<h3>Job Description</h3>
Job Description
Attention all certified Inpatient Coders! We have an exciting opportunity for you! We're seeking 10-12 Inpatient Coders with Meditech and/or Clintegrity software system knowledge. This contract is for a minimum of 1 year, with full-time and part-time opportunities available. We're offering a great rate with contract bonuses. Don't miss out on this opportunity to take your career to the next level. Apply now and join our team!
 
<ul>
<li>Minimum five (5) years of Inpatient coding experience</li>
<li>Meditech/Clintegrity experience preferred but not required</li>
<li>Keen knowledge of complex, critical, inpatient hospital stays</li>
</ul>

Remote Inpatient Medical Coder

<h3>Job Description</h3>
Job DescriptionDescription:
Position Overview: We are currently seeking an experienced and certified Medical Biller &amp; Coder to join our dynamic remote team. The ideal candidate will have a strong understanding of CPT, ICD-10, and HCPCS coding systems, billing practices, insurance follow-up, and compliance guidelines across multiple specialties.
Responsibilities:
<ul>
<li>Review and accurately assign diagnosis and procedure codes for medical services.</li>
<li>Submit and follow up on claims to commercial payers, Medicare, and Medicaid.</li>
<li>Verify insurance eligibility and obtain authorizations as needed.</li>
<li>Resolve claim rejections, denials, and appeals in a timely manner.</li>
<li>Communicate with providers and staff regarding coding queries and billing concerns.</li>
<li>Maintain confidentiality and comply with HIPAA regulations.</li>
</ul>
Requirements:
Requirements:
<ul>
<li>Minimum 2 years of medical billing and coding experience.</li>
<li>Active certification (CPC, CCS, or equivalent) required.</li>
<li>Experience with EHR/EMR systems and billing software (e.g., Athena, Kareo, eClinicalWorks, etc.).</li>
<li>Strong knowledge of coding guidelines and insurance payer requirements.</li>
<li>Ability to work independently with excellent attention to detail.</li>
<li>Reliable internet connection and secure remote work setup.</li>
</ul>
Preferred:
<ul>
<li>Experience with multiple specialties (e.g., Family Medicine, Mental Health, Internal Medicine).</li>
<li>Familiarity with credentialing processes and RCM.</li>
</ul>

Medical Biller & Coder (Remote)

<h3>Job Description</h3>
Job Description
Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential.
 
Job Summary:
A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines.
 
Core Duties &amp; Responsibilities:
<ul>
<li>Evaluates the appropriateness of codes and determine whether they meet all established program standards.</li>
<li>Ensures that the medical records are matched appropriately to the codes and if not, obtains them.</li>
<li>Read &amp; apply policy guidelines and healthcare terminology and delineate when criteria are/are not met.</li>
<li>Evaluates claims for conflict of interest and criteria appropriateness.</li>
<li>Works within established timeframes set by program parameters.</li>
<li>Provides strong customer service skills and works closely with clients on a case- by-case basis to provide complete, timely, and error-free quality assurance of cases.</li>
<li>Provides clinical oversight to cases that are complex and need additional review prior to return to the client.</li>
<li>Serves as an additional level of QA and clinical knowledge/review for cases with quality Issues.</li>
</ul>
 
Requirements
Required Education &amp; Experience:
<ul>
<li>Must have a CPC, APCC, or DRG coder certification</li>
<li>Payment integrity or professional bill review experience is strongly preferred.</li>
<li>Out-of-network bill review experience is a plus.</li>
<li>Experience working in a remote environment is preferred.</li>
<li>Experience in a medical office or health care background.</li>
</ul>
<ul>
<li>CPC, CCS, or CCA certification is preferred, but not required</li>
<li>Experience is a must</li>
<li>Must have access to your own billing references/engine</li>
<li>Deposition/Testimony experience is preferred, but not required</li>
<li>Extensive knowledge of Texas billing resources- for example: ( FairHealth, Medicaid Texas, Texas Healthcare, etc.)</li>
<li>Coding counter-audit experience is a plus</li>
</ul>
Required Skills:
● Must work with a sense of urgency and meet deadlines.
● Must be self-motivated, with a strong drive for performance excellence.
● Excellent written and verbal communication skills are required.
● Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus).
● Attention to detail REQUIRED.
PLEASE BE AWARE: In the interest of the security of both parties, please be aware that
Dane Street will never conduct an interview via text or request checks from candidates
for purchasing equipment.
Benefits
We offer generous Paid Time Off, an excellent benefits package, and a competitive salary. If you are an outstanding candidate for this position, if you thrive in a fast-paced environment, and if you are interested in doing meaningful work that impacts others' lives, then we encourage you to apply!
 
