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Medical Biller Coder jobs at Guidehouse - 628 jobs

  • Revenue Integrity Coding Billing Specialist (remote)

    Guidehouse 3.7company rating

    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 timely 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. Daily duties for this position include: 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 Initiatives (CCI) Medically Unlikely Edits (MUE) Medical Necessity edits Other claim level edits as assigned As needed, review clinical documentation and diagnostic results as appropriate to validate 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 are in compliance with Federal/State guidelines by utilizing various types of authoritative information. Maintains current knowledge of Medicare, Medicaid, and other third-party payer billing compliance guidelines and requirements. Other duties commensurate with skills and experience as determined by the Director of Revenue Integrity. What You Will Need: High School Diploma or equivalent 5+ years of Revenue Integrity experience AAPC or AHIMA coding certification. Experience in ICD-10, CPT and HCPCS Level II Coding. Expertise 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. Proficiency 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 proficiency on issues regarding 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. Strong verbal, written and interpersonal communication skills. Ability to produce accurate, assigned work product within specified time frames. What Would Be Nice To Have: 5 years' experience in Revenue Integrity Coding and Billing Hospital medical billing and auditing experience Associate's degree #IndeedSponsored #LI- Remote #LI-DNI 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.
    $56k-94k yearly Auto-Apply 38d ago
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  • Medical Billing & Coding Specialist

    All's Well 4.0company rating

    Saint Petersburg, FL jobs

    We are seeking an experienced Medical Biller / Coder to join a busy specialty practice. This is a full-time, temp-to-perm opportunity for a detail-oriented professional with strong surgical billing and coding experience. Work-from-home option after a 90-day probationary period. Location: St. Petersburg, FL Schedule: Monday-Friday, 8:00 AM-5:00 PM (No weekends) Pay: $20-$26/hour (based on experience) Key Responsibilities Accurately code surgical cases and diagnostic services Verify and document surgical benefits Manage surgical denials and submit written appeals Coordinate peer-to-peer review calls Prepare Letters of Agreement (LOAs) with non-participating insurance plans Calculate and estimate surgical costs for guarantors Respond to billing inquiries via the billing rotation line Perform additional billing duties as assigned Qualifications Minimum 3+ years of medical billing and coding experience (required) Medical Billing and Coding certification (required) Strong knowledge of surgical coding, denials, and appeals Experience with insurance benefit verification Excellent attention to detail and communication skills Benefits (After Permanent Conversion) Medical insurance 100% paid for the employee Life insurance Vision, dental, and indemnity plans 401(k) with profit sharing 6 paid holidays If you're looking to grow with a stable specialty practice and value work-life balance, we'd love to hear from you. Apply today to be considered.
    $20-26 hourly 1d ago
  • Strategic Legal Billing Specialist - Hybrid (SF)

    Farella Braun + Martel LLP 3.9company rating

    San Francisco, CA jobs

    A leading law firm in San Francisco is seeking a Billing Coordinator to support its monthly billing processes. Responsibilities include preparing client invoices, coordinating collections, and managing billing software. Candidates should have at least two years of billing experience, proficiency in accounting concepts, and excellent communication skills. The firm offers competitive salary and comprehensive benefits. Pay range is $75,000 to $90,000 depending on experience. #J-18808-Ljbffr
    $75k-90k yearly 1d ago
  • Ambulatory Surgical Center Coder

    Addison Group 4.6company rating

    Doral, FL jobs

    *Candidate Must come onsite one week for training in Doral, FL Our Client is seeking an experienced ASC ProFee Coder to support a newly opened surgery center with a growing case volume and current backlog. This is a contract-to-hire opportunity with immediate interviews. Schedule Monday-Friday, 8:00 AM-5:00 PM EST No weekends Flexibility for appointments as needed Coding Scope ASC Professional Fee & Facility coding Specialties include: Anesthesiology General Surgery ENT Orthopedics Ophthalmology Gynecology Urgent Care Cardiology No GI coding required Systems Epic IMO EncoderPro Onsite Requirement One-time onsite visit in Doral, FL (5 days) for equipment pickup and orientation Client covers hotel and gas; candidate responsible for transportation Requirements Must reside in Florida Must have experience coding for an Ambulatory Surgical Center Ability to fully abstract from paper charts/books if needed AAPC or AHIMA certification required Strong communication skills for a remote environment Bilingual (Spanish/English) a plus, not required Role Details Contract-to-hire Pay rate: up to $32/hr Accuracy standard: 95-100% Client-provided equipment Start date: ASAP Interview: Virtual (Teams), interviewing immediately
    $32 hourly 2d ago
  • Medical Records Clerk

