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Clinical Reimbursement Specialist CRS
Laurel Health Care Company 4.7
Medical biller coder job in Westerville, OH
Are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Healthcare as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our Columbus, Ohio and surrounding facilities. If you love teaching and communicating with other nurses, this is a great role for you!
The successful applicant will have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations.
Benefits:
Competitive pay.
Medical, dental, and vision insurance.
401K with matching funds.
Life Insurance.
Employee discounts.
Tuition Reimbursement.
Student Loan Reimbursement.
Responsibilities:
Ensure the RAI process is complete and assessments are complete.
Audit Completion of MDS, CAA's and care plans within regulated time frames.
Provide teaching as needed for MDS nurses in assessing resident through physical assessment, interview and chart review.
Assist MDS nurses in follow up on resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff.
Reviews MDS nurse completion of information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning.
Requirements:
Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Patient Driven Payment Model is required.
Knowledge of regulatory standards and compliance requirements.
Registered Nurse RN in the state.
50% travel with some overnight stays possible.
Ciena Healthcare:
We are a provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
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$33k-41k yearly est. 1d ago
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Remote Medical Billing Coder
Fair Haven Community Health Care 4.0
Remote medical biller coder job
Fair Haven Community Health Care
For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care.
Remote in New Haven, Connecticut
Job purpose
Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that impact billing and collection.
Duties and responsibilities
The Medical Billing Coder performs billing and computer functions, including patient & third party billing, data entry and posting encounters. Typical duties include but are not limited to:
Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials
Prepares and submits clean claims to various insurance companies either electronically or by paper.
Handle the follow-up of outstanding A/R all-payers, including self-pay and /or the resolution of denials.
Answers question from patients, FHCHC staff and insurance companies.
Identifies and resolves patient billing complaints.
Prepares reviews and send patient statements and manage correspondence.
Handle all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability.
Take call from patients and insurance companies regarding billing and statement questions.
Process and post all patient and/or insurance payments.
Reviewing clinical documentation and provide coding support to clinical staff as needed.
Qualifications
High School diploma or GED with experience in medical billing is required.
A certified professional coding certificate (CPC AAPC), knowledge of third party billing requirements, ICD and CPT codes, and billing practices are also required.
Excellent interpersonal and communication skills and ability to work as a member of the team to serve the patients is essential.
Must be detail oriented and have the ability to work independently.
Bi-lingual in English and Spanish highly preferred.
FQHC/EPIC experience is desirable.
American with Disabilities Requirements:
External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.
Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.
$33k-39k yearly est. Auto-Apply 11d ago
Medical Records Coder
Nextstep Technology
Remote medical biller coder job
Full-time Description
About the Company
NextStep Technology Inc. is seeking a Medical Records Analyst. The medical records analyst is primarily responsible for review of health information. The MRA reviews the medical records for specific criteria and validation of specific code year sets submitted from selected organizations to government and commercial client. The position requires review of protected health information and must maintain strict confidentiality when addressing or referring to such records. The incumbent must have the ability to use a variety of office equipment, computer software, the ability to use sound and professional judgement, and to work independently. The candidate(s) will be hired as an employee up to 40 hours per week (flexible scheduling). This is a remote position
About the Role
The medical records analyst is primarily responsible for review of health information.
Responsibilities
Analyze protected health information according to project specific rules.
Participates in the Intake Process of records.
Assigns ICD-9/10-CM codes according to the guidelines as defined by the AMA.
Discusses project related discrepancies with Team Lead(s).
Maintain coding credentials and continuing education or Possess and maintains a current and comprehensive understanding of coding rules, changes, and guidelines as defined by the AMA.
Other duties as assigned
Requirements
Must possess a minimum of one (3-6) years of experience in abstracting and ICD-9/ICD-10 coding of general acute hospital (inpatient and outpatient) and physician medical records by applying ICD-9/ICD-10 Coding Guidelines for inpatient and outpatient settings and related Official Coding Clinics.
ICD9 proficiency required.
Knowledge in anatomy and physiology, pathology of disease and medical terminology required.
Ability to write appropriate correspondence and effectively communicate with other members of NS personnel, clients, and customers as necessary.
Must be able to work independently with little or no supervision and use professional judgment as detailed in the AHIMA Code of Ethics.
Passing score on a administered coder assessment must be achieved before further consideration.
Required
Skills Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or CCS (Certified Coding Specialist).
$58k-94k yearly est. 12d ago
HIM Coder - Inpatient
Rush University Medical Center
Remote medical biller coder job
Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Medical Records Work Type: Full Time (Total FTE 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (*****************************************************
Pay Range: $29.36 - $47.79 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes, but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures.
