This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
**ESSENTIAL RESPONSIBILITIES**
+ Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements.
+ Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding.
+ Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies.
+ Engages in RPM Coding educational meetings and annual coding Summit.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ None
**Substitutions**
+ None
**Preferred**
+ Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
**EXPERIENCE**
**Required**
+ 3 years HCC coding and/or coding and billing
**Preferred**
+ 5 years HCC coding and/or coding and billing
**LICENSES or CERTIFICATIONS**
**Required** (any of the following)
+ Certified Professional Coder (CPC)
+ Certified Risk Coder (CRC)
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Attention to Detail
+ Written and Oral Presentation Skills
+ Written Communications
+ Communication Skills
+ HCC Coding
+ MS Word, Excel, Outlook, PowerPoint
+ Microsoft Office Suite Proficient/ - MS365 & Teams
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Remote Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$26.49
**Pay Range Maximum:**
$41.85
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273522
$26.5-41.9 hourly 43d ago
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Senior Inpatient HIM Coder
Oracle 4.6
Medical coder job in Concord, NH
**About the Role:** We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts.
**Requirements and Qualifications:**
+ A minimum of 3 years of hands-on experience as an acute HIM inpatient medicalcoder in a hospital environment.
+ Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records.
+ In-depth understanding of supporting evidence requirements for accurate coding.
+ Practical experience using grouper software for MS-DRG and APR-DRG assignment.
+ Strong communication skills to interact effectively with the billing department regarding coding-related issues.
+ Stay abreast of the latest ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding guidelines and updates.
+ Familiarity with 3M 360 or Optum HIM encoder software is preferred.
+ AHIMA Certified RHIA or RHIT certification is mandatory.
+ Associate's or Bachelor's degree in Health Information Management (HIM) is required.
**Responsibilities**
**Job Responsibilities:**
+ Collaborate closely with product management and engineering teams to contribute to the creation and improvement of AI models for medical coding.
+ Utilize your extensive knowledge in acute HIM inpatient medical coding to train and validate AI systems in extracting ICD-10-CM, ICD-10-PCS, and HCPCS/CPT codes, along with relevant modifiers from diverse clinical documentation.
+ Assist in the development of AI algorithms to generate precise MS-DRGs for accurate reimbursement.
+ Perform data collection, entry, verification, and analysis tasks to monitor and evaluate the performance of AI models against defined business goals.
+ Serve as a subject matter expert, ensuring the quality and integrity of medical coding data used in product development.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $75,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
$75k-178.1k yearly 53d ago
Coder II (Radiation Oncology Dept / On-Site)
Tufts Medicine
Medical coder job in Lowell, MA
We are seeking a qualified MedicalCoder to join our team at Lowell General Hospital's Oncology Department! This role is 100% onsite based out of Lowell General Hospital- Main Campus. This position reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. Effectively utilizes ICD-10, CPT, and HCPCS, modifier and/or other codes according to coding guidelines. Communicates effectively with providers and/or all appropriate staff regarding missing information such as CPT, ICD-10, and documentation issues, to ensure proper coding and reimbursement. Works with leadership to review denial and reimbursement reports for accuracy, as well as conducting audits to ensure documentation, code capture, and billing are accurate and precise. Performs pre and post visit chart audits to ensure proper code assignment.
Hours: Full time / 40 hours / Day shifts, Monday through Friday
(On site until fully trained, then possibility of hybrid on site / remote work combination)
No major holidays / position will work on-site at Lowell General Hospital
Location: Lowell General Hospital - Main Campus
Minimum Qualifications:
1. High school diploma or equivalent.
2. Completion of medical coding certificate program.
3. Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).
4. One (1) year of healthcare coding experience
5. ROCC certification HIGHLY PREFERRED
Preferred Qualifications:
1. Associates degree.
2. Two (2) years of coding experience within clinical specialty.
3. 5. ROCC certification HIGHLY PREFERRED
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
1. Verifies and abstracts specific clinical and demographic data from the patient record.
2. Performs pre-visit chart audits, and post encounter review to ensure coding accuracy and can determine medical records ensure codes reported are support by the documentation.
3. Assigns accurately Evaluation and Management (E&M) codes, ICD-10 diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for patient encounters.
4. Correlate information from various EMR systems supporting clinical documentation not limited to Pathology, Radiology and/or other Physician Consultations after review by the Attending Physician, wherever appropriate.
5. Reviews reports with leadership to identify reimbursement changes/discrepancies.
6. Reviews audit lists regarding coding/billing changes, as well as denial reports.
7. Identifies and evaluates coding issues, summarizes findings for leadership, makes recommendations for course of action.
8. Mentor coders and assist in training of new coders within the department. Identifies coding opportunities and issues, research for compliance, and educate providers and staff; Participates in creating of departmental policies and procedures related to the outpatient and ambulatory coding function. May be asked to provide input to coder performance appraisals.
9. Documents results of all special project work, and providing recommendations for revenue managing opportunities relating to special projects.
10. Performs related duties such as answering and routing telephone calls and receiving people requesting action or follow up to the designated patient account representative.