ABOUT DANE STREET 
A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street is seeking
insightful, astute forward-thinking professionals. We process over 200,000 insurance
claims annually for leading national and regional Workers’ Compensation, Disability,
Auto and Group Health Carriers, Third-Party Administrators, Managed Care
Organizations, Employers and Pharmacy Benefit Managers. We provide customized
Independent Medical Exam and Peer Review programs that assist our clients in
reaching the appropriate medical determination as part of the claims management
process.

Medical & Billing Coder - Texas

<h3>Job Description</h3>
Job Description
Primary Purpose of the Position: The Revenue Cycle Medical Coder II is responsible for assigning diagnosis, procedural, and modifier(s) codes for medical billing purposes which includes verification of charge capture. Position also performs a wide variety of duties, which may include coding accuracy and completeness prior to tickets being processed for billing, insurance filing, and revenue reporting. Monitors daily flow of charge tickets to ensure claim accuracy. This is not a Remote position as you will be expected to come into the Los Angeles Office.
 Essential Duties of the Position May Include The Following: • Reviews charge tickets, identifies and corrects errors, prepares tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two. • Abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes and modifiers using the International Classification of Diseases (ICD-10) system, and the Physicians’ Current Procedural Terminology (CPT-4). • Reviews and maintains Athena worklist claims on a daily basis. • Consistently meets and exceeds daily productivity and quality standards. • Effectively works on complex and escalated cases. • Cross-trained; i.e coding different specialties. • Reviews scanned paper charge tickets for accuracy and completeness of codes. • Maintains and expands knowledge of Anatomy and Physiology, Pathophysiology, Pharmacology, and Medical Terminology as basic building blocks for ICD-10-CM coding. • Compiles, reviews and performs data reports and other duties assigned by Management. • Identifies trends and communicates to the management team with findings. • Works and collaborates closely with Revenue Cycle Team Members, Clinician, Physician, Division Leadership and Management. • Keeps current of coding requirements by reviewing payer guidelines and regulations. • Maintains a log of coding errors and omissions for review with the management team. • Stays current on coding and compliance regulatory requirements through professional membership literature, continuing education classes, support and networking groups. • Maintains current knowledge of regulatory requirements by CMS NCCI and MUE edits, Medi-Cal/CCS policies, and certain Medicare requirements.
- Attends various meetings and professional development programs on a regular basis; makes recommendations for revisions and/or new departmental procedures under the direction of management.
• Maintains audit record systems for radiology department. • Performs other related duties as assigned by Management.
Job Qualifications: Knowledge and skill:
<ol>
<li>Coding Certification, CPC from AAPC or CCS from AHIMA</li>
<li>At least five (5) years of medical coding experience preferred.</li>
<li>Orthopedic Surgical Coding required</li>
<li>Ability to communicate in both written and verbal formats with internal and external stakeholders.</li>
<li>Ability to handle multiple tasks.</li>
<li>Knowledge of medical terminology, CPT and ICD-10 coding, CMS NCCI and MUE edits.</li>
<li>Familiarity with payer billing and reimbursement guidelines and regulations, including the ability read and interpret payer Explanation of Benefits (EOB), and Remittance Advice Details (RAD).</li>
<li>Ability to meet deadlines and to follow assignments through to completion.</li>
<li>Ability to organize and manage time effectively.</li>
<li>Handle, in a professional and confidential manner, all correspondence, documentation, and files following HIPAA and PHI guidelines.</li>
<li>Ability to work independently and as a part of a larger team.</li>
<li>Microsoft Word, Outlook and Excel knowledge preferred.</li>
<li>Ability to prepare, file and maintain patient records, file reports, and other correspondence.</li>
</ol>
Company DescriptionPediatric Management Group manages 600+ physician academic practice affiliated with Children's Hospital Los Angeles. 
<h3>Company Description</h3>
Pediatric Management Group manages 600+ physician academic practice affiliated with Children's Hospital Los Angeles.

Revenue Cycle Medical Coder II

<h3>Job Description</h3>
Job DescriptionDescription:
Summary/Objective: Obtain accurate reimbursement for healthcare claims.
Essential Functions
<ul>
<li>Reviews and resolves all assigned charges thoroughly based on coding guidelines, chart documentation and related charges in billing system.</li>
<li>Audits task manager work files with charges reviewed by Claims Manager that were found to have coding errors/omissions.</li>
<li>When appropriate communicates approved coding changes and/or questions to Physician’s and their office staff. Also alerts providers of missing or late charges.</li>
<li>Alerts management to coding trends discovered while working daily charges/edits.</li>
<li>Stays informed and up to date on coding issues by attending seminars. Possesses a comprehensive understanding of carrier specific State of Florida billing guidelines.</li>
<li>Consistently stays within the department production goal set for your area</li>
</ul>
 
Requirements:
Required Education and Experience: High School Graduate or Equivalent. Must be a certified coder either through AAPC or an equivalent organization. Certificate of ICD-10 proficiency required.
 