    Corecivic 4.2company rating

    Conneaut, OH jobs

    At CoreCivic, we do more than manage inmates, we care for people. CoreCivic is currently seeking Medical Records Clerks who have a passion for providing the highest quality care in an institutional setting. The successful applicant should be able to perform ALL of the following functions at a pace and level of performance consistent with the actual job performance requirements. Create and maintain medical records, general files, logs and other related records and documents in an organized manner, to include sorting, labeling, filing and retrieving, in accordance with corporate and facility file retention and storage procedures; and maintains confidentiality and security of records. Maintain a current inventory of clinic supplies; monitor compliance with sign in/out logs; prepare inventory reports as required. Monitor outside referrals and coordinates transfer of medical records. Assist in the preparation of routine medical and dental reports. Read and comprehend medical instructions and procedures, correspondence, policies, regulations, reports, directions for forms completion and other simple or moderately complex documents. Qualifications: High school diploma, GED certification or equivalent. Two years experience in a similar position required. Additional education or specialized training may be substituted for the required experience. A valid driver's license is preferred, unless required by contract or applicable statute. Proficiency in Microsoft Word for Windows, Lotus 1-2-3 or Excel and other personal computer applications preferred. Minimum age requirement: Must be at least 18 years of age. CoreCivic is a Drug-Free Workplace & EOE including Disability/Veteran..
    $28k-35k yearly est. 2d ago
  • Medical Billing and Coding Specialist - 248358

    Medix™ 4.5company rating

    New York jobs

    Medical Billing & Coding Specialist - NO CERTIFICATION REQUIRED We are seeking a Medical Billing & Coding Specialist to manage the revenue cycle for a busy orthopedic practice. This role is responsible for ensuring accuracy in coding, timely claim submissions, and the resolution of account balances. We are open to candidates seeking either Full-Time or Part-Time employment. Key Responsibilities Coding & Entry: Assign codes for orthopedic procedures and diagnoses; collaborate with physicians to clarify charge details; key data into the billing system. Claims Management: Prepare and submit insurance claims (including Medicare/Medicaid); process all provider correspondence and documentation. A/R Resolution: Follow up on unpaid claims, resubmit denied/missing claims, and work accounts until they reach a zero balance. Financial Operations: Prepare and record bank deposits, photocopy checks, and research returned mail. Patient Service: Assist patients with billing forms, establish payment arrangements, and resolve inquiries via phone. Compliance: Maintain strict HIPAA confidentiality and organized billing records/files. Requirements Experience: 1.5+ years of medical billing and coding experience. Specialty: Hands-on experience with General Orthopedic billing. Education: High school diploma or GED. Certification: CPC (Certified Professional Coder) is preferred, not required. Schedule / Location Status: Full-Time or Part-Time available. Hours: Monday - Friday, 8:00 AM - 5:00 PM. Location: Suffolk County, NY
    $31k-40k yearly est. 4d ago
  • Records Management Specialist

