Medical data analyst jobs near me

At [Alternative Realty Group LLC], we're proud to stand at the forefront of the Big Data revolution. Using the latest analytics tools and processes, we're able to maximize our offerings and deliver unparalleled service and support. To help carry us even further, we're searching for an Entry Level data analyst to join our team, We said Entry Level not experience data analyst. The ideal candidate will be highly skilled in all aspects of data analytics, including mining, generation, and visualization. Additionally, this person should be committed to transforming data into readable, goal-oriented reports that drive innovation and growth. Objectives of this role Develop, implement, and maintain leading-edge analytics systems, taking complicated problems and building simple frameworks Identify trends and opportunities for growth through analysis of complex datasets Evaluate organizational methods and provide source-to-target mappings and information-model specification documents for datasets Create best-practice reports based on data mining, analysis, and visualization Evaluate internal systems for efficiency, problems, and inaccuracies, and develop and maintain protocols for handling, processing, and cleaning data Work directly with managers and users to gather requirements, provide status updates, and build relationships Required skills and qualifications Entry Level mining data as a data analyst Proven analytics skills, including mining, evaluation, and visualization Technical writing experience in relevant areas, including queries, reports, and presentations Strong SQL or Excel skills, with aptitude for learning other analytics tools

Title: Certified Medical Coder Shift: 8:00 AM - 4:00 PM Work Arrangement: Onsite Training (1-2 weeks) → Remote Pay: $35/hr to $37/hr Contract: 3-month assignment with possible extension Start Date: 12/01/2025 - 03/07/2026 Position Summary: We are seeking an experienced and detail-oriented Certified Medical Coder to join our team. This role begins onsite for initial training before transitioning to remote work. The ideal candidate will have strong inpatient coding experience in an acute care setting and be proficient with ICD-10, CPT coding, EPIC, and 3M Encoder tools. Key Responsibilities: Perform accurate and compliant inpatient coding using ICD-10, ICD-9-CM, CPT-4, and Encoder systems Review medical records and ensure proper documentation supports code selection Research and resolve coding-related questions and discrepancies Maintain coding accuracy and productivity standards Apply current coding guidelines, payer requirements, and regulatory rules Collaborate with clinical staff as needed to clarify documentation Support outpatient and ED coding tasks as needed (preferred, not required) Requirements: CCS Certification (required) EPIC and 3M Encoder experience (required) Minimum 3-4+ years of inpatient coding experience, preferably in an acute care setting Strong knowledge of ICD-10, ICD-9-CM, CPT-4, and Encoder systems Experience with outpatient and ED coding (preferred) Proficient computer skills, including MS Word, Excel, and coding applications Skills & Role Expectations: Strong understanding of coding guidelines, payer rules, and federal billing regulations Solid knowledge of anatomy, physiology, and disease processes Ability to work independently and efficiently after training Ability to research issues and resolve coding questions Experience mentoring or training coders is a plus Seeking candidates with strong inpatient coding backgrounds If Interested, you can reach me on my number ************** or email me at ******************************* Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Job Title : Certified Medical Coders - Inpatient Duration : 3 Months Contract (with possible extension) Education : High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS. Shift Details : 8:00 AM-04:00 PM General Description: ·Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder); knowledge of coding guidelines, payor guidelines, federal billing guidelines; knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application. ·Seeking certified coders with a strong inpatient coding background. ·Candidate should be able to work with minimal training. Inpatient and ED experience. Starts onsite for training, then transitions to remote work once duties are mastered. Education: High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS.

Epic Professional Billing certification required 100% remote up to $115k DOE The PB/HB Analyst is responsible to resolve technical and application issues and support ongoing workflow and optimization issues. This position oversees the design, configuration, testing and support of Epic Patient Billing. Responsibilities Design, build and test Epic Patient/Hospital Billing software, including current- and future-state workflows Troubleshoot and resolve issues, conforming to client change control and change management policies Work in a complex and quick-moving client environment, meeting all project timelines and critical path requirements. May be required to participate in 24-hour on-call rotations Participate in project planning and manage applicable responsibilities Facilitate and participate in team meetings and work groups Minimum Requirements BA with 5+ years' revenue cycle operational experience in healthcare setting 3+ years Epic HB/PB Analyst experience with current Epic certification