Other information:
Knowledge, Skills, and Abilities:
High School (GED) required
RHIA, RHIT, and/or CCS Certification required
Minimum 3 years experience in medical record coding required
Knowledge of medical terminology and anatomy and physiology required
Windows applications, Outlook, WebEx and other apps as needed to perform role
Cooperates well with others
Competent attention to detail and accuracy
Proficient with computer use and software applications
Ability to concentrate on task at hand in open distracting environment independent manner; minimizing distractions in private work-from-home space
Ability to apply local, state, and federal coding guidelines with attention to detail.
Responsibilities:
* Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail
* Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail
* Completes UHDDS data abstraction as required
* Maintains a log of work performed
* Completes other assigned duties as directed by management
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Join our in-house Coding Team at Baptist Health South Florida, where you'll find stability, a welcoming environment, and colleagues who truly care. * Flexible scheduling to support work-life balance * Supportive and engaged leadership that fosters a welcoming culture
* Commitment to employee wellness, engagement, and success
* Growth and development opportunities, including CEU access and recertification reimbursement
* Individual quarterly performance bonus opportunities, along with performance-based recognition for outstanding contributions
* Accurately codes Inpatient records for the classification of all diseases, injuries, procedures, and operations using the ICD10CM/PCS coding system.
* Ensures compliance of coding rules and regulations according to Regulatory Agencies (CMS, OIG).
* Works as a team to meet departmental goals and AR goals.
* Abstracts prescribed data elements from the medical records.
Estimated pay range for this position is $29.41 - $38.23 / hour depending on experience.
Degrees:
* High School,Cert,GED,Trn,Exper.
Licenses & Certifications:
* AHIMA Certified Coding Specialist.
* AHIMA Registered Health Information Technician.
Additional Qualifications:
* Required coding certificate.
* If not CCS or RHIT certified upon hire they must obtain within 2 years, except for BRRH employees.
* For Boca they are required to have either CCS, CCA, CPC, COC, RHIT or RHIA.
* Knowledge and thorough understanding of encoder system, Inpatient Prospective Payment System (IPPS), DRG/MSDRGs and National and Local Coverage Determination, NCD and LCD, Policies.
* Competency in Word and Excel.
* Ability to communicate effectively with coworkers, management staff, and physicians.
Minimum Required Experience: 3 Years
$29.4-38.2 hourly 60d+ ago
Medical Auditors
The Excellent Va
Remote medical biller coder job
📷URGENT HIRING! MEDICAL AUDITORS📷
This is a 100% work-from-home position. You must have strong internet, a good home office,- and work US Time.
Qualifications:
📷 Experience with the following software: Kinnser, Axxess, and Alora
📷 Have training/certification on Board Certified Home Health Coder (BCHH-C)
📷 MUST have Oasis experience
📷 Familiar with Medicare/ Medicaid standards
📷 Has a medical background (MEDICAL BILLING EXPERIENCE IS A PLUS)
If you are interested or have the skills mentioned above, please APPLY. We will conduct the interview ASAP! Thank you.
$49k-83k yearly est. 60d+ ago
Remote Profee Medical Auditor
Amergis
Remote medical biller coder job
The Profee Auditor is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate and abstracts pertinent information from patient records. Minimum Requirements: + Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) and have a preferred minimum of 2 years relevant coding experience
+ Must be at least 18 years of age
+ Must have experience in Profee Auditing
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
+ Competitive pay & weekly paychecks
+ Health, dental, vision, and life insurance
+ 401(k) savings plan
+ Awards and recognition programs
*Benefit eligibility is dependent on employment status.
About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.
Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
$37k-61k yearly est. 3d ago
Remote Medical Coding Auditor (CPC, CCS-P, or CPMA)
Crossroads Treatment Centers
Remote medical biller coder job
Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.
Day in the Life of a Medical Coding Auditor
Conducting audits of claims and patient records to identify incorrect coding. Audits will be performed for both provider and coder coding accuracy with required documentation in accordance with current coding guidelines.
Developing, implementing, and coordinating corrective action proposals and plans.
Tracking completion of internal and external Plans of Correction.
Preparing reports of findings and any compliance issues identified with audits, including monthly summary reports for the Crossroads executive team and quarterly reports for the Chief Compliance Officer.
Attending and reporting at weekly team calls with Manager of Medical Coding Compliance Audits, Director of Medical Coding Compliance and Chief Compliance Officer.
Attending weekly meetings with other auditors.
Reporting coding patterns identified within the audit process to management and identifies corrective measures to compliance problems.
Assisting the Manager of Medical Coding Compliance Audits with training and education of providers, coders, and centers (OBOTs and OTPs) on medical coding compliance.
Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials.
May interact with providers and/or center administrators from time to time regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation.
Provide coding and compliance updates to all staff.
Collaborates with interdepartmental or cross-functional teams for assigned projects and provides departments with identified coding issues and updates to ensure timely and accurate reimbursement.