    Aetos 4.2company rating

    Washington, DC jobs

    AETOS LLC is a Minority Owned CVE Certified Service Disabled Veteran Owned Small Business (SDVOSB) providing information technology solutions focused on building a business that is customer-centered and performance-oriented. At Aetos, we specialize in developing IT solutions to optimize functionality and efficiencies for government and commercial clients to meet their business needs. Job Description Records Management Position Requirements: The candidate will be responsible for maintaining and enhancing an established compliant Records Management System (RMS) in M365 SharePoint environment. The candidate must be knowledgeable of the capabilities inherent to an M365 platform, to include Purview, that apply to creating a compliant records management environment. Candidate must have knowledge of the following : Metadata and how to effectively apply this in SharePoint The creation and management of a taxonomy of Record Series Codes (RSC) Security access controls The organization of Case Files The application of records retention rules and disposition policies. Candidate must be able to design and implement the configuration of the RMS in regard to how records are ingested and how security controls will be applied. Candidate must have a working knowledge of DOD 5015.02 standards as criteria for establishing a compliant records management environment and must also understand the concept of litigation hold requests, FOIA, and audit and business need hold requests. Candidate must also understand the concept of communicating with NARA to align with NARA policies. Candidate will be required to create and respond to communications for and from all types of functional and technical customers through a variety of formats such as conference calls, emails, NARA taskers and directives, Service Hold Requests, File Plans and annual NARA requests regarding records managed by and for the client. An example would be addressing the NARA directive to perform an annual Records Management Program (RMP) assessment survey and submit to NARA's ePortal. Candidate will be responsible for maintaining a Record Maintenance Support process and System Maintenance Support process that provides ongoing RM support to assess problems, seek process improvements and adhere to Federal Regulations. Candidate will work with client to establish internal policy and other governance to ensure the following are addressed in the time and/or manner specified/acceptable by the appropriate authority: Advise in Agency-wide Annual RM Training. Assess and embed RM capabilities in the design of current, or new systems. Create and maintain RM Governance Policy and Guidance. Respond to RM related inquiries (24 hours). Respond and support any requests for information needed because of audit or internal or external analysis. Respond to NARA inquiries and surveys. Implement revisions to records retention schedule. Provide support to incidents or inquiries related to various matters related to the Agency's RM program to include but not limited to records security, records transitioning, incidents-damaged, lost-spillage, RMS, and archiving. Provide administrative support and guidance for creating and maintain current file plans and associated taxonomy to better enable configuration of systems retaining Agency's records. The candidate will work closely with the client's Record Manager and/or Records Owners the following actions will be implemented to maintain system support: Implement steps that include identifying and maintaining a current list of staff responsible completing files, training designated staff how to complete records file plan, tracking designated staff for ongoing reference. Refer to completed Files Plans or like documents to assess how best to configure/automate SharePoint Purview and SharePoint collaboration sites to manage recordkeeping and non-recordkeeping records in a secure manner, and when applicable the routing of permanent records to NARA. Identify and prioritize records for transition to SharePoint such as Finance, Personnel and Audit related supporting documents. Develop an Agency-wide RM awareness training program. Establish forums that enables Records Liaisons, Records Custodians or staff in similar roles to communicate in a practical/efficient manner. For example, FAQ Web Site, and Brown Bag Meetings. Issue taskers or similar requests periodically (at a minimum every 12 month) to Process Owners/Records Liaisons to review if information applicable to them in the Agency's Records Retention Schedule-and Records File Plans is accurate/relevant/current. Hold weekly meetings (at a minimum) with Records Management Office to discuss issuances/changes from NARA or other authorities within DoD Ensure client record support system is on NARA's notification list to be kept informed of any activity that impacts clients RM program to include but not limited to training, updates to NARA tools for submission of SF115s and SF135s. Attend meetings and/or training as required to stay abreast of changes to clients record management system, NARA record management guideline Help implement the findings from NARA Self-Assessments where clients Record Management Program needs to improve such as with implementation of a RM training program; in-out processing protocol to ensure key records especially at the senior level are preserved; embedding RM in the Agency's vital records program; web site RM, email management and when applicable social media. Qualifications Bachelors degree in related field from an accredited institution Must be able to pass DoD Public Trust background check Preference to candidates who have an active CAC or have possessed one in the last few years Must be available to work M-F 800 am to 500 pm EST Must be available for possible travel up to 1 week per year. Minimum five (5) years' experience managing records management programs. Additional Information Applicants must be authorized to work for any employer in the U.S. and reside in the U.S. All your information will be kept confidential according to EEO guidelines.
    $39k-59k yearly est. 2d ago
  • Medical Records Clerk