Client: Leading Investment Bank Contract Term: Onsite role Note: we do not take visa transfers or support sponsorship. This is not a C2C / 1099 role. We are seeking an AML Compliance Analyst Basic for a very important client. Pluses that could set you apart! • Hands on AML, KYC, fraud, or investigations experience. • SAR (Suspicious Activity Report) writing skills. • Excel expertise in VLOOKUPs and Pivot Tables. • Bachelor's Degree, preferably in Criminal Justice or a similar field. Job Responsibilities • Collect and analyze data, including alert, transactions, customer demographics and relevant account information to identify potential suspicious activity • Disposition and fully document the investigation, including supporting data, analysis, and rationale for disposition within the case management system • Complete the Suspicious Activity Report (SAR) form , if applicable, in accordance with Financial Crimes Enforcement Network (FinCEN) requirements • Effectively communicate with associates, management and various stakeholders on risks identified, possible typologies and recommend next steps • Balance inventory queues, deadlines, and priorities to achieve departmental standards and production goals. • Demonstrate teamwork by accepting ad-hoc requests to assist other associates on inventory Interpretation of AML Risk standards, guidelines, policies and procedures. Make risk based determination through Quality Analysis whether alerts were properly cleared by Compliance Alerts Analysts. Ensure Alert data has been accurately collected and documented, including but not limited to: Investigations data, Suspicious Activity Reports (SARS) & Currency Transaction Reports (CTR), Know Your Customer (KYC) information, any relevant account and transaction data and all required information which would assist in an investigation. Strong research, analytical and comprehension skills, with ability to analyze large amounts of data. The ideal candidate will possess the following qualifications: Required Qualifications, Capabilities, and Skills • Exceptional written and verbal communication skills • Strong analytical, interpretive, organizational skills • Strong attention to detail, ability to prioritize and manage tasks • Independent decision maker, able to make time-sensitive assessments and articulate findings to senior investigators or managers • Knowledge of banking products and services • Understanding of regulatory concepts including, but not limited to, the Bank Secrecy Act, Office of Foreign Assets Control sanctions, and the USA PATRIOT Act • Proficient in MS Office (Outlook/Word/Excel/Access/PowerPoint)

(100% Remote) Headquartered in Austin TX with remote teams across the nation, we are a booming B2B SaaS startup with a proprietary cloud cost optimization platform! Due to growth and demand for our services, we are urgently looking for a FinOps Analyst with Azure discount instrument expertise to join the team. What You'll Do Dive deep into customer's cloud usage in a highly analytical and operational role. Solve problems for Azure rate optimization with expertise in committed discounts. Take ownership in a collaborative and cross-functional environment. What You Bring Professional experience in cloud cost optimization with expertise in Azure. Granular knowledge of committed discount instruments (Reserved Instances, Savings Plans, etc.). Love for spreadsheets. Background in FP&A or business analytics preferred. Strong combination of personal ownership and ideal teamwork. What We Offer Competitive base salary ($100-135k DOE) Comprehensive benefits package (Medical, Dental, Vision) 401k PTO Fully remote opportunity Long-term incentive program for equity Dynamic and collaborative role in no-useless-meetings culture Clear opportunity for growth and career progression Late-stage and profitable startup with stellar ARR growth year-over-year So, if you're a FinOps practitioner with Azure rate optimization experience, please apply today!

