Coding and Reimbursement Specialist
2 weeks ago
BASIC FUNCTION:
The Certified Medical Coder is responsible to review, analyze and code procedural information that determines Medicare, Medicaid and private insurance payments.
The Certified Professional Coder ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
PRINCIPAL ACCOUNTABILITIES:
- Assures the final diagnoses and operative procedures as stated by the providers are valid and complete.
- Analyzes medical records for completeness and validity of documentation and contacts providers for clarification for any incomplete/ambiguous or conflicting documentation.
- Code charges for assigned all departments such as Internal Medicine, Surgery, Anesthesia, Ophthalmology, OB/GYN, Pulmonary.
- Perform accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10-CM, CPT, and HCPCS codes Translates written policy interpretation into ICD-10-CM, CPT and HCPCS put into systems.
- Translates Legislative Mandates into ICD-10-CM, CPT and HCPCS codes for input into systems Collaborate with providers in assigned areas and provide feedback to management regarding documentation issues or reoccurring errors.
- Utilize software applications and information systems to perform tasks related to patient encounters and/or services.
MINIMUM REQUIREMENTS:
- Recognized certifications as Certified Professional Medical Auditor (CPMA); Certified Professional Coder (CPC), Certified Coder Specialist - Physician (CCS-P) Completion of a formal coding program + coding certification may be considered in lieu of prior professional coding experience.
- A background in a medical environment and extensive knowledge of medical terminology are needed.
- An understanding of Federal and State rules and regulations as they relate to physician billing is preferred.
COVID - 19 Vaccination Information:
All newly hired faculty, staff and student employees are required to vaccinate and to have proof of vaccination(s) upon their first day of employment. Please familiarize yourself with the University's COVID-19 vaccination requirements and verification policy.
Exemption and Waiver Information:
Medical and religious exemptions from vaccinations will be granted in accordance with federal and local law. Employees must request an exemption by completing the COVID-19 vaccination exemption request form.
More information on Howard University's COVID-19 response and protocol can be found here.
-
Coding Specialist Lead
3 weeks ago
Washington, Washington, D.C., United States Maury Regional Health Full timeAbout Maury Regional HealthWe are a leading healthcare provider in southern Middle Tennessee, with over 2,800 employees and more than 200 physicians across our hospitals, clinics, surgery centers, and physician practices.Estimated Salary: $60,000 - $80,000 per yearJob Description:Clinical Coding Specialist RoleThis role involves reviewing patients' charts to...
-
Healthcare Coding Specialist
1 week ago
Washington, Washington, D.C., United States Prisma Health Full timeJob OverviewAt Prisma Health, we are committed to delivering high-quality patient care and innovative services. Our team is seeking a skilled Healthcare Coding Specialist to join our Home Health department.About the RoleThis full-time position will play a critical role in providing coding and utilization analysis for Homecare patients and clinical staff. The...
-
Expert Medical Coding Consultant
6 days ago
Washington, Washington, D.C., United States MEDSTAR HEALTH Full timeMedStar Health seeks an experienced Coding Specialist III to work remotely. The successful candidate will possess 5-7 years of medical-professional coding experience and hold a CPC certification.About the RoleThis is a remote opportunity with MedStar Medical Group. As a Coding Specialist III, you will be responsible for ensuring that MedStar Health's...
-
Medical Coding Expert
1 week ago
Washington, Washington, D.C., United States MEDSTAR HEALTH Full timeJob SummaryWe are seeking an experienced Inpatient Medical Coder to join our team at MedStar Health. The ideal candidate will possess a strong background in ICD-10-CM/PCS and APR-DRG, with a minimum of 3 years of inpatient acute care coding experience.The selected candidate will be responsible for coding and abstracting primarily Inpatient acute care records...
-
Medical Coding Specialist
1 week ago
Washington, Washington, D.C., United States Howard University Full timeJob SummaryWe are seeking a highly skilled Medical Coding Specialist to join our team at Howard University. This is an exciting opportunity to utilize your knowledge of medical terminology, coding guidelines, and regulatory requirements to ensure accurate and compliant billing practices.
-
Medical Coding Denials Expert
1 week ago
Washington, Michigan, United States AAPC Full timeRemote Medical Coding Denials Specialist OpportunityWe are seeking a highly skilled and experienced medical coding professional to join our team as a contracted medical coding denials specialist. This position is remote, allowing for flexibility and work-life balance.About the Role:This critical role requires an individual with at least 5 years of experience...
-
Senior Medical Billing and Coding Specialist
1 week ago
Washington, United States RieLes Group Full timeRieLes Group is seeking a Senior Level Medical Billing and Coding Expert to provide services for the Armed Forces Retirement Home (AFRH) in Washington, DC. Resident population includes Long Term Care, Memory Support, Assisted Living, Independent Living Plus, and Independent Living. Approximately 80 percent of AFRH residents are covered by Tricare, and 95...