    Corecivic 4.2company rating

    Lake City, FL jobs

    $17.13 / Per Hour At CoreCivic, we do more than manage inmates, we care for people. CoreCivic is currently seeking Medical Records Clerks who have a passion for providing the highest quality care in an institutional setting. The successful applicant should be able to perform ALL of the following functions at a pace and level of performance consistent with the actual job performance requirements. Create and maintain medical records, general files, logs and other related records and documents in an organized manner, to include sorting, labeling, filing and retrieving, in accordance with corporate and facility file retention and storage procedures; and maintains confidentiality and security of records. Maintain a current inventory of clinic supplies; monitor compliance with sign in/out logs; prepare inventory reports as required. Monitor outside referrals and coordinates transfer of medical records. Assist in the preparation of routine medical and dental reports. Read and comprehend medical instructions and procedures, correspondence, policies, regulations, reports, directions for forms completion and other simple or moderately complex documents. Qualifications: High school diploma, GED certification or equivalent. Two years experience in a similar position required. Additional education or specialized training may be substituted for the required experience. A valid driver's license is preferred, unless required by contract or applicable statute. Proficiency in Microsoft Word for Windows, Lotus 1-2-3 or Excel and other personal computer applications preferred. Minimum age requirement: Must be at least 18 years of age. CoreCivic is a Drug-Free Workplace & EOE including Disability/Veteran..
    $17.1 hourly 2d ago
  • Health Information Technician 8797

    Alpha Rae Personnel Inc. 3.6company rating

    Orient, OH jobs

    The Health Information Technician is responsible for compiling, organizing, and maintaining health information records in accordance with regulatory and confidentiality standards. This role requires strong attention to detail, proficiency with Microsoft Word and Excel, and the ability to walk between buildings as part of daily tasks. Experience with Electronic Health Records (EHR) is preferred but training will be provided. Key Responsibilities Health Information Management Compile, review, and verify medical reports for completeness and accuracy. Organize medical records for filing; ensure all required reports and signatures are present. Prepare charts for new admissions and complete appropriate forms. Prepare requests for specific medical reports, certificates, or documentation. File reports into health information records and maintain accurate logs. Retrieve medical records as needed and ensure proper tracking within the filing system. Data Entry & Reporting Type and prepare health information forms and related documents. Compile and type statistical reports, including daily/monthly census data, admissions, discharges, Medicaid days, and length-of-stay metrics. Enter, scan, and upload documents into the Electronic Health Record system. Interdepartmental Support Provide information from health records after determining the appropriateness and authorization of the request. Coordinate with other departments regarding health information procedures and recordkeeping needs. General Duties Maintain strict confidentiality and comply with HIPAA guidelines. Walk between buildings regularly to deliver, retrieve, or exchange documentation (frequent walking required, but not strenuous). Perform other related duties as assigned. Required Knowledge, Skills & Abilities Knowledge of health information technology and medical recordkeeping practices. Understanding of medical terminology. Familiarity with regulations governing medical records, including Medicare/Medicaid standards and confidentiality requirements. Strong proficiency in Microsoft Word and Excel. Ability to proofread medical reports, identify errors or missing information, and maintain accuracy in data handling. Ability to gather, classify, and organize information with attention to detail. Skill using a word processor; calculator experience a plus. Minimum Qualifications Completion of three courses or nine months of experience in records management. Completion of one course or three months of experience in medical terminology. Completion of one course or three months of experience in typing. - OR - An equivalent combination of training and experience. Additional Notes Training will be provided on Electronic Health Record systems if needed. No unusual working conditions beyond routine walking between buildings.
    $27k-33k yearly est. 2d ago
  • Medical Records Clerk, P/T - Saguaro