A pediatric provider is working towards Epic go-live in March of 2026 and is looking for a SME to support the Willow Ambulatory implementation from the Revenue Cycle operations side of the house. This person should understand Willow Ambulatory builds and be able to work cross functionally with internal teams and Epic, to ensure a smooth and successful implementation and build. Strong experience in content, retail, and out patient pharmacy is a must have. This consultant will be the right hand to the Operations Leader. Must be willing to travel when epic is onsite to fully support the team. We CANNOT hire in: California, Illinois, Indiana, Massachusetts, Nevada, Ohio, Pennsylvania, Washington, or Wisconsin. Travel Dates: 1/6/26 - 1/8/26: 60-Day GLRA + End-User Training Kickoff 2/3/26 - 2/5/26: 30-day GLRA (last monthly onsite) 2/13 - 2/15 case conversion weekend 3/1 - 3/21 Job Type & Location This is a Contract position based out of Kansas City, MO. Pay and Benefits The pay range for this position is $95.00 - $120.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 16, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Job Title: DMS/EMS/SCADA Analyst (Onsite) Duration: 12-month contract (W2 only) Schedule: Mon-Fri, 8am-5pm (OT as needed) Travel: ~5% to Gahanna, OH Possibility of conversion | No sponsorship About the Role We are seeking a DMS/EMS/SCADA Analyst to support real-time operational systems for Distribution and Transmission Operations. This role is 100% onsite and requires hands-on experience with SCADA, DMS, or EMS systems in an electric utility environment. Responsibilities Maintain and support DMS/EMS/SCADA systems and real-time data interfaces Build and maintain SCADA models, on-line displays, and tools Support RTU modeling, configuration, checkout, and commissioning Troubleshoot SCADA technical issues and provide after-hours support when needed Improve system reliability, data quality, and SCADA processes Assist Protection & Control Engineering with SCADA standards and configuration Participate in small/medium SCADA project scoping Train and support junior analysts Minimum Qualifications Associate Degree in Computer Science, Electrical Engineering, Telecommunications, or related field OR High school diploma + 5 years DMS/EMS/SCADA experience OR Bachelor's Degree + 1 year DMS/EMS/SCADA experience 3+ years experience with DMS/EMS/SCADA systems (utility preferred) Strong skills in: Application development OS support System administration Database technologies (any 2 required) Required Skills Hands-on experience with SCADA systems Understanding of real-time operations and field equipment Experience with RTUs, I/O settings, alarms, and communication protocols Strong troubleshooting, communication, and organizational skills Ability to work onsite full-time and support occasional after-hours issues Preferred Skills Experience with TOPS SCADA Knowledge of Protection & Control (P&C) applications Familiar with legacy communication technologies (async/sync)

Integrity Management Services, Inc. (IntegrityM) is a woman-owned small business specializing in assisting government healthcare organizations prevent and detect fraud and abuse in their programs. At IntegrityM, we offer a culture of opportunity, recognition, and collaboration. We thrive off of these fundamental elements that make IntegrityM a great place to work. We offer the flexibility our employees need to challenge themselves and focus on advancing their professional development and careers. Large company perks. Small company feel. ************************* We are seeking a Medical Review Analyst (RN) with medical review experience to join our team. The position requires the individual to conduct medical record reviews and to apply sound clinical judgment to claim payment decisions. Responsibilities may include additional research on medical claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools to detect situations of potential fraud and to support the ongoing fraud investigations and requests for information Research national and local policy as well as Medicare and/ or Medicaid guidelines for supporting references in their review determinations Conduct reviews under the guidance of a Medical Review Manager/supervisor Requirements Current/active RN license 5-7 years of experience in the medical field as a Registered Nurse or other clinician Experience in review of medical claims for coverage and medical necessity Strong investigative skills Demonstrated proficiency in Medical Review work Working knowledge of Medicare and Medicaid Excellent communication skills Demonstrated prioritization, problem solving, and organization skills Strong computer skills including Microsoft Office proficiency All candidates MUST pass a background check and drug screening prior to employment Preference: Bachelors in of Science in Nursing (BSN) 2+ years' clinical experience Coding certificate Enthusiastic individuals who can work effectively in a dynamic environment both in a team as well as independently is a must!

Job DescriptionDescription: 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).

Part-time Description Required: 3-5 years of experience in acute care facility (hospital) medical coding auditing or compliance The Medical Coding Auditor is responsible for reviewing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. Occasional travel may be required for audits or meetings. Key Responsibilities: · Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance. · Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines. · Identify and address coding discrepancies and recommend corrective actions. · Prepare detailed audit reports with findings and provide feedback on documentation and coding practices. · Collaborate with relevant departments to resolve audit findings and ensure ongoing compliance with policies and regulations. · Stay current with changes in coding guidelines, healthcare regulations, and payer policies. · Assist in developing and refining audit tools, policies, and procedures to support continuous improvement. · Monitor and track corrective actions post-audit and ensure follow-up to resolve identified issues. · Ensure abstracted data impacting reimbursement is accurate: discharge disposition, admission source, POA (present on admission) indicators, procedure dates of service, etc. · Adhere to facility's coding guidelines and coding policy and procedures, as needed. Requirements Education: · Associate's Degree in Health Information Management or related field. · Bachelor's Degree in Health Information Management, Nursing, or a related field is a plus. · Or equivalent combination of education and relevant experience. Certification: · Registered Health Information Administrator (RHIA) · Registered Health Information Technician (RHIT) · Certified Coding Specialist (CCS) · Certified Coding Associate (CCA) · Certified Outpatient Coder (COC) · Certified Inpatient Coder (CIC) · Certified Professional Coder (CPC) · Registered Health Information Administrator (RHIA) Experience: · 3-5 years of relevant experience in acute care facility (hospital) medical coding, auditing, or compliance roles. Skills: · Expertise in medical coding systems (ICD-10-CM, CPT, HCPCS), healthcare billing, and medical terminology. · Familiarity with CMS regulations, payer requirements, and healthcare compliance laws. · Excellent analytical skills with a strong attention to detail. · Effective communication skills for education and collaboration. · Proficiency in using healthcare software and EHR systems (e.g., Epic, Cerner). Working Conditions: · Remote work with flexibility to manage tasks independently. · Occasional travel may be required for training sessions or audits.