11. Attends meetings as necessary and participates on projects to ensure that all services are captured through codes, educate providers on how to properly document to support identified procedures, and cross train staff to ensure consistency.
12. Maintains good relationship with physicians, social workers, and office personnel to facilitate good communication in coding queries and to educate providers in relation to documentation requirements for services. Promote excellent customer service. Identify and communicate problems and/or opportunities to improve processes with appropriate department staff.
13. Maintains collaborative, team relationships with peers and colleagues in order to effectively contribute to the working groups achievement of goals, and to help foster a positive work environment
What We Offer:
* Competitive salaries & benefits
* 403(b) retirement plan with hospital match
* Opportunities for growth
* Tuition reimbursement
* Free on-campus parking
About Lowell General
For more than 125 years, Lowell General has served the Greater Lowell community with pride. We balance the first-rate care of a premier medical center with the warmth of a four-time Magnet-recognized community hospital. As a member of our team, you'll join over 3,000 dedicated care providers to offer complete, connected care, when and where patients need it most.
Magnet Designation:
The American Nurses Credentialing Center (ANCC) honored Lowell General Hospital with Magnet Recognition for excellence in nursing care, our fourth designation achieved in March 2025! The Magnet Recognition Program recognizes healthcare organizations dedicated to nursing excellence, professionalism, and patient-focused care. It is the highest level of recognition an organization can receive for providing the very best quality in patient care. Only nine percent of hospitals in the United States have achieved Magnet status and fewer than one percent of hospitals have achieved a fourth consecutive Magnet designation
At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.
The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.
Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth-one of the many ways we invest in you so you can thrive both at work and outside of it.
Pay Range:
$23.04 - $28.80
$23-28.8 hourly 57d ago
Coder - Full Time
Monadnock Community Hospital 4.3
Medical coder job in Peterborough, NH
The Coder is responsible for timely review of patient records in order to identify an appropriate selection of codes which will accurately reflect the reason for admission, extent of care received, and level of severity of illness. Coder is further responsible for insuring that all data elements required for federal and state reporting are collected and included in the patient's demographic record. Abstracts records into Hospital's computer system. This job description in no way states or implies that these are the only duties to be performed by this employee. He or she will be required to follow any other instructions and to perform any other duties requested by his or her supervisor.
1. Assigns appropriate ICD-10-CM, ICD-10-PCS and CPT codes to medical records.
Reviews entire record for all diagnosis and surgical procedures.
Contacts physician when additional information is needed to accurately code the encounter.
Assigns appropriate ICD-10-CM, ICD-10-PCS and CPT codes two days post visit.
Sequence diagnosis and procedures at least 98% of the time.
Assigns appropriate charge codes to Emergency Department encounters at least 98% of the time.
2. Abstracts medical records into the computer system.
Ensures records are abstracted with all appropriate data at least 97% of the time.
Write completed record to appropriate queue at least 99% of the time, or reassigns to the appropriate work queue.
3. Missing documentation
Calls appropriate department to obtain missing documentation, within two weeks of encounter.
4. Adheres to safety practices, reports accidents/hazards and maintains equipment as outlined in hospital policies.
About Our Benefits:
Amazing people deserve amazing benefits.
We strive to employ and retain the most highly qualified individuals by providing equitable wages and benefits, promoting from within, and supporting the continuing education efforts of our staff.
You will be valued and rewarded for the work you do here with excellent pay and outstanding benefits. At MCH, you'll find great opportunities for career advancement as well as personal and professional growth.
Full-time employees enjoy:
Health insurance
Dental insurance
Vision coverage
Flexible spending accounts
Life insurance
Short and long-term disability insurance
Accident and Critical Illness insurance
Identity theft insurance
Retirement savings plan
Lifestyle spending account
Free membership to local gym
Generous paid time off plans
Opportunities for professional development and training
Positive work environment with a supportive team and opportunities for growth
Scholarship Opportunities
Tuition reimbursement
Caring for Coworkers
Nursing Loan Assistance
Childcare Subsidy
Apply Now! or click the Apply button above
About Monadnock Community Hospital:
Reach new heights at Monadnock Community Hospital.
MCH is a critical access hospital in beautiful, historic Peterborough, New Hampshire.
For 100 years, we have provided outstanding care to our communities, earning a reputation for excellence that has made us one of New Hampshire's most successful and beloved small hospitals.
Join a culture of Compassion, Collaboration, Honesty, and Respect!
Our employees are the heart and soul of Monadnock Community Hospital.
In every department and at every level, MCH employees go above and beyond to deliver an exceptional patient experience in an atmosphere that is healthy, friendly, respectful, and personally fulfilling.
About the Monadnock Region:
A great place to live, work, and play.
One of the best things about working at Monadnock Community Hospital is that you get to live in a community that offers an amazing quality of life.
The state of New Hampshire consistently ranks in the Top Ten of all American states for its overall quality of life. Towns are small and friendly here, crime is low, schools are good, and the air and water are clean.
Balance meaningful work with a great life.
Here in the Monadnock Region, you can enjoy a standard of living that is hard to match anywhere. Let's start with our mountain for which we are named.