    Corecivic 4.2company rating

    Eloy, AZ jobs

    At CoreCivic, we do more than manage inmates, we care for people. CoreCivic is currently seeking Medical Records Clerks, P/T who have a passion for providing the highest quality care in an institutional setting. The successful applicant should be able to perform ALL of the following functions at a pace and level of performance consistent with the actual job performance requirements. Create and maintain medical records, general files, logs and other related records and documents in an organized manner, to include sorting, labeling, filing and retrieving, in accordance with corporate and facility file retention and storage procedures; and maintains confidentiality and security of records. Maintain a current inventory of clinic supplies; monitor compliance with sign in/out logs; prepare inventory reports as required. Monitor outside referrals and coordinates transfer of medical records. Assist in the preparation of routine medical and dental reports. Read and comprehend medical instructions and procedures, correspondence, policies, regulations, reports, directions for forms completion and other simple or moderately complex documents. Qualifications: High school diploma, GED certification or equivalent. Two years experience in a similar position required. Additional education or specialized training may be substituted for the required experience. A valid driver's license is preferred, unless required by contract or applicable statute. Proficiency in Microsoft Word for Windows, Lotus 1-2-3 or Excel and other personal computer applications preferred. Minimum age requirement: Must be at least 18 years of age. CoreCivic is a Drug Free Workplace & EOE- M/F/Vets/Disabled.
    $28k-34k yearly est. 2d ago
  • Medical Records Clerk

    Corecivic 4.2company rating

    HartsvilleTrousdale County, TN jobs

    At CoreCivic, we do more than manage inmates, we care for people. CoreCivic is currently seeking Medical Records Clerks who have a passion for providing the highest quality care in an institutional setting. The successful applicant should be able to perform ALL of the following functions at a pace and level of performance consistent with the actual job performance requirements. Create and maintain medical records, general files, logs and other related records and documents in an organized manner, to include sorting, labeling, filing and retrieving, in accordance with corporate and facility file retention and storage procedures; and maintains confidentiality and security of records. Maintain a current inventory of clinic supplies; monitor compliance with sign in/out logs; prepare inventory reports as required. Monitor outside referrals and coordinates transfer of medical records. Assist in the preparation of routine medical and dental reports. Read and comprehend medical instructions and procedures, correspondence, policies, regulations, reports, directions for forms completion and other simple or moderately complex documents. Qualifications: High school diploma, GED certification or equivalent. Two years experience in a similar position required. Additional education or specialized training may be substituted for the required experience. A valid driver's license is preferred, unless required by contract or applicable statute. Proficiency in Microsoft Word for Windows, Lotus 1-2-3 or Excel and other personal computer applications preferred. Minimum age requirement: Must be at least 18 years of age. CoreCivic is a Drug-Free Workplace & EOE including Disability/Veteran..
    $26k-32k yearly est. 2d ago
  • Certified Medical Coder - 248716

    Medix™ 4.5company rating

    Phoenix, AZ jobs

    Hiring a REMOTE Certified Medical Coder that lives in Arizona! Schedule: M-F 8-5 PM MST Pay Range: Between $25-$29/hr depending on experience & qualfiications Day to day: Expertly assign and sequence diagnostic/procedural codes (ICD-10, CPT, etc.) per payer regulations and industry standards. Conduct thorough reviews of claims, configurations, and patient charts to verify the accuracy and compliance of billable services. Drive best practices, coding recommendations, and policy setting within the Revenue Cycle Management (RCM) department. Recommend and implement strategic protocols for coding modifications to maximize revenue and minimize denials. Provide targeted training and support to RCM team members and clinical practitioners on appropriate billing and coding requirements. Collaborate with Compliance and Contracting teams to ensure organizational adherence to coding standards. Maintain a flexible, compassionate, and professional approach while supporting team goals. Must Have Qualifications: CPC Certification Experience with NextGen Benefits: - In order to be eligible for health benefits, you must be employed for 30 days and must average 30 hours per week over your first four weeks on assignment. If you become eligible and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s). 401(k) Retirement Plan (After 6+ months of service, during a 401K enrollment period) Medical, dental and vision plans with The American Worker, as well as three Major Medical Plan options! Prescription Programs Short Term Disability Insurance Term Life Insurance Plan
    $25-29 hourly 4d ago
  • Medical Biller

