC extraction.
Experience of healthcare delivery systems is preferred. Proven project leadership skills and ability to mentor and motivate others in the team.
Advanced PC skills (e.g., Excel, Access, etc.) required; Excellent written and verbal communication skills, customer service skills, organization and problem solving skills, research skills, and the ability to work independently.
Additional Information
Thanks & Regards
Dishant
************
Medical Billing Coder
Wellesley, MA jobs
US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website ************************
We are constantly on the lookout for professionals to fulfill the staffing needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual growth of the individual and the organization as well.
Keeping the same intent in mind, we would like you to consider the job opening with US Tech Solutions that fits your expertise and skillset.
Job Description
Medical Record Reviewer will primarily be responsible for completing medical record reviews (on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at Client's
Duties and Responsibilities
Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC risk adjustment related activities including Medicare Advantage and Commercial Risk adjustment supplemental diagnosis capture, Medicare and Commercial RADV support, and the auditing of Client's medical chart retrieval and coding vendors.
Collect and document chart and coding information as required for Commercial Risk Adjustment and Medicare Advantage Risk Adjustment Client's data collection procedures and systems.
Assist with building the medical chart review program at Client's including defining the operating policies and procedures, mentoring team members and input into infrastructure needs and organization.
Utilize coding expertise to inform Revenue Management strategy development activities and may support initiatives related to coding such as provider office education.
Responsible for developing and maintaining internal and vendor based coding guidelines.
Provide subject matter expertise on projects related to coding practices including provider education and communications.
Prepare reports of the data gathered and received from Client's providers/members, ensuring reports are completed with the highest quality and integrity and that all work is in full compliance with Client's and Regulatory requirements.
Participate in all required training - maintaining of coding certification or other professional credentials
Completing inter-rater reliability testing as requested
Abide by all HIPAA and associated patient confidentiality requirements.
Coordinate with third party and internal auditors as required.
Other duties and projects as needed.
Qualifications
Minimum Requirements
Bachelor's Degree; Clinical experience or licensed nursing professional and 3-5 years related experience. RHIA, RHIT, CCS or CPC-H with demonstrated outpatient coding experience required. ICD -9/ICD-10 certification required.
Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC extraction.
Experience of healthcare delivery systems is preferred. Proven project leadership skills and ability to mentor and motivate others in the team.
Advanced PC skills (e.g., Excel, Access, etc.) required; Excellent written and verbal communication skills, customer service skills, organization and problem solving skills, research skills, and the ability to work independently.
Additional Information
Thanks & Regards
Dishant
************
Records Coordinator
Andover, MA jobs
Duration : 8 months
Job Description:
Provide records coordination support for the process monitoring and Informatics team. Major responsibility includes tracking entry and verification of batch records across three manufacturing suites to ensure required data are completely and accurately captured in the Informatics database. In addition, this role will provide assistance with compiling data from the systems to support GMP documentation. Responsibilities include: • Track entry and verification of records to ensure completeness • Perform verification of data to ensure accuracy of data • Assist with extracting, analyzing and summarizing data for GMP reports • Perform verification of data in GMP reports Requirements: • A high school diploma and 4+ years of experience with data entry required • Solid knowledge of computers and computer systems including MS Word, MS Excel, MS PowerPoint and MS Outlook. • Excellent organizational and attention to details are a must • Excellent interpersonal skills • A self- motivated individual that enjoys working in a faced past and dynamic environment
Feel free to forward my email to your friends/colleagues who might be available.
Qualifications
Associate Degree
Additional Information
Interested candidates can reach me at 732-429-1912
Legal Records Coordinator
Cleveland, OH jobs
Calfee, Halter & Griswold LLP (Calfee), a full-service corporate law firm with offices in Cleveland, Columbus, Cincinnati, Indianapolis, and Washington, D.C. has an opportunity for a legal records coordinator to join its Cleveland office.