Around the 3,165 foot Mount Monadnock with 100-mile views are forests, woods, lakes, and protected rivers providing abundant opportunities for hiking, biking, kayaking, fishing, cross-country skiing - you name it!
And if you're into the arts, the region also offers a lively arts scene, with galleries, theatres, and concert venues.
New England community spirit
Family-friendly
Arts and culture
All-season outdoor recreation
Just 1.5 hours to Boston
Are you ready for a great job in a great place?
Are you ready for a career the supports your aspirations?
Are you ready to work in the best place you've ever lived?
Apply Now! or click the Apply button above
Our small hospital is committed to diversity, inclusion, and equal opportunity employment. We welcome applications from individuals of all backgrounds and abilities. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
$52k-66k yearly est. 60d+ ago
Coder II (Clinic & E/M Coding)
Baylor Scott & White Health 4.5
Medical coder job in Concord, NH
**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Eligibility on day 1 for all benefits
+ Dollar-for-dollar 401(k) match, up to 5%
+ Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
+ Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
**Job Summary**
+ The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding.
+ The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery.
+ For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties.
+ The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references.
+ These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.).
+ The Coder 2 will abstract and enter required data.
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**Essential Functions of the Role**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**Key Success Factors**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
**QUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ Must have ONE of the following coding certifications:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$26.7 hourly 56d ago
Certified Coder
Healthcare Support Staffing
Medical coder job in Bedford, NH
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Are you an experienced Certified Coder looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you!
Daily Responsibilities:
• Audit high dollar claims to identify areas of improvement
• Perform complex tracking, trending, and analyses of errors in structured excel spreadsheets and/or databases
• Analyze trends in pricing issues, identify and quantify issues and implement changes to work processes
• Collaborate with all departments to analyze complex claims issues and special claim projects •
• Verify information on submitted claims, reviewing contracts, eligibility, and authorizations to determine reimbursement, and ensuring payment instructions are sent to claims department for claims payment
Hours for this Position:
• Monday-Friday; 8AM-5PM
• Pay rate starting at $27 per hour
Advantages of this Opportunity:
• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment
Qualifications
Qualifications/ Requirements:
• Associates degree in business, healthcare management, or equivalent experience
• 3+ years of medical billing/coding experience
• Knowledge of coding/billing practices for hospitals, providers, and insurance
• CPC preferred
Additional Information
Interested in being considered?
If you are interested in applying to this position, please contact (Katleen Angala, 321-445-8243) and click the Green I'm Interested Button to email your resume.
$27 hourly 3d ago
Hospital Coder|Experienced
Concord Hospital 4.6
Medical coder job in Concord, NH
Responsible for reviewing demographic and clinical medical records, assigning appropriate ICD-10-CM/PCS and CPT/HCPCS codes based on provider documentation and current coding guidelines. Works across multiple encounter types, including Observation/Outpatient in a Bed, Emergency Department, Urgent Care, Ambulatory Surgery, and Ancillary. Utilizes both manual and AI-assisted coding platforms to optimize accuracy, compliance, and throughput. Ensures data integrity for quality reporting, population health, and financial reimbursement purposes.
Education
Minimum: High school diploma or equivalent required.
Preferred: Associate degree in Health Information Technology or related field.
Certifications
Required: Certified Coding Specialist (CCS), Certified Coding Specialist Physician (CCS-P), Certified Inpatient Coder (CIC), or Certified Outpatient Coder (COC) (AHIMA or AAPC).
Preferred: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).
CPC credentialed coders with hospital-based experience may be considered.
Experience
Minimum 1 year of recent hospital coding experience required.
Responsibilities
Analyze electronic medical record to identify all episodes of care, extracts demographic and clinical documentation and applies accurate codes based on ICD-10-CM/AMA guidelines, Concord Hospital policies, and CMS local/national coding rules.
Processes work to meet or exceed departmental productivity and quality targets, consistent with industry standards.
Demonstrates competency to perform role by completing yearly competency testing related to a combination of organizational compliance education, departmental operations and regulatory coding standards.
Uses encoder (3M) with Coders Desk Reference, CPT Assistant, and AHA Coding Clinics reference tools to enhance standardization, quality and consistency.
Queries physicians when documentation is incomplete, unclear, or inconsistent, following CDI and query compliance guidelines.
Prioritizes and manages daily work queues to support DNFB reduction and timely billing.
Protects patient privacy and ensures data integrity in compliance with HIPAA and facility policies.
Participates in internal/external audits and responds to coding denials or compliance reviews with appropriate documentation to support code assignment.
Maintains continuing education and credentials by completing required CEU education focused on current knowledge of coding updates, regulatory guidance (CMS, AMA), and Coding Clinic releases.
Review claim edits and front-end billing rejections in real-time to resolve coding issues and minimize delays in billing.
Attend and contribute to coder education huddles, team meetings, coding update reviews, and training sessions via online platforms.
Present a professional image in all virtual communications, meet deadlines, and maintain availability during scheduled working hours.
Ensure workstations and remote systems function properly for virtual meetings, screen sharing, and communication platforms (e.g., Teams, Zoom, Outlook) to maintain active engagement with leads, peers, and auditors. Promptly follow established IT protocols to report and resolve any technical issues or software malfunctions.