Preferred Education and Experience:2-3 years experience in the medical coding field. Must have a good knowledge of medical terminology, anatomy, diagnosis and procedure codes. Must be able to plan and prioritize workflow and produce an acceptable volume of work accurately. Must possess strong analytical and research capabilities to review physician and nurse documentation. Good problem solving skills and the ability to communicate clearly in writing and verbally to assigned providers and support staff.

MEDICAL CODER II - FULL TIME

<h3>Job Description</h3>
Job Description
THIS IS NOT A REMOTE POSITION
We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate reimbursement for healthcare claims. This person will also be responsible for analyzing, abstracting, compiling data, and generating reports. This position must provide customer service excellence when dealing with internal and external contacts.
 
Duties include but are not limited to:
<ul>
<li>Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.</li>
<li>Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place before submission. </li>
<li>Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims</li>
<li>Adhere to coding policies and procedures consistent with the industry-standard guidelines for CPT, ICD-9 and ICD-10. </li>
<li>Answer coding questions</li>
<li>Review clinical documentation to ensure it meets the level of CPT codes and ICD-10 codes</li>
</ul>
<ul>
<li>Assemble and analyze medical charts to meet department accuracy and productivity requirements.</li>
<li>Follows established protocol for assembling charts.</li>
<li>Revise and/or update forms and policies, and ensure permanent location and security of data (PHI).</li>
<li>Manages daily workload and consistently finishes daily.</li>
<li>Ensures that Outpatient charts are received daily.</li>
<li>Runs missing chart report and notifies appropriate personnel.</li>
<li>Follows through and investigates missing charts.</li>
<li>Clarify documentation with the Physician and Director as needed.</li>
<li>Completes reports and logs as needed.</li>
<li>Periodically covers the duties of receptionist.</li>
<li>Provides backup clerical support to various departments.</li>
<li>Researches, prioritizes, and follows up on incoming issues and concerns, including those of a sensitive or confidential nature.</li>
<li>Determines appropriate course of action, referral, or response.</li>
<li>Handle requests for information and data: reports as requested.</li>
<li>Respond to and resolve problems and inquiries.</li>
<li>General clerical duties including photocopying, fax, mailing, filing(electronic and paper), sorting and distributing correspondence, preparing and modifying documents including correspondence, reports, drafts, memos, and emails</li>
</ul>
<ul>
<li>Performs related duties, as requested.</li>
<li>Upholds the Organization's ethics and customer service standards.</li>
</ul>
Requirements
<ul>
<li>Education: Certificate or associate's degree in medical coding/CPC. These additional certifications are not required but a plus: Certified Professional Coder (CPC), CPC-Hospital, CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA)</li>
<li>Experience: A minimum of 1 year coding experience required preferably with psychiatric services</li>
<li>Knowledge, Skills &amp; Abilities:
<ul>
<li>Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and physiology; computer data entry; and medical law, privacy and ethics. </li>
<li>Knowledge of CMS rules and regulations and current coding resources</li>
<li>Knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding and healthcare reimbursement methods.</li>
<li>Critical thinking skills and ability to resolve complex coding issues</li>
<li>Knowledge of mathematical computations using addition, subtraction, multiplication, division, percentages in order to perform personnel/payroll assignment. Ability to integrate multiple facts, statistics, and/or mathematical values when solving mathematical equations.</li>
<li>Ability to accurately enter data, prepare and maintain records, files, and reports.</li>
<li>Outstanding skills in giving attention to details with display of dexterity in maintaining confidentiality</li>
<li>Must have advanced PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word and Excel as well as ability to use financial software and payroll systems (Kronos a plus).</li>
<li>Communicate effectively with a variety of individuals and function calmly in situations, which require a high degree of sensitivity, tact, and diplomacy.</li>
<li>Ability to exercise appropriate judgment in answering questions and releasing information; analyze and project consequences of decisions and/or recommendations. </li>
<li>Skill to research and analyze various personnel/payroll matters to recommend alternative actions and/or take an appropriate course of action.</li>
<li>Skill to independently interpret reference materials to comply with law, rules, regulations, policies, procedures, etc.</li>
<li>Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines. </li>
<li>Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities. </li>
</ul>
</li>
<li>Screening: Must successfully pass background check, drug screen, physical and be able to provide positive employment references.</li>
<li>Physical Demands: With or without reasonable accommodations,must be able to stoop, kneel, lift moving about in work area and throughout organization to accomplish task. Typing, data entry (finger dexterity) and ability to hold hands steady on keyboard when typing. Sit at extended period of time with erect posture. Reading forms/computer screens; express or exchange ideas orally and potentially loudly, accurately, or quickly; visually detect, determine, perceive, identify, recognize, judge, observe, inspect, assess; perceive the nature of sound with or without correction; perform repetitive motions of the wrist, hands, or fingers. Light work most of the time, exerting up to 10 pounds of force frequently.</li>
</ul>
This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the hospital.
If you are among the most competitive and qualified candidates for the job, you will be contacted directly by one of our hiring managers. Due to the high volume of applications we receive, we are unable to respond to individual inquiries regarding your application status. Good Luck &amp; we hope to meet you soon! 
Dallas Behavioral Healthcare Hospital is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
Benefits
Full-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.