Determines method of completing daily workload and priorities to ensure that all responsibilities are carried out in a timely manner.
Assisting with pulling records requested by payers related to payer audits and review of such records to identify any issues.
Other duties and responsibilities pertaining to medical coding compliance monitoring as requested by the Director of Medical Coding Compliance Director of Medical Coding Compliance.
Schedule, Travel, & Work Authorization
Employees must work 8-hour shifts Monday through Friday and may clock in as early as 6:30 AM EST, but no later than 9:00 AM EST. Employees may not clock out before 4:00 PM EST.
Education and Licensure Requirements
Certified Professional Coder (CPC), Certified Coding Specialist- Professional (CCS-P) or Certified Professional Medical Auditor (CPMA)
High School diploma, GED or equivalent.
Minimum of 5 years of coding experience.
Minimum of 2 years of auditing experience.
Experience in auditing healthcare provider documentation to identify correct ICD-10-CM, CPT, and/or HCPCS codes preferred.
An excellent understanding of Mental Health / Opioid Addiction medical terminology preferred.
An excellent understanding of ICD-10-CM coding classification and CPT/HCPCS coding.
Computer literate adept skill level on MS Office applications.
Good organizational and communication skills.
Task oriented and ability to meet designated deadlines and productivity standards.
Strong, well-developed interpersonal skills.
Experience in Mental Health or Addiction Medicine a plus.
Position Benefits
Medical, Dental, and Vision Insurance
PTO
Variety of 401K options including a match program with no vesture period
Annual Continuing Education Allowance (in related field)
Life Insurance
Short/Long Term Disability
Paid maternity/paternity leave
Mental Health Day
Calm
subscription for all employees
Position Benefits
Have a daily impact on many lives.
Excellent training if you are new to this field.
Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate.
Community events that promotes belonging and education. Includes but not limited to community cook outs, various fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events.
Opportunity to save lives everyday!
$35k-55k yearly est. Auto-Apply 12d ago
Inpatient Coder - Teaching Health System
Savista, LLC
Remote medical biller coder job
Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
Code complex Inpatient records for a large teaching level health system. Two (2) years of recent and relevant hands-on coding experience. Requires active CCS, CCA, CCS-P, COC, CPC, CPC-A, RHIT or RHIA credential.
SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.
California Job Candidate Notice
$44k-65k yearly est. Auto-Apply 4d ago
Pre-Bill Coder Specialist - Inpatient
Advocate Health and Hospitals Corporation 4.6
Remote medical biller coder job
Department:
10351 Enterprise Revenue Cycle - Coding Production Operations: Administrative
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Monday-Friday, Flexible hours
This is a REMOTE Opportunity
Pay Range
$28.55 - $42.85
Prioritizes and codes and abstracts high dollar charts, day after discharge, as well as interim charts, at regular intervals, with a high degree of accuracy.
Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals to assign diagnosis and procedure codes utilizing ICD CM/PCS, CPT, and HCPCS.
Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Assigns codes for present on admission, research, Hospital acquired Conditions and Core Measure Indicators for all diagnoses both concurrently and post-discharge.
Collaborates with other departments to clarify pre-bill coding documentation issues such for inpatient and outpatient to insure reimbursement and clinical outcomes.
Works claim edits for all patient types and may codes consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios.
Completes informal peer-review on inpatient and outpatient coders.
Tracks and trends quality information from internal and external sources to partner with the educational team on opportunities.
Communicates with Medical Staff, CDI, Post -bill for documentation clarification.
Utilizes EMR communication tools to track missing documentation on inpatient queries that require follow-up to facilitate coding in a timely fashion. Partners with HIM, Patient Accounts, and Integrity, when needed, to help resolve issues affecting reimbursement and outcomes.
Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for coding all types of patients.
Must be able to use critical decision-making skills to determine when to query to clarify documentation independently for outcomes, reimbursement and benchmarking.
License/Registration/Certification:
Must have a certification through American Health Information Management Association (AHIMA) or American Academy of professional Coders (AAPC)
Education:
Two Year associate degree or equivalent work experience
Experience:
Five to Seven years of inpatient coding experience in an acute care inpatient setting in an Academic Inpatient Care Tertiary Facility
Knowledge, Skills & Abilities Required:
Advanced proficiency of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.
Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications.
Excellent communication (oral and written) and interpersonal skills.
Excellent organization, prioritization, and reading comprehension skills.
Excellent analytical skills, with a high attention to detail.
Ability to work independently and exercise independent judgment and decision making.
Ability to meet deadlines while working in a fast-paced environment.
Ability to take initiative and work collaboratively with others.
Physical Requirements and Working Conditions:
Exposed to a normal office environment.
Must be able to sit for extended periods of time.
Must be able to continuously concentrate.
Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
Operates all equipment necessary to perform the job.