The legal records coordinator is responsible for the firm's new client intake process and provides records management (RM) services to the Estate Planning and Administration practice group. This position ensures the coordination of offsite file storage for confidential files and maintains the integrity of the RM database according to established policies and procedures. Maintaining strict confidentiality of client and firm matters is essential to this role, in addition to working effectively with all levels of firm personnel.
Responsibilities:
Responsible for the new client intake process, which includes reviewing request forms, performing conflict searches, producing conflicts reports, facilitating approval routing, and finalizing setup processes.
Monitors and updates the conflicts database.
Provides various client reports to practice areas and administrative staff as requested.
Facilitates the process of organizing and maintaining Estate Planning and Administration documents, including creating matters in RM database and organizing the physical documents in the firm's secure file rooms.
Organizes and prepares Estate Planning and Administration files for offsite storage.
Assists with transferring of Estate Planning and Administration client files internally and externally.
Processes administrative departments' materials and files for offsite storage.
Creates, organizes, and maintains routine files as necessary.
Performs daily departmental tasks, which include answering phones, processing file requests from staff and attorneys, and responding to other requests for information.
Communicates with attorneys and administrative support staff regarding status updates and records requests.
Performs other duties as necessary to support the Records department.
Qualifications:
High school diploma required.
3-5 years of related experience in a professional service or legal environment preferred.
Experience working with a document management system preferred.
Experience utilizing specific legal, automated records management or conflicts system preferred.
Proficient in Microsoft Office Suite (Word, Excel and Outlook).
Possess a strong initiative and ability to work independently and proactively, as well as part of a team.
Exceptional attention to detail.
Effective oral and written communication skills, including the ability to interact effectively with firm personnel at all levels and with a high degree of professionalism.
Possess a high degree of organization, flexibility, and reliability to set priorities, and manage multiple responsibilities to ensure deadlines are met.
Ability to acquire new skills as technology advances and as the firm requires.
Ability to lift 40 pounds.
We offer a competitive compensation and benefits program and an excellent work environment. We are an Equal Opportunity Employer.
Legal Billing
Katy, TX jobs
Legal Billing Coordinator
Our client in Katy, TX is seeking a motivated Legal Billing Coordinator to join their team on a contract-to-hire basis. The ideal candidate will be knowledgeable, articulate, and thrive in a collaborative work environment.
About the Legal Billing Company:
Offers a team-oriented atmosphere with opportunities for career growth
Key Responsibilities of the Legal Billing Coordinator:
Prepare high-volume prebills for the firm
Create, distribute, and revise invoices accurately and efficiently
Communicate billing information to management and legal counsel
Collaborate with various departments on special projects
Provide excellent customer service to attorneys and clients regarding billing inquiries
Requirements for the Legal Billing Coordinator Role:
Associate's degree preferred or relevant work experience
3+ years of experience in legal billing within a law firm or professional services
Proficiency in Elite Enterprise, 3E, eBillingHub, Carpediem, Legal Key, and Intellistat is a plus
Strong time management skills with the ability to meet deadlines
Effective communication and collaboration with colleagues at all levels
Contract Features and Benefits:
Explore our extensive benefits beyond the standard offerings of a staffing agency on our website under the Candidate "Benefits" section.
Billing Specialist
Eden Prairie, MN jobs
The Accounts Receivable , Collection rep will be calling on final billed claims by contacting government agencies, third party payors, and patients/guarantors via phone, e-mail, or online. Continues collection activity until account is resolved. Qualifications
• Verifiable High School diploma or GED is required.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Billing Specialist
Eden Prairie, MN jobs
The Accounts Receivable , Collection rep will be calling on final billed claims by contacting government agencies, third party payors, and patients/guarantors via phone, e-mail, or online. Continues collection activity until account is resolved.
Qualifications
• Verifiable High School diploma or GED is required.
Additional Information
All your information will be kept confidential according to EEO guidelines.