    Delta Dallas 3.9company rating

    Dallas, TX jobs

    BILLING & CODING TEAM LEAD Join Our Growing Team! We're seeking a detail-oriented and experienced Billing & Coding Team Lead to join a fast-growing healthcare practice management team. If you are passionate about accuracy, compliance, and leading high-performing teams, this is the perfect opportunity to make an impact. Key Responsibilities: • Lead & Mentor: Guide a team of billing and coding professionals, fostering collaboration and excellence. • Ensure Accuracy: Oversee anesthesia case management across multiple payer types, ensuring precise CPT/ASA/ICD-10 coding and smooth claims processing. • Maintain Compliance: Stay up-to-date on insurance verification, concurrency checking, and payer requirements to maximize clean claim rates. • Develop Talent: Conduct performance reviews, provide ongoing training, and support professional growth for team members. • Optimize Processes: Streamline workflows, track key performance metrics, and implement improvements to enhance efficiency. Qualifications: • 5+ years of hands-on billing and coding experience • Proven leadership or supervisory experience • Active coding certification Ready to lead, drive excellence, and grow your career? Apply today!
    $30k-36k yearly est. 2d ago
  • Health Information Specialist

    Us Tech Solutions 4.4company rating

    Whittier, CA jobs

    Duration :: 3 Months Contract The HIM Clerk processes Health Information under the direction of the HIM Director or designated supervisor. This processing includes but is not limited to: collecting and/or delivering health information/hard copy medical records for patient care and processing the surgical list; retrieval of medical records, pick up of discharged patient records from nursing units, locating and following up on missing medical records, prepping, scanning and filing of medical records and loose reports, preparation of documents for storage via scanning or boxing, answering telephones; and/or assisting physicians and ancillary staff with health information requests. As time permits, may assists with preparation of medical records for destruction. SPECIFIC SKILLS NEEDED •Demonstrates knowledge of medical records and medical record documents. •Ability to process work using both alphabetical and numerical filing systems. •Must be well organized and demonstrates an aptitude for accuracy and attention to detail. •Demonstrates effective communication, interpersonal skills, and ability to follow instructions. •Ability to be courteous, tactful, and cooperative throughout the day. •Ability to concentrate and maintain accuracy despite frequent interruptions. •Legible writing and printing is mandatory. •Basic computer skills and keyboarding skills; typing speed of 30 wpm. EDUCATION/EXPERIENCE/TRAINING Required: • Knowledge of Windows Software Preferred: •Familiarity with electronic medical record systems •Knowledge of medical terminology •Previous HIM Department or medical office experience •Valid California driver's license, motor vehicle, motor vehicle insurance and current registration. • High School graduate or GED PERSONAL QUALITIES •Communicates effectively and express ideas clearly. •Actively listens and always follows appropriate channels of communication. •Detail oriented. •Punctual. •Ability to establish priorities. •Organized and dependable with a positive appearance and attitude. •Always strives to make good use of time, seeks out work that needs to be completed •Reports free time to supervisor •Ability to work in a high activity area. •Maintains a safe, neat, and orderly workstation. About US Tech Solutions: 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 ************************ US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruiter Details: Recruiter name: Ajeet Kumar Recruiter's email id : ***************************** JobDiva ID :: JobDiva # # 25-55116
    $35k-44k yearly est. 3d ago
  • Billing Specialist

    Appleone 4.3company rating

    Pleasanton, CA jobs

    Join our dynamic and fast-paced team as a key player in driving accurate and efficient billing operations. You'll lead billing efforts, support job setup, and tackle accounting challenges with a sharp eye for detail. We're looking for a proactive, Excel-savvy professional ready to make an immediate impact and grow with a solid organization. Equal Opportunity Employer / Disabled / Protected Veterans The Know Your Rights poster is available here: *********************************************************************************** The pay transparency policy is available here: ******************************************************************************************** For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required. We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team. AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program. ********************************************** Contents/E-Verify_Participation_Poster_ES.pdf We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
    $33k-42k yearly est. 2d ago
  • Medical Billing Specialist - 228152