This indicates the general nature and level of work expected of the incumbent. It is not designed
to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
#REMOTE
#LI-Remote
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$29k-35k yearly est. Auto-Apply 60d+ ago
Surgical Certified Procedural Coding Specialist
University of Arkansas for Medical Sciences 4.8
Remote medical biller coder job
Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for “Find Jobs for Students”.
All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated).
If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through “My Draft Applications” located on your Candidate Home page.
Closing Date:
01/22/2026
Type of Position:Clinical Staff - Clinical Support
Job Type:Regular
Work Shift:Day Shift (United States of America)
Sponsorship Available:
No
Institution Name: University of Arkansas for Medical Sciences
The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
UAMS offers amazing benefits and perks (available for benefits eligible positions only):
Health: Medical, Dental and Vision plans available for qualifying staff and family
Holiday, Vacation and Sick Leave
Education discount for staff and dependents (undergraduate only)
Retirement: Up to 10% matched contribution from UAMS
Basic Life Insurance up to $50,000
Career Training and Educational Opportunities
Merchant Discounts
Concierge prescription delivery on the main campus when using UAMS pharmacy
Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button.
The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.
Persons must have proof of legal authority to work in the United States on the first day of employment.
All application information is subject to public disclosure under the Arkansas Freedom of Information Act.
For general application assistance or if you have questions about a job posting, please contact Human Resources at ***********************.
Department:FIN | CORE Coding - PB Surgery
Department's Website:
Summary of Job Duties:** REMOTE CODING POSITION **
** WILL WORK FROM HOME **
The Certified Procedural Coding Specialist - Surgical will work under supervision and reads/ interprets health record documentation to identify all diagnoses and procedures.
Qualifications:
Minimum Qualifications:
High School Diploma/GED.
Must have an understanding of CPT and ICD-10.
Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA.
Must have two (2) years of coding experience.
Preferred Qualifications:
Associates or Bachelor's in Health Information Management.
Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA.
OR
Bachelor's degree in health information management or related field.
Preferred RHIA or RHIT.
Additional Information:
Responsibilities:
Assess the adequacy of health record documentation to ensure that it supports all diagnoses and procedures to which codes are assigned.
Apply knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures;
Apply knowledge of disease processes and surgical procedures to assign non-indexed medical terms to the appropriate class in the classification/nomenclature system;
Apply knowledge of Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis and principal procedures; apply knowledge of Prospective Payment System to confirm DRGs as well as APCs;
Possess a complete understanding of ICD-10 and CPT coding classification systems; apply knowledge of coding to assist patient billing Services to submit clean claims for medical necessity.
Salary Information:
Commensurate with education and experience
Required Documents to Apply:
License or Certificate (see special instructions for submission instructions), List of three Professional References (name, email, business title), Resume
Optional Documents:
Special Instructions to Applicants:
Recruitment Contact Information:
Please contact *********************** for any recruiting related questions.
All application materials must be uploaded to the University of Arkansas System Career Site *****************************************
Please do not send to listed recruitment contact.
Pre-employment Screening Requirements:Criminal Background Check
This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.
Constant Physical Activity:Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting
Frequent Physical Activity:Hearing, Talking
Occasional Physical Activity:Standing, Stooping, Walking
Benefits Eligible:Yes
$40k-47k yearly est. Auto-Apply 28d ago
Medical Coding Auditor
St. Luke's Hospital 4.6
Remote medical biller coder job
Job Posting
We are dedicated to providing exceptional care to every patient, every time.
St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades.
Position Summary:
Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke's mission and values. This position is 40hrs/week and 100% remote.
Education, Experience, & Licensing Requirements:
Education: Associate degree in Health Services
Experience: 5 years of production coding experience or 5 years coding auditing experience. ICD-10-CM (including coding conventions and guidelines), CPT-4 (including coding conventions and guidelines), HCPCS, NCCI edits, and APC experience. Cerner and 3M/Solventum experience.
Licensure: RHIA, RHIT, or CCS certification
Benefits for a Better You:
Day one benefits package
Pension Plan & 401K
Competitive compensation
FSA & HSA options
PTO programs available
Education Assistance
Why You Belong Here:
You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.
$44k-65k yearly est. Auto-Apply 60d+ ago
Medical Records & Authorization Coordinator
Dreem Health
Remote medical biller coder job
, by Sunrise
Sunrise Group is building the future of sleep health by combining innovative technology with expert care. Our mission is simple: make better sleep accessible to everyone.
We do this in two ways:
🔹Sunrise: our technology for diagnosis, treatment, and care delivery
🔹Dreem Health: our digital clinic, where patients receive care from sleep specialists
Together, we're tackling one of healthcare's biggest challenges - helping millions of people with sleep disorders get the care they deserve.We're a fast-growing team across the US and Europe, backed by more than $50M (€46M) from leading investors including Amazon's Alexa Fund, Eurazeo, Kurma, and VIVES. If you want to make a real impact in healthcare and help people sleep better, you're in the right place. And if you don't see the perfect role right now, reach out; great people often find their place here.
