- Prisma Health (Greenville, SC)
- …Serve with compassion. Be the difference. Job Summary The Professional Billing Quality Coding Auditor will support the Medical Group Coding and Education ... by performing routine reviews of coders to ensure accurate coding . This position will also perform specialty reviews as...CMS guidelines and prepares a summary of findings. Performs review of all coders within the department and prepares… more
- Prisma Health (Columbia, SC)
- …Serve with compassion. Be the difference. Job Summary Responsible for leading coding teams, coder training, work que management, performing prebill and second-level ... coding reviews utilizing auditing software and documents findings to...Inspire health. Serve with compassion. Be the difference. Conducts review and audit of discharged inpatient records (prebill and… more
- Outlier AI (Tulsa, OK)
- …AI labs and large language model builders. Weve built a best-in-class remote work platform for our freelance contributors to provide valuable, specialized skills, ... hours working from home Join a global community of Coding experts Join a global network of experts contributing...rates may apply. Certain projects offer incentive payments. Please review the payment terms for each project. Equal Opportunity… more
- Spectraforce Technologies (Columbia, SC)
- Role Name: Medical Reviewer I Location: Columbia, SC 29229 Work Environment: Remote (After 2 weeks onsite training) Schedule: Mon - Fri, 8:30am - 5pm Contract ... decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. Day to Day: 80% May… more
- KLDiscovery (Jackson, MS)
- …respected. We have an ongoing need for Document Reviewers. Document Reviewers will review documents for complex litigation matters using an electronic review ... into the discovery process in different areas of litigation! Position Details Remote work-from-home opportunity Pay rate: $25 per hour Duration depends on the… more
- Johns Hopkins University (Baltimore, MD)
- …to include review of documentation. Serves as departmental expert on coding questions. Exercises independent judgment and decision making on a regular basis with ... We are seeking a Coding Specialist II is responsible for understanding all...Practice Association, Office of Billing Quality Assurance to include review of documentation. Specific Duties & Responsibilities Procedural Knowledge… more
- OCHIN (Portland, OR)
- …- Training Program Training Program Objectives: In our Medical Billing and Coding program, you will be introduced to health insurance, multiple healthcare settings, ... coding , and reimbursement. You will become familiar with the...Note: This program includes both online classroom training and remote hands-on training. Training Program Eligibility Requirements: Bilingual Spanish… more
- Outlier AI (New Orleans, LA)
- …AI labs and large language model builders. We've built a best-in-class remote work platform for our freelance contributors to provide valuable, specialized skills, ... working from home \n Join a global community of Coding experts \n Join a global network of experts...rates may apply. Certain projects offer incentive payments. Please review the payment terms for each project. \n Equal… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …MSK and around the globe. Exciting Opportunity at MSK: **Senior Healthcare Coding & Billing Compliance Specialist (Auditor)** At Memorial Sloan Kettering (MSK), our ... of integrity and accountability across our institution. As a **Senior Healthcare Coding & Billing Compliance Specialist (Auditor)** , you'll help safeguard MSK by… more
- UnitedHealth Group (Las Vegas, NV)
- …guidelines. This RN will train and provide coverage for the Medical Adjudication and Coding Units in Clinical Claims Review . If you reside within a commutable ... direct supervision of the Manager and Supervisors, Clinical Claims Review , conducts retrospective reviews for appropriateness of diagnostic procedures, inpatient,… more
- UnitedHealth Group (Plymouth, MN)
- …in their interactions with providers to explain review / medical record review findings and the application of coding /clinical criteria Engage with requesting ... quality audit practices to ensure UHC SIU's Medical Record Review Team is adhering to proper coding /clinical...Record Review Team is adhering to proper coding /clinical guidelines and ensuring clinical justification meets expected standards… more
- Prisma Health (Columbia, SC)
- …information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and ... regulatory coding guidelines. Performs Inpatient coding including major...and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs,… more
- TEKsystems (Jacksonville, FL)
- …attention to detail and organizational skills. * Ability to work independently in a remote environment. * Preferred Skills: Experience coding for ortho, ENT, GI, ... Job Title: Remote Outpatient Ambulatory Surgical Coder Location: Remote...and are passionate about accuracy and compliance in medical coding . Key Responsibilities: * Accurately assign CPT, ICD-10, and… more
- Prisma Health (Greenville, SC)
- …medical practice(s). Communicates with providers and team members regarding coding issues. Job Description Essential Functions Validate/ Review codes ... for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding /billing updates… more
- TEKsystems (Dallas, TX)
- *TekSystems is currently hiring for several FULLY REMOTE Medical Coders. These positions can sit anywhere in the US but would have to work EST time zone hours. * ... *MUST HAVE: 2-3 or more years of medical coding experience, preferably inpatient and outpatient experience but open....MCMC. Then they pass it off to QA for review . They will do these cases over and over… more
- Novartis Group Companies (East Hanover, NJ)
- Job Description Summary #LI- Remote Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education ... on payer policy coverage, multi-channel acquisition pathways, billing and coding , claims processing, reimbursement, and integration of manufacturer support programs… more
- TEKsystems (West Des Moines, IA)
- …CCI edits, LCD/NCD rules, and payer regulations accurately. * Research and resolve coding issues using *Epic Charge Review Work Queue* functionality. * ... Outpatient Medical Coder ( Remote ) *Position Details* * *Job Title:* Outpatient Medical...AM-4 PM CST) *Job Responsibilities* * Perform *hospital HB coding for ambulatory surgery* across multiple service areas (ortho,… more
- Universal Health Services, Inc. (Las Vegas, NV)
- …is also responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation ... of acute care services. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivered to accurately reflect patient… more
- Universal Health Services, Inc. (Washington, DC)
- Responsibilities Full Time Remote Registrar - Trauma Services (Monday to Friday AM) About GW Hospital The George Washington University Hospital is a 395-bed tertiary ... Classification of Diseases (ICD-10) and the Abbreviated Injury Scale (AIS) coding , as well as medical terminology. Key Responsibilities: Understand and apply… more
- Battelle Memorial Institute (Fort Belvoir, VA)
- …with Army tactical systems. **Key Qualifications** + Experience/knowledge in photogrammetry and remote sensing. + Coding expertise (Python preferred), with a ... Army Geospatial Center and ERDC's Geospatial Research Laboratory. This position is remote , with flexible work location, and supports client activities at Ft.… more