    Medix™ 4.5company rating

    Monroeville, PA jobs

    Medix is hiring an experienced Medical Billing Specialist to support a specialty Ophthalmology practice in Monroeville, PA! ! Schedule: Monday - Friday Day Shift - 40 Hours a week, 8 hours a day Pay: $19-24/hour Location: Monroeville, PA (Onsite) Position Requirements: Perform posting charges in electronic practice management system. Post electronic payments, credit card and cash payments in patient accounts in PM system. Resolve denials. Review eligibility prior to visit and updating information for clinical use. Obtain prior authorizations for branded drug falling rules of step therapy on various payer portals. Work with specialty pharmacies to receive part b drugs for patients. Submit request for foundation payments and subsequent posting of those payments. Talk to insurance companies to resolve payer issues. Answer patient invoice questions. Conduct internal audits comparing encounter forms to be billed with medical record in Nextgen. Position Requirements: Practice Management software experience with posting charges and payments. Experience submitting claims. Must be detail oriented with strong attention to detail. Excellent verbal and written communication skills. Proficient typing skills. Good understanding of computer software. Previous experience in billing a must and preferably in a private medical practice. Nextgen experience preferred but not required. This is a rapidly growing organization with lots of growth opportunities. Apply today!
    $19-24 hourly 4d ago
  • Coding Denial Specialist

    Guidehouse 3.7company rating

    Medical biller coder job at Guidehouse

    Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do: Work multispecialty physician-related coding denials Create appeals to payers as needed Provide feedback to prevent future denials Work in Epic follow-up queues What You Will Need: CPC certification from the AAPC Working knowledge of denial reason codes Experience creating appeals Experience with physician coding denials Ability to interpret payer policies and MAC guidance Proficient in ICD-10 CM, modifiers, E/M leveling, and CPT coding guidelines. What Would Be Nice To Have: Physician Billing background Epic experience The annual salary range for this position is $38,000.00-$64,000.00. 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.
    $38k-64k yearly Auto-Apply 2d ago
  • Health Information Manager

    Carebridge 3.8company rating

    Florida jobs

    Location: Ideal candidates will be able to report to our Pulse Point location at 8600 W. Bryn Mawr Ave., S. Tower, Suite 800, Chicago, IL 60631 This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Hours: Monday to Friday, 8:00 am to 5:00 pm The Health Information Manager is responsible for identifying opportunities to deliver affordable quality care to members through analysis of data and transforming business intelligence into action plans. How You Will Make an Impact: * Provides strategic recommendations for improving health care affordability to executives and professional clients. * Collaborates with the data warehouse analysts in establishing business rules and monitoring adherence. * Translates data trends into strategic recommendations for program development and action plans. * Organizes and manages the staffing and workflow on major projects. * Provides business expertise regarding the appropriate use of data elements and cooperates with reporting personnel from other areas to establish and maintain these common business rules. * Develops and communicates action plans and assists in planning initiatives to address areas for improvement identified through data analysis and business expertise. * Collaborates with business users to define media, frequency and audience for distribution of information. * Evaluates and triages potential projects and studies based on the value, cost benefit analysis and the urgency of the request. * Manages projects through coordination and negotiation with internal and external clients in a highly matrixed environment. * Performs strategic data analysis and research to support business needs. * Develops detailed understanding of relevant business processes, goals and strategy. * Acts as a source of direction, training and guidance for less experienced staff. * Makes strategic recommendations to executives. * Providing consultations and making presentations are major parts of this job. * Influences and negotiates with all levels of management. Minimum Requirements: * Bachelor's degree in Data Analytics, Statistics, Computer Science, Computer Engineering, or related. * Five (5) years of experience in an analytical role. * Five (5) years of experience in an analytical role must include: * Two (2) years of experience implementing Excel functions and macros to help solve complex problems and present information in a user-friendly format. * Two (2) years of experience developing dashboard capabilities utilizing Tableau, Power BI, or Business Objects. * Two (2) years of experience using SAS or Teradata SQL. * Two (2) years of experience with data reporting. * Two (2) years of experience working with NCQA Accreditation, HEDIS and reporting. Travel Requirements: * Requires less than 10% of travel. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $161,677 to $162,677 Locations: Chicago, IL In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $50k-72k yearly est. Auto-Apply 60d+ ago
  • Legal Billing

