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If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.

Guidehouse Inc

Facilities Manager

The goal of concurrent and retrospective review is to facilitate clinically appropriate physician/ clinician documentation of all patient conditions, treatments, and interventions to accurately reflect quality of care, severity of illness and risk of morality and risk adjustment factor to support correct coding, reimbursement, and quality initiatives. Summary: The Inpatient Clinical Documentation Integrity (CDI) Specialist Nurse will provide clinically based concurrent review of inpatient medical records to assess and procure accurate and complete documentation of the patients' diagnoses and procedures.

Children's of Alabama

Clinical Documentation Specialist Inpatient

The goal of CDI outpatient reviews is to facilitate clinically appropriate physician/ clinician documentation of all patient conditions, treatments, and interventions to accurately reflect quality of care, severity of illness and risk of morality and risk adjustment factor to support correct coding, reimbursement, and quality initiatives. The goal is to facilitate clinically appropriate physician and other clinician documentation of all patient conditions, treatments, and interventions to accurately reflect quality of care, severity of illness, risk of morality and risk adjustment factor to support correct coding, reimbursement, and quality initiatives.

Clinical Documentation Specialist Outpatient

Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.

YEAR

Elevance Health

Inpatient DRG Validator (Acute Care)

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Preferred skills, qualifications and experiences: One or more of the following certifications are preferred: Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.

Patient Safety DRG Clinical Validation Auditor

As the largest pediatric ENT group in Alabama, our team of six board certified physicians offer a wide range of pediatric ear, nose, and throat services including diagnosing and treatments for advanced hearing loss, congenital ear deformities, and vascular malformations. The responsibilities include preparing, reviewing, and submitting accurate claims, monitoring claims status and proactively following up on unpaid, denied, rejected, or underpaid claims, investigating and resolving billing discrepancies, appealing denied claims and assisting with process improvement opportunities to enhance billing accuracy and optimize revenue cycle performance.

Revenue Cycle Management Specialist - COA Main

Minimum of three years of experience in billing, charge documentation, charge audit, or charge capture activities, or other functions related to revenue cycle activities. With five hospitals and numerous clinics, we're a health care community deeply rooted in compassion, service, and respect for all, guided by the rich legacy of the St.

UAB St. Vincent's

Revenue Integrity Specialist

[AW]-iCims

A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. Psychological: Contact with Others, Deal with external customers/clients, sometimes dealing with unpleasant people, occasionally coordinating letters/memos, working with work groups or as a Team constantly/consistently.

DCH Health System

Certified Professional Coder

The position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.

West Point Optical

Optometric Technician

Gardendale

3 + years working experience of Hospital or Physician office billing and collection processes including producing account appeals with positive outcomes strongly preferred. Proven applicable experience working in an environment that utilizes electronic billing, internal report archives, and tools for applicable database management strongly preferred.

Huntsville Hospital

Medicare Biller Collector

Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments. The Account Follow-Up Specialist will review insurance claims and take appropriate action including completion of submissions, reconsiderations, appeals, and denial management to ensure payment is received timely.

Alabama Oncology

Insurance Claims Representative

BreezyHR

Proven applicable experience working in an environment that utilizes electronic billing, internal report archives, and tools for applicable database management. The Insurance Follow-up Supervisor monitors staff productivity, provides training, and works to improve reimbursement processes and reduce claim aging.

Supv Insurance Follow up PSRC

The CDI Coordinator is expected to participate in the education and onboarding process of all new hires and perform duties and conduct interpersonal relationships in a manner that promotes a team approach and collaborative work environment with physicians, CDI staff, Coders, and Billing Department. Inpatient and Outpatient CDI Nurses conduct concurrent and retrospective reviews of medical records to ensure documentation accurately reflects the patient's clinical status, severity of illness, and treatments.

Clinical Documentation Integrity Nurse Coordinator

In addition to Site of Service Access and Reimbursement responsibilities, the FAM will maintain a portfolio of regional payers and be responsible for medical policy planning and development, policy review, and favorable placement of the Telix brand portfolio within regional commercial medical policies, remove restrictions to unfavorable policies, placement of Telix products on state Medicaid fee schedules, and favorable formulary status where applicable. Key Accountabilities: Work directly with site of service support staff, providers, and other important stakeholders involved with patient access for all things reimbursement, including but not limited to, education around billing and coding, appeal or denials, patient support services, and appropriate use criteria for the Telix brand portfolio.

Telix Pharmaceuticals Ltd

Field Access Manager - Southeast MS, AL, GA, FL, Eastern TN

Performs revenue optimization functions including:Review of accounts for potential missing documentation, coding and chargingIdentify root cause of missing chargesEducate Clinical and Ancillary DepartmentsPerform process improvement activities aimed at revenue optimizationCoordinate with the Clinical Departments, Coding, CDM, and other key stakeholders to address and resolve root cause issuesAuditing and monitoring of defined areas Maintains strict confidentiality of all patient, employee and physician information according to HIPAA guidelines. The Outpatient Clinical Documentation Specialist is responsible for activities which assist the hospital with processes for complete and accurate capture of documentation and charges for the facility outpatient services rendered.

Outpatient Clinical Documentation Specialist

Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Clearview Cancer Institute

Business Office Generalist

Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. Demonstrates the ability to perform quality hospital coding on Inpatient accounts including Medicare/Non Medicare, Surgical, Medical, Cardiac, moms/babies, and trauma cases.

Guidehouse

Inpatient Coder- Hospital

Collaboration with MDS stakeholders is required to prepare C2BMC cyber products as part of the engineering objectives documentation and analysis processes as related to Defense Of Guam (DoG).Other activities include participation in engineering meetings, presenting engineering product development updates, providing analysis and failure review summaries. Command, Control, Communications, and Battle Management (C3BM) cyber engineering efforts include engaging in Command, Control, Battle Management, and Communications (C2BMC) technical engineering and integration, future concepts, new functionality, and multi-national exchange designs.

Bellatrix HRM

Cyber Security Analyst

The Revenue Cycle Specialist will be responsible for working queries sent from the 3rd party billing company to resolve errors, entering hospital charges for all providers, and working end of month reports to ensure accuracy. Helps Revenue Cycle Manager educate appropriate revenue cycle processes in all clinic offices which include but not limited to patient registration, insurance verification, point of service collections, and provider coding.

Medical Billing And Coding Jobs in Alabama

Facilities Manager Guidehouse Inc

Clinical Documentation Specialist Inpatient Children's of Alabama

Clinical Documentation Specialist Outpatient Children's of Alabama

Inpatient DRG Validator (Acute Care) Elevance Health

Patient Safety DRG Clinical Validation Auditor Elevance Health

Revenue Cycle Management Specialist - COA Main Children's of Alabama

Revenue Integrity Specialist UAB St. Vincent's

Certified Professional Coder DCH Health System

Optometric Technician West Point Optical

Optometric Technician Gardendale

Medicare Biller Collector Huntsville Hospital

Insurance Claims Representative Alabama Oncology

Supv Insurance Follow up PSRC Huntsville Hospital

Clinical Documentation Integrity Nurse Coordinator Children's of Alabama

Field Access Manager - Southeast MS, AL, GA, FL, Eastern TN Telix Pharmaceuticals Ltd

Outpatient Clinical Documentation Specialist DCH Health System

Business Office Generalist Clearview Cancer Institute

Inpatient Coder- Hospital Guidehouse

Cyber Security Analyst Bellatrix HRM

Revenue Cycle Specialist Jackson Hospital & Clinic Inc

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