Dreem Health is America's leading digital sleep clinic that's fixing the broken sleep care patient journey. We connect patients with sleep specialists through a straightforward telehealth platform, eliminating lengthy wait times and complicated in-lab testing. Our clinicians diagnose sleep disorders using home-based tests and deliver effective treatment plans that patients can easily follow.
Dreem Health is managed by the Sunrise Group, a breakthrough technology company that's revolutionizing sleep care with innovative diagnostic and treatment technologies, including a home sleep test that's changing how sleep apnea is diagnosed. Together, we're tackling one of healthcare's biggest challenges: helping the 1+ billion people affected by sleep disorders get the care they deserve. Backed by Amazon's Alexa Fund and $35M in funding, we're just getting started.
Your Opportunity
As a Medical Records & Authorization Coordinator at Dreem Health, you'll play a key role in ensuring the seamless flow of clinical information and supporting timely patient care. You'll manage fax and mail intake, process medical records requests, and complete insurance pre-authorizations. By handling documentation, correspondence, and authorization requests accurately and efficiently, you'll help strengthen the operational foundation of our fast-growing digital sleep clinic.
This is an exciting opportunity for someone who is passionate about patient care and wants to make a real impact on how care is delivered at scale. You'll learn how to navigate a tech-enabled care environment, collaborate closely with cross-functional teams, and be part of building a better, more accessible future for sleep health. If you thrive in a dynamic, mission-driven setting and are excited to grow with a company that's redefining care, we'd love to meet you.
What You Bring
Prior experience with pre-authorizations and insurance authorizations; experience in sleep medicine (e.g., PSG, Home Sleep Testing, PAP therapy, GLP-1 therapy) is a plus.
Familiarity with electronic medical records (EMR/EHR) or other healthcare database systems
Confidence navigating digital tools and multitasking in a fast-paced, dynamic and collaborative environment
Ability to work autonomously while interacting effectively with healthcare providers, and payors;
Foundational understanding of Insurance Authorization process, medical record management
A genuine commitment to deliver high-quality patient care and contributing to better access and patient outcomes
What Makes You Stand Out
Completion of a Medical Assistant program or equivalent healthcare experience
Excellent customer skills with an ability to multitask in a fast paced environment
High level of empathy and understanding of patients' needs as you strive to provide exceptional patient service and support throughout their care journey.
Benefits That Make a Difference
Be part of an international team across the US, Paris, Belgium, and Vienna
Comprehensive health benefits (medical, dental, vision)
401(k) with company match
20 days PTO + 10 paid holidays + sick leave
FREE One Medical membership
Internet reimbursement
Our Team Values
At Dreem Health - and across Sunrise - we believe in keeping things clear and simple. We make sleep medicine more accessible by cutting through complexity and focusing on what truly matters: helping people sleep and feel better. We count on one another, building trust through dependable actions and authentic teamwork. And we always let the sun rise - leading with optimism, compassion, and the belief that better sleep unlocks a healthier, fuller life.
We value people, not just paper. Don't quite meet every qualification? Apply anyway! We're interested in your unique perspective and what you'll bring to our team. Tell us your story and why you're passionate about improving sleep health. Real-world experience, empathy, and a genuine desire to help patients often matter more than checking every box.
Compensation
$21-$25 ($41K-$52K)
Dreem Health / Sunrise is an Equal Opportunity Employer. We welcome people of all backgrounds and are committed to building a workplace where everyone feels included and respected. We do not tolerate discrimination or harassment of any kind.
$41k-52k yearly Auto-Apply 11d ago
Medical Records Development Clerk - Remote TX
Heard & Smith, LLP 3.8
Remote medical biller coder job
Heard and Smith, LLP was founded on the principles of compassion, humility and the relentless desire to pursue financial assistance for our clients. Our law firm has been helping the disabled for over 30 years and has a proven record. Do you have a heart for those in need? We are seeking individuals with excellent customer relations, strong work ethic, and a true desire to help others. Being part of the Heard and Smith team is more than a job; each day provides you with opportunities to change someone's life!
Fast-paced, and professional environment;
Fulfilling, challenging, and rewarding;
Great team environment;
Paid Holidays, Accrued Paid Time Off;
Great Medical Benefits Package;
Wellness Program;
Competitive Salary with 401k with Profit Sharing;
$11.00-$14.00 per hour depending on experience and education
As the Medical Development Clerk you work closely with the attorneys, legal assistants and other staff to assist in developing client cases by requesting and obtaining updated medical records from
FT Mon-Fri no nights or weekends! Must reside in Texas.
medical providers.
