UNKNOWN

FEED

Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information. Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey.

HOUR

Ensemble Health Partners

Associate Specialist, Patient Access

Appcast PX 2

Professional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Examples include: Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying, and create a basic pivot table.

CorroHealth Inc

Outpatient Facility Coding Specialist

CorroHealth

Coding certifications through AHIMA or AAPC; Outpatient Coding: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician, (CCS-P), or other related certification required. Risk Adjustment Coding and Documentation Specialist - remote eligible in Coeur d''Alene, ID - Kootenai Health Career site Risk Adjustment Coding and Documentation Specialist - remote eligible in Coeur d''Alene, ID - Kootenai Health Career site.

Kootenai Health

Risk Adjustment Coding and Documentation Specialist - remote eligible

Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Coding Data Quality Auditor

Preferred Qualifications: Prefer five (5) years experience in a supervisory role in healthcare with extensive knowledge of ICD-10-CM, CPT, HCPCS, and documentation guidelines; EPIC experience, including HB and PB billing. Keeps abreast of recent technology in coding software and other forms of automation and stays informed about transaction code sets, HIPAA requirements and other future issues impacting the coding function.

Gritman Medical Center

Coding Supervisor | HIM | HYBRID (ON-SITE/REMOTE)

As a work from homeInpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments.

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

HCA Healthcare

Inpatient Coding Auditor

Jobvite Talemetry Organic Easy Apply

The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.

YEAR

Mi Familia & Summit Home Health and Hospice

Medical Billing Specialist

ea_via_bold

This position is responsible for accurate claims processing, insurance follow-up, payment posting, denial resolution, and accounts receivable management while providing responsive service to client practices. The Medical Billing Specialist manages billing and reimbursement activities for healthcare provider clients.

Provisional

HaleyMarketing

Ideal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost‑effective claim resolutions while maintaining a high level of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

Sedgwick Claims Management Services, Inc.

Sr. Claims Specialist, Professional Liability | Medical Malpractice

Areas of focus include submissions of claims, claim rejections, denial management, collection of current and aged insurance receivables, account adjustments, audits, account status changes, posting payments, refunds, and patient phone calls. Responsible for processing claim denials within company established timelines for a variety of denial reason codes and as well as working Accounts Receivable through reports, system programs, audits, etc.

Norco Inc.

Medical AR Specialist - Denials

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.

SCA Health

Medical Records Specialist - Treasure Valley Hospital

[AW]-iCims

Surgical Care Affiliates (SCA) partners with leading physicians, hospitals and health systems to develop and implement surgical services strategies across the country. With approximately 5,000 teammates, SCA operates more than 185 surgical facilities, including ambulatory surgery centers, surgical hospitals, and hospital surgery departments, in partnership with approximately 2,000 physicians and in affiliation with 45+ health systems. 
 
At SCA, we put Clinical First. Our mission is to care for our patients, serve our physicians and improve healthcare in America by offering clinical systems, service line growth strategies, benchmarking processes, and efficiency programs that create measurable advantage for surgical facilities&mdash;clinically, operationally and financially. 
 
An industry leader, SCA recently created industry-wide clinical outcomes reporting procedures, using metrics endorsed by the National Quality Forum. All SCA facilities pursue accreditation through The Joint Commission (TJC), the American Association of Ambulatory Surgery Centers (AAASC) or the Accreditation Association for Ambulatory Health Care (AAAHC). 
 
Our facilities focus on short-term care and primarily provide non-emergency surgical procedures in many specialties, including orthopaedics, ophthalmology, gastroenterology, pain management, and otolaryngology, among others. Our facilities provide physicians with the logistics and support staff necessary to perform these procedures. 
 
SCA is deeply committed to our core values of clinical quality, integrity, service excellence, teamwork, accountability and continuous improvement.

Surgical Care Affiliates LLC

What Qualifications you will need: One to Three year s of experience in a medical office setting is preferred High School Diploma or GED Required Experience using an EHR system is highly preferred Experience working in specific specialty is preferred Benefits East Falls GME, offers a total rewards package that supports the health, life, career and retirement of our colleagues. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.

HCA Healthcare Inc

Medical Office Specialist

As a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.

Datavant

ProFee Audit Specialist- PRN

IRecruitee

What You Will Do at Cambia: Uses clinical knowledge and critical thinking to research simple to moderately complex requests and documentation related to utilization management (UM) processes and regulatory requirements. As a member of the Clinical Operations team, our Clinical Specialists help us meet regulatory requirements as we insource prior authorization volume, support key initiatives, and ensure strong staffing coverage.

Cambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to create a person-focused and economically sustainable health care system. 

Through our health plans, innovative technology and strategic investments, we are delivering consumer-centric solutions that:

•       help people achieve better health and well-being 
•       make health care more available, affordable and accessible 
•       are easily understood by everyone

We put people at the heart of everything we do. Our company reaches more than 70 million Americans nationwide, including more than two million people in the Pacific Northwest who are enrolled in our regional health plans.  

Cambia Health Solutions Inc

Clinical Specialist (nonclinical)

Cambia Health

Clinical Specialist (Nonclinical)

FULL_TIME

OTHER

Ensures accuracy and completion of authorization data from customer information, medical records, referral/authorization forms, Military Treatment Facility electronic transmission and other documents into medical management system. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

TriWest Healthcare Alliance

Lead Referral Specialist

equestftpin

Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies. By ensuring accurate and comprehensive physician documentation, you will be at the forefront of influencing the precision of code assignment, making a tangible difference in the accuracy of healthcare data.

CDQI Nurse Specialist - PRN

Claims Knowledge: Strong ability to read and understand EOBs; deep understanding of insurance denials and unresolved claims resolution; knowledge of ICD-10, CPT, HCPCS, and CMS-1500 claim format. Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up.

Medical Coding Specialist Jobs in Idaho

Associate Specialist, Patient Access Ensemble Health Partners

Outpatient Facility Coding Specialist CorroHealth Inc

Outpatient Facility Coding Specialist CorroHealth

Risk Adjustment Coding and Documentation Specialist - remote eligible Kootenai Health

Coding Data Quality Auditor CVS Health Corp

Coding Supervisor | HIM | HYBRID (ON-SITE/REMOTE) Gritman Medical Center

Inpatient Coding Auditor HCA Healthcare

Medical Billing Specialist Mi Familia & Summit Home Health and Hospice

Medical Billing Specialist Provisional

Sr. Claims Specialist, Professional Liability | Medical Malpractice Sedgwick Claims Management Services, Inc.

Medical AR Specialist - Denials Norco Inc.

Medical Records Specialist - Treasure Valley Hospital SCA Health

Medical Records Specialist - Treasure Valley Hospital Surgical Care Affiliates LLC

Medical Office Specialist HCA Healthcare Inc

ProFee Audit Specialist- PRN Datavant

Clinical Specialist (nonclinical) Cambia Health Solutions Inc

Clinical Specialist (Nonclinical) Cambia Health

Lead Referral Specialist TriWest Healthcare Alliance

CDQI Nurse Specialist - PRN Datavant

Accounts Receivable Specialist United Wound Healing

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