Responsible for conducting coding and documentation audits for assigned providers and consulting and educating providers on documentation requirements and other compliance issues related to billing. Under the direct supervision of the Billing & Coding Compliance Manager, this full-time position will work with physicians and other clinicians to ensure they comply with documentation and coding standards, regulations and requirements. This includes conducting billing and coding audits, identifying and resolving issues, and educating clinicians and staff on requirements for documenting, coding and billing medical services. Job Responsibilities and Accountabilities: Assists with monitoring of OrthoVirginia's Compliance Program as related to billing, coding, and documentation, including the OIG Compliance Program guidance for physician practices and third-party billing companies Performs audits of coding and billing data for accuracy and compliance with federal regulations Conducts physician, APP and scribe coding and documentation education classes as needed/requested Educate clinicians, as assigned, in documentation and coding to ensure documentation meets appropriate coding levels Prepares requested reports by collecting, analyzing, and summarizing relevant information obtained through education, and other educational activities. Meets with assigned providers on a regular basis to educate and review results of audits Responsible for keeping up to date with all E/M Documentation Guidelines Monitors all compliance issues identified during routine audits and recommends areas that indicate a focused audit may be necessary Assists with projects as directed Qualified Candidates must meet all of the following criteria: Exemplifies OrthoVirginia's values - excellence, compassion and unity Bachelor's Degree or equivalent with 5 to 7 years' experience working as a credentialed coder, preferably in a medical practice Licensing, certification/degree as one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist - Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Evaluation and Management Coder (CEMC) required Thorough knowledge of CPT and ICD coding principles and guidelines Knowledge of Medicare and Medicaid rules for documentation of billed services Strong analytical and problem-solving skills required including experience auditing Ability to exercise initiative, problem-solving and decision-making to effectively plan, prioritize, and complete projects/tasks with little supervision in a fast paced, changing environment Specific, thorough understanding of regulatory requirements relating to documentation, claims processing, reimbursement, and coding Skilled in establishing and maintaining effective professional working relationships with physicians, advanced practice providers, administration and team members Advanced working experience in Microsoft Office including Excel (formulas, pivot tables, dashboards, etc) Exceptional written and strong verbal communication skills: face to face, email, written correspondence, telephone Other: Has access to and knowledge of extremely sensitive, private and confidential materials-ability to maintain the highest standard of confidentiality is required with zero tolerance Participates in professional developments efforts to ensure currency in health care policies and trends Maintains detailed knowledge of practice management and other computer software as it relates to job functions Some travel to regional offices will be required Typical Physical Demands: Position requires full range of body motion including handling and lifting, manual and finger dexterity and eye-hand coordination. Involves standing and walking. Employee will occasionally be asked to lift and carry items weighing up to 30 pounds. Normal visual acuity and hearing are required. Employee will work under stressful conditions, and work irregular hours. Employee may have frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations and other conditions common to a clinic environment #STATEOV

Accurately codes Outpatient Surgery and Observation records for the classification of all diseases, injuries, procedures, and operations using the ICD10CM and CPT4 coding system for BHSF facilities. 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 $26.50 - $34.45 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Licenses & Certifications: * AHIMA Certified Coding Specialist. CCS or RHIT * AHIMA Registered Health Information Technician. Additional Qualifications: * Required Coding Certificate. * With extensive relevant experience and not CCS or RHIT certified upon hire they must obtain within 2 years, except for BRRH employees. * Knowledge of encoder system, outpatient prospective payment system (OPPS), APCs and Ambulatory Surgical Center payment system (ASC). * Knowledge and thorough understanding of 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 of outpatient Same Day Surgery SDS coding

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 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.