Demonstrate flexibility by coding in multiple outpatient areas (e.g., ED, ASC, radiology, recurring therapies) based on department needs.
Collaborates with Management, Coding Resource team, and IT to resolve coding/documentation-related workflow issues or barriers to work completion.
Demonstrates a commitment to ethical coding practices, teamwork, and continuous improvement.
Knowledge and Skills
Solid understanding of official coding guidelines, including CPT, HCPCS, and ICD-10-CM, and how they apply to outpatient coding workflows.
Strong grasp of medical terminology, human anatomy, disease processes, pharmacology, and the interpretation of clinical test results.
Ability to adapt quickly and master complex coding scenarios often encountered in academic or multispecialty healthcare settings.
Familiarity with outpatient reimbursement methodologies, including the Outpatient Prospective Payment System (OPPS) and associated regulations.
Comfortable using modern coding tools, such as encoder software, AI-assisted coding platforms, and coding reference applications.
Skilled in written and verbal communication, with the ability to collaborate across teams in a virtual, hybrid, or remote environment.
Highly organized and detail-oriented, with strong critical thinking and analytical abilities for interpreting provider documentation accurately.
Proficient in Microsoft Office tools like Outlook, Word, and Excel, particularly for documentation, data tracking, and team collaboration.
Able to work independently with minimal supervision, maintaining high performance and productivity standards in a remote setting.
Willing to work flexible hours, including weekends or evenings if needed, to support business needs and workflow turnaround times.
Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.
Know Your Rights: Workplace Discrimination is Illegal
Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more.
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at ************.
Physical and Work Requirements
The physical demands and characteristics of the remote or hybrid work environment described here are representative of those that may be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.
This position is classified as SEDENTARY per the Dictionary of Occupational Titles. It primarily involves prolonged periods of sitting while using a computer and engaging in virtual communication platforms. The employee may occasionally be required to lift or carry items weighing up to 10 pounds, such as reference materials or office equipment.
While performing the duties of this job, the employee is regularly required to:
Sit at a desk or workstation for extended periods.
Perform repetitive tasks involving keyboarding and data entry.
Use auditory and visual perception to interpret documentation, communicate via headset or video calls, and navigate electronic systems.
Occasional physical movements may include reaching, bending, or standing briefly. Specific vision abilities required include close vision, peripheral vision, depth perception, and the ability to adjust focus to digital screens.
The noise level in a remote setting is typically quiet. Employees are expected to provide a work environment conducive to focused, uninterrupted tasks, with minimal background distractions when participating in meetings or collaborative virtual sessions.
$25k-56k yearly est. Auto-Apply 32d ago
Coder
York Hospital 4.6
Medical coder job in York, ME
# At York Hospital, we#re more than a hospital.# We are a team of providers, clinicians and staff members offering expertise within a Hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers# commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all.# # York Hospital, we are a Community. For Life. # We are looking for an experienced#Physician Coding # Charge Entry candidate.# This is a#part time, 24hrs/wk#position working in York Hospital#s Physician Practice Patient#Billing Team.# The hours for this position are#3 days/week#8:00am-4:30pm.# This position is located in York, Maine. # Primary responsibilities include: # # ######## Reviewing, posting and ensuring appropriate Medical Codes are utilized using ICD-10-CM and CPT-4 coding conventions. # ######## Periodically reviews medical records to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for professional charges. # ######## Provides follow up with physicians, staff and management related to any findings. # In order to help us continue to provide exceptional patient/customer service experiences, you must have the following: # # ######## Minimum (2) years of experience in#coding with ICD-10-CM and CPT. Inpatient/Hospital preferred # ######## Excellent customer service. # ######## Computer skills to#include Microsoft Office Suite.# Knowledge of McKesson#s Paragon software a plus. # ###### Certification AHIMA or AAPC preferred. YORK HOSPITAL IS AN EQUAL OPPORTUNITY EMPLOYER.
At York Hospital, we're more than a hospital. We are a team of providers, clinicians and staff members offering expertise within a Hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers' commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all.
York Hospital, we are a Community. For Life.
We are looking for an experienced Physician Coding & Charge Entry candidate. This is a part time, 24hrs/wk position working in York Hospital's Physician Practice Patient Billing Team. The hours for this position are 3 days/week 8:00am-4:30pm. This position is located in York, Maine.
Primary responsibilities include:
* Reviewing, posting and ensuring appropriate Medical Codes are utilized using ICD-10-CM and CPT-4 coding conventions.
* Periodically reviews medical records to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for professional charges.
* Provides follow up with physicians, staff and management related to any findings.
In order to help us continue to provide exceptional patient/customer service experiences, you must have the following:
* Minimum (2) years of experience in coding with ICD-10-CM and CPT. Inpatient/Hospital preferred
* Excellent customer service.
* Computer skills to include Microsoft Office Suite. Knowledge of McKesson's Paragon software a plus.
* Certification AHIMA or AAPC preferred.
YORK HOSPITAL IS AN EQUAL OPPORTUNITY EMPLOYER.