    Frontline Source Group Holdings, LLC Dba Dfwhr 3.8company rating

    Katy, TX jobs

    Legal Billing Coordinator Our Katy, TX client has an opportunity for a highly motivated, knowledgeable, articulate Legal Billing Coordinator who enjoys working within a collaborative team to accomplish daily goals on a contract to possible hire basis. Legal Billing Company Profile: Team Atmosphere with progressive career growth opportunities Legal Billing Coordinator Role: The Legal Billing Coordinator is responsible for preparing high-volume prebills for the firm. Create and distribute invoices as well as make revisions as needed while carefully executing complex adjustments for prebills that are time sensitive. Participate and communicate billing circumstances to management and legal counsel. Work with various departments contributing to special projects as needed Communicating with attorneyâ??s and clients regarding billing questions while maintaining a high level of customer service. Legal Billing Coordinator Background Profile: Associate's degree preferred or related work experience 3+ years Legal Law firm experience or professional services within legal billing Experience with Elite Enterprise, 3E, eBillingHub, Carpediem, Legal Key and Intellistat is a huge plus Strong time management experience and working with time-sensitive deadlines Ability to work with senior management, attorneys, and co-workers to complete tasks Features and Benefits while On Contract: We go beyond the basic staffing agency offerings!  You can see the extensive list of benefits on our website under the Candidate â??Benefitsâ? tab.
    $34k-39k yearly est. 59d ago
  • Billing Clerk

    Messerli Kramer P.A 4.1company rating

    Plymouth, MN jobs

    ***$500 Sign-on Bonus After Successfully Completing 90 Days*** Messerli Kramer, a trusted Twin Cities law firm since 1965, is looking for a full-time Records Clerk to join our team in Plymouth, MN. This role performs a variety of tasks including opening mail, mail and document sorting, and processing of outgoing mail. This is a great Entry Level opportunity with unlimited growth potential. Essential Functions and Duties for the Records Clerk: Review and sort all incoming mail and faxes Date and timestamp mail per guidelines Enter files into the document management system Process outgoing mail Work at a counter and with various machines including copiers, scanners and mail machine Benefits & Perks Include: Medical, Dental, & Vision Insurance HSA & FSA Accounts 401K, with 4% company contribution (after 1 year of service) Paid time off (17 days per year) Paid holidays off (7 days per year + a floating holiday) Company Paid Life Insurance Employee Assistance Program Building amenities include: Free parking, onsite restaurant, & onsite free gym Required Education & Experience: High School Diploma/GED Competencies: Ability to learn and retain policies and procedures Ability to meet deadlines with fluctuating work volumes and commitment to get the job done Excellent communication and organizational skills Basic computer and data entry skills Strong attention to detail Time management skills to work in a fast paced environment with efficiency and accuracy Strong work ethic with a positive, cooperative attitude Work Environment and Physical Demands: This role operates in a professional office setting, routinely working with standard office equipment. Generally, due to the nature of this office position, the person in this role would be required to talk and hear, sit or stand for long period of time, and use their hands and fingers, to handle and feel. Occasionally required to walk, reach with arms and hand, climb or balance, and to stoop, kneel, or crouch. Regularly required to lift and/or move up to 10 pounds, occasionally lift and/or move up to 25 pounds. Vision abilities required by the job include close vision. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and to meet job requirements. All applicants must pass a criminal background and drug screening before commencing employment with Messerli & Kramer, P.A. Wage Disclaimer: The starting wage for this position is $16.00/hour. The wage range for this position is $16.00/hour to $17.00/hour. About Us: Messerli Kramer is a leading law firm in the Twin Cities founded in 1965 with locations in Minneapolis, St. Paul and Plymouth, Minnesota. We have a well-earned reputation within the business community of providing sound, reasoned and comprehensive legal advice. Our professionals take the time to listen and understand their legal issues within the larger framework of their business as a whole. Known for our dedication and responsiveness, our attorneys and staff are focused on finding pragmatic solutions and producing remarkable results for our clients. Messerli Kramer serves individuals and businesses through three unique, yet complementary, divisions. We represent a variety of clientsfrom large corporations, banks and closely-held businessesto individuals seeking divorce and family law or estate planning services. Our clients trust us to help them navigate the myriad of legal issues that confront them in their business and personal lives. Compensation details: 16-16 Hourly Wage PIb04d53bb553c-31181-39066105
    $16 hourly 8d ago

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