In this role you will:
Contact medical providers and request information and updated medical records
Accept queue calls from providers and Social Security Administration (SSA)
Systematically follow-up with providers on all past due outstanding records requests
Call providers on any urgent records requests to get them expedited
Review, approve, or deny invoices for medical records
Submit medical records to Office of Disability Adjudication and Review (ODAR)
Maintain excellent customer service skills in all working relationships
Maintain client confidentiality at all times
Use good judgment to discern what issues may be urgent and need a manager's or director's attention immediately
To be successful in this role you will need:
High School Diploma; Some college, technical school or combination related experience and/or training
Customer service experience
Minimum 45 WPM typing speed
Social Security Disability Law or other disability or medical background strongly preferred
Excellent telephone, communication, and active listening skills
Ability to work well with others as a team
Has professional manner and high energy level, exhibits a positive attitude
Multi-tasking skills and the ability to work well under pressure
Reliability and dependability
Problem analysis and problem-solving
The ability to maintain client confidentiality at all times
Spanish speaker a plus
Work from Home experience preferred
Minimum Requirements for a Remote Home Office:
Computer with up-to-date operating system WINDOWS11 (No Chromebooks, Macs, Tablets, IPADS)
RAM: 4GB/8GB Preferred/Hard Drive: 128GB
Antivirus Protection
Camera - internal to computer or external
Fast internet connection 50MBPS Download/10MBPS Upload Minimum
Wired Ethernet cable Internet connection in your home office
Land line telephone or good cell phone signal in home office
Quiet, private home office with no distractions during business hours
Reside in Texas
$11-14 hourly Auto-Apply 60d+ ago
Medical Records Management
EXL Talent Acquisition Team
Remote medical biller coder job
Why Choose EXL Health?
At EXL Health, we are more than just a company, we're a team committed to innovation and excellence in healthcare. From your first day, you will collaborate with talented professionals, sharpen your skills, and contribute to solutions that shape the future of healthcare.
Here is what makes this role and our culture exciting:
Dynamic and supportive environment: Work in a fast-paced, high-energy setting where your contributions matter.
Endless learning opportunities: Gain firsthand experience in medical records management, workflow optimization, and team collaboration.
Growth potential: EXL Health values your development with mentoring programs and pathways for advancement.
Purpose-driven work: Join a mission that helps improve healthcare processes while safeguarding patient confidentiality.
What We're Looking For:
Experience and Education: High school diploma (or equivalent) required. Previous experience in a mailroom, mail handling or printshop is a plus.
Skills: Strong organizational abilities, attention to detail, and problem-solving mindset. Proficiency in Microsoft Excel and Outlook is essential.
Work Ethic: Comfortable managing multiple tasks in a high-volume environment, working independently or as part of a team.
Physical Requirements: Ability to stand for extended periods and lift up to 50 lbs.
What You'll Gain:
At EXL Health, we invest in our people with benefits and opportunities that make a difference:
Professional Growth: Learn from industry leaders and grow your expertise in healthcare operations.
Collaboration: Be part of a close-knit, supportive team that values your contributions.
Work-Life Balance: Enjoy a consistent weekday schedule, leaving your evenings and weekends open.
Recognition: Your efforts will not go unnoticed, we celebrate achievements and foster a culture of appreciation.
EXL Health offers an exciting, fast paced and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions.
From your very first day, you get an opportunity to work closely with highly experienced, world class Healthcare consultants.
You can expect to learn many aspects of businesses that our clients engage in. You will also learn effective teamwork and time-management skills - key aspects for personal and professional growth.
We provide guidance/ coaching to every employee through our mentoring program where in every junior level employee is assigned a senior level professional as advisors.
Sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond.
Base Pay Range - $35,000 - $40,000 annually
For more information on benefits and what we offer please visit us at **************************************************
What You'll Do:
Prepare files of outgoing Audit letters daily
Maintain tracking of all outgoing letters
Operate postage meter, inserter, scanner, printers
Troubleshooting machine jams, performing quality checks
Responsible for monitoring supply levels and communicating when they need to be reordered
Responsible for communication and reporting of any equipment, system or workflow issues to the appropriate Leadership or Team Members
Meet quality and productivity standards as indicated by service level
Comply with HIPAA, and postal regulations
Review and process return mail
Other duties as assigned to support the audit process and/or company-wide programs
$35k-40k yearly Auto-Apply 42d ago
Medical Biller (Remote)
Ohio Shared Information Services 4.0
Remote medical biller coder job
Are you an experienced billing professional looking to take the next step in your career?
We are seeking a MedicalBiller to join our team! In this role, you'll be responsible for executing revenue cycle workflows for our customers, ensuring optimal revenue collection while providing top-tier customer service and fostering strong relationships.
Key Responsibilities:
Process revenue cycle workflows, including claims, transactions, accounts receivable, coding, appeals, and payer communications.