Outpatient SDS Coding Specialist, Fully Remote, CCS or RHIT certified, FT, 08A-4:30P-150012Description Accurately codes Outpatient Surgery and Observation records for the classification of all diseases, injuries, procedures, and operations using the ICD10CM and CPT4 coding system for BHSF facilities. 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.Qualifications Degrees: High School,Cert,GED,Trn,Exper. Licenses & Certifications: AHIMA Certified Coding Specialist. AHIMA Registered Health Information Technician. Additional Qualifications: Required Coding Certificate. With extensive relevant experience and 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 of encoder system, outpatient prospective payment system (OPPS), APCs and Ambulatory Surgical Center payment system (ASC). Knowledge and thorough understanding of 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 of outpatient SDS (same day surgery) coding Job CorporatePrimary Location RemoteOrganization CorporateSchedule Full-time Job Posting Apr 29, 2025, 4:00:00 AMUnposting Date Ongoing Pay Grade T36EOE, including disability/vets Refer a friend for this job Tell us about a friend who might be interested in this job. All privacy rights will be protected.Refer a friend

UPMC is seeking to hire a Certified Coding Specialist I to join our Coding Department. This is a work-from-home position, working Monday through Friday during standard business hours. To qualify for this position, you must have at least five years of coding experience. As a Certified Coding Specialist I, you will have the same responsibilities as a Certified Specialty Coder, plus provide training on code selection for new and existing staff. Specifically, you will be working on denials, special projects in targeted specialties to assist in the reduction of denials. You will perform audits to determine code and charge selection accuracy as well as summarize coder accuracy for Managers. Identify topics for training and education, research topics and assist with the assembly of training materials and CDI process. Assist with audit reviews including all internal, external, and RAC associated coding audits. Supervise on-site staff. Review and approve adjustments to accounts. Responsible for Kronos approval and sign-off. Responsibilities: * Adhere to internal system-wide policies, competencies, behaviors and procedures to ensure efficient work processes. Actively participate in periodic coding meetings and shares ideas and suggestions for operational improvements. * Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. * Supervises staff including assignments and Kronos approval and signoff. Also assist with recruitment. * Code all diagnoses and procedures by assigning and verifying the proper ICD and CPT codes. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding. * Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. * Investigate and resolve reimbursement issues, including denials, in a timely manner and demonstrate proficiency on billing system. * Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling. Prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. * Advise and instruct coders/providers regarding billing and documentation policies, procedures, and regulations; interacts with providers regarding conflicting, ambiguous, or non-specific medical documentation, to obtain clarification. * Progress within the training period toward meeting departmental coding accuracy standards within the first year of employment by assigning correct principal diagnosis/procedure, complications and co-morbidities, and secondary diagnoses as reviewed by the designated trainer. Coder should meet appropriate coding productivity standards within the time frame established by management staff. * Train all new Coders to observe established coding guidelines and to utilize the appropriate billing system. * Refer problem accounts to appropriate coding or management personnel for resolution. * Lead, participate in and/or assist with departmental coding audits. * Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions. * High school graduate or equivalent. * Graduate of an approved certified coding program preferred. * Proficient computer skills with MS excel knowledge preferred. * Five years surgical coding experience (includes anesthesia coding) OR advanced E/M coding experience. Licensure, Certifications, and Clearances: CPC or Certified Coding Specialist (CCS) specialty certification required * Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) * Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.

We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.

Inova Health is looking for a dedicated Medical Records Coder 1 to join the HB Coding Operations team. This role is Full-time working daytime hours Monday to Friday | REMOTE. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave. Medical Records Coder 1 Job Responsibilities: Resolves OCE and medical necessity edits. Appends or corrects modifiers and resolves NCI, LCD, NCD, OCE and MUE edits when required. Meets Coding quality standards established by the Coding Operations Director and the Coding Manager. Makes recommendations to physicians on documentation required to support ICD-10 diagnosis codes. Ensures that ICD-910-CM diagnosis productivity rate meets minimum standards according to policies and procedures. Assigns the appropriate ICD-10-CM diagnosis codes to Outpatient records after review of the Outpatient medical record documentation Minimum Requirements: Education: High School diploma or GED equivalent and completion of an AHIMA-approved coding or health information technology program. Certification: CCA, RHIA, RHIT, or CCS certification from AHIMA, or CPC-A, CPC, or COC certification from AAPC upon start.