UNKNOWN

FEED

The AR Manager will work collaboratively with RCM leadership to improve collections, resolve payer issues, and support strategic initiatives to enhance revenue cycle performance and reduce cost per case. Position Summary The Manager of Revenue Cycle Services is responsible for the direct oversight of the Accounts Receivable (AR) team, including specialized units such as Credit Balance, Over/Underpayment, and Correspondence.

North American Partners in Anesthesia

Manager, Revenue Cycle Services (Remote)

sourcestack_via_bold

Conducts comprehensive reviews of the claim denial, account/guarantor notes associated with the denial, and the medical record to make determinations if a revised claim needs to be submitted, if a retro authorization needs to be obtained, if a written appeal is needed, or if no action is needed. The individual is responsible for resolving coding claim edits, coding-related claim denials & coding correspondence, monitoring for trends and assist in the analysis, development, and implementation of solutions to minimize avoidable denials and adjustments.

Medical College of Wisconsin

Coding Denials Specialist - Clinical Practice Services

linkup_via_bold

Completes Claims Center daily tasks including charge review and claims inspector; creates and maintains custom claim edits and works the client action worklist. Provides timely and professional customer service, verify discrepancies by and resolve patient billing issues, answer questions from patients, facility staff, and third-party vendors.

Sports Medicine Associates of San Antonio PA

Billing and Coding (Medical)

Every day you will utilize your deep knowledge of ICD-10 and CPT coding to compare documentation against billed services, making necessary adjustments to diagnosis codes, modifiers, and place-of-service information. Whether resubmitting claims electronically or identifying recurring denial trends to conduct proactive staff training, your work will ensure that our billing processes remain compliant and efficient.

CommonSpirit Health

Denials Coder

Bachelors in Finance or a related field Required 5+ Years of functional/core experience in hospital billing systems/medical billing (specifically EPIC software) Required and 5+ Years of experience in a supervisory or leadership capacity Required Epic Charge Router Certification (EPIC CHG ROUTER) - EPIC Certification (EPIC) Preferred or Epic Resolute Billing Certification (EPIC BILLING) - EPIC Certification (EPIC) Preferred or Certified Professional Coder-Hospital (CPC) - American Academy of Professional Coders (AAPC) Preferred or Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) Preferred or Registered Health Information Technician (RHIT AHIMA) - American Health Information Management Association (AHIMA) Preferred or Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) Preferred. Strategic focus: based on regulatory and industry updates, MHS strategic initiatives, end-user feedback, and other information, identifies and achieves opportunities to improve charge capture efficiency and accuracy, eliminate missed charges, eliminate billing rework, and improve MHS net revenue.

South Broward Hospital District

Manager Revenue Integrity - FT - Days - MHS - Remote Eligible

Completion of one of the following through AHIMA accredited programs: Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, Registered Health Information Administrator. The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the medical record.

Lawrence Memorial Hospital

Coder

If currently on active-duty you must submit a certification of expected discharge or release from active-duty service under honorable conditions not later than 120 days after the date the certification is submitted. Some of the responsibilities include the personnel and daily operations of all business office functions such as patient accounting, billing, switchboard, coordinating third-party payors, data entry, and credit and collections.

Lake District Hospital

Revenue Cycle Director- Full Time

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. This position functions as a member of the Bill Review Department leadership team, ensuring optimum team performance by providing exemplary support and assistance to achieve the organizational goals of excellent customer service of the bill review department and of CorVel.

HOUR

<p>CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded (NASDAQ:CRVL) and annual revenues exceeded $493 million in FY2015. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve more than 2,000 customers through a national branch office network covering all 50 states.</p>

CorVel

Bill Review Supervisor I

ea_via_bold

The analyst partners with Patient Accounts, Coding, Contracting, Finance, and Operational leaders to identify revenue leakage, pursue recovery opportunities, monitor payer performance, and support revenue integrity initiatives. Investigate and quantify underpayments related to coding edits, modifiers, multiple procedure reductions, bundling rules, place-of-service differentials, and other reimbursement methodologies.

Underpayments Analyst

Demonstrate comprehension of payer guidelines for appeals, overpayments, retractions, refunds, eligibility, reconsiderations, referrals, authorizations, payer websites, filing limitations, denials, and attachment requirements to work all claims to a zero balance in a timely manner. The Senior Coding Specialist is responsible for performing coding tasks required to promote efficient operation of the physician practices within Chesapeake Regional Medical Group.

Chesapeake Regional Healthcare

Coding Specialist Senior

The consultant will serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and business analysis while collaborating with business and technical teams to support coding updates, policy implementation, and business process improvements. Seeking an experienced Business Analyst (Clinical Analyst & Coding Specialist) to support ongoing Medicaid operations and healthcare system initiatives.