Ensure compliance with federal, state, and payer-specific regulations.
Conduct research and analysis of billing and coding requirements.
Collaborate with internal teams to enhance customer experience.
Serve as a mentor/resource for junior team members.
What We're Looking For:
2+ years of billing experience.
Familiarity with clearinghouses and healthcare portals.
Knowledge of ICD-10 and CPT coding.
Strong communication and customer service skills.
Microsoft Excel proficiency.
Experience with FQHC, dental, and behavioral health billing.
NextGen EPM, EDR, and Optical experience.
Perks & Details:
Remote Work: Enjoy full telecommuting privileges.
Schedule: Monday-Friday, 8:00 AM-5:00 PM (occasional evenings/weekends as needed).
Limited Travel: 5-10 days per year.
Certification Requirement: Must be NextGen Certified (NCP) or obtain certification within six months of hire.
If you thrive in a dynamic environment and have a passion for revenue cycle management, we'd love to hear from you! Apply today and be part of a team dedicated to excellence in healthcare revenue operations.
Compensation Range
Hourly Rate Range: $17.88 - $26.83
$17.9-26.8 hourly Auto-Apply 7d ago
Release of Information Specialist
Charlie Health
Remote medical biller coder job
Why Charlie Health?
Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.
Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home.
As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you.
About the Role
The Release of Information Specialist supports secure and authorized exchange of protected health information at Charlie Health. This role will be responsible for ensuring Charlie Health complies with all state and federal privacy laws while providing access to care documentation.
Our team is composed of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way.
We're a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you're inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today.
Responsibilities
Maintains confidentiality and security with all protected information.
Receives and processes requests for patient health information in accordance with company, state, and federal guidelines.
Ensures seamless and secure access of protected health information.
Establishes proficiency in Health Information Management (HIM) electronic document management (EDM) systems.
Answers calls to the medical records department and responds to voice messages.
Retrieves electronic communication, faxes, opening postal mail, and data entry.
Responds to internal requests via email, slack, or any other communication platform.
Documents inquiries in the requests for information log and track steps of the process through completion.
Determines validity from documentation provided on authorizations, subpoenas, depositions, affidavits, power attorney directives, short term disability insurance, workers compensation, health care providers, disability determination services, state protective services, regulatory oversight agencies and any other sources.
Sends invalid request notifications as needed.
Retrieves correct patient information from the electronic medical record (EMR) and other record sources.
Verifies correct patient information and dates of services on all documents before releasing.
Provides records in the requested format.
Acts in an informative role within the organization regarding general release of information questions and assists with developmental training.
Documents accounting of disclosures not requiring patient authorization.
Scans or uploads documents and correspondence in EMR.
Communicates feedback, new ideas, fluctuating volumes, difficulties, or concerns to the HIM Director.
Participates in teams to advance operations, initiatives, and performance improvement.
Assists with other administrative duties or responsibilities as evident or required.
Requirements
Associates Degree required or equivalent in release of information experience.
1 year experience in a behavioral health medical records department, or related fields.
Experience in a healthcare setting is highly desirable.
Experienced use of email, phones, fax, copiers, MS office, and other business applications.
Ability to prioritize multiple tasks and respond to requests in a fast-paced environment.
Ability to maintain strict confidentiality.
Extreme attention to detail as it relates to accurate information for medical records.
Professional verbal and written communication skills in the English language.
Work authorized in the United States and native or bilingual English proficiency
Familiarity with and willingness to use cloud-based communication software-Google Suite, Slack, Zoom, Dropbox, Salesforce-in addition to EMR and survey software on a daily basis.
Please note that members of this team who live within 45 minutes of a Charlie Health office are expected to adhere to a hybrid work schedule.
Please note that this role is not available to candidates in Alaska, California, Colorado, Connecticut, Maine, Massachusetts, Minnesota, New Jersey, New York, Oregon, Washington State, or Washington, DC.
Benefits
Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.
The total target base compensation for this role will be between $44,000 and $60,000 per year at the commencement of employment. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits.
Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota.
Li-RemoteOur Values
Connection: Care deeply & inspire hope.
Congruence: Stay curious & heed the evidence.
Commitment: Act with urgency & don't give up.
Please do not call our public clinical admissions line in regard to this or any other job posting.
Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.
Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.
At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.
Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.
By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.
$44k-60k yearly Auto-Apply 60d+ ago
Health Plan Request Bench Release of Information Specialist II - Remote
Verisma Systems Inc. 3.9
Remote medical biller coder job
Health Plan Request Bench Release of Information Specialist II The Health Plan Request (HPR) Bench Release of Information Specialist (ROIS) II processes release of information (ROI) requests related to health plan audits with accuracy, efficiency, and compliance across multiple client accounts. This role requires a high level of proficiency in various electronic medical record (EMR) systems, adherence to HIPAA regulations and uphold strict confidentiality standards. The HPR Bench ROIS III independently prioritizes tasks, troubleshoots requests, and collaborates effectively with internal teams while adapting to evolving workflows and compliance requirements, as well as ensuring they can fulfill all client-specific onboarding and access requirements.