$53k-67k yearly est. 41d ago
Senior Medical Coder
Unitedhealth Group 4.6
Medical coder job in Andover, MA
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
**Schedule:** Monday - Friday (Standard Business Hours)
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Codes Inpatient Facility medical records using coding classifications to ensure data integrity and proper assignments
+ Working daily with MS-DRGs, APR-DRGs, Physician Queries, and ICD-10 PCS coding
+ Analyzes medical records to ensure accurate coding and send provider feedback to improve the quality of documentation
+ Collects and abstracts data elements
+ Assists customers to address complex issues related to unbilled and incomplete records
+ Identifies and suggests areas of improvement in high compliance risk coding areas and improve the quality of provider documentation to support code assignment and billing
+ All duties as assigned
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ Professional coder certification with credentialing from AHIMA and/or AAPC (RHIT, RHIA, CCS, OR CIC) to be maintained annually
+ 3+ years of experience in Acute Care Inpatient medical coding (hospital, facility, etc.)
+ 3+ years of experience working with DRG coding with a mastery of complex procedures, cardiac catheterization, complex cardiology, interventional radiology, orthopedic and neurology cases
+ 3+ years of training and experience using ICD-10-PCS procedure coding
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #GREEN
$23.9-42.7 hourly 9d ago
Release of Information Specialist - Record Management
Dartmouth Health
Medical coder job in New London, NH
Organize, maintain and disclose content considered part of the patient's electronic health record in accordance with healthcare requirements, professional practice standards, and state and federal regulations while ensuring confidentiality and security of patient information and protect patients' health information from unauthorized access and use.
Responsibilities
Release of Information
* Prepares correspondence and records for the release of patient information following State and Federal Regulations.
* Reviews health information requests and assures all requested information is retrieved and released.
* Verifies that patient authorizations are completed and accurate meeting HIPAA regulations.
* Processes subpoenas, court orders and all other requests for records. All legal requests including attorney requests are required to be reviewed by the RM/MR Manager or VP of Risk Management.
* Coordinates health information retrieval as necessary.
* Completes all requests for records as soon as possible but no later than 30 days from date of receipt.
* Use ROI software tools to electronically record data for collection, storage, analysis, retrieval, and reporting.
* Maintains knowledge of current HIPAA and release of information regulations.
* Works with patients, medical staff, and other departments to provide patient information to enhance patient care.
Medical Record Integrity
* Organize and manage health information data using various applications and databases.
* Ensure health information quality, accuracy, accessibility, and security in both paper and electronic systems.
* Apply healthcare requirements to review health information for timeliness, completeness, accuracy, appropriateness, and compliance of healthcare data and patient health records.
* Interact and/or educate other health care practitioners (including medical and nursing staff) to maintain complete and accurate health information and records.
* Apply principles of information governance to health data and records.
Additional Duties and Responsibilities
* Responds to incoming calls and assists callers or directs to the appropriate staff in a courteous and professional manner.
* Provides assistance, guidance, and direction t all visitors and callers in a professional manner.
* Coordinates retrieval of health information from the electronic medical record and contracted offsite storage.
* Coordinates offsite health information storage by identifying appropriate recrods for storage, manifesting and logging records, and labeling appropriately to identify destruction dates.
* Assists other hospital departments with health information storage processes.
* Assists other health information team members with responsibilities as needed.
* Participates in departmental performance improvement initiatives.
Qualifications
* High school diploma or equivalent required
* One year experience in a healthcare setting
* Area of Interest:Secretarial/Clerical/Administrative
* FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week
* Shift:Day
* Job ID:35438
Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more:Benefits | NLH Careers
Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.
$34k-66k yearly est. 60d+ ago
EMR Support Specialist- Healthcare
Lowell Community Health Center 4.3
Medical coder job in Lowell, MA
Based in the heart of downtown Lowell, Lowell Community Health Center is currently hiring for an EMR Support Specialist within the Information Systems Department
With over 400 employees, the Health Center has expanded and relocated to a new state-of-the-art facility as of January 2013. The Health Center is a diverse, community-based health care agency. Lowell Community Health Center programs have been recognized as national models. The Health Center was also named one of the top five health centers in the nation for excellence in cultural competency. The Health Center's employees speak 28 different languages and over 80 staff are trained in medical interpreting.
Job Description
Under the direction of the Information Systems Manager, the EMR Support Specialist is a crucial member of the team managing eClinicalWorks, our electronic medical record software. This is an hourly position which provides essential support to all administrative and clinical departments during operating hours. Occasional after-hours duties are required and this position will be a part of the on-call rotation set by the Information Systems Manager.
The EMR Support Specialist should be highly proficient with the electronic medical record software or have a strong clinical background and a strong aptitude for computer systems. This role requires a strong working knowledge of Windows-based systems, excellent customer service skills, the ability to train and support doctors, nurses, support staff, and clinical administrators. This role also works closely with other members of the I.S. Department and I.T. roles supporting the computing infrastructure and desktop computers.
The assigned duties and responsibilities include but are not limited to:
1. Provide explanations and instructions about complex EMR topics to non-systems staff members in clear and understandable terms.