-
Washington, Washington, D.C., United States Cooper Thomas Full timeWe are seeking a skilled Full-Time Outpatient Medical Coding Specialist to join our team at Cooper Thomas, LLC. This is an excellent opportunity for experienced coders to work on a long-term contract with the Department of Veterans Affairs (VA).Estimated Salary: $60,000 - $80,000 per yearThe selected candidate will be responsible for accurately coding...
-
Reimbursement Specialist
1 week ago
Washington, United States Planned Parenthood of Metropolitan Washington DC Full timeJob DescriptionJob DescriptionDescription:Support PPMW's Revenue Cycle activities by performing all billing and collection functions for selected payer groups/financial classes, including posting and follow up on all outstanding Accounts Receivables (A/R). Provide feedback as appropriate to improve affiliate performance and increase reimbursement. Active...
-
Coding Analyst
2 weeks ago
Washington, United States GetixHealth, LLC Full timeResponsibilitiesFollow the documented processes for billing with specific instruction with regard to researchAnalyze trends and identify root cause to work with client on solutionsAttend any meetings as requested by the leadership teamReview of claims in revenue management system(s) for errorsOther duties as assignedEducation and Experience5 years or more...
-
Coding Analyst
2 weeks ago
Washington, United States GetixHealth, LLC Full timeResponsibilitiesFollow the documented processes for billing with specific instruction with regard to researchAnalyze trends and identify root cause to work with client on solutionsAttend any meetings as requested by the leadership teamReview of claims in revenue management system(s) for errorsOther duties as assignedEducation and Experience5 years or more...
-
Lead Inpatient Coding Auditor
1 week ago
Washington, United States Accuity Full timeAbout the RoleAccuity is seeking a highly skilled Lead Inpatient Coding Auditor to join our team. As a key member of our quality assurance department, you will be responsible for ensuring the accuracy and integrity of coding practices across our organization.Job SummaryThe Director of Quality Assurance and Auditing will provide leadership and oversight to...
-
Manager, Grants Coding
2 weeks ago
Washington, United States RESULTS Educational Fund Full timeDetails Position Title: Manager, Grants Coding Department: Finance Classification: Exempt Location requirement: District of Columbia Starting Salary: $75,000 Desired start date: January 1, 2025 Please send cover letter and your resume to jobs@results.org with subject line: Manager, Grants Coding. Overview RESULTS is a movement of passionate and committed...
-
Medical Coding and Revenue Cycle Expert
1 week ago
Washington, Michigan, United States AAPC Full timeJob SummaryWe are seeking a highly skilled and experienced Medical Coding and Revenue Cycle Expert to join our team. As a key member of our revenue cycle management team, you will be responsible for accurately reviewing medical records, ensuring compliance with applicable guidelines, and managing billing for multiple medical specialties.About UsAAPC is a...
-
Provider Reimburse Admin Sr
5 days ago
Washington, United States Elevance Health Full timeAnticipated End Date: 2025-01-10 Position Title: Provider Reimburse Admin Sr Job Description: Provider Reimburse Admin Sr. Location: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our PulsePoint locations. Schedule: This is a Hybrid 1 (home/office) position. The employee must work in...
-
Inpatient Coder
7 days ago
Washington, Washington, D.C., United States Shuvel Digital Full timeJob DescriptionWe are seeking a highly skilled Inpatient Coder to join our team at Shuvel Digital. As an experienced coder, you will be responsible for assigning accurate and consistent diagnostic and procedural codes to patient charts of high complexity.ResponsibilitiesAssign ICD-10 CM diagnosis codes and ICD 10 PCS procedure codes for assigned accounts...
-
Cloud Platform Support Specialist
1 week ago
Washington, United States Offices, Boards and Divisions Full timeJob OverviewSalary:$134,052 - $169,299 per yearJob DescriptionAbout the RoleWe are seeking an experienced IT Specialist to join our team as a Cloud Platform Support Specialist. The ideal candidate will have a strong background in cloud technology and a proven track record of managing cloud platform day-to-day operations.ResponsibilitiesManage cloud platform...
-
Healthcare Denials Specialist
1 week ago
Washington, Washington, D.C., United States Healthcare Legal Solutions LLC Full timeJob OverviewHealthcare Legal Solutions, LLC is a healthcare collections firm providing denial management services to hospitals and health systems.We are seeking a Claims Specialist with experience in claims, billing, and coding to investigate claim denials and contact health insurance companies for reimbursement information.
-
Accounts Payable Specialist
1 week ago
Washington, United States Robert Half Full timeJob DescriptionJob DescriptionWe are in the search for a proficient Accounts Payable Specialist to be a part of our team located in Washington, District of Columbia. In this role, you'll be tasked with ensuring the smooth operation of all matters concerning accounts payable. You will be expected to handle tasks such as maintaining vendor databases,...
-
Billing/Coding Analyst
3 days ago
Washington, DC, United States GetixHealth, LLC Full timeResponsibilities Follow the documented processes for billing with specific instruction with regard to research Analyze trends and identify root cause to work with client on solutions Attend any meetings as requested by the leadership team Review of claims in revenue management system(s) for errors Other duties as assigned Education and Experience 5 years...