UNKNOWN

FEED

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. For assigned coders and providers, review Inpatient, Outpatient or Professional Fee medical records for coding accuracy and medical record documentation as it impacts the correctness of the coding.

Omega HMS

Auditor/Educator Inpatient

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Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear.

OMH HealthEdge Holdings Inc

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Under general supervision of client, Omega's External Auditor Outpatient will perform reviews of inpatient and outpatient or Professional Services medical records for coding accuracy and medical record documentation as it impacts the accuracy of ICD-10-CM, ICD-10-PCS codes driving MS-DRG assignment and ICD-10-CM and CPT-4/HCPCS codes driving the APC assignment. Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale.

External Auditor Outpatient

Accounts Receivable (AR) Appeals Specialist POSITION SUMMARY: The AR Appeals Specialist is responsible for managing denied insurance claims, preparing and submitting reconsiderations & appeals, and ensuring accurate reimbursement for healthcare services. While performing the duties of this job, the employee is frequently required to stand, sit, use hands to handle or feel objects, tools or control, reach with hands and arms and talk or hear.

US Eye

US Eye Accounts Receivable (AR) Appeals Specialist

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The ideal candidate is a Nurse Practitioner (NP) with professional coding experience who understands how Medicare coverage determinations, state Medicaid requirements, and regulatory changes translate into operational processes and claims payment decisions. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do provide tangible results that add immediate value, at a rate that cannot be beaten.

Impresiv Health

Clinical Policy & Government Programs Specialist

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Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.

HOUR

Molina Healthcare Inc.

Specialist, Appeals & Grievances (Claims)

Specialist, Appeals & Grievances

Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia, Illinois, Maryland, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia. The Professional Fee Abstractor is responsible for 100% charge capture by reviewing physician documentation and properly coding all professional services performed utilizing appropriate ICD-10-CM, CPT-4, HCPCS codes and modifiers.

Nemours Foundation

Professional Fee Abstractor

You will be working independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales to ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles. Both proactively and reactively navigate and address individual account and patient access issues that occur by partnering with external and internal stakeholders including internal reimbursement team and field sales colleagues.

YEAR

Inspire Medical Systems Inc

Field Reimbursement Manager - Florida Region

Inspire Medical Systems Inc.

Field Reimbursement Manager - Florida Area

GreenHouseAPI

The Revenue Integrity Charge Capture Analyst serves as subject matter expert of revenue integrity and revenue cycle functions, including registration, eligibility verification, coding, billing, and charge reconciliation for assigned service line areas. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Remote Medical Coder Jobs in Florida

Auditor/Educator Inpatient Omega HMS

Auditor/Educator Inpatient OMH HealthEdge Holdings Inc

External Auditor Outpatient OMH HealthEdge Holdings Inc

US Eye Accounts Receivable (AR) Appeals Specialist US Eye

Clinical Policy & Government Programs Specialist Impresiv Health

Specialist, Appeals & Grievances (Claims) Molina Healthcare Inc.

Specialist, Appeals & Grievances Molina Healthcare Inc.

Professional Fee Abstractor Nemours Foundation

Field Reimbursement Manager - Florida Region Inspire Medical Systems Inc

Field Reimbursement Manager - Florida Area Inspire Medical Systems Inc.

Revenue Integrity Specialist II Johns Hopkins Hospital

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