Sunshine Enterprise USA

Clinical Analyst & Coding Specialist

Develop and maintain metrics to monitor accuracy of charge code assignment, improvement of revenue capture, Ensure that emergency department charge master assigned CPT codes and supply charges are based on supporting documentation as required by federal, state compliance guidelines., Ensure that emergency department CPT charge master codes (hard codes) are assigned within established principles, official guidelines and regulations for coding to provide the optimum reimbursement allowable under the federal and state payment systems.,

Sarah Bush Lincoln Health Center

Coder Technical Charging

High School (Required)CCA - Certified Coding Associate - American Health Information Management Association, Certified Coding Specialist- Hospital - Sarah Bush Lincoln, Certified Professional Coder-A - Sarah Bush Lincoln, Registered Health Information Technician (RHIT) - American Health Information Management Association or Registered Health Info Administrator (RHIA) - American Health Information Management Association - American Health Information Management Association Compensation . Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness.

Coder Hospital-1

This position partners with clinical, finance, coding, billing, compliance, and information technology teams to ensure charge capture, reimbursement methodologies, and regulatory requirements are accurately reflected within charging systems. Three (3) years of experience in healthcare revenue cycle, chargemaster management, coding, reimbursement, revenue integrity, or related healthcare financial operations.

Chargemaster Analyst

Job Requirements: Education and Work Experience: Associate's/Technical Degree or equivalent combination of education/related experience: Required Bachelor's Degree: Preferred Two years' healthcare billing experience: Preferred Licenses/Certifications: Certified Professional Coder (CPC) - AAPC: Preferred Essential Functions: Reviews, corrects and submits claims to payers. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

3B Healthcare, Inc

Patient Account Associate

jobdiva

Represents the Clinical Editing Team as needed at other project teams that directly or indirectly impact coding requirements, claims processing or provider reimbursement\Provides support for Correspondence, Claims and Provider Service units related to appeals. Essential Resource Responsibilities / Accountabilities: - Coordinates inquiries by obtaining information from appropriate Medical Directors at in-plan IPAs, at Health Plan, Medical Claims Review nurses, internal staff and external customers as needed.

Mindlance

Clinical Editing Dispute Review Analyst 1

Collaborate with other Moda areas to provide clinical policy representation at meetings to ensure that decisions which affect claim processing are appropriate and will result in cost effective, efficient, and accurate claims payment. Assist with specific claim reviews such as diagnosis-related group (DRG) validation, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team.

YEAR

Moda Health

RN Hospital Claims Auditor

Brightmove

JOB REQUIREMENTS* Associate Degree OR 2 years of experience working in the health insurance industry;* 2 years medical coding through medical record abstraction;* National coding certification from AAPC or AHIMA to include one or more of the following:Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT);* PC experience and skills to include Microsoft Word, Excel and outlook; Clear and concise verbal and written communication skills; Analytical skills. Under supervision, this position is responsible for researching and analyzing the itemized bills and/or medical records for facility and inpatient claims validating the coding.

CODING COMPLIANCE AUDITOR

The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.

Brigham and Women's Hospital

Surgical Coding Specialist, Remote

The Risk Adjustment Coder is responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports following all applicable federal, state, and county regulations/laws related to coding, auditing, and clinical documentation guidelines for the various risk adjustment models. The Coder, Risk Adjustment position provides a thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and complexity of the patient.

Certified Professional Coder Jobs in the United States

Manager, Revenue Cycle Services (Remote) North American Partners in Anesthesia

Coding Denials Specialist - Clinical Practice Services Medical College of Wisconsin

Billing and Coding (Medical) Sports Medicine Associates of San Antonio PA

Denials Coder CommonSpirit Health

Manager Revenue Integrity - FT - Days - MHS - Remote Eligible South Broward Hospital District

Coder Lawrence Memorial Hospital

Revenue Cycle Director- Full Time Lake District Hospital

Bill Review Supervisor I CorVel

Underpayments Analyst Lawrence Memorial Hospital

Coding Specialist Senior Chesapeake Regional Healthcare

Clinical Analyst & Coding Specialist Sunshine Enterprise USA

Coder Technical Charging Sarah Bush Lincoln Health Center

Coder Hospital-1 Sarah Bush Lincoln Health Center

Chargemaster Analyst Lawrence Memorial Hospital

Patient Account Associate 3B Healthcare, Inc

Clinical Editing Dispute Review Analyst 1 Mindlance

RN Hospital Claims Auditor Moda Health

CODING COMPLIANCE AUDITOR Mindlance

Surgical Coding Specialist, Remote Brigham and Women's Hospital

Risk Adjustment Coder AltaMed

Similar Job Searches

See More Jobs

Stand out to leading employers.