Duties & Responsibilities:
Process medical ROI requests related to health plan audits quickly and accurately, ensuring compliance with HIPAA and client requirements
Utilize Verisma software applications to input, manage, and track medical records
Organize and retrieve records within multiple EMR systems, ensuring all documentation is properly structured and complete
Interpret medical records, forms, and authorizations to correspond to specific audit measures
Maintain high standards of production, efficiency, and accuracy meeting company standards and performance metrics
Prioritize workload effectively and work independently while meeting productivity goals
Communicate effectively within the HPR team and in a cross-functional manner, as necessary
Attain a solid understanding of client-specific expectations across multiple accounts while ensuring compliance with HIPAA, HITECH, state regulations, and company policies
Utilize Verisma's reference materials and compliance guidelines to maintain confidentiality and accuracy in all tasks
Assist with training and mentoring new associates, as needed, ensuring knowledge transfer and consistency in processes
Attend and actively participate in training sessions, workflow updates and team meetings, as required
Maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench
Perform other related duties, as assigned, to support the effective operation of the department and the company
Live by and promote Verisma Core Values
Minimum Qualifications:
High school diploma or equivalent required; some college preferred
RHIT certification preferred
3+ years of experience in medical records, Release of Information (ROI), or Health Information Management (HIM), with expertise in supporting multiple clients and processing audit requests
Knowledge of HIPAA and state regulations related to the release of protected health information
Must be able to maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench
Clerical or office experience with data entry, document management and proficiency in using general office equipment
Proficient in Microsoft Office Suite and multiple EMR systems, with the ability to troubleshoot and adapt to new technologies
Strong problem-solving, organizational and time management skills with keen attention to detail
Strong ability to work independently while meeting high productivity expectations
Ability to effectively multi-task or change projects, as needed
Prior remote experience, preferred
$34k-53k yearly est. 6d ago
Certified Coding Specialist
Heart & Vascular Partners 4.6
Remote medical biller coder job
Heart and Vascular Partners is a fast-paced, growing heart and vascular MSO seeking a Certified Coding Specialist! As the Certified Coding Specialist, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. If you are an organized and detail-oriented individual looking to make a positive impact in a healthcare setting, then this is the perfect role for you!
Essential Functions of the Role:
Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines.
Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes.
Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial.
Evaluates records and prepares reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees.
Makes recommendations for changes in policies and procedures; works with data processing staff to revise the computer master file. Develops and updates procedures manuals to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery.
Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
Educates and advises staff on proper code selection, documentation, procedures, and requirements.
Identifies training needs, prepares training materials, and conducts training for physicians and support staff to improve skills in the collection and coding of quality health data.
Minimum Qualifications:
Knowledge of ICD-10-CM coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage.
Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations.
Ability to read and interpret medical procedures and terminology.
Ability to develop training materials, make group presentations, and to train staff
Ability to exercise independent judgment;
Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff.
Ability to maintain confidentiality.
Education and Experience:
Possession of a Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association;
or
Possession of a Certified Professional Coder designation (CPC) issued by AAPC
Remote Work Requirements
Must be available to work during scheduled work hours, except for lunch and breaks
A Quiet, distraction-free environment
High-speed private internet connection
Respond to all non-urgent calls and emails withing 1 business day
Notify your manager immediately for any technical and/ or access issues that prevent you from completing your work
Notify your manager at least 30 minutes prior to your scheduled start time for any unplanned days off.
Work Environment
This position is a Remote position Monday- Friday from 8:00 am - 5:00 PM.
Physical Requirements
This position requires full range of body motion. While performing the duties of this job, the employee is regularly required to sit, walk, and stand; talk or hear, both in person and by telephone; use hands repetitively to handle or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds.
Equal Employment Opportunity Statement
We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Salary and Benefits
Full-time, Non-Exempt position. Competitive compensation and benefits package to include 401K; a full suite of medical, dental, and ancillary benefits; paid time off, and much more.
The statements contained herein are intended to describe the general nature and level of work performed by the Certified Coding Specialist, but is not a complete list of the responsibilities, duties, or skills required. Other duties may be assigned as business needs dictate. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions.
$43k-50k yearly est. Auto-Apply 13d ago
Health Information Management (HIM) Coder - Outpatient - PER DIEM
Rome Health 4.4
Remote medical biller coder job
Job Description
Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO.
•Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred
•Experience with Clintegrity, Paragon, One Content helpful
•Fully remote after training
Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required.
Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems.
Excellent oral and written communication skills. Must have a positive, respectful attitude.
About Rome Health
Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.