2. Effectively and diplomatically communicate within and across teams, departments, and organizations.
3. Demonstrate and be a champion of exemplary customer service with end-users and team members, even when others are stressed or frustrated with technology.
4. Foster a team environment and incorporate teamwork and diversity into all work elements
5. In a timely manner, capture, track, and solve level 1 and 2 help requests. Escalate level 3 help requests to EMR vendors, or server and network administrators, as appropriate.
6. Prioritize, coordinate, expedite, and escalate help requests for the help desk team, balancing workload, skills, personnel development, quality, service levels, and customer needs/expectations.
7. Monitor help requests, analyze trends, track quality, and make proactive changes
8. Develop and conduct end-user eCW user training in a classroom, small group, or one-on-one setting.
9. Develop and/or revise job aids for clinical end-users and EMR system administrators.
10. Work on assigned special projects (usually related to EMR system management and training).
11. Coordinate with vendors and other I.T. and I.S. team members as appropriate
12. Configure the EMR and its sub-systems according to recognized standards.
13. Assist the I.T. and I.S. teams with time sensitive installations, such as major EMR upgrades.
14. Securely create, update, and deactivate/terminate user accounts
15. Support administrative and clinical users on-site and remotely.
16. Ensure secure, reliable access to data by users according to company standards and industry regulations and protect data from risks
17. Maintains working knowledge of the technology and systems supported.
18. Participates in after-hours on-call rotation
19. Performs other duties as assigned
20. Support data quality and integrity (by fixing transactions, educating users, and properly configuring the system)
Qualifications
Employee must have experience at a healthcare provider, particularly helpful is experience in an ambulatory health care environment. In addition, the employee must have a good working knowledge of Microsoft Windows, Microsoft Office, and an electronic medical record system and practice management system (ideally: eCW). Desired, but not required are: eCW certification(s), and a Bachelor's degree. Preference will be given to candidates with experience as nurse, medical provider, or similar clinical position.
The employee must possess a minimum of five years general electronic medical record (EMR), or electronic health record (EHR) experience. In addition, the following characteristics are desired:
• Excellent customer service skills - in person and on the phone
• Excellent communication skills - verbally and written,
• Public speaking skills - particularly for small group trainings
• Excellent teamwork and collaboration skills
• Strong organizational skills and attention to detail.
• Project coordination and/or management
• Ability to demonstrate flexibility on the job
• Demonstrates initiative, is conscientious, and provides complete follow-through on areas of responsibility.
Additional Information
Lowell Community Health Center is an Equal Opportunity Employer. We are proud not only of being one of Lowell's largest primary care providers, but of our history serving the community. For over 40 years, Lowell Community Health Center has been offering quality, caring, and culturally appropriate health care services to the people of Greater Lowell, Massachusetts.
$36k-45k yearly est. 60d+ ago
Customer Service/Release of Information Specialist (PER DIEM)
Springfield Medical Care Systems 3.9
Medical coder job in Springfield, VT
About us:
North Star Health is a federally qualified health center located in Southern Vermont and New Hampshire. We are centrally located between larger cities like Boston, NYC, and Montreal Quebec. We are hiring enthusiastic dependable team players with a desire for a rewarding career in the medical field.
Job Summary:
The Customer Service Representative/Release of Information Specialist works in collaboration with team members to deliver high quality care and contribute to a positive work culture, and shall represent North Star Health in a professional and courteous manner via all forms of communication. The main functions of this position will be processing medical records, along with other administrative responsibilities.
Customer Service Representative/Release of Information Specialist will:
Assist patient and facility inquiries by phone, fax, email, in-person, and portal messages.
Answer incoming phone calls
Process ROI requests received in the timeframe established by North Star Health Policies and Procedures.
Appropriately record ROI requests on disclosure log in accordance with North Star Health Policies and Procedures.
Maintain an up-to-date accounting log of charts.
Perform all duties in compliance HIPAA laws, Privacy Rule, and North Star Health Policies and Procedures.
Scan and index incoming records.
Requirements
One (1) year previous administrative support experience
(preferred)
High school diploma or equivalent
(preferred)
Salary Description $18 - $24
$40k-64k yearly est. 60d+ ago
Release of Information Specialist - Record Management
City of Hitchcock 4.0
Medical coder job in New London, NH
Overview Organize, maintain and disclose content considered part of the patient's electronic health record in accordance with healthcare requirements, professional practice standards, and state and federal regulations while ensuring confidentiality and security of patient information and protect patients' health information from unauthorized access and use. Responsibilities
Release of Information
Prepares correspondence and records for the release of patient information following State and Federal Regulations.
Reviews health information requests and assures all requested information is retrieved and released.
Verifies that patient authorizations are completed and accurate meeting HIPAA regulations.
Processes subpoenas, court orders and all other requests for records. All legal requests including attorney requests are required to be reviewed by the RM/MR Manager or VP of Risk Management.
Coordinates health information retrieval as necessary.
Completes all requests for records as soon as possible but no later than 30 days from date of receipt.
Use ROI software tools to electronically record data for collection, storage, analysis, retrieval, and reporting.