PRN - Medical Coder/Records Clerk

<h3>Job Description</h3>
Job DescriptionDescription:
 
Why you’ll want to work at nimble! 
 
Interested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! 
 
Who we are: 
 
nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.
 
On a typical day, here's what you'll be working on:
 
Provide coding of medical records and any applicable supporting documentation. 
<ul>
<li>Codes records to assign ICD-10, CPT, and modifiers in accordance with coding guidelines</li>
<li>Meets quality and productivity standards and deadlines/turnaround times</li>
<li>Assigns indicated account and claim data attributes as indicated (POS, revenue code, implant pricing)</li>
<li>Demonstrates thorough understanding of how work impacts the project/end customer</li>
<li>Recognize, interpret, and evaluate inconsistencies, discrepancies, and inaccuracies in the medical data received and appropriate alerts and/or queries indicated by party or supervisor</li>
<li>Reviews and correctly responds to AR tasks related to pre-claim edits pertaining to coding and post-submission denials </li>
<li>Demonstrates a good rapport and works to establish cooperative working relationships with all members of the team</li>
<li>Demonstrates willingness and flexibility in working additional hours or changing hours whenever required between normal business hours</li>
</ul>
This job description will be reevaluated by leadership periodically to allow for any necessary modifications due to client profiles changes/updates, workflows, policy changes, and regulatory compliance requirements
 
Coding/Compliance
<ul>
<li>To ensure the security and confidentiality of all clinical data handled, including the safekeeping of all health records </li>
<li>To function as the first point of contact regarding coding issues </li>
<li>To promote the interchange of dialogue between nimble management and coders</li>
<li>To have an active involvement in the development and implementation of current information relevant to medical/surgical coding</li>
<li>To be aware of all statutory and local requirements regarding coding policy changes</li>
<li>Assist with client billing questions in a professional and timely manner</li>
<li>Complete coding queues and AR queries as assigned</li>
<li>Address client concerns in a prompt and professional manner</li>
<li>Participate in task force committees and special projects, as required</li>
<li>Assist with client audits, as needed</li>
</ul>
Requirements:
Who you are! 
<ul>
<li>AAPC or AHIMA certification required, such as CPC, CPC-H, CCS, or CCS-P</li>
<li>Two years of medical coding, billing, and management experience preferred</li>
<li>Excellent people skills with the ability to interact effectively with all levels of employees and clients</li>
<li>Ability to work in a collaborative environment</li>
<li>Excellent written and verbal communication skills</li>
<li>Technical/Functional</li>
<li>Knowledge of Healthcare industry </li>
<li>Knowledge of Microsoft Office, Windows, and Excel</li>
<li>Strong organizational skills</li>
<li>Ability to analyze and problem solve</li>
<li>Ability to work with accuracy and diligence</li>
<li>Ability to prioritize and manage multiple tasks simultaneously</li>
</ul>

Medical Coder - Orthopedic, Spine & Pain (FULL TIME)

<h3>Job Description</h3>
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. 
Must be willing to travel to NYC twice a year for required meetings.
Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review.
<ul>
<li>Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance.</li>
</ul>
<ul>
<li>Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues.</li>
</ul>
<ul>
<li>Provide regular reports on project status and progress; report project results to identify coding improvement opportunities.</li>
</ul>
<ul>
<li>Collaborate with other business units to identify and implement process efficiency and quality improvement practices.</li>
</ul>
<ul>
<li>Work with IT resources to implement system efficiencies and configuration enhancements to improve claims processing operations.</li>
</ul>
<ul>
<li>Apply Coding Guidelines as described in the ICD-10 Coding Manual.</li>
<li>Performs other duties as assigned.</li>
</ul>
<ul>
<li>Complies with all policies and standards.</li>
</ul>
Education/Experience: RN Degree. One year experience preferred in hospital inpatient coding. Nursing experience in managed care organization or acute care hospital. For Fidelis Care only: One year of experience in a clinical setting or acute care hospital; RN, PA, MD, APRN, DO or MBBS license required. Coding Credential Required: Valid/Current CPC Certification, through APPC preferred or CIC through AAPC or CCS through AHIMA; RHIA/RHIT Credentials-Preferred. 
Pay Range: $68,700.00 - $123,700.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
 Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

953 medical-coder Jobs