Maintains knowledge of current HIPAA and release of information regulations.
Works with patients, medical staff, and other departments to provide patient information to enhance patient care.
Medical Record Integrity
Organize and manage health information data using various applications and databases.
Ensure health information quality, accuracy, accessibility, and security in both paper and electronic systems.
Apply healthcare requirements to review health information for timeliness, completeness, accuracy, appropriateness, and compliance of healthcare data and patient health records.
Interact and/or educate other health care practitioners (including medical and nursing staff) to maintain complete and accurate health information and records.
Apply principles of information governance to health data and records.
Additional Duties and Responsibilities
Responds to incoming calls and assists callers or directs to the appropriate staff in a courteous and professional manner.
Provides assistance, guidance, and direction t all visitors and callers in a professional manner.
Coordinates retrieval of health information from the electronic medical record and contracted offsite storage.
Coordinates offsite health information storage by identifying appropriate recrods for storage, manifesting and logging records, and labeling appropriately to identify destruction dates.
Assists other hospital departments with health information storage processes.
Assists other health information team members with responsibilities as needed.
Participates in departmental performance improvement initiatives.
Qualifications
High school diploma or equivalent required
One year experience in a healthcare setting
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Join us as a Per Diem (Seasonal) Medical Biller!
3-4 Months, 10-20 hours per week onsite in Auburn, MA or Holyoke, MA
As a Medical Biller for The Vista's in Auburn, MA, you ll bring your experience and knowledge where your voice matters. A Medical Biller is an integral part of our multidisciplinary team.
As a Medical Biller:
You are responsible for billing Medicaid, Medicare, commercial insurance companies and Self-Pay accounts
You will post and file of EOB s
You will be organized, independently motivated individual
You will work as directed by the Director of Patient Financial Services
The Medical Biller will have the following:
Degree required or equivalent BH and / or Hospital billing experience
5 years Medicare and other payor Billing/Collections experience
Knowledgeable in FISS and MMIS
Knowledge of Medicare, Medicaid, Managed Care and Commercial insurance guidelines and programs
Experience with Billing Compliance guidelines
Experience in Microsoft Office and other computer software products
Sufficient typing and computer skills
Knowledge and experience in the use of Electronic Health Record preferred
Pay Range
Compensation will be determined based on the candidate s relevant experience.
$24.00 - $28.00
The Vista's are an equal opportunity employer, and all qualified applicants will receive consideration for employment 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.
$36k-43k yearly est. 7d ago
Coder - Inpatient
Highmark Health 4.5
Medical coder job in Concord, NH
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School / GED
+ 1 year in Hospital coding
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC)
+ Familiarity with medical terminology
+ Strong data entry skills
+ An understanding of computer applications
+ Ability to work with members of the health care team
Preferred
+ Associate's degree in Health Information Management or Related Field
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J272373
$23-35.7 hourly 50d ago
Certified Coder
Healthcare Support Staffing
Medical coder job in Bedford, NH
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Are you an experienced Certified Coder looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you!
Daily Responsibilities:
• Audit high dollar claims to identify areas of improvement
• Perform complex tracking, trending, and analyses of errors in structured excel spreadsheets and/or databases
• Analyze trends in pricing issues, identify and quantify issues and implement changes to work processes
• Collaborate with all departments to analyze complex claims issues and special claim projects •
• Verify information on submitted claims, reviewing contracts, eligibility, and authorizations to determine reimbursement, and ensuring payment instructions are sent to claims department for claims payment
Hours for this Position:
• Monday-Friday; 8AM-5PM
• Pay rate starting at $27 per hour
Advantages of this Opportunity:
• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment
Qualifications
Qualifications/ Requirements:
• Associates degree in business, healthcare management, or equivalent experience
• 3+ years of medical billing/coding experience
• Knowledge of coding/billing practices for hospitals, providers, and insurance
• CPC preferred
Additional Information
Interested in being considered?
If you are interested in applying to this position, please contact (Katleen Angala, 321-445-8243) and click the Green I'm Interested Button to email your resume.
$27 hourly 60d+ ago
Medical Records Clerk (Spanish Fluency)
Lowell Community Health Center 4.3
Medical coder job in Lowell, MA
Based in the heart of downtown Lowell, Lowell Community Health Center is currently seeking a Full-Time Medical Records Clerk who is fluent in Spanish.
Apply Here: ***************************************
With over 400 employees, the Health Center has expanded and relocated to a new state-of-the-art facility as of December 2012. The Health Center is a diverse, community-based health care organization. Lowell Community Health Center programs have been recognized as national models. The Health Center was also named one of the top five health centers in the nation for excellence in cultural competency. The Health Center's employees speak 28 different languages and over 80 staff are trained in medical interpreting.
Patients trust Lowell Community Health Center. Every year, we touch the lives of nearly 50,000 people - or almost half the population of the City of Lowell.
More than 90% of Lowell CHC patients are low income, and 46% are best served in a language other than English.
Since opening our new comprehensive facility in a renovated mill on Jackson Street in 2012, more than 9,000 additional patients have turned to Lowell CHC for a full range of primary care, including OB-GYN and behavioral health services for adults and children, with over 176,000 visits in 2014.
We also have a Pharmacy serving health center patients and others in the community
Job Description
Compiles, verifies, and scans medical records of Lowell Community Health Center by performing the following duties:
• Verifies all paperwork is completed at well as Practice Management of newly acquired patients
• Reviews medical records for completeness, scans records in designated areas within EMR
• Attaching Labs & X-Rays in EMR, and to medical documents
• Answer phones/check and respond to voicemails in a timely and courteous manner
• Attend to patient and department requests. (Mailing, Faxing, Correspondence, and Patient Requests)
• Excels in customer service
• Detail Oriented
Qualifications
• High School Diploma or equivalent
• General Office Skills: typing, phone management, and communication skills
• At least 6 months office experience with a strong customer service background.
• Familiar with MS Office software
• Bi-Lingual in English and Spanish REQUIRED
Additional Information
Lowell Community Health Center is an Equal Opportunity Employer. We are proud not only of being one of Lowell's largest primary care providers, but of our history serving the community. For over 40 years, Lowell Community Health Center has been offering quality, caring, and culturally appropriate health care services to the people of Greater Lowell, Massachusetts.
$36k-45k yearly est. 60d+ ago
Release of Information Specialist
City of Hitchcock 4.0
Medical coder job in Keene, NH
Responsible for processing requests for health information (medical records) in a timely manner, ensuring accuracy in the release of records, and providing customers with the highest quality product and service. Specialist must at all times safeguard the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information, and that all releases of information are in compliance with the request, authorization, company policy, and HIPAA regulations.
Responsibilities
Receives and responds to incoming requests for health information. Assists patients, processes mail, responds to telephone and e-mail inquiries, and retrieves facsimile (fax) inquiries in a timely and professional manner.
Provides excellent customer service to both internal and external customers.
Date stamps all requests and highlights pertinent data to facilitate processing.
Validates requests and authorizations for release of information according to company procedures and HIPAA regulations.
Documents requests and updates their status in the electronic tracking system as required by established procedures. Ensures that requests and authorizations are scanned into the electronic health record system.
Completes release of information requests accurately and correctly, according to the content of the requests, company procedures and established standards of quality and productivity.
Performs quality checks on all work to assure confidentiality, accuracy of the release of information, and proper invoicing.
Organizes workload and prioritizes work tasks to meet management's production goals.
Maintains working knowledge of the current state and federal laws and regulations related to patient privacy, as well as facility policies and procedures in regards to release of information.
Performs other duties as required or assigned.
Qualifications
High school diploma or equivalent.
Familiarity with all aspects of medical records, including electronic medical records.
Knowledge of medical terminology and/or coding desired
Excellent communication (both written and verbal), interpersonal and organization skills.
The ability to work as a team and the capability to use sound judgment in decision-making.
Required Licensure/Certifications
None
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$30k-48k yearly est. Auto-Apply 8d ago
Release of Information Specialist
Dartmouth Health
Medical coder job in Lebanon, NH
Responsible for processing requests for health information (medical records) in a timely manner, ensuring accuracy in the release of records, and providing customers with the highest quality product and service. Specialist must at all times safeguard the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information, and that all releases of information are in compliance with the request, authorization, company policy, and HIPAA regulations.
Responsibilities
* Receives and responds to incoming requests for health information. Assists patients, processes mail, responds to telephone and e-mail inquiries, and retrieves facsimile (fax) inquiries in a timely and professional manner.
* Provides excellent customer service to both internal and external customers.
* Date stamps all requests and highlights pertinent data to facilitate processing.
* Validates requests and authorizations for release of information according to company procedures and HIPAA regulations.
* Documents requests and updates their status in the electronic tracking system as required by established procedures. Ensures that requests and authorizations are scanned into the electronic health record system.
* Completes release of information requests accurately and correctly, according to the content of the requests, company procedures and established standards of quality and productivity.
* Performs quality checks on all work to assure confidentiality, accuracy of the release of information, and proper invoicing.
* Organizes workload and prioritizes work tasks to meet management's production goals.
* Maintains working knowledge of the current state and federal laws and regulations related to patient privacy, as well as facility policies and procedures in regards to release of information.
* Performs other duties as required or assigned.
Qualifications
* High school diploma or equivalent.
* Familiarity with all aspects of medical records, including electronic medical records.
* Knowledge of medical terminology and/or coding desired
* Excellent communication (both written and verbal), interpersonal and organization skills.
* The ability to work as a team and the capability to use sound judgment in decision-making.
Required Licensure/Certifications
- None
* Area of Interest:Information Systems/Technology
* Pay Range:$17.00/Hr. - $26.35/Hr.
* FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week
* Shift:Day
* Job ID:35268
Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more:Benefits | DHMC and Clinics Careers
Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.
How much does a medical coder earn in Concord, NH?
The average medical coder in Concord, NH earns between $26,000 and $56,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Concord, NH
$38,000
What are the biggest employers of Medical Coders in Concord, NH?
The biggest employers of Medical Coders in Concord, NH are: